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The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
May, 2012, Vol. 12, Issue 05
Practice Building: Systems for Success
By David Kent, LMT, NCTMB
As healthcare providers, we understand the concept of "cause and effect" as it applies to the systems of the human body. When one system is compromised, others are affected. For example, when the muscular system is stressed due to trauma, poor posture, overuse or improper biomechanics, it affects the skeletal system in numerous ways; from limiting joint range of motion to increasing joint pressure and creating dysfunctional movements that can permanently damage joints.For the body to be in a healthy state of homeostasis, all of systems must be balanced and working in harmony. This same concept applies to each interdependent system that combines to form the unified whole we call our practice. When one or more systems of our practice are out of balance, stressed or "dis-eased," the affects over time are cumulative and could even be fatal. It is of vital importance that you make the transitions and integrate the systems needed to build a successful, sustainable and profitable practice.
First, you must know where you are going. Effective long- and short-term goals are created with a system of asking quality questions and providing honest answers. This process will help you design your dream practice and identify the systems necessary for it to be healthy. See my previous articles on this topic: "The Power of the List," (MT Jan. 2008), "Massage Your Balance Act" (MT, June 2008), "Practice Building: Taking Your Massage Practice to the Next Level" (MT, November 2009), "The SMARTER Approach to Achieving Your Goals" (MT, February 2010), "Creating Your Path to Success" (MT, September 2011), and "Survival Tips for Massage Therapists" (MT October 2011). Once your goals are clearly defined, the management of time and money are next.
Allocating and utilizing time efficiently, inside and outside of the treatment room, is critical to the success of your practice. Begin everyday by taking time to assess, organize and plan the top three or four items on your goal list that are most important for you to accomplish throughout the day. See my previous articles, "The Power of a Minute" (MT, June 2007), "The 80/20 Rule: Maximizing the Return on Your Investment" (MT, March 2008). Asking patients the right questions and listening to the patient's response will save time and establish clear treatment goals. (Read "Questions With Direction" MT, September 2008).
Muscular, skeletal, trigger point and other wall charts are great visually aids or systems that save time during patient education. Portable flip charts provide a quick professional presentation in any environment and are easily moved from one location to another. (Read "Charting Your Progress: Visuals for Success" MT February 2008, and "The Initial Treatment: Generating Thousands to Your Practice" MT, July 2010.) Are you utilizing the technology available like an iPhone, smart phone, tablet or iPad, to save time and work most efficiently? These mobile devices let you make calls, schedule appointments, take pictures, read e-mail, do research online, get directions, watch videos, take payments and more.
Are you looking for a more efficient, time saving system for depositing money? Did you know there are services that let you take credit cards on mobile devices by attaching a free credit card reader? Your patients swipe their credit card and their money, less a processing fee, is deposited into your bank account. We all know the saying "a picture is worth a thousand words." Doctors have a system using X-rays and MRIs to quickly assess and educate. You can implement a system of taking posture photos using the built-in camera and screen of a mobile device. Showing patients a picture of their posture, leaves a lasting impression of your ability to quickly identify the musculoskeletal cause of their pain while providing visual evidence of your objective findings. (Read "Practice Building with Postural Analysis" MT, January 2012, and "Practice Building: Getting Inside Your Patient's Head" MT, January 2011).
Massage therapists can use postural analysis photos as a system to assess, educate and document a patient's musculoskeletal health. Accountants and bookkeepers have systems that provide a "picture" of the financial health of your practice. Posture photos make it easy for you to show patients their high shoulder or forward head posture and how they contribute to their pain. Reports are the "pictures" that make it easy to see the expenses creating financial pain. When people have muscular pain, it is logical for them to schedule a treatment with a massage therapist. The therapist will assess and educate their patients about different "systems" for maintaining muscular health that include: regular stretching, exercise, eating nourish foods, rest and massage therapy treatments. Similarly, if you are experiencing financial pain or want to avoid it in the future now is the time to schedule an appointment with an accountant or certified bookkeeping trainer. They have the education and experience to evaluate your practice and recommend the systems needed to develop and maintain financial health.
Other systems of generating additional income without spending extra hours in the treatment room is selling topical analgesics, pillows and essential oils. Many clients use topical analgesics between treatments. There are several types on the market. One company offers free samples attached to a flyer with your name and contact information printed on it. This is also beneficial in promoting your business. Integrate the use of topical analgesics into your treatment routine and give your clients a few sample packs to use at home. Free samples often lead to future sales. If your clients want to buy a topical analgesic, it's better for you to make a few extra dollars selling it than sending them to the drugstore or the Walmart down the road.
Throughout your career, if items like your massage table or massage chair are not properly maintained they will wear out quickly and need to be replaced, costing you time and money. Are you practicing what you are preaching to your patients? Your overall health is the most important component of all the systems that combine for your success. If you are not maintaining optimum health, other systems in your practice are affected and suffer. You only get one body and need to take care of it. (Read "Preparing For The Game" MT January 2009.)
These tips are based on decades of experience as both a therapist and clinic owner. Failure to anticipate and or react to competition, technology, or other changes in the marketplace will cause you to fail. Everyday focus on improving the systems needed to build your successful, sustainable and profitable practice.
Click here for previous articles by David Kent, LMT, NCTMB.
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