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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
November, 2004, Vol. 04, Issue 11
By Steve Capellini, LMT
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.
This is a letter I am both happy and sad to write.I'm happy because you are so successful and your new day spa, The Spa House, is drawing in customers from near and far. They leave enchanted with the homey space you've created and thrilled with the exotic treatment menu you've developed. They are giving you rave reviews, and you're well on your way to surpassing your monetary goals for your first year in business. This is not always the case with spa businesses, as you know. You should be counting yourself quite fortunate at this stage, though your success is due in no small part to your own hard work, insight and persistence.
This is no time to bask too long in your glory, however. After all, The Spa House has only been open for a few months, and fortunes can turn very quickly in this business, as they can in most. I'm glad to see that you are staying on top of your business and working hard to keep it going on the right course. You'll need to do this continually to assure a prosperous future.
While I'm happy for you and all your success, I'm sad because, after these four years of correspondence, the time has come to say good-bye. Mahatma Gandhi once said, "Life is a continual series of separations." Well, this is our separation, Lou. I am formally cutting you loose from the mentor/student relationship that we've enjoyed for these few years. We'll still be friends, of course, but there is no need for me to offer advice any more, so this will be my last letter to you. I would like to look back over the four years we've been communicating in order to give you a perspective on how much you've accomplished. It's all too easy to forget where we are in life until we take the time to more closely examine where we've been.
In the Beginning
When we first started talking, you were a dedicated massage therapist who wanted to help people achieve wellness and find ways they could live more fully in their bodies. You were good at this, Lou. You were passionate and you found your way to the spa world because you knew you would be able to touch many people's lives through this medium.
It's important to note this enthusiasm of yours. Without it, people sometimes get into the spa industry for the wrong reasons, thinking it will mean easy money, prestige or glamour. This superficial initial inspiration does not carry with it the depth of commitment needed to create a truly inspiring spa.
You had what it takes to make a true home for yourself in the spa industry, starting from the ground floor up. You paid your dues as a therapist, working many hard hours a day for years. When the opportunity arose for you to move up the ranks in the resort spa where you worked, you took it and learned about supervision, training, schedules, hiring, firing, politics and more. This knowledge became the foundation you used later to make a move of your own. It's the way many professionals get their start in this industry: Inspiration = perspiration = reward.
Striking Out On Your Own
As so many enthusiastic, dedicated spa professionals do, you realized that opportunity was abounding all around you, and you wanted to try your hand at some new challenges. So, you headed for a new city to work at a startup medical spa. This, as it turned out, was not the dream job you'd envisioned but it was an important stepping-stone in your journey. You learned a lot about what works and what doesn't in a spa business; along the way you were even sued for malpractice! It turned out to be an insubstantial allegation, but it toughened you to the realities of business, which is a good thing (as long as nobody was hurt).
You also became involved with professional associations like the International Spa Association (ISPA), and you learned from folks at the Day Spa Association. You took classes, attended conferences, networked, got to know people and became known. Perhaps most important at this time, though you didn't know it yourself, was your new friendship with your coworker at the medical spa, Barbara. She would later turn out to be your partner in business and in life. And now you're going to get married! So, you can say in a very real way that your spa adventure has turned into your life adventure: the two are inseparable.
Finally, you could no longer take a backseat in this spa adventure and you decided, like many have before you, to open up a spa of your own. You were in a new city with few friends, and you had no real business experience, but you knew what you had to do. You hired people, created a business plan, learned about layout, design, contracts, consultants, retail sales, mission statements, team-building and more.
Most of all, you learned about risk. Risk is inherent in business, and that is why so many massage therapists stay away from business and prefer to remain cocooned within the sense of security created by a job. As I've said before, no matter who you're working for, you are working for yourself. This is especially true in the spa industry where people change jobs frequently, locations open and close, whimsical bosses hire and fire, and the entire landscape changes every couple years.
You took the step of opening your own spa, and even though I wish you the very best for your continued success, I can say in all honesty that even a failure at this attempt will be better than if you had never tried. When you become aware of your potential, feel what it's like to receive income not based solely on your own physical work, and felt the feelings of ownership and entrepreneurship, these impressions become imbedded in your subconscious, allowing you to recreate them again and again, if necessary. This is why millionaires who lose everything so often wind up millionaires once again - they know what it feels like to be rich.
Now You're the Mentor
You now know what it feels like to be a successful spa therapist, supervisor, manager, director and owner. These precious gifts are yours to use as you wish, Lou. You can spend your time worried about the competition and trying to keep the things you've learned a big secret (which you won't be very successful at anyway), or you can go the other direction and share your knowledge with others. And, if you wouldn't mind one last bit of advice from someone who has been your mentor for these past four years, listen to this: Become a mentor yourself, Lou. Find someone you can help, or simply remain open and let that someone come to you. Use your success to give back to others. I can tell you from experience that this is an excellent way to enjoy what you have attained and to move enthusiastically into your future in the spa industry, wherever that may lead you.
As always, I wish you the very best of luck.
Steve Capellini, LMT
Click here for previous articles by Steve Capellini, LMT.
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