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Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
November, 2013, Vol. 13, Issue 11
When is the Best Time to Ask for a Re-Booking?
By Irene Diamond, RT
The best time to tell the client they should return for more sessions with you is actually before you even have the initial session. Considering almost all of your clients will be coming to see you for a particular reason, problem to solve, situation to manage or "issue" they want you to look at, you can be reasonably assured they will most probably not have that reason or problem solved after only one session, no matter how good we are as clinicians.
So, what my therapists and I find works the best to easily get them to re-book with you (and it also makes sense to them) is to advise them in advance what you anticipate their therapy plan should be. If you wait until during the session to discuss their need to return, it may get a little muddled and cross boundaries, with you coming across as both a salesperson and therapist. If you wait until after the session, as they're checking out, they are hopefully seeing some great, positive results already, so it might be hard for them to see the value of needing continued sessions with you at that point.
We always try to start with an accelerated package, but you should start with what you feel is best for your client. You could say something like: "I've found that the clients I work with who have the same sort of back pain as you have, see the best results when they schedule an initial evaluation with me and then four sessions within a 10-day time frame" (or whatever the case is for you).
When you advise them in advance, there are no surprises for your client as to what YOU clinically believe to be the best therapy plan for them. When you are direct like this, you are being responsible and truly helping them reach their clinical goals. (For those of you who follow my teachings, this falls under the "Advisor, Not Order-Taker Role.")
Once your client is in front of you at their first session, you of, course, do a more thorough assessment of their condition, needs and their goals to determine if, in fact, they do need to see you again. From there, you design your therapy plan for them. It might turn out they don't need to see you again; but those cases are very rare. I teach a concept of "Four Phases of Care – RoadMap to Wellness." In clinics, most often a client presents at the Suffering or Corrective phase. In a spa environment, it is at the Corrective or Maintenance Phase. Either way, they can benefit from continued care based on their case.
Think of any other "maintenance" service you personally use to help you see ONE VISIT IS NOT ENOUGH: car wash, oil change, hair cut, dental cleaning, carpet cleaning, tree trimming, pool maintenance, mani-pedi ... all services people use on a regular basis. If your car only got tuned up once every few years, it probably wouldn't run well. It is not crazy for you to invite your clients to get on a maintenance plan with you. They just need to be told how often you want them to come back!
To read other posts from our expert panel, visit the WIBB blog at www.massagetoday.com/wibb/.
Irene Diamond, RT, is the founder of the rehabilitation technique, Active Myofascial Therapy ~ The Diamond Method and creator of Successful Massage Therapist.org, the world-wide online resource for massage therapists. Irene is honored to be inducted into the Massage World Hall of Fame in 2013 for recognition of www.theDiamondMethod.com and www.SuccessfulMassageTherapist. Irene's next Active Myofascial Therapy seminar will be held August 2012 and therapists can register at http://TheDiamondMethod.com/Learn-AMT/Certification. You can also find tips from Irene by visiting the Women In Business Blog at www.massagetoday.com/wibb/.
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