resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
October, 2001, Vol. 01, Issue 10
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.
Sorry I haven't written for a while.I've been busy teaching workshops lately, and then I was on vacation. I'm glad to hear that your training in the new spa techniques last month went smoothly, and even happier to hear you decided to bite the bullet and delve into "fluff & buff" modalities, regardless of your initial reluctance.
I told you that you'd be impressed with the level of professionalism in the training. There's a growing network of dedicated people out there who insist on serious skill enhancement in the spa setting. The funny thing is, I actually know the woman who did your training! We met a few years ago when she and her husband were just getting back from stints as spa directors in Bali. As you now know, the product line they were training you on was born from their experiences there.
You didn't realize you were going to receive such in-depth information, did you? It's good that you're following up by studying the literature on your own and practicing with your colleagues. Too many therapists take a single training then head straight out to perform their new skills on the public. Have you checked on the internet for more information too?
Even though your experience was a positive one, you should still be aware that there are some people out there who are primarily interested in selling products to spas. They provide education merely as a hook to produce more sales. The situation is such that vendors are probably the main source of instruction for the majority of spa modalities, and very few non-product-related entities have taken the time to focus on spa education. But that's changing rapidly. There's a woman in West Palm Beach, for example, Anne Bramham, who has opened a training spa. She offers intensive programs for directors and therapists who want to understand the philosophy and physiology behind the treatments. I know that other similar centers are about to open across the country.
Serious spa training is an idea whose time has come in this country, though it's been going on for a long time in Europe. Remember I told you about a spa training trip to Czechoslovakia I wanted to take? Maybe you can come with me! It's run by a professor from San Antonio who knows more about hydrotherapy than almost anybody else in the world. He also leads trips to the incredible Liquid-Sound experience at a spa in Bad Sulza, Germany.
I teach a few workshops each year to therapists, estheticians, and others who want to learn about spa modalities without being told one particular brand of products is better than any other. I think it's better that way. Don't get me wrong; I definitely understand the need of product vendors to make money. Yet not all vendors have gone beyond that basic need and taken education in the spa industry to higher standards. There are some, though, that have centers around the world giving detail-oriented trainings that go way beyond just explaining how to use their products.
It's a fine line we're walking in the spa industry between education and promotion. You and I didn't enter this field to get bombarded by advertisements, and we certainly don't want our clients to feel that way. However, we do need to familiarize ourselves with certain products if we are to be effective at what we do.
Power to the (Spa) People
So, what do spa products and treatments really do? They feel good, of course, and that's probably why people think they're purchasing them. But you and I have to remember the treatments are powerful, as I mentioned to you in my last letter. We have to take that power seriously, even though there's a strong tendency to discount the treatments as merely "fluffy."
There are several treatments that I personally feel to be quite powerful. They include the herbal wrap (my favorite); seaweed wraps; sea salt scrubs; aromatherapy applications; and hydrotherapy. I'll explain each of these from my point of view in a future letter, but for now I'd just like to give you some common-sense guidelines for whenever you're faced with the choice of "to train or not to train on a new treatment or product."
Ask the trainer or company these questions before signing up for your next training:
For me, the most powerful spa therapies contain an element of heat. Anything that heats me up really does the trick for my particular physiology, but I know that's not the case for everyone. Most people don't take into account the intimate and personal nature of spa treatments - powerful, natural ingredients soaking directly into your pores while you lie there pondering your life - and as a result, there is seldom enough customization going on in spa treatment rooms. It's often a one-wrap-fits-all mentality out there, but that is changing. Look for tailor-made spa treatments to gain in popularity over the coming decade.
Trainer, Train Thyself
Sorry I don't have time to get into any specifics about the treatments right now, Lou. Like I said... next time. Anyway, I'll leave you with one last word. I know you were impressed with the trainer, and fascinated by the ritualistic approached she shared about the treatments from Bali, to the point where you were ready to hop the next plane to the South Pacific. You even mentioned wanting to become a trainer yourself. My only suggestion here is, whoa, slow down! There is a danger in the spa world of wanting to move too fast, simply because there are so many directions to move in when you start looking around. Trips to Bali and well-paid training missions all over the country might sound glamorous to you now, but remember that if you don't put in the legwork first, pay your dues and learn the ropes in their natural progression, you'll end up with a fancy job title and no substance to back it up. Even more likely, you'll end up seeking the perfect career and being turned away due to lack of experience. Take it one step at a time.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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