resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Have We Created a Touch Deprived Society?
I recently attended a memorial service for a long-time friend of my husband's. There were lots of people there; some I knew well, others were strangers. Mingling at the reception I noticed how much people were touching. I bet I gave and received 25 hugs, not to mention handshakes and greetings that included touching an arm or shoulder. Since I was in the midst of writing this article, I wondered why we are so much more open to touch in this personal situation when, as a society, we're disconnected from it. Come to find out, I'm not the only one asking. Scientists and researchers in neuroscience and human behavior are, too. Touch is getting its due attention. Bit I wonder, have we created a touch deprived society?
Hard wired for touch
It's long been acknowledged that touch is the first sense babies develop in the womb and that holding the baby at birth cements a bond between mother and child and that babies need physical contact to develop and thrive. My training in occupational therapy included how to assess and treat tactile and sensory dysfunction, a common symptom of disease or trauma of the nervous system. I could tell you all about a patient's ability to feel a pin prick in precise tactile tracks in the body (dermatomes) or distinguish a comb from a fork just by feel (sterognosis). But I don't recall ever discussing the emotional impact of human touch. Denworth (2015) tells us, [Scientist's] growing body of research has uncovered another dimension of touch that is separate from its discriminative function. This newly recognized system, known as affective or emotional touch, consists of nerve fibers triggered by exactly the kind of loving caress a mother gives her child. It is possible that these neurobiological foundations of attachment might play a far more significant role in human behavior that has been recognized, forging connections and increasing our chance of survival. "Hertenstein et. al., (2009) investigated our ability to distinguish or decode distinct emotions from touch alone, without the context of facial expression and body language. They found that people reliably decoded emotions of anger, fear, disgust, love, gratitude and sympathy when touch was the only means of communication. I wonder if our current social habits detach us from this potent means of communication and human connection.
I've thought some about the use of various technologies and how they enhance the lives of our elders. Many grandparents have discovered the "Skype visit." These long-distance visits can help families stay connected or help family members monitor how grandma is doing. While I believe that these "Skype-visits" are a good thing, I do question if some families will skip the trip to grandma's and substitute a Skype-visit instead. There's no substitute for a real visit where people share an experience; where grandparents feel and touch their grandchildren who then can remember what grandma's wrinkly skin felt like or the smell of her Jergen's lotion; where grown children take time to simply show up and be present. Technology will play a huge role in aging baby boomer's lives, but maybe we should keep some good old fashioned visits along with it. As a new grandmother, I can tell you there's no substitute for holding that little baby boy who will someday call me Nana.
The Daycare Dilemma
I was a working mom and was really lucky that my workplace had an excellent daycare center and preschool on-site. For the babies, they had volunteer "grandmas" whose only job was to sit in rocking chairs and hold the kids. One grandma took a liking to my baby son and held him a lot. I loved that! Even the older kids swarmed around these women. I would like to think those ladies would still be there. But I wonder when the notion of touching kids in daycare and schools is laden with fear and anxiety in today's risk-avoidance culture. Piper, H. and Stronach (2008) examined this issue in depth and found that daycare workers and teachers "hands are tied" by policies aimed at protecting children but their sensible instincts suggest the rules are an unnatural way of caring for kids.
The Doctor/Patient Relationship
A favorite story of mine is told by Dr. Abraham Verghese in a 2013 TED talk. Dr. Verghese appeals to physicians the importance of a hands-on physical examination of their patients at a time when MRI's, CAT scans, blood tests, and tele-medicine have replaced the ritual of palpating and listening. I share an excerpt from his presentation as he tells it because I think his words are so powerful.
"I recall one patient who was at that point no more than a skeleton encased in shrinking skin, unable to speak, his mouth crusted with candida that was resistant to the usual medications. When he saw me on what turned out to be his last hours on this earth, his hands moved as if in slow motion. And as I wondered what he was up to, his stick fingers made their way up to his pajama shirt, fumbling with his buttons. I realized that he was wanting to expose his wicker-basket chest to me. It was an offering, an invitation. I did not decline. I percussed. I palpated. I listened to the chest. I think he surely must have known by then that it was vital for me just as it was necessary for him. Neither of us could skip this ritual, which had nothing to do with detecting rales in the lung, or finding the gallop rhythm of heart failure. No, this ritual was about the one message that physicians have needed to convey to their patients. Although, God knows, of late, in our hubris, we seem to have drifted away. We seem to have forgotten as though, with the explosion of knowledge, the whole human genome mapped out at our feet, we are lulled into inattention, forgetting that the ritual is cathartic to the physician, necessary for the patient, forgetting that the ritual has meaning and a singular message to convey to the patient. And the message, which I didn't fully understand then, even as I delivered it, and which I understand better now is this: I will always, always, always be there. I will see you through this. I will never abandon you. I will be with you through the end." I relate to this story very much. I have a hospice client now that I've seen for three years. We have a ritual to our session. She likes having her back massaged with lotion or powder and, although it's an effort for her, she lowers her robe so she can feel my hands on her skin covering her emaciated back. After the massage, her face, and my heart, is filled with gratitude.
I believe that perhaps our real work as massage therapists, regardless of your clientele, is to help usher in a new age where human touch returns to its rightful place in our world. There are lots of signs of hope such as these telling lyrics in Greek electropop band the Berlin Brides' song, Ballad for the Touch Deprived:
I'm living my life in perfect bliss