resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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