Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
December, 2005, Vol. 05, Issue 12
Chair Massage Redux
By Cliff Korn, BS, LMT, NCTMB
I recently received a letter concerning an article I wrote about an international chair massage conference in Toronto (www.massagetoday.com/archives/2005/09/01.html).The author was Russ Borner, a well known senior instructor of David Palmer's TouchPro Institute.
Russ expressed confusion over several parts of my article that were perhaps overstated, so I undertook a bit more research. His concerns were that I reported the Toronto event as the 1st International Chair Massage conference. His email to me said, "[I] was part of David Palmer's TouchPro Institute's 'First International Chair Massage Conference' held in San Francisco on June 22-25, 1998, where over a hundred chair massage practitioners gathered for what seems to be the same purpose advertised by Eric. As I remember, there were practitioners from all over the U.S., Canada, UK, the Netherlands, among others." He further said, "In addition, this comment [in your article] was particularly confusing "Eric Brown of BodyworkBiz described for the first time the physiological mechanisms involved in the unique fainting phenomenon that sometimes occurs with chair massage, and gave participants guidelines in preventing this from happening."
David Palmer's TouchPro Seminar, since the summer of 1986, has been highlighting and covering the fainting phenomenon in course materials and instructor presentation in a very complete and understandable manner. Some 11,000 massage practitioners have been trained in this matter, including Eric Brown."
My additional research indicates that I was incorrect in my statement about the Toronto venue being the 1st, but so were the event sponsors and Russ. The event Russ mentioned was not open to the trade, but was designed for graduates of the TouchPro program only. The actual "1st International Chair Massage Conference" was a conference held in France in 2002, sponsored by Tony Neuman of Touchline, based in Switzerland.
To me, the issue of which was "1st" is much less important than the issue of the fainting episodes in chair massage. Here we find some real differences of opinion on an issue that can be crucial to any of us who owns a massage chair! When I questioned Eric he said, "as a sponsor of TouchPro workshops and a participant, I can honestly say that the issue of fainting has never been fully addressed by TouchPro or others. The techniques taught by Russ and the TouchPro instructors are very traditional Japanese acupressure techniques. There has been some attempt to correlate the fainting episodes to acupressure points in the arm. Since 1998, we have tracked dozens of fainting reports looking for co-relating factors. I can honestly say that there is no correlation between the part of the body being massaged and the fainting episodes. The only plausible explanation for the rapid fainting episodes is the elicitation of the carotid sinus reflex. I developed the hypothesis in 1999, and it has held true over the years. I outlined the physiological mechanisms in detail at the conference, and to the best of my knowledge, that is the first time anyone has publicly given a scientifically sound rationale for the physiology behind the phenomenon. If anyone has other tenable theories, I would certainly be interested in hearing them."
David Palmer wrote an article entitled "Fainting and Chair Massage" first published in the June/July 2000 issue of Massage and Bodywork magazine (for ABMP members only: www.abmp.com/members/login.html?article_id=310). David's response to Eric's information was that Chronic Sinus Hypersensitivity (CSH) is what Eric names as the cause of the fainting. In an email he said, [Eric] "believes that this rare condition is the cause of all syncope and pre-syncope episodes in the chair. That seems highly unlikely. As noted in my article, there are a vast range of possible causes of syncope and pre-syncope events and it seems a great leap to presume that one condition that primarily appears in older men is the cause of all of them.
"As you also will note in reviewing my article, I never highlighted work on any particular part of the body as the primary cause of these occurrences." Since Eric has the article, I am uncertain as to why he would make this claim. To the contrary, the two most common correlations that we have discovered are low blood sugar (caused by skipping a meal) and a history of fainting (which would include CSH conditions), both of which we screen for before each massage. In addition, I pointed out that the most common reason in the medical literature given for Syncope episodes is a triggering of the vasovagal nerve reflex. I have no idea why Eric would suggest that CSH is the only credible hypothesis. The full protocol outlined in the article has reduced the number of syncope events in the massage chair to zero, and sharply reduced the number of pre-syncope events. We also train practitioners to be aware of the possibility of carotid impingement with the ends of the face cradle when we discuss positioning of the client in the massage chair."
Eric responded back that David was confused between Carotid Sinus Hypersensitivity and the Carotid Sinus Reflex, and that the two are not correlated.
Eric in short order provided me with several pages of as yet unpublished information concerning this fainting phenomenon, much too much to include in this editorial. From the chair of this massage therapist, both the hypotheses of David Palmer and Eric Brown make sense. But there certainly is a division of thought here - and this is an issue that can be absolutely crucial to any of us who use a massage chair in our practice. I am looking forward to Eric publishing his information so that the two divergent theories can be compared side-by-side, so that we all are practicing more safely.
So, where does all this leave you and me? I guess I have been most fortunate that I have never had anyone faint during or after chair massage. I would guess that someone who did might not be inclined to return to my practice for additional types of massage! There are few massage therapists who don't agree that chair massage is not only a tremendous intervention in it's own right, but also a marvelous, non-intimidating tool for introducing new people to all forms of massage and bodywork. We need answers!
I hope this editorial is not taken as a point/counterpoint discussion, in a negative sense, between two individuals. Both David Palmer and Eric Brown are true pioneers in the development of the chair massage industry and they certainly deserve a huge thank you from all of us! May we all learn and grow from this, and may the discussion continue.
Thanks for listening!
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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