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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.
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."
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.
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.
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.
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.
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.
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.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
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.
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.
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!
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.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
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.
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.
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.
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.
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."
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.
May, 2014, Vol. 14, Issue 05
Using Transactional Analysis to Speak "Client"
By Gerry Pyves
One of the most valuable things I learned when I trained as a Transactional Analysis Psychotherapist was to learn the difference between my "self" and the "other." This is particularly important in a therapy like massage which offers so many opportunities to "merge" with our clients.
By "merge" what I mean is to confuse what I am experiencing and thinking with what the client actually experiences. This sounds a bit obvious, doesn't it? However, one of the most common mistakes I witness in my training of massage therapists is precisely this problem. Many therapists pride themselves on their "sensitivity" and their "psychic" abilities, even. They simply love to prove their abilities by telling clients exactly what they notice about them and what their "energy" is doing.
Most of this is simply projection. We feel uplifted so we say to the client, "I notice how uplifted you are." In the power relationship of massage, the client is bound to agree. Occasionally, a client with a strong ego will simply walk out and not return as a result of such insulting and manipulative behaviour.
We must ensure it is the client's own experience they are describing in their own words. To do this, I invite the client to spend a few minutes lying on the table at the end of the treatment. This is so they have time to integrate the effect of the massage. Sometimes this is the most powerful therapeutic time of the treatment. Clients often report that they "let go" even more than during the bodywork itself. I leave the room so they really are in their own space for this phase.
The second part of this "integration phase" is when the client is dressed. Here, I still avoid chit chat and deflect the inevitable, "what did you notice?" game by simply asking the client to: "Walk around the table and notice how your body wants to walk after this treatment. Tell me anything you notice that feels different from this before you got on the table - if anything."
What is remarkable is that clients never say "Wow, I feel so myofascia-ed!" or "I feel like my iliopsoas is now so much longer!" Only massage therapists and professional bodyworkers talk such language. If clients really do speak this way, then they have been educated. What clients actually come out with, without such professional brain washing is, well, absolutely anything!
Learning From Our Clients
That is what makes it so exciting to actually listen to clients - I never know what will actually come out of their mouths. One client may walk like a zombie carrying lead weights on his feet and say, "I feel so light and free." They could not look less free or light if they tried. But who am I to say what my client actually feels or experiences internally? What is certain is this: everything I learned about the power of touch and massage came from the mouths of my clients. None of it can be found in the massage text books which, of necessity, only speak "bodywork." Yet, to really understand the immense power of massage, we really need to turn each client we massage into our teacher, by truly listening to their words.
Many therapists I know actually give a non-stop verbal commentary on what muscle is being released as they work. Now this is beyond the scope of practice, because it is hypnotherapy. Telling another human being what is happening in their body while they are in a semi-relaxed state and giving them suggestions is hypnotherapy. It is not ethical, in my opinion.
Only one person truly knows what the client is feeling in the treatment room, and it isn't the massage therapist. If you want to be a psychic, go get a velvet tent and a crystal ball. Otherwise let your clients have the space to find their own words for what they are feeling. When my clients "walk" after the treatment and are integrating their new body structure through the walk, I must bite my tongue and let them explore this new state of being.
What if they say, "nope, don't feel any different?" If there is not a convenient 8th floor window to throw yourself out of, you might just stay around and learn something. These "failures" are sometimes the most powerful teachings of them all.
You will not learn about massage from training courses. You will only learn about it from actual clients. if you bother to really listen to them and really want to know about them. All about them, not just their "physical" state. Know about them as human beings. You are not a bodyworker. The only place to find bodies without energy, emotion, mind and spirit is in the morgue or in bodywork text books. What you are, is a "human being worker."
The Best Marketing Tool
One of the great advantages of giving the client the chance to define their own reality in their own words, is how your clients walk out of your treatment room extremely clear about the value of coming for treatments with you. When they meet their friend for coffee after the treatment and they ask, "what have you been doing?" Your client replies, "I have just had a massage treatment and I feel six inches taller, so much lighter and ready to take on the world."
What just happened here? You just got yourself a new referral is what happened. Just from learning how to speak "client."
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
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