Time-Saving Tips for Your Practice & Life
Of all the finite resources we possess, perhaps the most valuable one is time. There never seems to be enough time to accomplish everything that must be done, and all too often we sacrifice things in our personal life to meet the demands of our practice.
A Historic First for Chiropractic Assistants
The New Jersey State Board of Chiropractic Examiners will begin issuing licenses as early as Nov. 1, 2018 to chiropractic assistants who have undergone a 500-hour training course and passed a competency exam.
Multichannel Access: Software for a Better Customer Experience
It is no secret that today's consumer has high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular with acupuncture practitioners is they allows customers to book appointments and make payments online day or night.
The Benefits of Going Paperless
The benefits of going paperless in your practice are profound. If you haven't done it yet, here's why you should.
Support Patients With Multi-Channel Customer Service
It's no secret that today's consumers have high expectations when it comes to how and when they can contact a business. In fact, one of the reasons clinic management software has become so popular is that they allow patients to book appointments and make payments online day or night.
Bringing Acupuncture to Ohio
The jolt of seeing a woman conscious and talking during surgery left a lasting impression in 1971 when acupuncture was on the national news.
UHC Up to Its Old Tricks With Latest Headache Policy
A decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven and ineligible for reimbursement.
Neck Pain: Activation Exercises
In observing patients and studying rehab, I have learned that tight muscles are weak muscles and that stretching is sometimes less effective than muscular activation. There is a delicate balance between joints that move too little and joints that are hypermobile.
X-Ray: To Be or Not to Be - That Is the Question
For the past year, I have been asked by many practicing chiropractors, college presidents, faculty and others what my opinion is on the "Choosing Wisely" guidelines the American Chiropractic Association (ACA) recently adopted for its members.
The Science Behind the Efficacy of Cosmetic Acupuncture
The beauty industry continues to boom and grow constantly, from topical creams, lotions and potions all the way to cutting edge cosmetic surgeries.
Food for Thought: An Examination of Diet & Digestion
Even an acute poison can become an excellent drug if it is properly administered. On the other hand even a drug, if not properly administered, becomes an acute poison. — Charaka Samhita
Working for Someone Else: Know the Rules of the Game
Many of us decide to become acupuncturists because we are healers at heart and want to focus on treating patients, not because we want to own and operate a business. So we work for someone else, which can have great advantages, especially as a new graduate.
Travel-to-Treat Coverage Finally Becoming a Reality?
Long-awaited legislation poised to hit the president's desk extends liability insurance coverage from one state to another for DCs and other state-licensed health care professionals who care for athletes / athletic teams that cross state lines.
The Origin of Blood
The Roman doctor, Galen, (2nd century AD) did pivotal work to prove that blood, which he thought was produced by the liver, and the cardio vascular system existed. He conceived that the arteries and veins were two separate networks.
Depression & The Secondary Vessels
As an acupuncturist I see many people suffering from depression. I often think depression is the major imbalance of our culture. I have a patient I've been working with for several years. Her major challenge is chronic stubborn depression.
The Importance of the Scapulohumeral Rhythm
The shoulder has the greatest range of motion of any joint in the body. What is often overlooked in shoulder mechanics is that motion in the shoulder is not purely at the glenohumeral joint.
It's Time to Reward Yourself
An interesting study recently published in the Journal of the American Heart Association (JAHA) confirms what we all learned when we were children – and serves as food for thought as to how you can improve your practice and your personal life.
Lead Patients to the Fountain (and Foundation) of Youth
We're all seeking the fountain of youth and marketers are capitalizing on it. (Global demand for anti-aging products, treatments and services was valued at 140.3 billion in 2015, according to Zion Market Research.)
Your First Impression Always Deserves a Second Chance
Doctor, have you ever had a patient you just couldn't "warm up to"? You know, the kind of patient who "irks" you, who has a hidden agenda to get something you haven't anticipated, perhaps causing you to want to hide in a closet when they come in for treatment.
That's a Wrap: Compression Bands for Contemporary DCs
Over the past decade, compression bands have been increasingly utilized in trainer and manual therapy offices. I was first introduced to the compression band by Kelley Starrett, author of Becoming a Supple Leopard, and have since been using it as a teaching tool.
Chiropractic Management of Patellofemoral Arthralgia
Patient reports with pain in the front part of her right knee, especially during and after her weekly Zumba class. She states there has been no injury of which she is aware. No outward sign of injury is observed.
Vaccine Injury? The Autism Debate (Part 2)
As suggested in my first article on this topic [August 2018],1 my impression is that the vaccine authoritarians and radicals have not helped to mold a proper social / political environment for addressing the issue of vaccine injury.
