Multiple Sclerosis & Massage Therapy, Reflexology

mscase588x400Good news for Multiple Sclerosis patients – Massage Therapy helps your inflammatory, fatigue, muscle spasticity, and motor control symptoms, with regular sessions! There are several manual techniques for addressing and improving the symptoms of MS with which a massage therapist can assist.

Multiple Sclerosis (MS) is a condition where the myelin sheaths around the brain and spinal nerves of the central nervous system (CNS) are initially inflamed, then are gradually degenerated, causing symptoms such as fatigue, spasticity, eye pain, tremors, and progressive loss of vision, sensation, and motor control. This condition is diagnosed in about 8,800 new patients every year – about 350,000 cases are known in the United States.¹

Sclerosis is a hardening of the myelin sheath when it is replaced by a plaque or scar tissue. Electrical impulses that characterize the method by which the body communicates through the nerves are literally “short circuited” because of the inability of the plaque or scar tissue to conduct the impulses. Symptoms are more or less depending on how much of the sclerosis occupies the nervous system, where myelin sheaths used to be. The “short-circuiting” effect causes motor and sensory paralysis, which shows in the lack of motor control and feeling in the skin and other perceptive organs.

Massage Therapy is indicated in a sub-acute stage of MS – that is, when the symptoms are not heightened and when the patient is in a remissive state. It improves many aspects of the symptoms, like inflammation control and stress or depression symptoms. Heat is not indicated at any time, as heat is an agitator of muscle activity, causing spasm in any stage of MS. In areas where there is little or no sensation, light massage (effleurage) is indicated in order to affect the neurons and keep them firing.

The Touch Research Institute of the University of Miami has issued two studies that show that massage therapy improves specific conditions shown in MS patients.

The first study, conducted with 24 adults with MS over 5 weeks, receiving a 45-minute massage twice a week, resulted in “the massage group ha[ving] lower anxiety and less depressed mood immediately following the massage sessions, and by the end of the study they had improved self-esteem, better body image and image of disease progression, and enhanced social functioning.”²

The second study showed the effect of reflexology on 71 randomized MS patients: “Significant improvement in paresthesias, urinary symptoms and spasticity was detected in the reflexology group. Improvement with borderline significance was observed in muscle strength between the reflexology group and the controls. The improvement in the intensity of paresthesias remained significant at three months of follow-up.”³

Amazing results from using massage therapy gives hope to the MS patients suffering MS’s debilitating conditions. You may read more about the details of the TRI studies at the University of Miami or visit the National MS Society to learn more about how reflexology is impacting the pain symptoms of MS patients.

¹Werner, Ruth (1998). Multiple Sclerosis. A Massage Therapist’s Guide to Pathology, 135-139.
²Hernandez-Reif, M., Field, T., & Theakston, H. (1998). Multiple sclerosis patients benefit from massage therapy. Journal of Bodywork and Movement Therapies, 2, 168-174.
³Siev-Ner, I., Gamus, D., Lerner-Geva, L., & Achiron, A. (2003). Reflexology treatment relieves symptoms of multiple sclerosis: a randomized controlled study. Mult Scler., 9, 356-61.

Bodies on the Table: Blood Circulation

The second article in this series addresses another way your body responds to bodywork, massage therapy specifically – it is the aspect of circulation.  Increasing circulation of many of the body’s fluids is a benefit that is innate to the pushing, pulling, and stretching that accompanies most massage strokes – blood transport is the focus of this segment.

In Swedish-style massages, effleurage, petrissage, compression, and muscle stripping all share the goal of moving fluids.  Fluids can be defined as blood, lymph, water, or extra-cellular fluid; all forms transport nutrients, bacteria (good and bad), and waste in and out of the body.  Effective transport indicates good health – the cells are healthier and cellular-aging and -death is reduced.

virtualarterialflow110x110

virtual arterial flow (no surrounding cells)

Massage enlivens the theory that moving blood, specifically, toward the heart increases vasodilation (venous circumference) which increases the volume of the vein which means transport of nutrients and waste in the blood will increase.  Movement is life, so moving the fluids is important for the health of the surrounding and affected cells.  Also, moving fluids toward the heart increases waste production, since the kidneys are in line to the return blood flow to the heart – needing to urinate after a bodywork session is a normal and healthy response to the work you just received.

