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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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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.
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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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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