Finding a qualified practitioner.

Your massage services should be provided by a professional who has received proper training. Don’t hesitate to ask practitioners about their background, training, and experience.

Call today and book your appointment with Monica and discover the benefits of a professional massage with a dedicated, passionate therapist.651-300-2256

But I’m Ticklish!

Monica will adjust her touch to what is comfortable for you. Sometimes a little more pressure alleviates the ticklish feeling. Relaxation helps, too, and Monica will have several techniques for relaxation at her disposal.

Serving the Twin Cities area. Call for your next appointment! 651-300-2256

Headaches?

There are many different types of headaches. Although not all headaches are the same, they all share at least one thing in common — they cause pain. But many headaches also cause other unwanted symptoms. Migraine symptoms include a pounding headache, nausea, vomiting, and light sensitivity and are treated with antinausea drugs and abortive or preventive medications. Headache remedies include pain relievers.

A recent study showed that massage therapy recipients exhibited fewer migraines and better sleep quality during the weeks they received massage, and the three weeks following, than did participants that did not receive massage therapy. Another study found that in adults with migraine headaches, massage therapy decreased the occurrence of headaches, sleep disturbances and distress symptoms. It also increased serotonin levels, believed to play an important role in the regulation of mood, sleep and appetite.

Benefits of Relieving Tension-Related Headaches
◾Decreases occurrences of tension headaches, sleep disturbances and distress symptoms
◾Allows one to maintain a level of relaxation and stress-relief, reducing the chances of stress induced migraines
◾Massage for headaches can also reduce muscle spasms and trigger points

Shoulder Pain?

Minor shoulder problems, such as sore muscles and aches and pains, are common. Shoulder problems develop from everyday wear and tear, overuse, or an injury. They can also be caused by the natural process of aging.

Your shoulder joints move every time you move your arms. The shoulder is a ball-and-socket joint with three main bones: the upper arm bone (humerus), collarbone (clavicle), and shoulder blade (scapula). These bones are held together by muscles, tendons, and ligaments. The shoulder joint has the greatest range of motion of any joint in the body. Because of this mobility, the shoulder is more likely to be injured or cause problems. The acromioclavicular (AC) joint, which lies over the top of the shoulder, is also easily injured.

Shoulder problems can be minor or serious. Symptoms may include pain, swelling, numbness, tingling, weakness, changes in temperature or color, or changes in your range of motion. Shoulder injuries most commonly occur during sports activities, work-related tasks, projects around the home, or falls. Massage therapy can help relieve aches and pains.

A torn rotator cuff or dislocated shoulder can make it difficult to move your arm, but so can simply sitting in one position for too long. No matter what causes the stiffness or soreness, shoulder massage is an effective way of increasing your range of motion. That’s because it increases the supply of fresh blood to your muscles, providing them with oxygen-rich nutrients.

Deep tissue massage, which works across the grain of your muscles, or Swedish massage, which works with the grain, can provide relief of tension, stiffness and pain.

#pain #shoulder #massage

Massage for Planter Fascitis

Deep tissue massage can be used to help treat multiple sports-related injuries. One such injury, commonly found in runners, is plantar fasciitis.

There is a thick connective tissue that runs the entire length of the bottom of the human foot. It starts on the five toes and extends to the bottom of the heel. This tissue is known as the plantar fascia. While running, runners land on the heel of the foot and then raise themselves on the toes before shifting the weight to the other foot. This causes the plantar fascia to come under strain, and when the strain becomes too much, the plantar fascia is likely to tear. Even if there is no tearing, the strain can be felt and is an indication of plantar fasciitis. Mountain climbers, aerobics practitioners, and hikers can also become afflicted by plantar fasciitis due to constant strain on the planar fascia.

In a blind study, 50% of the participants received a 10 minute deep tissue massage on the foot and calf, the other 50% received traditional therapy. A 6 week clinical trial was performed, each group received an ultra sound before and after treatment to determine changes. The average pain level was a 6.5 out of ten for all participants before the trial. After the trial the massage participants reported an average pain level of 1.4. The traditional therapy participants reported an average pain level of 4.6. Also the ultra sound results showed a dramatic change in healing compared to the traditional therapy participants.

Deep tissue massage is applied by using deep finger pressure on the fascia, Achilles heel, and calf muscles through slow strokes. The muscle fibers can be followed or pressure can be applied across tendons. Deep tissue massage can help to release the muscle tension, break scar tissue, and lead to its elimination. Deep tissue massage concentrates on specific areas, and it is likely that the patient may feel some soreness before and after the massage.

#footpain

Massage and Affordable Care Act

The ACA ensures that health insurance is comprehensive by requiring insurance plans to cover essential health benefits. All insurance plans must include these benefits beginning in 2014.

Section 1302. (b) Essential Health Benefits.—(1) IN GENERAL.—Subject to paragraph (2), the Secretary shall define the essential health benefits, except that such benefits shall include at least the following general categories and the items and services covered within the categories: (A) Ambulatory patient services. (B) Emergency services. (C) Hospitalization. (D) Maternity and newborn care. (E) Mental health and substance use disorder services, including behavioral health treatment. (F) Prescription drugs. (G) Rehabilitative and habilitative services and devices. (H) Laboratory services. (I) Preventive and wellness services and chronic disease management. (J) Pediatric services, including oral and vision care.

Massage therapy is not listed as an essential health benefit; however, it can certainly fit into the covered categories. Research shows that massage therapy has been effective for many health conditions. Patients choose to pay out of pocket for massage therapy because they are seeking non-intrusive ways to improve their health or relieve pain and muscular soreness. Even clients seeking massage for relaxation or stress reduction purposes recognize the health benefits of massage.

