resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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).
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.
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.
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.
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.
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.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
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.
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.
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.
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.
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.
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?
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.
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.
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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