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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.
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.
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.
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.
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.
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!
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.)
March, 2008, Vol. 08, Issue 03
Make Your Table a Sanctuary
By Angie Patrick
In my previous two columns, I shared information about some of the products you use every day, such as lubricants. I also shared tips on how to choose the correct table for your specific needs. No doubt lubricants and your table are two types of products you work with every day. But there are a few other very important pieces of which you should be aware. These pieces are designed to provide your client with added comfort, adequate cover and the promise of cleanliness. These items are your table additives and dressings. In this article, I would like to share some ideas that can enable you to make your treatment table an oasis for your client, while maintaining proper attention to sanitation.
Not all modalities will require the same types of table dressing. Sometimes, all you will need is a sheet. However, in this article, I would like to focus on modalities designed for relaxation and stress relief. I would like to share some ideas that can change your treatment table from just a place to give massage to a healing and stress-melting cocoon of pure comfort and client pampering. (Sign me up!)
Your purely indulgent table should have a foundation of warmth. Table warmers or bed warmers are different from electric blankets. They typically are the size of the surface of your table and have multiple setting for levels of heat. There are a variety of types on the market from ones that are sewn into a flannel fabric to those encased in vinyl with a flannel cover. The vinyls are better suited for any treatment that introduces moisture, such as mud and wraps. (Always refer to the manufacturer's instructions before introducing anything that could conduct electricity. Make sure your specific warmer is made for this.) Still others are intertwined in a plush fleece fabric, providing cozy warmth and added cushioning.
Once you have a platform of warmth, you may decide you need a little more cushioning and pampering for your client. To add a bit more cushion to even the hardest table, add a fleece pad cover to your emerging cocoon. These can be made of natural wool, although, they can certainly be priced higher than some of their synthetic counterparts. One thing you will want to consider is laundering these pieces. The synthetic option is readily washable and usually can be dried on low heat. (Refer to the care instructions for the pad you buy.) This flexibility can certainly be a plus; additionally, you run less risk of a client having an allergic reaction to wool.
OK, so now we have a warmer and a fleece pad. This table is beginning to sound like a real retreat, but we still have a few more items that could truly make it a sanctuary. At this point, I would like to address an issue regarding a barrier between the next layer and the fleece pad. Since you will not want to launder the pad after each use, you will want to purchase a thin, impenetrable barrier that will inhibit cross-contamination, while allowing for the warmth and cushion of the first two layers to shine through. There are barriers made of plastic and vinyl on the market, although, I find the vinyl to be less noisy and easier to clean.
Now the sheets - so many options, so many materials. How do you choose? I have to say I am a big fan of flannel. To me, there is little that can compare to the encompassing comfort of fluffy, soft flannel. Although, I must admit I have had some amazing massage experiences on well-appointed, crisp cotton sheets as well. These days, there are more eco-friendly choices as well, with fibers made of bamboo. Bamboo is a readily renewable resource that has become popular in everything from flooring to furniture. It has recently emerged on the textile scene, creating some extremely soft and luxurious sheet sets. You also can find organic cottons that are quite luxurious. Organic sheet sets are often three to four times the cost of typical massage sheet sets, and this can make it an interesting choice for an item that will be laundered after each use. You will want to choose options that will withstand daily washing, oil stains and repeated usage. Also keep in mind that sheet sets purchased specifically for massage commonly include the cradle cover of a matching material.
This brings us to blankets. I am fond of thermal, cotton-knit blankets. These blankets are cooler in summer and warmer in winter. They are truly workhorses, as they can withstand repeated usage and can hold their shape. For an extra-special treat, try one of the fleece blankets on the market. These are cozy, soft and reminiscent of a baby blanket to the touch. Very indulgent! If you choose to go the far end of the luxury scale, you can purchase a twin-sized down comforter, and have a beautiful duvet and matching pillow to dress the table. Of course, these will be removed before treatment, but the client will get the immediate idea they are in for a soothing and relaxing experience.
Your table should reflect you and your idea of comfort. Imagine yourself on the table and then decide which pieces would make you feel relaxed, renewed and rejuvenated. Client perception is hugely important. Couple a quality massage with indulgent comfort, and your name will be on their lips for days. Hopefully, this pleasant experience will result in word-of-mouth referrals, providing you with a broader client base.
I would love to hear some of the ways you make your table a sanctuary. Feel free to drop me a line and let me know what you do to achieve the ultimate in client comfort! I look forward to hearing from you.
Click here for more information about Angie Patrick.
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