resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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%.
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.
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).
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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 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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
December, 2012, Vol. 12, Issue 12
Connecting with Your Clients with Intent
By Ann Brown, LMT
Historically, spas were established as places for healing. Even though they have since evolved into a luxury industry, healing is still at the heart of what we do. Look at the menu offerings of destination spas, resort spas, even day spas and you'll find treatments that go beyond manicures, pedicures and massage.From guided hikes and meditation, reiki and crystals, spas strive to provide life-changing experiences as they help guests address concerns on physical, mental and spiritual levels. However, when you want to provide a healing experience, the number and diversity of treatments on the menu are not as important as working with intent. With the prevalence of technology in our lives today, your massage clients and spa guests alike have lost touch with their lives, leaving them searching for fulfillment. Your work as a massage therapist, when performed with intent, goes beyond simple strokes to provide impactful therapy for your clients.
Making Honest Connections
People today have less and less time to really connect. Massage provides grounding and the physical touch that so many people need. Whether visiting a spa or a private massage practice, many are looking for relaxation, not help for specific strains or aches, so it is really important to find out their needs. To offer the kind of massage experience that brings your clients back for more, you need to be in tune with their needs, but first – you need to be in tune with yourself.
Providing quality spa education to therapists has been a mission of mine for a long time. Nothing surpasses the significance of education when trying to impact customer satisfaction, but while we can learn new strokes and techniques, technical practice may still be lacking something. As a spa director, I want my massage therapists (and all of my staff) to be at the top of their game and I know that education and awareness is a big part of achieving that level of service.
As a therapist, your personal focus and growth impacts how well you serve your client. Your personal intention in the massage therapy you provide translates in your service to your client. Anyone who has had massages from different therapists understands how intent plays a role in the delivery and the level of quality. You don't learn intent. You won't find it on massage school curriculum or evaluated on your licensing exam. Intent is your concentrated focus on the client. It is a connection transferred by the physical action of your strokes and touch upon the client, but one that stems from a deeper place inside you as you reach out to help your them.
Massage therapy is an interesting industry. It's not a first-choice career for most of the therapists in it. The American Massage Therapy Association reports that 83 percent of therapists enter into massage therapy as a second career. Massage therapists, by nature, are caring, nurturing people, drawn to a massage therapy career by the desire to help others. If you are one of those who entered the profession as a second career, is massage therapy a calling for you? If so, now that you are here, now that you have clients on the massage table, do you feel a purpose, a clear vision for your next step? Do you know what you are going to do now that you are here, at this new place in your life?
By choosing a new career, a new life path, you re-invent your life, making changes as you search for fulfillment and happiness. Richard Leider, a former member of the International Spa Association (ISPA) Foundation Board of Directors and ranked by Forbes as one of the top five most respected executive coaches in the world, calls it unpacking and repacking. Because massage therapy is a helping profession, I think unpacking is important for us to know not just in terms of ourselves, but what that means for our clients as well. I was first introduced to Leider through ISPA a few years ago, and I was fortunate to get to know him. You can see his true passion for life in his eyes and hear it in his voice. I've found that his books, philosophies and teachings really resonate with me and with the spa and massage therapy professions in general. I found Leider's lessons to be extremely helpful in my own life and want you to consider how they can apply to your own life and massage therapy practice as well.
Leider is the author of several books, including the international best-seller Repacking Your Bags: Lighten Your Load for the Good Life, co-authored with David Shapiro. Leider stumbled across the notion of considering if what we carry – evaluating if the material things and craziness that we pile on ourselves – will bring happiness while he was on walking safari in Tanzania. A new friend, a Maasai village elder, showed fascination with the high-tech tools that Leider, outfitted with the best gear, was carrying. Leider unloaded his backpack with pride to show the elder the impressive materials. The Massai elder, after looking at the gear, asked one simple question that got to the heart of what today is Leider's teaching to others. He asked, "Does all this make you happy?"
We're all on a journey, looking for the good life. The question is what are we carrying with us along the way? What does the good life mean to me, and what am I going to need to get there? Leider teaches that we all follow predictable paths as we grow and mature, a cyclical series of changes that each move us farther along the path. We encounter our own unpredictable twists and turns, but the over arching sequences and stages of our life are universal.
