Tuesday, May 19, 2009
Massage
therapist are often put into the position to choose sides,
medical/therapeutic or relaxation/luxury massage. The client is offered
only two choices as well, treat or treatment. They must earn the right
to get a massage by virtue of special occasion or unbearable pain. I
believe we can offer them the third option of well-being.
Instead of choosing between the health care industry and the beauty
industry I feel we should just present massage as the "Well-Being"
industry. If we invited other professions who's intent is to keep
people healthy, like personal trainers, yoga instructors, nutritionist
and the like we could create associations that encourage people to
avoid unnecessary surgery and drugs.
I believe most of us became massage therapist to help people. We do
the best we can. We do massage because it will make people happier and
less stressed. It is OK to earn a living making people feel better. I
know for me that when someone walks in all bent over and stressed and
bounces out feeling lighter and happy it give me job satisfaction.
Nothing make my day more than hearing that was the best massage I ever
had. That it will make them more healthy is just a perk for me.
So what, the insurance won't pay for it. Look at the things they
pay for that cause more harm than good. A recent study by JAMA has
determined that there is little or no difference between results on
back pain by operative and non-operative therapies. The notable
difference was that the income of the people that opted out of surgery
was higher. I believe that is because people with more income could afford alternatives,
like massage.
They argue that there is little empirical evidence that massage is
as effective as drugs. I will let you in a a secret there is not a lot of
empirical evidence on surgery either. The effectiveness of back surgery
is just as hard to prove as the effects of massage on back pain. Either
you get a massage and it works or it does not. Back surgery is a 50/50
proposition, at best. I will say this though there are not near as many
casualties doing massage as there is in drug therapy and surgery. I have
never massage the wrong leg off a person. None of my massages has ever
caused the side effect of increased risk of suicidal thoughts.
To me this seems to be the best selling point we can use for
massage. We do less harm then good. Look up how many massage clients
were accidentally crippled by a bad massage therapist licensed or
unlicensed. How many pregnant women were injured during a massage or
had a miscarriage due to a untrained massage therapist? When was the
last time some one had a stroke on a massage table because the
therapist massaged varicose veins? Try to find cases of a licensed or
unlicensed trained or untrained therapist causing the death of a client
with a deep vein thrombosis? I have searched for cases I have asked the
insurance companies and I cannot find any cases. Not that there are
none and I don't want to say we don't need schools and associations. I
am just saying for a profession that seems top get little respect from
the main stream health industry our cost benefit analysis seems to be
better than theirs is. If you have information on the hazards of massage I
would love to see it.
Even if we look at it from an economical point of view. Cost wise
most people have a co-pay and must pay into there premium. If massage
keeps them feeling better it is worth the cost. Not to mention drug
costs.
If we let insurance companies regulate us they will want to tell
you what you can a cannot do to make the client feel better. Say
goodbye to intuitive treatments. I know someone who is going to be on
the NJ massage board who already wants to control massage treatment
like physical therapy with specific protocol for massage.
We need to stop complaining about how the
insurance companies and the AMA don't recognize massage and work on taking
massage back into our lives as a "Well-Being" routine. If we want to be looked at
as "legitimate". We need to make a clear boundary between us and the
sex trade. We send our money to the AMTA and AMBP for malpractice
insurance. We spend thousands and thousands on CEUs. Whatever your
position on "entertainment massage" is we need to take a stand to
either enforce the laws against it or legalize it and take the name
massage off it or list it as "entertainment massage". We can at least
direct those clients that call using code words where they can go
legally. Licensing does not protect us from this. In states like NY and
FL where massage is regulated and has been for a long time you can
still find "happy ending" with no trouble. The licensing board has no
authority against them and rarely goes after them. It is up to law
enforcement to close them down and that is not the priority. Our money
would be spent better filing lawsuits against "Massage Parlors" that
are using the name massage illegally. They could use that money to
lobby for legalized prostitution(unlikely). If you don't enforce the
law why have it? We would be able to tax that industry instead of of
financing organized crime. Maybe even fund some shelters to house
runaways. Stop the spread of STDs with better testing and clinics.
The bottom line is if we can associate massage with Well-Being and not have to choose between it being a treat or a treatment we could all benefit of massage. After all massage has been around long before drugs and surgery and will be here long after. If nothing else proves how affective it is that should.