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Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
May, 2002, Vol. 02, Issue 05
Building a Successful Spa: Step Five: Design
By John Fanuzzi
Before I get into this month's topic, I would like to apologize for some confusion about last month's article on budget - particularly with respect to the spreadsheets. A number of other pages are needed to give the full overview, and it simply would take up too much room to print.I would invite those who would like some clarification to e-mail me at the address listed at the end of this article.
This month's topic is design. After perhaps months of preliminary planning - from birthing the original idea, to exploring the feasibility of such a project, to putting the finances in place to proceed - you are now ready for the next step: putting the ideas on paper. Generally, interior design firms or architects can do everything from construction documents, which include floor plan , electrical, lighting, interior finishes and furniture, to construction management; however, I strongly advise you to speak with a professional spa consultant first.
The reason a spa professional should be on the job before a designer is that he or she has the familiarity with the equipment as it relates to the planning requirements. He or she also can lead you to sources of information, such as attending a major spa trade show where you can pick the brains of an abundance of experienced owners, spa directors, educators, and manufacturers. I often see spa consultants meeting their clients at trade shows, specifically to pick out equipment. This should be done before final drawings on your spa are made.
The spa professional assists the designer, who may not be familiar with the wide variety of equipment used in a spa. Building a spa requires knowledge of specialty equipment that is not in your designer's normal line of residential and commercial jobs. If your designer does not know what equipment is available, how can he or she provide the proper space and flow requirements?
A good spa consultant has a design background and can help with the preliminary floor plan, including room sizes, traffic flow, adjacencies, and room use requirements as they pertain to the proper equipment and mechanical requirements. He or she can advise you on the benefits and drawbacks of certain modalities, which ultimately equate to more or less revenue per square foot.
Spa consultants should also be familiar with the proper space, plumbing, electrical, and ventilation requirements for certain equipment. Some of the specialty equipment includes wet rooms with vichy showers or hydrotherapy tubs, steam, sauna, and pedicure units, and a multitude of therapy tables.
I have had customers building a small operation who did not hire a professional, who thought they wanted a full wet room with a vichy shower, but didn't realize that a water containment table in a dry room would work fine, save money, save cleanup time, save laundry, and also not limit that room to only wet treatments. I usually recommend this to smaller day spas with less than six treatment rooms. I also recommend a floor drain and hand sink in every treatment room, so your facility is versatile enough to accept wet/dry tables and multifunction massage, facial, and pedicure chairs.
For those of you who have no background in building and design, let me explain some of the basic design components that all need to fit together and get coordinated. On jobs requiring an architect, such as new construction or additions, a set of contract drawings is issued for each of the components, including: structural (if required), architectural, plumbing, and heating ventilation / air conditioning (HVAC). If the structural components of the building are already in place, such as in a space that is leased in a shopping mall, then architectural interior design drawings are the primary requirement. On most remodels, individual sub-contractors usually present their own shop drawings to dovetail with your architectural needs.
The next step is to choose an interior designer who will evaluate, edit and draft your floor plan for proper building code requirements. This person must be sensitive enough to work within your budget, to acquire the most aesthetic value for the money and resonate with your theme. He or she will also select the proper interior finish materials and furniture. Ideally the designer will create the space to set the mood and be functional. Using spa consultants and professionals from the design community will save time and money, and create a more professional space. In the end, when you have to live with the results, you will be a happy camper. You may also get less gray hair in the process.
Next month we'll be ready for the construction - bring your tool belt.
Click here for previous articles by John Fanuzzi.
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