Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
July, 2014, Vol. 14, Issue 07
Learning the Right Way to Get Started in this Business
By Ralph Stephens, BS, LMT, NCTMB
So many students of massage ask me, "How do I get started?" To me, it is not how to get started, it is IF you get started. You have to start where you are with a goal and start working toward it.Most of the time, new therapists "just want to help people" and because of the lack of emphasis placed on entrepreneurism and self-promotion in massage school curriculums, they are at a loss as to how to reach the people they desire to help. Often, instructors in massage schools are teaching because they could not create a successful practice for themselves. Another common path to teaching is they destroyed themselves physically using poor body mechanics and now are teaching those to their students.
We handicap our students with unqualified "educators." We shouldn't be surprised at the outcomes. We so desperately need instructor standards but that gets in the way of several different cash flows, so the focus is on hours.
To students of lousy massage schools – it is now up to you to acquire the skills you are lacking on your own. Keep the faith and keep focused on your desires and goals. Find the resources, magazines, DVDs, continuing education programs, the Internet, etc., and get the skills you need to market yourself and your services.
An Aquarian Paradigm
When I came into the massage profession, way back in the last century, the paradigm was (as one of my favorite instructors called it) "Piscean." It was from the Age of Suffering. The "no pain-no gain," philosophy applied to massage as well as to athletics. This was somewhat understandable for the more dense bodies of the time, when everything required more physical effort. Cars required strength to drive. Keyboards of the day, called typewriters (or pianos), required strength to push the keys down. Vacuum cleaners were very heavy and not self-propelled. People needed to endure the therapy to get better. One had to suffer for one's mistakes. While we are still tied to the Laws of Cause and Effect today, people are less dense physically. We now have more mental-emotional stress on our systems and fewer physically exertive requirements. (This is why we now have to "work-out" to stay fit, as opposed to a couple generations ago that "physically worked" and thus were fit.) However, about that same time, a more "Aquarian" paradigm was arising. This was lighter, softer, more energetic ways of changing the body and relieving pain. Some systems were grounded in the physical sciences of anatomy, physiology, and neurology. Others were more esoteric, subtle, or energetic.
As we learn more about the body, we have come to realize that pain-causing therapies are not as productive as once thought. Pain activates the nociceptors and causes contraction, not relaxation. We have learned that stimulating the mechano-receptors, adequately but not excessively, will cause the most "relaxation" of muscles. While "deep tissue massage", which has become massage sold by the pound - usually ineptly applied - will satisfy some patients' masochistic needs emotionally, it is far from the best way to relax either muscle tissue or the nervous system. In addition, such therapies are physically demanding on the therapists and sadly many skilled therapists are forced to give up massage after a few years due to massage related injuries of thumbs, fingers wrists, shoulders, backs, etc. While many of these injuries are directly related to poor body-mechanics training in massage schools, many people who are drawn to the profession just do not have the physical capacity to perform strenuous, repetitive techniques. It is so sad to see therapists who have worked so hard to learn great techniques and built up a successful practice, then have to give up the work they love due to occupational injury.
Throughout my 28 year career, I have performed and taught many very physical forms of massage and my students have done very well with them because I was blessed to have been taught good body-mechanics at the New Mexico School of Natural Therapeutics and passed them along to my students. However, even with the finest of body-mechanics, repetitive activity can take its toll.
I have always appreciated the "physicalness" of massage. But I have felt and taught for some time that what we are doing is really just a game of stimulus-response with the nervous system. Muscles are very good soldiers. They do exactly what they are told to do by the nervous system. They can contract or relax and they do so very precisely on command. You cannot beat a muscle into relaxation, try as some might. Even if you can, and some believe you can - okay fine - but why put the patient and yourself through that unnecessarily when all you have to do is give a gentle, quick stimulus to the mechano-receptors and let them cue the nervous system to relax a particular muscle?
Actually, the body does this every time we move. It is called reciprocal inhibition. Sherrington's Second Law says that when a muscle is contracted, its antagonist is inhibited (relaxed). Now, this inhibition only lasts for the moments of movement, but why can't this mechanism be utilized in a way that does last and in fact "resets" muscle tonus to "normal" or "default" levels? Many therapists have asked this question and some have experimented with ways to accomplish it. However, their methods were sadly lacking, inconsistent, unpredictable, incomplete and short lived.
Finally, someone who happens to be a good friend and colleague, has taken the time to do the research and put in the thousands of hours of clinical time to perfect a system to accomplish the desired results. His name is Lawrence Woods and he calls this system Neural Reset Therapy® (NRT). As I mentioned in my last column, this is the biggest advance in massage technique I have found in my 28 years as a therapist. It is the equivalent of the impact St. John Neuromuscular Therapy (NMT) had on my practice and the profession in the late 1980's. It is a game changer.
Imagine having a patient contract a particular muscle against a simulative resistance for a few seconds, resulting in the "resetting" of the tonus of a target muscle. Imagine being able to relax a muscle by stimulating the same muscle on the opposite side of the body, thus not having to press into or stretch the tight or painful muscle at all! Imagine that you can accomplish this with large movements, without much strength, no holding tender points or deep stripping through tissues, straining your thumbs. The patient gets almost instant pain relief without experiencing any pain during the process. This is NRT (www.neuralreset.net) in action. It has completely changed my way of addressing soft tissue, has taken virtually all the load and strain off my body and brought about relief from a variety of problems from athletic injuries to neurological disorders for my clients.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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