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Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
April, 2009, Vol. 09, Issue 04
Make Your Client's Experience Memorable
By Jenn Sommermann, LCMT
A plethora of competition, coupled with a struggling economy makes for tough business times. There is no doubt that our massage industry has experienced a population explosion since the turn of the century and rivalry abounds. There are probably very few, if any, massage therapists who are the "only ones" in their town. Now we see competing spas and franchises opening up in record numbers at every cross street and massage schools turning out graduates in record numbers. Added to these quantitative challenges is a tough fiscal period. Most of us have been affected in one way or another. The weekly client may now only come every two weeks, or the monthly client may now only schedule for every five weeks. Some clients may have dropped out altogether, in order to pay for their higher priority items. It will get better but it's challenging now, to say the least.
What's a therapist to do? I know I paint a bleak picture and you may be wondering what can be done, if anything. In my opinion, it all comes down to the client experience and what your clients will remember about you. There's a saying that 'no one will remember your words or your actions, but they will remember how you made them feel.' Think back over your life and I am sure you will agree. The specifics about people, places and events may be fuzzy but the feelings linger. The feelings are what created the memorable experience. The same goes for a massage session. It must be memorable and lasting, in order for your clients to want to return. After all, isn't that what we want? Client retention is the key to business success. Turn your massage session into a memorable experience and your clients will return more frequently.
At this point it is necessary to objectively look at the services you provide, including the business side of your practice. The experience starts long before a client walks into your treatment room and unfortunately, this area is often overlooked. Instead, I see therapists flock to hands-on continuing education, adding modalities to their bag of tricks, in hopes of becoming more successful. While a varied arsenal of techniques is imperative, it rarely brings clients in your doors or gets them to reschedule. It is the "little things" that clients rave about, tell their friends and come back for. Below are some things to consider when assessing the experience you provide for your clients.
Assessing Their Experience
Is it easy to reach you on the phone? Do you actually answer your phone or at least, return a call within a few hours? This tiny detail is so critical to a client's happiness, especially in today's fast-paced world. It is easy for a client to just try another number or book with a therapist who calls back first. I recommend routinely checking voice mail and returning calls every two hours. Clients will leave messages if they know you return calls promptly.
Is it easy to find you? And are there clear directions for what they should do once they get there? Not all of us can afford an assistant to greet our clients when they walk through the door. Most of us have clients enter an empty room and wait. That's OK, but what is the atmosphere when they arrive? Is there something to read or clear instructions regarding paperwork? Do you have a sign directing them to the lavatory or to refreshments (water/tea or fruit)? This is precious marketing time and a great opportunity for your clients to read about other modalities you offer, products you sell or the benefits of consistent massage therapy.
I won't address the actual massage, as I feel this is so individual and personal. I am also not a technique coach and don't feel this falls into my area of expertise. That said, you must consider a few things regarding the treatment. Did you provide a place for your client to put their things? A hanger for their jacket? So simple but overlooked and often replaced by just a hook. I don't know about you but I don't like to hang my nice leather jacket on a hook. Is the room warm or cool enough. Nothing turns me off faster than being cold. With inexpensive table warmers, there is no excuse for a client being chilled.
Did you offer a music choice or a lubricant choice? Clients like some choices and control, especially on their dime. This is a joint venture. Include them in the process. You are not "doing a massage" to them; you are entering into a healing session with them. How much are you talking? Rule of thumb: answer a question but don't ask another one. Engage only as much as they want and don't initiate conversation. Silence is really golden and very healing.
What is the last thing that happens when you end a session? Do you ask for feedback? Rather than just ask, "how was your massage?" (which is likely to illicit a vague response), be specific. "Is there anything you liked about your session or anything you would like added next time?" Planting a seed about a "next time" is a powerful message. To that end, do you ask a client to reschedule? Do you offer water/tea or fruit? Do you offer the client any exercises or take-away information? I like to walk my clients out the door, instead of just saying goodbye and having them exit on their own. Somehow the image of me waving goodbye from the front door seems more hospitable and welcoming for their return. Again, simple but many of my clients have commented on it.
An experience means different things to different people. In a sea of massage therapists and with clients becoming more savvy and conscious of where they spend their money, it is imperative to create lasting memories. Look beyond the treatment to what else you offer; and if it is average, work to improve it. Simplicity goes a long way. Still at a loss of what to do? Go get a massage from someplace new. Be a detective and look at all the details of their practice. Does something stand out? If so, replicate it. If not, you at least got a massage and can be the role model for your clients.
Click here for previous articles by Jenn Sommermann, LCMT.
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