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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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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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