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The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
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.
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.
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.
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 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.
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.
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.
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.
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."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
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."
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
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.
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.
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.
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.
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.
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.
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.
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.
August, 2011, Vol. 11, Issue 08
Is a Spa Right for You?
By Ann Brown, LMT
Here's what I find inspiring about massage therapists: Many of them enter massage school because they want something unique. They want to live a life that goes beyond cookie-cutter America.They can pick a specialty, learn it and get good at something that resonates with them. They can even tweak their craft a bit, make it theirs and then share what they can do with rest of the world -- on their terms. Many of them want to set their own hours and be accountable to themselves.
Graduating from massage school, they are ready to take on the world and do it their way. So why would a massage therapist go to work in a spa when they can be their own boss? Fast-forward five months after graduation. The therapist is now licensed, has gone through some national testing and is ready to work. They look around and see the other MTs they graduated with entering into private practice in the same market, plus they start counting up the number of established LMT practices.
The Associated Bodywork & Massage Professionals estimates 293,531 trained therapists provide massage and bodywork in the United States. According to the ABMP web site, some 50,000 therapists leave the profession each year – a desire for more clients is one of the top three factors they identify as contributing to that attrition.
In the face of competition, a massage therapist might start to wonder if they will make a decent living, so they look at job openings in the local paper and online. A spa is hiring and they think, "Is this what I want?" In my experience, most LMTs who haven't previously worked in a spa will walk into an interview with the same questions and fears:
As you can see, the list is long ... Massage therapists know what they want and they don't want to have to compromise. A lot of therapists carry around pre-conceived notions about working in spas. The spa industry has been stigmatized because it is a business and MTs are afraid of time management constraints and that corporate management will kill what they set out to do in this business – be free to make a difference in the lives of their clients. However, spas are in the same business of wellness that a general massage practice is. The end goal is the same: to positively impact the health and wellbeing of their clients.
One of the things that most LMTs don't know walking into an interview is what they can gain from the support of a spa. As a spa director, I have seen how LMTs can blossom in the right spa setting. One of the main keys to a successful spa career is just that – finding the right setting. Before you even go to your first interview, you should familiarize yourself with the different types of spas, because the benefits and procedures of each can vary greatly.
According to the International Spa Association, the number of spas in the United States totals 20,600 – a number that keeps growing every year. ISPA details seven different kinds of spas: club, cruise ship, day, destination, medical, mineral springs and resort/hotel. Check out the ISPA web site for the basic definitions. Each of these spa types has its own identity that a therapist might connect with. For example, if you have a particular passion for fitness, the club spa may hold an attraction for you. Or maybe a medical setting best fits your experience and expertise. Beyond surface descriptions, however, you should also consider the extra perks that each type offers.
For example, working at a small, privately owned day spa might allow you to keep some of your autonomy, but you are not likely to receive any benefits. At a resort/hotel spa, benefits such as sick days, vacation pay and health insurance are most often included in a full-time employment package, as the spa usually draws upon the HR strength of the larger organization behind it.
With that corporate strength usually comes a few more rules when compared to a small business. At a resort/hotel spa, you will likely be expected to adhere to policies regarding uniforms, non-compete clauses and appearances. You also might be asked to follow specific protocol for each treatment you perform.
Do these rules mean you have sacrificed your ideals and entered into the cookie-cutter massage business? The rules aren't in place because spas want to stifle you. They are there because a specific treatment protocol means the guests know what to expect each time they visit and the spa can more easily maintain standards of quality. Guests don't want to be surprised on the massage table and they are more likely to return to the spa when they are confident they are receiving the same treatment they signed up for every time they visit.
Just because you follow protocol, however, doesn't mean the spa wants you to mindlessly administer a massage. Intent is still the most important factor in making the difference between a so-so massage and a great one – that doesn't change if you are a self-employed operator or a massage therapist at a Ritz-Carlton.
In fact, one of the most notable benefits of working in a spa might be the opportunity you find to improve upon your talents. At a spa, you may be provided with advanced knowledge of specialized modalities that even better equips you to change guests' lives. According to the 2010 ISPA U.S. Spa Industry Study, 52 percent of spas provide paid education/training for their staff. While vendors often provide training, more and more spas are realizing the value of turning to independent organizations for advanced, professional education, and therapists working in a spa setting might find themselves learning from nationally recognized leaders in specific modalities – a level of training an independent massage therapist might find cost-prohibitive.
Spa Montage at The Montage Resort in Laguna Beach, California, is proof of the power of advanced education. Spa Montage therapists participate in a year-long American Spa Education and Certification Council training program to make them among the best in the industry. The proof? The ASTECC education has contributed to Spa Montage's earning Mobil's prestigious Five-Star rating for five consecutive years. If you are a massage therapist who wants to continue to learn and grow, post-graduate educational opportunities might be an important perk in your benefits package.
In addition to the obvious benefit of learning new skills, top-level education through a spa employer is often conducted in a group environment, illustrating the value of a spa's internal support network. By learning hands-on in a group, you are able to see colleagues at work, thereby opening up your perspective and leading to trading for services. Trading between therapists adds to proficiency as you receive good, qualified feedback regarding the modality you have learned from others on your team who are also working at perfecting the treatment.
If you are wondering if a spa is right for you, I encourage you to do your homework. Browse around www.experienceispa.com. Research a spa you might be interested in, and talk with the spa director. Spa directors want you to bring the same passion for massage therapy that you would bring to private practice, and while you might have to make some compromises, you might find that, in the right setting, the support of a spa can help you succeed beyond what you might be able to do on your own. Great partnerships are mutually beneficial!
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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