Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
July, 2012, Vol. 12, Issue 07
Before Your Client Arrives, Catch Your Breath
By Teresa M. Matthews, LMT, CPT
The room temperature is ideal. The table height is optimal. The music is just the right genre and volume. The linens are clean, crisp and perfectly prepared. The lighting is soft and natural.The barely-perceptible essential fragrance rests upon a gentle current of fresh air. All stands ready for your client's arrival. Now, what do you do? Please ... catch your breath!
Both literally and figuratively, the best thing you could do for yourself and your client right now, is to take a moment (or two) and just breathe. I mean, RIGHT NOW, while you are reading this, become aware of your diaphragm and consciously direct your next breath deep into your abdomen. Feel better? Of course you do. Need me to remind you to breathe? Of course not, but don't you feel just a little more calm and centered? This is the beauty of the act of breathing.
The process of respiration is thought by many cultures, both Eastern and Western, as the essence of being. Look at the word itself: re - spiration. The root is from the Latin spiritus which means both "breath" and "spirit." Many other Indo-European languages use one word to describe both as well. For example, in Sanskrit, prana; Hebrew ruach; and Greek. Is there deeper meaning in deeper breathing? Perhaps, so let's explore.
A rhythmic process of expansion and contraction and the only bodily function we do both involuntarily and voluntarily, it is the bridge between the two components of the autonomic nervous system (ANS), the sympathetic and parasympathetic. As such, we can consciously use our breathing to influence the involuntary processes of our heart rate therefore aiding circulation, blood pressure, digestion, as well as other bodily functions. Consider the physiological responses our bodies have to stressors of any type or intensity; heart rate rises, we perspire, our musculature tenses and our breathing becomes rapid and shallow. "Flight or fight," right?
If this process continues over a long period of time, the sympathetic system becomes over-stimulated which could result in conditions such as high blood pressure, oxygen deprivation, inflammation and muscle pain, to name a few. By mindfully controlling our breathing, we can mitigate and in fact, reverse these negative effects. Just as chronic stress can lead to restrictions in the connective and muscular tissues in the thorax (and resultant decrease in the range of motion (ROM) of the chest wall, regular breathing exercises can gently address these restrictions, strengthen the musculature and increase ROM. Obviously, this is true for our clients as well as ourselves. Learning and using proper breathing techniques will lead to optimizing physical and emotional health in both the short and long term for practitioners and others.
Perhaps the first and most important consideration should be efficiency in breath control. This is best illustrated in the distinction between "chest breathing" and abdominal or diaphragmatic breathing. Chest breathing is inefficient because the greatest amount of blood flow occurs in the lower lobes of the lungs. The more oxygen in, the greater the transfer and better circulation of blood-borne nutrients to all of the tissues. The key here is conscious and controlled.
Rapid, shallow breathing or worse yet, unconsciously holding one's breath are obvious and profound health challenges. The good news is you can train yourself to become a "belly breather" and with regular practice will be doing so all of the time, even in sleep. Adapted from the audio book Breathing: The Master Key to Self Healing, by Andrew Weil, MD., the following exercise can be used for relaxation whenever and wherever you fell the need.
The 4-7-8 (or Relaxing Breath) Exercise
This is one breath. Now inhale again and repeat the cycle three more times for a total of four breaths. This exercise is a natural tranquilizer for the nervous system. It may seem subtle when you first try it but gains in power with repetition and practice. A small disclaimer here: This information is intended for your self-care. If prescriptive exercise is out of scope for massage therapists in your jurisdiction, consider bringing these exercises into your beautifully designed and executed treatment room as part of the session, not as any type of prescription. Breath-work can be seamlessly integrated into any modality. The benefits can be felt immediately and can hardly be overstated. So go ahead, take a moment and catch your breath. Stay healthy and enjoy!
Teresa M. Matthews, fitness expert and world champion athlete, has 30 years experience in the fitness industry. She is the president and founder of Health, Wellness & Fitness Professionals, Inc. and is the owner of Arlington School of Massage and Personal Training in Jacksonville, Fla. She is a sports massage instructor for the Florida State Massage Therapy Association and was awarded the FSMTA 2009 Sports Massage Therapist of the Year award. Teresa travels the country teaching self care and wellness classes. Contact her by e-mail at
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