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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
July, 2011, Vol. 11, Issue 07
Team With Pro Athletes: A Win For Everyone
By Debbie Roberts, LMT
More than eight years ago, I started working with an up and coming baseball pitcher striving to make it to the major leagues. At 26, Scott Proctor was hungry, hard working and as determined as anyone I've ever met.
Proctor's first visit to my office was for a biomechanic assessment. During his session, we found some stability issues and I created a custom exercise program to address those issues and move Proctor from random "gym philosophy" workouts to a systemized exercise plan that met his body's specific functional needs.
His stability improved almost immediately and his game improved, too. But due to the stress of pitching, Proctor soon began experiencing a nagging anterior shoulder pain in his throwing arm that just wouldn't go away. After assessing his shoulder, I discovered that one of the culprits was the subscapularis.
As we know, subscapularis trigger points will fire to the anterior shoulder. So I began treating Proctor with a multi-disciplinary massage approach and within a couple of sessions, he was pain free.
From that point forward we began to work together as a team. During the off-season, Proctor trained with me and I used massage techniques to help him recover from the previous season. During the demanding baseball season, he trained with the team and I continued to treat him with massage therapy to help keep him at the top of his game.
Within a year, Proctor's pro ball dreams became a reality when he was picked up by the Yankees. One of the biggest testaments to the work we did together came when Proctor reported for his very first Spring Training assessment and the coaches and trainers couldn't find a single flaw with his stability or mobility.
Once he made it to the big leagues, Proctor's determination and dedication to the game were stronger than ever. When I recently asked Proctor how he thought massage therapy contributed to his pro ball career he told me, "The biggest thing massage therapy has done for me is just allowed me to perform at a high level each and every day."
"As a pro-baseball player," Proctor added, "we don't have five or six days off like they do in football and other sports that only perform once a week. We play 162 games in a 180 days and it's a very, very rigorous schedule.
"When you're sore, your command or your execution might be down for a few days. But with massage therapy, if you're continually getting worked on and keeping your body at that peak level of flexibility, you're able to compete at a very high level for a number of days in a row."
This consistent high level of performance led to Proctor becoming one of the most used mid-relief pitchers in Yankee history.
Working with Proctor and other athletes has been hugely rewarding for me. If you would like the experience of working with pros in your practice, here are a few tips to help you score the right clients.
Practice Step #1: Assessment
When working with pro-athletes you should always follow the assessment, treatment and muscle stabilization protocol (ATM(TM) for short).
That means the first step in working with an elite athlete is to assess what's going on with their body. As a massage therapist, you need to know how to take a thorough evaluation of every joint, from the foot to the neck. In this assessment, you are evaluating his or her competency of movement patterns and looking at the mobility and the stability of each joint.
Have you ever worked on someone who's floated off your table feeling so good that they seem to have completely forgotten their pain, only to call you the next day to complain that it's back? Well that's because on the table the client's muscles are not doing what muscles do when they oppose gravity.
One of the often-overlooked keys in assessing a client is that you can't just assess them on the table, you must take a functional assessment when they are opposing gravity.
The purpose of this evaluation is not to diagnose, but to analyze their needs. This is especially important with pro-athletes. Your athlete will need to perform at a high level of speed, agility, strength, endurance and quickness in their jobs. As a therapist, you must have the knowledge, skills and ability to evaluate all of muscles that will contribute to your athlete's performance.
Practice Step #2: Keep Learning, Keep Improving
The next thing you need to do to attract and work with pro-athletes in your practice is to keep learning and improving your skills. Pro-athletes are at the top of their game, and they want nothing less from their trainers, coaches and therapists. For this, one or two massage techniques are never enough.
When I asked Proctor what he would tell other pro-ball players looking for a massage therapist, here's what he had to say, "I think you really need to be selective in who you choose. Find somebody who has the knowledge, the certifications and the education to be able to work with an elite athlete. As athletes, our bodies need to be cared for a different way. You want to work with someone who you can trust. You want to know that what they are telling you is right.
"As a professional athlete, every day I'm striving to just take a step forward. If I find a massage therapist who is content with where they're at, I'm not going to work with them. To me, the biggest thing is finding a therapist who's hungry to get better in their profession."
So, if you're a massage therapist who would like to work with pro-athletes in your practice, the most important piece of advice I can offer you is to follow my motto: "Become an education junky!"
Learn from everyone out there and don't skimp on your education or think that you can't afford it. The truth is, you can't afford NOT to improve your skills and your training if you want to stay at the top of your game.
Proctor agrees, "I would tell the massage therapist who wants to work on elite athletes to just stay hungry. Always strive to get better. You're really only limited by how far you want to go in your studies and what you want to learn."
Practice Step #3: Getting Into Their Rhythm
One of the challenges of working with pros is that they have very demanding training and travel schedules. That's why if you're working with pros you must have an understanding of their seasons and their schedules, and your treatment plan must be in rhythm with where they are in pre-season, post-season and especially during season.
This requires dedication and flexibility on the part of the therapist and the athlete. Working with Proctor has at times required late night sessions and long trips on my part. To a certain extent, I've had to bend and maneuver my schedule to work with him. But it's required his commitment as well.
Proctor told me in a recent conversation, "Massage is one of those things that I know I need to do, so I've got to work it in. It's just like working out or any other thing I need to do for my profession. It's a big piece of the puzzle and one I know I have to make time for."
The Final Score: Results, Results, Results
The bottom line when you're working with pro-athletes is that they are looking for results. At the end of the day, if you don't deliver measurable results in their performance, they're not going to continue to work with you.
Rigorous training schedules and the demands of the sport can take a serious toll on the body of elite athletes. Your role as a massage therapist is to relieve their pain and keep them as healthy as possible.
"Baseball isn't a natural motion and especially the overhand throwing. Combine that with the contact in the sport and injury is almost inevitable," Proctor admitted. "I definitely have to use my body throughout my career and I feel that massage therapy has kept me off the operating table for a very long time."
Since we all know injuries do occur in professional athletics, another important skill you need to possess if you're working with pros is injury and post-operative rehabilitation. This skill can have a real impact on your clients.
"At one point right before my Tommy John surgery," Proctor told me, "I was in just so much excruciating [medial elbow] pain that I was almost going tell the doctors to go ahead and cut me. After three or four days of intensive massage therapy I actually ended up finishing the season healthy.
"Eventually I did have to have the surgery, but massage therapy helped me to continue to perform at a high level even with that injury. After surgery, there isn't a real big percentage of guys who make it back and compete at the same level that they were at before.
"I would not have made it back to the major leagues if it wasn't for the massage therapy. The therapy broke up the scar tissue so I could get my range of motion back. Because of that, I actually have a better range of motion now than I did pre-surgery."
A Winning Team
Working with Proctor and other pro-athletes throughout my career has taught me the importance of teamwork and the need for dedication to your profession. Every day I go to work, I strive to bring these same traits into my own practice.
For me, there's nothing more rewarding than working with a client who understands, values and appreciates the quality of the work we do together. Every victory my clients achieve on the field, on the court or in the pool is a victory for me as well. Not only do I get to work with people I admire, respect and enjoy, but I get to form relationships with friends who inspire me to do more, be more and learn more.
This sentiment was echoed back to me recently when Proctor said, "In you Debbie, I've found a friend, along with a colleague and a massage therapist."
And I couldn't agree more.
Click here for more information about Debbie Roberts, LMT.
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