CLIENTS ARE REQUIRED TO PROVIDE FULL MEDICAL DISCLOSURE. CLIENTS ARE ENCOURAGED TO CONTACT THEIR DOCTOR OR HEALTH CARE PROFESSIONAL, TO DETERMINE WHETHER MASSAGE OR BODYWORK THERAPY IS INDICATED. YOUR SAFETY AND COMFORT ARE OUR PRIMARY CONCERN. THE INFORMATION PROVIDED IS A PARTIAL REPRESENTATION, AND IS NOT INTENDED TO TAKE THE PLACE OF THE ADVICE OF YOUR LICENSED MEDICAL PROFESSIONAL.
DON'T FORGET TO INFORM YOUR THERAPIST OF ANY MEDICAL CONDITION.
ALWAYS ASK YOUR DOCTOR OR HEALTH CARE PROFESSIONAL FOR ADVICE
1) QUALIFICATIONS, CERTIFICATIONS, ETC. WILL BE REPRESENTED ACCURATELY. SERVICES FOR WHICH THE THERAPIST IS NOT QUALIFIED WILL NOT BE OFFERED.
2) CLIENTS ARE REQUIRED TO OFFER HEALTH STATUS INFORMATION. THIS INFORMATION IS USED TO DETERMINE CONTRAINDICATIONS FOR MASSAGE, OR THE NECESSITY FOR REFERRING THE CLIENT TO A HEALTH CARE PROFESSIONAL.
3) CLIENTS WILL BE INFORMED OF THE SCOPE OF PRACTICE (SEE ABOVE) OF MASSAGE THERAPY.
4) CLIENT CONFIDENTIALITY IS MAINTAINED. EXCEPTIONS INCLUDE REQUIREMENTS BY LAW, COURT ORDER, OR WITH CLIENT CONSENT.
5) INFORMED CONSENT IS REQUIRED BEFORE SERVICES ARE PROVIDED.
6) DRAPING AND TREATMENT WILL ENSURE CLIENT SAFETY, COMFORT AND PRIVACY.
7) CLIENTS MAY REFUSE, TERMINATE OR ALTER SERVICE AT ANY TIME, REGARDLESS OF PRIOR CONSENT GIVEN.
THE FOLLOWING LIST IS A PARTIAL REPRESENTATION OF CONDITIONS FOR WHICH MASSAGE IS CONTRAINDICATED. SEVERAL CONDITIONS MAY BENEFIT FROM MASSAGE, UNDER NOTED CIRCUMSTANCES. THE TERM "LOCALLY" IS USED TO INDICATE THAT MASSAGE/BODYWORK SHOULD NOT BE PERFORMED OVER AFFECTED AREAS.
TENDINITIS - AVOID MASSAGE DURING ACUTE STAGES, HERNIA (LOCAL MASSAGE IS CONTRAINDICATED), DISLOCATION OF JOINTS, ANY SPRAIN (DURING THE FIRST 72 HOURS AFTER INJURY), BONE FRACTURES (UNTIL IMMOBILIZED), BURSITIS (UNTIL SWELLING SUBSIDES, ARTHRITIS (UNLESS IN REMISSION), GOUTY ARTHRITIS, SEVERE ACNE (NOT LOCALLY), ROSACEA (NOT LOCALLY), IMPETIGO, SEBORRHEA (NOT LOCALLY), WARTS, ATHLETE'S FOOT (NOT LOCALLY), RINGWORM, BRUISES (NOT LOCALLY), ECZEMA (NOT LOCALLY), LUPUS (NOT DURING A FLARE-UP), BURNS (UNTIL FULLY HEALED AND ABLE TO WITHSTAND PRESSURE), SKIN CANCER, ANY CONTAGIOUS DISEASE, OR CONDITION LIKELY TO SPREAD OR METASTASIZE DURING MASSAGE OR BODYWORK.
