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Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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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