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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.
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%.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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'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.
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.
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.
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.
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.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
January, 2004, Vol. 04, Issue 01
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.
So now your rooms are being built out, the paint is being applied, and the spa is taking shape.People you didn't know until last week are bustling around, looking to you for guidance. These are called employees, and they must be treated with care. It feels funny to be on the receiving side of all those questioning glances, doesn't it? There is a lot more to being a boss and owner than you realized.
Now that you have your staff assembled - two massage therapists, two estheticians, a receptionist/sales clerk, and a part-time cleaning person - you're ready to rev them up into a customer-pleasing frenzy, but before you do that you've got to give them the tools they're going to need to succeed. You've got to bring them up to speed on the treatments they're going to be performing - the long list of offerings that will make your spa unique and memorable. That's right: It's time to create your menu of spa services.
The Benefits Paradox
As you move forward in putting together your treatment menu, you're going to run into what I call the "benefits paradox." Simply stated, it is this: typical treatments you find on thousands of menus at spas around the world work well and offer people results, but they're boring, boring, boring! New, avant-garde treatments may be more exciting and enticing to your clients, but they might have questionable therapeutic value. What to do?
When you think of spa menus, you might get the feeling that they're all the same: so much seaweed, so much mud, so many massages, so many scrubs. You definitely don't want a cookie-cutter feeling in your spa, and you don't want to bore people. But neither do you want to offer a bunch of "fluff and buff" and "razzmatazz" that will leave your clients asking, "Where's the beef?" What can you offer that is going to excite your clients, create noticeable benefits for them, and keep them coming back?
My suggestion: select judiciously from classic spa treatments and then add your own flourishes and personalizing touches to them. This will maintain therapeutic value and add a little something extra that will charm customers.
One From Column A, One From Column B
Many Chinese restaurants offer choices of food from multiple columns, allowing patrons to select from basics such as beef, pork, or chicken, and adding in spices, sauces, and vegetables to taste. You can do something similar with your menu.
The main categories of what spa clients have come to expect include massage, of course; body scrubs; body masks of some kind (whether seaweed, mud, clay, etc.); facials; hand and foot services; and wraps (herbal, detoxifying, aromatherapy, etc.). I suggest you create a category for each of these on your menu and then customize the offerings within each category in your own unique way. For example, since your spa is called The Spa House, I would suggest breaking down the treatments into these categories: Spa House Wraps, Spa House Body Scrubs, Spa House Massage Specialties, and so on. You could, for example, offer the Spa House Energy Rebalancing Massage, and use your resident shiatsu expert to apply the treatment.
In the descriptions for each of these services you can explain the benefits and backgrounds of each. The unique title will get your clients' attention while the description will put their minds at ease, letting them know these are time-tested treatments, many of which, like shiatsu, have been used for centuries around the world. In this vein, you could offer the Spa House Relaxation Massage for Swedish, and so on. Cap off your menu with the crowning touch of something truly special, something that will enthrall your clientele-the signature service.
Your Spa's John Hancock
The signature service at any spa is what sets it apart from other spas in the area. It's what gets people talking about your place. It does not need to be something that everyone rushes to sign up for, but it should inspire conversation and generate clients by word of mouth. This is the "quality, not quantity" section of your spa menu, something truly unique that could only be offered by you. When people think of The Spa House, they should think of this treatment, and they should think of you. Because the spa is you now, Lou, in a certain sense - it's who you are. You'll want to invest yourself in this special treatment, like the signature dish of a great chef.
What's the special treatment going to be? That, I'm afraid, is up to you. Here are just a few hints to get your started thinking in the right direction:
Once you've gotten clear on what categories you're going to have available, you then run into the question of what products you're going to use, which supply companies you're going to choose and who you're going to give your business to. Use extreme caution here, for a few reasons:
Next time you write, let me know what you've come up with for your signature treatment and what products you're thinking of using. I'll do my best to help you out with any further suggestions, if I can.
Until then, take care,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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