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Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
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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