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News in Brief
Patriot Project: Serving Those Who Served; CTCA Chiropractor Receives Clinical Innovation Award.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
Asymmetrical Pronation: Effect on Adjustments
When your patients don't respond as well as expected to their chiropractic adjustments, oftentimes there is a source of interference in the pedal foundation – asymmetrical pronation.
Diagnosing Flexion-Intolerant Lower Back Pain (Part 2): Exercise Rehab
One of the things that has puzzled us for years is the presentation of the flexion-intolerant patient. We have realized there is a large overlap with sacroiliac indicators. In acute lumbar pain, the SI often twists, subluxes, goes haywire.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Ever Heard of the Lateral Raphé?
We have all had acute patients enter our offices listing laterally to the side at the level of the lumbar spine or expressing pain on lateral lumbar bending.
Don't Believe It
One of our staff came into my office last week, very concerned about an article she had just read on a news media website. The article suggested researchers found "no health benefits" associated with taking multivitamins.
VA Names Sites for Pilot Chiropractic Residency Program
The Veterans Administration has announced the five VA medical facilities that will serve as initial sites for the administration's recently established pilot chiropractic residency program.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
Giving Testosterone Levels a Boost (Part 3)
Since testosterone and insulin status are inversely correlated, it's important to keep insulin low so testosterone will remain high.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
The Power of Words: DCs Share Drug-Free Approach
There's no doubt that words are powerful and important – especially in the chiropractic profession, where we have been struggling for years to find the right words to describe who we are and what we do.
Grape Seed Extract: A Multifaceted Herb for Promoting Healthy Circulation
One of my favorite herbs is grape seed. Modern research has identified some intriguing health benefits attributable to the seed of this ancient fruit. I particularly use grape seed as an extract standardized for OPCs (oligomeric procyanidins).
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Managing Hallux Hypomobility Disorders (Part 2)
In part one of this series we discussed the unique properties and significance of the first toe in the propulsive phase of gait. In particular, we discussed the importance of the first metatarsophalangeal joint (MPJ).
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Weighing in on Weight Loss
If your practice trends anything like the U.S. population, you are probably noticing over two-thirds of your patients could benefit from weight reduction, particularly if their main complaints include chronic back or joint pain.
February, 2005, Vol. 05, Issue 02
By Keith Eric Grant, PhD, NCTMB
Last fall, I spent a bit of time looking at California statistics for massage education and practice. Partly as an outgrowth of legislative activity and partly out of efforts by Associated Bodywork & Massage Professionals (ABMP),1 there was more raw data than normal lying around for me to nose through. One interesting item was the percentage of those entering massage practice that were still practicing five years later.
The data was broken down by hours of core education with a base of about 18,000 entrants per year - pretty solid for statistics. Five-year survival rates were 29.2 percent at a nominal 125 hours, 33.1 percent at about 250 hours, and 37.7 percent at a nominal 650 hours, the last category being 80 percent accredited career schools. The bad news is that the first doubling in training time only gave a 4 percent increase in survival rate and that the subsequent increase in training only contributed a 3.3 percent increase in survival per doubling of training hours.
This is a strong indication that what's being offered on the menu is at best tangential toward keeping people in the profession. The good news is that our statistics aren't devastatingly lower than general small-business statistics of about 45 percent survival at five years.4 The additional good news is that you don't have to ride the averages - individual effort counts for a lot. There are things that will help you much more than hanging around a massage school without specific business and practice goals yet in place.
As the story of "The Princess Bride" goes, Westley's ship has been taken by the Dread Pirate Roberts, who never takes prisoners. Yet, moved by Westley's tale of needing to return for true love, Roberts does spare him to be his valet. Every night for three years, while Westley learns to fight and run a ship, Roberts says the same thing: "Good night, Westley. Good work. Sleep well. I'll most likely kill you in the morning."
Finally, Roberts reveals that he is not the original Dread Pirate Roberts, is now ready to retire and - after a bit of final mentoring - goes his way to leave Westley as the new "Roberts."
The story is about living on the edge as a new entrepreneur, employee or apprentice. If you don't mean business, if you don't pay attention, you won't see the following day. In an article on business survival, Angelo Valenti comments that "in the jungle, animals that are aware are called survivors, while animals that are just awake are called lunch."7 He stresses paying attention to successes, failures and the environment in which they happen. You may practice massage to assist others, but you can only do that by developing and using good business sense.
Once you are consistent about pursuing a massage career, whether full-time or part-time, the next step is your first ad layout. This isn't about brochures and business cards; those come later. This is about the ad you are going to take with you on every interview, presentation or client contact; the one that will walk in on your own legs and that you will see in the mirror before and after. Likely the most important ad you will ever create is the presentation of yourself. It may be a maxim but it is still correct, "You never get a second chance to make a first impression."
Take the pointers available from SCORE (Service Corps of Retired Executives) to heart.6 In particular, think about the context of a job interview or a client situation. Your goal should be to interface seamlessly with their world and needs. Unless you really are providing massage on a Florida lawn, emulate the chameleon, not the pink flamingo.
If you aren't feeling comfortable about business issues, don't panic and don't ignore the problem. There are a number of resources, training programs and opportunities for finding mentors that are available to you at little or no cost. Both online and through regions centers, SCORE answers questions, offers workshops, and provides mentoring.5
The U.S. Small Business Administration (SBA) is a gateway to regional Small Business Development Centers (SBDCs), providing local assistance.10 The SBA is also a gateway to Women's Business Centers.
Try and find a niche of practice and clientele that makes you special.2 Look for opportunities within the social or work contexts with which you are already familiar and comfortable. When you identify a target niche, evaluate your training. If you have training gaps, you can now be specific about your needs and finding teachers who have mastery at what you want to do. You should be able to ask questions, and they should be able to give you specific answers about what you will gain.
Look again at the quote from John McWade at the beginning of this column. The focus of such training to application is what makes it worth your money and time.
If you aren't going to hire a designer, learn some basic design and copywriting yourself for brochure and business card layouts. There are good design books by both John McWade8 and Robin Williams.11 Copywriter Robert Bly has written several helpful books and has a number of articles on his Web site.3 Remember that you are selling satisfaction of your client's concerns, not your technique collection. Reflect that in your approach and advertising. To create success, mean business, find your niche, and get the word out.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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