Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
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!
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
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.
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.
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.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
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.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
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.
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.
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.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
September, 2012, Vol. 12, Issue 09
The Significance of Tissue Density Measurement
By Linda LePelley, RN, NMT
Massage therapists often struggle with the perceptions and beliefs expressed by others about the validity of massage therapy. Some massage therapists end up questioning the benefits of massage as well.It saddens me when I hear a therapist state that massage is just a "feel-good" experience. While there is nothing wrong with basing one's personal practice on providing relaxation massage, there are many therapists who dedicate their work to the relief of pain. Those of us who strive, and are able, to relieve our client's pain are often told that our results are subjective, therefore, "anecdotal."
It's been suggested to me a few times that the reason I'm successful at relieving pain is that I'm so kind and my clients like me. Supposedly my, "therapeutic presence" makes people feel better. Therapeutic presence is very comforting and beneficial, but it alone will not change a physical problem. I've also been told I possess "innate healing abilities." Some of us may have been seduced by the heady notion that we are magical healers, an idea that finds room for consideration when one cannot otherwise explain good results where others have failed. However, we do the profession a great disservice by cloaking our positive outcomes in ambiguity. Such is the stuff that quackery surrounds itself with, "mysterious ancient secrets" and the like. Better to acknowledge that while we may not know why a treatment works, we use it because it causes improvement. By studying and refining such treatments, perhaps the improvements can be increased and eventually understood.
It was during a devastating period of time when a medical condition caused me to lose the ability to walk that I became aware that palpable changes in tissue density (TD) are a reliable gauge of musculoskeletal pain. I was not willing to give up my massage practice, so I made adjustments to my clinic, such as removing the legs from my massage table to lower it and working from a seated position in a rolling task chair. I looked at what I was doing from a different perspective, and started trying new things that I would never have considered had I still been able to stand correctly and utilize proper body mechanics. I can laugh now, looking back at the dark days when I feared I would no longer be able to make a real difference in medical conditions such as arthritis, back pain, sciatica and other painful conditions. I believed I would have to relegate myself to doing relaxation massage, that I could only do, "feel-good" work. I resolved, however, to give it my all and deliver the most relaxing, best feeling massage each client had ever gotten. It was at this point in time that my work became most effective. Seated, and spending more concentrated time on a focused area, I came to recognize the subtle changes in the density and texture of tissues.
Painful, elevated TD can absolutely be felt by the therapist. Once a therapist has developed the skill of TD palpation, they can recognize problem areas before the client is even aware of them. It is not a psychic or intuitive knowledge; it is a universally assessable, measurable and documentable state of being which can be determined, recorded, and understood by any skilled clinician. Most importantly, elevated TD is restorable, and, once restored to normal density, pain is relieved and function often returned. This is what successful massage therapists have been doing all along. By narrowing the focus of whichever method we use that effectively restores TD; one can increase positive outcomes dramatically.
I think of the existence of elevated TD as a sort of, "Rosetta Stone." You may recall that it was the discovery of the Rosetta Stone that led researchers to understand the meaning of ancient Egyptian hieroglyphics. Upon it is recorded the same message in two languages using three different scripts, some understood at that time of discovery, the other, hieroglyphic, unknown. To over-simplify it, they were able to plug in what they knew about some of the writing and decipher that which was unknown. The association of elevated TD to a Rosetta Stone comes to mind when I think about conditions we don't understand, for example, the affect weather has on people with arthritis and old injuries. Science tells us that the complaints of pain that occur with changes in weather are subjective, therefore, are simple folklore and can't be proven. But "plug in" elevated TD as a factor, and there is an assessable, measurable, and treatable explanation. And, once recognized, it is undeniable.
Elevated TD results in tissue hardening and contraction, which can form various secondary compartments within the body. Our nerves become caught up in these formations and are subject to the stresses applied to the makeshift walls of these compartments by weather related changes in barometric pressure - similar to the discomfort we experience in our ears with changes in elevation. The severity will depend on the grade of TD involved.
Through the measurement of TD we can now provide consistent, corroborative, objective data about the condition of tissues before and after treatment. Combine that with a client's subjective statements, and the efficacy and benefits of therapeutic massage are provable. There is no longer justification for the benefits of massage to be questioned by doctors, clients or massage therapists. There is no reason left to deny the effectiveness of therapeutic massage, nor is there any acceptable excuse to decline payment for treatments.
Linda LePelley, RN, NMT is a registered nurse and licensed massage therapist with 19 years of clinical massage experience. She developed Tissue Density Restoration (TDR) Massage, an effective treatment for the pain found in hyper-dense tissues. For more information, visit www.MyHealingHands.com.
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