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Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
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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