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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
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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