resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
May, 2014, Vol. 14, Issue 05
Buying the Right Table for Your Practice: Know the Basics
By Terry Russell
Aren't you amazed at how brand marketing plays a role in almost every daily decision you make? From the car you drive to the clothes you wear to the grocery store you stop at on the way home.You will be hard pressed to find your daily life not influenced by brand marketing. Wouldn't it be nice if you had the same influences when buying equipment and supplies for your practice? While table manufacturers, distributors and even trade shows have worked hard to influence decisions, you still fall a little short in answers and knowledge at the end of the day.
I have only had to buy two portable massage tables in my entire career. My first massage table purchase was one of the hardest buying decisions I have ever made. It seems the more one reads and researches tables, the more one becomes confused. I was still learning the difference between effleurage and friction and now was expected to become an overnight expert on portable tables. Being a student, there wasn't a lot of money in my budget so the pressure to get it right the first time was on me.
Whether you are a student buying that first table or a seasoned therapist replacing or buying a second table, we have all been faced with that daunting task – which table? What do I need, what do I want and what is of no importance to me. All questions are easily answered once table basics are understood.
When looking for a table, the first thing to look at is the frame. The table frame should be made of a hard wood or strong aluminum. Common wood choices by manufacturers may include maple, oak, birch and bamboo. The platform is usually plywood so look for at least medium density plywood.
If you have the benefit of being at a trade show or even in your class, don't be afraid to turn the table on its side so you can get a good view of what is underneath. We talked briefly about the platform, now to table support. Some tables offer dual supports that run the length of the table along the platform, some offer a single joint while some may not have any additional support. If you don't see any additional support, ask! Newer technologies allow some models to have a jointless beam so just because there is not a support doesn't mean the table is weak. If the table does not have a visible support or the newer technology, this could be a problem as this is where your client could bottom out on the table.
Hinges play a role as well. Some tables offer a full length piano hinge for added support while others offer two to three smaller hinges. Look to see if smaller hinges are used, how well they are attached to the table. Keep in mind, this is in the middle of the table and needs the most support.
After turning the table over and back on the legs, time to examine the rest of the construction. Starting with the legs, the table height adjustment is made by either a wheel knob, double wheel knob or push pin (more commonly found with aluminum tables). While all three styles accomplish the same task, my personal preference is the double wheel knob. The knobs will become loose after repeated folding of the table and while easy to get in the habit of checking the tightness before every client, the second knob just gives you a little extra insurance in case you forget to check, the adjustment becomes loose and the knob falls off during treatment. With the second knob, the table is still secure as with a single knob the table leg will be at risk of falling off and sending your client to the floor.
On the ends of the table you will find the lock that secures the table when folded. A good lock will be free of movement when engaged and allow you to fold down when the table is set up. By folding down the lock, you can prevent yourself from brushing against the metal edge and cutting yourself. On the sides of the table, you will find the carry straps. These should be secured tightly to the table with no raised or rough screw heads visible.
Padding comes in all styles and depends on a combination of the therapist's preference and modality most often performed. One of the most common forms of padding is known as triple density foam. This means there are three layers of foam, each layer one inch thick, layering from firm next to the base followed by a medium density in the middle to a softer density that will be closest to the client. This style allows a softer table that will not pit or indent after repeated use. Tables that use single density foam will be firmer and at risk for showing indentions sooner than multi-density foam.
The most common thickness of foam range from 2" to 3" depending on the therapist's preference and modalities anything in this range should work. Thinner foam tends to make the table a little lighter and a lot firmer, perfect if the majority of the work done is sports or deep tissue. A simple addition of a fleece pad can add an inch of softness when doing Swedish and softer modalities. There are different upgrades to foam ranging from 4" to 6" and some offer a more memory type feeling. Density and types depend on the area of practice that they will be used in. Also, leading manufacturers offer CFC free foam for a safe choice.
Vinyl choices have come a long way in that there are choices now from a standard vinyl to an ultra-soft feel. Anything above the standard is usually considered an upgrade by most manufacturers. The leading manufacturers now offer a biodegradable vinyl making this an earth friendly choice. Beware of bargain tables found online, at big box stores and membership warehouses as they are more often directly imported with little to no quality control or added benefits.
Face rests are included in a lot of table packages. If you find you are in need of a face rest you have many options. First the base. There is an inexpensive classic that does not allow for adjusting. This is the least favorable in the lineup as the therapist has no control to make the angle comfortable for the client. The typical adjusting face rest is usually a double articulating face rest meaning that not only will the base move perpendicular to the table, but the entire platform will adjust up for clients a little thicker in shoulder/decolletage. In addition, there are bases that have different platforms allowing for sinus relief if a lot of your time is spent with the client prone.
The pad comes with a few choices as well. A basic pad comes with standard padding and vinyl. A fleece cover can give you an inch of softness if desired. In addition, there are memory foam types, water spheres, curved pads and pads with sound for your MP3 players.
Several other options include rounded corners, shiatsu release cables and Reiki end plates. The therapist can save themselves many bruises when adding the rounded corners to their tables. Shiatsu release cables come with wing nuts on one end so that the cable system can easily be undone allowing for the table to fold flat on the floor with the legs tucked inside. Reiki endplates refer to the wood between the legs on the ends of the table. Reiki plates are small and close to the table base allowing a therapist to sit with their legs under the head and feet as they work on a client. Standard endplates are wide and will not allow this. All of these options are clearly a therapist‘s preference.
Your table is meant to last you many years. When purchasing a table, take a minute to look the table over for the options we've talked about. Will that table fit into your practice nicely? Taking care of your table is critical to making it last. NEVER clean with alcohol-based products. Alcohol will dry out the vinyl and cause premature cracking. If you are a mobile therapist, make sure the table never leaves your house without a case. And lastly, don't leave the table in the trunk of your car for extended periods due to extreme temperatures of nature.
Keep in mind the client's comfort is a direct reflection on you. If you have the luxury of seeing the table before you purchase (trade shows are great for this), don't be afraid to climb on top of the table to feel firsthand the comfort or lack of in some cases. Long after you purchase the table, make a habit to lie on your table often to see what experience you are providing. Your client may not be so honest to let you know how uncomfortable that old table has become. There are many areas you can cut cost in your practice, but your table is not one of these. Next to your hands, your table is one of your key assets.
Lastly, Internet shopping is great but can easily become confusing when reading description after description of equipment. Don't be afraid to call the company with questions. Some companies offer chat sessions so a live person can instantly answer your questions or put you in contact with someone in their company that can answer them for you. Equipment purchases are important to you; make sure the company you are dealing with takes that equally important. You want to know the company that you purchase from will be there for you long after the sale.
Terry Russell has been involved in the massage community since 1999. His previous career includes being a full time therapist at Spa Palazzo in the Boca Raton Resort & Club, as well as owning a successful private practice. As the Director of Equipment Development at Universal Companies, his efforts are now focused on bringing the massage and spa industry the best of equipment with a focus on providing outstanding customer service. For more information, visit www.universalcompanies.com.
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