resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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 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.
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.
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).
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.
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.
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).
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.
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%.
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.
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.
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.
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 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.
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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