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Cold and Flu Season: Expanding the Repertoire
As we move into the winter months, it is important for clinicians to have a solid working knowledge of effective herbal protocols for treating and managing clinical cold and flu presentations.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Yo San University Receives $1 Million Gift
Long-time Yo San University supporter Thomas S. Blount recently gave a $1 million dollar gift to the University, it's largest charitable gift to date. Mr. Blount was a retired naval officer, aerospace consultant and philanthropist.
The 2015 Nobel Prize Shines a Spotlight on TCM Research
Traditional Chinese Medicine continues to make it's presence felt on the world stage as the 2015 Nobel Prize in Physiology or Medicine was jointly awarded to William C. Campbell and Satoshi Omura for their work on combating parasites and YouYou Tu for her discoveries in combating Malaria.
Breech Baby: A Scientific Approach
You learned a classic cookbook style treatment strategy in college for treating breech baby presentation. I'm sure you've used it. The main ingredient: moxa at Urinary Bladder 67.
Create Community and Grow Your Practice
Many healthcare providers are fortunate to enjoy the freedom and independence of owning their own businesses. However, the constant demands can lead to a lonely and isolating experience unless you make an effort to get out of your office.
When I started to think about what I wanted to do, I toured different schools to choose where to pursue my original chiropractic education.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Are You a Stakeholder?
In today's world many new things are occurring, especially in the world of information technology. With these changes, comes an entire new set of vocabulary words and definitions.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
How to Market to the Medical Profession
The world of health care is changing dramatically. When situations occur that cause expenses to increase, it is time for you to develop strategies that maintain and grow revenue.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Building Community: A New Way to Socialize Your Practice
Social Media can seem like a slippery slope when, in fact, it is fairly easy to understand. With social media platforms, you can connect with current and potential new clients, build strong customer loyalty and increase brand awareness.
Detoxification Demystified and the Crucifers that Help
"Let food be your medicine and medicine be your food," is a quote often attributed to Hippocrates, a philosopher of the 5th century BC.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
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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