resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
March, 2013, Vol. 13, Issue 03
Introducing Yourself to Your Client's Health Care Team
By David Kent, LMT, NCTMB
When patients experience pain, they instinctively touch the area that hurts. Since opening my clinic in 1992, one statement I hear on occasion from patients is "feel this bump, it was never there before." Sometimes they are right, the bump is abnormal and they must consult their doctor immediately.Other times, the patient is pointing to a bony landmark. I want to share a few practice building tips for educating your patients about their "bumps," which can then provide ways for you to introduce yourself to their health care team.
The foundation of my practice continues to be medical doctors referring patients for the treatment of myofascial pain in the head, neck and back. The pain usually originated from injuries sustained in a motor vehicle accident, while performing a home improvement or work related activity. So, in my clinic, patients most commonly report the following bony landmarks as "never there before:"
Pain affects every area of a patient's life: physically, emotionally, spiritually, financially, relationships at home and work, etc. Patients are scared and concerned about their pain. As health care providers, we must assume our patients do not know about bony landmarks or the structures that attach to them. This is a perfect opportunity to educate patients about form and function. To teach them about the roles bones and muscles play in providing structural support and movement.
I educate patients about bony landmarks using charts and models. I explain how and why bony landmarks form, why they might be tender after physical activity, stress or trauma and how we as health care providers use bony landmarks for postural analysis and other physical assessments. I also show the bony landmark on myself and on other people in the clinic. It is reassuring and comforting for the patient to understand the "bump" is normal and exists on everyone.
Some patients, when they are in pain, will see many different healthcare providers at one time. They will leave your clinic and drive directly to their chiropractor and or medical doctor. So, here is a simple and effective practice building tip. Write the name of the bony landmark with a note on the back of your business card and give it to the patient. For example "The External Occipital Protuberance is tender to palpation." You would be amazed how the patient will show your card to their doctors. This starts a conversation about your practice and the next thing you know, the doctor wants to meet you.
Patients are relying on you for guidance. It is important that you are familiar with normal human anatomy so you can identify abnormalities. Sometimes, the painful spot, is a "bump they have never felt before" and the patient is pushing into soft tissue, not a bony landmark and could cause potential harm. For example, if the spot is in the anterior neck region, running along the sternocliodmastiod muscle. The "bump" may not be the mastoid process, but a swollen lymph node or something more serious and the patient should be referred to a physician. The carotid sinus, body and vessels are in the same region and fatal circumstances could result from the patient randomly pushing deeply into the anterior neck.
Your knowledge of anatomy helps to protect your patients, improve assessment/treatment outcomes and build your practice by educating patients who then become raving fans. One unique way to learn about the skin, fascia, muscles, nerves, ligaments, vessels and other structures that compose the body is in an anatomy lab. Performing a human dissection is a unique opportunity to see, touch and learn about the body without any concern of causing harm. You can compare the same structure on multiple specimens of different gender, age, size, cause of death and occupation. You palpate diseased and normal organ tissue, examine surgical incisions to uncover pacemakers, artificial hips, or the rods, screws and connectors installed during a spinal fusion. You feel the elasticity, density, size and position of structures throughout the body like the spinal cord, heart, lungs, organs, etc. You leave the lab with a new level of confidence and knowledge that is integrated into your practice.
Be prepared when you here the words "feel this bump… it was never there before." If you laugh and make fun of the patient for pointing to a bony landmark, the odds of them scheduling follow-up treatments or referring others is very low. There is also the possibility you could identify an abnormality that ultimately saves their life. Apply your knowledge and turn the situation into a patient education and practice building opportunity.
Click here for more information about David Kent, LMT, NCTMB.
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