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Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
February, 2009, Vol. 09, Issue 02
Are Your Clients Trained?
By Jenn Sommermann, LCMT
Many of my students have been asking me about the economy and how it has affected my practice. I understand their concern and value their questions. I am also pleased that they feel comfortable enough to ask and are considering the future of the industry and how the changed economy is going to affect the bottom line. That's head-ups thinking and shows me my teaching efforts are paying off.
We have a candid conversation about the economy, where I think it is headed (not that President Obama asked me) and how my business is doing in these tough times. I am pleased to admit that my private practice has not suffered one bit. The reason is simple. My clients are trained.
There are two sides to the massage industry. There is the health care side of the industry and the personal care side. "Health care" encompasses medical massage, treatment of injuries and specific conditions, and massage for general well-being. This is by no means an exhaustive list. The "personal care" side of massage typically happens in spas and salons, on cruises or at resorts. The clients are not "regulars" and often schedule as a result of a gift certificate or special occasion. Both are necessary and valid models of care, and many massage therapists have their hands in both camps.
One of the most appealing aspects of being a massage therapist is variety and flexibility. The typical therapist has two or more jobs, so you often find an MT who works in both the health care and personal care setting. Other MTs have a preference and focus more in one area. Both are fine and acceptable; no judgment here.
The interesting point to make is that in these tough economic times, one of these camps has taken a "hit" and one has stayed constant. Can you guess? Americans, and people all over the world, have cut back on excessive spending. Much of that excessive spending falls into the personal care category. Getting your nails done or having highlights put in your hair can wait an extra week or two, or be tabled altogether. When the choice is between a good manicure or food, the right decision seems clear.
Health care, however, is an area that people have not skimped on. The dollars spent on getting well and staying well has remained constant and unchanged, and I believe that is the key to being recession proof. Taken to another level, the trend has been to spend extra money to stay well in the first place.
Training Your Clients
Here's where the training comes in. My clients are "trained" that the care I provide is health care. Now more than ever, it is important to stay healthy, not get sick and miss work, not throw out your back, and keep your musculature strong. This is not the time to skimp on massage dollars. You've heard the saying, "penny wise and pound foolish"? That applies directly to paying for regular massage as part of health care and preventing sickness or injury in the first place. The average client will save time away from work and money if they consider and use massage as part of health care.
The easiest way to "train" your clients that massage and what you provide is health care is to decline tips. Turn away money? Yep. Something as simple as declining a tip sends a message to your client that you are not a personal care provider. Just today, I was given a $10 tip. I kindly gave it back to the client, thanked her for the compliment and told her the best compliment is the referral of family and friends. She had a puzzled look on her face and I further informed her that I consider myself an allied health care professional. "Just like you don't tip your doctor or psychotherapist, I don't accept tips either. If I considered myself a personal care provider like your nail technician or stylist, I would happily accept the tip." She was blown away, but understood. Within minutes, she booked another appointment for two weeks later.
There is no doubt about it: Tough economic times are here for a while. People will continue to cut their budget and personal spending. However, I think you can recession proof your practice by positioning yourself on the side of health care. "Train" your clients by educating them about what you do, how you do it and how it can help them.
Click here for more information about Jenn Sommermann, LCMT.
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