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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).
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%.
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.
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 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.
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.
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.
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.
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.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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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