resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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).
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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