resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
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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