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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
April, 2002, Vol. 02, Issue 04
The Third Element of the Great Spa Conversation: Movement
By Robin Zill, LMT
ISPA (the International Spa Association) recognized the importance of exercise and fitness from the beginning: it was originally named the International Spa and Fitness Association.In fact, many of the harbinger consultants and creators of the spa industry have a strong fitness background. This third element is defined as vitality and energy through movement, exercise, stretching and fitness. It includes movement of all forms: aerobic and cardiovascular exercise; dance; yoga; walking meditation; and client movement within the spa space.
The health and fitness boom of the '90s dominated the lifestyles of many in the U.S. and abroad. The desire to live a happier and healthier life wove itself into the American dream. The rise in the popularity of aerobics and other relatively high-impact exercise programs mirrored this passion. Many destination spas adapted their philosophies in kind, changing from spas with an emphasis on weight management to lifestyle spas with a strong emphasis on fitness. It became obvious that the problem with overweight America was not just a matter of counting calories. The real culprit was stress. This became the motivating drive and market niche that would give the spa industry its explosive growth.
Deby Harper of Fitness Company, a pioneer in the fitness movement, articulates this concept well. She says it is not necessarily how much we eat or even exercise that allows us to keep our desired body weight. After all, why do some of us retain weight while others stay slim, regardless of our diet or exercise? According to Harper, our brain prescribes a powerful chemical called cortisol when stressed. In response to cortisol, the body takes action:
These responses to stress are rooted deep in our genes, according to Dr. Robert Eliot, co-founder of the Institute of Stress Medicine in Jackson Hole, Wyoming. Our bodies are designed to react to stress as a survival strategy. Our daily stress triggers are sometimes rooted in emotional and mental challenges - conflicts that can be abstract. Paying the bills, professional competition, relationship issues, and raising children all add to our stress. Although it may seem like a good idea to wrestle your boss down to the ground if you disagree with him/her, it is no longer socially acceptable. Exercise is a better outlet for this physical expression. Not only does it give us a release, it gives us the added benefits of increased endorphins, a natural mood elevator.
Many of us in the massage industry (at least the "older/wiser" generation) would not be considered fanatics about our weight and looks. But as we age, the desire to age gracefully with less pain becomes more and more appealing. We recognize the need to stay healthy, fit, and productive as well as be role models for our clients. A 2001 ISPA study by Cox Consulting points out that 88% of spa goers get a massage, and 56% participate in some type of fitness or sports activity.
From bungi jumping to wall climbing, water yoga, kickboxing, hiking and even tap dancing, spas are leading the way in bringing exercise and movement to their customers. Spas are on the cutting edge of new trends for exercise and movement. ISPA embraced this new trend by identifying a new type of spa membership: the club spa. A club spa is defined as a company that operates a facility whose primary purpose is fitness, but that offers a variety of professionally administered spa services on a day-use basis. This category is rising quickly: according to the ISPA Spa Industry Study (August 2000), there are 423 club spas in the United States. Together, club spas average 12.1 million visits per year, which places club spas between day spas and resort/hotel spas in ranking of total visitors.
The club spa has some unique characteristics. Like the day spa, clients come in on a regular basis and are community-based. Multi-use rooms that provide a variety of massage, spa body and facial services have proven to be very effective and profitable. With a built-in consumer base to draw from, spa services can be test marketed and catered directly to the needs of the membership. ISPA Executive Director Lynne McNees comments:
Usually, salon services are not a requirement, but can be found in the larger club spa. Just as the day spa industry boomed, I believe we can expect the same to happen for the club spa.
Our market is changing at a fast pace. New terminology and new concepts are needed to meet the needs of our market and new integrated health paradigm. Futurists now project that 50% of the population will be over the age of 50 by the year 2005. Debra Smith, from Smith Club and Spa Specialists, predicts that more than ever, fitness and new movement therapies that emphasize balance and integration will be woven into the spa experience. People do not want to risk injury; they want to build stability and strength. Consequently, the next wave of fitness activities will feature systems like Pilates, yoga and tai chi, which are considered core therapies. These programs emphasize the mind, body, spirit and emotional needs of the client.
The new PFS (Personal Fitness Assessment) is just such a tool. New behavioral research indicates that the most effective exercisers are those who understand themselves, both their strengths and weaknesses, so they can develop strategies to meet the demands of their fitness program. If you have a hard time getting motivated to exercise or determining what exercise program is right for you (or a client), you may want to try the new PFS personality assessment program. It is designed to give you insight into what motivates, frustrates, and helps you get the most out of a workout. Another professional consideration for today's massage therapist would be to consider becoming a yoga or Pilates instructor. It would be an excellent synthesis of two languages that help to re-educate and re-align the body though a mind-body-spirit connection -- helping make you that much more employable.
The last important quality about movement in the context of the third domain is the actual process of how a client moves from one space to another in your spa. The layout of the spa should be simple and easy to navigate. From reception, to locker room, to waiting areas, to the actual treatment room(s), gentle and easy client movement is critical to a good spa experience. It is all about flow. The third element dovetails here with environment, climate and touch. People get nervous and stressed if they do not know where to go. If possible, it is still best to escort a client to the next treatment.
Good signage, repeated directions, and clear instructions regarding how clients get on and off the table, especially on wet tables where the client is more vulnerable, are all essential to creating a great spa experience. From the minute they walk through the door, you are taking your clients on a journey. Make each step count and be memorable. Please feel free to contact me! Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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