A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
The Life Stage of Retirement
I am twenty-five years into my second career as a massage therapist and instructor. While I still love what I do, I cannot escape the truth that retirement is sharpening from a hazy, distant dream into a clear, impending reality for me.
As I plan for my retirement, I am not just talking to my financial advisor and keeping a closer eye on my retirement plan. I am also considering what to do with my practice once I am ready to step into retirement. One of the many blessings of our field is its flexibility to fit our interests, lifestyle and time commitment. With careful thought and preparation, your career can continue to fit your personal goals and financial situation by switching your client focus, scaling down, or selling your practice.
Switching It Up
While all massage modalities demand much of us physically, you may find that switching to geriatric or prenatal massage may be the best move for you to continue to serve clients effectively. Instead of seeing this as an end of an era, working with clients that fit into your life stage or the challenge of training for a new modality could give you a renewed motivation.
Pursuing education for a new phase of your career is exciting and could compel you to continue your passion for massage longer than you thought possible. Geriatric massage in particular is a growing field, with 10,000 people reaching the 65-year milestone every day and could be a very promising shift for MTs wanting a new challenge that better fits their life stage.
The idea of retirement being all or nothing is quickly becoming an antiquated notion of ending a career. More and more people are easing into retirement and enjoy it more because of this. While going cold turkey is still a goal for many, others have seen the mental, physical and financial benefit of scaling back their work hours.
Decreasing Your Hours
Thankfully, our field is well-suited to this trend. If you want more freedom to pursue your personal interests or need to cut down on the physical demands of your professional life, decreasing the hours you spend providing services to clients is an easy way to accomplish that. For some, this will happen naturally if you simply cease your efforts to grow your client base (which may feel so odd compared to the effort you have made in this area over years).
Others with a very loyal customer base may want to partner with another provider to make sure that your existing clients have a quality option for their massage needs as you scale down your practice. Be sure to have a communication plan in place so that your customers have clear expectations of your new hours and availability.
If selling your successful practice is a route you are considering, preparation is vital. Scaling back your practice may seem like a natural path to eventually selling it, but the best way to maximize your profit from years of investing of time, talent, treasure, and yes, even tears, into your business is to do your best to maintain its growth so that you have a healthy business to market.
This can potentially be a complex process, but there are resources and professionals available to help you navigate the sale of your practice successfully. If you would like to wade into a transition such as this, consider seeking out another massage therapist who is seriously interested in purchasing a practice to bring on as an associate for a few years. A successful arrangement will allow you to gradually scale back the time you spend on your practice and ensure that you are giving your clients a smooth transition to the new owner.
It does not take much life experience to know that change is inevitable. As you plan for your retirement, I hope that you will embrace this change and the new professional opportunities this life stage can bring. If retirement is still distant for you, begin to dream about how to make your skills and the investment that you have made in your career work for you and your clients for many years to come.