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Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
August, 2004, Vol. 04, Issue 08
Stuck With Positioning in Seated Massage?
By Lee Chaffee
I feel a need to address the subject of client positioning during seated massage. I hurt for those clients I've seen in airports, malls, and wherever chair massage is administered, who are positioned with necks over-contracted, shoulders up to their ears, and severely arched low backs.No wonder there aren't lines of people waiting to jump aboard! Just as a client cannot be expected to climb onto a massage table, lie down, and have everything "comfy," a seated massage takes some adjusting. It takes being familiar with your chair and "sizing up" the client.
Get familiar with your massage chair. Open and close it several times, and position your friends and family in it, adjusting for different body builds, before you attempt to sit a paying client in it. As clients enter your room, notice their height, weight and proportion. Sizing up clients will become easier with practice. For the comfort of the client, the neck muscles need to be elongated, not contracted. This position also gives you the ability to get your hands in between the upper traps and base of the occipital ridge.
Observe the positional needs of the client throughout the massage, since it can change based on the amount of pressure applied. Usually, asking the client to put his or her chin a little closer to the chest will correct any loss of position. If the neck is contracted after a few moments of applying pressure to the back, the client will usually end up with a headache. Would you want to pay a minimum of one dollar a minute to obtain that result?
This is how I help direct clients sit comfortably in my massage chair: First, I tell them to sit, then kneel on the kneepads and place their hands on the armrests. Then, with me standing in front of the chair with all levers unlatched (no matter what brand of chair I'm using), I ask them to put their chin to the chest and aim their forehead for the top of the hole in the face cradle, applying a little weight until they feel comfortable. Then I lock the face cradle in place.
Next, I check the client's shoulders to make sure they are not too high or low. I also make sure that the traps are not too contracted or over-stretched, and will raise, lower, or angle the chair's arm rest accordingly. If the chest plate is adjustable at an angle (as well as for height), make sure it is not pushing in on the diaphragm. Doing so can cut off a client's breath and may cause them to faint. I prefer a 45-degree angle, if possible.
The position of the knee rest is up to the clients, as to whether they feel comfortable with their feet touching the floor or not. Usually, if they are not comfortable with their toes touching the floor, they can slide their knees forward. On some chairs, the knee rest comes off.
On some chairs, the seat adjusts but not always to my height. If possible, and if it does not disturb the client's comfort, I prefer the seat of the chair to be a bit higher than my knee. I have found that this height works for any modality. Experiment with this aspect of chair adjustment so that you and your clients are as comfortable as possible.
With a little adjusting, clients can also sit face-forward in a massage chair. I have used the chair this way when clients want work done on their face, head and shoulders. The client carefully sits backward on the seat and leans back against the chest rest, while the headrest is brought up as far forward as it will go. Most chairs have an added adjustment to bring them forward for larger clients. I hope these suggestions have helped. Happy seated massaging!
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