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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.
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.
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."
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.
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.
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.
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.
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!
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.
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...
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
December, 2001, Vol. 01, Issue 12
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.
So, you've experienced the benefits of herbal wraps firsthand now, by going through your own personal mini-detox program right there at the spa. Great idea! I think more spa therapists should put their own bodies on the line. It shows your spa guests that you really believe in what you're doing, and it can inspire them to experience it for themselves.
I remember once at a spa in Scottsdale, Arizona, I received a clay detox treatment from a gentleman in his 70s who exuded vibrant health. He told me he constantly took advantage of the spa's employee discount program to receive treatments, and that when he was off work, he spent a lot of time meditating and playing on the golf course. He was the most relaxed, content and inspired spa worker I've ever met, at an age when most people yearn for retirement. In fact, he said he could have retired, but the atmosphere in the spa was so alluring that he chose to keep working.
A Book's Worth of Information
Of course, herbal wraps are not the only treatments that can offer profound benefits, and you've got your work cut out for you in the months ahead as you learn the ins and outs of such esoteric matters as thalassotherapy; Ayurvedic body wraps; mango body scrubs; and more. Remember, though, this is the type of job that most people dream about having. Like you said, it's not too hard to feel grateful each day when your life revolves around making people, including yourself, feel better and achieve heightened levels of wellness.
It would take me an entire book to write about the benefits of all the services offered at your spa. In fact, I did write a book about it, didn't I? That's the subject of The Royal Treatment. I know someday you'll get around to reading it, if you can just tear yourself away from those mysteries for a few hours. There are a number of good books on the subject, actually, all of which can help both professionals like you and the general public understand the plethora of treatments available. Check out Julie Register's list of such books on the about.com spa site, http://spas.about.com/cs/spabookstore1.
Keep the Heat On
Some of my favorite spa therapies include paraffin baths (great for therapists' hands between treatments, too), fango mud wraps, stone therapy and hydrotherapy.
Do you notice one thing in common with all of my favorites, including the herbal wrap I wrote about in my last letter? That's right, they're all heat treatments. For me, nothing beats heat when it comes to spa therapy. I've been known to drive thousands of miles to reach remote hot springs in the wilderness, just to experience heat direct from nature. You take something unremarkable, like a river rock, then heat it up, and it becomes a therapeutic tool of remarkable power.
I'm sure you have your own preferred spa treatment protocols. The challenge is to identify them, elaborate upon them, then offer the fruits of your enthusiasm to the guests who come to you for treatments.
I have an idea that I'd like to recommend to you: First, make sure you get permission from your spa director; second, start to take advantage of where you are and, over the coming weeks, make your own list of the top five spa treatments your spa offers, and then personally experience every one of them, getting fellow employees to join you in the process if you can. Finally, create your own personal resource, be it a one-page handout; a mini-brochure; a page on the World Wide Web; or something that you can personally offer the guests you come in contact with - something that shows them how much your care about their well-being, and how you believe in the spa's offerings for your own personal wellness. If you don't want to write this information down, that's OK. At least you'll have it in your mind (and in the cells of your body), so that when guests ask, you'll be fully prepared to answer them.
Enthusiasm + Caution = A Safe, Successful Spa
There's one caveat here: as you recommend your favorite services to the guests, remember that what you consider nirvana might be a nightmare for someone else. Even though I love the herbal wrap, for example, I know there are people out there who would pay good money not to get wrapped in steaming hot sheets. You've got to keep contraindications, both physical and psychological, in mind as you create and grow your personal resource guide for spa therapies. There is, in fact, some rather mysterious equipment used in some quirky spa treatments today that even you or I might think twice about experiencing. You've told me you have some of this equipment at your own facility, such as the puzzling fire-hydrant type spigot in one of your wet rooms.
So, the next time I have time to write, I'll tell you about some of the treatments that aren't seen much anymore, even though spas often still have the equipment, usually a leftover from earlier spa incarnations.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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