resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
February, 2005, Vol. 05, Issue 02
What Does a Spa Director Look for in Professional Massage Therapists?
By Jeannie Jarnot
"What does a spa director look for in professional massage therapists?" This is a question I get frequently from therapists seeking careers in a spa environment. With the growth of our industry, there are so many types of spas, massages, and establishments and therapists that it can be hard to know what we look for in a massage therapist, especially if you are new to the field.I would like to share what I look for when I interview a massage therapist to be a part of my team.
In every spa I have ever worked in, our most popular treatment has always been a full body massage. Whether we call it Swedish, therapeutic or full body massage, this service has always been at the top of the list. Let's face it: We can offer the most amazing aromatherapy treatment, decadent body wrap or healing energy treatment, but there's just nothing quite like a good massage. And our clients are getting more and more educated about massage. They often ask us over the phone during the reservation process where the therapist studied, how long he/she has practiced or what styles he/she practices. This is a relatively new line of questioning, so it has become increasingly important for me to have a consistent level of bodyworkers on my team that have qualities in common.
First, I expect a massage therapist to have a resume, even if they do not have work experience as a massage therapist. I want to see that the candidate can organize him/herself on paper and create a professional impression. Next, I look to see what type of education the therapist has. What types of schools and modalities has the therapist chosen? An education in massage therapy is often an eclectic collection of classes, workshops and training sessions.
My preference is for a therapist to have a basic massage education from an accredited massage school, and then maybe added classes or workshops that the therapist found interesting. I look to see if the therapist has learned a balance of Eastern and Western modalities, as I feel it is important to understand both approaches to bodywork. Then, of course, I look to see what kind of work experience the therapist has. Oftentimes, it is helpful for a therapist to have experience in a professional spa environment prior to coming to work for me, but I have had many successful therapists who have come to me without any spa experience and sometimes without any work experience at all.
Next, I schedule a sit down interview with the therapist. During the interview, I notice if the candidate is punctual and dressed professionally. I don't think I have ever met a therapist who wore a suit to an interview, but I check to see if their clothing and shoes are clean, whether he is clean shaven or her hair is neat and professional, which is not to be confused with conservative.
In the spoken interview I like to hear about how and why the therapist decided to pursue a career in massage therapy. I love stories about what inspired them to help people. I also ask about how they made their decision to educate themselves and to give me a description of their style of bodywork. That is often hard for the therapist, but it is important to me. I want to understand the therapist's philosophy of bodywork in his/her own words. Because there are so many therapists out there, I tend to seek people who are passionate about helping people through massage.
During the spoken interview, I ask myself if I would want to experience their work. Do I feel comfortable enough with them to get on the table and receive a massage? This might not seem like it is relevant, but I always ask therapists how they take care of themselves in order to maintain their ability to do massage. My best therapists have been those who can answer this easily, as it is their priority. Lastly, I try to sense if the massage therapist is fulfilled by massage. Is the therapist excited about his/her career; does the therapist think it is fun? By the middle of the spoken interview, I can usually tell if the therapist is someone I want to continue interviewing.
If we proceed to the practical interview, I always schedule it on another day. I want to confirm that this candidate can arrive to an interview creating a professional impression. I usually tell them that I would like to experience a full body massage comprised of their best work. I tell them they can use whatever techniques they choose and that they must conduct themselves as if I am a first-time client in a spa.
During the practical interview I expect the therapist to conduct a verbal intake, gathering information about my body, my experiences with massage and my preferences. I listen to their directions to see if they clearly direct me on how to position myself on the table and any other instructions, such as removing my jewelry, etc. I find that this is where a lot of therapists don't perform during the interview. They assume that because I am a spa director, I know what to do, or they're nervous or they don't know how essential this part of the massage experience really is. A therapist in a spa environment usually has between two and four minutes to make his/her first-time client feel comfortable. I definitely look to see if the therapist is confident during this part of the massage.
During the hands-on massage, I notice how the therapist introduces him/herself and gets in tune with the client, either through breath, energy or body reading. No one way is best; I just notice if it happens or not. Once the massage has begun, I look for the variety of strokes and stretches the therapist uses. I notice if there is variety or if the massage is one-dimensional.
Variety is preferred. I try to notice body mechanics, which is hard to do while on the table, but I have become pretty good at being able to feel if the therapist is properly using body weight, protecting his/her thumbs and using good posture (This is what I had the most trouble with when I was in massage school.) The therapist may not have ideal body mechanics but that there is due attention to them is what is important. A therapist who takes care of him/herself will be better at taking care of others.
Then, I observe the flow of the massage. Is the massage making sense? Is the therapist responding to what I communicated during the verbal intake? Does the therapist make sure that I am comfortable through careful draping and verbal check-ins? Finally, how is the massage session closed? Does it leave me with a sense of completion and relaxation?
Usually, but not always, therapists are nervous during their massage interview. I always take that into account. I have had my most confident and accomplished therapists tell me later that they were terrified during our interview, which always amazes me because they would have no reason to be nervous about their excellent work.
No matter how the interview turns out, it is a gift to receive a massage from someone whose intention is to help others. I always tell the therapist exactly what I thought the strong points of the massage were and then explain where he/she needs to grow. Once that is done, I let the therapist know that I will contact him/her the following day. I want time to reflect on the massage and feel the benefits of the bodywork. I want this therapist to be someone who will benefit by working with me, who will be challenged and who will challenge me. If all the pieces fit, then there is the potential for a long and prosperous career in the spa for everyone.
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