Another aspect of blood circulation that is an important feature of healthy, comfortable, and safe bodywork is the direction of the stroke.  Since veins occur mostly toward the most-surface areas of the body, they are the most directly affected structures during a massage.  Although the direction of energy strokes is dependent on the theory in use, tissue-manipulative strokes are most effectively and safely delivered when applied toward the heart.

The reason for this is that veins have structures inside that prevent backflow of blood and fluid.  The heart is not able to effectively assist the blood return through the veins, just the blood delivery through the arteries, which is strongest at the point of origin – the pumping heart muscle.  In blood return to the heart, the body is designed to assist through contraction of muscle surrounding the veins to move the blood back toward the heart and lungs for recirculation.

Another function of and safety mechanism for preventing the back flow of blood (especially during sedentary states) is the pockets or valves on the interior of the veins.  If pressure is applied in the direction of backflow (against the direction of flow), the structure of the pockets and valves is compromised and the veins stretch and strain under the pressure.  If there is too much stress on the vein in one application or over time, damage can occur to the vein, causing it to weaken or break.  Varicosities can occur or, at worst, bruising of the area where the vein was compromised.

As we get older, the elastin is depleted and not easily replaced in our entire body.  Veins are an important place to have elastin, as they expand and contract based on our environment and state of physical exertion and health.  If undue pressure is applied in the opposite direction of blood flow, permanent damage can be caused by which it becomes more difficult to recover.

massageface01110x110What’s most important is that you feel good during and after your massage.  The old adage “If it feels good, do it” is most applicable when considering the direction of the massage stroke you are receiving.  If it is irritating or annoying, there is a reason it feels that way – talk to your therapist and ask why you may be experiencing that feeling or sensation.  Trust your body to tell you what is good for it – safe, effective massage “feels good.”  The circulatory system plays a major role in how you feel during or after your massage, so make it an important goal, whether it’s to invigorate or relax it, for your overall health and well-being.

In the next article, we’ll talk about another circulatory system that is affected by bodywork and massage – the lymphatic system.  We’ll see how edema, lymph nodes, and the liver, kidneys, and your tonsils all play a part in the physical response and benefits of receiving bodywork!

To Deep…or Not Too Deep? Bodies on the Table Series

Massage is a great way to relieve stress, deepornot01588x400get all the toxins out, and just feel centered and relaxed in general. But there is a science to what your bodyworker is doing and how your body responds while you are zoning out to the tunes of nature on the beach and breathing deeply before you sink into that half-conscious Zen state after your session has started. Let’s find out what happens to your body while you are getting bodywork!
In this series of articles, we’ll talk about the physical responses of your body when you are receiving bodywork. We’ll address many aspects of what is happening in your body that gives you that “I feel like Jell-o” sensation when you get off the table or floor!
In this article, let’s talk about the depth of the stroke of a massage therapist. There are many preferences for the pressure that you may ask for in your massage. Some like a relaxing massage that incorporates flowing, rhythmic, or fluid strokes that are felt all over the body. Some like an invigorating massage that stimulates, encourages an increased circulation, or really addresses the “knots” you’ve been battling with for quite sometime or just recently. No matter your preference, your therapist is considering your physical response to the application of each stroke throughout the session.
Massage carries the connotation and characteristics of a good stretching workout. Your therapist manipulates your muscle tissue and fascia ultimately lengthening the fibers. They press, increasing the distance between the attachments of your muscles. This pressing, or lengthening, of the muscle resets the areas of muscle and tissue where chronic or acute shortness occurs. It also releases toxins into the surrounding space in between the muscle cells and tissues in your body.
The pressure by which your muscle and tissue is lengthened can cause micro-tears and damage to the cells, even in healthy tissue. Sometimes you may feel sore after a massage. There are several reasons you may feel this; one reason may be that your muscles are repairing themselves from the micro-tears that have been sustained from a firm massage or stretching session.
deepornot02588x400Part of the way your therapist detects how hard to press or squeeze is by your verbal communication indicating “That’s a little too much pressure” or “You can go harder, if you want.” The other way your therapist knows how much pressure to apply is by the holding or contraction of the muscle (or surrounding musculature) that is being addressed with the stroke. If your muscle tightens or you tighten up throughout the area, this is your body’s way of protecting itself from the micro- or macro-scopic damage that could be easily caused by “too much” pressure. Bruising may even occur, although rare, and only in cases where your physical condition is more prone to bruising, even in a specific area of the body.
There are many ways to recognize the best pressure for your body.

