Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
October, 2012, Vol. 12, Issue 10
What Does the Massage Therapy Foundation Do For You?
By Ruth Werner, LMP, NCTMB
If you are like me, at some point in your massage school career you heard something like, "Cancer contraindicates massage because increased blood and lymph flow will speed metastasis. Your client will die sooner, and it will be your fault." And then later, you were introduced to the idea of oncology massage for cancer patients.Did you ever stop to question how this came about? Who determined that massage was dangerous in the first place? And who was brave enough to challenge that conventional wisdom?
Occasionally I have the opportunity to meet massage therapists outside the context of conferences or trade shows. When I do, I usually ask them if they've ever heard of the Massage Therapy Foundation. The response is almost always the same: "The what?" This answer causes me a little frustration and a lot of optimism, because it points to a huge untapped resource of people who don't yet know what the Massage Therapy Foundation is doing for them, and I know they're going to be excited about it when they find out.
Working for You
For those who don't know — and you're the ones I really want to talk to — the Massage Therapy Foundation is working for you. We were formed by the AMTA in 1991 with the mission of advancing the massage therapy profession through supporting scientific research, education and community service. We do this by raising money that we invest in programs to serve our vision: the practice of massage therapy is informed by evidence and is accessible to everyone.
The Foundation can only fund relatively small-scale research studies, but some of them have had huge impact. In the early 1990's, we funded some of the first research to challenge the "cancer contraindicates massage" shibboleth. The consequence: today massage therapists are able to offer safe, appropriate and welcomed touch to cancer patients. That work continues. In 2011, we funded a study on the use of massage for patients who had become addicted to opioids because of chronic pain. The 2012 grants will study massage along with exercise for weight management, and using massage to help treat chemotherapy-induced peripheral neuropathy. You can find a whole list of the studies in which the Foundation has invested a total of about $750,000 here: http://bit.ly/TI7iEn.
The more than $370,000 that we have given to community service grants since 1993 have had local and international impact, delivering massage to under served populations including homeless people in the U.S., Indians working in the fields in central Mexico and orphans in Japan and Uzbekistan. A full history of our community service grants can be found here: http://bit.ly/SrZG6t.
It's fun to talk about our research grants and our community service grants, because these can make every donor to the Foundation feel proud that their money is being used for such a good cause. But the work of the Foundation goes far beyond these programs.
It is important for you to know that the Massage Therapy Foundation is working –every single day– for you. Since its inception, the Foundation has been building and nurturing relationships within the research community. We have worked closely with the leading massage therapy researchers in this country and around the world. We don't just fund small-scale projects. We also help to sponsor international meetings, we offer consultation on NIH-funded research, we recruit experts to help with our own programs and we serve as a conduit for researchers with similar interests to find each other. The net result is that when a research project comes to fruition, the Massage Therapy Foundation often had something to do with it.
What does this do for you? It drives business to your door. Research that demonstrates the benefits of massage regularly makes headlines in major media outlets. This year alone massage research was featured in the New York Times, the Los Angeles Times, the Wall Street Journal, U.S. News & World Report, NPR, and many other outlets. Having an evidence base that demonstrates the benefits of massage helps YOUR bottom line. The days when we had to make hyperbolic claims about what massage could do, or "best guesses" about whether massage works are over, and solid information — in scientifically rigorous, credible forms — is now available for you to use to build your practice.
Research and community service grants are the tangible outputs of the Massage Therapy Foundation's mission. Education is third part of its job, and in many ways it is the focus that is closest to my heart. I am not an academic or a researcher, but I am a curious person. I believe that every massage therapist has the capacity — and even an obligation — to be curious. The Foundation gives you the tools to turn that curiosity into better outcomes for your clients. After all, if another massage therapist has already documented success in similar circumstances, why reinvent the wheel?
Here are some of those tools:
A lot of people feel intimidated by scientific articles because they are uncomfortable with that language. The Foundation's Basics of Research Literacy course is an online, self-paced interactive learning project that will help you move toward a more effective evidence-informed practice: www.BasicsOfResearchLiteracy.org.
The Foundation's Case Report Contests for students and practitioners provide an opportunity for you to tell your stories about your work with clients in a way that every other massage therapist can benefit. Case reports add important data to our profession's evidence base. How can we grow this without your input: http://bit.ly/GH93IK?
Maybe it would help if you had access to a peer-reviewed scientific journal dedicated to massage research. The International Journal of Therapeutic Massage and Bodywork is a rigorous academic publication that is open-sourced and available without subscription: www.massagetherapyfoundation.org/education/ijtmb/.
For even more information, check out the research column that is published in every issue of Massage Today: it is a recap of an important research article, put into lay-person's terms by Foundation volunteers, so that every massage therapist can make use of the research being conducted today: http://bit.ly/wAIWvd.
Are you a teacher, wanting to bring some research literacy skills into your classroom? Watch for Teaching Research Literacy, a free 1-day workshop hosted by ABMP's Instructors on the Front Lines program: http://bit.ly/GEuGhP.
Maybe you learn best by being in direct contact with others. Wouldn't it be inspiring to spend three days with massage therapy researchers, learning about their work and making suggestions for future studies? Make plans now to attend the International Massage Therapy Research Conference, presented by the Massage Therapy Foundation April 25-27, 2013, in Boston, Massachusetts: www.IMTRC.org.
Looking for some instant gratification? (Aren't we all?) Download our Education Toolbar. In about five minutes you'll have a bar on your internet browser that will give you instant access to Pubmed.gov (the world's largest database of science journals), Google Scholar, the Cochrane Library, and several other search engines. It has links to educational tools, the Foundation's blog pages, and much more: http://bit.ly/GR6jea.
This is just a short list of assets and services the Massage Therapy Foundation provides for you today, but these services are expanding all the time. In the works at this minute: an e-book on how to use research to build partnerships with physicians in your area; a webinar series on writing excellent case reports; and an updated Massage Therapy Research Agenda.
So, in a nutshell, that's what the Massage Therapy Foundation does for you. Our call to action is to USE these resources. Sign up for our monthly newsletter that will alert you to the latest Foundation projects. Download the Education Toolbar. Read the Massage Today research column. Participate in the Case Report Contest. Come to the Research Conference. Read the International Journal of Therapeutic Massage and Bodywork.
The Foundation's revenue comes from the AMTA (our largest donor), other industry supporters and a small amount comes from individual donors. These supporters allow us to invest about $200,000 each year in our granting and educational programs that help you — whether you're a donor or not. If every massage therapist reading this article gave the value of one massage per year to the Massage Therapy Foundation, we could invest over $2 million in research, education and community service. Do you want to be a part of that? It's easy: click on the "Donate Now" button at www.massagetherapyfoundation.org to join in our vision that the practice of massage therapy is informed by evidence, and accessible to everyone.
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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