resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
March, 2002, Vol. 02, Issue 03
The Second Element: Nourishment
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the second article in a 12-part series and focuses on the second of the 10 elements: Nourishment.
The 10-Element Circle is available for viewing on line at http://www.massagetoday.com/archives/2002/01/16.html.It is no secret that optimal nutrition enhances health and vitality. But what is good nutrition, especially in today's fast-paced and chaotic society? Is good nutrition simple and pure, high-tech and advanced, or a little of both? The process of discovering what diet or nutrition program is right for you raises numerous questions, and for good reason.
It appears that Americans choose fast foods over everything else. In his book Fast Food Nation, author Eric Schlosser makes the case that what we eat has changed more in the last 40 years than in the previous 40,000 years. Americans spent $110 billion on fast food in 2000, up from six billion in 1970. We spent more in 2000 on fast food than we did on higher education, personal computers, computer software, or new cars. If we are what we eat, we have a lot to reflect upon and change.
Perhaps this is why the spa industry has also experienced tremendous growth. The spa experience can be an invaluable tool in expanding awareness and health through food and nourishment. This second element of the spa experience, nourishment, offers the spa-goer and the spa professional a framework to integrate nutritional choices into today's lifestyle. It includes foods, herbals, supplements and medicine; everything we consciously put into our bodies.
Natural food, water treatments, and exercise have always been at the center of the spa experience. According to spa historian Dr. Jonathan De Vierville, a new interest in nutrition, water and exercise emerged in the 1920s, in part to help war veterans recover from the rigors of World War I. Escaping from Romania just before Hitler's takeover, the Szekely family became pioneers of the spa industry in this tumultuous time. They started one of the first spa health retreats in America.
"Our principal asset was a simple faith in the values of living in harmony with nature," says Deborah Szekely. Opened in 1940, the Essene School of Life, now Rancho La Puerta in Escondido, California, is one of the most famous destination spas in the world. Originally committed to a vegetarian philosophy and a grape juice diet, the Szekelys believed that healthy food came from healthy soil. Although the price tag has changed since then, from $17.50 a week and "bring your own tent" to a few thousand dollars weekly and required reservations months ahead, the Szekelys' philosophy has remained intact. They still seek to provide a healthy retreat with a focus on integrated living, including an emersion experience with natural and organic foods.
This time period also saw the beginnings of the American Medical Society (AMA) and the Food and Drug Administration (FDA). This represented a big social change, affecting citizens on a personal level. Although it may have escaped the average citizen's conscious attention, the individual no longer controlled what went on the table. As the 20th century advanced, technology and regulations advanced at an exponential speed, and the general population embraced and admired these advancements in the name of progress.
Sound familiar? Gradually, natural and pure foods (and simple health remedies) were devalued. This unconscious cultural withdrawal from nature had many serious consequences, which we will discuss in future articles, but certainly people became more and more removed from the food they ate. From the beginning, the spa industry responded to these issues. Healthy and natural food, spa cuisine, was central to the spa experience. What is spa cuisine? Cathy Cluff, director of the Oaks at Ojai and daughter of spa and fitness pioneer Sheila Cluff, laughed when I asked her to define spa cuisine. She said that asking that question is like asking someone to define "the spa experience." When pressed for spa cuisine guidelines, Cathy suggested the following:
Cathy says the latest trend in spa cuisine is to create a menu and dining experience for the guest vs. letting them choose from a set menu. This way, the spa guest can receive the best of what the chef has to offer: food of the season; regional specialties; secret recipes; and a simple education of what and why you are eating this delicious entree. In fact, says Cathy, education of the client is one of the best forms of creating client retention, and should be woven throughout the whole spa programming.
For health-conscious massage therapists and bodyworkers, I definitely recommend visiting a spa that specializes in spa cuisine. Not only will you have a great time and a healthy retreat, you will also absorb knowledge that you can then share with your clients. Unfortunately, some destination spas can be pricey, so if you are on a tight budget this year, check out the recipe of the month on the International Spa Association website (www. experienceispa.com). Local day spas also have healthy, trend-setting options. Also, remember to remind your clients that after the rigors of massage, water treatments or exercise, it is advisable to eat simple, easily digestible foods.
We have a lot of work to do to when it comes to healthy eating, but we are on our way. Mary Tabacchi, a nutritionist from Cornell University and a spa spokesperson says that in the last 10 years or so, we have gone from the Pepsi Generation to the Fitness Generation. Nutrition, fitness and health are beginning to dominate our lifestyle. Mel Zuckerman, of Canyon Ranch, sums up this evolutionary yearning for better health when he says, "How we deliver our message may change, but how we truly get there does not. We tell our customers that wellness can be achieved by making emotional connection to health by finding balance of mind, body and spirit."
What do you think? Your voice is important. Join me at The Great Spa Conversation, hosted by www.spaelegance.com.
Click here for previous articles by Robin Zill, LMT.
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