resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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 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.
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.
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%.
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.
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.
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.
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.
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.
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).
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.
February, 2008, Vol. 08, Issue 02
Learn to Trust Your Gut
By Jenn Sommermann, LCMT
Many of us come to this field because we are intuitive by nature. We have strong instincts when it comes to helping people, and massage has become a natural adjunct to that; an extension of our intuition. But often, we are put in a position that causes us to question our judgment. Moreover, we often are employed where we cannot act on our judgment but have to work within the prescribed parameters of an employer or establishment. This worries me greatly. When we lose our right and our ability to trust our gut and act on our best judgment, even if it counters what our boss says, then we have lost control as health care providers and our profession in general. It is up to us to stand our ground, but more importantly, it is our duty to educate our employers so that no harm comes to our clients.
Many employers, nowadays, are not massage therapists. Spas are opening at alarming rates and businesspeople are the ones running the show. They do not know massage. They have not studied contraindications and pathologies. Their frame of reference is based on numbers and profit margins. I understand that and there is nothing wrong with it. I, too, am a businesswoman and am always concerned with a bottom line. However, when it comes to the client's health and well-being, I wish more employers looked to massage therapists for guidance around treatment and care. After all, this is their area of expertise. I am generalizing and this mutual relationship is starting to occur, but it is slow going.
This is what has prompted this article. A massage therapist called me the other day to discuss something that happened at the spa where she works. She considers herself a deep-tissue, medical-massage therapist. In her previous life, she was a registered nurse and still combines these worlds in her care for clients. She works at a spa, but the majority of her work is therapeutic and medically based. This is her passion. You may be thinking, "Then why is she working at a spa? Aren't the clients who go to spas there for relaxation and general Swedish massage?" Well yes, and no. Who are spa clients? People who just recovered from cancer, who have heart conditions, who have had strokes and are diabetic. The bottom line is that there is room for every type of therapist in a spa setting.
A client was "sold" a deep-tissue, medical massage at the urging of a receptionist. No history was taken. No pathologies were discussed. The receptionist felt that this "package" would be suitable for this client and charged accordingly. Note that the price for this service is one of the higher prices at this spa. During the verbal intake conducted by the therapist, it was discovered that this client had inflammatory joint disease, varicose veins and osteoporosis. Clearly, deep tissue was not the right course of treatment. The therapist acted accordingly and worked conservatively. She further educated the client that the massage he had purchased was inappropriate for his condition. "Then why did the receptionist sell it to me?" Put in a position to defend the spa and the receptionist, the therapist did her best but never should have been put in this position to begin with. Ultimately, the client was happy with the care and it all worked out.
Here is how I see this situation improving - education. As authorities in the field of massage therapy, especially in the absence of any other trained professionals, it is up to us to educate the employers and any staff that may work with the clients. This may not seem easy and may even be met with resistance. But don't we owe it to the clients to not only provide them with accurate care but also make sure they are paying for what their health history warrants? Be proactive and approach your employer. Tell him or her that you would like to be able to educate the staff so that each client gets the best possible care. In the end, that is good business.
Trust your gut. Work within the parameters of the client's condition, regardless of what service he or she purchased. Educate those that "sell" the services and educate the spa owners as to how beneficial this will be for the overall business model. It's up to us.
Click here for previous articles by Jenn Sommermann, LCMT.
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