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Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
February, 2008, Vol. 08, Issue 02
Helping You Choose Wisely
By Angie Patrick
In my years of experience in the massage-supply business, I have had the tremendous opportunity to meet and speak with literally thousands of massage therapists. I often am asked questions about professional-grade products and how to know when it might be time to make a change. When I began in the industry years ago, there were only a couple of major players in the lubricant field, so the choices were not so difficult to make. But now, as our industry has grown and prospered, so have the choices in lubricants. My intent in this article is not to promote any specific brand, but rather give you some pointers so you can make the right decision for your own practice.
My first piece of advice: Always use professional-grade products designed and manufactured for professional massage therapist use. Products found in drug stores, discount chains and grocery stores are typically not designed for use on a professional level. Keep in mind you will be in contact with this product every day, with your hands immersed. You want to make sure the products you choose are designed for this type of extended exposure to skin and that it's not irritating to your skin after prolonged exposure.
Changes in skin-care technology have prompted many changes in lubricant markets. Manufacturers have become far more savvy in the ingredients they use and the overall effect the products have on the skin. In other words, it's OK to branch out and try something new because there is so much out there now. It's just a smart idea to stay in touch with new ideas in lubricants. Here are a few tips on how you can try new products without breaking the bank.
When looking for new products, it's always smart to ask your supplier if they happen to have any samples. Manufacturers sometimes will supply their distributors with sample-size products to try. In the event there are no samples, I would suggest you buy the smallest available size of the product in order to give it your evaluation. In most cases, once you break the seal on a product, it cannot be returned. This is the best reason I know to buy the smallest size on the first try. You can always buy a larger size if you like the product. Even if you have used the same lubricant for years, it never hurts to branch out a bit and see what else the market has to offer.
How should I care for my lubricants? This is a question I get asked all the time. I have to say, it's always best to avoid extreme temperatures. I have heard of therapists who have left their products in their cars for months during searing heat and bitter cold, and then wonder why it separated or smelled "funny." You should care for your lubricants by providing them storage in a temperate location not prone to climate changes. Oils like the dark, so a cabinet or closet works well. Avoid prolonged exposure to sunlight.
How do I know when my lubricant has "gone bad?" Most manufacturers provide information regarding the shelf life of their products. In some cases, you may even see an expiration date printed on the bottle or jar. You will want to avoid using any product that has an undesirable odor. Oils can sometimes have a faint "cooking oil" smell when they begin to turn. Lotions and crèmes can give an unpleasant smell that somewhat resembles "plastic," for lack of a better descriptive. Of course, should you see any discoloration or growth on the inside of the container or cap, you should discard the product immediately.
One way you can help inhibit the growth of bacteria in your lubricants is to avoid cross-contamination of the product. Never use your hands to dip product from a larger container to a smaller one. Always use a clean spoon or spatula. This will prevent bacteria that live on your skin from being transferred to the product.
Whether you decide to use an oil, lotion or crème, it's always important to make sure you have asked your client about any allergies they may have. Occasionally, you will have a client who may have a pronounced allergy to an ingredient found in your lubricants - most commonly nuts. Be sure you have asked the proper questions on your intake form so you can avoid your client having an uncomfortable reaction.
This brings us to the question, "Which lubricant type will work best for me?" This will depend largely on the type of massage you want to perform. Each type of lubricant has its own special properties that aid the therapist in treatment. Oils can be used for any modality in which you will need extended glide. Oil provides the least amount of friction and is widely utilized for Swedish massage. Seed oils and nut oils are widely used; however, I would again stress the importance of making sure your client has no allergies to the ingredients in the oil you use. Lotions and crèmes are better suited for modalities that do not require a great deal of glide but instead utilize grip. You will want a product that will allow you enough glide to warm the tissue, but finish with enough grip as to allow you to work the tissue below the skin.
Finally, "How do I clean my sheets and avoid staining?" This is a concern for therapists and spas alike. Once your sheets are stained, you really cannot use them again because your clients will have the impression they are unsanitary. So, how do you care for them? There are detergents on the market made especially for the removal of oils, creams and lotions. You can surf the Web site of your favorite massage-product supplier and find a number of eco-friendly and lubricant-specific detergents designed to break down and remove the residue. Also, many manufacturers are using ingredients that make the products "water-dispersible," which certainly helps when it comes time to do laundry!
I encourage you to check out all your options and begin your journey of exploration. There are so many wonderful and exciting things appearing on the market every day; you owe it to yourself to stay in the know and be informed about the newest advancements and product breakthroughs in the industry. It's a big sea of options out there; happy fishing!
Click here for more information about Angie Patrick.
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