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RE: Can a PT provide massage for fee in NY as side- job
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:24:38 PM
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proud
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quote:
ORIGINAL: smithcove SURE I DO, SOME ARE VERY SKILLED WITH THEIR MASSAGE, A LISENSED MT RECEIVES A FINE EDUCATION, WHY ARE YOU SO AGAINST MFR, CRANIO-SACRAL, ECT, ECT, JUST BECAUSE YOU MIGHT NOT HAVE POSITIVE OUTCOMES WITH SUCH TECHNIQUES, GENERALIZES THAT OTHER HAVE FAILED AS WELL. I AM AWARE OF A FEW SKILLED PT'S WHO HAVE WONDERFUL SKILLS, AS WELL AS OUTCOMES WITH PATIENTS AND ARE SKILLED IN CRANIO-SACRAL AND MFR. Oh my. Smithy. Do a pubmed search on the cranio-sacral therapy, MFR.... I am not against "best practice"....but this is getting foolish. With comments like this in an era where substantiation is vital, it becomes more clear to me our proession needs to do a much better job at goverence. If we have PT's who suppossedly graduated with abilities to understand the research process making these statements, something is going wrong. Anyone else?
< Message edited by proud -- November 8, 2007 3:29:47 PM >
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:29:10 PM
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smithcove
Posts: 44
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quote:
ORIGINAL: proud quote:
ORIGINAL: Shill Proud said....Patients in pain deserve a certain level of expert training don't you think? PATIENTS yes. But not everyone who has a backache actually needs to become a patient. Perhaps we have people out there who are doing just fine, have a few aches and pains, and they just want to be rubbed. They should then seek massage therapy. Some people have no intentions to do exercises or make changes to improve their function. I happen to think these folks are a fine fit for massage therapy. You said: ..."not everyone who has a backache needs to become a patient...." In this single sentence you made my argument for me. Direct access to a singular "expert" would avoid the many needless interpretations and explanations to patients concerning their problems( knots here, tight bands there, joints out of alignment, discs popping out etc). Research is now showing that fear and patho-anotomical explanations for pain in fact WORSON many NMSK consitions. Unfortunately many PT's also do not spend the time to understand the research. However a one expert system would aide in moving towards a more Evidence based model. This would unquestionably help society deal with escalating healhcare costs in the long run. Clearly we have a long way to go before we in the PT profession recognize how important this truly is. We just keep shooting ourselves and our patients in the foot by taking the passive stance that..."shucks.... good ol' competition is healthy"... It has nothing to do with competition guys. Like John, I have few people who confuse me with a masseur after speaking with me. What it IS about is getting a grip on a very poor system of dealing conservatively with NMSK in general. You are right shill...not everyone with a backache needs treatment. But do you trust a massuer to understand that and also understand the potential implications of telling people about tight bands or unhealthy "trigger points"...all unfounded? Sorry guys, but to insinuation that those that take offense to this notion that we all have a place so to speak are "insecure", just don't get the big picture. In my opinion. The scope of practice for a massage therapist does not allow them to dx any MSK condition, but if they feel a tight muscle and work on it, what is the problem. They are human, should they be robots? You patients are miss informed for what ever reason, if they think or confuse your skill with a massage therapist. And in my opinion you should ultimatly educate them on our profession and focus less on the lack of skills offered by others (not reported by you).