    1. If it is your first massage, let your therapist determine the depth of the stroke by applying the stroke in every area of the massage: notice the areas in which you may want more or less pressure in the future.
    2. If you have just completed and athletic event, it is always best to receive a more relaxing technique of massage in order not to damage the muscles further and to allow the muscle to recover and repair without inhibition.
    3. The amount of muscle or tissue you have is not always directly proportional to the amount of pressure you “need;” pressure preferences can range from little muscle needs a lot of pressure to much muscle needs a little pressure.
    4. Depending on your experience and habit of receiving bodywork, you may graduate into a deeper pressure the more you receive massage; if you get massage weekly, it is safe to have deeper pressure as your cells will be used to and will recognize the power of a deeper massage, especially on the deep layers of muscle that are hard to get to or have not been addressed yet.

In any case, always give verbal feedback if the pressure is too much or too little for your taste, but ultimately trust the therapist to “know when to say when” in order to avoid macro-scopic damage or other negative physical responses based on your health condition at the time of your session.
With regular massage (and stretching) your body soon comes to realize that longer muscles are more efficient and work better and are in less pain more often. The cells in your tendons that detect the length of a muscle are able to pay less attention to the shortness of the muscle and spend more time on kicking back and enjoying the massage!

Winds of Change Blowing: Professional Association & State Boards Support New Benchmarking Tool – the MBLEx

Wouldn’t you just love to be able to walk into a state board – ANY state board – and hand them [your state’s license] credentials, including the passing of one test recognized by all states, and they say “No problem! Here you go,– now: go out and do massage.”

Although that scene could have been difficult to imagine 5 or 10 years ago, that seems to be where the massage therapy industry, where regulation is concerned, is heading.

The American Massage Therapy Association (AMTA), a leading professional association operated for and by more than 58,000 massage therapists, announced last week its support for the Massage & Bodywork Licensing Exam (MBLEx), the newest American massage therapy professional exam on the block. The AMTA has supported the industry- & jurisdictionally-recognized National Certification Exam (NCE) and  finds that the newest licensing exam, developed & administered by the FSMTB (whose membership is primarily composed of state massage boards) is the next evolutionary step and “the best choice” in national credentialing for massage therapists in America.

It seems that the AMTA (a major influence in the areas of professionalism, professional representation to other fields of healthcare, and largest representation by mere numbers of a massage-therapist-only organization) is also supporting the entity of choice of the state boards that are moving to a more unified and portable licensing situation, which I can say has been and is a dream for our industry.

mblex-2-110x110Just to recap:

· The MBLEx is the test given by the FSMTB

· The NCE is the test given by the NCBTMB – two versions are NCETM (Therapeutic Massage) & NCETMB (Therapeutic Massage & Bodywork)

The Federation of State Massage Therapy Boards (FSMTB) administers the MBLEx, which is comparable to the NCETM/B, administered by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).

Although the NCBTMB uses massage instructors, allied professionals (like chiropractors and physical therapists), the public and federal jurisdictions in developing the NCE, the development of another non-credential-bearing version of the NCB’s ‘stamp of approval’ for passers of the NCE, the NESL, has come a little late in the development of the reigning Certifiers of professionals in the massage therapy industry.

It seems that the NCBTMB does not include State Boards of Massage Therapy in the development of the benchmark testing of their NCE, and that there is not a like mind shared by all State Boards of Massage Therapy that agrees on the applicability of the NCE in each of the State Boards’ jurisdictions.

The MBLEx and the FSMTB is fast becoming state massage therapy boards’ preference for a professional benchmark to determine whether an MT is competent enough to practice massage therapy in the specific Board’s state.

