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National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
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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