resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
October, 2011, Vol. 11, Issue 10
Survival Tips for Massage Therapists
By David Kent, LMT, NCTMB
Are you concerned about the potential length of your career as a massage therapist? Do aches and pains make you question how long you will physically last as a therapist? Are you having difficulty making ends meet while trying to find or maintain continuous employment? Do finances and other factors prevent you from changing careers? Read on to discover useful tips to help you survive a long and healthy career as a massage therapist.
Professional athletes prepare their physical bodies to avoid injuries. However, many massage therapists perform seventeen or more treatments, every few days, with little to no self-care. Massage therapists must train and maintain their bodies to avoid injuries and be prepared for the physical demands needed in the treatment room, whether during outcalls or performing chair massage.
What fundamentals of health do you discuss with your clients? Do you mention the importance of eating fresh, nutritious foods, drinking water to stay properly hydrated, adequately resting their mind and body, regularly stretching and strengthening, getting regular cardio exercise, the importance of receiving regular massage treatments? Are you "walking your massage therapist talk" and applying all the same concepts of health to yourself?
Is your self-care suffering because of time and or money? Would you like to avoid committing to an expensive gym membership? Does your work schedule or baby-sitting fees inhibit your self-care program? If you answered yes to any of the above, then now is a perfect time to get creative.
When was the last time you had a massage? There are many benefits for a therapist to receive regular treatments. You learn a lot every time you receive a massage. They help you stay connected to your profession, while caring for your body. Familiarize yourself with the different forms of massage, experience a few treatments in each modality to appreciate its unique benefits. Read Preparing for the Game (MT, January 2009).
If you fail to plan, you are planning to fail. Writing your goals and the action steps necessary to attain the desired outcomes is a powerful exercise. You must frequently review your goals, action list and follow through. The quality of the questions you ask yourself ultimately determines the answer your brain delivers, and this process drives your future behavior. For tips on designing empowering questions to help clarify and achieve your goals, read Taking Your Massage Practice to the Next Level (MT, November 2009) and The Power of the List (MT January 2008).
Committing a few minutes daily to achieving your goals accumulates over time into days, weeks and months of focused effort. Concentrate on the activities that provide the greatest return on your investment. Read The 80/20 Rule: Maximizing the Return on your Investment (MT March 2008) and The Power of a Minute (MT June 2007).
What makes your outcall, chair, spa or clinical treatment different from the others in your area? What triggers a client to reschedule, return and refer? Using the five human senses: visual (sight), auditory (hearing), kinesthetic (touch), gustatory (taste) and olfactory (smell) to educate your patients will leave a lasting impression. A well-educated patient is more likely to schedule regular treatments that can generate tens of thousands of dollars of income to your practice overthe course of your career. Read The Initial Treatment: Generating Thousands to Your Practice (MT July 2010) and Building Raving Fans: Consistency Is the Key (MT April 2008).
Stimulate the sense of smell with aromatherapy, while satisfying the sense of taste with fresh water or hot tea. The auditory learner in our patients needs to hear the: who, what, how and why of the treatment. The auditory sense of a person in pain is comforted when they hear confidence in your voice.
The visual part of our patients need to see postural analysis photos to understand how the symptoms of chronic neck pain and muscular tension headaches are being caused from a forward head and rounded shoulder posture. The visual part of us expects to be educated with muscular, skeletal, trigger point and other types of wall or flip charts. Read Practice Building: Getting Inside Your Patient's Heads (MT January 2011).
Spend wisely on quality products, keeping in mind the long-term return on your investment. You can save a lot of money by looking for value packages that bundle multiple items together. Having the professional tools to function is vital to your survival.
Are you looking for work opportunities as a massage therapist? Stay in touch with potential referral sources and employers by going to local massage schools, professional association meetings, conferences, seminars and researching the web.
Are you dressing the part of a professional healthcare provider? Take pride in yourself and your appearance. When you look good, you feel good and you present yourself to the world, potential clients and employers, in a positive way. Always have business cards ready and give them out so people can contact you. A variety of cost effective styles are available online or at local printers. Read Employment Tips for Massage Therapists (MT, June 2011).
Unlike professional athletes that have contracts that pay them even when they are injured or sick, the income of a massage therapist is often directly related to the number of treatments they are performing. Protect your personal investment as a massage therapist with the proper insurance policies.
Do you have health insurance for an unexpected illness or injury that could land you in the hospital, requiring a multitude of medical tests, specialists and surgery? Do you have disability insurance if you are injured and unable to work for months, years or the rest of your life?
Do you have professional liability insurance? This protects you if a client sues claiming you injured them during a treatment session. Therapists can be sued years after the treatment was performed so be sure you understand the differences between an "Occurrence" verses a "Claims Made" liability insurance policy.
Professional organizations serve many purposes, protecting your profession on a national and a state level. There is strength in numbers and it is important to join such organizations and support your professional rights. We must unite and flex our political muscle to uphold, adapt or pass the laws needed to protect our profession. These groups keep you updated on legislative issues and connected to your peers. They offer resources like: online therapist locators, newsletters, chapter meetings, conventions, insurance and the list goes on.
Clarify your plan, take action, assess your progress, be flexible, modify and adapt as necessary. I want you to thrive not survive your career choice of being a massage therapist. I hope this article has stimulated new ideas, motivation and potential.
Click here for more information about David Kent, LMT, NCTMB.
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