Last year, the Nevada State Board of Massage Therapists (NSBMT) became a member of the Federation of State Boards of Massage Therapy (FSMTB), joining the fast-growing numbers of state boards of massage therapy in the US.

Stats:

o 42: States Massage-Regulated in the U.S.

o 32: States Massage-Regulated in the U.S. and using the NCE

o 25: State Massage Boards also FSMTB members

What does this mean to [Nevada] Massage Therapists?

In my opinion, immediately, it will mean that in the next few years, the exam taken for applying for Nevada’s massage therapist professional license will be changing. Ultimately, it will mean interstate portability for a massage therapy license. And in the big scheme of things, a national professional license. And in the universal application of the implications, the universal (intra- and inter-national) ability to practice massage professionally with the same credentials. Now EVEN BIGGER that Universal implications could be BUSINESS LICENSEs are Universal, too – but I think that’s pushing it…just a bit.

Most of us have “grown up” with either the local business license office or state board requiring the NCTM/B credential: taking the NCE and getting the certificate to take copies to their offices. It does not mean (at least to the AMTA) that the NCE is not a valid exams: the AMTA clearly stated in their email (dated Jan 26th, 2009) to its members:

The national certification credential needs to be an important part of any grandfathering process.”


Will the MBLEx replace the NCE?

Who knows for sure? It is an Act in a Play that we are seeing for the first time – and we/ve read no reviews! The happenings in our field are new and changing, like a road on a trip that you’ve never taken before – destination: Unity.

The process of new licensing in Nevada may be changing slightly. A note: Change is inevitable…and it is also very slow in our industry, where regulation is associated; it doesn’t happen overnight.

The State of Nevada’s NSBMT is a member of the FSMTB, but they are not using the MBLEx as a benchmark at this time for regular application, but have stated that they will consider applicants that are relying on having taken the MBLEx for their NVMT application in individual review. I project the notice of complete change of requirement from the NCE to the MBLEx will come when the Nevada Legislation is passed, changing the requirements for exam to be taken by applicants for massage therapy license. Please refer to the posted NSBMT record of minutes in the October 24th, 2008 meeting.

One way to know where the test requirement is in the process is to keep up to date with the NSBMT by attending their meetings open to the Public or reviewing the approved minutes for each NSBMT meeting, available online here.

Viability of the MBLEx

I have no idea how the tests compare – without actually taking the MBLEx after taking the NCETMB, I have no springboard to base any opinion on which one is more credible, researched, relevant, or easy. Although…I am VERY tempted just to take the MBLEx to see how I do – It’s been so long since I’ve studied for an exam!mblex-3-110x110

Learn more about the MBLEx here

Learn more about the FSMTB here

The Choice of a Premier Professional Association

Through the AMTA invention, convention, direction, and redistribution of volunteer time and non-profit funds paid for by members and vested partners, they have established themselves as a motivator and leading performer in the massage therapy and professional association industries.

In my opinion, this is a fundamental commitment on behalf of the AMTA. Which means, if, in the estimation of more than 58,000 massage therapists, more state boards are being formed all the time, the state’s MT Boards opt to become member of the FSMTB, and the MBLEx is the test of choice because of unification of regulation and legislation factors, then endorsing the MBLEx and educating all its members and making information about the MBLEx available to the public and the association’s members is a good choice.

Models from Abroad Strike Again!

In my experience, which does not include losing thousands of dollars like other MTs around the U.S. but right up to that “point of no return,” the following email has not the scent of an Italian model, but rather that of a rat.

I have 8 unique attempts at fraud in my file – unique in their origin, but very common in their M.O. The following email is another attempt. Some key elements of this type of email fraud that I’ve found evident in every fraudulent email are:

  • Non-Domestic – best characterized by the email domain that is not .com, .net, .us, .biz, .info, .org, .gov (or other “dot” that you recognize more often), and also characterized by the broken English writing & unofficial “official” statements [like the "confidentiality" statement at the end of this email],
  • Model – the model him/herself or their agent (friend, manager, travel agent) is not necessarily a model, but is someone travelling from abroad to Nevada,
  • “U.S.” is where they are traveling to – a specific address is never stated as to where they will be staying so you can go to them to do your massage, and they most likely will agree to come to you,
  • Referral – they will mention that they got your name from someone else that knows of you, but your name will never be used in the email (unless you give it to them),
  • Introduction & Correspondence emails are different – the introduction email is a template filled in with basic information they have about the state you’re in; the city and your name remain unknown and unacknowledged by the writer (unless you give it to them).

