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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
August, 2007, Vol. 07, Issue 08
All Systems Go
By David Kent, LMT, NCTMB
As a practicing massage therapist who receives referrals from hospitals and physicians, I find fulfillment in helping my patients return to their normal activities of daily living (ADL).Yet, years of clinical practice have taught me that treating my patients involves more than just the application of massage. Whole-body wellness requires an integrative approach to health care. As a massage therapist, there are many integrative methods I can utilize, including referring out when a condition falls outside my scope of practice; educating my patients about self-care; staying current on the latest massage research; and maintaining comprehensive systems so I stay organized in my massage practice.
I recently was thinking about systems and how they are part of every aspect of our lives. Just as the universe is made up of systems (planetary, gravitational, thermodynamic, etc.), the human body is made up of systems (muscular, skeletal, fascial, digestive, nervous, etc.). Even our country is made up of systems: legal, educational, economic, etc. In short, virtually everything around us is composed of one system or another. Without systems, our lives would feel out of control. In fact, when these systems break down, things often do feel chaotic until order is restored. Take the body, for example. When the body's systems are in a state of homeostasis, we feel healthy, but when the body's systems are out of balance, we become sick and therefore, our lives are disrupted.
Systems also are important in a massage practice. In my own practice, systems are necessary for maintaining my livelihood, as well as educating my patients and engaging them to play an active role in their own healing. When my practice systems fall out of balance, this generally impacts every aspect of my life - and usually not for the better. Implementing effective massage practice systems and continually evaluating them to ensure they are working is a key component of a successful practice. Whether you are in private practice, perform outcalls, or work in a spa or clinic, it is important to have established systems of practice that will support both this growing industry and your needs.
CHANGE FOR THE BETTER
The philosopher Heraclitus wrote, "Nothing endures but change."1 While change can be positive, it is not always comfortable. Therefore, it is common to resist and continue to follow systems that are not always in the best interest of our personal and professional lives. We might continue to do things a certain way because we've "always done it this way." But consider for a moment how updating some of your practice systems - or creating new ones - might give way to a more streamlined and successful massage practice.
Since I opened my practice in 1992, I have continually been evaluating my systems. In doing so, I ask the following questions:
Are your practice systems working for you? Are you fulfilled in your career? If the answers are no, it might be time for you to improve your systems or create new ones altogether. Remember: The past does not equal the future; you are capable of changing direction at any time. Below are some suggestions for improving your practice systems.
THE SIX Rs
REVIEW your current systems. Take a good look at all of your systems from marketing to charting. Could your patient retention be higher? Perhaps you need to develop new methods to keep your patients coming back. Education is one such method, which I discuss below. Are your patient files in disarray? In my clinic, I have created a simple systematic approach to maintaining my clients' files to document and show their progress.
REORGANIZE your structures. In assessing your systems, you may discover that some of your educational materials are out of date. Part of helping your patients, and subsequently retaining them, involves staying informed about current massage research, utilizing current clinical methods and tools, attending educational seminars and learning assessment techniques that can save you time.
REDESIGN your methods. If you have grown accustomed to giving a massage and then cutting your patients loose, it might be time to take a more proactive approach to treatment. One way is to actively educate your patients so they understand the cause of their pain and how you can help.
In my seminars, I incorporate a balance of auditory, visual and kinesthetic teaching techniques to appeal to every type of learner. I also use a balanced combination of these techniques to educate my clients:
REDEFINE your goals and then design your systems with specific outcomes in mind. For example, instead of setting a goal such as, "I want to make more money," set a specific goal: "I want to make $10K more this year." Once you have clearly defined your goals, you will have a better idea of how to achieve them.
REINVEST in your practice. Purchase the tools you need to quickly educate your patients so they understand the importance of committing to a series of treatments. Selling products such as topical analgesics or exercise bands not only gives you the opportunity to further educate your clients, but it helps bring in additional income.
REACT. Don't delay - change starts now! To get started on improving your systems, check out my article, "The Power of a Minute," in the June issue of Massage Today, for a wealth of simple practice-building techniques. Visit www.massagetoday.com or www.kenthealth.com for additional resources.
Until we meet again ... all systems are go. You are cleared for a successful practice.
Click here for more information about David Kent, LMT, NCTMB.
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