The Same Needle in Court: What California and North Carolina Teach Us About Scope
Politics / Government / Legislation

The Same Needle in Court: What California and North Carolina Teach Us About Scope

When a physical therapist inserts a solid filiform needle into a trigger point and calls it “intramuscular manual therapy,” the instrument is the same FDA Class II device an acupuncturist trains for years to use. What changes is the word on the consent form. That single change of vocabulary is now the front line in a contest over who may put a needle into a patient, and in the past year it has been fought hard in two states with opposite outcomes. Both are worth understanding, because together they show where the profession is strong and where it is exposed.

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We Don’t Have to Choose Between Science and Tradition

Many of our communities were raised with the Western medical model as their primary medical model. It is their first language. But as practitioners of Chinese medicine, we are actually bilingual clinicians. We have the unique ability to translate between traditional Chinese medicine and modern biomedical frameworks. Research literacy, when taught and applied thoughtfully, can become a tool for communication, collaboration, and patient understanding.

Christine Sanmiquel, LAc, DAOM, PMP
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The field of acupuncture in the U.S. continues to grow in visibility, patient demand and clinical effectiveness. Yet behind the curtain, many acupuncturists are quietly struggling to keep their doors open. While the profession is rooted in centuries of healing tradition, modern economic pressures – particularly those driven by insurance limitations, low reimbursement rates and job-market saturation – are making it increasingly difficult for licensed acupuncturists to thrive.

Shabnam Pourhassani, LAc, QME, DACM
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Qi deficiency and yin deficiency are perhaps the most common patterns encountered when treating any long-standing disease. In most cases, these patterns are deeply connected and must be treated simultaneously over a lengthy period of time. One of the most important factors in treating any type of long-term disease is teaching patients how to cook with herbs and add herbs to their meals on a daily basis.

Craig Williams, LAc, AHG
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The assembly of officials (organs/functions) relies on the gallbladder’s clarity and sound judgment to organize and decide how their tasks are to be best carried out. We are constantly faced with decisions to be made, consciously and unconsciously. Not every possible decision is right, appropriate or valuable.

Neil Gumenick, MAc, LAc, Dipl. Ac.
Your Practice / Business  |  DIGITAL EXCLUSIVE

Emailing your clients can educate them, but more surreptitiously, you can use it for marketing. It’s (mostly) free advertising that can help you grow your business, if that's something you're interested in doing. Here are my top three takeaways from years of sending weekly emails to my clients.

Nicole Lentfer, LAc
Acupuncture & Acupressure
Why Acupuncture Must Return to Selection, Skill and Qi Movement

A student stands over a patient, needle poised. They have a “perfect” prescription: a textbook combination of points harvested from a lecture slide on chronic lower back pain. But as the needle meets the skin, the student hesitates - the symptom of a quiet habit that has taken hold of our profession. We routinely say we “prescribe” points. It sounds efficient. It echoes the authority of biomedical culture and fits neatly into the insurance field. But vocabulary is never neutral; repeated long enough, it dictates behavior.

Bruce W. Park, DACM
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Your Practice / Business
Why You Need One and a Step-by-Step Outline

According to the Small Business Administration, approximately 33% of small businesses fail in the first two years and 50% fail within five years, primarily due to inadequate planning. This includes lack of funding or working capital, poor management, ineffective business planning, and marketing oversights. As a small-business owner of over 30 years, I found the key to my success was taking the time to create and follow a comprehensive business plan.

Shellie Goldstein, DAPM, AP, LAc
Acupuncture & Acupressure  |  DIGITAL EXCLUSIVE
Pt. 2: Using the Extraordinary Vessels

Another approach to regulate the Yang Ming / Tai Yin circuit is to use an extraordinary vessel (EOV) approach. EOV treatments can be essential in a long-haul post-viral state, as they can help restore integrity to the body’s energetic system on the deepest level. Various combinations can be helpful; however, combining Chong Mai with Ren Mai is a good place to start, as it can help to regulate the gut (Chong Mai) and the lungs (Ren Mai).

Joseph Audette, MD, MA; Sam Audette, LAc, Dipl. OM