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Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
August, 2001, Vol. 01, Issue 08
How to Say "No," Continued...
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I am absolutely overwhelmed with the volume and heartfelt quality of your replies to my last challenge ("How do you say 'No' when your client says 'Yes'?").I received dozens of letters from all over the country, from people with extraordinary stories to tell. I was so excited to share with you the wonderful ideas and experiences people have sent me. And then my hard drive melted. I was able to salvage some things, but not, alas, any of my e-mail. It disappeared into the ether. It is gone, gone, gone.
I quickly (well, as quickly as I could think of it) sent a letter to Massage Today, asking if they could put a squib in the July issue to request that my respondents resend their wonderful letters --but of course, I missed the deadline.
So, wonderful letter-writers, if you still have copies of the letters you sent me, could you please send them again? I promise I'll be conscientious and save them not only in an e-mail file, but also in a place where they can be restored if necessary.
In the meantime, I did have a few letters that I have been able to save. It's hard to choose what topic to address, since so many rich ones came up, including...
This month, I decided to try to address the most common theme I heard. Here's an excerpt from a registered massage therapist in Texas:
I respond to these clients by educating them on the effects of a deep tissue massage on a body that has not been prepared for it (extreme soreness, nausea, headaches, flu like symptoms, and the process of how the body eliminates metabolic wastes and toxins from the body, etc.). I tell them that this is not the type of massage they will receive from me, as it is not in the best interest of their body at this time. If a deep tissue massage is what they want to work towards, then we set up regular scheduled appointments to accomplish that.
I refuse to do any type of bodywork, on any client, that I feel is not in their best interest at that time. I would rather lose that client.
My advice is, the massage therapist is the professional and educated person in these situations, and the client relies on us to know what we practice and what is in their best interest. We need to act like the professional educated people that we are, and say "no" when we know it's the right thing to do for that client.
Our profession loses many potential clients due to negative experiences resulting from a therapist not saying "no" when they should have.
Among many important issues raised here is who is in charge of a session. This therapist absolutely nailed my point: in the client-therapist relationship, the therapist is the authority. We are obligated to make decisions for our clients' best interest, even when it's not what they think they want. This writer went on to describe another situation in which massage therapist complied with a client's wishes for a deep tissue massage, against better judgment. The client was injured, she required extensive physical therapy to recover, and she will never seek massage again. How much damage is done to our profession when this happens?
Many writers had wonderful insights about how to frame difficult conversations with clients. Based on these and my own experiences with clients, students, and active listening skills, here are some basic guidelines that are pretty universally applicable:
This is a simple format for difficult conversations that can be applied to a wide variety of problems, from health concerns, to chronic lateness, to someone who has a habit of canceling appointments at the last minute. Sadly, when we're on the spot, sensible communication skills go right out of our heads. That's why it can be useful to have a simple, clear-cut formula for dealing with these difficult situations. In my next article, I'll outline some other communication guidelines that can make these relationships nurturing, fruitful experiences that can allow both therapists and clients to grow and benefit. I will also describe some of the other alarming scenarios that therapists have described to me in recent months.
Again, to those of you who wrote last time, and to any other readers who have problems they would like to see addressed, please, please, please resend your letters! Until then, good health and happiness.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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