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Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
April, 2005, Vol. 05, Issue 04
By Keith Eric Grant, PhD, NCTMB
Last time, we explored factors that lead to business survival in the practice of massage ("Meaning Business," Feb.2005, www.massagetoday.com/archives/2005/02/07.html). What I emphasized were the skills of attitude, business, presentation, niche identification that provide a focus for work, and a stream of clients to work with. This time, I'm focusing on factors that allow you to physically stay in practice. Some of these are mostly within your control and planning; others - like the direction of the wind - can only be known and contended with.
To survive physically, respect massage as a body-based endeavor. Our bodies have their rules as to training and accommodating to new stresses. One of the cardinal rules of increasing sports training is to increase activities by no more than 10 percent per week.3
Physiologically, the ability to increase use is partly due to the effects of super-compensation on muscle strength and endurance discussed in my article, "Training Effects." (June 2003, www.massagetoday.com/archives/2003/06/08.html).
The structural accommodation of bone and connective tissues to stress, over time, is conceptually captured in Wolf's and Davis's laws, respectively. Increase your use of a given body area too fast and it can't accommodate before it breaks down. Respect your body, and its time for adjusting in your enthusiasm for doing the work.
Apart from controlling the rate of ramping up the total amount of massage you do, it's important to control both how the massage is done and the cumulative after-effects. Less stress is placed on your body when you vary the means of applying pressure, alternating the work you are doing between different body surfaces - fingers, palms, open fists, knuckles and forearms. Just as important, is learning to work equally with both sides of your body rather than always using a dominant side.
As your work becomes deeper, the additional pressure should come more from your weight and stance rather than your hand and arm muscles. Having a table that is about fingertip high is one measure of height I use for sports or deep-tissue massage. Another measure is having a table at a height that allows me to place a flexed knee on its surface with my other foot flat on the flow, while still being able to freely lean forward to apply weight. Using a stance with one foot in front of the other will allow you to push your body forward and back from your legs in a rocking motion, rather than pushing from your shoulders. Movement training from tai ji or qigong can help in getting the feel of moving your body with intent. Squeezing petrissage that intensely uses hand and forearm muscles can be supplemented or replaced with rolling the tissue as you rock forward. Finally, both getting massage for yourself and using body-care techniques, such as those given by Sharon Butler and Lauriann Greene, can increase your professional longevity.4,7
Staying in the massage business goes beyond just doing the work. In the United States, provision of health insurance is largely gained through employer plans (or by marriage to an employed person). Distinctions are made between individual plans, small-business plans covering two to 50 persons, and larger employer plans. Planning for health care can be vital to both your family and business finances. A recent review of 1,771 bankruptcy filings revealed that 52 percent of them resulted from medical costs.9 The study showed that involuntary lapses in health coverage can be financially devastating. Even when people had medical insurance coverage, the co-payments and deductibles for serious health crises coupled with loss of income accumulated overwhelming debt.
While there is little you can do outside of politics to change the structure of health insurance provisions, there are a number of resources you can use to learn about small business health insurance, including coordination with the new, pre-tax, health savings accounts (HSAs).1,2,8,11,12
In looking through the state health insurance guides by Georgetown University8 and the coverage offered by organizations, such as the National Association of Female Executives (NAFE),10 I noticed much of the provision was done through a single Internet broker.5 May the days of your practice be long and fulfilling.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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