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Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
November, 2009, Vol. 9, Issue 11
Practice Building: Taking Your Massage Practice to the Next Level
By David Kent, LMT, NCTMB
Many massage therapists are frustrated by how the current economic situation has affected their practice. They are having difficulty making ends meet while trying to find or maintain continuous employment. While most massage therapists love their chosen profession, many doubt their ability to sustain themselves financially in the field over the long term.
Sound familiar? There is hope! There are proven strategies to create an effective plan of action that will help you build a rewarding and financially lucrative career as a massage therapist. It starts with asking some vital questions and then using the answers to help focus your time and efforts in ways that produce positive results.
Clarify Your Goals
Free your mind by capturing your thoughts on paper. This will help you get organized and focused. Start by writing your goals, followed by the actions you need to take to achieve them. Be as specific as possible. For example, don't set a general goal: "I want to make more money." Instead, set a specific goal: "I want to make $10,000 more this year." Another general goal would be "I want to have a more regular treatment schedule," but a specific goal would be "I want to treat my clients on Monday, Wednesday and Friday between 9 a.m. and 5 p.m., and on Tuesday and Thursday from 1:00 pm to 7 p.m."
Create an Action List
Once you have specifically defined your goals, you will have a clearer idea of the questions you need to ask yourself to determine the actions you need to take to achieve them. Think about the following questions and answers related to increasing your income.
Question: What businesses in my area could also be referral sources?
Answer: First make a list of potential sources in your area. Depending on the modalities you practice, these could include chiropractors, physicians, physical therapists and health care providers; professional office complexes; health food stores; hotels; gyms; and hair and nail salons. After you have created a viable list, hit the ground running. Schedule an appointment, call or simply pop in for a visit to introduce yourself and explain what you do, how you can help and how to schedule an appointment.
Question: How can I educate my clients so they see progress quickly and become raving fans that refer their friends, family and coworkers?
Answer: Take a few minutes to perform a full evaluation, provide education and develop a customized treatment plan to meet each client's specific needs. Taking such measures will gain your clients' respect and confidence, earning you a reputation as a knowledgeable and skilled massage therapist. Integrate postural analysis photos and trigger-point charts into your treatment plans so that your clients will understand why they hurt and how you can help. Encourage your clients to commit to a series of treatments that will reduce and/or eliminate their pain. Other articles I have written on this topic include: Getting Comfortable with Postural Analysis (MT July 2008), Simple Answers Create Positive Results (MT May 2008) and Charting Your Progress: Visuals for Success (MT February 2008).
Question: Which clients and referral sources should I focus on to increase my income?
Answer: Typically, 20 percent of clients will produce 80 percent of your income and/or 20 percent of your referral sources will send you 80 percent of your clients. I have written several articles on this topic: The 80/20 Rule: Maximizing the Return on your Investment (MT March 2008).
Question: How can I ensure that my clients will come back to see me?
Answer: Nurture your relationships with your clients by making follow-up phone calls, sending "thank you" cards, offering treatment specials and showing a genuine concern for their overall health and well-being. Another article I have written on this topic: Building Raving Fans: Consistency is the Key (MT April 2008).
Question: What products can I sell to generate additional income?
Answer: Items like topical analgesics are popular with the public and have a 50 percent markup. It is important to realize that making just an extra $20 a week in profit from selling topical analgesics adds up to more than $1,000 in your pocket at the end of the year. One manufacturer will send therapists complimentary brochures printed with the therapist's name and phone number, as well as a sample of the product attached. This saves valuable advertising dollars while helping to promote your business.
Question: Who has the experience, resources and track record to help mentor and guide me?
Answer: It is very important to keep up on the current research in the field, as well as become familiar with the industry's movers and shakers. Continue reading professional trade publications such as Massage Today. Seek mentors who provide an array of resources to help you grow your practice, such as seminars and home-study programs, online resources, and products. For tips on designing empowering questions to help clarify your goals and determine the actions you need to take to get there, read The Power of the List (MT January 2008).
Once you have listed specific goals and the actions you need to take to achieve them, the next step is to create a timeline for completing each action. The word syntax involves the arrangement of parts or elements. The order of these parts or elements determines the outcome. For example, a phone number is a form of syntax. It consists of a series of digits in a specific order (area code + phone number). To call a specific person, it is necessary to dial all of the digits in the correct order or your call will not be successful. The same concept applies to your practice. There is a syntax, or order, in which you must complete each action to achieve your goals.
Question: What is my timeline to perform each action so I achieve my goals?
Answer: Write each step you need to complete on a calendar on the date you plan to start the task and the day you intend to complete the task. Be sure to schedule a date and time for each action. Plan a day to research online and then drive around to become familiar with the local businesses in your target area. Plan another day to write and practice what you will show and tell referral sources and potential clients about your services. I always carry a trigger-point flip chart with me so that I can show people that I understand their pain and that I can help. Be familiar with your charts so that you are able to quickly show pain patterns. Schedule several days to hit the streets to market your business.
Take a few minutes every day to work on attaining your goals. To succeed, you must consistently write down your goals and the actions necessary to achieve them. Then you must frequently review your action list and follow through. Each day, ask yourself: What are three items on my action list that I could work on today to help build my practice? Other articles I have written on this topic include: The Power of a Minute (MT June 2007), Consistency Breeds Success (MT February 2009) and Hire Me! Getting a Job in a Tough Environment (MT April 2009).
I hope this article has stimulated a few ideas and provided the motivation for you to focus your time and efforts in ways that will take your practice to the next level.
Click here for more information about David Kent, LMT, NCTMB.
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