resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
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.
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.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
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.
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.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
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.
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.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
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.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
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.
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.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
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.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
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.
July, 2005, Vol. 05, Issue 07
Spa Issues and a Request
By Ralph Stephens, BS, LMT, NCTMB
The International Esthetics, Cosmetics & Spa Conference was held in Las Vegas, Nev., April 30-May 3, 2005, where I was invited to attend as a continuing education presenter. It was truly an amazing event, very well run and heavily attended.I got to immerse myself in the spa industry and talk to spa owners and operators, as well as spa massage therapists. There are some interesting issues bubbling in the spa industry regarding massage. The two I found most fascinating were injuries and product sales.
All health care professions have their "walking wounded" who are practicing through their injuries and "dis"-health. It is amazing to me how few health care practitioners actually practice what they preach. The spa industry is no different. The majority of the therapists I met at the show were suffering from massage related injuries and not getting proper care for themselves.
Of course, this is a problem in our entire profession because body mechanics are seldom taught and rarely learned when they are taught. The volume of work done at spas increases the incidence of injury when therapists do not receive adequate training in working postures and self-care. This will undoubtedly begin to cost spas a lot of workers' compensation dollars.
Maybe this issue will eventually force schools to teach body mechanics and self-care in a more than passing manner. If I had a spa, I would only hire therapists from schools that adequately trained students in these subjects. Isn't it time schools started conditioning their students to be able to physically do the jobs expected of them? Time will tell.
The second issue is product sales. Spas have products for sale for their customers and they want their staff, including massage therapists, to promote and sell those products. Usually the therapists receive a commission from the sales they make. Spa operators are rather perplexed because massage therapists are resistant to this concept.
For some reason, massage therapists are being taught that it is unethical to sell products or additional services to clients. This amuses me. I do not see why selling something is unethical. I do not know of a health care profession that does not sell products to their patients. MDs sell drugs, appliances, casts, braces, splints, TENS units and all sorts of stuff by the boatload. DCs sell supplements, pillows, braces, supports and lots of other useful items. I cannot think of a health care profession that does not sell "stuff." Yet, somehow, in the massage profession, selling something is this huge ethical issue. Would somebody please tell me what is wrong with selling something?
This pious, unjustifiable, false morality should be laughable, but, sadly, some take it quite seriously. It has always amazed me how indignant some massage therapists get when something is offered for sale at a massage school or continuing education event. Where is this coming from? If you don't want it, don't buy it. It is not unethical or immoral to offer something for sale. Is this some envy of success issue or poverty consciousness, or maybe some of both? What is wrong with offering (selling) a useful product that can be beneficial to a client or student?
Most likely comparable products cannot be found elsewhere, as schools, practitioners and spas tend to sell professional grade products that are not available in the public marketplace. Even if the product is available at a local health food store for instance, why not provide the convenience of availability and expert advice for use to the client? There is nothing wrong with selling stuff! A lot of struggling massage therapists could increase their incomes significantly if they added products sales to their practice. This should be taught, not discouraged.
No, I do not think a massage should be an hour-long sales pitch; however, it is very rare I have a patient who, during the course of the massage, does not tell me about some problem or another. I assume they are looking for suggestions and help or they would not bring it up. If a product I have is appropriate, I mention it (without missing a stroke), then let it go and bring it back up at the end of the appointment during checkout time. My patients are grateful for the high-quality, professional products I have available for them, not offended.
There have been some reports of spa operators imposing sales quotas. I understand that to tell a massage therapist they have to sell a minimum volume of product could be unreasonable, especially if the products are shampoos and creme rinses; however, if such quotas are made clear during the hiring process, and the therapists knows and understands the quotas prior to accepting the position, I do not see a problem. It is unreasonable and unfair if the quota comes down on their head as a surprise after they have begun working somewhere. So, if you are going to work for a spa or salon, be sure you know all the conditions of employment and have them in writing before accepting the position.
Help! Following the lead of my editor, Cliff Korn, I want to ask for your help with my column. If you have a hot therapy tip or a favorite therapy technique you think is worthy of sharing with your colleagues, send it in to me. I will share it in the "Try This" section of my column. Of course, I will give you credit for it, unless you want to remain anonymous. No more than 150 words and only one tip per person. Send to . We can help each other help more people. Thanks!
Try this: Having problems with neck complaints involving the sternocleidomastoid muscle (SCM)? Sometimes the SCM just won't respond to massage and relax like it's "supposed to." Move inferior and work the rectus abdominis, especially its upper attachments at the ribcage and sternum. Then work the sternum and the inter-costal spaces on each side of it. (Be sure to advise your female patients of what you are going to do and get their consent, as this can be a boundary issue.) Now return to the SCM, it will often respond positively. There is a fascial connection from the SCM to the pubic bone.
Have a great, safe 4th of July!
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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