resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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'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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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 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.
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.
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).
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.
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.
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).
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.
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%.
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.
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.
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.
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.
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.
June, 2012, Vol. 12, Issue 06
When a Question is Not a Question
By Ben Benjamin, PhD
If you have a good working relationship with your clients, odds are, it's because you can speak openly to one another. Besides your hands, clear communication is the most effective tool you have to help your clients.By learning some simple steps, you can elicit ways to help them far beyond reducing their muscle tension, anxiety or pain. As in any conversation, the questions you ask are critical to obtaining the information you need to create an honest and effective relationship.
In my new book, "Conversation Transformation: Recognize and Overcome The 6 Most Destructive Communication Patterns," I discuss the four categories of questions that people ask. Two are useful when employed in your practice, and two are not, because they don't provide any useful information. This second type of question only serves your purposes, usually unconsciously, not that of your client. The two types of inquiries that will lead to frustration are leading questions and righteous questions.
You may ask more of these in your daily routine than you realize. These are opinions in question form, implicitly seeking agreement rather than new information, or no information at all. "Doesn't that stretch feel great? All my clients love it." Or, "Don't you think it would be better if you were not sitting at your computer all day? That's the problem most people have." With a leading question, you're conveying to your client that you want agreement with your assessment, rather than learning more about his or her individual needs.
These are attacks in the form of questions, expressing blame or indignation. Although you're not likely to ask a blatant form of a righteous question, like, "What were you thinking?" A more subtle version might be asked without your realizing the impact like, "Don't you realize what all that stress is doing to your body?" Your clients are looking to you for help in dealing with stress or a chronic problem. A righteous question chastises them for their lifestyle or blames them for what they probably realize are stress-inducing practices. These types of questions are likely to make your clients feel worse about themselves when they're coming to you for help and relief. The attacking nature of these questions is usually in the voice tone.
The two types of questions you DO want to ask, because they will elicit the kind of information that might help you to get to know your client better are broad questions and narrow questions. This may sound counter-intuitive, but both of these types of inquiries invite thoughts, proposals, conclusions and opinions that you may not have considered. First, is the open-ended question.
This is the largest possible funnel for information. You define the topic of conversation, but you don't put any limits on what the client might say about the topic. If you ask, "Before we begin the session, tell me how you are feeling?" You may get more insight than you expect. You might also be able to determine what's stressing them that could lead to fear, anxiety or prevent their body from healing an injury. You can narrow a broad question without getting too specific and your client will be able to give you a more specific answer in reply. For instance, you could ask, "Tell me how your new exercise program is going? Or,"How are you feeling about our work together?"
This is a much smaller way to funnel information. The answers are now strictly limited to "yes" or "no," or an isolated piece of data. You are asking for specific information like, "On a scale of 1 to 10 how much pain are you in now as opposed to two weeks ago?" If you turn a narrow question into a leading question, where you "lead" the client to a specific answer, the funnel gets even smaller. "Isn't that injured knee much better?" is a narrow and leading question that leaves only one acceptable answer, agreeing with you. While it's okay to get specific about determining your client's real needs, using broad questions will often help your client open up to you and feel comfortable being honest and forthright. Like most successful relationships, there has to be give and take, and your client needs to feel safe and free from judgment.
Remember, with most leading questions, and all righteous questions, the funnel for information is fairly blocked. Keeping your communication pathways open will serve you well. Open lines of communication are critical to creating a good client-therapist rapport, but they're just as important in all of your relationships.
Click here for more information about Ben Benjamin, PhD.
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