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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
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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