resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
February, 2014, Vol. 14, Issue 02
Make the Time to Transform Your Practice
By Anita J. Shannon, LMBT
Therapeutic benefits of massage therapies continue to be studied and documented. Recent studies have increased the amount of data supporting benefits beyond the wellness aspects and attention is turning to medical conditions.
A truly interesting scroll down the page "History of Massage" on the MassageNerd website reveals evidence of medical uses of massage from ancient times and states that, "before the 1900's, all massage was medical massage." It seems that a huge scandal in Britain around 1889, eroded the medical profession's confidence in massage as a legitimate medical art and the dark shadow cast on the massage field affected English and North American attitudes for more than a hundred years. Medical spas of the world had begun appearing in North America by the mid-1800s but by the 1940's, "spa as medicine was out, spa as beauty and pampering was in."
Many of us who started practicing back when massage was considered only a personal service, observed the resulting wellness, healthcare and medical benefits. Some of us even got to experience it personally. In 1982, I was told I was permanently disabled from a severe neck injury and it was neuromuscular massage and Iyengar yoga that I worked with to reverse that life sentence. Contemporary American medicine only had pain killers and the advice of, "learn to live with it" to offer me at that time.
For the second year in a row, 75 percent of individuals in the U.S. surveyed claim their primary reason for receiving a massage in the previous twelve months was medical (43 percent) and stress (32 percent) related, according to the 17th annual consumer survey sponsored by the American Massage Therapy Association. Medical reasons include pain relief, stiffness or spasms, injury recovery, migraines, prevention and general well-being.
Health care providers and doctors are more commonly viewing massage therapy as a legitimate option to address health concerns. Fifty-three percent of respondents in the U.S. said their physician has recommended they get a massage.
Of consumers who discussed massage therapy with their doctors:
In 2011, ninety-six percent of massage therapists received at least one referral every six months from a hospital or medical office.
Industry trends include:
There is no sound statistic yet found for the number of hospitals in the U.S. that offer massage as an adjunct therapy.
Massage therapy is returning to its original place as a sound and viable CAM (Complementary Alternative Medical) treatment. Therapists have grown more sophisticated and knowledgeable through basic and continuing education and so many amazing modalities have come forward to command the respect of our profession and other health care fields by producing remarkable results.
Begin to pick your new tools and techniques by exploring information and articles online or in industry trade magazines. Attend a convention and receive CEs for attending short introductory classes that will give you a good sense of the educators and the techniques and visit the booths to get on the table and really experience it for yourself.
Research the educators and classes and if they list practitioners on their website. Contact a few of them to ask how they are doing with the techniques. One important question is how the tools and/or techniques affect the therapist, since ease of use leads to longevity of practice. Make an appointment with two or more different certified practitioners and get treatments to experience it for yourself. Visiting more than one therapist leads to a truer understanding, since each of us is unique and will adapt tools and techniques to our own style.
Let's be honest, the figure of 14 percent for referrals from physicians is a bit disappointing. There is a big difference between a referral and being "encouraged" to get a massage. The challenge is to find a way to improve that number and transform our practices by attracting a larger volume of medical referrals. Imagine finding a stack of fax referrals from your local physicians waiting for you when you get to your office each morning! All you need to do is call the patient to interview and schedule.
Building a healthy medical referral community requires time, dedication and a passion for helping the doctor's patients. It is also important to have evidence of training or certifications, along with records of past and current client successes. Our skills and successes build as we grow in knowledge and experience. Speaking from that knowledge and presenting sound documentation of our client results can make a meeting with the doctor a lot less intimidating. These meetings are often brief and it is a good idea to offer to bring lunch for the doctor to actually get a few minutes with them. It is even better to ask about their favorite restaurant and what they would like to order.
This is where the documentation comes in. It is easier for the physician to view photos, measurement charts or testimonials while they eat that memorable lunch you brought for them. Leave them a binder with your case studies and any supporting articles or data and ask to demonstrate that your work is essential to their patients with an initial referral of four to six people.
It is so important to reply to the referral by sending a thank you and notification that you received the referral and have scheduled the client for an appointment at your office. Stay in contact with the referring healthcare practitioner by sending updates and SOAP notes for their patient file. If these two steps are not followed, communication breakdown can occur and the medical professional may never know their patient was treated and responded so well. This is the key to continued referrals of both patients and other healthcare professionals.
Transform your practice this year by adding new techniques and tools and then take the steps to interact with the medical community to increase your referrals. There are so many areas of contemporary and traditional medicine that we can participate with including psychiatry and psychology, geriatric care, pediatric care, sports medicine, oncology, gynecology and obstetrics, chiropractic, Traditional Chinese Medicine, Ayurvedic Medicine, and the list goes on. You could even choose to specialize in certain conditions such as diabetes, Parkinson's, scoliosis, multiple sclerosis and more.
Anita Shannon is a Licensed Massage Therapist and a licensed Cosmetologist since the 1980's, specializing in skin care, body treatments, clinical aromatherapy and various modalities of massage therapy. She is a national educator since 1990, and the Director of Advanced Continuing Education (ACE), an NCBTMB CE provider established in 2001.
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