resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
July, 2008, Vol. 08, Issue 07
The Basics of Facelift Massage
By Rita Woods, LMT
Last month, I introduced basic facelift massage work by giving you a list of benefits, as well as touching on the potential unseen benefits within the autonomic nervous system. This month, I want to talk about the difference between facial massage and facelift massage, and general guidelines for working on the face.While there are similarities between facelift massage and facial massage, you won't get a firming and lifting effect unless you specifically address the muscles involved. It's sort of like general Swedish work versus more specific or focused work such as rehab, deep tissue, etc. With facelift massage, you must be very specific and deliberate with your strokes. It really is best to take a class to learn the detail required to maximize results.
I make it a point to ask my workshop participants and fellow therapists if they work on the face during a regular massage session. About half of them spend very little time, if any, on the face. One explanation they give for this is their client doesn't want their face to feel greasy or to get oil in their hair. Another reason is simply because they don't feel comfortable working on the face. Let's face it, you really are in the client's face and it takes special care not to impose upon their personal space.
Both of these reasons for avoiding the face - client refusal and lack of confidence - are key components that must be addressed in order to start doing good face work. First, there is the lubricant. I have refused to allow therapists to work on my neck and face because they use way too much lubricant. I don't want to walk out with oil on my face and hair, and I'll bet your clients don't, either. Please don't use the same oil or lotion you use on the body for the face. Use something intended for the face or use very little oil. Jojoba actually is quite good for the face and will do if that's all you have. Just remember to use it sparingly. Let's look closer at these issues.
Choosing a Good Lubricant
When I work on the face, I use moisturizer for normal to dry skin. I am using a product intended and created specifically for the face. Formulating chemists of good-quality products put a lot of thought into creating the perfect product. They understand the chemistry and physiology of the skin and will work with it. Notice I said "good-quality products." That doesn't mean you should go buy a moisturizer off the drugstore shelf and use it. Many of the cheap moisturizers contain mineral oil and other petroleum ingredients as their main source of moisture. They moisturize by creating a physical barrier by which moisture can't escape from the body. That's not what I suggest. Rather, look to a line of high-quality skin care products and get the moisturizer with plumping (lessening the appearance of wrinkles) and anti-aging benefits.
Now, your product actually is doing part of the work for you. I use normal to dry because it has slightly more oil, which allows it to stay on the skin just a little longer. That allows me to use it as a massage lubricant. Apply the product to small sections of the face at a time to prevent reapplying as you progress. By following these simple guidelines, you will avoid the pitfall of the greasy face and your client will be able to enjoy the benefits of your work.
As a therapist, you know the importance of confident touch. Confident touch is a blend of good technique and good people skills. It comes from within and flows through your hands to your recipient. Both parties instinctually know if you have confidence or trepidation. Of all the places we work on the body, no place requires you honor the client's space more than the face. They will also feel shaky hands and unorganized strokes, so be prepared to practice and develop a routine for the face. These stokes will differ from facelift massage to general facial massage, but a good rule of thumb is to always lift rather than push or pull down. Here are some tips for building confident touch:
In our workshops, we go over the anatomy of the face in great detail. We learn which muscles cause which expression lines and learn techniques to specifically address each of these areas. That creates our pattern and flow of work. I found students had trouble remembering the sequence, so I incorporated Styrofoam heads as part of our study. We literally get markers and number the sequence and regions on the heads. The students then take their heads back to their office where they can just glance up and be reminded of what to do next.
Let's face it, many of us received very little face training in massage school. This work, however, especially facelift massage, quickly is becoming a very large market. Boomers want it, and they have disposable income. From a business perspective, it's the smart thing to do. From a therapist's perspective, it's very easy to perform. That's a winning combination.
Click here for previous articles by Rita Woods, LMT.
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