resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
February, 2010, Vol. 10, Issue 02
Communicating the Importance of Frequent Sessions
By Ben Benjamin, PhD
Question: How do you get a person to come two or three times a week to work on an injury? It's often tough to get a client to come once a week.
Answer: I am often asked this question by practitioners who are new to orthopedic massage. Working on people who have pain and injury problems is quite different from performing relaxation massage. Relaxation massage therapy might be effective if the client comes once a week, twice a month, or even once a month -- depending on the degree of stress the person's body is under.
In order for orthopedic massage to be effective, the client usually must come a minimum of twice a week, and sometimes more frequently. However, the sessions often can be shorter in duration; they are frequently just 30 minutes long.
If you take the time to set the context of your work, getting someone to come two or three times per week is not that difficult. What do I mean by setting the context of your work? Most therapists are anxious to get the client on the table and start working on them right away. When dealing with a pain problem, that's not the best way to begin.
Before doing any hands-on work, it's important to establish the therapeutic relationship -- take a slow and thorough history, do an assessment with whatever testing methods you use, talk to the client about the type of treatment you suggest and give the person plenty of time to ask you questions. This is all I do in the first session. At that point, I tell the client I want them to think seriously about whether or not they want the treatment. I tell them that it's a big commitment. I also explain that I don't take on any client unless I believe I have a good chance of being able to help them. Then I outline how I expect the treatment to progress.
For example, I might recommend the client come for one-hour sessions twice a week for six to eight weeks. Once they start to show improvement, I'd cut the sessions down to 45 minutes. As they continue to show improvement, I'd see them once a week for a while, and then once every other week. Meanwhile, I would be teaching the client exercises to do on a daily basis, and in certain cases, I might suggest they see a nutritionist for some dietary counseling.
After providing all of this information, I ask the client to think about their decision for a few days and then give me a call. Only if the person has absolutely decided to get treatment and insists on making an appointment right away, do I go ahead and give them an appointment at the end of the initial assessment session. Proceeding in this way helps to ensure that before clients begin treatment, they fully understand and agree to the time commitment that is necessary to enable their injury to heal. If an individual has a financial constraint, I will, in certain cases, take the person on for a nominal fee. If my life doesn't permit me to do that at the moment, I will refer them to someone else trained in orthopedic massage.
Click here for more information about Ben Benjamin, PhD.
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