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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
August, 2014, Vol. 14, Issue 08
Challenges in the Treatment Room Can Bring Self Awareness
By Ann Brown, LMT
When I put on my writing hat for Massage Today, I usually feel I should speak about the spa industry, spa management, climbing up the corporate ladder or trying to bridge the gap between massage and spa (a relationship that is good, but could always be better).But beyond any executive or management level tasks that are on my mind, I still find myself back at the massage table and it is in this grounding that I find myself challenged. In my day-to-day role as spa director, I do at times step up to our spa's needs and provide hands-on therapy myself to our clients, standing at that massage table, in the same place as you. It is in that place that I sometimes find myself confronted with challenges I wasn't expecting.
I am very engaged in my work in the spa industry as it relates to massage, and I know you are, too. As engaging as the work is, I get stuck with my own responses with clients. Whether it is appointments cancelled minutes before the massage starts, clients in bad moods, clients that just aren't getting better or when I might, per chance, not be in the best of moods. We don't work in a vacuum and we are affected by the distances between ourselves, our clients and what we would like to have happen.
Recently, I found myself taken by an email I received from Wayne Dyer's organization about his daughter Serena's book, Don't Die with Your Music Still in You. The book's message hit a chord (no pun intended) with me and what I realize are my challenges with massage clients.
In her book, Serena says, "I'm always interested when I see acquaintances posting positive quotes and inspirational messages on Facebook and Twitter, yet I know that they're incredibly judgmental in their day-to-day lives. I hear them talk poorly about their friends and see them treat some people better than others. It's as if they don't believe the waitress is of the same caliber as the priest or lawyer, and therefore she does not deserve the same kind treatment."
To be honest, when I read that, I had to question myself. Do I do that on some level? While I strive to treat everyone with kindness, how much do I subconsciously judge others? Do I judge my clients when they don't meet my expectations or cause me a bit of challenge?
I filter everything that happens in my daily life, minute-to-minute. Part of this filter allows me to scan my environment and/or person and put them in a category. I think I've done this since I was a young child and I am sure it first came about to provide safety for me. I would scan people to check facial expressions and make sure they were friendly and not going to harm me. We all have basic survival mechanisms we use to protect ourselves from harm and maybe it is a primal part of our brain that helped the cavemen and cave ladies watch for danger including cliffs, animals, predators, storms, etc.
Even Serena admits that she has been guilty of these same judgmental behaviors. "We're all evolving. But I am becoming ever more aware of the judgment that creeps into my life. I observe it, even embrace it, and then let it go. I'm trying to live more positively, knowing that who I used to be, or what I used to do, does not shape who I am or what I do today."
As I have grown up, my adult filter has a tendency to judge and make assessments before I really know a person's whole story. Whether welcoming regular massage clients or first timers, we typically tend to assume things that we really don't know for hard facts. Do some of these sentences ever apply to you and your thoughts? "This client doesn't want to get better and will not do the work." "This client really doesn't have the financial resources to see me regularly." "This client is needy and stuck and I cannot really help."
I trust that all massage therapists want to help clients with wellness/prevention and rehabilitation and relaxation. I know this intention to help get them better can sometimes cause frustration when the desired results are not achieved. A positive attitude can do all kinds of things to help achieve results and that positivity must start with me and I must share it with my client.
Serena Dyer's words have helped me just try and embrace the good and keep things positive. "We can talk about positivity until the cows come home. But if we have constant thoughts of negativity, we will only find more negativity showing up in our lives. In order to see things change, we have to change the way we think about things. As the Abraham-Hicks teachings say, stop telling it like it is and start telling it like you want it to be. Life isn't happening to you, it is responding to you."
Once I get negative about another person, I have infected myself. That is not what I want for myself and that is not what I want for you. Wayne Dyer puts it best, "An eye for an eye keeps the whole world blind. Don't forget that."
Standing at the massage table, I look back over my career and I think about Serena's words. I see how the spa is not a job, but part of who I am, and I am grateful. I am grateful for the zigs and zags that I didn't plan on in my life, but that sparked my interest in the spa industry and kept me here. I have learned so much and know that it would take many lifetimes to even scrape the surface of all the spa history and understand the theories and fundamentals that originated thousands of years ago.
We are in a profession that dips deep into the past and connects deep with clients – and often times helps us connect deep within ourselves. As Serena puts forth in the title of her book, don't die with your music still in you. We all have music within ourselves, and we all work to find the rhythms and learn our life lessons that let our music loose. Cultivating a spirit of openness with our clients and forgiveness for ourselves when we falter helps let our music sing.
Ann Brown, a licensed massage therapist, is a member of the International Spa Association's board of directors and serves as spa director at Spa Shiki at The Lodge of Four Seasons in Lake Ozark, Mo. She also provides management consulting services through Spa Insight Consulting.
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