resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
March, 2010, Vol. 10, Issue 03
Massage Tables Are Like Elegant Desserts
By Angie Patrick
It's true, massage tables really are like elegant desserts. The best ones have the perfect balance of sumptuous and delicious layers. Go enjoy a delicious gourmet dinner. Chances are the dessert tray will be filled with items sporting layer after layer of sheer decadence. More layers really equals more luxury and more indulgence.
However, this is where the similarities with your massage table end. I have seen some therapists who will place a sheet over a table and call it complete. This can leave a client shivering and feeling more than a little exposed. I have also witnessed other therapists create the equivalent to the Leaning Tower of Pisa in an effort to make the table more comfortable. This often results in the client fussing with the table covers and struggling to keep them in place while trying to roll over, or even worse, the coverings sliding to the floor completely when the client gets off the table due to ill fitting or inappropriate coverings not created for use on a massage table.
How do you know when enough is enough? How can you be sure you have not crossed the line between cocooning comfort and overcompensation for an uncomfortable table? Often, these lines can be blurred. Let's look at some of the regularly used table coverings in order of their layering on the table, and then you can utilize the information provided to pick and choose which would be appropriate for your specific applications.
Table warmers come in many different forms. Some are washable while others are not. Some are suited for treatments where they might come in contact with water and others are not made to withstand moisture. Before you choose, decide whether or not you plan to practice treatments that require the warmer to be water-proof. For instance, if your plan is to offer herbal wraps, you will most likely opt for the water-proof option for safety's sake. If your plan doesn't include treatments utilizing moisture and free-flowing water, then a regular fabric table warmer will work fine. In all cases, check to be sure the warmer has an auto-off feature. This alleviates the age old worry in the middle of the night as you sit straight up in bed, "Did I unplug the table warmer?"
Some models can be programmed to work continuously for up to 99 minutes, and then power down. This is a great feature, and one I personally prefer. It takes the guesswork out of whether or not the warmer will remain on for the full treatment. Given the average massage is 60 to 90 minutes, it should cover most treatments. The trick is remembering to reset it between clients so it does not power down in the middle of your massage. These typically are washable on the gentle cycle, although it is preferable to hang them to dry to better prevent the warming filaments from breaking.
Ideas for Added Padding
Fleece likely is the most popular and widely utilized plush covering. This covering provides additional cushion and a degree of comfort that a sheet on bare vinyl will not provide. Look for fleece with elastic corner holds or a fitted cover to secure it to the table. You have a couple of choices in the type of fleece you utilize. Some people only want wool fleece pads. Although these are very warm and cozy, they cannot be machine washed and some clients might have allergies to wool, which won't necessarily be disclosed in the intake form. I prefer the synthetic fleece because it offers greater flexibility in washing. It can be machine washed and dried in the dryer on fluff or air dry without heat. I would suggest a therapist have a few sets of fleece so they can be changed out between clients on a busy day. Now they are more affordable than ever before, ranging from $25 to $110 depending on the material you choose.
Another popular option for added comfort is memory foam covered in vinyl. This is a fantastic way to soften a hard table or elongate the life of one that is beginning to show wear on the padding. It usually is 2 to 3 inches thick and is made of visco-elastic material which reacts to body heat, conforming to the contours of the body. These, when covered with vinyl, are easily cleaned and offer a very comfortable foundation for your client. While not inexpensive, they can truly provide a luxurious feel to your table and extend the usefulness of a table in the beginning stages of wear, allowing an additional pocket of time before you must invest in a new table.
Choosing the Right Sheets
Once your warmer and choice of pad are in place, affix your fitted sheet to the table. The next layer is your top sheet. Please be sure the sheet sets you buy are appropriate for a professional setting. I have seen the occasional therapist use cartoon-character sheets fitting a twin bed on their professional massage table. The intent is to be cute and quirky, but the reality is you come off looking ill-prepared, childish and difficult to be taken seriously. Purchasing sheets appropriate for your practice is fundamental in being considered a professional. Be sure your sheets are in good repair, not stained and do not reek of old oil. This is more than a wee bit off putting, and can ruin the whole massage experience, no matter how expertly executed.
Your choice in sheet material is one that could require some additional thought. Although we all want an attractive and inviting table, being pretty may not be enough. Look for fabrics that are durable and can withstand repeated usage and laundering. Here are a few examples of the most commonly chosen sheet types, and reasons why they may or may not be a fit for your needs.
Poly Cotton: These are a blend of cotton content and polyester. These sheets are thinner and great in warmer climates. They resist wrinkling, although they are not wrinkle-free. There is little shrinkage, and they usually hold up well during laundering.
