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Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
Why the Answers are All in the Numbers
There is an expression in our culture these days that says that numbers never lie. I'm well aware that numbers are the domain of left-brained people. As the marketing coach for massage therapists, I'm also acutely aware that massage therapists typically are far more right-brained than they are left. Nonetheless, there are things you, as an MT, can learn from numbers — especially numbers that concern themselves with your field of massage.
When I gave the keynote address at the 2006 American Massage Therapy Association national convention, I did quite a bit of research to glean the current statistics on the massage therapy industry. Those numbers were very impressive at the time. They're even more so now. Consider the numbers that follow from a recent fact sheet supplied by the AMTA, which culled this information from federal government statistics, as well as through polls conducted among both MTs and consumers.
Massage therapy is currently a whopping $10 to $11 billion industry. There are nearly 90,000 nationally certified massage therapists and bodyworkers in the U.S. According to statistics I discovered independently of the AMTA fact sheet, 55,000 new therapists are trained each year and 45,000 leave the business annually. That means that an additional 10,000 net new MTs are brought into the marketplace every 12 months. It also means that, for those MTs who stay in business as the ball drops over Times Square on New Year's Eve, there's an even greater need to think more creatively with regard to marketing their services. That's assuming, of course, that the market itself doesn't grow. If you aren't doing anything with regard to marketing, you certainly need to start, because the numbers are not stacked in your favor.
That first year in business for new MTs isn't usually a good one, making as they do, on average, $9,585. (This figure was also obtained separately from the AMTA's online fact sheet.) That income grows, of course, with experience but the majority of these wonderful bodyworkers earn just a little more than $21,000 a year, even when they're seasoned, according to the AMTA. The U.S. Department of Labor's Bureau of Labor Statistics show different numbers: the average income for massage therapists was $35,970 as of May of 2012. Whether you accept the AMTA's salary numbers or the Dept. of Labor's, it's no wonder then, that 53% of MTs take another job to supplement their income from the work they do on their tables.
One reason that they're not making more money is that of the 619 (average) hours of training that massage schools typically provide, only about 20 of them — which equals 3% or less, is devoted to business. How can one expect to survive in the massage business when one has spent less than half a week learning business? That's why it makes so much sense to take business-related classes for continuing education. The irony, of course, is that right-brained MTs typically gravitate to more right-brained CE courses on modalities that they can practice on their tables, instead of focusing on the left-brained business and marketing classes that they need to bring clients to those tables.
Sixty-two percent of clients don't re-book an appointment (another stat I learned elsewhere.) That's often because they're not asked to, so start asking. These statistics were compiled prior to the advent of online booking software that enables the clients of many MTs to set up their appointments in the comfort of their own homes — in their pajamas by their computers, if they like — on their therapist's website. My intuition tells me that, since the development of online booking, this statistic on the lack of re-booking has further increased.
Eighty-one percent of massage clients polled (stat found elsewhere) said that they'd be more likely to refer family and friends of theirs to a licensed massage therapist who has a website than to one who doesn't have such a presence on the Internet. If you're an MT who doesn't have a website and this statistic doesn't jump out at you and get you onto the information superhighway in a New York minute, then I'm not sure if anything ever will.
If you like working in a spa, there's some good news for you. In 2011, there were nearly 20,000 spas operating in the U.S., that's nearly double the number of Starbucks stores (11,100 in the fall of 2012). Spa revenue for that year was a whopping $13.4 billion. Better yet, according to the U.S. Dept. of Labor, employment prospects for massage therapists are expected to increase 23% by 2022, faster than the average for all other occupations.
Will there be clients for all those extra MTs? According to the AMTA survey, 44% of adults say that they've used massage for medical or health reasons. Of these people, more than 9 in 10 see it as an effective means for reducing pain, and of general benefit to their overall health and wellness. What's more, there is a great opportunity for the market of people getting massaged to grow: a staggering 69 percent of grown-ups in our country have denied themselves, for more than five years, the benefits that massage offers.
What can you learn from this immersion in numbers? Hopefully, your eyes didn't glaze over while reading them. If they didn't, you have much to gain. I'll sum it up simply: more than two thirds of adults are crying out for relief for what you offer. If you don't market your work, there's a great chance that you will become one of those 45,000 MTs who leave the business every year. Or you may become one of those 53% of therapists who are forced to take on another job to make sure you make the rent or don't lose your home to foreclosure.
On the other hand, if you choose to use 21st century tools, like a website and a regular electronic newsletter, you have a great chance to not only stay in business, but to thrive as well.