resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
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 Sales – Schools, Distributors & Franchises Division at Universal Companies, his efforts are now focused on bringing schools, distributors and franchises the best of equipment and supplies with outstanding customer service. For more information, visit www.universalcompanies.com.
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