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Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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 more information about Jenn Sommermann, LCMT.
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