Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
October, 2011, Vol. 11, Issue 10
Survival Tips for Massage Therapists
By David Kent, LMT, NCTMB
Are you concerned about the potential length of your career as a massage therapist? Do aches and pains make you question how long you will physically last as a therapist? Are you having difficulty making ends meet while trying to find or maintain continuous employment? Do finances and other factors prevent you from changing careers? Read on to discover useful tips to help you survive a long and healthy career as a massage therapist.
Professional athletes prepare their physical bodies to avoid injuries. However, many massage therapists perform seventeen or more treatments, every few days, with little to no self-care. Massage therapists must train and maintain their bodies to avoid injuries and be prepared for the physical demands needed in the treatment room, whether during outcalls or performing chair massage.
What fundamentals of health do you discuss with your clients? Do you mention the importance of eating fresh, nutritious foods, drinking water to stay properly hydrated, adequately resting their mind and body, regularly stretching and strengthening, getting regular cardio exercise, the importance of receiving regular massage treatments? Are you "walking your massage therapist talk" and applying all the same concepts of health to yourself?
Is your self-care suffering because of time and or money? Would you like to avoid committing to an expensive gym membership? Does your work schedule or baby-sitting fees inhibit your self-care program? If you answered yes to any of the above, then now is a perfect time to get creative.
When was the last time you had a massage? There are many benefits for a therapist to receive regular treatments. You learn a lot every time you receive a massage. They help you stay connected to your profession, while caring for your body. Familiarize yourself with the different forms of massage, experience a few treatments in each modality to appreciate its unique benefits. Read Preparing for the Game (MT, January 2009).
If you fail to plan, you are planning to fail. Writing your goals and the action steps necessary to attain the desired outcomes is a powerful exercise. You must frequently review your goals, action list and follow through. The quality of the questions you ask yourself ultimately determines the answer your brain delivers, and this process drives your future behavior. For tips on designing empowering questions to help clarify and achieve your goals, read Taking Your Massage Practice to the Next Level (MT, November 2009) and The Power of the List (MT January 2008).
Committing a few minutes daily to achieving your goals accumulates over time into days, weeks and months of focused effort. Concentrate on the activities that provide the greatest return on your investment. Read The 80/20 Rule: Maximizing the Return on your Investment (MT March 2008) and The Power of a Minute (MT June 2007).
What makes your outcall, chair, spa or clinical treatment different from the others in your area? What triggers a client to reschedule, return and refer? Using the five human senses: visual (sight), auditory (hearing), kinesthetic (touch), gustatory (taste) and olfactory (smell) to educate your patients will leave a lasting impression. A well-educated patient is more likely to schedule regular treatments that can generate tens of thousands of dollars of income to your practice overthe course of your career. Read The Initial Treatment: Generating Thousands to Your Practice (MT July 2010) and Building Raving Fans: Consistency Is the Key (MT April 2008).
Stimulate the sense of smell with aromatherapy, while satisfying the sense of taste with fresh water or hot tea. The auditory learner in our patients needs to hear the: who, what, how and why of the treatment. The auditory sense of a person in pain is comforted when they hear confidence in your voice.
The visual part of our patients need to see postural analysis photos to understand how the symptoms of chronic neck pain and muscular tension headaches are being caused from a forward head and rounded shoulder posture. The visual part of us expects to be educated with muscular, skeletal, trigger point and other types of wall or flip charts. Read Practice Building: Getting Inside Your Patient's Heads (MT January 2011).
Spend wisely on quality products, keeping in mind the long-term return on your investment. You can save a lot of money by looking for value packages that bundle multiple items together. Having the professional tools to function is vital to your survival.
Are you looking for work opportunities as a massage therapist? Stay in touch with potential referral sources and employers by going to local massage schools, professional association meetings, conferences, seminars and researching the web.
Are you dressing the part of a professional healthcare provider? Take pride in yourself and your appearance. When you look good, you feel good and you present yourself to the world, potential clients and employers, in a positive way. Always have business cards ready and give them out so people can contact you. A variety of cost effective styles are available online or at local printers. Read Employment Tips for Massage Therapists (MT, June 2011).
Unlike professional athletes that have contracts that pay them even when they are injured or sick, the income of a massage therapist is often directly related to the number of treatments they are performing. Protect your personal investment as a massage therapist with the proper insurance policies.
Do you have health insurance for an unexpected illness or injury that could land you in the hospital, requiring a multitude of medical tests, specialists and surgery? Do you have disability insurance if you are injured and unable to work for months, years or the rest of your life?
Do you have professional liability insurance? This protects you if a client sues claiming you injured them during a treatment session. Therapists can be sued years after the treatment was performed so be sure you understand the differences between an "Occurrence" verses a "Claims Made" liability insurance policy.
Professional organizations serve many purposes, protecting your profession on a national and a state level. There is strength in numbers and it is important to join such organizations and support your professional rights. We must unite and flex our political muscle to uphold, adapt or pass the laws needed to protect our profession. These groups keep you updated on legislative issues and connected to your peers. They offer resources like: online therapist locators, newsletters, chapter meetings, conventions, insurance and the list goes on.
Clarify your plan, take action, assess your progress, be flexible, modify and adapt as necessary. I want you to thrive not survive your career choice of being a massage therapist. I hope this article has stimulated new ideas, motivation and potential.
Click here for previous articles by David Kent, LMT, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.