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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
August, 2013, Vol. 13, Issue 08
Are You Just Doing Massage? Combine Services for Value-Added Options
By Ann Brown, LMT
Are you just doing massage? I have worked in the resort spa industry since 1994, and the resort-type of "spa-ing" is really all that I know. Sure, I understand the gamut of the spas in the industry – med-spas, day spas, chiropractic, small massage business and more – but my focus is on marketing to a resort/leisure/vacationing client.These clients come to resort spas wanting and needing an escape, a true getaway from their everyday lives and stresses. They seek out resort spas, utilizing their vacations as their excuses and their annual rituals to pamper themselves. Looking at our clientele and how they add on spa services at resort spas, I have to wonder, why don't more small massage businesses add more treatments to the menu that give monthly clients the same feeling as being on vacation?
Our spa-goers today want to feel better. They want to let go, relax and walk away restored. Massage is at the heart of what we do in the resort spa business – still our number one treatment. So, while resort spas capitalize on the same treatment you do every day, I think that today's small massage businesses can also capitalize on what the resort spas do.
The same clientele we see on vacation are the ones that will book monthly for massage treatments closer to home. I know that many of you readers of Massage Today operate small businesses, and many of you work independently trying to secure and fill your books with people in your town/community. Even though I do think the economy is starting to come back, it is still tough to grow your business at the rate we were all growing in 2006. The challenge is to change with the times, to reinvent ourselves and to not look back at historical data, including financials, booking pace, new clients and how quickly existing clients rebook. It's time to come up with some new ways and fresh ideas that allow our guests and clients a respite and a bit of a vacation while they are on the table.
While massage is still the most frequently booked spa treatment, our body treatments are not nearly as readily booked as back in 2006. We decided some time ago to become a bit more creative with how we package items together and call them "specials." One of things we look for in a profitable "special" is how to add something to our existing most popular treatment – massage – in a way that our guests will want to get more out of the treatment through the special offer, while minimizing any increase in our delivery costs.
While adding on special mud masks or salt exfoliations are good treatments, they require the use of wet rooms and incur product costs. In contrast, one of the simplest ways to enhance a massage is to add a dry exfoliation. The body benefits are still great for the client and the cost to provide the extra service is minimal to our resort spa – and completely within the realm of possibility for a small massage business to offer.
I have always been a big proponent of body brushing and it was a long time staple on our resort spa menu. As more and more spas have adopted the practice, we've sought a way to perform the exfoliation in better, different ways to bring a "wow" factor to the guest and deliver incredible body benefits. One of our "specials" at the resort spa that has really taken off is a physical exfoliation using a new exfoliation mitt and then a massage. We package them together for an 80-minute service.
I love this mitt because we do not need any products with it and it offers a different, more modern way to treat the guest. A derivative of the aerospace industry, the honeycomb mitt has "memory," the ability to repeatedly return to its original shape. Naturally, anti-fungal and antibacterial, it dries quickly and is great for re-use in the treatment room because it can be properly sanitized/disinfected.
Any time you consider adding on to the massage, consider what takeaways you can give your client. What about the treatment you are offering can they take home with them to continue the health and wellness benefits on their own? While you talk about at-home practices with your client, make sure to equip them with the right tools. When offering exfoliation – either with a body brush or the mitt – you have the opportunity to make an easy retail sale, one that gives your client a great at-home tool at an easy, low, price point.
We offer the mitt for sale directly to the guest for them to use at home and educate our guests on how to use it, but our professional staff will always perform a more satisfying exfoliation in the treatment room than the guest can do at home. The professional treatment is more thorough and feels so good. The exfoliation really excites the nervous system through the vibrant friction of the mitt on the skin. There is a point where you can just see the client become totally relaxed, so ready for the massage to follow. After the exfoliation, we use a seaweed oil that is so good for the skin, and as a spa therapist, it is rewarding to see the guest's skin look vibrant, youthful and highly moisturized.
Guests love this treatment and it costs me no more in professional treatment costs because we do all the work with the mitt that can be disinfected at the end of the treatment and used again. Topped off with a great retail sale for the mitt, and it is a win-win for us and a great treatment for the guest. We even offer 20 percent off if the guest buys the mitt that same day of their massage treatment combo. So far, we have almost 80 percent closure on the sale of the mitt at the end of the treatment, a terrific return on investment for the spa and it gives our therapists some retail money in their check, too.
You can add on some money to your massage and bundle an exfoliation – dry body brushing or with a specialized mitt – as your summer special, or you can give the exfoliation as a complimentary item for booking a massage on a day of the week you need to boost your appointment volume. There are many ways you can make a new or existing client feel valued and the need to do so is a given today: our guests and clients must feel there is value in what they are paying for! You could even give them the mitt or body brush after the service and put into the cost of the treatment the wholesale cost of the mitt. In doing so, you would be out nothing more than a bit more time to do the exfoliation and would they see the value in that? YES!
Maybe you've been in business for a while and maybe you feel that massage is enough. But I think that clients want to try something new from someone they trust and you don't need a wet room or a wet table or even water to offer this extra wellness service. Why don't you try it next month and offer it one day a week (again, when you need extra services) and tell me know it goes? You can email me at with any questions or comments. I am eager to hear from you!
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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