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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
February, 2004, Vol. 04, Issue 02
Massage Cupping Therapy for Health Care Professionals
By Anita J. Shannon, LMBT
The modern world of healing has embraced another wonderful ancient technique that has powerful results. Massage cupping is a modified version of "cupping therapy," which has been used extensively in Chinese medicine for several thousand years.By creating suction and negative pressure, massage cupping is used to drain excess fluids and toxins; stimulate the peripheral nervous system; bring blood flow to stagnant muscles and skin; and loosen adhesions, connective tissue and stubborn knots in soft tissue.
How Is Cupping Accomplished?
A cotton ball is clamped in hemostats and soaked with about five to 10 drops of alcohol. The cotton is lit, then inserted into the glass cup to create the vacuum. Move the cup over the area to be treated, remove the cotton ball and invert the cup onto the body. If using a manual vacuum set, place the cup on the body and activate the pump to remove the air.
There are two main cupping techniques: stationary and moving. Stationary cups are placed on the skin and left for a period of five to 15 minutes in one location, or four to six cups may be applied and removed cyclically in a technique called "flash cupping." These are the methods most commonly used in Chinese medicine. Moving (or "massage cupping") is the more commonly used form of cupping among massage therapists and other health care practitioners. Prior to applying the cup, oil is administered to the skin to facilitate smooth movement and palpably discover the areas of tension and congestion. Create the vacuum and place the cup on the affected area, then glide it over the surface. A cup may be "parked" for a short time on stubborn knots or over inflamed joints or tissue. Cupping can be used on the neck, shoulders, back, sacral area, hip, abdomen, thigh, upper arms and calves.
The sensation of cupping is often characterized as deep warmth and tingling, long after the treatment has ended. Cupping is not an irritant to the skin or body. It draws the inflammation out yet does not add to it, and is excellent when used as a contrast therapy with cold compresses or liniments. Massage cupping is often used on the broad areas of the back, which is a wonderful addition to any massage. The treatment is sedating, and people will often descend into a profound state of relaxation. (A deep snore is common!) Larger cups may be used on the back; the strong vacuum will mimic the rolling action of deep tissue massage without the discomfort. The movement may be long and draining, or circular and stimulating, for stubborn knots and areas of rigid tissue.
The skin will redden with strong massage cupping, indicating that circulation has been brought to the surface. Application of liniments, analgesics, plant hydrosols or essential oils immediately following a cupping treatment will aid absorption deep into the tissue. The increased local blood supply will nourish the muscles and skin and allow toxins to be carried away.
Massage cupping is also effective in treating cellulite. A light suction provides drainage, while heavier application can be used to stimulate circulation and loosen adhesions or "dimpling." The thigh and hip region should be treated prior to a wrapping procedure to enhance the absorption of product.
One of the most enjoyable aspects of this technique is the subtle nuance of the movements. Creativity provides a variety of methods, and alteration of pressure and speed produces different sensations. For example, the edge of the cup can be used to "scoop" in a cross-fiber movement, while vigorous circles feel marvelous on the hips, thighs and shoulders. Long strokes down the sides of the spine and along the ribs provide ease to rib cage expansion and breathing.
Stubborn neck tension is soothed using a slow, deep approach with small cups. This is not a technique with limitations - its applications are endless. Clients have often reported that the massage cupping experience stayed with them longer than other treatments and that results are cumulative with consistent sessions. Massage cupping therapy is also easier on the practitioner because it enables the therapist to go deeper without discomfort to the client or themselves.
Massage cupping can be integrated into almost any modality. The equipment is inexpensive (and easily cleaned and stored), practitioners can become proficient quickly with proper training, and it is really fun to do!
Author's note: Photos courtesy of Adam Larson and Davon Embler.
Anita Shannon is a Licensed Massage Therapist and a licensed Cosmetologist since the 1980's, specializing in skin care, body treatments, clinical aromatherapy and various modalities of massage therapy. She is a national educator since 1990, and the Director of Advanced Continuing Education (ACE), an NCBTMB CE provider established in 2001.
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