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What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
September, 2003, Vol. 03, Issue 09
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 Spa House is on its way to being open! I'm excited for you, as your amazing dream becomes a reality.Now that you've chosen a grand-opening date and your goal is in sight, what will you focus on first: hiring your staff? Testing the skills of new therapists and estheticians? Setting up a retail sales system? Getting a top-notch receptionist? Choosing a spa consultant to help you? What pieces of equipment should you purchase? Which product lines should you feature? The list goes on and on....
Let's start at the beginning. In my last letter, I asked you to come up a "unique selling proposition." You did, and it's a good one, too! The unique selling proposition (USP) is a way for you to encapsulate exactly what you offer so people you meet can get a feeling for your business. It is usually couched in terms of problem/solution or need/fulfillment. Yours is a beauty:
I like those strong verbs: "crave" and "specialize." I like the way you've focused on the community, making The Spa House part of the fabric of daily life for the people in your town. That's a smart move. I predict you'll have some success with this USP if you use it to your advantage. Make a point of repeating it a dozen times a day. When you meet people, let them know what you do. You've got to start switching from Lou the therapist and Lou the employee, to Lou the spa owner!
So, what are you going to tackle today, spa owner? Maybe you can use the USP to lead you in the right direction. You want a spa that feels luxurious, but doesn't have a huge overhead, which means you don't want to invest in expensive, high-tech equipment right off the bat. What, then, are your alternatives?
You want to give your guests the royal treatment when they arrive at The Spa House, but that doesn't necessarily mean they'll be expecting top-of-the-line FF&E (furniture, fixtures, equipment). I've seen many spas create a luxurious environment with a blend of "eclectic" decorations and equipment. The pieces of hydrotherapy equipment you mentioned wanting - the Vichy shower; the Swiss shower; the multi-jet hydrotherapy tubs; and the Scotch hose, for example - are a few items that can wait until you have a track record of ongoing success. I know they're beautiful, especially in those spa magazine ads, and you'd love to offer your guests a treatment in one of those hydrotherapy havens - but do you really need them at this stage?
You learned how to operate this equipment while working at the resort spa, and you know it's not that difficult; you also learned that spa guests can have a bad experience on good equipment in the same way that they can have a sublime experience with no equipment at all. One of the best experiences I ever had in a spa was being massaged with aromatic oils, then wrapped in a cotton sheet for half an hour - it doesn't take much.
You and your partner Barbara have a tidy sum of money to invest, but since you're not independently wealthy, you're keeping a keen eye on the bottom line. In this situation, I recommend you strike a mid-tone in your decor, equipment and furnishings. There are a couple shortcuts you can take, and other areas where you should definitely not cut corners.
Wet Room Basics
Because you are building a substantial spa, not just adding a few spa services to a regular massage room, you'll want to invest in one (and only one) wet room. A wet room is a room with plumbing in it, often with a drain in the floor. A shower may or may not be included. The "dry room," on the other hand, is a massage room with no plumbing, save for, perhaps, a sink. It can have a carpeted floor or tile, but it is not designed for hydrotherapy treatments.
I've seen several new spa owners over-invest in wet room equipment, erroneously thinking that these more "exotic" fixtures are crucial to a classy spa and would attract more clients. One salon-owner insisted on outfitting three full wet rooms in a four-room spa! Needless to say, the rooms were underutilized and dismantled within a short period of time to make way for more popular (and thus, profitable) treatments. In another letter I'll explain how you can use a "dry room" to offer your guests almost all the same treatments you can in a wet room. For now, I suggest one full wet room for The Spa House. Now, what will that room include?
A Wet Table
Your new wet room should definitely include a "wet table." As you know, a wet table is not a table on which someone has spilled water. It's a specially constructed treatment surface that traps water and products used in spa services and funnels them down through a drain either into the floor or sometimes a receptacle below the table. You've no doubt seen plenty of them advertised in the spa equipment catalogues you've been perusing recently. Since you are going to have a wet room, it's a good idea to get a wet table.
In my opinion, wet tables are great for use in exfoliation treatments. They make these treatments easy for you and more luxurious for your guest. Nothing beats the experience of fully reclining while having top-of-the-line spa products sluiced from your newly cleansed skin with warm water. However, when used for wraps, such as mud, clay, fango and seaweed, a wet table may hinder rather than aid the process. I've laid on many a wet table after a seaweed or mud treatment and been hosed down by the therapist, only to wish I could crawl off into a shower instead.
Don't forget, you can make your wet treatment room into a multi purpose space in which you can schedule wraps, scrubs, and even massages. Don't do yourself the disservice of over specializing treatment space. The more types of treatments you can perform in each room, the greater your potential income. Most wet tables these days come with a cushioned top upon which clients can lay comfortably throughout an entire wrap or other service.
My advice for your wet room: a nice wet table for exfoliations with a handheld showerhead, and a shower stall in the corner for washing off wraps. This double duty shower setup may be a little more expensive, but the investment is not that high compared to what many new spa owners get themselves into.
Consult With the Spa Doctor
See how tricky this spa setup process can be? This is why so many people in your situation enlist the services of an experienced consultant at this stage. Among other things, a good consultant will be able to look over your space and let you know what's most important to purchase within your budget, before opening. The spa consultant issue is something I'd like to address at greater length, so that will have to wait until next time.
Until then, get going on the hunt for that perfect wet table!
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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