Easy, Inexpensive Tools for a Successful Practice (I Promise)
Successful practitioners are the ones who know how to run a business, first and foremost. I became a licensed acupuncturist in 2006. After having worked in chiropractor's offices for nine years, I opened my own office in 2015: four treatment rooms, a back office and a waiting room.
The international standardization conference was held this year in Shanghai, China (June) - this was the ninth plenary session. Meetings for technical committees, or working groups also took place at the conference.
A New NCCIH Director ... One That Backs Acupuncture
The third time is a charm—the National Center for Complementary and Integrative Health (NCCIH), a division of the National Institutes of Health (NIH), announced it's newest director, Dr. Helene Langevin.
An Update From the Acupuncture Now Foundation
Since launching the Acupuncture Now Foundation (ANF), our volunteer leadership has continued to work to achieve our vision of "Creating a World Where the Benefits of Acupuncture are Known and Available to All.
"Don't Crack My Neck": What Do You Do Next?
It's Monday morning and your first new patient of the day, a 35-year-old female, presents with chronic headaches and neck pain. The patient was referred by her primary care provider for evaluation and management without the use of cervical manipulation.
Possession: Blocks to Healing
Before we can approach treatment of a patient's primary elemental imbalance (AKA "Causative Factor" or "CF"), a number of specific energetic blocks must be considered and, if present, removed in order for treatment to be effective. I cannot emphasize this enough.
March, 2011, Vol. 11, Issue 03
Desexualizing the Touch Experience: A Proactive Approach
By Cherie Sohnen-Moe
Sexuality is a natural part of the human experience. We are born as sexual beings with a need for touch and intimacy. We require a healthy environment that supports our natural development in these areas to thrive as organisms.By definition, sex, touch and intimacy are three distinct behaviors and experiences. The fact that they overlap at times is what creates confusion.
In the September issue of Massage Today, I wrote about what to do when a client crosses the line. The focus of that article was on the specific steps to take when your boundaries are ignored. This is the first part of a two-part series where we explore the importance of desexualizing the touch experience and steps you can take to help prevent clients from crossing your boundaries.
Sexuality and the Touch Experience
The general public, clients and practitioners all share in the confusion about how massage therapy and sexuality are inter-related. The intentional misuse of language (e.g., massage as a euphemism for prostitution) has had a profound impact on the public's understanding of massage therapy. The misuse of words is not just a semantic problem; it is a personal and cultural issue about how people relate to certain parts of the body and human experience.
Unfortunately, we have been forced to spend the past three decades defending our profession and proving to the world that massage therapists are not prostitutes. One of the repercussions of this has been a dissociation with the sensual aspect of our work. Too many people attempt to ignore the elephant in the corner. This denial can lead to problems. Pretending that something doesn't exist is generally ineffective. Every client and every practitioner brings their sexual nature and background with them into the therapeutic setting. The key is to create an environment that demonstrates professionalism, sets healthy boundaries, and allows sexuality while desexualizing the touch experience.
The term desexualize is best defined by examining its opposite: sexualize. In the book, Behind Closed Doors: Gender, Sexuality & Touch in the Doctor/Patient Relationship by Angelica Redleaf, DC, she defines sexualizing as: "Making an event, procedure, conversation, or experience into something that is sexual or could be interpreted as sexual." Desexualizing, then, means ensuring that the treatment is not in any way turned into a sexual experience for either the massage therapist or the client. Keep in mind that while correct intentions and acting professionally does not guarantee the absence of inappropriate expressions of sexuality in treatment sessions, they can mitigate those expressions.
Proactive Steps to Desexualize Massage
You set the tone for professionalism by your marketing materials, how you answer the telephone, your personal appearance, your office location and ambience, treatment interactions, communications, and documentation. The first part of this series covers how to desexualize your marketing materials and to screen telephone calls--steps to take before someone becomes your client.
Marketing materials (e.g., brochures, business cards, Web site, business name, e-mail address) need to be professional and project the desired image. Use appropriate language and terminology. Avoid phrases like "full-body massage". Even words such as "release" can be taken out of context. Be sure your photos and artwork are not provocative: view pictures from all angles because sometimes images look fine from one direction, but suggestive from others. Ideally, have your picture taken by a professional photographer, but refrain from using "glamour" shots.
Now let's discuss your business name. Many massage therapists use their personal name as their company name. This is a fine option; although, if you go this route, I suggest you use your full name and include a title. For instance a business name that says "Terry Smith, LMT" sounds much more professional than "Massage by Terry." Use caution if you decide to have a separate business identity: avoid anything gimmicky or that could have a double meaning. Also, verify that your business name doesn't mean something derogatory in another language.
