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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.
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?
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.
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.
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.
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.
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.
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.
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.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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?
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
October, 2002, Vol. 02, Issue 10
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.
The decision has been made. The die has been cast. As the supervisor of the massage department at the spa, you recommended that the male therapist accused of harassment be fired, and now he's gone. It was a tough decision, wasn't it? And, as if it wasn't bad enough having to pass judgment on a fellow therapist, now you're facing an additional, completely unforeseen problem having to do with your old nemesis, Ms. X, the spa director.
Surprisingly, it was the director who ended up most perturbed by the firing of the therapist. After a time, it seemed as if she was the only one who felt giving him a second chance was a good idea. Everyone, even the therapists closest to him on the staff, agreed that he'd overstepped his bounds, that his flagrant actions were definitely grounds for dismal. The owners and other upper management of the resort were pleased with your actions, too.
So, what's up with Ms. X?
The Green-Eyed Monster
Lou, in my opinion, what you've just encountered is the first sign of a situation that may lead to your ousting from the spa you've come to love. The situation is called jealousy, and the spa director is aiming it at you. She sees you as someone who is climbing the corporate ladder, because that's what she's been doing herself for years. She doesn't realize that you're operating based on an entirely different set of motivations. You reached the position you're in because you have a passion for your work and the field you're in, not because you want to manage other people. This director, on the other hand, is there precisely because she wants to manage others, taking the fast track to managing an entire property one day.
Tread lightly, Lou, because, whether you like it or not, Ms. X is still the one with the power to have you fired. In fact, from what you've described, it looks to me that's exactly what she's planning on doing.
Consider the signs: Instead of her going to the spa director's retreat that you recommended, the management sent you in her place because you were more of a "hands-on" person, and Ms. X professed feeling uncomfortable about taking all the time off to attend the retreat. She thought she was scoring points with the spa owners by keeping her nose to the grindstone, but what really happened was that she revealed how insecure she is in her position.
Guess what? The more I think about it, the more obvious it becomes to me. The owners of the resort have begun to groom you. They think you're director material yourself. You've been there a year and a half already, which is a lot more time than many other therapists have spent before getting tapped for directorship positions.
No wonder Ms. X is worried. She should be! You're her worst nightmare, even though all you're doing is following your heart and doing the best job you can in the position you've been given. Do you see how it's working? The spa owners see you as someone who could more fittingly represent their philosophy and make their guests happier. You've already proven your ability to manage people and make difficult decisions. The practical skills needed to perform the daily tasks of a manager can be taught. What you've got - heart and talent - is not so easy to instill.
Do you want to become a spa director? It's a question you couldn't even imagine asking yourself two years ago, but now it's a real possibility. The spa owners have already asked you to attend the annual International Spa Association (ISPA) trade show along with Ms. X., and she's not too happy about it. In fact, she's requested that you not attend, citing scheduling difficulties. We both know that's hogwash.
My guess is that if she really does succeed in barring you from attending the show, when she returns to the spa afterward the bomb will be dropped, and you will be named the next director. It's either that, or you'll get fired.
Ms. X. has already shown all the signs of backstage maneuvering. She can't afford to let you keep doing what you've been doing. In this situation, I have two bits of advice for you, and I hope they help.
Stay True to You
First of all, I think it is most important at this juncture to get firmly back in touch with what brought you to where you are in the first place - namely, bodywork. You've been considering taking one of the CranioSacral workshops offered by the Upledger Institute. I'd consider this a prime opportunity to do just that. Get away from the spa for a weekend. Take the course. Immerse yourself in a new technique. Feel your hands on people, doing what they love to do best.
This, in my opinion, is your true strength. You're a great massage therapist - sensitive, strong, and with great palpatory skills. To downplay this aspect of your personality now would be a mistake. As you move forward into the spa industry, if indeed that's what you end up doing, it will be good if you keep yourself grounded in the real work being done there. It's all too easy, as I've learned from personal experience, to get caught up in the mechanics of the spa world, rather than its message.
Stay true to you, Lou. Take that time. Settle your heart and clear your mind. Things will look different when you come back from the workshop.
Go to ISPA
Second, no matter what happens with Ms. X., I say go to the ISPA conference anyway, even if the spa doesn't send you. That's right. It might sound strange, but I believe you'll end up better off if you make this move. In the end, we're all private agents in this industry, and you're now getting to the point at which networking and contacts are going to be vital for you. ISPA is the best place to create and nurture those contacts.
What do you think Ms. X. is going to be doing at the conference? That's right, nurturing her own set of contacts. If you don't go, and then somehow through political maneuvering you get ousted from the spa, where will you be? You'll be up a creek without a paddle. Also, I think your spa owners will look favorably upon your attending this conference on your own. They'd see you as serious about your spa career if you pay for it yourself, because it's an investment of several hundred dollars, as much or more than one of your weekend massage workshops.
You can't lose by choosing to go to ISPA, no matter who pays for it. It will open up doors for you that you didn't even know existed. After the conference, things are going to change for, you one way or the other, so you'd best be prepared.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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