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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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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