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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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