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Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Treating Our Veterans with PTSD
As July 4th, Memorial Day and Veterans Day continue to pass year in and year out, we honor our veterans from past wars with parades, BBQs and a day off from work, but our veterans live daily with the spiritual scars of war.
Eight Ways to Help Manage Your Content
You have just completed your last session for the day, checked your voice mail and emailed a new patient about their appointment, but something it gnawing at you, something you just can't quite put your finger it on.
Ancient Chinese Medicine Meets Modern Anatomy Dissection
Have you ever thought it would be beneficial to explore under the skin and examine qi deficiencies in every system of the body? Would you like to see traditional Chinese medicine diagnosis patterns as they relate to western biomedical symptoms and conditions?
MUIH Launches Doctoral Degree Programs
Maryland University of Integrative Health recently announce it will now offer doctoral degrees.
Hon Lee: Scholar, Warrior, Spy, Teacher and Healer
It was fun. Growing up in New York's Chinatown was like living in a Chinese village that had been transplanted to a five square block area in southern Manhattan. The thing I liked most about the city, and still do, is it's rich cultural diversity.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
The Art of Observation
How many of us spend time just watching our clients walk, climb in and out of cars, rise from a chair or navigate a flight of stairs? Spontaneity is the key. Along with a subtle ability to observe without the client knowing or being made to feel like a lab rat.
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
The Power of Vitamin K
You may have heard rumblings in recent years that vitamin K helps reduce the risk of osteoporosis and cardiovascular disease, and is administered intravenously by some integrative medical doctors who combine it with high-dose vitamin C in cancer treatment.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
Body and Skin Rejuvenation Through Inner Balance, Equals Outer Beauty
First of all, I will draw a line in the sand. You know how there is often a big divide between the methods of Western medicine and holistic or energy medicine?
Cultivating Our National Strength
The time has come to seriously look at the state of this profession and its influence in the U.S. Where are we? What has happened? Where do we go from here?
What TCM Never Had to Deal With
You probably started getting a sense of it when you were in school. The professors would talk about diabetes as "wasting-and-thirsting disease" and you had a thought that you didn't know anyone who was wasting away in any way, shape or form.
Behavior as Symptoms of Energetic Imbalance
Karen and Josh said they wanted me to help them fix their marriage. That is why they were sitting on the couch in front of me, complaining about each other. She was too domineering, he said, overly controlling and bossy.
Yo San University Celebrates, Supports Community Clinic
Yo San University of Traditional Chinese Medicine recently celebrated 25 years of teaching excellence and serving its community by awarding actor Pierce Brosnan the Robert Graham Visionary Award and raising money for its popular community clinic.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
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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