Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
October, 2011, Vol. 11, Issue 10
Nurturing Touch for Pediatric Cerebral Palsy
By Tina Allen, LMT, CPMMT, CPMT, CIMT
Working with children teaches you many things, and makes you realize that being fully present is the difference between a positive session and one where nothing is accomplished.
his is extremely important when you are working with someone who is nonverbal. You have to work together to find the best way to communicate. Of course, you should inquire as to any methods a family or healthcare team is already using to communicate with the child. However, as a massage therapist, your first thought might be of the tactile sense. We should actually use all of our senses to make that first connection.
The opportunity to work with children who have been diagnosed with cerebral palsy has presented me with many occasions to communicate with children in a variety of ways. Some of my clients have specific ways they move their eyes to signal yes or no. Others can give you their version of "thumbs up" or "thumbs down," while some use communication devices or a few words. It is important to establish communication when providing massage therapy. Not only to explain a session or positioning, but also to establish rapport and request permission prior to applying nurturing touch. In order to provide massage for anyone, especially a child, you must have their express consent.
Many people believe that if someone is nonverbal, you cannot communicate with them. This is obviously not true. Our work is founded in communicating in a nonverbal manner. We use our first language, touch, to really communicate with our clients. I've probably learned some of most valuable lessons working with clients who speak in a different way.
Cerebral palsy is a non-progressive disease, meaning it does not worsen. However, there are many conditions that develop as a result of cerebral impairment. Remember that the child is a child with a diagnosis. The diagnosis does not give you the full picture. Take the time to really see the client.
A child with cerebral palsy might present with very mild symptoms or a combination of symptoms.
Some of these symptoms and conditions include:
As with any diagnosis, it is important that we meet our client and consider an individual approach of what they might need. One big consideration is positioning. Children with cerebral palsy experience spasticity. In addition to touch, positioning may increase spasticity as well.
Pediatric massage is also more effective with a foundation of strong communication. So, working with children who are nonverbal creates a special opportunity to connect through touch. Once you have established this connection, your hands-on work may provide a multitude of benefits.
The benefits of massage for children with cerebral palsy are unquestionable. These potential benefits include:
As much as the physical benefits are important, the emotional benefit of providing nurturing touch for a child that has been exposed to repetitive medical interventions is profound. Even if a child hasn't had numerous medical interventions, when a child appears unlike others, many people in our society treat them differently. In our culture, people fear those who look, act or sound differently from themselves. Many times, isolation and depression are side effects of being "different" than others.
The best approach with cerebral palsy is to realize massage therapy is not a cure, but can be an effective non-invasive intervention to address the various symptoms that are associated with this diagnosis.
One little boy I worked with recently showed me this first hand. During my work in orphanages in Vietnam, his eyes called to me. Immediately, I noticed he was so severely contracted and lying in one position that there were wear marks in the wooden slats where his body touched and wore out the wood. As I lifted him from that crib, I wondered what he was thinking. Doing my best to explain, still I wondered if he understood I was there to do no harm. Using nurturing massage and some range of motion, I tried to loosen his tight muscles and frozen joints. This proved a challenge to find any movement. We spent a majority of our time making eye contact, while I held him, rocked him and spoke to him. It wasn't long before he laughed. He laughed, it was amazing! He understood my safe touch, funny faces, songs and stories. It didn't matter that we didn't speak the same verbal language. He understood through touch and eye contact. I wasn't initially sure if this little boy understood what was happening, but now I knew that he did. My dear little friend now knows someone in the world loves him enough to hold him and treat him just like another child. He is not different from another child. He just needs love, attention and nurturing to find his childlike giggle.
Sometimes, it is not so much about using our hands to affect muscle tone, increase range of motion and ease constipation, but rather to make a connection and allow a child to feel relaxed enough to laugh.
Click here for more information about Tina Allen, LMT, CPMMT, CPMT, CIMT.
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