resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
January, 2012, Vol. 12, Issue 01
Practice Building with Postural Analysis
By David Kent, LMT, NCTMB
Postural analysis photos can be utilized like X-rays, CAT scans and MRIs to evaluate, educate, design customized treatment plans and document progress. They are a great tool for attracting new clients and selling treatment packages and can help you build your practice by taking a quick postural analysis and delivering your objective findings using the technology carried with you daily.
Keep the process simple by using the camera and screen built into smart phones, iPhones, tablets and iPads, as they are powerful assessment and educational tools. They allow you to instantly take and review a series of photos. Showing patients pictures of their posture adds a whole new meaning to the saying "a picture is worth a thousand words" (Photo 1). The impact of patients seeing a picture of their high shoulder or forward head posture is very powerful. A lasting impression is made on the patients of your ability to quickly identify the musculoskeletal cause of their pain, provide visual evidence (objective findings) and provide a logical treatment plan.
Having photos taken can be stressful to anyone, so make patients more comfortable by letting them wear their regular clothing. To show the postural changes caused by wearing high heels, it is sometimes helpful to take postural analysis photos with the patient wearing and not wearing their shoes.
Prior to taking postural photos have the patient complete a health intake form that gives you permission. Photos should be treated as confidential medical records.
Viewing the mid sagital, coronal and transverse horizontal planes against the body makes it easy to spot asymmetries and a logical reason to use a postural analysis chart during assessments. The chart is most effective when used in conjunction with a weight or plumb bob suspended from a line. Hang the plumb line from the ceiling, approximately three feet in front of the posture analysis chart. This distance will allow clients of all sizes to stand between the posture chart and the plumb line without touching either one. The plumb bob should be suspended from the ceiling and hang approximately ¼" from the floor (Photo 2a & 2b). To get the plumb line out of the way and conserve space when not in use, simply hook it over one of the pins holding the chart on the wall. If your chart hangs on the back of a door, hook the plumb line on a hook next to the door frame (Photo 2c).
Position the patient's heels approximately shoulder width apart and equally spaced from the plumb line (center line). The plumb line will indicate the position of the midsagittal plane in the photos. Also be sure the client's heels are the same distance away from the posture chart to avoid creating a twist, torque or rotation in the body. By positioning the feet using the medial and posterior aspects of the heels, the client is free to rotate the lower extremities. Step back, align the plumb line with the centerline of the posture chart and take the photo (Photos 2a).
Position the client so that the plumb line is immediately anterior to the lateral malleolus. This position allows the plumb line to represent the coronal plane to the body. Ask the client to place their hair behind the ears to expose the external auditory meatus: an anatomical landmark used as a reference point to determine the position of the head to the coronal plane. Step back, align the plumb line with the centerline of the posture chart and take the photo (Photos 2b).
One front and side view photo, in many cases, is all that is needed to give a quick overview of your postural analysis findings. Photos make it easy for patients to understand the stresses their musculoskeletal system is enduring as you zoom-in on different postural analysis views and explain how your treatments can help. Reference the tables labeled Anterior View and Lateral View for the relationship of surface anatomy to anatomical structures (photo 4).
Have all the answers at your fingertips with trigger point, joint range of motion and muscle movement charts to explain the myofascial components of the patient's pain. Explain the relationship of your postural analysis and other objective findings to their pain (Photos 3).
Stand out from your competition and market how your assessments and treatments are special. Provide postural analysis as part of a package or to attract new patients. Build your practice by taking a quick postural analysis and delivering your objective findings.
Click here for more information about David Kent, LMT, NCTMB.
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