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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
December, 2010, Vol. 10, Issue 12
Integrating Fitness Into a Massage Therapy Practice
By Ben Benjamin, PhD
Our work as massage therapists helps millions of people. By integrating exercise into their treatment plans, we can take their healing an important step further. All exercise programs should start with a thorough assessment.There are two types of assessments that are important to getting your client well and keeping them that way. The first is an injury assessment, which we have discussed many times in this column. The second is a movement or exercise assessment--and here is where we move into new territory. Very few massage therapists are skilled at assessing movement and prescribing exercise. This is unfortunate because movement assessments can provide valuable information about why your client got injured by identifying predisposing factors. Clients are often in pain because of an underlying weakness, instability, lack of mobility, and a poor understanding of how to move properly.
For example, let's say a client is experiencing low back pain. Normally, a massage therapist would perform soft tissue work around the hips, low back, and perhaps the psoas muscle and send the client on their way feeling a sense of relief. A few days may go by with minimal pain until suddenly the person begins to feel the same symptoms that initially led them to seek treatment. In contrast, if the therapist had the ability to perform an exercise assessment they could design a specific mobilization and stretching program (based on a range-of-motion assessment), teach the client how to execute a proper bend, squat, and/or lunge pattern, then teach them how to condition their body to support the demands of their work and/or sport environment.
Understanding Movement and Functional Anatomy
Understanding movement and functional anatomy will give you greater insight into how to address issues related to repeated injury, neurological dysfunction, inefficient motor control, lack of coordination, and overall weakness. The gift of exercise also has the added value of getting the client actively involved in the healing process.
It's important to figure out which form of exercise is appropriate for the client at the present moment, and which may be appropriate as the person gets stronger. If an exercise is too easy, the client will be bored and not progress. If an exercise is too hard, they will get discouraged and quit. Think of Goldilocks -- only if the program is just right for a client will they overcome the initial challenges and take to the program.
The integration of massage and exercise is important for the long-term health of our clients. So how can you gain enough knowledge about exercise to be able to incorporate it into your practice? The best way is to become certified as a personal trainer. There are a wide variety of certification programs available, and some are more helpful for massage therapists than others. If you'd like specific recommendations, feel free to contact me directly; I'd be happy to help you find one that will work well for you.
It's also important that massage therapists exercise themselves. This profession can be demanding, and if practitioners don't develop very specific kinds of strength and flexibility, they're likely to get injured - especially in their backs, wrists, and hands. There are many strength benchmarks that all massage therapists should meet to ensure success and longevity. With sufficient strength, flexibility, and knowledge of exercise and fitness, we will be better equipped to prevent injuries both in our clients and in ourselves.
Note: In some states, massage therapists are not legally permitted to prescribe exercises - another good reason to become a certified personal trainer.
Click here for more information about Ben Benjamin, PhD.
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