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Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
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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