resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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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