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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
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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