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Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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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