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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
May, 2005, Vol. 05, Issue 05
Lots of Stuff
By Cliff Korn, BS, LMT, NCTMB
Lots to talk about, not enough time to write it or space to print it all. What's an editor to do? It may prove difficult, but in this editorial I'd like to cover my thoughts on a possible way to expand your practice, the benefits of working in a spa setting, and follow-up thoughts on happenings at the NCBTMB that I wrote about in the February issue ("Trust and Expectations," www.massagetoday.com/archives/2005/02/09.html).None of these are earthshaking (or related!), but I feel a need to express them. I hope you'll not only read, but provide me comment and feedback, as well.
I'm not sure why, but in just the past month or so I've been exposed to more massage therapists reflecting on why their practices weren't robust enough to support them than I have in the past several years - some of them from my own clinic. Being a typical "guy," when someone presents a problem, I tend to offer a solution rather than just lend a friendly ear.
But as most of us know, there are few easy solutions to practice building, and what works just fine for me might not work as well for you and vice versa. So, over the past few weeks I've been searching for some additional methods to pass on to the newer practitioners in the office who are looking to ramp up their businesses.
Trying not to overlook the obvious, I "Googled" lots of massage terms with "practice building" and then perused the results. One jumped out at me, and I just have to share it because it is so all-encompassing and involves a piece of equipment most of us already own or have access to - a massage chair.
I found a Web site (www.bodyworkbiz.com/conference.php) outlining an International Chair Massage Conference that appears to demonstrate how to profitably and effectively use chair massage in support of a growing massage practice. I have absolutely nothing to do with the conference nor do I have any real knowledge of it other than what I read on the Web site, and I will not, in principle, endorse or support any private commercial venture in Massage Today. I do like the conference schedule as outlined, however, and this appears to be the very type of educational information that might have kept the therapists who left my clinic with enough revenue to have remained. If I end up attending, I'll report my findings here! I used to utilize my massage chair a lot in my practice, and it was always set up in my treatment room near my table. It was a very non-threatening way for teens who thought undressing was "weird" to get massage, and many seniors seemed to feel more at ease when their feet were firmly planted on the floor. Maybe I'll be taking it out of its case once again!
Next item - SPAS! I am always surprised to find the dichotomy of emotion in the massage world that surrounds spas. Our clients love them, and survey after survey indicates that the majority of first timers receive their initial massage at a spa. Many massage therapists though express great disdain at working in a spa environment. Most of the "charged" expressions of disdain, some to the point of red-faced stammering, involve a perceived misuse of the poor overworked, underpaid massage therapist. C'mon, it's just another place to work, people! I just returned from a vacation at a resort and spa in Jamaica. (Yes, I know, the New England snow finally got to me!) Being a chatty and inquisitive kind of guy (some would even say nosey!), I asked lots of questions of the massage therapist assigned to work with me - and yes, I was on a table under the palms on the beach - sigh.
She was quite good, demonstrated multiple skill sets, had trained for about a year and a half in massage school, and received regular continuing education. She loved her job at the spa, and it showed. She particularly enjoyed just having to "show up" at work and not needing to invest in equipment and supplies. She also said that she wasn't one to enjoy actively marketing her abilities, and the spa allowed her to have ready access to clients without her feeling that she was pushing herself on the populace. While I didn't specifically ask her about her satisfaction with the compensation she received, neither did she say that it would be a better job if it paid more, and this was at a resort with a no tipping policy!
Last fall I was fortunate enough to spend a few days at the Green Valley Spa in St. George, Utah. It may well be the best spa in the country (I haven't been to lots of others) but it was so good to me that I now use it as the yardstick upon which I compare others. The massage therapists there expressed similar stories to my therapist in Jamaica. These therapists were delighted to continue learning new things and enjoyed the ready stream of clients (tipping clients here!). None appeared to be burnt out or bored, and they had a large menu of services they provided, from Lomi Lomi to Watsu.
I'm not suggesting that all spa therapists are delighted at their lots in life! I have known several who were treated badly, scheduled poorly and paid less than their peers. I have known others suffering the same fates at chiropractors' offices and massage clinics, too. Worse still, I have known many more who worked for themselves, set their own prices, arranged their own schedules, and couldn't keep enough people on their tables to stay in business. If you have ideas or suggestions on how to make spa work more desirable for the "average" massage therapist, I'd love to hear them!
Last item - NCBTMB! I really didn't want to feel a need to write this, but just can't see why this isn't the big deal issue in massage therapy today. In February, I wrote about a reported elections process fiasco at the NCBTMB. Concurrent with that editorial, the NCBTMB adjusted its election procedures to ensure not only fairness but also the appearance of fairness, which included appointing a new Nomination Committee (NC), implementing revised election criteria, and subsequently reopening the application process.
Based on that, I wrote the following: "Scandal is a terrible thing for everyone, and this one certainly gets in the way of much of the good that the NCBTMB has done for the profession. If the NCBTMB satisfactorily exorcises this demon, I feel it deserves our support in fulfilling its ideals. If it chooses not to or fails to do so for other reasons, it will have not regained our trust and will likely wither and die." I felt confident that our support would soon be in order.
In the time between that occurrence and now, the NCBTMB has taken other actions. To fill vacancies that occurred when a portion of its own Board Executive Committee resigned their directorships, the board voted in as chair-elect the very individual central and subject to the election irregularities. Thus, the new chair-elect, who was otherwise ineligible to even be considered by the 80,000-plus certificants to run for re-election (her original complaint), bypassed the nomination process, bypassed the election process via certificant votes, and is assured an additional year on the board with the subsequent elevation of position to chair. This is not, in my opinion, the way for the NCBTMB to exorcise its demons! Is it me, or is the NCBTMB going out of its way to ensure that the steps to redemption are ridiculously steep?
Thanks for listening, and please tell me what you think!
Massage Today encourages letters to the editor to discuss matters related to the publication's content. Letters may be published in a future issue or online. Please send all correspondence by e-mail to , or by regular mail to:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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