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Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
January, 2001, Vol. 01, Issue 01
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend.
Thanks for writing.I'm glad to hear you're interested in exploring spas and perhaps even joining me one day in some professional capacity in this industry. As you know, spas are sprouting up all over the place, and the opportunities are boundless. We need lots of good therapists with diverse skills to fill a growing number of positions, both hands-on and supervisory. I've known several massage therapists who have successfully navigated the spa waters, ending up as spa directors, owners or educators themselves.
First, though, before you get all excited about your wildly successful new career, I want to fill you in about what spas used to be like not too long ago when I first started in the industry, and so I'll tell you a little story...
It was a day like any other day at the Safety Harbor Spa in Clearwater, Florida. Bob, the supervisor of the men's spa, rang an old ship's bell attached to one wall in the locker room - GONG - and soon a ragtag line of two dozen elderly gentlemen in worn terrycloth robes began shuffling down a long corridor on their way to the massage room. I could hear the sound of cheap paper slippers sliding on tile; grunts and groans as the men disrobed and climbed aboard massage tables arranged in rows in one large room; and the "squirt-squirt" of mineral oil slipping out of plastic bottles. Ribald jokes tossed across the room during the 25-minute full-body massage sessions. Then robes again; paper slippers; GONG; and the whole thing was repeated 12-14 times a day.
Yes, Lou, many spas were in this sorry condition when I started as a therapist myself in 1984.
At that time, no one had heard of a day spa. There were barely 30 destination spas in the country, and they were often called "fat farms."
Now, at the beginning of 2001, this industry has changed so dramatically that it bears practically no resemblance to those not-too-distant days. Over 300 resort and destination spas dot the landscape, and day spas number in the thousands. Did you know that spa visits account for more vacation dollars spent than ski trips in the U.S.? It's true - I heard it as part of the Price Waterhouse industry analysis at the recent International Spa Association (ISPA) conference in Vegas. Remind me to tell you more about ISPA in another letter.
There are a ton of letters I want to write to you about the spa industry and how you might get involved. I'm sure you have lots of questions: How much can you expect to be paid as a therapist in a spa? How can you increase your chances of getting hired? Will you receive continuing education as part of your employment? Should you consider opening your own small spa on a tight budget? What kind of equipment should you buy? Should you hire a consultant? What kind of profits can you expect? What are the definitions of the various types of spas? How can you travel the world some day working in exotic foreign spas or on cruise ship spas? Where can you find a medically oriented spa that hires skilled therapists? Are there any standards for training or education within the industry?
In future letters, I'll be delving into these and many other topics.
To start off, let me briefly fill you in on a few of the trends you might be interested in that are shaping the spa industry: medical spas, spa branding, and becoming a spa entrepreneur.
The Slow-But-Steady Merging of Medicine and Spas
Not too long ago, many massage therapists working in spas found themselves the victims of snide remarks about the low quality of bodywork done in those establishments. The words "pampering" and "fluff" were thrown about with gusto. There are still some remnants of this attitude left in the massage community today. Even though such disparaging remarks aren't used so often anymore, other words, like the word "spa" itself, take their place, as in "Oh, he just does spa massage," with an ugly emphasis on the word "spa."
Believe me, this is changing rapidly. There is a new respect for therapists who work in spas now, in large part due to the merging of the spa world with the world of medicine. Did you know that hundreds of doctors are opening their own medical spas, and thousands more will in the near future? I've been working at the Pritikin Longevity Center in Florida this past year because they are building a spa into their well-recognized medical program.
Everybody is getting on the spa bandwagon, and as more physicians join the party, it will continue to add legitimacy to the work we therapists do in conjunction with them there.
The Branding of Spas
Pretty soon spas are going to be as common as restaurants. You can already see it happening, as the larger established spas like Canyon Ranch and The Golden Door begin to expand beyond their original facilities into hotels, resorts and satellite spas in all sorts of locations. The growth we've seen will look infinitesimal compared to what's going to happen. It's a great time to get involved with the industry right now.
Even though spas are becoming big business, that doesn't mean there isn't plenty of room for the motivated and inspired entrepreneur to use some creative visualization and hard work to construct the spa of his or her dreams. I can guarantee you that's exactly what's happening all over the country right now. I go all over the place teaching workshops for LMTs who dream of opening their own smaller spas, and I've been constantly encouraged to see them succeeding. Whether it's a one-room operation or a more challenging project with a dozen rooms and as many employees, I see massage therapists taking the reigns and making their spa dreams into "nitty-gritty" business reality. Healing spas are something they can believe in and put all of their effort into. It's not easy to make it happen, but the rewards can be profound, and there is a large network of support out there for people trying to make it happen.
That's what I'd like to give you in every letter I send support; direction; new contacts; new ideas; and new ways to dream. Keep letting me know how you're doing!
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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