At Phase I, we sit at a plateau. Life is generally pretty good and running smoothly. We're satisfied with our relationships, work and personal, content with where we are. Phase I comes with a potential danger, however, as we may become too set in our ways and are content to stay on the safe path for too long. We may avoid growing. We may not want to do the work required to move up and on.
Phase II is the trigger phase. Whether we like it or not, something knocks us out of that safe zone. Suddenly we are unbalanced and forced to re-evaluate our lives. Triggers may be death, divorce, work changes or deep losses, but they aren't always traumatic. They may also be spiritual awakenings, new relationships, changes in children's lives, retirements and decade birthdays (40, 50, 60 and so on). For me, a few of the most significant triggers in my life were getting married and the births of my two children. Triggers are wake-up calls, according to Leider.
We enter limbo at Phase III. Leider says, to protect ourselves from the chaos initiated by a trigger, we go into suspended animation, withdrawing emotionally. We lack knowledge and understanding of what our life is going to be in the future, and we are left numb and confused. In limbo, we don't know where we are supposed to go next.
Next comes the unpacking phase, Phase IV. When we unpack, we look for that direction we lacked in limbo. We look for answers, solutions that will fulfill us. We explore – new relationships, books, travel, coaching, job renewal. In the unpacking phase, we may be happy and excited one day but depressed the next. We are still confused, but we are seeking the answers that will bring us happiness.
Phase V is repacking. Unpacking and searching drains our energy, so we find relief in repacking. We take charge. We make decisions that will reinvent ourselves. We turn attention to other areas of life we may have neglected. Right or wrong, we make decisions. We move on and eventually find our way back to plateau. Does this cycle sound familiar to you? Did a trigger move you into an unpacking stage, that brought you to re-invent your life with a new career in massage therapy? Leider's stages fit my own life, as I look back at the health challenges and revelations that moved me from a high-paced, money-motivated career in sales to discovering the rewards of working in the spa industry. I look back and see how my father's death – another trigger – initiated change in my personal relationships. We continually hit plateaus, fall off them and then figure out how to climb back up. The goal is to reach higher levels of purpose, life awareness, self-worth and happiness at each new plateau. Our journeys, including all the good stops and bad, have purpose.
When we move with awareness through the sequences of life, we realize the dangers of the plateau. You may have re-invented your life with your new massage therapy career, but that doesn't mean you've found the end-all answer to happiness. Big or small, triggers will come along that force you to once again reevaluate how and where you are. The key is to recognize them as triggers. Awareness will help you to make good moves as you look at the different paths before you and reevaluate your vision in life.
In this industry, continuing education is required. We've embedded a structure of growth and learning, but you need to look at education as more than a requirement. Expand what you are learning to assess more than your hands-on skills. Evaluate where you are in life and where you want to be. Ask the question, "What does the good life mean to me?" The strength that you may find as you move through Leider's sequences of life will bolster the relationships you have with your clients. You have the opportunity to impact others through your work as a massage therapist. Isn't that why you chose this career? Consider what you are carrying, what you are bringing into your practice, and how it impacts or serves your clientele.
In the spa industry, we see guests enter who look like they have it all. The stereotypical guest is affluent, dressed in the best. But they are searching for something. On the massage table, your guest looking for stress relief, or relief from pain built up by tension, is at their own stage in Leider's sequence. How can you help them to become more aware of what is going in on their body physically, that may in turn help them mentally and spiritually as well? How can you help them achieve a greater awareness? When you are aware and mindfully present in your life situation, you are able to serve your clientele with more intent, more focus, more connection.
One of the things I love about the spa is watching guests come back who don't even know why they are coming back. They came for a massage, but the therapy was more than they expected and they discover the healing that is possible through the re-connection with the body and through the respite from day-to-day life drains that spa therapy can bring. When we are whole in our lives, professionally and personally, it resonates with our guests. It keeps your clients coming back. You reach greater heights and you help your clients on their own journeys to new plateaus. Bring the healing spa therapy mind set to your practice. Focus on more than a sequence of strokes when you provide massage to a client. When you work with intent, you help both the client and yourself reach fulfillment.
For me, I'm still climbing as well, in more ways than one. Richard Leider is an avid hiker, and he's inspired me to hike Machu Picchu in early 2013. Awareness of my own "a-ha" moments in life is helping me open up to life's possibilities and take advantage of opportunities to challenge myself and grow. My wish for you is that you will also find awareness and the paths that will take you to your highest plateaus. For more information on Leider, visit www.richardleider.com.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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