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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.
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?
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?'
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.
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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.
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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.
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Traditional Chinese Herbal Medicine in Taiwan Hospitals
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The Professional and Practice Benefits of Political Activism
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Adventures with the Pericardium
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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.
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.
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.
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.
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Overuse Injuries in Young Athletes (Part 1)
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International Congress on Integrative Medicine
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Are Probiotics Doing More Harm Than Good?
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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.
July, 2002, Vol. 02, Issue 07
John W. Kelley, MT
By Claudette Laroche, RN, LMT, NCTMB
Author's Note: Professional of Note is a column devoted to recognizing individual practitioners and what they are contributing to the profession. Each article highlights a unique feature of a practitioner's professional practice.The purpose of this column is take note of people who are not necessarily nationally known, but who are nonetheless making a significant contribution to the field.
In the realm of bodywork and holistic care, what's one of the more unique career combinations you could come across? Try blending massage and the work of Pilates! John Kelley, massage therapist and certified Pilates trainer and educator, does just that. In fact, just as Joseph Pilates and his wife Clara once did, John and his wife, Sheryl, work as a professional team.
But first, who is John Kelley? He's an engaging professional, with a witty personality and serious passion for the unique work he does. (When he speaks, his Texas accent is apparent to me, and my accent as a northerner from New Hampshire is noticeable to him!) He's been a massage therapist since 1985, a graduate of the Institute of Natural Healing Sciences in Irving, TX, and a certified Pilates instructor since 1996, after completing 275 hours of education and internship at the Physical Mind Institute in Santa Fe, NM. According to John, "this husband/wife, massage/Pilates combination is fairly unique and offers our clients an opportunity to receive bodywork and work their own bodies and minds." (Sheryl started massage in 1991 and Pilates in 1993.) Sheryl was a key factor in John's choice to study Pilates because, as he mentioned, while giving a testimony to his wife, "I wanted to learn to 'see' the body as my wife did. She could point out each major postural deviation, and she knew exactly what movement was needed to move them into a more ideal postural alignment."
Now a little bit about Joseph Pilates. Born in Germany in 1880, he developed his theories on health and fitness during an imposed internment by the British authorities during WWI. John told me that "after Pilates' death in the 60s, individuals who were trained by him carried on the work. These individuals trained others to teach the work, which eventually spread throughout the world."
The Pilates technique is comprised of six basic principles: concentration; breathing; control; centering; flowing movement; and precision. Exercises are very controlled; therefore the term "thinking exercise" is used commonly to describe the Pilates technique. (Ref: Pilates' Body Conditioning by Selby and Herdman, 1999.)
When I asked John to expound on his views of how he orchestrates his work with clients, he said: "'Seeing' the body is much more than identifying postural deviations; it includes knowing how to move the body in a direction of better alignment. I had experience with postural assessment training in neuromuscular technique, Onsen and other workshops, but we didn't address how to empower the client to move into better alignment themselves. I found the notion of releasing tight muscles as 'the' solution to poor postural alignment to be too easy. If it took years to get to an imbalanced posture, with bones that may have (probably) adapted to the deviated shape, and (with) the possibility of emotional components factored in, how could it be so easy to change the body for the long haul? I believe a lasting correction has to come from the inside-out. Pilates focuses on strengthening the core and stabilizing the pelvis, ribs, shoulders and neck during movement."
What initially propelled John on this path of healing? "My passion for massage, like many other massage therapists, arises from my recovery from previous injuries with massage therapy. This took me into sports massage because I saw it as an avenue for learning how to deal with injury: understanding what it is, how it happens, how to heal from an injury and, most importantly, how to prevent an injury. This passion has driven my desire to learn the answers to these questions, which eventually led me to Pilates. This experience is also what makes me somewhat unique as a Pilates instructor. Most Pilates instructors come from ballet and 'see' the body quite well, but do not have much knowledge regarding injury or anatomy. I had the anatomy and knowledge regarding injury, but I needed to learn to 'see,' and Pilates has taught me how to do that. Now I try to empower my clients to 'see' themselves and give them choices they didn't have before."
Fully self-employed, John described his practice environment in Richardson, a suburb of North Dallas, Texas: "We have a massage and Pilates practice in our home. We bought our 4,000 square-foot home with our business in mind; it offered a large, open space, lots of windows and wood floors for the Pilates studio, which encompasses three rooms; as well as two massage rooms and an office."
A typical session with John is one hour: $65 for a massage and $60 for Pilates. He incorporates Pilates work along with massage, including techniques in NMT; Swedish; sports; trigger point; deep tissue; MFR; lymphatic; and craniosacral. "We do not have pricing for a combination of massage and Pilates, so we try to differentiate between the two. During a Pilates session, the hands-on work provides the client with what is necessary to complete a session safely and comfortably. I average about 10 Pilates sessions per week, each one lasting about an hour." His Pilates studio includes the following equipment: two reformers, two wall units, three chairs, one ladder barrel and one Cadillac. For those already familiar with this equipment, that's great! But for those who aren't, you'll just have to make an appointment with your local Pilates trainer to learn more!
