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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.
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).
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.
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.
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.
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.
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.
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
October, 2003, Vol. 03, Issue 10
Therapists Learn the "Why" and "How" of Spa
By Nancy Griffin
Thirty acres of stunning beachfront property Laguna Beach, Calif., is the setting for the Montage Resort and Spa, which opened in February. This world-class, yet casual, property has created a peaceful sanctuary for its guests, sparing no detail in lodging, dining, art and service.The 20,000-square-foot spa sets a new standard of excellence for resort spas worldwide. Beyond the ocean views, superior facilities and luxury amenities, one of the spa's key success factors is a commitment to selecting the finest staff. Early in the project, Montage CEO Alan Fuerstman brought in Barbara Schultz, the former spa director of the Ritz Carlton in Naples, Fla., as Montage's spa director, and Anne Bramham, who has developed results-oriented protocols for some of the world's most famous spas - including Canyon Ranch, the Greenhouse Group and the Ritz Carlton - as a consultant and trainer.
Five months before opening, Barbara and Anne were hard at work hand selecting massage therapists and aestheticians. The therapists selected had eclectic backgrounds but a common passion for holistic, noninvasive techniques and continuing education. They took part in a three-week training where they "basically started from scratch," as one therapist put it, and used the resort staff as "guinea pigs," which helped to create awareness and goodwill among the staff toward the spa.
The Therapists' Perspectives
Massage therapist Peggy Matthess left a 14-year position at a five-star resort to join the Montage. "This was an opportunity to receive education I could not receive elsewhere - at no cost," she said. "I could not pass it up."
Suzanne DeFranco, an experienced holistic healer and acupuncturist, also left a lucrative practice to join the Montage team. "After having my own practice for many years, I debated whether I would be happy in a resort environment," said DeFranco. "But when I heard about Anne Bramham's training, I knew this was the right place for me." DeFranco especially identified with the training in clinical aromatherapy, which is the foundation for "aroma balancing," one of the spa's signature treatments.
Drawing from Oriental diagnosis and constitutional analysis, this technique uses the specific application of oils along the reflex pathways using applied pressure and connective tissue methods.
Interview with Anne Bramham
NG: What's different about the spa at Montage compared with a typical resort spa?
AB: At Montage, the therapists have been trained to have an understanding of the "why" and "how" of spa. They understand the physiological responses of the body, and how the applied elements work with the body. Montage is one of the first spas to make a long-term commitment to training its therapists, and it is already paying off in the spa experience. The spa just opened in February, and already people are coming back for their second or third visit. Montage spa guests take home a program and become involved in their therapy.
NG: I was told that you "hand-picked" Montage's therapists. What are the qualities you look for when selecting treatment staff?
AB: In general, I look for therapists that have a sense of rhythm, flow, contact, and an insatiable desire to learn about the human body. Because of the buzz surrounding Montage, we were lucky to be able to attract the best therapists in the area, but skill and number of years in practice were not most important. We hired for attitude and potential, then taught them the necessary skills, like how to identify the links between general constitutions and the corresponding elements found in spa treatments.
NG: What is your biggest pet peeve about spas in the United States?
AB: In the US, most spas talk about "healing," but when it comes to operating the business, they don't allow for the possibility for that to happen. In Europe, there is a Badmeister program adhering to highly standardized protocols using spa therapies in physical rehabilitation. Much like our Western medical system, most spas don't take the time to understand what will best complement an individual's healing process. We as spa owners need to teach our therapists how to focus their efforts towards specific results for the client.
Click here for previous articles by Nancy Griffin.
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