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Building Community: A New Way to Socialize Your Practice
Social Media can seem like a slippery slope when, in fact, it is fairly easy to understand. With social media platforms, you can connect with current and potential new clients, build strong customer loyalty and increase brand awareness.
Are You a Stakeholder?
In today's world many new things are occurring, especially in the world of information technology. With these changes, comes an entire new set of vocabulary words and definitions.
Breech Baby: A Scientific Approach
You learned a classic cookbook style treatment strategy in college for treating breech baby presentation. I'm sure you've used it. The main ingredient: moxa at Urinary Bladder 67.
Create Community and Grow Your Practice
Many healthcare providers are fortunate to enjoy the freedom and independence of owning their own businesses. However, the constant demands can lead to a lonely and isolating experience unless you make an effort to get out of your office.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
The 2015 Nobel Prize Shines a Spotlight on TCM Research
Traditional Chinese Medicine continues to make it's presence felt on the world stage as the 2015 Nobel Prize in Physiology or Medicine was jointly awarded to William C. Campbell and Satoshi Omura for their work on combating parasites and YouYou Tu for her discoveries in combating Malaria.
Suffering Makes Us Human
It is possible that suffering, instead of being something negative, can be one of the greatest gifts to bring out one's humanity — if we allow it to be.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Cold and Flu Season: Expanding the Repertoire
As we move into the winter months, it is important for clinicians to have a solid working knowledge of effective herbal protocols for treating and managing clinical cold and flu presentations.
Detoxification Demystified and the Crucifers that Help
"Let food be your medicine and medicine be your food," is a quote often attributed to Hippocrates, a philosopher of the 5th century BC.
When I started to think about what I wanted to do, I toured different schools to choose where to pursue my original chiropractic education.
Yo San University Receives $1 Million Gift
Long-time Yo San University supporter Thomas S. Blount recently gave a $1 million dollar gift to the University, it's largest charitable gift to date. Mr. Blount was a retired naval officer, aerospace consultant and philanthropist.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
How to Market to the Medical Profession
The world of health care is changing dramatically. When situations occur that cause expenses to increase, it is time for you to develop strategies that maintain and grow revenue.
May, 2004, Vol. 04, Issue 05
Is It Time to Implement Levels of Education?
By Ralph Stephens, BS, LMT, NCTMB
In my previous article, the question of whether massage is a trade or a profession generated many interesting responses (www.massagetoday.com/archives/2004/03/11.html).One came from a person on the trade side: She claimed to be a "multiple-degreed professional" who teaches massage at the continuing education level, but misspelled many words, including "therapeutic." She informed me, "It is a massage, not brain surgery!" and indicated that she is part of a group that will "file a class-action lawsuit over any attempt to raise core requirements for massage therapists" in her state. She feels massage is nothing more than a trade, and "how dare anyone try to professionalize it," especially through education. This supports my theory that the status quo will always defend its cash flow.
From the professional side, a therapist from Canada held up his country's 3,000-hour model, which has a bachelor's program on the way. He wondered when the United States would catch up. Those are the extremes. They are far apart. David Palmer and others have promoted the idea of a multi-level profession for a long time. I have always resisted the idea of a tiered profession. The professional boundaries and scope-of-practice issues between each of the levels would be one of those proverbial "sticky wickets." The challenge is in defining where relaxation ends and therapy begins, and the entry-level education requirements for each level will undoubtedly create interesting discussion. I am beginning to think it may be the best idea after all. Is it time to establish and recognize a trade level and professional level of massage?
The trade level would be chair and table relaxation massage routines only; the professional level would include wellness enhancement and therapy. I'm just asking - not advocating. It's a discussion that needs to take place again. It was discussed and rejected in the early 1990s, but things have changed a lot since then. From my view, it is beginning to appear inevitable that some sort of split must occur. However, it will require a dramatic change in our current educational structure, which leads me to the next point: how to increase the quantity of skilled massage educators.
What's a School Without Instructors?
A fellow philosopher went beyond the trade/profession argument to point out that it will be very difficult to raise the educational component of our profession, unless we raise the competency of massage educators in entry-level programs. He is working on developing innovative programs that will accomplish that. He said:
The Council of Schools has been sponsoring massage instructor conferences for the last few years. This program needs to be expanded. Our educators need more training, especially in teaching psychomotor skills to adult learners. In regulated states, massage boards need to lead the way in establishing instructor credentials.
Do we need to create an instructor level or class within our profession? Of course, this would require determining what the requirements should be to become a professional massage educator. It needs to include more than just being a practicing therapist. (Last year's graduates are not acceptable as instructors.) It especially needs to be more than a therapist who cannot make a living doing massage or has destroyed their own body doing massage. Such incompetence does not need to be passed along. Whatever change happens in massage education, it will occur as a slow, evolutionary process...In the meantime, how about something useful, instead of philosophical?
The Deltoid Trap
Most of you only know me as a controversial columnist. While I enjoy sharing my views on the politics and philosophies of our profession in order to motivate people to think (and hopefully act), my first love is massage therapy and helping people find relief from their pain. To make my column more immediately useful, I plan to include a short, practical, clinical tip occasionally. The following relates to the upper trapezius muscle generally thought to elevate the shoulder, which is really more of a stabilizer that holds the clavicle against the sternum (www.chiroweb.com/archives/22/05/09.html).
This muscle often harbors trigger points that cause headache-like pain from the base of the skull, up around the ear to the temple. I often find it difficult to get this muscle to relax, and the trigger points refuse to deactivate. Look at "The Musculature System" wall chart from the Chicago Anatomical Chart Company, drawn by Dr. Peter Bachin. Notice the trapezius fibers share a common fascial attachment with the deltoid at the acromion process.
"Ah- ha!" I exclaimed when I noticed that. I treated and stretched the deltoid and went back to the upper trapezius, treated it again - and it melted into my hand - the trigger points reducing in 10 seconds of sustained pressure. Headache gone! This has worked hundreds of times for me. Think about it. Look at it. Try it. Your patients might like it!
Until next time, remember: A bad law is worse than no law at all, and no matter what you choose to call it, to the public it's all just massage.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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