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Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
November, 2001, Vol. 01, Issue 11
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.
I'm glad to hear you're staying on at the spa and learning in-depth about each of the treatments offered - you'll become an increasingly invaluable employee (not to mention a better therapist) as a result. There will be plenty of opportunities for adventure in other locations as you follow your spa dreams into the future, but for now, you should build a strong foundation in the fundamentals, e.g., spa therapies.
As I travel around the country teaching basic spa therapy course, as I have for years, I'm continually amazed to rediscover just how powerful the generic, no-frills treatments really are. I show people a simplified version of several of the most common modalities: herbal wraps; mini-facials; seaweed wraps; mud and clay packs; aromatherapy applications; hydrotherapy; and body scrubs. In hopes that it will help you better understand these powerful therapies and be able to explain them clearly to your clients, maybe I can give you a little primer, starting with my favorite: the herbal wrap.
Herbal Wrap Basics
Why do we wrap people up in spas in the first place? There are several reasons. First of all, when we apply therapeutic ingredients to the skin, at whatever temperature they're applied, people tend to get chilled really fast. This includes a hot application of products, such as in the case of the herbal wrap. Within minutes, your client will be shivering if not wrapped or otherwise kept warm. Some spas use infrared heating lamps to keep clients warm, which works fine but can be awkward if the lamps are placed around the table on stands, instead of attached to the ceiling. Another reason we wrap is to create a self-contained system in which the products we apply interact with the client's body over and over again, instead of escaping into the surrounding atmosphere. Lastly, many people like the sense of security and privacy that being wrapped creates.
The mere act of being wrapped can have a bit of a therapeutic effect because wrapped people sweat, and sweating is good. Too many people (probably including many of your clients at the spa) spend too much couch-potato time, and the sweating produced by simple wrapping is a way to get their largest eliminatory system working again. But the most powerful benefits to any wrap come, of course, from the ingredients applied to the client's skin.
When I visited the Golden Door Spa in California, I discovered that they grew their own herbs right on the property for use in the herbal wrap. Many spas worldwide do the same, but it is not necessary to have locally grown herbs to make an herbal wrap work, as I'll explain in a second. The herbs can be fresh or dried, and of course organic is best. A large handful immersed in a muslin bag can last all day. Most spas change the herbal solution each night.
Each herb has a specific effect: some increase circulation, others soothe the skin, others are diaphoretic, and so on. These herbs are steeped in nearly boiling water, then special canvas-grade muslin sheets are soaked in the solution. It is these herb-infused sheets, along with outer insulating layers, that wrap around the client.
You've learned the basics of wrapping there at the spa, and from what you've told me, I can tell that the technique used there is sound. There are several variations on the basic wrapping technique, with different equipment used for each. Many spas heat their sheets in hydrocollators which, as you know, were not originally intended for this purpose. They do work well, even though they don't get the sheets as hot as the original industrial-kitchen style boilers. Of course, rubber gloves are important to protect the therapists' hands. I've found in my workshops that simple wood clamps help when wringing the heavy muslin sheets out over the steaming herbal solution.
What makes a wrap work is the way the combination of heat and the properties of the herbs "trick" your body into thinking it has a fever. And we all know what happens when you have a fever - you perspire and try to throw of toxins and invading microorganisms. As you naturally begin to release these, the herbs stimulate the process even further. The result is a detoxification effect that can range from mild to extremely intense. I remember performing a series of herbal wraps on a gentleman who was at the spa to give up smoking. At the end as I unwrapped him, a powerful order of nicotine filled the room. The sheets smelled like a used ashtray.
I'm glad to hear that your spa promotes the massage therapists as wrap practitioners. That's the law here in Florida, but in other areas, wraps are performed by unlicensed technicians. It's always best to have a qualified professional working with the clients, someone who can explain the treatment and be ready in case of any emergency.
The herbal wrap is not a treatment to be taken lightly. It has profound effects on the body, and there are contraindications for wraps, just as there are for massage. Primarily, you must remember that the herbal wrap is a heat treatment; as such, it is contraindicated for anyone who is pregnant, hypertensive, or suffering from heart conditions or diabetes.
Also, a surprisingly large number of people feel claustrophobic when wrapped in heavy sheets and blankets. Fortunately, there is a simple solution that works for over 90% of the people with this problem. Instruct your clients to leave their arms out of the wrap, and they will feel quite comfortable. The most important thing is that they feel they can get out of the wrap themselves if they so desire. There will always be a few people who still feel trapped, even with their arms out; they're better off taking an herbal bath rather than a wrap.
Well, that's all the time I have now, Lou. I bet you didn't think there was so much to know about herbal wraps alone! Next time I write, I'll fill you in on some of the other spa treatments that I've personally seen help hundreds of people in spas over the years.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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