Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
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.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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!
Preaching 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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
August, 2014, Vol. 14, Issue 08
Taking Care of Yourself so You Can Take Care of Your Clients
By Stacie Nevelus, LMT, CMCE
Most of my therapeutic bodywork, believe it or not, takes place in the shower. With a little soap, water and silicone cups, I can address most issues or simply keep my tissue healthy and prevent future injury. As a 15-year veteran of massage therapy and a 40-something woman, it's vital to provide self care that enables me to work on clients.
Since 2006, I have been working with major league baseball players and, more recently, NFL athletes. Keeping my body healthy and moving freely is just as important as the professional athletes I work on and using silicone cups in the shower allows me to do that. Ideally, it would be nice to schedule some time on the massage table and get the kind of treatment I provide to clients. But working six days a week and being a busy mother of two didn't allow for that earlier this year. When I finally was able to get a massage treatment, my first in nearly four months, I was shocked at the ease in which my body accepted it. I had cringed at the thought of how long it had been between massages and, amazingly enough, nothing was hurting. All I could do over that hectic period was get in some running. Thanks to these wonderful cups and vacuum therapy, I was able to self-treat and keep my body moving injury-free in between massages.
I have used vacuum therapies for nine of my 15 years as a licensed massage therapist in Florida. This modality is a modern adaptation of cupping therapy most commonly used in traditional Chinese medicine. This modernized work has proven to be a resourceful modality in my practice. It allows me to bring bloodflow, create space and makes easy work of what would otherwise be very cumbersome on my body as I treat clients. Clients come to me from all over and are referred from various sources simply to experience the wonder of how this remarkable modality feels as it manipulates the tissue. I've had great success using vacuum therapies alone or in conjunction with other modalities such as trigger point and myofacsial work.
One of my favorite and most effective treatments is pretreating before a run, especially a 5K race. As a typical three-times-a-week runner, I aim for half-hour sessions and this treatment, which can also be done post-run, is an effective alternative to stretching. Clients come in all the time with various issues from running. Personally, I experience bilateral tightness in my lower legs. Fortunately, there's a cup for that and I'm only a shower away from relief.
Using the silicone cup is simple and effective and I use the same techniques with clients that I do for self-care. Once in the shower, I soak up and soap up creating a soapy medium for gentle gliding. By squeezing a cup, then placing it on the skin and releasing the hold, the vacuum is created. I begin gliding the cup over the tissue clearing proximal before distal areas honoring the intermediate lymphatic system. I am able to open up the gentle lymphatic system and bring nutrients and oxygen to the tissue. The feeling is unlike anything else as space is created between the layers of soft tissue as I lift the cup while gliding. Another tremendous benefit of gliding the cups is on the tibia and the tibialis anterior to treat and prevent shin splints. With the smallest cup available, I am able to glide over the muscle and bone with the malleable cup. No other modality compares to the sensation and efficacy when working this area. My legs feel alive as bloodflow is brought in leaving me invigorated. This gliding technique has proven useful to wake up my legs before a run and is equally advantageous on my heavy legs after running.
Sometimes more focus work is needed and that's when I use the cups over specific trigger points for a bigger release in the muscle tissue. Hips receive much relief while parking cups on trigger points in the piriformis and gluteus minimus. In only a few minutes, the muscle releases providing newfound freedom of movement. Placement of the cup on the hamstring muscle belly while touching the toes keeps the work dynamic. The tensor fascia latae also benefits with a cup placed for two to three minutes to help soften this area and have more range of motion in the hips. Diligent use of the cups for self-care has proved essential in keeping me injury-free. But that wasn't always the case.
About five years ago, I enjoyed cycling but I had an issue arise in my lower legs as I increased my time and distance on the bike. I started experiencing tightness and shooting pain in my lower leg area. It would happen randomly and wasn't predictable with any given movement. After about a month of dealing with this issue, I wondered what I would do if a client came in with this issue? The answer was easy, I would use vacuum therapy to create space, stretch the fascia and bring blood flow to the area. While in the shower, I worked on my lower leg using soap and water and a small silicone cup. After about 15 minutes, I was able to rid myself of this very uncomfortable issue. Thankfully, as I have been better at shower self-care, it has not returned.
Running and cycling aren't the only activities that affect my body. Traveling can also take its toll. Whether driving or flying, different issues may arise and I always have cups with me. After driving longer distances, my neck and jaw tend to get tight. It's great to release my jaw before speaking at a workshop for three days as I will be doing a lot of talking. I am also able to address neck issues by placing cups over hypertonistic areas of my levator scapula and trigger points. When incorporating range of motion, I can free up movement tremendously. When flying, my shoulder may become fatigued while walking through an airport pulling luggage behind. I find this an unnatural task to do for an extended period of time. My legs may also feel heavy and stagnant after sitting for hours on an airplane when on a direct flight. Once at the hotel, I can address these issues when refreshing my travel weary body in the shower. Another favorite routine I like to enjoy when staying at a hotel is enjoying a hot bath.
Make it a spa moment. Often, I like to treat myself to a relaxing spa moment at a hotel or home. As a massage therapist, I work to help others relax and have a better quality of movement. It's a good idea to indulge as well. This can be created easily at home or in a hotel. Start by creating ambient lighting in the bathroom by either a small lamp or a lit candle. Fill the space with relaxing music with either a phone or a tablet. Add desired water temperature to the bathtub adding epsom salts and essential oil. I sink into the bathtub with the cup close at hand. As the water melts my achy muscles, I glide and park the cup over areas of my body needing attention. By taking a moment of reflection, I can slow the hands of time. Now I'm definitely ready for a massage treatment.
Once on the table after nearly four months, my body received deep work without any discomfort. As my glutes and illiotibial band were being manipulated, my tissue was soft as it accepted the bodywork. I was truly amazed and pleased at how I had kept any issues from arising by keeping my tissue open and clear with silicone cups in the shower. Bringing nutrient rich blood to hydrate my muscle tissue, soften my fascia to bring new found freedom of movement has been a lifesaver and kept me going. I use the cups on myself just as I would in treatment for clients and the training and self application has paid off.
Stacie Nevelus, LMT, CMCE, specializes in therapeutic and sports massage, as well as VacuTherapies. She is a certified educator for ACE Massage Cupping and MediCupping and provides national workshops for massage therapists and other healthcare professionals. Stacie focuses on her private practice in Florida, as well as working nationally with MLB and NFL professional athletes. For more information, visit www.StacieNevelus.com.
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