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The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
February, 2013, Vol. 13, Issue 02
Let My People Go...To See You as Often as They Like
By Cary Bayer
"How often should I see you?" It's a question that just about every licensed massage therapist is typically asked by new clients or prospective clients with regard to the ideal frequency for treatments.It's a terrific question for any massage therapist to be asked for a number of reasons, the least of which is that it generally means that the person doing the asking will soon be receiving the benefit of your healing hands, and they be revitalizing their achy body and tired mind.
Unfortunately, I have seen far too many therapists answer this important question in ways that sound something along the lines of:
I'll comment on each of these answers and then offer an alternative that provides a win/win/win scenario. Why three wins? Because getting massaged more often benefits the client in obvious health-giving and emotional ways, it benefits the therapists in obvious financial ways, and it benefits all those around the client in a variety of subtle ways.
Whenever You Think Best
One of the things that, in my position as a business coach for massage therapists, I tell my clients who are licensed massage therapists is that if the person who's asking you the questions about frequency of treatments happens to be new to massage and you're the professional, why in the world would you ever possibly think about passing the decision off to them? After all, they are asking you in the first place.
Suppose you asked a dentist whom you were considering seeing for treatment how often they recommend that you should see them. Would you expect a highly-trained health care professional like a DDS to say something along the lines of "Well, whenever you think best?' Or better yet, "Just ask your teeth; they'll know." I'm well aware that you probably have four wisdom teeth in your mouth — but, take it from me, they're much better at chewing food than at chewing over health maintenance schedules.
Once A Month Is Usually A Good Frequency
After doing an informal poll, I discovered that people who get massaged regularly rank the experience as among the top ten pleasures in their lives. So, why would you ask them to wait so long to have this feeling of well-being? Bob Hope, the great entertainer who lived more than a hundred years, used to get a massage once a day. While your prospective client most likely doesn't have the comic star's many millions, a frequency of once a week is a pretty nice one for you to recommend. If they can't afford to pay for a massage each week, let that be their decision, not yours. If they say their are too busy to come in to see you once a week, let that also be their decision, not yours. Don't make financial decisions for your clients and prospects, and don't make scheduling decisions for them either.
An Alternative Response
I like to tell my massage therapist clients the following, which I think is a perfect response to the question that their clients ask, "How often should I see you?" The simple response is as follows, "When I ask my clients how they feel right after a massage ends, they almost always reply by saying, 'great or terrific.' So I ask you, 'How often would you like to feel terrific?'"
What I like most about this answer is that it isn't a lecture. Your client is lectured to by bosses, parents and spouses, on a sometimes daily basis, so the last thing they need is to be lectured to by you, their prospective massage therapist, as well. (Lecturer is also a terrible role for you to play with your client, in this context or in any, because lecturers drone on and on with words and you have the ability to bring your client to a wordless state of silence for an hour. Don't confuse them with such a dichotomy. Far too many people in their life at home and at work bombard them with spoken words, to say nothing of the hundreds of others who bombard them with words in emails.)
What I also love about the answer is that it lets them decide — but only after you've provided an enlightened context within which they can think about it; namely, the state of feeling terrific. There are very few people in their personal or professional lives with whom they come into contact who give them the opportunity to feel terrific — and who do so consistently. That's a rare gift and blessing that you enjoy. Don't short-change them by turning into someone who bores them with words.
Never forget that your massage table is like an oasis for your clients, a calm place in the storm of their lives. You're the lighthouse in a dark and stress-filled world. Never underestimate your importance to their bodies and psyches. You make a difference in their lives and, as a result, in the lives of everyone they touch. If they take a long time between treatments, they carry extra stress and tension around with them for a longer period of time than is necessary, and may wind up taking it out on the people in their lives. Too often, it's those who they love the most who receive their worst. On the other hand, if the frequency with which they see you is, say weekly, you give them the chance to share more of a stress-free, harmonious vibration with their friends, family and co-workers. It also means that you're giving them the chance to share more love with those who they love the most. And that's a huge blessing for you, for them and for their loved ones.
As Moses said to Pharoah repeatedly, "Let my people go." I'm no leader of the Hebrew people, but I'd like to adapt this edict from this great Biblical prophet by saying to you repeatedly, "Let your clients go to see you — as frequently as possible."
Click here for more information about Cary Bayer.
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