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HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
January, 2006, Vol. 06, Issue 01
What You Should Know Before Entering the Spa Market
By Stephanie Beck
In my seven years in the spa market, some of you might remember meeting me over the phone, in person at a tradeshow, or attending one of my classes. Others of you are asking, "Who is this person?" I might not have had the pleasure of meeting or speaking personally with you yet, but I look forward to the opportunity.
Whether you are looking to open a new day spa or be a spa director, I would like to share what I hope you will consider valuable information from myself and from some top industry professionals.We will start with the basics, and expand to include the benefits of offering spa treatments, how to retail, how to select the right spa products, selecting the right vendor, how to create menus the list goes on and on. I hope you enjoy this series and consider it helpful to your endeavors.
OK, so you want to open a day spa. What type of day spa do you want to open? What kinds of treatments do you want to offer? How do you decide which treatments work best for your environment? For some of you, these questions can be answered easily; for those still contemplating the answers, let's look at a plan.
Most of the day spas create a theme for the spa. Design a theme or layout that inspires you. Perhaps you have a deep desire to help others achieve the perfect body. There are a variety of themes, like "Spiritual," "Health and Wellness," "Cultural," or one conducive to your environment. The important thing to remember is that this spa is a part of you your aspirations and your dreams so it needs to be something you feel passionate about.
What do I mean by "conducive to my environment?" For example, if you are planning on opening a day spa in Lemon Grove, Calif., you might want to play off the citrus theme and have several treatments designed with lemon or other citrus essential oils and extracts. You might decide to serve freshly squeezed juices before each treatment, and keep your colors very bright and cheerful.
However, just living in a particular area doesn't mean you have to adhere to that environment. If you have a desire for sports massage and deep tissue work, you might want to open a day spa next to a sports complex or fitness center. You might want to have nutritional supplements and sports drinks in your retail area, and keep your reception areas very contemporary and your colors simple; lots of white, with accents of bright, bold colors. Perhaps your uniforms are more casual; for example, you could use polo shirts with logos instead of lab coats.
I have talked quite a bit about the environment, colors, uniforms and some of the menu. But there is a lot of work involved in creating themes. What if you aren't in a position to open your own spa? You might have other possibilities, like being hired as a spa manager for a new and upcoming spa with a particular theme. This was the case for Lynn Bisoce, the business manager for Spa Balinesia, one of the hottest new day-spa chains in the Los Angeles area. Lynn's background was sports massage and sports therapy before being hired in her new position last year. I was able to interview Lynn and ask her for her advice to other massage therapist that want to break into the day spa market.
"In my opinion, every massage therapist new to the spa environment should know the vision and intention of all services offered," Lynn said. "Study the menu of services and research products utilized. Take courses in aromatherapy and hydrotherapy. Learn as much as possible, not only for yourself, but for the guest who deserves the utmost quality in care."
"My advice to massage therapists, in general, would be to obtain your national certification for massage and bodywork and become a member of a professional organization such as the American Massage Therapy Association. Continue your education in, for example, aromatherapy, Reiki, body treatments, nutrition, and herbology. You will become highly marketable and in high demand," Lynn added.
Don't be discouraged if you find yourself having to make adjustments to your menu, design or theme as you progress with the design concept. According to Lynn, "We made a number of changes as we progressed. The main changes began with our menu."
Once you have selected a theme and created a rough draft of your menu, one of the most important things you can think about is equipment. Generally, equipment has the longest lead time when ordering. It also can be one of the more expensive investments for your day spa, and like the professionals you select, it can make a lasting impression on your clientele base. So, what kind of equipment are you looking for?
It can be overwhelming to the mind and pocketbook to start looking at equipment. In general, it helps if you are prepared when you start looking. Know what type of budget you have to work with, and think long-term when considering equipment. What is going to produce the quickest return on your investment? For example, you can put portable massage tables in your new five-room day spa. They will be less expensive now, but are they able to produce the most return? You might decide, based on your selection of services, that you need multifunction tables that can be adjusted to meet the needs and services of your clients quickly and easily. The more often you are able to use the equipment, the quicker it's going to pay for itself!
Another good thing to keep in mind is that you generally will get a better deal if you can purchase all of your products, including crèmes, lotions, muds, equipment, stools, bolsters, uniforms, disposables, herbs, skin care items, etc., from the same "one-stop shopping" source. You undoubtedly will be laden with countless decisions, and the last thing you need to concern yourself with is calling five to 10 different distributors to check to make sure the lotions are shipping.
All of these items can be handled by a professional spa distributor. You will be busy with personnel hiring, training, spa menu development, marketing, insurance, business licensees, and all the rest of the daily duties to make this day spa run efficiently and effectively. So, make things easier on yourself, and get as much as you can from one place. Make sure they have staff that are easy to reach, reliable, knowledgeable and friendly. Trust me; it's much better to make one phone call and get all of the answers than flipping through your Rolodex or invoices to find who you purchased what from! In the long run, you will make life easier for yourself or your product manager, and you will get the best pricing and service by developing a lasting relationship with your professional spa distributor.
I have seen a few day spa owners try to cut corners by purchasing large buckets of a product and re-bottling it into smaller containers to sell in their retail area. While this might seem like a harmless and less expensive way than purchasing the retail sizes to sell, you must be aware of the potential risk. Product liability can be very costly. All manufactures provide product liability that extends through their distributors as long as the product has not been tampered with, adulterated or misused in any way. If you purchase a gallon of lotion, fill several small containers with the lotion and re-sell it to your clients, you have broken the responsibility to the manufacturer. They are no longer responsible for the product because they were not the ones that sold your client the product. Since they did not fill the bottle, they are released from any responsibility. Please keep in mind: The manufacturers are in the business of making product in sterile, clean environments and should have met all the FDA regulations to be qualified to sell the products. The other question to ask yourself is, do you or your staff want to spend time servicing the clients or filling small containers for retail?
Working for a manufacturer for more than six years and now for a distributor, I have learned we all have a role and a purpose. Manufacturers are great at making products, packaging products, and providing them to the appropriate channels to get the products to the end user. Distributors are the best at maintaining a large variety of products and delivering them with friendly, reliable and timely service to the end users. They are an extension of the manufactures, and are able to meet your needs on multiple levels that a manufacturer is unable to. You, as a day spa owner or spa manager, are the best at meeting the needs of the customer and using the proper goods and services to enhance a customer's well-being. As always, it's best to check with your local or state licensing and regulatory offices to find out what licenses are required for each service your practitioners offer, and to adhere to those regulations.
Next month, we will discuss the benefits of offering spa treatments. If you have questions or comments pertaining to any of the items mentioned in this article, please contact me at .
Click here for more information about Stephanie Beck.
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