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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
November, 2002, Vol. 02, Issue 11
The 10th Element: Time, Space and Rhythms
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the 11th article in a 12-part series and focuses on the 10th of the 10 elements: Time, Space and Rhythms.To view a graphic representation of the 10 elements, click here.
There is a unique time to sleep, eat, wake and rejoice for each of us. The 10th element weaves together three elusive concepts: time, space and rhythms. It is defined as the perception of space and time and its relationship to natural cycles and rhythms. The study of the wholeness of the human experience within the context of our environment, and our relationship to space and time, is not a new one. Ancient cultures and great religions have studied the patterns of wo(man)kind for thousands of years. The circular aspect of time has survived through the Aruyvedic teachings, the Chinese Five-Element theory, and the Native American MedicineWheel. All of these circles convey a sense of seasonality, ofrhythm as people move through the brief time they have here on earth. They also emphasize the importance of the environment, the space in which that individual resides. The 10th element represents our effort to capture this dynamic and relate it to the spa experience.
This element makes up the circumference of the 10 Element Circle. I like to think of it as a vessel that holds all of the elements together, giving form to our discussion. The relationship between time, space and rhythms highlights the dynamic interplay between the physical life and the spiritual life; the visible and the invisible. Time and space are "invisible" and relative, yet how we think about them reflects the elusive, existential quality of who we are. It is crucially linked with the fifth element, Integration, located in the center of the circle. A greater understanding of time, space and rhythms helps us integrate the elements of the spa experience. Essentially, the 10th element is about transcendence of self.
Before we leap to how this element has practical applications for our industry, it is helpful to approach it philosophically. Frijtof Capra is one of America's most innovative thinkers; his work as a philosopher, scientist and author has inspired my vision for the spa journey over many years. Since the Tenth Element interacts with all of the other elements, it is the container that gives structure to the spa experience. Capra's description of a living system directly relates to this concept of time, space and rhythms. A living system, he says, has three characteristics:
Capra goes on to say:
Although this element may seem abstract, the 10th element is woven into almost every aspect of the spa experience. It affects how the client perceives space, how much time the client gives to the experience, and the rhythm and flow of the treatment sequence. This intangible "flow" often affects the client's perceived value of the spa experience. It also is a critical factor in determining the quality of the experience and whether the client will come back.
As with life, the spa experience involves many complex interactions and rhythms. Take scheduling for example. What are the busiest days, hours and high seasons of the spa? What is the ideal treatment time for a massage, signature treatment or spa package? Do you change the treatment menu to adjust to the changes in the season? How much transition time do you need for the spa guest to maximize their experience, and keep them moving to the next treatment to keep your schedule, yet not rush them? Do you have a rest period built into your treatment program to maximize results? What is your turnaround time between treatments to maximize profits, yet keep your technical staff energized and motivated? How long should a shift be for a massage therapist? What about for the other workers? What is the optimal work week for a massage therapist, receptionist, or spa director? I believe this element will come quickly to the forefront as professionals and consumers begin to create language and meaning as to its importance to the healing process.
I would be remiss if I did not mention the importance of dreams to the 10th element. Dr. Elson Hass, author of Staying Healthy with the Seasons, finds that "regular dreaming awareness suggests that you are close to balance between your inner and outer worlds." For example, "busy/type A" personalities are often unable to relax and often do not sleep well or dream. This causes them to get sick and be forced to rest to recharge their batteries-sound familiar? Conversely, the visionary whose primary focus is the immaterial world can also be out of balance with too much dreaming. They may experience greater physical-mental stress, age faster, and appear confused.
I believe this exploration of balance and integration between the inner and outer world, the physical and nonphysical worlds, is fundamental. Practically speaking, that is why the rest period after a spa treatment is so important. This is where true healing occurs; it occurs from within. For example, the most common problem with hydrotherapy treatments is the lack of a rest period after the body's core temperature has been elevated. Even 5-15 minutes can give your client the chance to achieve homeostasis, and solidify an inner intention. I have often reflected on how important the surrender of one's own personal time is to the ritual of the spa experience. Giving control of one's time over to another with the intention of personal healing is about trust. In a time-impoverished culture that is struggling for balance, this first step is analogous to the first step of the spa journey, ousia insight. Only the client as journeyer can begin on his or her own, by opening the doors to trust, or to truth. It is heartening to note that the essence behind the massage industry is creating the space for this deep unspoken interchange.
There is something magical about a great massage or spa treatment. It is not just the touch, the products or the decor. It is the interchange between client and therapist that creates the quality of space. The elusive rhythm of touch, eyes and smiles, time surrendered, time honored -- this is what makes a memorable experience. Time, space and rhythms are the key to transformation, not just for the individual, but for the therapist and society at large. The immortal chant of nature's rhythm is calling us to dance. Let's listen.
Click here for previous articles by Robin Zill, LMT.
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