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A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
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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