resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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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