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:37:44 PM
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smithcove
Posts: 44
Joined: February 11, 2007
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quote:
ORIGINAL: proud quote:
ORIGINAL: smithcove SURE I DO, SOME ARE VERY SKILLED WITH THEIR MASSAGE, A LISENSED MT RECEIVES A FINE EDUCATION, WHY ARE YOU SO AGAINST MFR, CRANIO-SACRAL, ECT, ECT, JUST BECAUSE YOU MIGHT NOT HAVE POSITIVE OUTCOMES WITH SUCH TECHNIQUES, GENERALIZES THAT OTHER HAVE FAILED AS WELL. I AM AWARE OF A FEW SKILLED PT'S WHO HAVE WONDERFUL SKILLS, AS WELL AS OUTCOMES WITH PATIENTS AND ARE SKILLED IN CRANIO-SACRAL AND MFR. Oh my. Smithy. Do a pubmed search on the cranio-sacral therapy, MFR.... I am not against "best practice"....but this is getting foolish. With comments like this in an era where substantiation is vital, it becomes more clear to me our proession needs to do a much better job at goverence. If we have PT's who suppossedly graduated with abilities to understand the research process making these statements, something is going wrong. Anyone else? Understand, if using a techinque that I learned makes my pt feel better, who are you exactly to tell me or my pt that I'm doing my profession a dis-service. I have attended a course given by great-lakes, a wonderful course where non of the techniques are actually published and analized via a random controlled trial, they work, my pts feel better, they continue to function better, they show up for treatments and refere other, why should I stop using this technique. I truely hope by being so arrogant you only practice with EBR-ed interventions only.
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:39:29 PM
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TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
Status: offline
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quote:
ORIGINAL: smithcove SURE I DO, SOME ARE VERY SKILLED WITH THEIR MASSAGE, A LISENSED MT RECEIVES A FINE EDUCATION, WHY ARE YOU SO AGAINST MFR, CRANIO-SACRAL, ECT, ECT, JUST BECAUSE YOU MIGHT NOT HAVE POSITIVE OUTCOMES WITH SUCH TECHNIQUES, GENERALIZES THAT OTHER HAVE FAILED AS WELL. I AM AWARE OF A FEW SKILLED PT'S WHO HAVE WONDERFUL SKILLS, AS WELL AS OUTCOMES WITH PATIENTS AND ARE SKILLED IN CRANIO-SACRAL AND MFR. Oh my. This certainly explains a lot....I'm not even going to touch it.
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:40:33 PM
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smithcove
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In no way am I saying anything negative about EBP
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:44:48 PM
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smithcove
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Sorry so many feel so, but i would rather focus on how I can improve my pt's function rather than under-mine other professionals.
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:48:43 PM
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proud
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Just so silence does not get confused with agreement with you Smithy. This will be my last post to you. Anyone reading your last few gems would be raising an eyebrow for many more reasons other than the CST and MFR content... Oh boy, now wonder the likes of Childs and Cleland do not go near these blogs. I do not expect to change the minds of Duffy or Smithcove. Does not happen on these blogs. Carry on boys...carry on.
< Message edited by proud -- November 8, 2007 3:52:17 PM >
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 3:54:07 PM
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TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
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quote:
ORIGINAL: smithcove Sorry so many feel so, but i would rather focus on how I can improve my pt's function rather than under-mine other professionals. I wouldn't worry about other professions you seem to be doing a fine job of undermining our own. I challenge you to pose some of your thoughts and suggestions to some of these guys, it's a great site and you might learn something in the process. Good luck and I hope you do turn the corner. http://www.evidenceinmotion.com/
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 4:43:42 PM
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smithcove
Posts: 44
Joined: February 11, 2007
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quote:
ORIGINAL: TLB quote:
ORIGINAL: smithcove Sorry so many feel so, but i would rather focus on how I can improve my pt's function rather than under-mine other professionals. I wouldn't worry about other professions you seem to be doing a fine job of undermining our own. I challenge you to pose some of your thoughts and suggestions to some of these guys, it's a great site and you might learn something in the process. Good luck and I hope you do turn the corner. http://www.evidenceinmotion.com/ How so?
