resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
March, 2011, Vol. 11, Issue 03
Massage the Chiropractic Connection
Practice Building for Mutual Benefit
By David Kent, LMT, NCTMB
Marketing your skills, as a massage therapist, to chiropractors can be beneficial to both parties. Massage therapists approach chiropractors frequently for full or part-time employment.So how do you set yourself apart? What unique skills do you, as a massage therapist, bring to the practice?
Since the mid-1990s, I have been presenting at chiropractic conventions. Often the topic involves integrating massage therapists into chiropractic clinics. This article will discuss various ways massage therapists can market themselves as a beneficial resource in a chiropractic office. Use the examples in this article as a guide to customize a working relationship with a chiropractor in your area.
Clarifying your targets and outcomes at the beginning of every project is imperative. For tips on designing empowering questions to help clarify your goals and determine the actions you need to take to get there, read "The Power of the List" (MT, January 2008) and "The SMARTER Approach to Achieving Goals" (MT, February 2010). Achieving your goals is easier than you think when you implement a few straightforward time-proven strategies.
Chiropractors offer you a unique way to learn while you earn. Typically, they have more extensive training in the human body and how to run a business. Look for locations that have good signage (visible to large numbers of people) and where they treat a large amount of patients that could benefit from massage therapy.
Ask yourself: Are you really in a position to make a legal obligation like signing a multi-year lease on a commercial office space? Could you fulfill the financial commitments of security deposits, insurance, rent, utilities, office equipment, furniture, and signage before you even open the doors to treat the first client?
Working with a chiropractor can remove many of the obstacles massage therapists encounter when trying to start or maintain a practice totally on their own.
A chiropractic clinic is a unique environment that allows you to learn, under a doctor's supervision, while treating individuals suffering with a variety of conditions. Another reason for working with a chiropractor is the security of a regular working schedule and paycheck. Each of us is faced with different circumstances and working with a chiropractor may be perfect for this stage of your life and career.
The Internal Revenue Service (IRS) determines if you are an employee versus an independent contractor. You should talk to your accountant for the specific details. Be sure to follow all the laws and codes of all governing authorities. Depending on your employment status, benefits may include health insurance, an annual amount toward continuing education and/or paid holidays.
Each chiropractor will have their own way of running their practice and integrating a massage therapist. The role you play in the practice will change over time based on your knowledge, experience, communication skills and the doctor's comfort level with your abilities.
Massage therapists can offer much more than hands-on therapy to the practice. They can play an important role in maintaining long-term patient loyalty with existing patients, as well as attracting new patients to any chiropractic clinic.
Gift certificates for holidays and special events are another way for the public to be introduced to the services at the clinic. So what else can a massage therapist bring to the practice?
A free postural analysis that includes digital photos and a consultation, could be offered to new and existing patients. The offer should be limited in duration or connected to specific treatment packages. This is similar to a chiropractor offering a special with free X-rays and spinal exam.
The massage therapist could perform the entire service start to finish. (Read "Practice Building: Getting Inside Your Patient's Head" MT, January 2011.) Initially, the doctor might want to play an active role, teaching the therapist to deliver the postural analysis findings to the patient in a specific manner.
In this case, the therapist will position the patient in front of a postural analysis grid chart and take digital photos from different views with a camera built into a device like a smartphone with a large screen or any digital camera. Then, the doctor will deliver the report of findings, zoom in on the photos to show a forward head posture or high shoulder for example, set goals and lay out a treatment plan that includes massage therapy when appropriate.
Massage therapists also play a support role by further educating and reinforcing the information presented by the doctor. They have the time with patients during therapy sessions to explain how muscles position bones in space, effect posture, range-of-motion, and the role trigger points (TrPs) play in causing pain.
The same model used during the postural analysis findings can be implemented with TrPs. The doctor can tap the skills of the massage therapist to provide patient education about TrPs. For specific pain conditions (temporal headaches or lumbar pain) either the doctor or the massage therapist can show the patient each trigger point pattern related to the specific pain zone. (Read "Headaches: Trigger Points and Practice Building" MT, August 2010.)
It is suggested you also connect the muscle to the postural analysis findings and its relationship to a vertebral subluxation. Present a clear and logical explanation of the treatment strategy with well-organized trigger point charts that display the muscles by compartment, superficial to deep. Laminated trigger point wall and flip charts allow you to use a wet erase marker to circle specific images and customize the treatment plan.
Under a chiropractor's supervision a massage therapist may be able to help with resistance training, exercise balls, reviewing self-care techniques and other activities.
The combined sales of all services and products in the clinic contribute to its ultimate success. Product sales are another way a massage therapist can help the clinic. The reality is many patients are buying other products at large outlet stores. A therapy session is a perfect opportunity to introduce patients to topical analgesics, and hot and cold packs. Providing patients with a little education on how a topical works, a complementary application and a few sample packets to use between therapy sessions can create a long-term buyer.
Over time, the sales of these items add up. Facilitate purchases by placing a display case featuring the different application types in each treatment room, reception and checkout counters.
Your massage career will evolve over the years and working for a chiropractor may be part of that journey. Determine your goals and the actions you need to take to achieve them. Set yourself apart, from the other therapists seeking employment, by showing the unique skills you bring to the chiropractic practice.
Click here for more information about David Kent, LMT, NCTMB.
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