resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
November, 2011, Vol. 11, Issue 11
Unlocking Your Creative Power
Learn how to turn roadblocks into opportunities.
By Tina Dietz and Patrick Ingrassia, LMT
Even if you're living out your dream career as a massage therapist, chances are you've run into some issues. You might be really tired at the end of your day or getting sore while you're working.Maybe you're not making as much money as you'd like. Or maybe you're simply getting bored with the same old routine. The good news is, if you're encountering obstacles like these, you're not alone. Massage therapists face a number of similar problems in their careers that can be grouped into four major categories: boredom, fatigue, injury and income level. The great news is, you have a powerful tool you can use to overcome these four obstacles: creativity.
The first step in discovering solutions to the problems you encounter, whether in your massage practice or in other areas of your life, is to identify the specific problem you are trying to solve. Take some time with a notebook and write down exactly what is getting in your way. You may think you know what the issue is, but in the rush of day-to-day life it's easy to overlook important details that can lead to a better solution. A clear picture of the problem is essential.
After you've detailed the problem, envision an ideal result. What would it look like if this problem were solved? Be sure to capture the details here, too. You know where you are; this shows you where you're going. Once you have these two areas nailed down, it's time to brainstorm. What are some empowering actions you could take to fix this problem? Remember, during brainstorming, there are no wrong answers. Write down whatever comes to mind, no matter how silly it might seem at the time. One of those "silly" solutions just might spark the idea you need.
After you've brainstormed your empowering actions, it's time to choose one to follow through on first. It's important to choose one task to focus your energy on. It's easy to become overwhelmed by both the initial problem and all the great ideas you came up with to solve it. Don't let that become another obstacle! Choose one action, follow through, and then take the next step. If you need to adjust your strategy later, great. Creativity is all about adapting to new circumstances. By taking the time to gain some new perspective on whatever roadblock you're facing, you'll be able to find new ways around it.
Let's tackle the four major issues faced by massage therapists with some unique solutions. One issue that may come as a surprise the first time you experience it is boredom. This is your career, your passion — how could you be bored? But if you're giving the same session over and over again, eventually, it will get boring. How can you inject some creativity and keep your sessions fresh and exciting? Continuing education is one answer. Learning new techniques and modalities will keep your mind engaged and you inspired, so expand your toolbox. Maybe you'll branch off into a new and unexpected direction. Trying something new has a double benefit. You get to enjoy the new technique while also returning to what you knew before with fresh eyes.
Another answer to boredom follows easily from the first one: try mixing and matching different modalities. This will make for interesting massages and prevent you from always giving the same session. Customize sessions to fit your clients' needs. Each client has unique issues that can be solved with different massage tools. Finding the best combination of techniques and modalities to answer your clients' needs can be an interesting and even fun way to exercise your massage skills and your creativity. Your massage practice is about your clients, but it's also about you. One underappreciated area of personal expression in a massage practice is the atmosphere. What choices are you making in terms of decorations, lighting, music and scents in your massage environment? If you have an office, how often are you changing its appearance? Small changes in your surroundings can lead to big changes in your attitude, so consider shaking up your atmosphere when you start to get into a rut.
Maybe you're not bored with your massage practice, but you just don't have enough energy to get through your day. Enter the next major obstacle faced by massage therapists: fatigue. There are two major types of fatigue: physical and mental. Chances are, if you have one, it will lead to the other. When you're seeking creative solutions to physical fatigue, it's time to examine your techniques. Advance your application and knowledge of both body mechanics and ergonomics. Many people don't know the difference between the two. Body mechanics are all about how you use your body, while ergonomics involves the setup of the environment, such as your table height. Physical fatigue can be lessened by finding new techniques that are easier on your body. Get creative in your search—each body is different, so you may need to personalize. Find a friend who doesn't mind being a guinea pig while you experiment with the setup and techniques that work best for you.
