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Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
January, 2002, Vol. 02, Issue 01
Welcome to the Great Spa Conversation
By Robin Zill, LMT
As we begin The Great Spa Conversation, I'd like to introduce you to the 10 Elements of the Spa Experience. This is an evolving paradigm, developed to give some structure to the philosophy of spa and to facilitate communication among industry professionals.Given the social and spiritual climate since September 11, 2001, it is all the more poignant that we find new ways to connect using new tools. We hope that this column will be a place where we can explore our roots and traditions, and brainstorm new ways to connect with clients and better serve the world in which we live.
Part I: The Genesis of the 10 Elements
The history of the 10 Elements helps to tell the story of the contemporary spa movement. The 10-elements construct has two broad goals. The first was to help define the elusive and ever changing nature of the spa experience. The second was to create a foundation, a common language and career path for the emerging spa professional.
Embarking on this task was difficult, as you can imagine. More often than not, it seemed impossible to wrap our arms around this quickly evolving, growing and diverse industry. However, the ISPA Education Committee members believed we had the opportunity to help give definition to this 21st century profession. The diversity and experience of the committee allowed us to examine the evolution and growth of related professional organizations such as fitness, massage/bodywork, and aesthetics, and to compare that growth to the spa industry. We wanted the spa industry to embrace the new need of professionals to have their lifework and career path be more integrated with their personal life. We also wanted a career path that acknowledged the rich life experience people bring to their work, as this was so critical in creating a memorable spa experience, which in turn creates client retention.
Key words and ideas that framed the dialogue and inspired the 10-Element Circle:
Part II: Understanding the 10-Element Circle
My belief is that spas have the potential to be the sacred spaces for understanding and nurturing the contemporary human spirit. What creates excellence in "the spa experience" is difficult to capture and articulate. There are many levels to the dialogue and they are interrelated in nature. On the surface, a spa treatment is about feeling good. But to achieve a memorable experience and not just a great massage, facial or wrap, we need to encourage each client's connection to a deeper sense of self. What we really want to do is create a space for self-discovery and growth. The 10-element circle can give form and structure to this search, both for the professional and the consumer. After all, the healing dynamic of giving and receiving is at the heart of this exchange.
First, take a moment to understand the circle pattern. You will notice that there are eight pieces of the pie, but 10 elements. The center and the circumference of the circle make up the final two elements: Integration (element five) and Time, Space, Rhythms (element 10). Elements one, two, three, four, six, seven, eight and nine sequentially fill in the pie. Within the circle, all 10 elements are related and interact dynamically with one another. Each is dependent upon the other.
Part III: The 10 Elements
Key words: The transforming power of water.
Water is the heart of the spa experience. Fundamentally transforming, it is used for cleansing, purifying and basic survival. Both the external use of water through compresses, showers, bathing, and swimming, and the internal uses of water through drinking and other internal cleansing procedures, are included.
Key words: Nature as nourishment.
How do we feed ourselves to maximize our experience of life? Yes, a healthy, well-balanced diet is necessary, but how we combine it with our nutritional supplements, medicine if we are ill, and the nine other elements give us the tools to expand our experience of optimal health.
Key words: Our body as a vessel for growth.
The third element envelops movement of all forms: aerobic and cardiovascular exercise, yoga, walking meditation and dance. Movement is within the spa space, or transition from one treatment to another consideration.
Key words: Experience of other. The fourth element involves embracing touch through massage and bodywork modalities to connect with the client on a deep level and enhance vitality and growth from within. As professionals in our industry you know this just hints at the depth of what we do and why we do it. Touch is not only one of the most profitable services in the spa, it is at the heart of helping people move to new and deeper levels: physical, emotional, and spiritual. Visit the Great Spa Conversation at www.spaelegance.com/gsc.asp or the International Spa Association (ISPA) at www.experienceispa.com and see the recent profile we developed regarding what qualities are most valuable for a massage therapist working in the spa environment. See if you agree. We want to hear from you.
Key words: Experience of self.
Located in the center of the circle, this element is the "ousia" or essence of the 10 elements. Ousia (oo SEE ahh; Greek in origin) is a concept that describes when mind, body, spirit all merge into one to make a memorable and meaningful experience. The definition of ousia is: essence; being; that which makes us who we are (but not a material substance) as well as our search for something greater than ourselves.
Key words: Earth as healer.
The appreciation of beauty, both inside and out is paramount to element six. Practically, it means feeling beautiful and embraces our current concepts of beauty, which include the outward manifestations of fashion, skin, hair, nails etc. Understanding this and enhancing this service in the context of total health bridges the chasm between feeling and looking beautiful.
Key words: Earth as home.
Environment is our place on the planet. Are we in the city, the coast or the desert? The treatments we choose are related to the season, the time, the weather. How we change and react to and with our environment as well as our commitment to be stewards of the earth are all contained in this element.
Key words: Sense of place in community.
Broad, yet basic in scope, the eighth element embraces the science, politics, belief systems and cultural appreciation of the arts in healing.
Key words: Integration of daily work as purpose.
What is our life's work? What is our heart's passion? There are at least two ways we are rewarded or satisfied by our work. One is monetary; the other is giving of oneself. This element explores the exchange or energy (including commerce) between service provider, client, spa and community.
Key words: Vehicle for transcending self.
The 10th element encircling all the others is actually metaphorical in nature as is the fifth element in the middle. It holds all the others, as a vessel from which the other domains interrelate and reflex into each other. This element embraces the seasons and rhythms of the human experience, incorporating the life cycle; biorhythms; chronobiology; the therapist's role as timekeeper; and more.
PART IV: A Call to Participate in the Great Spa Conversation
In summary, the Great Spa Conversation is about evaluating, expressing, and embracing our values; it is about our shared purpose. It is up to us to address and define professional competency, standards of practice and levels of excellence.
After all, spa is a peoples' movement. It is up to us to come together: to heal, to encourage, to challenge, to dialogue, and to question. It is great to connect with my roots in the massage and touch industry. I look forward to writing this series of articles featuring the 10 elements, but look forward to your feedback even more.
I can't believe how far we have come as an industry in the last 20 years. Have we made mistakes? Yes. Are we wiser? Sure. Can we do better? Absolutely. It is time for our collective professional voice to have more political and social influence. In the words of Margaret Mead: "Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has."
Imagine what we can do as an integrated industry. Please join me on line at The Great Spa Conversation. Your voice makes a difference.
Click here for previous articles by Robin Zill, LMT.
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