resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
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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