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A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
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 previous articles by David Kent, LMT, NCTMB.
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