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Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
March, 2012, Vol. 12, Issue 03
Practice Building: Learning to Engage All the Senses
By David Kent, LMT, NCTMB
Patients are constantly evaluating their treatment experience utilizing a multitude of sensory stimuli including sight, hearing, smell and touch. The human senses can influence your patients to upgrade to a series of treatments, purchase additional products, refer others and, in some cases, the amount of your tip.Implementing systems that make your practice standout from your competition are fundamental to insuring success. There are numerous strategies to build your practice by properly engaging the senses of your patients. (See "Getting In Our Patient's Head - Practice Building" MT, January 2011.)
Whether you work performing out-calls, in a spa or in a clinical setting, you never get a second chance to make a good first impression. Visually, patients can learn a lot about your practice by looking online at your web and social media sites. They can read, see pictures and take a virtual tour of your practice. Make sure you keep posted information up-to-date.
Show patients you use professional grade supplies and equipment that have been designed and tested for the therapy you perform. Selling these professional products like lotions, oils, topical analgesics and exercise balls to your patients will generate additional income that adds to the bottom line. Patients purchase these products for self-care and give them as gifts to family and friends. Your appearance, equipment and facility from the entrance, reception area, hallways, bathrooms and treatment rooms must also be neat and clean.
Postural Analysis photos add a whole new meaning to the saying "a picture is worth a thousand words." Postural analysis photos can be utilized like doctors use X-rays, CAT scans and MRIs to evaluate, educate, design treatment plans and document progress. Smart phones, iPhones, tablets and iPads have a built-in high-resolution camera and screen, making them the perfect postural assessment and education tools. No special software is needed, simply snap a photo and instantly educate patients of the roll their high shoulder or forward head posture plays in perpetuating their pain (Photo 1).
Postural analysis photos are a great visual tool for attracting new clients and selling treatment packages. (See "Practice Building with Postural Analysis" MT, January 2012.) While wall charts are great, mobile therapists use flip charts to educate patients on a number of topics from muscles and bones to myofascial trigger points and the referred pain they produce. (See "Tools to Succeed for Massage Therapists" MT, May 2009.)
Before you begin treatment, review intake forms, listen to your patients subjective complaints, make notes and address their concerns. Check with the patient throughout the treatment session that your pressure is comfortable. (Photo 2) Another component to creating a stress free ambiance is sound or the lack there of. Listening to music wearing headphones while receiving chair massage in a busy location can have a major impact on the patient's experience. Be conscious of the words you speak and the tone in your voice, as they can also affect the patient's experience.
Just like the aroma of freshly baked bread is a powerful trigger causing many to eat, aromatherapy can be used during treatment to stimulate the mind and body to relax. (Photo 4) Essential oils can be used in numerous ways for aromatherapy in oils, lotions, creams, baths, inhalers and vapor diffusers. A moist warm towel is another way of delivering aromatherapy to the face, hands, feet and other parts of the body. Selling aromatherapy products to your patients can be another way of earning additional income.
The skin is rich in sensory receptors that transmit the sensations not only of touch, but also pressure and pain. The last time you touched a hot pot or stubbed your toe, you felt your sense of pain. The goal of treatment is reduce pain, not create it. Continually confirm with the patient during treatment that their positioning and your pressure is comfortable. Only after reviewing the patient's subjective complaints and performing the appropriate objective findings will you be able to determine the most effective treatment techniques to use during the session. Pillows and bolstering systems allow for a wide range of positioning options. Some electric tabletops go a step further when it comes to making patients comfortable with sections that adjust to various angles.
The temperature of multiple items must be monitored and adjusted to ensure patient comfort. The checklist should include the temperature of the: reception and treatment rooms, treatment table, lotions and oils (Photo 4). Remember the temperature of your cold hands can be a very chilling and unpleasant experience for a patient attempting to relax. Many pillows and gel packs are designed for use at various temperatures. Some can be placed in either the freezer and or microwave. These items can also be sold to your patients or included in a package of treatments.
The Bottom Line
Engaging the senses of your patients is a great way to standout from your competition to build your practice. Keep in mind, that how the patient "feels" about their treatment can trigger them to upgrade to a series of treatments, purchase products, refer others, and in some cases the amount of your tip. Make them "feel like a million bucks" and they will share their wealth with you.
Click here for more information about David Kent, LMT, NCTMB.
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