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Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
December, 2013, Vol. 13, Issue 12
Why Do Clients Keep Coming Back for Massage?
By Massage Therapy Foundation Contributor
Contributed by Sandra K. Anderson, BA, LMT, ABT; Beth; MK Brennan MS, RN, LMBT; Jolie Haun PhD EdS LMT
In this month's Massage Therapy Foundation (MTF) research review, we are reporting on a focus group study that explored the reasons clients continue to use massage therapy. The article was written for Complementary Therapies in Medicine in 2009, by a research team from New Zealand associated with the Southern Institute of Technology and the Centre for Physiotherapy Research.
As professional massage therapists and bodywork practitioners, we rely on a stable client base for income. We know that by providing client-centered treatments, a welcoming therapeutic atmosphere, as well as conducting ourselves professionally and ethically, clients are more likely to return. However, unless we explore clients' reasons for continued use, we may not know why they come back for massage.
Over the past few years, research supporting the psychological and physiological benefits of massage therapy has been on the rise. The authors thought it would be useful to gain clarity about the contributing factors for the popularity of massage from the clients' perspective. The goal of this research was to explore the reasons why (or "drivers") clients use, value and continue to seek massage therapy services.
Determining the reasons for repeated use of massage requires listening to the clients about their needs, insights and activities. Therefore, Smith et al chose to use the focus group methodology, which is a qualitative approach for studying participants' attitudes and perceptions. Telephone focus groups were conducted with current and repeat massage therapy clients throughout New Zealand.
Participants were male and female, 16 years of age or older. Participants were included if they had at least one massage within the previous three months or at least two massages within the previous six months. Participants were excluded if they received student massages, or if the massage was provided by another practitioner (e.g. physiotherapy, beauty therapist, or other CAM practitioner) since these types of massage were considered an adjunct to another therapy. No more than two clients from any one therapist were recruited and massage therapists as clients were excluded.
Three telephone focus groups were conducted in August, 2007. Groups included five to seven participants and lasted approximately an hour. A moderator with previous focus group experience facilitated the telephone focus groups, which followed a semi-structured format. All sessions were recorded, observed by another study author and then transcribed.
According to the article, during the focus groups, "Initially, each person was asked for their individual input; at other times, the line was open for anyone to answer first. The moderator provided opportunities for inclusion of all participants using a range of approaches including: probing questions, group discussion strategies and different points of view and experiences were sought. A speaker grid was used to record responses, and to cue and monitor participation. The moderator and assistant held a debriefing discussion after each session."
Results of the study showed four driving forces for continued use of massage:
These results are in line with other studies that show massage therapy is considered part of wellness maintenance, placing value on the client's physical, psychological and emotional needs to achieve mental and physical balance.
Limitations to the study include possible bias resulting from the therapists selecting their own clients to participate, small sample size and low number of male participants. It should be noted qualitative research is not qualified by large sample sizes, but rather the depth and breadth of information gathered. The goal of qualitative research is to reach saturation, which can be achieved given the reported sample size of this research. However, since 95% of participants in this study were female, there is little information regarding what drives male clients to receive massage. In addition, the sample may not reflect individuals who had a negative experience with massage. Consecutive sampling to minimize therapist bias and including more male participants could improve methodology in future studies. It would also be interesting to replicate this study in North America to see if reasons for continued massage therapy use are consistent cross-culturally. Further, qualitative findings such as these, can inform a subsequent quantitative study to investigate how commonly these views and experiences are reported in a larger representative sample of massage therapy clients.
Overall, massage therapy is a client-centered wellness practice where clients desire results. However, clients report that they continue to seek treatment because of the beneficial experiential aspect of receiving massage therapy. This suggests that as massage therapy and bodywork practitioners, it is not only our skilled touch, but also our ability to provide a professional and hospitable environment that draws clients in and brings them back. Our professionalism sets the tone for our career longevity.
To learn more about the economic impact of CAM, you can review the Massage Therapy Foundation article archives, read accepted MTF Research Grant abstracts, or search Pub Med for CAM/CIM cost analysis studies.
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