Mental fatigue can be combated with creative methods for recharging. You could try taking a series of mini-breaks throughout your day. What feels refreshing for you? A five minute meditation? A quick dose of nature with a stroll outside? Maybe it's something fun, like listening to a comedy station or playing with a slinky. Again, experiment, and see what makes you feel best during your day. It can also be helpful to create a personal ritual you use to center yourself and prepare for a session. Do you feel best lighting a candle, playing a certain type of music, arranging your lotions and linens in a certain way? Do you need a few minutes of quiet, or do you want a chance to be chatty and get the excess energy out of your system? What you need might change from day-to-day, so don't be afraid to be flexible.
Fatigue can lead to injury, so many solutions for injury prevention are similar to the solutions for fatigue. Finding techniques that are easier on your body, as well as the methods that will fulfill your clients' needs better, will prevent injuries, both in the short-term and throughout your career. Also, finding new positions in which to offer massages, as well as using different equipment (tables, chairs, etc), will allow you to deliver more effective massages with less risk of injury. Are you using the same table you got when you were in massage school? Have you ever tried a different one? Have you adjusted the height of your table? Lowering your table will make better use of both gravity and your personal momentum. How about delivering a massage while seated? All of these elements can reduce your risk of injury. If you're not sure where to begin, there are a lot of great continuing education courses out there to help you get started.
Even after you've tackled these major issues, there's one roadblock that stands in the way of many massage therapists who just want to enjoy the career they love: income. At the end of the day, you still have to pay the bills. Fortunately, creativity is even easier to apply to this block than any of the others. It's what makes you stand out from not only your direct competitors (i.e., other massage therapists), but also from your indirect competitors: the other services your clients might spend their money on.
There are many creative ways to advertise and get the word out about your massage business. Have you tried creating a brief video showing off your practice to potential clients and posting it on YouTube? How about holding a contest inviting clients to show "how massage has helped you" on Facebook, and giving away a free session as a prize? You could also use a give-away, such as small tubes of hand lotion with your company information on the labels. Give it some thought and you're sure to come up with interesting ways to get attention for your practice.
There are also many creative solutions for bringing your clients back and making them feel more valued. Why not give away a handout explaining after-care that will help clients to get the most out of their massage? You could try offering clients a little refreshment after a session, such as a cookie, fruit, crackers, or something to drink. Maybe you could create an email-based appointment reminder system that helps clients to get to their scheduled sessions on time, and also reminds them to reschedule with you.
The other side of having a profitable practice is to open up other avenues of income. Why not add the massage chair as a therapeutic modality? Most therapists use the chair for events, and a few do corporate massage, but you can do outcalls, sports settings, trade shows, or even use it in your practice for daytime sessions. No oils are used, and you can provide up to an hour in the chair of therapeutic, full body treatment with the right training.
You can also try using retailing inside your practice as another line of income. For example, you can sell home self-care tools, such as pillows, lotions, aromatherapy kits and such. These methods can be combined: take a massage chair to a convention, art show, or other festival, and at the end of your chair sessions, have the lotion you just used on hand for clients to purchase. That way if they enjoyed the session you gave, they can have a way to "take it home."
There can be a lot of roadblocks to a successful massage career — boredom, fatigue, injury, and income level can be formidable obstacles. But with the application of some creative thinking, you can turn your roadblocks into opportunities. Identify your problem, figure out where you want to be, and then brainstorm the empowering actions that will get you there, one step at a time.
Tina Dietz, Director of Business Development for Nayada, is an educator, counselor and entrepreneur who helps individuals, communities and businesses to grow. She holds a Master of Science in Counseling and Education Development and has created successful high school to college transitional programs for hundreds of local educators.
Patrick Ingrassia, LMT, is a world-renowned massage therapist, teacher and innovator, as well as the founder of the Nayada Institute of Massage and inventor of the BodySaver Method™. Patrick graduated from the Florida School of Massage, earning his Thai Massage teacher certification from the Institute of Thai Massage in Chiang Mai.
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