Set up a separate business e-mail account from your personal account. Either use your name, company name, or the type of work you do as the first part of your e-mail address. I have seen way too many examples of therapists with business e-mails like or . I'm a rock-and-roll gal who has a healing touch, but I wouldn't use either of the above examples as my business e-mail address.
Recently, I discussed this topic in a marketing class that I teach and had people critique each other's e-mail addresses. One woman's e-mail was . As soon as she said it out loud there was a lot of snickering in the room. She didn't get it; the year 1969 was very important to her. She failed to realize how the number 69 has a sexual connotation and that using that e-mail address for business could send the wrong message. Ideally, you would have a business Web site and your e-mail address would reflect that (e.g., ).
Brochures and Business Cards
The main ethical concerns are that the language and images convey professionalism (as described in the section on Marketing Materials). Before choosing images for your brochures or business cards, have other people look at them and tell you what they think they are. I've seen many photos that I've had to turn sideways or read through several paragraphs of accompanying information before I could figure out what the photo was depicting.
In addition to the cautions covered in the above section regarding professional images, you need to be careful with the links you include on your site. Besides the links no longer being active, sometimes a link that originally went to one site, all of a sudden takes you to a totally different site. This can be a purposeful act of misdirection by an outside source or I suppose something just went haywire (to use a technical term). For instance, there was a legitimate massage school that we had been dealing with for years, and one day while looking up their site, my staff noticed it linked to a porn site. We contacted the school and they were horrified! They fixed the problem, but were left uneasy not knowing how long it was linking to that site. So, in addition to periodically checking the links you list on your site, make sure that you check your own internal links.
Every time you answer the telephone, you create an impression. The question remains what that impression will be. Within the first few seconds of a conversation you convey how you feel about yourself, your practice and the caller. Just because the caller can't see you doesn't mean that s/he can't sense the attitudes you convey through the tone of your voice and the words you use.
Develop a script for how you answer your phone so that you always portray professionalism. Avoid fumbling. During an initial conversation with a potential client, you have an opportunity to gather essential information that can save a lot of time and trouble down the road. Always ask about their massage history, and briefly describe your protocol, the type of benefits they can expect, and a bit about your education, experience and/or philosophy. Know how to concisely describe what you do and your policies in a professional tone.
Handling Inappropriate Calls
Receiving inappropriate calls can be a source of immense discomfort. Unfortunately, many massage therapists still get calls from people who are ill-informed about the nature and scope of this work. Sometimes people are indirect about wanting sexual services. You can often determine inappropriate callers by their tone of voice, awkward periods of silence, calls placed late at night and if they request late-night appointments (unless it's a situation such as you are providing after-performance massage for a dance troupe). A common tip-off for massage therapists is when a caller requests "full-body massage" or the direct request for a "happy ending." Beware of callers that are reluctant to give their full names or phone numbers.
You have three main options of how to respond when someone calls requesting sexual services: you can get upset and hang up the phone; you can calmly state that you do not provide sexual services and end the call; or you can use it as an opportunity to educate the caller. Trust your instinct as to which option to choose, as it might vary with each caller.
If you receive this type of call, it works well to stay centered in your professionalism. If people want sexual services, that's their prerogative, but they don't have the right to expect it from you or any other massage therapist. Tell them that isn't what you do, give a brief description of the services you do provide, and let them know that a legitimate massage therapist does not perform that kind of work. This type of statement usually results in the caller hanging up if they are truly interested in sexual services or simply get their kicks from making the equivalent of prank phone calls.
You might want to develop an additional script for how you handle these inquiries, thus avoiding any misunderstandings or unwanted clients appearing at your doorstep.
For instance, if you feel that they might not be a true sexual predator, you could suggest they visit your Web site for more information and then if they want a non-sexual massage they can call back. This gives the callers the opportunity to learn more about massage or gracefully remove themselves from the conversation. Who knows--just because they want something you don't offer doesn't mean they might not want a legitimate massage in the future or don't have friends who want a professional massage. Remember, these are the people we really need to educate. They are the ones perpetuating the myths about massage and the entire healing arts field.
You can transform a potentially negative experience into a positive one by responding professionally and keeping perspective. Still, you must put your safety first. It's best NOT to set up an appointment with this type of caller if you are the only person in your office or do outcalls.
The information I shared in this article sets the foundation for understanding the concept of desexualizing massage and steps you can take to project a non-sexual image in your marketing materials and telephone conversations. Part two explores the steps you can take to create a safe space and desexualize the massage experience with clients. This includes topics such as personal appearance, your office location and ambience, treatment interactions, communications, and documentation. In the meantime, if you have any questions or comments please contact me at www.sohnen-moe.com.
Click here for previous articles by Cherie Sohnen-Moe.
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