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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
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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