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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.
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?
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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?
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
June, 2001, Vol. 01, Issue 06
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.
You're really a part of the spa team now.Do you know how I can tell? By the way you've started to voice your first uncertainties. In the beginning, you were filled with enthusiasm, and that's what took you to the next place you were supposed to be in your life. The word "enthusiasm" comes from the Greek word entheos: en = in + theos = god. Enthusiasm led you toward your divine destiny, but now that you've arrived, destiny doesn't look that divine, does it? That's how you know you belong -- because it's real.
Welcome to spa reality. You're absolutely right when you mention that the reality includes much more petty aspects than you anticipated. In your early idealism, you imagined spas to be places where everyone is fully dedicated to the same mission of healing and wholeness you are. But now you see that many of the people you're working with ended up there simply out of need for a job, and that they've gotten where they are out of sheer chance or greed. I understand how this could leave you feeling alone.
Dealing with the Drama
Before you judge too harshly, let's take a look at what's really happening. You complained that some of the support people on staff are unnecessarily dramatic, for example, and that they turn the running of the spa into a life-or-death ordeal. Isn't it amazing how many powerful emotions can be generated over seemingly trivial circumstances? You've worked as an independent massage therapist for the past couple years, and now that you're a part of a team at your spa, it's hitting home fast that you have to deal with multiple personalities on a daily basis - and sometimes within the same person!
My advice is to try to avoid getting caught up in the drama.
Now you're at the point of beginning to align yourself with someone or some group in the spa. While it's great to find your footing and start to belong, there is also a down side that often happens, and it has a lot to do with gossip. That's right, as soon as you start belonging to one faction, people in other factions begin talking behind your back.
Take a hard look at everyone around you, and take a hard look inside yourself. Then align yourself with the people you want to end up aligned with. It's a choice. Don't fall into a clique just because it's the easiest thing to do, and don't begin relating with people at the lowest common denominator, which usually includes lots of gossip about others.
The thing to do is to stay centered while dealing with the outer world of the spa, just like you try to do when dealing with the inner world of your massage therapy sessions. That way you can help make the spa a healing place, spreading the positive energies of your massage room outward. The spa's clients are coming for a total experience, one that can be tainted or even ruined by something negative in an area of the spa that may have nothing to do with you. It's up to you to create a "whole" environment, as best you can, by staying true to your vision, intentions and actions.
The Line Between Commitment and Detachment
Another trap many beginning therapists fall into when faced with the unpleasant politics of the spa is to say, "Well, I'll just come in and do my job, and then leave. This drama is not for me." Interestingly, this is your drama now, because you've chosen it. Now you have to walk the fine line between commitment and detachment. Swing too far toward commitment, and you end up depressed at the lack of commitment in others. Swing too far toward detachment, and you risk straying from your true course, which is, as you've told me over and over again, a wholehearted desire to help people. You can't heal the world if you hate the part of it you spend the majority of your time in every day.
What's really happening is that you're going through a phase, and it will soon be over. It's the phase of finding things out. It's the phase of settling in, and the phase of forming alliances. Look around you. Who impresses you? In whose eyes can you see the glimmer of your own future?
Take advantage of this phase by finding the people who inspire you there, and then spending some time with them. Just walk right up to them and say, "You're someone I'd like to get to know."
But what about the ones you don't want to get to know? I think that cultivating your relationship with them is just as important. The spa is a microcosm. You've put yourself in a place where you need to relate to people in many different ways. Cultivate the best kind of relationship you can with each individual, based on simple human respect and compassion for where that person is in his or her life.
Here are some pointers for getting along with everyone and contributing the most to the overall success of the spa:
Well, that's it. I'm just trying to give you some suggestions that will make this transition stage a little more bearable. When I have more time, I'll write you back concerning the seniority issue you brought in one of your previous letters.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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