resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
January, 2014, Vol. 14, Issue 01
Do Your Clients Know How You Can Help Them?
By Ann Brown, LMT
When I meet someone, my self-introduction takes several steps. First, I'm a resort spa director. And I'm a licensed massage therapist, a nail technician and a cosmetologist. I put my credentials in order as to how I see my day-to-day duties and my business priorities.I want people – especially our spa clients – to see my business priorities and expertise. The list shows my history of moving through the spa industry and building my career but, more importantly, it shows our clients they can trust I know what I am talking about.
When clients have an issue they need help with, they often don't know what they need or why they are in pain. As an LMT, you know what presents itself is rarely a surface issue. Put yourself in your client's shoes. They may not know what questions to ask or who has the answers they need. Or they may not even know that some of their habits and patterns might lead to problems now or in the future.
In April 2013, I dislocated my jaw from a piece of candy that got stuck on the left side of my upper and lower teeth. Immediately, I knew I had either fractured or dislocated my jaw from the fireworks that went off in my left ear.
I spent the next three weeks on a 100 percent liquid diet and in complete silence, and my recovery has really been quite a process to say the least. For any of you massage therapists that do TMJ/jaw work, you know this is a very unique area and must be handled with care. I have seen two dentists, two chiropractors and tried unsuccessfully to find a therapist in my area that had some jaw specialty.
It wasn't until a recent trip to Florida to visit my 84-year-old mom that I finally found some real help. An industry friend referred me to an LMT that understood the jaw area and was trained in multiple modalities that might be able to help me with keeping the jaw tracking right and give me some insight to what the future might hold and if it might ever be back to normal.
The two 90-minute sessions were really fantastic, not just from the actual therapy performed, but also because of how much I learned from him. The sessions helped me to really uncover some patterns in myself. This LMT was able to connect the dots in a way that made me feel confident he would not hurt me and believe I could do something to improve the situation. I felt my clenching had done the most damage prior to the dislocation but, until these two sessions, I had no idea so many other structural issues were challenging to my recovery.
I think so many of us hold on to fear and physical and even emotional pain that, until the right therapist, referral, education or dialogue comes along, we tend to stay in a bit of paralysis. I almost don't like admitting it, being in the spa/wellness/massage industry, but even I was hesitant and a bit fearful going into the session with the LMT in Florida. I heard so many different opinions over the last seven months and I was confused myself as to the proper treatment that I was really unsure about a good outcome. I think I was able to trust this therapist based on the referral, his credentials, the terminology he used, the way he explained things to me about me, and his professional touch and ability to sense my pain and know my areas of concern by touch.
In our profession, we need to communicate with clients and build their trust. It is a tough field to find the right balance between relaxation/pampering and therapeutic work and a realistic guest expectation and outcome. To truly achieve results, it is imperative you clearly define who you are so the client can trust who you are. Share your bio, your mission, vision, education and specialization so a client in need can find you and put their fears at bay as you work together to reach a positive outcome. And then take it from you to them, ask the right questions, find out their goals and what might be holding them back from reaching them. I find a good communicator can almost do anything they put their mind too and this may take some practice or just asking everyone the same three to ten questions and starting to understand what the answers mean to them.
Most of us walking around in our 40s and up have some "things" going on that a therapist can really access and help us with remedies to achieve pain reduction, alignment and slow deterioration and help us realize poor patterns we almost don't even know we have. I am not suggesting that anyone go beyond the scope of massage, but even I am guilty of having body patterns that contributed to my jaw dislocation. I needed someone to point this out to me. My problem didn't stem from a piece of candy. It was some clenching and a left foot problem and a few other things I am aware of now and am working on to make sure my body stays as balanced as I can allow.
The experience has reinforced for me how we as massage therapists have a duty to give feedback and to help clients with their concerns. Communication is paramount. Asking the client their concerns and overall goals for any session is critical in a positive outcome.
Does your client know who you are and what you specialize in? How, when and where are you telling them? Do you walk your talk? Do you give homework? Do you know the goal of each of your clients? Can you help inform them about their body? I was lucky to find a therapist I was able to trust by his reputation, referrals and his credentials and his hands-on presence. I have learned so much about me from a jaw problem. I feel blessed, after my liquid diet, that I can chew and speak and now have a plan that addresses so much more than my jaw. I almost feel it is a gift to chew slowly and take my time at my meals, silly to think a dislocation of my jaw could provide some much good feedback of ways I need to improve. Our massage industry can help clients with wellness and prevention and slowing or turning around some ailments. I know I want to help, don't you?
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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