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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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."
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
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.
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.
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.
September, 2004, Vol. 04, Issue 09
Massage Therapy Meets Corporate America
By Rebecca J. Razo
There was a time when massage therapy was considered a luxury that only the wealthy could afford. These days, health-conscious consumers from all walks of life are increasingly drawn to complementary and alternative medicine (CAM) treatment options, including massage therapy, which, according to a recent survey conducted by the National Center for Complementary and Alternative Medicine (NCCAM), ranked among the top 10 CAM therapies used by Americans in 2002.1
The American Massage Therapy Association (AMTA) notes that the number of American adults who received a massage over the previous 12 months jumped from 8 percent in 1997 to 21 percent in 2003.Additionally, the combined number of massage therapists and massage therapy students in the U.S. increased from roughly 120,000 to 260,000 in 2002.2,3
Inasmuch as this growth has helped validate massage as a therapeutic treatment option and dissolved many previously held misconceptions about the profession, some therapists have found it increasingly difficult to expand their businesses and stay competitive in the ever-growing market.
The Entrepreneurial Spirit
But resourcefulness and ingenuity has led some massage therapists and businesspeople to embark on a trend that is sure to change the way consumers see massage now and in the future: "commercializing" the business of massage through franchising, brand-naming and expansion.
Take Arizona-based Massage Envy, for example. Since its inception two years ago, the company, which was founded by John Leonesio, a veteran health club and wellness executive, has grown to 14 locations: 12 in Arizona, one in Texas, and one in Oregon, with many more in development. Operated like a standard health club, clients pay a monthly membership fee for one "free" massage, and reduced rates for each massage thereafter during the month.
Phyllis Schwartz, a massage therapist for over 15 years, had maintained a thriving practice in Minnesota, christened Keep in Touch, for several years when a combination of business growth and personal tragedy motivated her to take her practice to the next level.
She began by creating a reception area akin to a cozy living room - complete with fireplace and stuffed easy chairs - that would later become the standard design for all Keep in Touch locations. In 2002, her son Chris suggested franchising the business.
Still operated by the Schwartz family, Keep in Touch Massage Therapy Centers, Inc., opened its first franchise in 2002 and now has six locations throughout the greater Minneapolis area. 4,5
The Schwartz family would like to expand to other areas eventually, but for the time being, they are comfortable letting the business grow at its own pace. "We're in [the business] because of massage, not to make 'a billion' dollars. Our family believes strongly in massage. So, it's important to us to make sure we do this right," said Chris, the company's president and CEO, who also indicated the family wants Keep in Touch "running as efficiently as we can before going national."6
Though owning a massage franchise may not be for everyone, Colleen Steigerwald-Holloway, owner of Success Beyond Work, a business-consulting firm and book for the massage therapy profession, notes that franchising is an option that can open doors not usually available to massage therapists.
"One advantage of franchising is that part of the fee includes training on how to open and operate a massage business," she commented. "Many massage therapists don't get this information as part of their formal education, so it can increase their chances of having a successful business. Another advantage is the marketing plan is in place ... therapists are not often knowledgeable in this area."7
But even Chris Schwartz affirms that there can be a downside to franchised establishments if owners aren't careful, noting that there exists a risk of losing some of the more personal aspects of massage in a large center that is trying to build clientele.
According to Schwartz, part of the recipe for success is paying attention to quality over quantity; he also believes that those who want to own a massage franchise must do so "for the right reasons."
Though beneficial in many regards, franchising is not the only high-profile massage game in town. Some massage businesses have been profitable enough to incorporate, offer entrepreneurial partnerships, or open multiple locations, such as the wildly successful Massage Bar, which has seven locations, primarily in airport terminals, throughout the country; mobileSPA™, a national entrepreneurial buy-in that brings spa services, including massage, to clients in their homes and businesses; the Ultimate Backrub, with two locations in Chicago, which offers massage therapy, retail products and ergonomic office furniture; and the Great Metropolitan Backrub, with two locations in Minneapolis.
Annette Rondano, owner of the Great Metropolitan Backrub, believes that aggressive marketing and concentration on the business side of massage is one way to reach a larger market of consumers.8
"No matter how hard you try, it is still hard to make a good living [doing massage]," she said. This is one of the reasons Rondano devoted herself to building a brand-name massage business: to upgrade her own position as a therapist, as well as provide job opportunities to other therapists.
"My company offers massage therapy by the minute," she continued. "So if all a person wants is five minutes, they can get five minutes ... what we do is kind of utilitarian -- it appeals to the broadest spectrum of people."
Irrespective of the business approach individual therapists choose, there is little doubt that as commercial massage businesses continue to grow, the practice of massage therapy will become more accepted as a necessity and less considered a luxury.
Rondano, for one, believes that without the continued growth of more commercial massage-business endeavors, "the industry will not elevate; it will remain an 'in-your-living-room' kind of venture. This is a way of upgrading the industry."
Editor's note: For information on the other companies mentioned in this article, visit the following Web sites:
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