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Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
April, 2001, Vol. 01, Issue 04
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Hello readers, and thank you for your wonderful responses to the first article of my Dealing with Pathologies column in the January 2001 edition of Massage Today!
Several people wrote in with interesting questions that they wanted to bring to public discussion.Some of these were fairly simple, like, "Is shingles contagious?" (Not if you've ever had chicken pox, but shingles can be extraordinarily painful, so take care!), and "What are the rules for working with high blood pressure?" (If it is manageable with diet and exercise, go to town; if it requires medication, use more caution with circulatory massage).
One of the most complex questions was raised by a massage therapist from the South, who wrote that she had worked for a short time in a salon. Her employer made all her appointments and controlled all the initial contact with her clients. The owner of the salon, not understanding the profound impact massage can have on health and disease, expected her to work with clients with a variety of conditions that could contraindicate Swedish massage: advanced atherosclerosis patients, clients with unexplained dizziness, and clients with unregulated diabetes. When the therapist repeatedly voiced her concerns, her employer didn't seem to grasp the seriousness of the problem. The working relationship was short-lived, and the therapist found another situation in which she could have more control over her choices.
How could this problem have been avoided? I see a need for three related areas of education:
1) Therapist-Employer Education
Any therapist who works as an employee has an obligation to meet the commitments outlined in that relationship, but those commitments need to be clearly stated from the beginning. This is obviously true for financial matters, but it also applies to how the therapist manages clients. In other words, massage therapists need to make clear that they may refuse to do circulatory massage with any client if they feel it is not in the client's best interest - regardless of whether the client or employer agrees. (And of course, therapists should also be able to refuse to give service to any client who abuses the client-therapist relationship; this is a safety issue.)
Many employers of massage therapists, especially those working in the "relaxation" aspect of the profession rather than in "clinical" settings, don't know the risks that circulatory massage may have. It is the therapist's job to educate these employers for the benefit of all their clients. For this purpose, it might be useful to make up a brief list outlining cautions and concerns for Swedish massage; circulatory and sensory disorders, contagious diseases, certain medications, and undiagnosed problems are all cause for concern. Of course, any such list needs a disclaimer explaining that decisions must be made on a case-by-case basis.
Other client management issues include being able to interview clients before they come for a first appointment; being able to take a thorough health history; and being able, when necessary, to consult with other members of a client's health care team.
The better we become at educating massage therapy employers about the risks and benefits of massage, the safer the profession will be for therapists and clients.2) Therapist-Client Education
Another front-line education target is our clientele. Swedish massage is our industry standard. It is what most people expect when they pay money to receive massage. The vast majority of massage therapists use Swedish massage with most or all of their clients. However, we all know that whole worlds of bodywork have been developed that lack the circulatory impact Swedish massage has. When we, the therapists, are better able to educate our clientele about alternatives to Swedish massage that can yield outstanding benefits with minimal risks, we will have more options when people come to us with conditions that contraindicate Swedish massage.
I have found that when I discuss bodywork choices with clients, in terms of their own health and safety, they are usually open-minded about receiving work outside of their expectations. Not all clients will enjoy non-circulatory bodywork, however. Some may leave to find therapists who will do Swedish massage, regardless of their medical conditions. But every therapist needs to define boundaries for keeping clients safe. Beyond legalities and the threat of litigation, we need to keep the health and well being of our clientele first and foremost in our judgment.
3) Therapist Education
Finally, we ourselves have an obligation to be continually learning and adding to our skills. An old saying goes, "if all you have is a hammer, everything looks like a nail." If all you know is Swedish massage, every client looks like a good candidate for circulatory work! But if we have, in addition to our Swedish hammer, a craniosacral screwdriver, reflexology pliers, a Bowen technique drill... you get the picture. The more tools we have in our tool belt, the more versatile we can be. This benefits not only ourselves, keeping lively and interested in our work as we incorporate new skills, but also our clients, who will have therapists with skills that apply even when medical situations preclude circulatory massage.
This whole issue of making decisions about bodywork when our clients are not completely healthy, brings up a few more questions I'd like to put to you:
How do you talk to your clients about their health? When you see or notice something that requires attention from a medical professional, what do you say or do? Have you ever had to send a client away because his or her medical situation was too precarious? How did you convey your concerns? Did you feel you did a good job?
Send me your feedback, along with any other questions about massage and pathology, and I'll discuss it in a future article in Massage Today! Until then, good health and happiness.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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