resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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?
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.
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.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
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.
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.
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.
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?"
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.
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.
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.
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.
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.
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."
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.
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.
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.
July, 2012, Vol. 12, Issue 07
Five Ways To Create a Winning Relationship With Chiropractors
By Debbie Roberts, LMT
There I was, fresh out of massage school, working alongside chiropractors and physical therapists as the only LMT in a professional medical office. I remember working my tail off for $9.50 an hour in those early years. But I didn't mind the long hours and low pay at all because I was so happy to be doing the rehabilitation work I loved.
I've always enjoyed working side by side with chiropractors. Over the years, I've worked with nearly a dozen different chiropractors, each with their own specialty and their own way of treating the body. And with each one, I gained experience, knowledge and a lot of respect for the profession. This relationship with chiropractors has given me a valuable resource for information and referrals. In fact, one of the reasons I'm able to enjoy such a successful practice today is because of developing and maintaining these relationships.
Now, 14 years later, I still have a deep respect for the relationship between chiropractic and massage therapy. So, why is this relationship so historically contentious? I got a glimpse of the real issues when I had the honor of speaking at the Florida Chiropractic Association National Conference. With my background in a chiropractor's office, I'm always curious about what soft tissue modalities chiropractors are recommending. And I always like to ask their views about working with massage therapists. Not surprisingly, the results were a mixed bag. About 50% of the chiropractors I spoke with believe so strongly that bone manipulation is the answer that they dismiss massage therapy as a form of treatment altogether.
This isn't something massage therapists should take personally. In most cases, the chiropractor in question simply attended a school where soft-tissue work was not part of the protocol. The good news is, this is more of an old-school approach that is rapidly changing. The other 50% of chiropractors believe in the benefits of blending these two modalities to improve client outcomes. Yet even among these, there was a palpable hesitation around working with massage therapists, and an outright pessimism around hiring therapists to work in-house.
Unfortunately, when there is a divide between our two modalities, everyone suffers. Clients aren't getting the best outcomes, chiropractors aren't getting much needed support, and massage therapists aren't getting enough clients. So, here are the top five reasons chiropractors don't hire massage therapists and the simple strategies you can use to build a successful professional relationship with a chiropractor.
Although a chiropractor may believe in the benefits of massage therapy in theory, they've seen mixed client outcomes working with therapists. The solution is to hone your skills as a therapist. There are a lot of modalities out there. If you want to work with chiropractors, be sure to pick the ones that match this field most closely. Choose grounded anatomy courses first before more Eastern types of therapies. Many therapists believe that learning just one more modality or technique will give them an edge. This often comes at the expense of true mastery in any area. Here's a tip: Chiropractors aren't looking for the therapists with the most tools in their toolkit. They're looking for the therapists who know how to use the tools they have masterfully. And don't forget your anatomy!
Far too many chiropractors I spoke with felt therapists sometimes undermined their treatment plans. Here's what one chiropractor shared with me, "I hired a massage therapist because I knew patients would benefit from having soft tissue manipulation, but once I gave the referral, the patients stopped coming for chiropractic treatment. I found out that the therapist was even seeing patients in her home." When I asked the doctor if he would consider having another massage therapist in his office, he just shook his head, "Why should I hire another therapist, it doesn't benefit our office in the least." The solution is to show professional courtesy. When you go into an arrangement with a complimentary colleague, show that colleague the professional courtesy and respect they deserve. Honor not only the letter but the spirit of the agreement you've entered into and work as a unit for the benefit of your shared patient.
As massage therapists, we don't like things to feel too "clinical." We like for people to be relaxed and at ease. We love soft lights, beautiful aromas and enchanting melodies. But if you are brought in to work in a professional medical office, you've got to act the part. Here's what one chiropractor had to say about her recent experience with a massage therapist, "My husband and I were just getting our office started and thought it might be a good idea to have a massage therapist join us. We gave her a room and a very small rent, and she turned the room into a dark lit room with candles and incense. She came in poorly dressed and then one by one talked our clients out of chiropractic. We believe in soft tissue work, but the therapists really seem like they are on another planet. I mean once we gave her a place to work the relationship immediately changed. It was like we were the enemy."
The solution is to dress and behave like a valued part of their professional team. In the medical community that means being well dressed and well groomed. Don't transform your treatment room into a dungeon or burn incense that could bother other patients. Don't come in smelling like cigarette smoke. If you have tattoos, keep them covered. And don't ever undermine the physician that gives you the job or referral. Renting within an established space is like living under Mom and Dad's roof; you've got to respect their boundaries.
Without advanced degrees to our credit, it's sometimes hard for massage therapists to gain acknowledgement and respect from chiropractors and other members of the medical community. But that doesn't mean we can't play an important role in treating patients. The solution is to establish mutually beneficial relationships by letting everyone do what they do best. Chiropractors have the ability to run tests and determine a diagnosis for the patient. This diagnosis informs the treatment plan and allows therapists to achieve even better results for our clients because we know more about their condition.
This is a win-win-win. You get a new patient, the patient gets better and the doctor has a valuable therapeutic resource to offer his or her patients. The more the chiropractor trusts you and sees the results in the work you're doing, the more work he or she will gladly send your way.
I've had countless conversations with massage therapists complaining that chiropractors don't pay well enough. Many feel that the percentage is too low. Some even told me they thought chiropractors were making too much money off of their labor. We all deserve to be treated and paid fairly. And as a talented massage therapist, you should absolutely negotiate a fair agreement that you can feel good about. But there is one issue that massage therapists who feel that they're not being treated fairly often overlook or underestimate. And that is overhead. As a spa owner myself, I can tell you firsthand that this is something I always underestimated when I worked for others. But between rent, lights, laundry, insurance, taxes, marketing and the occasional "unexpected" expense, overhead can easily eat up to 90% of your profits. (No kidding!)
The solution is to negotiate a fair agreement for yourself and never complain or speak negatively about your compensation, especially in front of clients. If you feel that the agreement you have now isn't fair, ask to speak to the chiropractor about it. Set up a meeting to review your compensation. But keep the money talk confidential. Too much chatter about money, and too much complaining in general, will get you fired, let go or downsized. So don't do it.
Here's the bottom line: There's no doubt that when massage therapists and chiropractors work together everyone benefits. Use these tips to help you create mutually beneficial relationships based on professionalism, loyalty and trust. The results will be well worth it!
Click here for more information about Debbie Roberts, LMT.
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