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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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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