Here’s the Email:

From: marcetocca@tiscali.it [mailto:marcetocca@tiscali.it]
Sent: Wednesday, November 05, 2008 1:04 PM
Subject: Massage Inquiry
Hello,
How are you today? My name is Mrs Marcella Fedelle, i live and work here in italy, i am 36yrs old. I have been doing massage since 1989. I do a deep relaxation massage in which the muscles relax without pain, I also do energy massage that helps people feel great when I am done. I am certified to do pregnancy massage .I have lots of happy clients here in italy , I have a client Miss Alessandra Amato A Model here in italy ,She will be coming to the U.S in three weeks time for a modeling job and she will be residing in Nevada temporarily until the neccesary arrangement for her job has been made before she leaves,she will be needing massage therapy 1hr session three times a week for one month
Miss Amato asked me to come with her to the US but i told her i would not be able to go with her to the US as i have a course i will be going for in a week time and the course will last for three months.So i promised to help her get a good practitioner in your Area.
I have been looking for a massage therapist for over two weeks till i met an old friend Mrs Jessica Claire at the Cosmetic Surgery And Beauty Conference that was held over the weekend in Milano. I spoke with her about my client and was referred to you. She gave me your referral.
Pls tell me a little more about yourself,how long have you been a massage therapist?and would you be able to provide her massage therapy?
I will also need you to get back to me with the amount you charge per session and also let me know if she can pay you via Us Certified Cashiers Check
Pls send your reply to my personal email address ( __________@yahoo.it ) because i do check it frequently.
Thank you very much and do have a nice day..
Marcella Fedelle
Via Cusani, 26
20123 Milano ,
Italy
———————————–CONFIDENTIALITY NOTICE:——————————————————The information contained in this email is privileged and confidential, and is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure,copying,distribution, electronic storage or use of this communication is prohibited. If you receive this communication in error, please notify us immediately by email, attaching the original message, and delete the original message from your computer and any network to which your
Telefona e naviga senza limiti con Tiscali Voce 8 Mega a soli € 15 al mese per i primi 12 mesi. In seguito paghi € 29,90 al mese. Attiva entro il 6/11/08!
_______________________________________________________________

The idea and the M.O. is for you to agree to perform a series of massages, “costing” them $500+, usually in the thousands. You will give them a bill prior to meeting them, and they agree to send you a certified or cashier’s check. You get the check, never performing the services, and they ask you to deposit it, because… due to the mistaken travel arrangements with the agent, you’ve been overpaid through the check that has been cut and it on its way to you. They want you to deposit the check and send the difference to someone else. To incent you, you can keep a couple hundred “extra” (in addition to your bill) for your trouble.

Unfortunately, the official-looking check you deposited 30 days ago will be returned to your bank and you will owe the bank the amount of money for which the fraudulent check was written. You will have written a “good” check and mailed it to the travel agent for the thousands in difference on the “official” check, that same check will have cleared your account, and you will have never seen your “client” because they postponed their trip. You will probably never get to do your massage with them.

Ways to say no:

  1. “no.”
  2. “no, thank you.”
  3. “I’m sorry: I don’t take checks.”
  4. “I’m sorry: I don’t take checks from people I’ve just met and/or that don’t have a NV ID/DL.”

To read more about this method of email fraud, visit Wikipedia’s page that describes this and most types of fraud: Advanced Fee Fraud

To understand what the Federal Trade Commission is doing about email scams or to report an attempt, please visit their website.

HIPAA On the Horizon

Client safety and confidentiality the intent of HIPAA – improves alternative health care industry

If you’ve ever thought twice about filling out a health questionnaire that your massage or bodywork practitioner has asked you to complete, you are not alone. It is within the scope of a Practitioner to ask questions about your health in order to provide you with the best service possible – safeguarding your state of health, knowing and practicing the contraindications for you and the bodywork you are receiving, and preventing any complications in providing that service. With rising fraud crimes and use of electronic filing systems, it is a valid concern of the Client and Practitioner that information can be misplaced, mishandled, and miscommunicated.