FOLLOWING IS A PARTIAL LIST OF CONDITIONS GENERALLY RELIEVED BY MASSAGE AND BODYWORK THERAPY:
TENSION AND STRESS RELIEF, PAIN IN SHOULDERS, BACK , AND NECK, IMPROVED SUPPLENESS OF JOINTS, RELIEF FROM SORE OR STIFF JOINTS, MENTAL AND PHYSICAL FATIGUE, REDUCTION OF MUSCLE STIFFNESS OR SORENESS FROM FATIGUE, IMPROVED CIRCULATION, IMPROVED DIGESTION AND ELIMINATION, FACIAL MASSAGE HELPS SKIN-TONE, PREVENTION OF BLEMISHES AND SOFTENING OF FINE LINES, RELIEF FROM HEADACHE OR EYE-STRAIN, RELIEF FROM INSOMNIA, MUSCLE SPASMS, IMPROVED HEALING THROUGH INCREASED CIRCULATION, TEMPORARY REDUCTION OF MILDLY HIGH BLOOD PRESSURE, REDUCTION OR PREVENTION OF CONSTRICTIONS OR ADHESIONS, INCREASED JOINT MOBILITY. FOLLOWING ARE EXAMPLES OF SPECIFIC CONDITIONS THAT MAY BENEFIT FROM MASSAGE AND BODYWORK THERAPY: CONTRACTURES, MUSCLE CRAMPS/SPASMS, FIBROMYALGIA, MYAASTHENIA GRAVIS, MUSCULAR DYSTROPHY, SPRAINS (AFTER 72 HOURS), FRACTURES (ONCE IMMOBILIZED), ANKYLOSING SPONDYLITIS, BS, OSTEOPOROSIS, ARTHRITIS (DURING REMISSION).
1) DRESSING/UNDRESSING WILL ALWAYS OCCUR IN PRIVATE. THE THERAPIST WILL ALWAYS BE RESPECTFUL OF YOUR PRIVACY AND MODESTY. 2) MASSAGE DOES NOT INCLUDE THE TOUCHING OF ANY PRIVATE AREA. MASSAGE DOES NOT INCLUDE TOUCHING OF BREAST TISSUE 3) NORTH CAROLINA LAW DICTATES THE USE OF PROPER DRAPING TECHNIQUES. NO PRIVATE AREAS WILL BE EXPOSED. THE CLIENT WILL BE COVERED BY TOWELS, SHEETS, OR BLANKETS. THE THERAPIST WILL ONLY EXPOSE THE AREA CURRENTLY BEING WORKED. 4) OPEN COMMUNICATION IS KEY. THE CLIENT SHOULD FEEL COMFORTABLE EXPRESSING PREFERENCES IN PRESSURE, TECHNIQUE, ETC. 5) YOUR SAFETY, COMFORT AND MASSAGE NEEDS ARE FIRST PRIORITY. FEEDBACK ALLOWS US TO BETTER SERVE YOUR NEEDS. 6) MASSAGE IS A PROFESSIONAL AND VALUABLE SERVICE. PROFESSIONAL BOUNDARIES ARE VITAL. THEREFORE, STATE MANDATED SCOPE OF PRACTICE GUIDELINES, AND PROFESSIONAL ETHICS WILL BE DEMONSTRATED AT ALL TIMES. CLICK ON THE APPROPRIATE SECTION FOR MORE DETAILS. 8) PLEASE SEE SECTION ON INDICATIONS OF MASSAGE, AND CONTRAINDICATIONS FOR QUESTIONS ON WHETHER OR NOT MASSAGE IS FOR YOU. MEDICAL DISCLOSURE IS REQUIRED, TO ALLOW THE THERAPIST TO INSURE YOUR SAFETY, AND TO DETERMINE IF A REFERRAL TO A MEDICAL PRACTITIONER IS INDICATED. 9) PLEASE CALL 24 HOURS IN ADVANCE FOR CANCELLATIONS. IF A CLIENT IS MORE THAN 10 MINUTES LATE TO AN APPOINTMENT, THEY MAY RECEIVE A PARTIAL SESSION OR BE ASKED TO RE-SCHEDULE. 10) PAYMENT IS EXPECTED AT THE TIME OF SERVICE.
The first thing you want to ask an acupuncturist is "Are you Licensed?" The State of North Carolina designates the term LAc to indicate Licensure. Ask to see credentials.
NC guidelines for Acupuncture requires the following: 1) Graduation from a three year postgraduate acupuncture college, accredited by or in candidacy status by the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) or its successor organization. Jung Tao (in North Carolina) is a 2000 hour program. Accredited programs can be found at http://www.acaom.org/accprgs.asp
2) Submit evidence of successful completion of the Clean Needle Technique (CNT) course
3) Proof of passing extensive NCCAOM Board examinations in four areas; Foundations of Oriental Medicine, Acupuncture, Biomedicine and Point Location
LAc stands for Licensed Acupuncturist.
