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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
December, 2005, Vol. 05, Issue 12
What Employers Are Saying
Recent research indicates that the number one complaint of employers is the inability of massage therapists to market themselves. The term marketing sounds very broad and it is.It encompasses written marketing materials, introductions, client relations and public relations. However, employers not only are talking about marketing yourself, but also marketing the profession of massage therapy, overall health and the cumulative benefits of massage.
In all my years of teaching and consulting, this complaint still is at the top of the list. I regularly consult with business owners and talk with them about their needs. They often want to know how to better motivate their staff and get them to help with marketing. Why is this so hard? Why does the staff not get involved or why do they think it falls completely on the business owner's shoulders? I think most massage therapists think if they work for someone else, all the marketing is done for them. However, this is not the case and you will be a more valuable worker (whether employee or independent contractor) if you participate in the marketing.
Whether you choose to be self-employed or opt to work for someone else, a certain amount of marketing falls on you. After all, isn't it your responsibility to get the client to reschedule? Aren't you somewhat responsible to educate the client about how massage therapy can help them? It might be a receptionist in the waiting area asking a client if they want to reschedule, but it's the therapist that has to plant that seed during the exit interview. If you really believe massage has cumulative benefits, it's up to you to introduce that concept to your clients. I have found that most clients just don't know any better. They need to have it suggested that a return visit would be beneficial to their health. That suggestion needs to come from their trusted massage therapist, not a receptionist.
Speaking as a former owner of a wellness center, I think it's imperative for therapists to be comfortable marketing what we do, how it affects people and what role massage plays in healthcare. Many hours of my staff time were spent drilling therapists on the dialogue to use when educating clients. The reasons were two-fold. I needed my therapists to reschedule clients and build the business, but I also wanted to make sure the clients were receiving the best care and the right information. I relied heavily on my therapists to handle this aspect of the business. Most employers feel the same way. Most of my staff found it awkward at first. But when their schedules starting filling up and they had happy, repeat clients, they thanked me for the push. Most of my staff even commented that it became easier over time and now was a part of their normal exit interview.
Now as an educator, I tell my students about marketing and how employers are not happy with the level that now exists. This usually starts quite a debate. The students argument is, "if we are hired to sell, we should be paid more" or "by going to work for someone else, the responsibility of marketing should fall solely on the employer." The reality is that nothing could be further from the truth. Sure, the written marketing and the publicity might fall on the business owner, but the other elements of marketing fall on the therapist. However, if you want to take that stand, perhaps you are better suited for private practice.
To be truly successful in this field, you have to sell it. The world "sell" is so loaded and comes with such negative connotation. I hate to even use it, but isn't that what we do? We sell massage. Use whatever verb you want, but it's all the same thing. If you are not comfortable doing this, I suggest you role play and practice with a friend. If you are self-employed and clients are not coming back for regular care, ask yourself if you are educating and dialoguing thoroughly during your exit interview. If you work for someone else and are not getting the repeat business, talk to the business owner about how to better prepare your dialogue to improve retention. This isn't a perfect science and it takes some practice, but it's something that can be improved. After all, don't you want to see all of your clients incorporate massage into their healthcare practice?
I guess a certain amount of my frustration is because of the passion I feel for this work. It's hard for me NOT to sell it. Massage is something I believe in with every fiber of my being and I find it easy and exciting to talk about. I have been a client of massage for many years, so I truly believe in the benefits. Get me going and I am hard to stop. So why do therapists still struggle when talking about massage therapy and its benefits? Why do therapists reject marketing the profession and refrain from telling clients about its cumulative effects? Ask them to reschedule? Perhaps they are not convinced themselves. Ask yourself, when was your last massage? Do you really believe in what you do? If you can't remember your last massage, book one today! If you receive care regularly, you should know how good it feels and you should want everyone to feel the same way. You have to believe in what you do to market it successfully.
The bottom line is that no matter what your working venue, it's up to you as the therapist to promote this work. You alone are in the room with the client. The client looks to you for information and holds you in a position of authority in this matter. For the forward progress of the profession, for the benefit of keeping clients educated and for the sake of business, talk it up. Tell people how great it is. Suggest they reschedule to receive added benefits, and believe it when you say it. Your sincerity will be apparent, business will blossom and your schedule will be full.
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