resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
May, 2009, Vol. 09, Issue 05
Tools to Succeed for Massage Therapists
By David Kent, LMT, NCTMB
In these tough economic times, how can you stand out above the competition so that clients will continue to spend their time and money on treatments with you? Well, it often depends on your ability to determine the root of your clients' complaints coupled with the effectiveness of your treatment and your ability to educate your clients about the muscular components of their pain.
This article will review effective, time-proven methods that work together to educate and empower your clients so that they will not only want to continue their treatments, but also play an active role in their own healing process. All massage modalities can be integrated with the tools discussed in this article in any type of setting, including spa, clinical or outcall practices.
Education is a necessary component of a client's overall treatment plan. Although one treatment may be helpful, perhaps a series of four, six or more would provide greater benefit. But in order to communicate this to your clients and help them recognize why committing to follow-up treatments makes sense, it is necessary for them to understand the processes of their body.
A client's initial visit should always include a detailed intake form that provides an overview of his/her current and past health conditions. Often this paperwork reveals clues by listing prior accidents, injuries, surgeries and chronic conditions. Additionally, maintaining written accounts of a client's health history helps protect you in the unlikely and rare event of a client lawsuit. Professional liability insurance covers you as a therapist in case you are ever sued. Remember to always seek authorization from the client's medical doctor if you are unsure about potential contraindications.
Visual Pain Scales allow clients to specify and document regions of discomfort, the type and intensity of the pain, and other complaints. I suggest you take the Visual Pain Scale into the treatment room, review it with your client, and place it on a stand so that you can reference it throughout the session. This also helps ensure that you remember to address all of your client's complaints, which a key factor in retaining a steady flow of returning clientele. Without the aid of documentation, it can be easy to slip into a massage routine and forget to address the very reason the client sought treatment in the first place (Figure 1).
It is said, "A picture is worth a thousand words." Postural analysis photos only take a moment to snap, but they can go a long way in helping you explain the stresses on various muscles and to show which muscles are shortened and over lengthened. Keep it simple, the camera and screen built into a cell phone would even allow you to show client's their forward head or high shoulder posture. Remember to always get permission to take postural analysis photos and treat them confidentially--as you would any other medical records (Figure 2).
Relying on Charts
Charts can help you explain to clients the function of muscles and demonstrate why some are stressed and painful. Portable flip charts provide a professional presentation in any environment and are easily moved from one location and/or treatment room to another. The best flip charts on the market are easy to use with logical formats and laminated pages to prevent oils and lotions from damaging them over time. (Figure 3)
Wall charts are also useful and easy to reference. If you are limited on wall space, you can invest in an inexpensive wall chart hanger system that allows you to hang and access up to 10 wall charts in a single space. Muscular and skeletal charts are useful in showing the symmetry that exists in the body. And a Postural Analysis Grid chart makes it easy--even for the layperson--to see the body's asymmetries in postural photos. And a muscle movement chart also gives the degrees of normal range-of-motion for each joint, which aids with the assessment and development of a treatment and self-care routine.
Trigger point charts, depending on their design, can assist in developing a comprehensive treatment plan that is both based on medical research and specific to your client's pain. (Figure 4 ). If trigger points are identified during the treatment session, a trigger point flip chart can also help you show clients their trigger point patterns while they are still on the treatment table. The formation of trigger points is often the result and/or cause of postural distortions that can be identified in the postural analysis photos, as well.
Using and Selling Topical Analgesics
Topical analgesics can help generate additional income without spending extra hours in the treatment room. Many clients use topical analgesics between treatments. There are several types on the market. One company offers free samples attached to a flyer with your name and contact information printed on it. This is also beneficial in promoting your business. Integrate the use of topical analgesics into your treatment routine and give your clients a few sample packs to use at home. Free samples often lead to future sales. If your clients want to buy a topical analgesic, it's better for you to make a few extra dollars selling it than sending them to the drugstore down the street.
At the end of each treatment, take a minute to review your findings with the client. Use their pain scale, posture photos, skeletal, muscular and trigger point charts to create a treatment plan. This would also be an excellent time to offer your client a package of treatments that has a financial incentive for them to commit.
Remember, people will spend money on care they feel will make the difference in the quality of their lives. You just need to give them the knowledge and the reasons to make an educated decision. Using the tools and systems outlined in this article will enable you to revolutionize and protect your practice in these tough times.
Click here for more information about David Kent, LMT, NCTMB.
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