resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
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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