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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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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?
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?
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.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
December, 2002, Vol. 02, Issue 12
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, you're going to work in a medical spa. Congratulations.
You could probably tell from my last letter that I felt this was the right direction for you to take. Medical spas are the wave of the future. In fact, I think that over the next two decades, the distinction between spas and medical facilities will continue to blur, until eventually, we will barely be able to remember the days when we thought of them as such separate facilities.
Consider this: major medical establishments such as John's Hopkins and the Mayo Clinic are aggressively pursuing the development of wellness facilities and spas. They have "seen the light" and have already contacted professionals in the industry to help formulate their plans. These new facilities will feature the latest technology and some of the best physicians, but they will also offer people the comfort and hands-on care found in spas. Practitioners will spend more time, on average, with each person, who may well be called a "guest," as in the spa model, rather than a "patient," as in the medical model. Traditional doctors and experts in complementary and alternative medicine (CAM) will work side-by-side to develop detailed life plans for their guests, attempting not only to stave off disease once it arises, but to create optimal health throughout each individual's lifespan.
Many new facilities will focus on longevity. I personally know of several well-funded startups focusing on this aspect of the medical spa, with treatments and programs tailored to those who wish to maintain youthful looks and health for as long as possible. This paradigm is nothing new - the Pritikin Longevity Center started back in the 70s, and it's interesting to note that Pritikin has just recently amended its name to "Longevity Center & Spa."
So, longevity centers are moving toward spas, and spas are moving toward longevity centers, and the whole medical industrial complex is moving somewhere right into the middle of it all. Knowing this, how can you fit in?
The Holy Grail
First of all, it's important to understand something that is going on in the spa world right now that will impact your chances at success within it. Currently, there is a great quest going on, and there are a number of players seeking the elusive "holy grail" of the spa world. What is this holy grail? Nobody knows for sure exactly what it will look like, but everyone knows it will include a chain of spas or spa-like facilities that capture the public's imagination (and dollars) in a big way. It will be the key brand in a future dominated by wellness-oriented spa facilities. From what you've told me, the owners of this medical spa that is hiring you believes they have a chance to become this key brand. Believe me, there are dozens of others who believe the same thing.
To succeed in this early phase of the new medical spa world, there are several things you can do to make yourself more attractive to those people seeking this "holy grail." By understanding their mindset, you can help them on their quest. This will benefit you on your own personal quest for success and fulfillment. It's important, though, not to get too caught up in the fervor of this quest. People hot on the trail of the holy grail often get blinded by their own ambition. Successful navigation of this next tricky part of your career path requires two apparently opposing qualities: a cool, calm rational perspective and also a truckload of enthusiasm.
Keep Your Cool
I understand you're excited, but in this situation, your excitement may not serve you. Let me explain.
If you hop on board the dreamboat created by the owners of this new medical spa, you're going to be in for a rough ride at first, because their concept is not proven yet, and the clientele is still being created. So, rather than jump feet first, keep a cool head, and ask yourself some practical questions:
There are other questions, of course, but I think you get the idea. You're someone who always strives to do the best possible job, Lou, and I know you're going all out in this new position, but I'm worried that you're going to overextend yourself. Remember, you've got to take care of yourself to be able to help others!
Medical Spa Rah-Rah
All of these warnings notwithstanding, let's not forget that you're also embarking on an extremely fun, challenging and exciting mission. At this early stage in the development of the medical spa category, the fledgling field needs all the enthusiastic boosting it can get, especially from those of us who find ourselves working in the trenches, trying to make a consciousness shift in the minds of millions of people.
So... get fired up! You're going where few spa therapists have gone before. You'll be working with people who have serious medical conditions, people who've recently undergone surgery (cosmetic and otherwise). You'll be standing side-by-side with doctors who'll expect you to know what they're talking about when they reference medical codes and other arcane information. The people on your treatment table are going to expect more than just relaxation. They're going to expect results.
It's up to you to become an ambassador for this new field. By getting more serious about your skills, developing them further, and soaking up all the knowledge you're going to be surrounded with, you will soon add immeasurably to your value as a therapist, as an employee, and as a contributing member of society. It's a worthy path you're on.
The next time I have a chance to write, I'll fill you in on some of the details regarding the hands-on skills you'll likely need to develop in your new position. I have a few other friends who work in the medical spa field, and I'm sure their experience will be of help to you.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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