In 2003, the healthcare industry adopted a government standard for getting and keeping your personal health information for purposes of practicing medicine and filing insurance claims. It is named HIPAA: the Health Insurance Portability and Accountability Act. HIPAA has three major purposes:

  1. To protect and enhance the rights of consumers by providing them access to their health information and controlling the inappropriate use of that information;
  2. To improve the quality of healthcare in the United States by restoring trust in the healthcare system among consumers, healthcare professionals and the multitude of organizations and individuals committed to the delivery of care; and
  3. To improve the efficiency and effectiveness of healthcare delivery by creating a national framework for health privacy protection that builds on efforts by states, health systems, individual organizations and individuals.

Bodyworkers and Clients alike will be satisfied to know that the HIPAA law in place today protects the Protected Health Information (PHI) of the Client in every aspect of the healthcare information-gathering process when insurance claims are filed with companies such as BlueCross and BlueShield.

At this time, compliance is not mandatory for Bodyworkers in the industry of Alternative Healthcare (unless the information is used in an insurance claim situation), but many Information Technology systems are developing in order to accommodate the eventual governmental requirement. If you didn’t know already, currently it is industry-standard to get a written release form from the Client in order for the Practitioner to give or receive health record information from the Client’s doctor.

Look in the near future for your practitioner to have HIPAA information and compliant forms with his or her intake form to assure you that your information is handled with the level of concern and confidentiality it deserves.

National Certification Board Unveils Employer “Center of Excellence” Program

I got the email today, probably along with many certificants who are on the NCBTMB‘s e-mailing list! I’d heard from the NCBTMB rep at the IECSC expo back in July (some fun pics!) that they were going to start this program for massage businesses that employ Nationally-Certified MTs, and I was very excited!

The Center of Excellence that the NCB proposes building is a marketing tool that can put a massage business in the lime light of the NCB’s efforts to promote massage therapy businesses that employ ONLY Nationally-Certified massage therapists and bodyworkers.

The NCB is not advertising a cost for this program, at least through the media I’ve received, so I am interested to find out what cost there is/will be. After contacting them, I think the NCB will lay it on whoever’s interested enough to contact them.

There are pros and cons to this method, but I think the aim for the NCB is to encourage certification processes continue at a rate where jurisdictions rely on the NCE as a benchmark for competency while rewarding the employers and businesses that utilize these same certificants with advertising from an established authority.

No matter your opinions or experience with the NCB (and I have heard varied and sundry accounts!), the aim is to enhance the marketability of a practitioner up to this point, and with the new program, to promote businesses that utilize certified MTs to provide services from that business utilization.

I definitely think that for the new/renewal rates that the NCB charges that this is a step in Certificants and the public getting to see the real value of being NCB-certified!

For more information about these credentials, contact the NCB through their website for more information- and post what you find out so we can get the WHOLE picture as it develops!

Leave a comment about what you see the PROS and CONS to be!

Distance Education: Pro or Con?