John, 48 years young, keeps quite fit himself doing this Pilates thing! John markets the business mostly by word of mouth. Jane Cole, a client of John's since 1997, summed up his approach: "One of his strongest assets is that he uses his knowledge of anatomy and kinesiology to enhance my Pilates workouts. He can see a restriction or imbalance as I am performing a Pilates move, and knows the inter-relationship to another part of my body that may be causing the problem. If the restriction/imbalance is due to a muscle spasm, for example, he will take the time to properly ease the spasm before continuing the workout. He also is able to convey to me which muscles I need to think about when executing a move, which helps me become more aware of my mind-body connection. He always takes the time to assess what I will be physically able to do on a given day, and varies my workout routine so I get a good workout with minimal frustration. He challenges me, but never past the level of what I can achieve. He makes sure the moves are done with accurate form, and never allows anything that would injure me. He has been invaluable to me as I gain deeper understanding of how my body works, and how I can be more aware and healthier."
Given the specialized Pilates equipment that is used in John's studio, Nicke Hetzel offered these observations: "Pilates movements are very precise, and some positions have a higher risk of injury; John's focus is always safety first. I also appreciate the fact that he understands the physical requirements and stresses associated with other sports and activities. Because I run, I want my trainer to understand the needs I have associated with running and know what is happening with the muscles when I have a problem."
John's witty personality also serves him well, according to client Brenda Small: "John is the first Pilates instructor I like well enough to continue working with. He personalizes my workout to fit my needs physically, so it feels like I get more personal attention."
What's John's definition of success and satisfaction? "My success stories are many. I don't really want to dwell on the remarkable because I get more satisfaction from the everyday 'I feel better' or the 'pain is gone' success of my job. I like to hear that my work was good and that they feel better as a result. I try to focus less on 'achieving a result' and more on my responsibility in the process of helping the client. I think we can empower our clients to take responsibility for their own healing if we realize we are only facilitators in the healing process. If we set ourselves up to be the great healer during our successes, we must also be a failure when our efforts fail. I stepped out of massage school believing I was 'God's gift to massage' and now stand just grateful to have opportunities to help people feel better and empower them with knowledge."
John's next goal, what he calls his "ultimate goal," is "... to become a certifying trainer for Stott Pilates and bring it to the massage therapy profession." He's achieved part of this process with the recent (Spring 2002) completion of certification through Stott Pilates in Toronto, Canada. John says "Stott has an excellent program that focuses on anatomical knowledge and understanding of kinesiology within the movement as well as definite principles of postural alignment and function." His training with Stott Pilates included 250 hours of training and a written and a practical exam for certification. (Author's note: John welcomes comments from massage therapists regarding what they would consider valuable material to be offered in future workshops he is planning.)
John gets out of his office and into the community by teaching one Pilates class per week at the Cooper Aerobics Center in North Dallas, and by extending his professional skills to members of the Dallas Cowboys Football Club.
John also works to promote the massage profession, contributing his time during the past three years to the NCBTMB as chair of the Continuing Education/Recertification Task Force and as chair of the Recertification Committee. He was nationally certified in therapeutic massage and nodywork in 1992, during the first year of the program. As a member of AMTA since 1985, John was a coordinator of the AMTA-Texas Sports Massage Team and a member of the AMTA National Sports Massage Team. He also provided sports massage with athletes at the 1987 Pan Am Games, the 1988 Winter Olympics, and the 1990 Goodwill Games.
I'm sure you wouldn't believe otherwise, but John and his wife enjoy attending massage and Pilates workshops together. For fun outside of his professional work, John enthused: "Sheryl and I just started ballroom dancing lessons (You are on my dance card at the next convention, John!), and we enjoy movies, bicycling, camping and the mountains. Sheryl's favorite thing to do is read, and my favorite thing to do is racquetball."
This couple puts to practice their philosophy of good nutrition with a dose of daily togetherness as part of the recipe for healthy living. "Since it is very difficult to get good quality food from restaurants, we especially enjoy eating our own cooking, so we cook together almost every night." (Maybe opening your own café is on the horizon!)
John's philosophy regarding his work with clients centers around the concept of empowerment. "Some of the most challenging situations for me as a massage therapist are the clients who don't want to take responsibility for their healing and, thus, try to make everyone else responsible. We are about empowering, not enabling! This is how we try to live our lives, and it is naturally transferred to our clients."
Thank you, John. May you continue on this path in the best of health for many more years!
* Please only use equipment after professional instruction with a Pilates trainer.
Click here for previous articles by Claudette Laroche, RN, LMT, NCTMB.
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