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Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
September, 2011, Vol. 11, Issue 09
Creating Your Path to Success
By David Kent, LMT, NCTMB
To establish a reputation as a skillful massage therapist, with a talented array of techniques, requires consistency in a few areas over time. To become that therapist and design the practice of your dreams, you must be clear as to the knowledge, professional image and experience needed to achieve those long and short-term goals.This article will take you through the process by providing insightful questions and examples to help you clarify the steps and ignite the motivation to follow through on the actions necessary to create your path to success. Refer to "The SMARTER Approach to Achieving Your Goals" and "Practice Building: Taking Your Practice to the Next Level".
Your ability to assess your patients symptoms, communicate your findings and design and implement effective treatment plans is easy when you understand how the body works and have the professional support tools to do your job. Mastering these skills and support tools can greatly influence if a patient reschedules, upgrades services, purchases a multi-session package, refers others and in some cases the amount of your tip.
Specialized areas of study are an excellent way to create a reputation and set you apart from the other massage therapists in your area. For example, since 1992 to the present, my continuing education involves dissection seminars at the University of South Florida College of Medicine in Tampa. The knowledge from these seminars is applicable to all forms of bodywork. The decision to make the investment was easy since the percentage of healthcare providers who perform a human dissection during the course of their education and training is relatively low. I understood taking part in this unique learning experience created a special bond among its participants in the healthcare community.
I have met many physicians over the years that attended the College of Medicine in Tampa. Sharing that I studied anatomy in the same dissection lab is a great icebreaker that gives me further opportunity to develop an ongoing professional relationship — and a referral network.
Therapists who have taken a human dissection seminar have a definite advantage over those who have not. For one, physicians and other healthcare providers know that if you have taken a dissection seminar, you are committed to learning. If you were a doctor and had a choice of therapists in which to refer patients, do you think knowing a therapist attended a dissection seminar might influence your decision? What if you were the consumer? Would that level of advanced training influence your decision to see him or her?
There will be situations when your current schedule, location or finances prevent you from taking the seminar of your dreams. Your next option is to order the home study materials for the course. This gives you the freedom to watch and review everything anytime, anyplace, before and again after attending the seminar. Invest in well-organized programs that include manuals and other visual aids like charts that make the learning process easy and support your treatment sessions.
Ask yourself, what specific seminars or home study programs must I invest in now to achieve my long and short-term career goals? Then write a list of the seminars and home study programs and next to each item write the date you plan to accomplish this goal.
Presenting a professional image takes place on many levels; from how you speak and dress to the assessment and education tools you utilize. Read "Practice Building: Getting Inside Your Patients Head".
Besides the many talented skills in your hands, one of the most powerful tools a massage therapist holds is in the palm of their hand: an iPhone, Android, Smart Phone, iPad or Tablet. They allow you to run your business. You can make calls, schedule appointments, email, research online, get GPS directions, take payments and watch videos.
The built in camera lets you take still photos to document posture or video for range-of-motion and gait. The large screens let you zoom in to instantly assess and educate your patients. We all know the saying "a picture is worth a thousand words." Doctors utilize X-rays, MRIs and other imaging to educate patients, design treatment plans and document progress. You must use tools to take postural analysis photos to document and educate patients regarding how the effects of their high shoulder and forward head posture does indeed create myofascial pain and trigger points. The camera allows you to record video footage documenting dysfunctional movement patterns assessing their entire body during gait (Photo 2). Read "The Initial Treatment: Generating Thousands to Your Practice".
This Charts are a powerful visual tool that demonstrate your ability to understand the patient's pain and develop an effective treatment plan. Charts help you instill a comforting level of confidence to your patients as you explain the connection between their pain, limited range-of-motion, posture, trigger points and how your treatments help.
Charts are a phenomenal way to introduce a clinical presence to any treatment setting. Charts are engaging and provide a perfect visual aid for patient education. Hanging in each treatment room of my clinic is a postural analysis, skeletal, muscular, range of motion and full set of trigger point charts. I even have the same group of charts hanging in my reception area and use them when answering questions for the public that stop to inquire.
If you're a mobile therapist you might want to invest in flip charts to educate patients and present a professional image during outcalls, chair massage, health fairs or any time wall space is not available.
Ask yourself, what specific visual aids must I invest in to achieve my long and short-term career goals? Then write a list and next to each item write a target date.
It will require a little practice getting comfortable presenting the image of a confident healthcare provider. Part of this involves wearing certain attire and answering questions while referencing specific visual aids.
Practice taking posture photos and zooming in on each image to assess a forward head or slumped rounded shoulder pattern. Postural photos show which muscles are shortened, and which are lengthened contributing to neck pain and or back pain and how your treatments can help.
Learn how to properly use your charts to educate patients so you can show visual pain referral patterns of trigger points for common complaints like headaches, neck and back pain. A skeletal chart will aid with correlating trigger points and posture.
Practice by going out and "cold calling" a few miles from your ultimate target area. Pick multiple plazas to go introduce yourself and tell them who you are, what you do, where you are located and how you can help. After a few days, you will be amazed how much better and comfortable you will be answering the questions and referencing your educational tools. Now it is time to target your market.
Congratulations, reading and completing the steps outlined in this article was a major step toward creating your personal path to success. There is big difference between knowing what to do and doing what you know. Keep this list close, review your list frequently and take daily action. Your professional career investments must be wisely focused to be effective. Enjoy making your practice unique and setting it apart.
Click here for previous articles by David Kent, LMT, NCTMB.
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