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Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
January, 2002, Vol. 02, Issue 01
Building a Successful Spa: Step One - Conception
By John Fanuzzi
As I write for Massage Today, whose primary readership is massage therapists, I am honored to share some of my experiences with many friends in the industry. Looking through the eyes of a massage therapist and through the eyes of a hotel chain are completely different, so I will write as if I was a massage therapist considering opening a spa.
"Spa" seems to be the wildcard word that incorporates not just massage, but a potential multitude of treatments, including other alternative therapies; body scrubs; skin care; steam; sauna; hydrotherapy; yoga; fitness; diet; meditation; and cleansing.It is the universal and much more socially accepted word, and it has hit its stride only in the past six or seven years. With that window now open, many massage therapists are upgrading their practices to day spas, which can be quite profitable if properly planned and managed.
When inspired with a new idea, such as opening a spa, a process starts that will test you, to see if you have what it takes to fulfill that vision. Many people get sidetracked when someone, perhaps their closest friend or most respected lawyer, banker or accountant, questions them about the practicality of their dream. Will your passion or your fears win when you hit that obstacle? My experience tells me that with any good idea, there are always hurdles to overcome. The real beginning is when you say, "I will." From that point of commitment, the fun begins. I have labeled this Conception -- the first step of a 12-step process to building a successful spa. Sharing your vision with your close circle of partners or staff, who also have a positive vision, will multiply the ideas and keep the creative juices flowing. It is also a time to start to think about what type of corporate structure you might need, and who the principals will be. Your positive attitude will bring the birth of a beautiful business; it must be nurtured, just like a baby in the womb.
I have personally built two spas, and one thing I can say is that what your final product may be quite different than your conceptual plan. When you do get into the design stage, you want to be as close to the final desired result as possible or it will delay construction and cost more for changes.
Now that you have decided to move forward, it is time to ask yourself some basic questions, such as: Do I want or need partners? Should I incorporate? How much will it cost? How big of a space do I need? Should I lease, buy or build? What types of treatments should I offer? Do I want to be more clinical? Do I want to include a hair salon? Should I start small? Should I hire a consultant? (For the sake of readers who may not have any knowledge of the spa industry, I am starting our discussion at an elementary level.)
This early creative stage is perhaps the most important - it is the thrust to get you through the next 11 steps. Each idea is a very important part of the process, and could be worth thousands of dollars. It is time to open your eyes wide, ask questions, visit as many spas as you can, attend trade shows, and read as much as possible from trade magazines such as Spa Management, Day Spa and American Spa.
Next month, we'll take the second step toward opening a spa by addressing Spa Theme and Personality.
Click here for previous articles by John Fanuzzi.
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