Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
September, 2011, Vol. 11, Issue 09
Creating Your Path to Success
By David Kent, LMT, NCTMB
To establish a reputation as a skillful massage therapist, with a talented array of techniques, requires consistency in a few areas over time. To become that therapist and design the practice of your dreams, you must be clear as to the knowledge, professional image and experience needed to achieve those long and short-term goals.This article will take you through the process by providing insightful questions and examples to help you clarify the steps and ignite the motivation to follow through on the actions necessary to create your path to success. Refer to "The SMARTER Approach to Achieving Your Goals" and "Practice Building: Taking Your Practice to the Next Level".
Your ability to assess your patients symptoms, communicate your findings and design and implement effective treatment plans is easy when you understand how the body works and have the professional support tools to do your job. Mastering these skills and support tools can greatly influence if a patient reschedules, upgrades services, purchases a multi-session package, refers others and in some cases the amount of your tip.
Specialized areas of study are an excellent way to create a reputation and set you apart from the other massage therapists in your area. For example, since 1992 to the present, my continuing education involves dissection seminars at the University of South Florida College of Medicine in Tampa. The knowledge from these seminars is applicable to all forms of bodywork. The decision to make the investment was easy since the percentage of healthcare providers who perform a human dissection during the course of their education and training is relatively low. I understood taking part in this unique learning experience created a special bond among its participants in the healthcare community.
I have met many physicians over the years that attended the College of Medicine in Tampa. Sharing that I studied anatomy in the same dissection lab is a great icebreaker that gives me further opportunity to develop an ongoing professional relationship — and a referral network.
Therapists who have taken a human dissection seminar have a definite advantage over those who have not. For one, physicians and other healthcare providers know that if you have taken a dissection seminar, you are committed to learning. If you were a doctor and had a choice of therapists in which to refer patients, do you think knowing a therapist attended a dissection seminar might influence your decision? What if you were the consumer? Would that level of advanced training influence your decision to see him or her?
There will be situations when your current schedule, location or finances prevent you from taking the seminar of your dreams. Your next option is to order the home study materials for the course. This gives you the freedom to watch and review everything anytime, anyplace, before and again after attending the seminar. Invest in well-organized programs that include manuals and other visual aids like charts that make the learning process easy and support your treatment sessions.
Ask yourself, what specific seminars or home study programs must I invest in now to achieve my long and short-term career goals? Then write a list of the seminars and home study programs and next to each item write the date you plan to accomplish this goal.
Presenting a professional image takes place on many levels; from how you speak and dress to the assessment and education tools you utilize. Read "Practice Building: Getting Inside Your Patients Head".
Besides the many talented skills in your hands, one of the most powerful tools a massage therapist holds is in the palm of their hand: an iPhone, Android, Smart Phone, iPad or Tablet. They allow you to run your business. You can make calls, schedule appointments, email, research online, get GPS directions, take payments and watch videos.
The built in camera lets you take still photos to document posture or video for range-of-motion and gait. The large screens let you zoom in to instantly assess and educate your patients. We all know the saying "a picture is worth a thousand words." Doctors utilize X-rays, MRIs and other imaging to educate patients, design treatment plans and document progress. You must use tools to take postural analysis photos to document and educate patients regarding how the effects of their high shoulder and forward head posture does indeed create myofascial pain and trigger points. The camera allows you to record video footage documenting dysfunctional movement patterns assessing their entire body during gait (Photo 2). Read "The Initial Treatment: Generating Thousands to Your Practice".
This Charts are a powerful visual tool that demonstrate your ability to understand the patient's pain and develop an effective treatment plan. Charts help you instill a comforting level of confidence to your patients as you explain the connection between their pain, limited range-of-motion, posture, trigger points and how your treatments help.
Charts are a phenomenal way to introduce a clinical presence to any treatment setting. Charts are engaging and provide a perfect visual aid for patient education. Hanging in each treatment room of my clinic is a postural analysis, skeletal, muscular, range of motion and full set of trigger point charts. I even have the same group of charts hanging in my reception area and use them when answering questions for the public that stop to inquire.
If you're a mobile therapist you might want to invest in flip charts to educate patients and present a professional image during outcalls, chair massage, health fairs or any time wall space is not available.
Ask yourself, what specific visual aids must I invest in to achieve my long and short-term career goals? Then write a list and next to each item write a target date.
It will require a little practice getting comfortable presenting the image of a confident healthcare provider. Part of this involves wearing certain attire and answering questions while referencing specific visual aids.
Practice taking posture photos and zooming in on each image to assess a forward head or slumped rounded shoulder pattern. Postural photos show which muscles are shortened, and which are lengthened contributing to neck pain and or back pain and how your treatments can help.
Learn how to properly use your charts to educate patients so you can show visual pain referral patterns of trigger points for common complaints like headaches, neck and back pain. A skeletal chart will aid with correlating trigger points and posture.
Practice by going out and "cold calling" a few miles from your ultimate target area. Pick multiple plazas to go introduce yourself and tell them who you are, what you do, where you are located and how you can help. After a few days, you will be amazed how much better and comfortable you will be answering the questions and referencing your educational tools. Now it is time to target your market.
Congratulations, reading and completing the steps outlined in this article was a major step toward creating your personal path to success. There is big difference between knowing what to do and doing what you know. Keep this list close, review your list frequently and take daily action. Your professional career investments must be wisely focused to be effective. Enjoy making your practice unique and setting it apart.
Click here for previous articles by David Kent, LMT, NCTMB.
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