resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
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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