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New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
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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