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Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
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 previous articles by David Kent, LMT, NCTMB.
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