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Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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