resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
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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