In the field of Massage Therapy, and in Nevada to be more specific, the Nevada State Board of Massage Therapists require 12 Continuing Education (CE) hours in our field (approved by the Board) in order to remain licensed as a Massage Therapist. This coincides with the 4-year goal of the National Certification Board of Therapeutic Massage & Bodywork’s (NCBTMB) requirement of 48 CE hours for recertification. On November 16th, 2007, the NCBTMB began accepting Distance Education (DE) courses as a viable component of the professional training required to be an NCBTMB Certificant (Nationally Certified). Face-to-Face (F2F) courses have been the mainstay in the field of Massage Therapy and the frequency and availability of DE courses is steadily rising. F2F & DE courses make CE hours (credits) available to NCBTMB Certificant when the certificant completes the number of hours of training required for each course category: F2F courses offer live instruction with hands-on opportunities for training, practice, and evaluation; DE courses can be only by long distance (never interacting with the instructor, mostly internet-based) or a combination of long distance and face-to-face instruction (mostly in the testing phase of completion).
I speak from a practicing MT, educator, and MT educator’s point of view: I think in the long run that DE (Distance Education) courses do a disservice to the industry. The quality of the nature of massage therapy declines as DE courses are more and more the choice of practitioners that do not make the time to fulfill a standard of service: hands on learning.
I think making time to “be” a professional is critical in delivering the service that our clients expect from a certificant. “Hands On” is the nature of our profession. Just as we do not expect surgeons (a “hands on” profession) to learn by distance and then practice on their patients, we also cannot expect our instructors or MTs to not have hands on experience when teaching us a modality over distance or performing a massage – we expect the best and most value for our money and the credentialing agency that establishes their expertise should also. Do our clients expect us to never have practiced on a body (for taking DE courses) when we charge the rates we charge? I think one answer is they expect us to be proficient – hands on learning facilitates that key element in claiming we are practicing within our scope and have been critiqued and guided by our live instructor(s).
On the other hand, without some DE opportunities, many MTs would not otherwise be able to get the education they need to keep the credentials they need in this industry or want and have decided are the best fit for advertising and affiliating their professional image with excellence. I understand the need for convenience, inexpensive, and accessible CE opportunities.
Right now, a certificant can submit all DE credits for renewal of their NCTM or NCTMB accreditation. I believe that a percentage of DE credits of the whole 48 should be accepted as viable learning and practice tools for recertification purposes. MTs need to establish a commitment to the “best” care for our clients by integrating hands-on training in our careers. Our professional relationship with the NCB is a choice in many cases, sometimes it is a requirement of the local jurisdiction – some state licensing boards require CEs (of any approved type, DE or F2F) and the level of proficiency of their licensees is the state board’s responsibility. I think the NCB sets a standard for the industry and would hope that states and local jurisdictions would follow suit.

will the Clark County Public Hearing matter anyway?

So, since the letter from Clark County Business License was sent to massage therapy business owners in the County in February, the Public Hearing regarding the proposed Ordinance 1713-07 has been postponed twice – now, it’s scheduled for May 21st, 9am, at the Clark County Government Center on Grand Central Pkwy in Las Vegas.

The only thing I’ve seen is that steam is building on the MT (specifically, Independents) side, and I’ve seen a few interested and opinionated Establishments get involved, too.  I am really anxious to appear, speak, and see who else is appearing to fight this attempted blow of oppression on an industry that is slowly tearing itself away from being associated with prostitution in this Valley.

But:  Will this steam be productive?  Has the Commission been “advised” already as to the potential and expected turnout from business owners that received the proposterous letter suggesting that massage therapy “crime” has increased and they need a way to keep it under control?

Will they realize (or have they realized) that this poor attempt to micro-manage massage therapy business owners to take the fall for an obviously non-oppressed prostitution industry is too feeble?

Why have they continued to put off a confrontation and a business owner’s right to voice their opinions about laws that they see as serving the safety of the public [Clark County]?

I think it is because there is no value in the proposal – they are attempting to levy power that constitutionally is reserved for the massage therapy business owners to do business according to the needs of their clients in a 24-hour, transient town.

Licensing is a recording and taxing method, not a “moral” issue, for which they’ve not proven there has been unruly law-breaking going on by massage therapists.  Only unrestrained prostitution is the concern, and the fact that the crime rate has gone up only shows that Metro is performing their duty according to the current law.

Since the Nevada State Board of Massage Therapists was created and made law in 2006 (grandfathering for currently-licensed MTs until July 1, 2007), the Board has shouldered the responsibility of verifying the professional credentials and legitimacy of MTs practicing everywhere in the state of Nevada – even Clark County.  The County no longer has to prove that an MT passes a Federal background check (for civil or criminal charges or convictions) or that an MT is qualified to do the work they advertise, based on industry-established norms.

Why make us pay?  Why continue with this proposal?  Why not support the District Attorney when prosecuting solicitation endictments?

I guess they’d have to triple the size of County Jail to incarcerate the convicted prostitutes, which would have more than the “none” (cited) fiscal impact that passing this Ordinance would have on massage therapy business owners.

 

SEE OTHER MASSAGE THERAPIST’S OPINIONS AT:  http://massage.meetup.com/251