resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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 more information about David Kent, LMT, NCTMB.
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