Muslin: Very thin fabric, does not offer much coverage for client modesty. These sheets might work well when used in wraps. Not a favorite among most therapists for everyday use on their massage table.
Cotton: Natural fiber, flat-spun fiber finish, and soft to the skin. For client modesty, look for sheets with 300-350 thread count. These are a bit thicker and offer greater coverage. Buy sheets a bit larger than your table to allow for inevitable shrinkage. These will launder well although they will wrinkle substantially if left in the dryer unattended after drying.
Flannel: A tried and true staple in any therapist arsenal. This is a natural cotton fiber that has been spun to allow fibers to be "unruly" and then brushed to allow fibers to loosen and become lofty. These sheets offer superb coverage and long wear. The more they are washed, the softer they become. Flannel is not gauged in thread count, but it is rated by weight per square meter. For durable flannel that will wear well, look for flannel with weight of 150 g per square meter or greater. These weights will launder well but will wrinkle if left in a basket after washing. Again, be sure to buy sheets large enough to accommodate shrinkage.
Bamboo: A new fiber in the massage-sheet arena. This fiber is incredibly soft to the touch. It feels almost silky and can provide a very luxurious feel to your table. It is also a nice "trendy" component to say you are using greener products. Even though there are several positive reasons to choose bamboo, it also has a few setbacks. It can be price-prohibitive in many cases, and it often can have substantial shrinkage and wrinkling if laundered in any way other than described on the packaging. It also is still somewhat fragile in its longevity, allowing the stitching holes to stretch and become somewhat unsightly. If you have the budget, time and opportunity to truly care for these sheets, they might be a good fit. If you are looking for a workhorse, you might decide to opt for another material.
In all sheets, you will want to be sure the pocket is deep enough to accommodate the table warmer, and fleece or memory foam pad, as well as the table. In the top sheet, you likely will wish to find something measuring 59 to 65 inches wide and 80 to 90 inches long. Not only will this allow nicely for any shrinkage, it will continue to provide adequate coverage for the client following laundering. This is why most household sheets for twin beds do not always offer a perfect fit.
The Proper Blanket
There are many schools of thought in regards to blanket materials. Again, it is driven by your needs and usage. I will provide you with the most common offerings, although there are many more on the market than I can list here.
Cotton Thermal: Likely the most widely used blanket in massage. It is loosely woven, thicker yarn cotton that will remain breathable while retaining warmth. It is prone to shrinkage and does have a tendency to become snagged. These are affordable and come in an array of designer colors.
Fleece: Softness is the hallmark of this fabric. It harkens to days when we were children and all things we snuggled with were fluffy and soft. It evokes an instant relaxation response and is widely used in the industry. It will launder well, although it is prone to shed in the first few washes. Most will not have appreciable shrinkage. These will also wrinkle, but not much.
Bamboo: This fabric makes a lovely blanket; offering softness and luxury to any table. This is not a very durable fiber so handling and laundering of the blanket must be done with care. It is prone to pilling, so it should be handled with greater care. It will also shrink if dried in a heat setting. Tumbling on low heat or no heat is preferred to extend the life of the blanket.
Down Comforter/Duvet: Incredibly lush and totally cocooning. It's downside is the expense and the upkeep of the duvet covers between clients. For a similar feel without the expense, look for down alternative comforters. These can also alleviate the allergy reaction to down.
Making Your Table a Sanctuary
Many therapists have different ideas about the way they would like their table to look and feel to the client before they climb on. Some would opt for a clean, luxurious spa feel with a crisp, white duvet covering a plush, down comforter. Others may prefer a world-traveler look, complete with colorful saris from India or Pakistan accompanied by a decorative pillow of silk or satin. Still others may opt for a more ethereal feel, with thin gossamer fabrics covering their table, lending it a cloudlike quality.
I have seen tables with flower petals scattered on them, or simply dressed with a bundle of freshly cut rosemary sprigs tied with a piece of raffia placed in the center of the table. I have seen the table scattered with chakra stones, as well as beautiful bowls of water with a Beta Fish swimming in it on the floor beneath the headrest for a lovely view while face down. Any one of these ideas can evoke a serene feeling of calm and relaxation. The truth is, there are no real wrong ideas when it comes to the decorative part of the table. Just, as in all things, present a professional appearance.
I hope these bits of information will be able to assist you in the decision of what to use on your table. The possibilities are truly limitless, and we have only scratched the surface here. There are more beautiful massage linens coming into the market every day and there are many great suppliers bringing these to the forefront. Enjoy the search, but always remember to present yourself, your practice and the supplies you use professionally.
Click here for more information about Angie Patrick.
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