resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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%.
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).
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.
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.
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.
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.
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.
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.
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.
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'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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
April, 2007, Vol. 07, Issue 04
Are You Under Contract?
By Jenn Sommermann, LCMT
Unfortunately, it's still not the norm for massage business owners to have employment contracts with their massage therapists. Although things are changing and employers are more informed than ever, the average business owner still does not protect themselves or their staff with a written contract.We previously have been a more lax profession and our personalities, by nature, are trusting and friendly. However, as our industry has become more professional and our business training savvier, we are starting to understand how important a working contract is. A handshake won't do the trick anymore. Every massage therapist should have a contract, either as an independent contractor or employee.
I wish I could tell you this is preventive in nature, and for the most part it is. But, as a business teacher and coach, I hear too many stories that prove how important this concept is. I was inspired to write this article because a former student called with his "nightmare story." It seems an entire staff of massage therapists was fired because they wrote a letter of complaint about a recent promotional venue at the spa at which they were employed. The spa offered a 50 percent discount during a two-week period, and the cut came strictly from the therapists' pay. When the therapists wrote a letter and complained, a meeting was called. That same day, the therapists (I think there were 10) were questioned, fired and told to vacate the premises immediately. My former student called me to discuss if this was legal. I asked, of course, if there was a contract.
The good news is that he said there was a contract, sort of. It came in the form of a 38-page handbook for employees. However, nothing was negotiated and there was no room for discussion. It was a "take it or leave it" handbook and had to be signed by the employee. There also was a clause in it stating the employer had the right to change things as they saw fit. The bad news is it wasn't really a contract and did not have the "right" information in it to support both the employer and the therapist. A truly fair contract will support and protect both parties.
I can't stress how important a contract is, as a starting place for negotiation and as a concrete design of what the working relationship and model will be for the duration of employment.
Here is where it went wrong. First, there was, in fact, information about promotions. However, it only stated that the establishment had the right to run them. There was no description about how they would impact the therapist or their pay. Often, promotions are run and the house takes the hit, or a combination of the house and therapist will be affected. If the massage therapist were to assume the entire financial burden, wouldn't you want to know that going into the job? That is not to say you wouldn't work for someplace that assigned the financial burden to you. Rather, the information would be helpful so you could budget and/or plan your finances. Perhaps you rely on other sources of income and two weeks of a pay cut are fine, if it brings in more volume and is good for business. The converse side is, if you rely completely on this one paycheck for your personal finances, this could be a problem. Maybe you could not afford such a change in salary. Either way, knowledge is power and it would be helpful to know for future financial planning.
Second, there should have been a paragraph detailing termination agreements. If the business owner wants to fire you and end your job immediately, that is their right, but it should be in writing. Similarly, what if you are not happy? Are you allowed to walk, or are you obligated to give some notice? I am not an advocate for walking off the job. I always think the right thing to do is give at least two weeks notice. Whatever you and your employer decide, it should be detailed in the contract. Wouldn't it be helpful to know these things before you start working someplace?
Lastly, how are disputes handled at places of employment? A good contract will detail this in the unfortunate event that it happens. How stressful is it to think you cannot have a voice at your place of employment for fear of losing your job? If something like this were made clear in the contract/handbook, perhaps there would have been a forum to vent their grievances instead of everyone being fired.
There are many other topics I would suggest for an employment contract. And when it comes to contracts, the more information there is the better. Take any uncertainty out of the employment situation and detail the working relationship and model as much as possible. I have detailed three topics for you, given the unfortunate example from my student. In addition, I have named the other two on my Top 5 and provided this list for your reference.
Topics for written working contracts:
This is not an exhaustive list, but it is a start. I strongly suggest you get your hands on The Business of Massage by the American Massage Therapy Association and use it as a resource. It's an excellent book you will use for years to come. As ambassadors for the field, we must encourage employers to have working contracts. If they don't, suggest it. Be proactive. Draw one up yourself. If they don't like it or won't sign it, ask yourself, "Do I really want to work here?"
Above all, protect yourself and stay focused.
Click here for previous articles by Jenn Sommermann, LCMT.
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