resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
July, 2005, Vol. 05, Issue 07
Spa Issues and a Request
By Ralph Stephens, BS, LMT, NCTMB
The International Esthetics, Cosmetics & Spa Conference was held in Las Vegas, Nev., April 30-May 3, 2005, where I was invited to attend as a continuing education presenter. It was truly an amazing event, very well run and heavily attended.I got to immerse myself in the spa industry and talk to spa owners and operators, as well as spa massage therapists. There are some interesting issues bubbling in the spa industry regarding massage. The two I found most fascinating were injuries and product sales.
All health care professions have their "walking wounded" who are practicing through their injuries and "dis"-health. It is amazing to me how few health care practitioners actually practice what they preach. The spa industry is no different. The majority of the therapists I met at the show were suffering from massage related injuries and not getting proper care for themselves.
Of course, this is a problem in our entire profession because body mechanics are seldom taught and rarely learned when they are taught. The volume of work done at spas increases the incidence of injury when therapists do not receive adequate training in working postures and self-care. This will undoubtedly begin to cost spas a lot of workers' compensation dollars.
Maybe this issue will eventually force schools to teach body mechanics and self-care in a more than passing manner. If I had a spa, I would only hire therapists from schools that adequately trained students in these subjects. Isn't it time schools started conditioning their students to be able to physically do the jobs expected of them? Time will tell.
The second issue is product sales. Spas have products for sale for their customers and they want their staff, including massage therapists, to promote and sell those products. Usually the therapists receive a commission from the sales they make. Spa operators are rather perplexed because massage therapists are resistant to this concept.
For some reason, massage therapists are being taught that it is unethical to sell products or additional services to clients. This amuses me. I do not see why selling something is unethical. I do not know of a health care profession that does not sell products to their patients. MDs sell drugs, appliances, casts, braces, splints, TENS units and all sorts of stuff by the boatload. DCs sell supplements, pillows, braces, supports and lots of other useful items. I cannot think of a health care profession that does not sell "stuff." Yet, somehow, in the massage profession, selling something is this huge ethical issue. Would somebody please tell me what is wrong with selling something?
This pious, unjustifiable, false morality should be laughable, but, sadly, some take it quite seriously. It has always amazed me how indignant some massage therapists get when something is offered for sale at a massage school or continuing education event. Where is this coming from? If you don't want it, don't buy it. It is not unethical or immoral to offer something for sale. Is this some envy of success issue or poverty consciousness, or maybe some of both? What is wrong with offering (selling) a useful product that can be beneficial to a client or student?
Most likely comparable products cannot be found elsewhere, as schools, practitioners and spas tend to sell professional grade products that are not available in the public marketplace. Even if the product is available at a local health food store for instance, why not provide the convenience of availability and expert advice for use to the client? There is nothing wrong with selling stuff! A lot of struggling massage therapists could increase their incomes significantly if they added products sales to their practice. This should be taught, not discouraged.
No, I do not think a massage should be an hour-long sales pitch; however, it is very rare I have a patient who, during the course of the massage, does not tell me about some problem or another. I assume they are looking for suggestions and help or they would not bring it up. If a product I have is appropriate, I mention it (without missing a stroke), then let it go and bring it back up at the end of the appointment during checkout time. My patients are grateful for the high-quality, professional products I have available for them, not offended.
There have been some reports of spa operators imposing sales quotas. I understand that to tell a massage therapist they have to sell a minimum volume of product could be unreasonable, especially if the products are shampoos and creme rinses; however, if such quotas are made clear during the hiring process, and the therapists knows and understands the quotas prior to accepting the position, I do not see a problem. It is unreasonable and unfair if the quota comes down on their head as a surprise after they have begun working somewhere. So, if you are going to work for a spa or salon, be sure you know all the conditions of employment and have them in writing before accepting the position.
Help! Following the lead of my editor, Cliff Korn, I want to ask for your help with my column. If you have a hot therapy tip or a favorite therapy technique you think is worthy of sharing with your colleagues, send it in to me. I will share it in the "Try This" section of my column. Of course, I will give you credit for it, unless you want to remain anonymous. No more than 150 words and only one tip per person. Send to . We can help each other help more people. Thanks!
Try this: Having problems with neck complaints involving the sternocleidomastoid muscle (SCM)? Sometimes the SCM just won't respond to massage and relax like it's "supposed to." Move inferior and work the rectus abdominis, especially its upper attachments at the ribcage and sternum. Then work the sternum and the inter-costal spaces on each side of it. (Be sure to advise your female patients of what you are going to do and get their consent, as this can be a boundary issue.) Now return to the SCM, it will often respond positively. There is a fascial connection from the SCM to the pubic bone.
Have a great, safe 4th of July!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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