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Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
July, 2002, Vol. 02, Issue 07
By Steve Capellini, LMT
Author's Note: The Spa Letters column features news, personality profiles, trends, and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
So, everything's running smoothly at the spa for a change, eh? You're firmly in charge as the supervisor of treatments; your staff appreciates the efforts you've made to create a better work environment for them; and management is pleased by your ability to cut costs and still offer superior service.Plus, you still get to do 20 hours of your own hands-on work each week. What could be finer?
Of course, there always has to be at least one fly in the ointment, and in this case that fly's name is Ms. X, the spa director. Like many spa directors, she's landed in the position via the management route rather than moving up through the ranks of spa line staff, and so in your opinion she doesn't have the skills needed to communicate with authority to your fellow therapists. Yet communicate she must, even though she's put her foot in her mouth on a number of occasions. So, how can you, a massage supervisor, educate a spa director?
Step One: Put Yourself in Your Place
First, make sure that your head is securely attached to your shoulders and hasn't inflated to five times its normal size after your recent promotion and pay raise. The last thing you want to get involved with is some political maneuvering in which you'll likely be perceived as angling for yet another promotion, perhaps even taking over the spa director position, much too quickly. You have to let things take their natural course, and right now that course includes Ms. X.
Once your ego is firmly in check and there is no danger of doing something you'll later regret, you can then proceed to step two.
Step Two: Put Yourself in Her Place
Next, think about Ms. X's position. Like many people who are not completely familiar with every aspect of the work their staff does, she may feel somewhat insecure, although according to your description she acts exactly the opposite. That's what insecurity does. Rather than confronting her head-on, though, take the diplomatic route and put yourself in her place first.
She knows she needs to become better acquainted with what you and your team do behind closed doors in the therapy rooms, and she'd feel much more comfortable if she could speak your language, but how can she go about saying that without looking incompetent in this one particular area? Some people are comfortable admitting to what they don't know, but your spa director doesn't seem to be such a person. So what can you do? How about trying a little education?
Step Three: The Education of a Spa Director
I propose that you approach your spa director privately, either through a letter or in person, without anybody else knowing, and tell her about the educational opportunities that exist for people in her position. She may be surprised to learn, for example, that massage schools are starting to perceive the need for spa directors to learn more about what their staffs do, and at least one has already planned a workshop tailored specifically to this audience. The Utah School of Massage received an encouraging response to their initial idea for a special spa director's training class. The folks there imagine, correctly, that there are a large number of directors who would benefit by learning the basics of what their therapists are doing. Imagine it: Ms. X with a fellow spa director's glutes in her hands, learning petrissage. This is the type of thing that will both inform and humble her. Try calling the school to see when they're next going to offer the course. I think they're planning on one sometime next year.
As an alternative, you might let one of the vendors who supply you with products and training do a little side-training for the director. Sure, Ms. X can sit in on trainings with the rest of the staff, but in that environment she can't receive the individualized attention a non-therapist needs. It probably won't be too difficult to convince a vendor that it's worthwhile to invest private time with a spa director. After all, the director is key in making decisions about which products to use, so it's in the vendors' best interest to stay on her good side.
If you can't find someone else who is willing to educate Ms. X, consider doing the job yourself. But you have to be politically correct and couch the suggestion in amenable terms. How about something like this? "Ms. X, I know you've been working extremely hard to make sure the spa is running in tip top form, and that probably hasn't left you time to keep up with the latest advances in spa therapy being performed here. I'd like to suggest that I give you a one-on-one presentation of some techniques we're using now, telling you how we do what we do, and why, and maybe you can try your hand at it yourself a little."
Step Four: Surrender to the Outcome
Of course, your spa director may not be open to such suggestions, in which case you can forget all about these ideas. Instead of trying to force unwanted information on her, it's better to drop the idea. You're still going to have to deal on a day-to-day basis with someone who is not fully versed in the language of what you're doing, however, so in this case I would suggest the following: get over it.
That's right. Just surrender to the idea that this particular spa director is not the ideal person you would like to be working with in an ideal world. But then again, you're always going to find that something is not perfect, no matter where you're working or what your circumstances are. What is there in your relationship with Ms. X that is instructive? What positives can you create from the situation? How can you make her job easier, now that you know her limitations?
Perhaps most importantly, refer back to step number one. Take a look at yourself as you ponder trying to change the behavior of somebody else. What could you do to be more humble, more highly educated, more helpful to the entire operation you're involved with at the spa? Perhaps there's a training course or two you could take yourself that would help you better understand Ms. X's position and her point of view. If you can find one, take it, and expand your mind. You'll be glad you did.
Talk to you later,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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