resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
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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