resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
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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