resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
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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