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Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
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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