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Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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 more information about David Kent, LMT, NCTMB.
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