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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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%.
April, 2006, Vol. 06, Issue 04
What You Need to Know to Select the Right Spa Products for Your Customers
By Stephanie Beck
In past issues, we've covered the basics, selected and written our vision and our intention for the business. Now, what about products? You must consider all the options: wet room or dry room, ingredients, price, and where to begin.
Remember to keep in focus with your intention and vision of the business.If your intention is to cater to mostly male clientele, then consider those products that support that intention. Use unscented items or lighter scents, because chances are they will not want something that smells "pretty." Let's face it, how many men would get excited about a "Rose Blossom Body Wrap?" I am only speaking in general terms, of course, and in my book, there is nothing wrong with a man wanting a rose blossom body wrap. I am just not sure how many times that service would be requested by men if it appeared on your menu. So yes, consider your intention when selecting the proper products. Not only do you have to match your intention, but also your budget, layout, ingredients, scents, etc.
Wet Room or Dry Room?
I've mentioned this before, and I'll say it again: Thanks to our brilliant manufacturers, you have the capability to offer spa services in dry room facilities, and as the old saying goes, "Everyone is doing it!" Whether you select Lotus Touch, Soothing Touch, Amber, Bon Vital, Biotone, Pharmaskincare, or one of the many others, you have scrubs, muds, paraffin, mud paraffin, and polishes that easily can be removed with warm towels, massaged into the skin or peeled off the body. Spa services done in dry room facilities - you've got to love it.
For centuries, the word "spa" has been synonymous with water or baths, usually with mineral or therapeutic values. If your intention is to maintain this concept, then make sure your products can be used in a Vichy shower or hydrotherapy tub. The beauty of today's muds and scrubs is that they are flexible and can be used in either a wet room or dry room, because flexibility is a good thing!
As some of the products listed above (like paraffin) imply, they cannot be used with water. You will need to purchase smaller pieces of equipment like a paraffin heater and rolling cart to put it on so you can have access as you apply the paraffin with a brush or drape sheet around the body. Also keep in mind that if you don't plan on offering shower facilities or wet rooms, you will need to make sure your spa rep equips you with all the tools you will need to perform the treatments. We will talk more about creating relationships and how important it is to be more than "a number" with your supplier in the future. It never hurts to ask your spa rep what accessories you will need, although your spa rep should recommend what items you need to perform the treatments.
Here are some things to keep in mind when thinking about ingredients. Does this match my client's needs? Does it match my spa theme? What are the contraindications? What are the benefits? The main problem when discussing a particular ingredient is the fact that most of the "talk" hasn't been scientifically studied or proven. Unless the manufacturer has paid for the independent study or conducted countless tests, they can only make general statements regarding the ingredients in their products. For instance, we all know the benefits vitamin E has when taken internally, but how many of us know of a study in which it's applied to the skin? I'm not looking to pick on anyone in particular. Just be aware of the limitations the manufacturers have, and make sure you match up the general ingredients with your vision and intention.
This also leads to our next topic: contraindications. Because so many ingredients have not been clinically tested, again, all manufacturers are left with making general statements. For instance, it's not recommended that you use seaweed-based products on a client who has a thyroid condition. Because we know that seaweed contains certain amounts of iodine and that iodine is controlled by the thyroid, and because we also know a certain amount of product is absorbed into the skin, it doesn't take a genius to figure out why it's important to ask the questions. Other clients have a very adverse reaction to nut oils. Therefore, you would want to make sure your spa products do not contain such ingredients, or at the very least, you'd want to have an alternative product available to meet those clients' needs.
Cost per treatment, hidden costs, and complete lines - these are to be considered when deciding on products. It's important that you understand the value of cost per treatment, because it won't matter if one gallon of salt glow is $10 less than the other brand if you have to use three times as much in each treatment. Also, there are some hidden costs if you have to use more water or three extra towels to remove a particular mud. You may have saved the money on the front end (because it was cheaper by the gallon), but you are paying for it on the back end (because your water or linen bill has just increased). Some people think that paraffin wraps are less expensive than mud wraps, but by the time you've added the accessory items, your expenses are about the same. Stay within your budget, and ask your spa rep what you'll need ahead of time so you can create the proper budget.
Complete lines are very important. By "complete lines," I mean having the proper retail or sell-through items. I will go out on a limb here and talk briefly about a subject that makes most people cringe: "retail sales." Before you start telling yourself, "I am NOT a salesperson," consider this: The average amount of retail sales in the spa industry is about 28 percent, and the spa market is about a $12 billion market. That's a lot of extra money, wouldn't you say? Also, people are going to purchase products following a treatment, whether they purchase from you (the practitioner or day spa owner) or go to their local department store to try and duplicate the same feel of their skin. Why any practitioner would want their hard work to continue to line the pockets of the local department store owner is beyond me! Besides, you chose the professional product for a reason: you believe in it. Otherwise, you would be using the cheap mineral-based products from the department store, too! Some practitioners believe the client can't afford the professional product, even though the client has never said they couldn't or wouldn't afford it. Given the opportunity, the customer will purchase, provided you have selected the proper product that meets their needs. Why do hair salons carry high-end shampoos that aren't sold in retail stores? It's the same concept: you go to a professional who carries higher quality products. Not providing them actually lowers your overall value.
Offering product selection makes customers happier and makes your business increase. This holds true whether you are a day spa owner or an individual therapist. Just be careful not to over invest against your budget. At Scrip, we offer several lines that you can retail in your space without all the heavy minimums, so be sure you know the return policies, guarantees, retail support, price structures, etc. when selecting the brand that fits your needs. Again, your spa rep should be able to guide you to the proper product line that meets your needs, which in turn, should meet the needs of your customers.
I have enjoyed e-mails with several of you over the past two months; it's good to know so many of Massage Today's readers are opening new spas or looking to expand their services and are enjoying my articles. Thank you for all the wonderful feedback! I would encourage everyone to keep me posted on your success. If others have any questions, please feel free to contact me at . Keep striving to make your dreams a reality!
Click here for more information about Stephanie Beck.
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