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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Pain Is Only a Piece of the Puzzle
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, etc.
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!
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
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.
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.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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."
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.
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.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
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.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
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.
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.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
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.
September, 2004, Vol. 04, Issue 09
By Steve Capellini, LMT
Author's note: The Spa Letters column features news, personality profiles, trends and plenty of professional possibilities for LMTs in the spa industry. The style is epistolary, meaning the articles are letters to a fictional massage therapist friend of the author.
So, the roller coaster ride isn't over yet, just because your new day spa is open, right? In fact, a new ride has just begun.The ups and downs of the long planning stages are over, and you find yourself behind the wheel of a new enterprise with all the unforeseeable problems and challenges that are sure to arise. You're encountering one of those problems right now, in the very first month of operation. Though it's not a pretty one, it's all too typical.
After months of training and coaching, trusting and coddling, and friendship and teamwork, your lead esthetician, Marie, has shown her gratitude by not showing up for work one morning - quitting without giving notice. Isn't it amazing what goes through the minds of some people? What could she have been thinking to justify such an unfair move? Now, she's taking her newfound knowledge with her to a spa that is going to open across town in a few months - a new business, no doubt, inspired by the splash your Spa House made. The competition is going to be fierce, especially with the "insider's" knowledge that Marie will take to the other spa.
"Life is not fair!" You think, and perhaps you're right. But, as we say in the spa industry, Lou, it's no use crying over spilled milk and honey- exfoliating paste. There are a few proactive steps you can take at this interesting juncture.
Job Security - In Reverse
Usually when people talk about job security they mean the employee, not the employer. As a spa owner and employer, you are looking for the same kind of security from your employees as they're looking for from you. How can you trust them when you give them your best and they still abandon ship - like Marie? How can you know they'll be there for you in your time of need? Is there really any such thing as job security in the spa industry?
Spa employees know that their security is somewhat tenuous at times. There are a couple of spas that are unionized but, by and large, the majority is not, and employees have little recourse in instances of dismissal. Perhaps that is part of the reason why so many of them are ready to leave even a good job at the first sign of something better on the horizon. How can you get employees to be loyal?
There are some techniques that work well for some spa owners, such as offering money for continuing education, contingent upon the employee staying in the position for a certain amount of time; increasing pay scales over time often work; and giving people responsibility and a clear path toward career advancement helps, too. However (and this may be just my own overly nihilistic opinion), in the end, employees are out for themselves; they will do what they will do. It is better to go into your role as boss realizing this. It may be a mistake to put too much stock in your friendship with your employees. Doing so will often lead to disaster (emotional, as well as business-wise).
This is not to say you shouldn't be friendly with your staff - that is desirable. Remember though, that part of the relationship, no matter how friendly it gets, is also based on economics. Employees need you for the money you give them. You need them for the money they bring through the clientele. Friendships that exist within that dynamic are sometimes fragile things. That said, now what do you do? You're short an esthetician. In fact, you're short your only esthetician. You've spent months training her and thousands of dollars on the products she was going to use. Ahhhggg!
Of course, you've got to begin the search for a new esthetician. You might offer some of those incentives I mentioned earlier to your new recruit. Tell her you're going to increase her pay over time, and offer money for continuing education after a year of service. Tell her she'll make a higher commission rate as a "senior employee." And treat her like a professional first, a friend second.
In the meantime, before you find this person, you can take some immediate steps that will help you fill the gaps in your appointment book and make sure that you'll never ever again have to explain your complete lack of facial services to clients.
Face Treatment Options
You have a secret weapon on your staff when it comes to facial services. I'm talking about your massage therapists. You haven't been thinking about them offering esthetic-type treatments, but as I told you before, there is no reason to confine their scope-of-practice to the body alone. The face, in fact, is a part of the body, right? There are many face-specific services that massage therapists can perform to the satisfaction of your guests, the great support to your bottom line, and all without greatly angering the folks at the cosmetology board.
For example, I teach an Ayurvedic face massage treatment to students in my spa workshops, and they love it. The treatment consists of an application of herbs that are left to dry and then exfoliated off with the fingers. A hot towel is applied, and then herbal floral water followed by a pressure-point massage with essential oils from India. The treatment is finished up with a short massage using an emollient cream. It takes just half an hour, and it does not include extractions, diagnoses, or any of the specialties of our esthetician colleagues; however, clients report a healthy glow to their skin afterwards, induced, no doubt, by the balancing herbs and oils, plus increased circulation from the massage.
Clients also report feeling relaxed and cared for in that particular way that facials can make you feel. An esthetic treatment is different than a massage treatment. They both have their advantages, and these hybrid "face massage" treatments sometimes offer the best of both worlds. The Ayurvedic treatment can be emulated with a wide range of other products and techniques. Some of the more popular these days are Balinese, Indonesian and Thai. Getting your entire massage staff trained on these modalities is a great way to offer guests something different and assure that you won't be left without a facial service to offer if something like this ever happens again.
Of course, it's always a good idea to be aware of the laws in your state regarding face treatments. You definitely do not want to break any of them; in a few states, it is actually quite difficult to do even simple treatments, like the one I described above, if there is any chance it might impinge on cosmetologists' practice. Just be careful and do the right thing. I'm sure once your business starts to really rock, you'll have more than one esthetician on staff, and perhaps this problem will never arise again, but it's always good to be prepared, right? And don't forget about the new retail possibilities you'll be creating by adding these spa face massage treatments to your menu!
Well, Lou, I hope your second month in business is a little less traumatic than your first, and that you and your partner, Barbara, get the operation running smoothly after these initial hiccups. Always know that in the spa business there are usually more surprises than certainties. This makes for some great rewards, as well as challenges. I know you're up to them all!
Talk to you soon,
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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