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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.
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.
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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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