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North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
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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