resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Educating Massage Clients: What's Appropriate and What's Not
All massage therapy experiences should be provided in a safe, comfortable and trusting environment. No one should ever do anything to your body that you have not given permission for. A therapist should never be sexual in any way with a client. That includes sexual touching, sexually explicit comments to or any sexual act whatsoever. Every well-trained massage therapist understands – or should understand – the guidelines that follow.
After initially greeting a new client, the therapist and client agree on the type of session, if it was not clearly prescribed when booking the appointment. In a spa or wellness setting, a client may have selected a particular type of treatment and this should be clear without discussion. However, the therapist always asks if there are any areas you particularly want worked on or completely avoided.
The extent of the history-taking depends on why the client is there. If they are coming for a relaxation massage, the therapist will ask certain questions to make sure the treatment is safe. At a minimum, the therapist should ask about any surgeries, medical conditions, medication, injuries, pain, skin conditions, allergies to anything the therapist may be using and any sensitive areas. A woman should be asked if she is pregnant.
Who's In Charge?
The client is always in charge. If a therapist of any kind ever does anything that makes a client emotionally or sexually uncomfortable, the client should speak up immediately or just tell the therapist they want to terminate the session and leave. Clients see a massage therapist for many reasons. Some come for a relaxing massage, postsurgical or post-cancer treatment, or for pain or injury treatment. In some types of massage and bodywork, there may be some physical discomfort. Be sure that you and your client have agreed on how much discomfort is okay and how much is too much. For example, if treating for an injury, there may be some discomfort, which is part of the treatment process. If a client comes for some myofascial or Rolfing work, inform them that this kind of treatment, which is very different from massage, can be quite painful.
Nudity and Draping
Every client should undress and dress in private; the state of undress is up to the client. Some clients remain fully clothed except for their shoes. Others wear a hospital-type gown, leave their underwear on or are nude. A client should always be securely covered or draped with a sheet or towel, which should be tucked in or draped in such a way that it will not easily move.
The entire session is about the client and what they need to have in this particular session. How much pressure is used, where the therapist works and doesn't work, and if you talk or remain quiet is all up to the client. It's not about the therapist's needs.
There is a power differential between practitioner and client. The power differential is inherent in any therapeutic relationship. There is an implicit acknowledgment that the practitioner has more knowledge in this area than the client. The power differential exists for the purpose of bringing benefit to the more vulnerable individual. In healthcare, the power differential is amplified by the physical aspects of practice. The client is usually lying down and unclothed, which has the psychological effect of increasing the imbalance of power. Maintaining professional boundaries is the responsibility of the practitioner, even if the client requests or instructs the practitioner to behave otherwise. The practitioner also has a duty to stay aware of how the power differential may affect the client's ability to raise concerns.
Appropriate and Not
A massage therapist should never touch the genital area of the client. This is either sexual abuse or prostitution. In most parts of the U.S., massage of the breast is off limits. In the few states where it is legal, there must be written consent by the client. In other countries (for example, in certain provinces of Canada), where the training is much more extensive, breast massage is part of massage therapy training and is permitted where appropriate. There are cases where breast massage may be indicated. For example, if a nursing mother has a blocked milk duct, breast massage is sometimes indicated. Or if there is a painful post-surgical scar, certain types of massage therapy may be helpful. However, it is never appropriate to perform massage on or touch a woman's nipples.
The area of the upper inner thigh, either in front or back, is an area that is rarely touched. More specifically, the therapist never works within two to three inches of the genital at the inner thigh. It can evoke sexual stimulation, fear or both. It is a private area that is left to intimate partners. The only exception to this guideline is when there is an injury to the muscles or tendons in this area. In this case, the client has come to the therapist to work on this issue and has explicitly agreed to be treated in this area. When this is done respectfully and with draping, it is not a problem. The therapist carefully and securely drapes the client's upper inner thigh with a sheet or towel before working.
The buttock area is generally included in a massage therapy session but doesn't have to be if this is not an area you want worked on. Work on or very close to the anus or motions that clearly open the cheeks of the buttock should never happen.
Reporting an incident: If the client feels their boundaries have been crossed or violated, they should say something immediately. some people freeze physically, emotionally and verbally when they have experienced posttraumatic stress disorder at some time in their life and this could be a problem. Inappropriate actions by therapists can be reported to the police, the Massage Therapy Board of Registration and/or the District Attorney's office. These types of actions cannot be tolerated and do great harm to those in our profession who do an admirable job in helping people live more pain free lives. Make sure your clients are educated as to appropriate behavor for them and for you, so there is no miscommunication or misunderstandings and your practice can continue to thrive.