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We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
August, 2001, Vol. 01, Issue 08
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.
As Dickens said in A Tale of Two Cities, "It was the best of times, it was the worst of times." Now that you've decided to hang around the spa and see if you can drum up any work for the summer, you've found yourself inundated. This is a good thing, Lou! Of course, it's also difficult -- little did you realize that several of the other therapists would take advantage of the slow season for some extended vacations and work in other areas. Little did you know that your services would soon become the "talk of the spa," and that people would start requesting you after hearing about your massage skills from their neighbors in the spa dining room. And little did you know that you'd become a celebrity therapist with that write-up in a local magazine.
All of this has added up to some rather nice paychecks and some hefty gratuities, which is great, but it has also meant sore hands, a painful back, and a less-than-energetic attitude some mornings as when you head into work. This is a very important juncture for you, Lou, one that could spell the premature end of your massage career in the next year or two, or one that could propel you onward for as long as you'd care to continue. What I'm talking about here, of course, is the "B" word.
Avoiding burnout when working as a popular therapist in a busy spa, even in the off-season, is a bigger challenge than it may first appear. It's difficult to get people to sympathize with your situation when it sounds like you're complaining about too much of a good thing. And the pains and discomforts you're experiencing are usually invisible to the casual observer. You've got a sympathetic ear in me, however, and I'm sure the other therapists on staff can relate to your situation. I've known a number of therapists over the years who had to give up doing therapy altogether because their bodies couldn't handle the strain. It's really important for you to take good care of yourself now, before it may be too late.
Body mechanics is probably the most important factor to keep in mind when trying to save your body from wear and tear. You've certainly learned about body mechanics in school already, and I won't go into details here. Suffice it to say that if you don't feel a little bit like you're dancing or performing tai chi while giving a massage, it's probably hurting you. You've got to work smart if you want to keep working for a long time. Beyond that basic point, though, is a concern that many therapists bring up, one that makes them feel taken advantage of at times. It's often a sore issue, as sore as their aching lower backs after a long day at the spa.
Do Spas Overwork Us?
Recently, I received a letter from another therapist employed by a spa, just like you, and she had similar concerns. She wrote:
In my opinion, it's a mistake to perceive the dollar as "almighty," although certainly it is quite powerful. It's what gets you up in the morning to go to work in the spa, and it's what gets the spa owners concerned about running a profitable business. Although it might seem otherwise to you, spas in general don't make much of a profit, and many even lose money.
While it is indeed possible that spa owners or directors may ask more of you than you feel you can reasonably perform, they are not doing this because they hate you or because they are slave drivers. They're simply trying to run a profitable business, which is what you yourself might do in their shoes, and they probably don't have the advantage of your experience to help them realize how truly taxing massage work can be. There are no labor laws that I'm aware of stating the maximum number of hours a massage therapist can be expected to work.
There are several spas that have implemented humane guidelines, though. Often, the manager of these spas is a former therapist. If your own particular spa is run by people who don't have a proper understanding of the physical duress we are put through in the treatment room, it is up to you to inform them. You should do this in the most non-confrontational way possible, for two reasons:
As always, you've got to take responsibility for your own experience, Lou. So what can you do?
You may want to organize as many of the therapists as you can, not necessarily for the same purposes as a union, but to create a cohesive group with a single voice, so that the management of your spa can better hear what you're saying.
As a group, you can come up with some creative ways to make sure that management gets what it wants (coverage for all the hours in which clients want treatments) and the therapists get what they want (a safe manner in which to work reasonable hours while making money at the same time).
If there is no one who will organize with you, you'll to organize yourself. What I mean is, you have to present yourself as an intelligent, organized individual so that management will respect you and your opinions. Offer some sane, well-considered alternatives to the working conditions you are now experiencing. If your spa director sees you as someone who is truly concerned about the overall success of the spa, and not just your own personal happiness, I'm sure you'll receive positive response to your suggestions.
And in the meantime, you might want to take a look at some tools therapists can use to "work healthy," such as the book Save Your Hands by Lauriann Greene. For more information, check on the internet at www.saveyourhands.com. And get creative... For example, I've heard of a man in California who has taught workshops on how to perform a massage without using your thumbs! Think outside of the box, Lou. Save yourself and your precious instrument by using creative communication with your spa superiors, and the best, most sustainable, work techniques you know of. Of course, now that you're making more money, why not use some of it to practice what you preach and purchase massage for yourself on a regular basis?
And definitely take advantage of the spa's other resource like the jacuzzi, hot paraffin wax for your hands, and more. I'll talk a little more about that next time. For now, try to enjoy your spa success. It's just the beginning!
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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