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Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
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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