resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
January, 2012, Vol. 12, Issue 01
Desexualizing the Touch Experience, Part II
By Cherie Sohnen-Moe
In the March 2011 issue of Massage Today, I wrote about the importance of desexualizing the touch experience and the proactive measures to help prevent clients from crossing your boundaries.I focused on the steps you can take to project a non-sexual image in your marketing materials (business name, email address, brochures, business cards, website) and telephone conversations (creating scripts and handling inappropriate calls). In this follow up, I would like to explore ways to create a safe space and desexualize the massage experience with clients.
Your appearance is an outward representation of your professional standards. Make sure your image projects competence and doesn't sexualize you. Dress appropriately for the working environment, maintain good hygiene, keep jewelry to a minimum, don't wear heavy perfume or cologne, and avoid provocative or revealing attire. Some examples of inappropriate clothing are: tank tops (especially for women); short shorts; shirts that show cleavage; shirts that expose the midriff; shirts that have questionable statements or provocative images; tight pants. Remember, your attire isn't meant to be a distraction or a loud statement.
Office space varies from a room in a professional complex, a free-standing building, a clinic, a spa, to a home office and mobile on-site locations. Many practitioners work in several types of office spaces.
Practitioners often choose an office location based on what's close to where they live or where they can find a good deal. From a marketing perspective, choose a location that's convenient to the majority of your target markets. Most importantly, choose a location where you and your clients feel safe. Check out the location at different times of the day. This is particularly crucial if you plan on being open in the evenings or on weekends. For instance, let's say you are considering renting space in a large complex. During the days there is a constant flow of people in and out of the building. This feels really good to you. You drive by at night and you only see one light shining in a window and a single car in the parking lot. That sight most likely doesn't elicit feelings of safety or comfort.
Establish a professional space. Sight, sound, smell, touch and imagination all have the potential to arouse. Often times practitioners attempt to set up a very relaxing space with dim lights, candles and soft music. These can be wonderful, but they can also send confusing messages — particularly to new clients or people who are in a vulnerable state in terms of their romantic relationships. Ideally, start with the room fairly well-lit and ask clients if they want the light dimmed. You can also offer them an eye pillow. Choose music that is soothing, without being sensual or romantic. You can never know what scent might trigger a sexual response in clients, but in general, avoid heady aromatherapy scents such as rose, musk and patchouli. In general, it's wise to be judicious with scents, as many people have allergies and sensitivities to fragrances.
Create a comfortable, yet professional treatment room. Use high-quality equipment and supplies. Keep extra linens handy for additional draping needs. Consider hanging anatomical charts and other posters that are health related. Limit your displays of personal photos and keepsakes.
When doing outcalls, set up a space that feels like an office. I recommend you have a hard case on rollers that holds your supplies. When you set up the table, also arrange your supplies on top of the case. This helps to make the space look a bit more office-like. Avoid setting up your treatment table in a bedroom unless you are working with an injured or ill client.
General Safety Precautions
If you feel threatened, leave the room and call the appropriate authorities. If you are in a spa or clinic, go directly to the front desk. If you are in a private office, leave the building. If you are doing an outcall session, leave the premises — you can return later, accompanied by someone, for your equipment and supplies. (See the September 2010 Issue of Massage Today, "When a Client Crosses the Line," for detailed information on this safety precautions.)
The manner in which practitioners interact with clients holds many potential cues. Depending on the actual type of hands-on treatment, the specific factors that could allude to sex include: degrees of nudity; the manner of draping; the positioning of the client; the type of touch; and lubricants such as oils and creams.
Many factors effect how a client reacts. Set the tone for professionalism from the outset. Greet clients with a smile and a handshake. Use appropriate language. Make sure that your words can't be easily misconstrued as suggestive. Choose words carefully when describing a client's body and use proper terminology for anatomical structures. Also, be conscious of body language: sometimes just a smile can make a client feel aroused or even scared. Immediately take control of the situation if a client attempts to sexualize a session verbally or physically (see September 2010 Issue for tips); don't let it escalate.
Do thorough pre-treatment interviews on first visits. Discover clients' long-term goals, as well goals for the current session. Work together to determine the course of treatment. Next, explain what is going to be done and why. Obtain written informed consent in the first session and additional consent when changing a treatment plan or working on or near sensitive areas. Keep accurate records and let clients see that you document your sessions. Give explicit instructions regarding the articles of clothing to be removed and the draping procedures. Allow privacy for disrobing.
Express confidence in your work. A hesitant touch could be easily misinterpreted. Apply lubricants with a firm touch and avoid dribbling them. Also, be careful about body contact during sessions. Avoid stray touching or movements. Position yourself in a manner so that only your extremities come in contact with clients' bodies.
Massage therapists are responsible for creating and maintaining a safe environment for clients and themselves. This is done by proactively working to ensure that the touch experience is not sexualized. While the tips in this article can't guarantee that a client won't get sexually aroused or act inappropriately, they set a foundation for a professional, safe, desexualized environment.
Click here for previous articles by Cherie Sohnen-Moe.
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