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Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
October, 2003, Vol. 03, Issue 10
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.
Setting up a spa is a lot different than working in one, isn't it? By changing roles from employee to employer, you have changed your mindset, your perceptions of how business works, and how people relate to one another.Suddenly, your friends are other spa owners, too. Do you see how following your dream helped sculpt your reality? It's difficult, but you're doing it.
The Spa House is a work-in-progress. It's like remodeling your home: In the midst of the dust and confusion, it's sometimes hard to keep the goal in sight. The best policy is the "one-step-at-a-time" approach. Now that you have made your decision to construct a wet room, you have to look at the other equipment you will need. You've also got to decide whether to hire a spa consultant. I can help you with those decisions.
Wet Room on a Budget
You might be wondering how your "little" spa is going to be able to offer all of those treatments you administered at the mega-resort where you used to work. Have no fear: There are some cost-saving measures you can take to ensure your clients receive the kind of luxurious experience they expect that will not put you way over budget.
One key ingredient you will need is a hydrocollator; maybe two. This item is a staple in many spas and clinics, and for good reason. In addition to heating gel packs for therapeutic application, hydrocollators are used extensively to allow budget-oriented spas to offer a full array of wet services. Hydrocollator units come in various sizes: a smaller business can get by with an ES-1 model; but most day spas, including yours, need the ES-2 model. Bigger spas often opt for the larger M-2 or M-4.
The hydrocollators can be used in a number of ways. I place hand towels inside 165-degree water, wring them out (wearing rubber gloves), and store them in an insulated container, such as an ice chest. The towels come in handy to wipe off mud, clay, seaweed and other products. Another option is the hot-towel cabbie, found in many spa supply catalogues. This is a useful, attractive addition to a spa room; however, if you have a hydrocollator, they are not absolutely necessary. Almost every service you offer can benefit by the presence of one of these units. There's only one problem: they tend to look a little clinical and will probably not fit into your spa's "homey" decor, which brings me to another topic: the staging area.
All the Spa's a Stage
To create an illusion of timeless peace and tranquility while running a thriving business, you will need to employ the same secret that Disney World uses: an invisible, behind-the-scenes staging area. In Disney World's case, this involves a vast network of underground passageways. For the Spa House, you will only need a room the size of a large closet. In addition to linens, oils, products (both retail and professional) and other items, you can place your hydrocollators in this area, which will ideally include a janitor's sink, so you will have to think about plumbing. A five-foot by eight-foot space is usually big enough to accommodate these items and leave room to maneuver.
In a smaller spa like yours, one staging room should be plenty. You can keep it from getting overcrowded by including extra storage space in the treatment rooms below counters, on shelves or beneath the tables. You'll want the staging area centrally located for greatest accessibility.
Whew! You didn't think there would be so many details regarding what is essentially a closet, did you? That is where an onsite spa consultant might come in handy.
One thing is for certain: There is no shortage of spa consultants. It seems the spa business has launched a thousand consultancy ships over the past decade. Many spa consultants allow you to retain as many or as few of their services as you need, and contract for areas you feel weak in. For example, you wouldn't need a consultant to conduct a demographic study because your partner Barbara has already done that; and you have already retained a lawyer, so there will not be a need for business plans. You could use some help, however, with a few aspects, including space utilization, menu planning, and retail and staffing issues.
There are many good consultants out there, but there are also a number slightly prone to exaggeration as far as experience, knowledge and track record goes. So beware. Start your search for a consultant with the International Spa Association (www.experienceispa.com) or SpaTrade (www.spatrade.com).
When interviewing a potential consultant, ask the following questions:
One last thing: the "click" factor. Do you feel empathetic with the consultant? Would you look forward to working with him or her closely for a period of time? Your consultant may have a profound effect on your finished spa. You'll want his or her sensibilities to be as closely attuned to yours as possible, while still leaving room for some creative divergences. Give those Web sites a try, interview a few consultants and let me know what you come up with.
Until next time,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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