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TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
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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