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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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