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TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
February, 2008, Vol. 08, Issue 02
Charting Your Progress: Visuals for Success
By David Kent, LMT, NCTMB
Whether you perform massage in a medical, clinical or spa setting, it's important for clients to feel they are benefitting from treatment. Using visual aids is an excellent way to chart and evaluate a client's progress and charting allows you to show a client their progress. It also helps you and the client stay focused on which course of treatment to pursue.
In my last article, "The Power of the List," I presented my goal-setting questions and a Power List to help you kick-start the process of identifying and achieving your goals for your practice and all areas of your life. Below are tips for using visual aids for your client's benefit, no matter the type of massage setting in which you work. I also describe how I use visual aids in my own practice. These tips will help you gain, maintain and increase the momentum you need to attain your professional goals while you subsequently help your clients.
Few goals are ever achieved in one step, and one massage therapy treatment is rarely going to resolve the core cause of a client's stress, pain or dysfunction. Many clients want instant gratification - the "magic bullet" or the one-treatment fix that will immediately solve their problem. However, it's incumbent upon us to educate our clients about the accumulated benefits of a series of treatments versus a single treatment here and there. Clients who make a commitment to regular treatment often are quickly amazed at the positive impact it has on their quality of life.
Here's a brief quiz. Imagine you are driving down the highway and the "low oil" warning signal displays on the dashboard. You take the next exit and drive to the nearest gas station where you check the oil level and see that the engine is low by two quarts. Should you:
Obviously, the best answer to the question is "E." You need to schedule the car for service, not only for a filter and oil change, but for a complete checkup. You make this decision on simple information that would be obvious to any person. It's not too hard to see that the car in this scenario is a stand-in for the human body. And this valuable machine needs attention and care to run correctly and last for the long run. Ultimately, it's cheaper to maintain the body's health than to pay for a complete breakdown in the long run in the form of lost work, doctor bills, medication, pain and a reduced quality of life.
The point of this exercise is to demonstrate the importance of gathering information the right way at the right time. For example, a client complains of headaches that occur three to four times a week and require prescription medication. However, even with increasing medication, the client frequently misses work. This client also has secondary complaints of neck, shoulder and upper back pain that disrupt sleeping patterns. In this example, my short-term goals are to reduce the headaches and the neck pain intensity, frequency and duration, as well as to improve sleeping patterns.
Here is where I start collecting my visuals to create my starting point of reference so I can measure the client's progress from this point forward. To begin, I have the client fill out intake forms, questionnaires and a pain-scale chart before and after treatment. Other aids I use to establish a baseline include documenting range of motion; conducting muscle and orthopedic assessments; using trigger-point charts; taking postural analysis photos; and evaluating gait.
Depending on your massage therapy setting, you probably will adjust which visual aids you use in your practice. Most clients, regardless of the setting, find it both useful and comforting when the therapist uses charts and models to describe their condition and note their progress.
Lastly, we all need a little encouragement to produce the results we want in our lives. Often, however, we have no one around to motivate us. Every day, I list the things I am grateful for, as well as the things I did to move myself closer to my goals. I also ask my clients to do the same. A client with chronic headaches might be grateful for finding you, the massage therapist and, thanks to continued treatment they might be grateful for missing less work and sleeping better at night. This client might be following your recommendations and stretching and exercising every day as a means of reducing the frequency of the headaches.
As for me, I am grateful for my health and my practice. Whether it's learning a new skill, following innovative practice-management techniques or using visual aids, I make a point of doing something every single day that will help me reach my professional and personal goals.
Click here for more information about David Kent, LMT, NCTMB.
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