resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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?
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.
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.
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.
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.
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.
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.
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.
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.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
September, 2013, Vol. 13, Issue 09
The ABC's of Meeting with Physicians, Part 3
By David Kent, LMT, NCTMB
Congratulations, you survived the initial round of physician meetings! Now, you must build upon the momentum you have generated. Let me share with you some strategies to implement after your initial meeting so you can build strong physician referral sources by maintaining contact and providing continual education.
Rarely will a single meeting produce instant and consistent patient referrals. You will need to return and repeat your message frequently. Be sure to ask, "What are the best days and times to revisit?" Immediately following each meeting, take time to debrief. Log the date, time and myofascial pain patterns you reviewed with the physician. Write down the name of each person you encountered, their position and specific notes to help you remember and build rapport with each individual on return visits. Notes often include hairstyle, hobby, children, travel, favorite color or food, birthday, etc. Review your notes before each visit and update them frequently. This process helps you evaluate, adapt and modify your approach to achieve your goals of building referral sources.
Following the initial meeting, send a "Thank You" note and include your business card. Simply acknowledging someone's time can go a very long way. How often do you think doctors get thank you cards from their patients? I have learned from experience that physicians remember patients that send thank you notes. When patients tell me they are feeling better from treatment, I ask them to please send a thank you card to their referring physician. Patients simply write: Dear Doctor, Thank you for referring me to David Kent at Kent Health Systems for therapy. Today, I received my initial treatment and feel much better!
Also, keep your practice in the doctor's mind by sending reports and treatment notes. Remember, a picture is worth a thousand words and visuals help to quickly tell a lot about the patient, so include postural analysis photos, pain scales and trigger point pain patterns. These visuals help your practice stand out from the competition.
During each repeat visit, get in and out quickly. Do not wear perfume or cologne. When in the back office waiting to meet with the doctor, stay out of the way and no wandering eyes trying to read patient charts or other materials on the counters. Just check and restock your prescription pad. Be prepared to show a few common myofascial pain patterns affecting a specific region of the body (head, chest, back, arm, wrist, etc.) with your trigger point chart.
While showing the images, mention the common subjective complaints reported by patients suffering from myofascial trigger point pain referral patterns being shown. For temporal headaches, examples of muscles to show referred pain patterns would include: Trapezius (TrP 1), Sternocleidomastoid (sternal head), sub-occipitals and Temporalis (TrPs 1-4). Pain in the front of the chest and upper extremity of myofascial origin would include images of the pectoralis major, pectoralis minor and scaleni. For lumbar pain, show gluteus medius, psoas and rectus abdominus. For buttock pain, show the quadratus lumborum, gluteus maximus, iliocostalis lumborum and longissimus thoracis. Lower extremity pain may include gluteus minimus, piriformis, quadriceps femoris. The final visual aid to review with the doctor is your prescription pad, showing them where to sign before giving it to patients.
Depending on the doctor's specialty, a high percentage of their patient's pain could be myofascial in origin and benefit from your treatments. You must meet the doctors so they know who you are, the patients you can help and, most importantly, remember to refer those patients for treatment. Just one or two physicians referring patients on a regular basis will quickly build your practice. Every week, you must dedicate some time to marketing your practice. Go into your community, introduce yourself and broadcast your message using visual aids. Like any skill, practice makes perfect. Doctors are aware of myofascial trigger points, receptive to massage therapy and are looking for pain relieving options for their patients.
Click here for more information about David Kent, LMT, NCTMB.
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