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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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
February, 2004, Vol. 04, Issue 02
The Hidden Costs of Purchasing Massage Tables
By Linda Riach
There is an inclination among massage therapists, both experienced and inexperienced, to purchase inexpensive equipment. The reflex to save money on the spot is natural, but can cost you dearly in the end.Too often, with cheap massage tables, you get what you pay for. To avoid the hidden costs of tables, here are some issues to think about to ensure that you get the right table to maximize your practice. After all, aside from one's hands and training, the table is the single most important tool upon which the practitioner's whole livelihood hangs.
When purchasing a table, the first question to ask is, "What purpose will the table serve?" Will the table be used only for massages? If so, what type? Or will the table be used to offer other services, as well? If so, you'll want to consider a table with features that support each modality and functionality, such as padding, height adjustability, even a backrest. A less expensive table that is not as accommodating can cause you to incur greater costs, since an unequipped table cannot perform all the functions you will need. The wrong table will create a poor experience for your client and put undue strain on your key business investment - your body. If your table cannot accommodate your usage needs, you will have to purchase a second table, which will add an additional unplanned expense to your practice.
For the practitioner, a good table can mean the difference between a healthy career and a painfully stunted one. In this case, a "good table" means one that reflects your physical attributes and ergonomically supports your body mechanics, including your height, weight, strength and modality. In other words, you want a table that reflects your physical reality and allows you to service a thriving client list without suffering physical burnout. A well-designed table can turn your day-to-day practice into a lifelong career!
If you are not a sole practitioner, poor table choices can cost you one of your most valued assets - your employees. Ergonomically unfriendly tables can take a toll on your practitioners by creating "wear and tear" on their bodies, making the workplace unbearable, shortening their careers and increasing your turnover rate! Poor-quality tables can lead to ongoing frustration for your massage therapists; it sends the message that you don't care about their comfort or longevity. These factors contribute to costly staff turnover. Don't forget, word-of-mouth is an important marketing tool for a massage business. Employees - past and present - talk.
One good massage experience is often enough to keep clients coming back, which generates greater, ongoing revenue for you. All it takes is one bad appointment, and you will probably never see that customer again. Well-made, comfortable tables will enhance the massage experience for the client, helping to take it to a whole new level. Ironically, a great table "disappears"; the ergonomics of a great table go unnoticed during a massage and keep the attention on the treatment-where it belongs. Foam quality; table width; getting on and off the table with ease; and bolsters, all contribute significantly to creating client comfort. In short, a great table is the foundation upon which a great massage is built.
High-quality tables positively influence efficacy. In terms of table features and accessories, the right tool for the job can make the difference between helping or hindering a client's health and well-being. A good table, designed with both you and the client in mind, will enhance your therapy and help the client achieve greater wellness.
While there are reputable companies that manufacture and import tables from overseas, some questionable companies that offer less expensive tables often do so because they have less invested in them: less testing, less design and development, lower-grade materials and lower safety standards. Some of these are manufactured in underdeveloped nations, for low wages, in substandard conditions. Massage therapists that are willing to gamble on safety and table quality are opening themselves up to costly liability, years of potential litigation and a ruined reputation.
Safety is not the place to cut costs for you or your clients! Check with your sales representative about the company's commitment to safety standards, testing and weight-acceptance ratios. Do not underestimate the reputation, customer service and stability of the manufacturer. Who is going to honor a warranty if the table company goes belly-up? You want a table from a company that will answer your questions and be responsive to your needs. A table is a big investment for anyone, and a good one can last you a lifetime. Reputable table companies should back up any claims they make.
The Life of the Equipment
Better equipment lasts longer. Investing in top-quality equipment designed to last for years will go a long way toward creating goodwill among staff and clients, and generate additional cost savings over the life of the products. While it may be easier to buy less expensive equipment in the short run, in the long run, the high-quality tables cost less and actually pay you back in increased return business. Less expensive tables often have shorter life spans. Further, higher quality tables often come with lifetime guarantees, so you don't have to buy a table twice if you do experience any type of table-related defect or failure.
When considering purchasing a table - in essence, finding the right foundation upon which to build your business - consider all the real and hidden costs. Remember that investing in a table that supports its purpose, your employees and your clients will give you a great return over the life of the table. With that in mind, it is a good idea to resist the urge to save money now, rather than invest in the health of your business over the long term.
Click here for previous articles by Linda Riach.
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