The above guidelines apply to the Licensed Acupuncturist in NC. Other professions that are allowed to practice in NC may have much less specialized training in Acupuncture. There are some other designations with as much specialized training in acupuncture, but some of these educations may only be found outside the United States.
2) Does it hurt?
Acupuncture needles are solid, not hollow (as are syringes). Thus, they are largely painless. Many acupuncture needles are as small as several hairs, tightly bound. Most patients feel a pinch as the needle is inserted. When the proper technique is used, the acupuncturist elicits a response signalling the proper effect has been reached.
Some clients feel very little, while others experience a heavy, cold, or even hot sensation. Several clients profess to feel "movement" or a feeling that transfers to other body areas. These are not classical "nerve" responses, but a direct response to the fields of energy affected by Acupuncture.
3) What is the difference between Medical vs Licensed Acupuncture?
State Licenses vary. Yet most MD's and Chiropractors are able to qualify to perform Acupuncture with as little as 200 hours. Most non-medical Acupuncturists that become licensed in North Carolina aquire nearly 2000 hours, or almost 10 X as much Specialized training.
To make an analogy: 1) 200 hours is equivalent to five 40-hour work weeks.
2) Acupuncture is a seperate system of Medicine.
3) While a medical background is an excellent foundation, and a requirement for MD's, it is not a substitute for specialized training in a seperate system of medicine.
4) With only 200 hours of training, a Medical acupuncturist may have only 1/10th the training in Acupuncture as an LAc (Licensed Acupuncturist)
5) If you were just begin to learn painting, could you expect to become Leonardo Davinci in just 5 weeks?
4) Does my Acupuncturist Accept Insurance?
Most Insurance companies do not cover acupuncture. Some Health networks offer discounts to in-network Acupuncturists. Consider the following: 1) Massage Therapy, now widespread, was once not considered under most Insurance policies.
2) Similar to Massage, Acupuncture is now gaining acceptance in the Medical community. Just look at the number of "Integrative" clinics arriving in NC.
3) Acupuncture is an excellent preventative and integrative form of care. Regular treatments promote overall health, as well as working to meet numerous health care needs.
4) So, consider including Acupuncture in your holistic approach to health. Your approach may include:
Acupuncture Regular checkups Eye exams Dental exams and cleanings Annual OB/GYN exams Health care memberships Participation in sports, Tai chi or Yoga Dietary counseling
Now, ask yourself - "Are all of these covered by Insurance?"
5) How does Acupuncture integrate with my overall healthcare and maintenance?
Acupuncture is safe for almost any condition, and does not interfere with medications. Acupuncture is an excellent adjunct therapy for treatments from your MD, Chiropractor, PT, Massage therapist, and other healthcare professionals. A Licensed Acupuncturist (LAc) should be able to express information to your Doctor or other Medical professional (with your permission) on a professional level, in Medical terms, to insure the best possible treatment.
6) Are the needles sterile?
Yes! Your acupuncturist should use single-use disposable needles. Furthermore, the LAc is required to complete a "clean needle technique" course to insure the highest safety standards.
7) How often should I see my Acupuncturist?
Your Acupuncturist should not insist upon a set number of treatments. Instead, they should customize your treatment schedule to meet your specific needs. It is important to set realistic expectations. Depending on your needs, multiple treatments may be suggested. Remember the following points:
1) Chronic conditions may require more treatments
2) Effects are often subtle, effecting other systems and symptoms. Your Acupuncturist will suggest what to look for, as your needs are being met.
3) Unlike surgery or medication, you may not notice immediate result in the area of your chief complaint. Sometimes a foundation may need repair before the house becomes stable.
The insertion of acupuncture needles and the application of moxibustion to specific areas of the human body based upon acupuncture diagnosis as a primary mode of therapy. Adjunctive therapies within the scope of acupuncture may include massage, mechanical, thermal, electrical, and electromagnetic treatment and the recommendation of herbs, dietary guidelines, and therapeutic exercise. (1993, c. 303, s. 1.)