resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
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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