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 10:59:29 PM
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PTupdate.com
Posts: 1477
Joined: October 8, 2001
From: Pittsburgh, PA USA
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I am not saying that massage therapists be able to diagnose MSK injuries....as noted by someone else, that's illegal, and I get ticked when I hear of it (or, when they work on me and say stupid things). I am indicating that there are people who need and benefit from soft tissue mobilization (or insert any other name you choose for it). It does not demean our profession in any way. I will note that most massage school graduates have more hands on training and practice than the average PT school graduate, and a weekend course here or there does not always guarantee improvement. And Todd: You're on with regards to my neck. But, if you make me sore, I'm gonna kick your ass
_____________________________
John M. Duffy, PT Board Certified Orthopaedic Clinical Specialist www.PTupdate.com
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 11:02:02 PM
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PTupdate.com
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Joined: October 8, 2001
From: Pittsburgh, PA USA
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And Shill: Loved your earlier post...you summed things up so perfect
_____________________________
John M. Duffy, PT Board Certified Orthopaedic Clinical Specialist www.PTupdate.com
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RE: Can a PT provide massage for fee in NY as side- job - November 8, 2007 11:21:58 PM
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proud
Posts: 944
Joined: March 22, 2006
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quote:
ORIGINAL: PTupdate.com And Shill: Loved your earlier post...you summed things up so perfect Perfect in your mind John. I thought it missed the mark completely....to each his/her own I guess.
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RE: Can a PT provide massage for fee in NY as side- job - November 9, 2007 8:55:11 AM
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pappawheelie
Posts: 40
Joined: September 19, 2007
From: Vermont
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TLB-can you enlighted me about "directional preference"? I just did a pubmed search and nothing came up.
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RE: Can a PT provide massage for fee in NY as side- job - November 9, 2007 10:41:29 AM
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TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
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quote:
ORIGINAL: pappawheelie TLB-can you enlighted me about "directional preference"? I just did a pubmed search and nothing came up. check out spine and and see what comes up. http://www.spinejournal.com/ Duffy, if you pm me your fax I'll send what works for me and it sounds like we have pretty much the same symptoms at the same level.
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RE: Can a PT provide massage for fee in NY as side- job - November 9, 2007 12:40:47 PM
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pappawheelie
Posts: 40
Joined: September 19, 2007
From: Vermont
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I didn't find anything(title and author search), but what exactly am I looking for? A technique, theory, arthrokinematic discription?
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RE: Can a PT provide massage for fee in NY as side- job - November 9, 2007 12:49:35 PM
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Shill
Posts: 1097
Joined: February 13, 2003
From: Madison WI USA
Status: online
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Proud, you forget to entertain the idea that the backache bothers YOU more than it bothers the person with the back ache. Not everyone who has a backache wants to go and get into a program. Some backaches are percieved as a real problem, but not all. There is a lot of needless and incorrect "education" about LBP, and about NMSK maladies in general, with that I agree. However, the "one or none" idea is an unrealistic goal. I do not see a practical way to undo the teachings of those who use unproven methods, treatments, causes, etc, beyond the one at a time re-education when they come to a clinic in which the practitioner teaches plausible approaches and methods. Believe me, I feel that MFR, craniosacral, healing touch, are as far from physical therapy as can be, and think these are silly, ridiculous etc, etc. However, massage for the sake of massage is just fine with me. There will always be proponents of the fringe techniques of MFR, Cranio and other snake-oil techniques. How do you propose to undo the mis-information? Anyone can identify a problem, what we need is a solution. What are you doing about this besides arguing on a forum? I ask in sincerity. Massage takes some skill TLB. Go to a plumber and ask him to rub your back, after he punches you out, if you can get to your feet, and then convince him to actually rub your back, you will notice a distinct difference in his technique over a massage therapist. Ask a massage therapist to fix your water heater.......You get the idea. There are different levels of skill, different considerations, and different contexts.
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RE: Can a PT provide massage for fee in NY as side- job - November 9, 2007 1:04:24 PM
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TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
Status: offline
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quote:
ORIGINAL: Shill Massage takes some skill TLB. Go to a plumber and ask him to rub your back, after he punches you out, if you can get to your feet, and then convince him to actually rub your back, you will notice a distinct difference in his technique over a massage therapist. Ask a massage therapist to fix your water heater.......You get the idea. There are different levels of skill, different considerations, and different contexts. My Asian girl down the street at the massage palour does just fine and she never had any formal training to speak of....I would have to disagree on all points. To me joint mobilizations/manipulation takes training, massage does not.
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