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The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
January, 2010, Vol. 10, Issue 01
So You Want to Buy a Massage Chair
By Angie Patrick
Did you know a great way to market yourself as a massage therapist and become known in your community to those interested in massage is to work charity events or volunteer performing chair massage? Did you know this is an incredibly effective way to give people an opportunity to appreciate your talent as a therapist as well as afford you a pocket of time to develop a rapport in order to better your opportunity of retaining them as a client for further services? Did you know that there are professional massage chairs on the market ranging from under $200 to over $600? How do you know what you need? How can you be sure the chair you buy will best suit your needs? Let's take a look at the different uses for a massage chair, and use that information to determine how much chair you need to fulfill your specific needs.
There are many reasons a therapist will buy a massage chair. Some make the purchase for occasional charity events and promotional opportunities. Others purchase a chair to utilize as an adjunct to their regular table. Some opt to buy to add additional services to their spa or salon waiting room, and then there are those who utilize their chair for their full time practice and use it several times a day 5 to 6 days a week. Each of these needs differ in that they require different performance from the chair that has been chosen.
In this article, I would like to explore some of the options available on massage chairs and provide information that will enable you to make the appropriate choice for your own individualized purposes. I think a great place to begin is at the beginning: You have made a decision to purchase a chair. Now begins the research: which chairs offer the greatest adjustability; which offer a sternum pad; how do I adjust the seat; which is the lightest; which comes with a case with wheels; do I need wheels? How can I find a package deal, what IS a package deal? Do I buy on Ebay? Is a Craigslist chair good enough? Should I really buy firsthand at all, because I saw one cheap at the garage sale up the street...
OK, OK... Stop stressing already! Let's take it one step at a time... First establish your need.
Let's just say your intended use is for marketing yourself, your talents and your practice. Your goal is to obtain new clients for your regular practice. With this chair, you plan to attend charity events, fun runs, craft shows, etc. The primary use will not be for everyday use, and it is not your single source of income. Your potential clients will likely spend no more than 10-20 minutes total in the chair. All this being said, it stands to reason you may not wish to spend next month's rent or mortgage payment on this chair. Luckily, there are some very economical options on the market that can fit this niche nicely, while still not requiring a credit line increase on the old charge card.
You will likely find a chair that fits your needs in the $150-$250 price point. Usually, chairs in this area are not filled with a ton of bells and whistles, nor do they offer a wide array of customization and adjustment; however, for the purposes listed above, these chairs fit the bill! Light (usually made of light-weight aluminum), economical, and generally workable in functionality - these chairs will make it easy for you to start networking. Look for chairs in this price range to offer adjustable heights on the seat, adjustable slide sternum plates, and a dual adjustable headrest. These should also come with a carry case.
Mid- to High-End Chair
Now, let's look at the chair you need for more regular and rigorous work, as a primary source of income. Some therapists make a very nice living offering mobile chair massage. Many gain entire office buildings as their "turf" and can spend an entire day simply working in a single location. Clients do not often have the time they would like to visit a therapist, and they are oh-so-happy to have one come by the office for a half hour to an hour. Some forward thinking companies even hire the therapist for a block of time or per client in order to provide this wonderful benefit for their employees. If you take this theory and apply it to five days a week, you can easily see how the income can grow. Even if you do not cater to office buildings, there are other venues that have proven successful as well. If you live near a conference center, perhaps you could contract to provide chair massage for the trade shows that come into town. Additionally, many hospitals will allow therapists in at the request of a doctor, OT or PT. Perhaps you just open a kiosk at the mall, and work on passers by. You are only limited by your own ingenuity, and no matter how you slice it, you need a chair that can stand up to the daily repeated use you will be giving it.
These chairs, built with long-term, repeated usage in mind range in price from $250 and up. The mean average for a stoutly made chair is around $350 and can go as high as over $600. These chairs have far greater flexibility in the adjustments, providing greater comfort for the client and also allowing you greater access. Typically these chairs are made of rolled steel, carbonized fiber, and aircraft grade aluminum. The padding is better in that it is softer and more pliable, while providing elasticity and bounce back. The weight allowances are a bit greater in this price range, and can allow you greater flexibility in clientele. These chairs may also weigh a bit more than the more economy chair largely due to their being built to withstand far greater and repeated usage. In most cases, the mid- and high-end chairs have a virtually endless color choice, while economy chairs are typically limited to only five or six.
Forming Your Decision
Some details to consider before making your decision:
First, consider the foam systems and the density they offer. Economy chairs often have a foam system consisting of two ply. One at the base is very dense while a softer and plusher layer is affixed atop. While this provides comfort for its intended use, it can begin to break down if it is in a constant daily use scenario. Conversely, the higher end chairs have taken into consideration the need for the padding to withstand constant use, and are typically three-ply deep. Using this same principal of layering, the layer closest to the base if the most dense, while the middle layer is a bit more flexible. The top layer is often quite plush and provides a luxurious feel to the client.
Second, consider the frame. How much weight will it withstand? Can you easily go from working on children to working on larger clients? Consider who your target market may be, and make your choices with this in mind.
Third, think about adjustability. If you are using this chair for everyday use, you will likely opt for a chair with considerable adjustment capability. Some chairs are adjustable down to the knee pads, and I find chairs offering greater options are a stronger choice for the full-time seated massage therapist. You have a greater capability of customizing the massage experience directly to your client's weight, height and build. If your use is for occasional usage only, then the economy chair would still be a good fit.
Fourth, contemplate ease of use. Some higher end chairs are like trying to fold origami. Too many levers and complicated sequences can make a chair cumbersome, (albeit comfortable for the client.) The hope is you find something perfect for both of you! The economy chairs are not quite so complicated, and can offer great ease when you are on the road. Less adjustment means less knobs and levers. Determine your level of patience, and explore manufacturer's Web sites to get a better picture of the adjustments chairs can offer.
Fifth, does my chair come with a package? Most do. Most chairs on the market are paired with a carry case for the protection of the chair and for ease in mobility.
And lastly, we come to vinyl options. Most manufacturers are going "greener" in their offerings and provide vinyl with less noxious gas emissions. PVC-free vinyl will not expose you or your client to health risks such as exposure to phthalate (DEHP) and dioxin pollution.
One thing I would like to share, (and I cannot stress this enough) always be sure to buy from a reputable dealer of professional grade massage products. DO NOT SKIMP ON THIS. In the short term, it seems you will be able to save a few bucks and buy a chair secondhand. However, let there be an issue with breakage, or malfunction and you are wholly stuck with a broken and dilapidated used chair. This can set you back to square one, and you are out your initial investment in substandard equipment. When you choose a reputable dealer, you have the advantage of the resellers warranty as well as the manufacturer's warranty. Both are invaluable to you if your chair ever has an issue.
Chair massage can be a tremendous value to those looking for an add-on therapy, a means to market, or a way to earn a little extra money on the weekends. It can also be a lucrative full-time career. Just be sure to do your homework, visit the Web, check out and compare features, and then make your informed decision. Everyone has a different need, and I hope some of these tips can help you better define your own and give you a head start in finding the perfect chair for your individual needs.
Click here for more information about Angie Patrick.
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