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The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
June, 2012, Vol. 12, Issue 06
Getting Better With Age
By Ann Brown, LMT
In the United States today, we can look forward to living longer than ever before. By 2030, projections show that one in five Americans will be over the age of 65. According to the U.S. Census Bureau, there were 50,454 centenarians (people age 100 or over) in the year 2000.By the year 2030, the number of centenarians is expected to reach more than 200,000 people. But why does this matter to you as a massage therapist?
The living-longer baby boomer generation (born between 1946 and 1964) represents a significant, potential source of business for you. Baby boomers aren't just getting older. They are looking for ways to stay active, healthy and vibrant. "Retirement" isn't in their vocabulary. Their focus is on getting better, not older.
Living a Healthy Lifestyle
Baby boomers have a need, not just a desire, for massage therapy in order to live the lifestyle they want and they have the disposable income to support their needs. According to the U.S. Census and Federal Reserve, 78 million Americans who were 50 or older as of 2001, controlled 67% of the country's wealth, or $28 trillion dollars (www.immersionactive.com/resources/50-plus-facts-and-fiction/).
For the baby boomers, massage is more than a luxury. As a spa director, I work to make sure our therapies and services go beyond the treatment table, because I want our spa to go beyond a treatment that they can take or leave. I want clients to understand how the entire spa lifestyle can support their desired way of life and is essential to achieving the activity and wellness they want to enjoy. For baby boomers, a spa treatment is not just a spa treatment – it's a lifestyle choice.
As a massage therapist, you have the opportunity to work with the same mission. Your offerings may be smaller scale compared to a full resort spa, but you can still consider the same spa strategies to make a healthy impression on your clients. Baby boomers are very concerned about their health. As a massage therapist, you can educate them on the benefits of massage to help them understand its potential for their health and quality of life. You know the benefits of massage: increased circulation, lowered blood pressure, pain alleviation, increased joint flexibility, reduced depression and anxiety and more. By educating yourself beyond the basics, with recent research concerning this age group, you can share and educate your baby boomer clients on how massage can impact their changing needs as they age.
For example, in a Brazilian study released in 2011, therapeutic massage was shown to decrease the severity of insomnia and anxiety-depressive symptoms related to menopause. A 2007 study at the University of South Carolina compared the effects of massage among older adults. The study found that adults 60 years of age and older who received massage therapy 50 minutes twice weekly for 4 weeks, experienced significant improvements in mood (decreased anxiety). Massage therapy is proven to enable baby boomers to feel good and do more. As a massage therapist, you have a great opportunity to help your clients realize the importance of massage and improve their quality of life.
Encourage Regular Visits
One of the keys to establishing a strong relationship with your baby boomer clients is to encourage regular massage visits. To help them make it happen, encourage your baby boomer clients to consider using a flexible savings account (FSA), healthcare savings account (HSA) or healthcare reimbursement account (HRA) to set aside funds and pay for their massages with tax-free dollars. Encourage your clients to check with their employer about one of these accounts if they don't already have one.
Your client will need to determine if a doctor's referral is required to use their HSA account for their massage sessions. Even if a doctor's referral is required, qualifying illnesses generally include carpal tunnel syndrome, stress, back pain, arthritis, diabetes, hypertension, fibromyalgia, chronic fatigue, anxiety, depression and pain management – a list that will somehow touch most of your clients in one way or another.
These types of accounts are often set up with employers in the fourth quarter of the year. Consider approaching local businesses at this time to discuss ways you could help set up a special series of offers for their employees, creating a wellness plan for employees to take part in. Structure a 12-month plan with options for one or two massages a month and an annual fee – one that is at a savings from your regular massage rate to incentivize the one-year commitment. Time the offer with the window during which employees can opt in to a FSA or HSA to benefit from the deadlines established by the employer and jump start your new clients' interaction with your business. As an added benefit for the business, you might offer free chair massages on a specific day, giving the company a great morale boost for their staff and creating an introduction for you. The 12-month plan doesn't have to be limited to local businesses, but you should look for ways to personalize your approach. Use such loyalty programs as a strategy to help your clients prioritize massage visits each month.
Ready to start now? Look at ways to bring a more comprehensive health focus to your practice. Search for ways to support the baby boomers' desire for overall wellness. A simple, no-cost, add-on you can implement in your service is a breathing exercise. Lead your client through a guided breathing meditation to begin the massage, increasing their relaxation. Let the breathing exercise start a conversation about how a massage is more than just a rub-down, but part of a greater wellness movement.
Stay proactive in your approach to help your clients find ways to make massage a regular part of their lives. They will physically and mentally benefit from the regular massage treatments, and you benefit from the solid, consistent appointment schedule.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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