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A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
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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