Most insurance plans must cover these essential health benefits beginning January 1, 2014. However, states have had a lot of discretion as to how the ACA is implemented, including the authority to further define the essential health benefit categories. In reality though, there was little to no discussion, or desire, among state officials to expand insurance benefits to include massage therapy or any other treatment historically not covered by most health insurance plans. States simply chose an existing health plan in their state to serve as the “benchmark” plan.

Section 2706 of the ACA was designed to provide patients with greater access to a variety of providers, which results in better access to healthcare in general and lowers the cost of healthcare.

Section 2706, Non Discrimination in Health Care. A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider’s license or certification under applicable State law. This section shall not require that a group health plan or health insurance issuer contract with any health care provider willing to abide by the terms and conditions for participation established by the plan or issuer. Nothing in this section shall be construed as preventing a group health plan, a health insurance issuer, or the Secretary from establishing varying reimbursement rates based on quality or performance measures.

Some groups interpret this section to mean that when a CAM provider treats any health condition covered in an insurance plan, the CAM provider is eligible for reimbursement so long as the provider is licensed by his or her state and can treat the condition under that provider’s scope of practice. This is where some confusion arises.

ABMP does not believe inclusion of services by massage therapists will prove to be this straightforward. Providers contract with insurance companies and by doing so, accept certain terms and conditions for participating in the plan, including reimbursement rates. Section 2706 specifically does not require that health insurance companies contract with any and all types of providers and there is nothing in the ACA that sets provider reimbursement fees; insurers set fees that are subject to state law and are agreed upon by the network providers that contract with the insurance company.

If a provider is not contracting with an insurance company they are an “Out of Network” provider. Out of Network providers receive an even lower reimbursement rate providing a treatment that is a covered health insurance benefit than an in-network contract provider receives. They would also be held to higher standards for treatment documentation. Payment by the insurance company would take longer at best and reimbursement would not be automatic.

The U.S. Department of Health and Human Services, the federal agency most responsible for implementing the ACA, has already stated they do not intend to issue clarifying regulations on Section 2706, so it will be up to the states to implement this section. Section 2706 goes into effect on January 1, 2014 and, while not perfect, this section of the ACA is an important one to non-MD health care providers and it’s worth protecting.

And it needs protection. In July 2013, Representative Andy Harris M.D. introduced H.R. 2817, which would remove the non-discrimination requirements in Section 2706. The American Medical Association immediately issued a letter of support for H.R. 2817, arguing that this section of the ACA is too vague, conflicts with state scope of practice policies, and could harm patients. ABMP submitted a letter of opposition that can be read here, we will alert members if H.R. 2817 is scheduled for a hearing.

ABMP believes Section 2706 will provide additional justification for insurance companies to reimburse massage therapists. For example, when massage therapy is a covered benefit of a health plan, it is not uncommon for an insurance company to reimburse massage provided by a physical therapist, chiropractor, or osteopathic doctor – but not massage therapy provided by a massage therapist. Evidence shows that massage therapy, especially when performed by a massage therapist, is a cost-effective delivery method of health care.

It defies logic that patients are denied access to a massage therapist, whose primary service is the manipulation of the soft tissue, and are required to see another provider, who provides massage therapy as an ancillary service at a more costly rate. Patients and massage therapists providers will have a more substantial argument to make if they are denied insurance reimbursement just because they aren’t a physical therapist, for example.

HIPAA changes
The Administrative Simplification provisions of the Affordable Care Act of 2010 (ACA) build on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) with several new, expanded, or revised provisions, including requirements for:
•Operating rules for each of the HIPAA transactions
•Enumeration of a unique, standard Health Plan Identifier (HPID)
•New standards for electronic funds transfer and electronic health care claims attachments
•Health plans to certify compliance with the standards and operating rules
•Penalties for health plans that fail to comply or to certify their compliance with applicable standards and operating rules.
The US Department of Health and Human Services issued new HIPAA rules in 2013 that change some aspects of the current law. ABMP has provided a summary on www.abmp.com as well as a link to the entire rule. If you bill health insurance, you must comply with HIPAA requirements.

Do you need health insurance?
There are more than 45 million people uninsured and many more under-insured in this country. Decreasing this number is the first priority of the ACA. If you are uninsured, please be aware that starting in 2014, most people must have health coverage or pay a fee (the “individual shared responsibility payment”). If you have job-based insurance, you are already covered.

For people who don’t have health insurance from an employer and must buy it on their own, states have either set up their own health insurance marketplace, will work with the federal government to co-run the state marketplace, or have opted to have the federal government run its marketplace. This is the new way to find quality health insurance coverage. Open enrollment begins October 1, 2013 and coverage starts as soon as January 1, 2014. If you are currently uninsured or want to look at other insurance options, now is the time for that assessment.

Insurance plans in the Marketplace are offered by private companies and cover the essential health benefits previously mentioned in this article. These are the services that all insurance plans must cover beginning January 1, 2014. No plan can turn you away or charge you more because you have an illness or medical condition. They must cover treatments for these conditions and plans cannot charge women more than men for the same plan. Many preventive services are covered at no additional co-pay or cost to you other than the premium.

If you are interested in shopping for an insurance plan through your state exchange or the Marketplace go here, enter your state, and you will be directed to next steps. It is important to note that by completing one application, you’ll be able see all the plans and programs you’re eligible for and compare them side-by-side. You’ll also find out if you qualify for discounted rates on monthly premiums and out-of-pocket costs, which is dependent on your income and the size of your family.

#Affordablecareact