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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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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?'
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.
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.
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.
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).
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.
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.
May, 2001, Vol. 01, Issue 05
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 of the author.
Wow, so you're finding out firsthand how quickly you can get pulled into the world of a busy spa. The daily operations have already become a big part of your life, and the people you work with are now some of the main characters in your own personal drama. Drama is the perfect word, isn't it? You're not the only person to find yourself suddenly awash with strong emotions and conflicting feelings in your first month of employment at a spa. This probably happens for new employees (and owners) in many lines of work, but in several ways, spas are supercharged environments in which our natural feelings are magnified. The reasons for this are many. So don't worry: you're not "losing it," as you said in your last letter. You're just experiencing a normal adjustment phase. I'll try to answer that question you asked about your "moral dilemma" later in the letter, but first I'll describe why spas might seem like such intense places to work.
The Fuel of Human Contact
One of the reasons spas can be so singularly cathartic is that they put people together under fairly tense circumstances. Think about it for a minute: Where else do you find a place that combines the scheduling nightmare of a small airline; the temperamental personalities of a few dozen therapist/artists; the aesthetic concerns of a five star hotel; and the hygienic exigencies of a medical clinic?
No wonder everyone is running around like crazy all day, while at the same time trying to provide a calm and soothing environment. You're right in comparing the spa to a theater production, Lou. There's a definite divide between "backstage" and "onstage."
In my opinion (perhaps because I'm a massage therapist like you!), it's the prevalence of touch in spas that adds an extra edge of intensity. Spas are vessels that contain chambers of touch, where the real magic of the enterprise takes place. The front desk, retail space, wet areas, locker rooms, and gym are important too, but it's in the treatment rooms that the core business of a spa happens. The interface within that chamber between you and the guests is, symbolically, the interface between the inner and outer world, everything that is the spa and everything that is not the spa. Your hands, and each spa guest's skin, are the positive and negative poles of the engine that runs the entire enterprise.
Few other businesses run so intensively on the fuel of human contact. Spas offer us the opportunity to grow more conscious through the experience of this contact and its attendant emotions. Take your present "moral dilemma" for instance. Perhaps that isn't precisely the right term for it. In my opinion, this isn't a case so much of "right" or "wrong" but rather an opportunity for you to explore your own character.
The situation you're facing occurs every day in spas. You give a client some excellent bodywork, and she asks you afterward if she can have your card so you can give her a massage outside the spa. That way, she gets a massage where she wants and when she wants, and you get to keep all the money instead of splitting it with the spa. A win/win situation, except perhaps from the spa owner's perspective. And there's the dilemma you feel. You know what the rules are at your spa - they are clearly stated in the employee manual. And you know that certain other therapists break these rules; they've told you so themselves. Thus arise all the conflicting feelings - loyalty to the spa; the desire to be "one of the gang" on the massage team; the desire for more money; the desire to please the client; the desire to be a good person; and the desire not to get caught.
Here's what I think you should do. It's very simple. Follow the rules stated by the spa that has employed you, not because it is wrong to massage that client at her home, but because by doing so, you would create a division within your own consciousness. You would need to rationalize what you are doing, which would weaken you as a person. If the spa's policy on this matter were different, that would be another story, but the owners have made their feelings clear. If you act behind the spa's back, you will cause yourself a little psychic damage, even if no one ever finds out. By your action, you will effectively say to yourself, "I cannot be completely trusted," and this will take a long time to repair.
The only way you can make one of this spa's customers your own private customer is to ask the spa owner or director if it's OK. If the thought of doing that makes you uneasy, you've solved your own dilemma. Follow your heart, Lou. It's the fastest way to the long-term success you seek, regardless of whether or not you make a few extra dollars next week from a new private client.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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