resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
June, 2001, Vol. 01, Issue 06
How Do You Say "No" When Your Client Says "Yes"?
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
Heads up, readers: we have some work to do! Put yourselves in the place of these bodyworkers:
What do you do? What do you say? How do you handle it when your client says, "yes," but your instinct says, "no, no, NO"?
Massage therapists are better trained in contraindications today than we've ever been, and I'm proud to be part of that movement. Our clients depend on us to make informed decisions about whether Swedish massage or other types of bodywork are the best choices for their needs. Still, it is inevitable that some people who may be at risk may seek massage - and the responsibility for causing any harm rests squarely on the massage therapist. All of the scenarios described above are based on real-life situations in which clients could be injured or have their condition dangerously neglected. It could happen to any of us, at any time - in some instances, it already has.
I believe that getting good training in pathology in the context of massage and bodywork is the first step in being able to work with clients who aren't perfectly healthy. We must develop critical-thinking skills so that we can make wise choices about different types of bodywork in different situations. But the next step, often the harder step, is taking action on those choices when they may not be in agreement with our clients' wishes.
How do you do that? How do you say, "No, we can't do this today, because if we do you could end up in the hospital"?
So many obstacles are in our way: staying within our scope of practice; not wanting to lose clients; not wanting to make a mistake or overreact; not wanting to get sued; but above all, not wanting to inadvertently hurt someone!
I have some ideas about how to frame these difficult conversations with our clients (which I will share in my next column), but I work in a bit of a vacuum. I am not in a full-time practice, and I don't work in a setting in which I see a lot of people who may be ill. Instead, I spend the bulk of my professional hours teaching and writing. This is a topic that needs to be addressed by the people who are really doing it - that's you!
So here is your invitation - no, here is your assignment:
Think about the last time you had to change your plans with a client to adapt to his or her health situation. Maybe you couldn't do Swedish massage, but had to switch to something else. Maybe you had to avoid an area the client hoping to have worked on. Maybe you had to reschedule your appointment altogether. How did you do it? Did your client object? How did you handle it? Would you do it differently next time?
Send me a description of your experience. It doesn't have to be eloquent or fancy; it just has to be real. I'll edit it, and change the names to protect the innocent. I'll clear my final draft with you, and then it will appear in Massage Today so that we can all learn from your experience.
This column is meant to be a forum to share our success stories and, maybe more importantly, our mistakes for the benefit of all massage therapists. Be brave. Let us know how you handle this delicate issue. Allow us to learn from each other.
I'm looking forward to hearing from you. Until then, good health and happiness...
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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