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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.
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.
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.
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).
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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%.
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.
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.
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.
July, 2003, Vol. 03, Issue 07
By John Fanuzzi
I just finished reading an article in USA Today about the recent debut of the world's tallest roller coaster. This modern marvel is over 400 feet tall and travels at speeds up to 120 miles per hour.The creation of this spectacular "extreme" machine transformed a once-average theme park in Sandusky, Ohio into a national attraction.
It made me wonder what would constitute today's "ultimate" spa treatment. It would probably involve a lot of water pressure and a combination of hot, warm and cold temperatures. A simple, hot shower may be fine for most people - just as the standard 100-foot high, 50-mph roller coaster might provide a sufficient thrill for most "kids"; but the ultimate spa treatment would involve water, and lots of it.
About eight years ago, I built a wet room with a Vichy shower in a day spa in Bozeman, Mont. I chose the top-of-the-line Reid system because of its high performance nozzles and its Scotts' fire-hose sprayer. It was a little before its time; many spa-goers were unaware of what treatment they'd receive in addition to, or in place of, a relaxing massage. The local therapists and employees were surprised to discover they'd have to don raingear - bathing suits and clogs - just to administer the treatment. It was a spectacular way to finish up after a salt scrub, or mud or algae wrap, and was quite the buzz in a small town.
Back then, the Vichy shower was not very popular because it was a new and relatively unknown concept. It was, however, considered by those in the "know" as the most sensational, invigorating and cleansing experience one could passively experience.
Imagine: Warm water at 10 gallons a minute through seven water jets, as a combination wash-down and hydrotherapy, with an occasional cold squirt from a separate hose as a stimulator (not to mention water splashing all over the client, the shower walls and the operator), while the therapist alternately aims the Scotts' fire hose at the customer.
The installation of an "extreme" water treatment can transform the traditional and mundane water treatment into an exciting, stimulating attraction that will bring more people into your establishment.
Let's get back to reality: From the perspective of a sensual and sensational spa experience, we might consider the Vichy shower ranking at the top. From a practical point of view, however, it may not be financially feasible, unless you have a larger facility (over six treatment rooms) or it is already a widely accepted and sought-after treatment in your area, which would allow you to command a higher ticket price. If you choose to install one, be prepared to spend some big bucks for the room alone; that is, if you don't want to deal with the expense of constructing additional showers and dressing rooms.
"Ultimate Extreme" Vichy shower treatments will generate a stiffer fee than a standard massage; but the cost for each treatment will be correspondingly higher, also. Here's why:
If you want to keep it simple, but still want to qualify as having a "spa treatment," get a containment-wet table with a hand held wash down. You'll still need a drain, but then you can officially be called a spa. If you want to move your clients up to a basic Vichy shower, you can provide a low-pressure system with an optional hood.
If you want to give your clients the exhilaration of an extreme wet room - an exciting journey in the ultimate hydro machine - you must pay the price, including the therapist getting soaked!
Choose the ride you want to give your customer!
Click here for previous articles by John Fanuzzi.
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