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5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
February, 2008, Vol. 08, Issue 02
Helping You Choose Wisely
By Angie Patrick
In my years of experience in the massage-supply business, I have had the tremendous opportunity to meet and speak with literally thousands of massage therapists. I often am asked questions about professional-grade products and how to know when it might be time to make a change. When I began in the industry years ago, there were only a couple of major players in the lubricant field, so the choices were not so difficult to make. But now, as our industry has grown and prospered, so have the choices in lubricants. My intent in this article is not to promote any specific brand, but rather give you some pointers so you can make the right decision for your own practice.
My first piece of advice: Always use professional-grade products designed and manufactured for professional massage therapist use. Products found in drug stores, discount chains and grocery stores are typically not designed for use on a professional level. Keep in mind you will be in contact with this product every day, with your hands immersed. You want to make sure the products you choose are designed for this type of extended exposure to skin and that it's not irritating to your skin after prolonged exposure.
Changes in skin-care technology have prompted many changes in lubricant markets. Manufacturers have become far more savvy in the ingredients they use and the overall effect the products have on the skin. In other words, it's OK to branch out and try something new because there is so much out there now. It's just a smart idea to stay in touch with new ideas in lubricants. Here are a few tips on how you can try new products without breaking the bank.
When looking for new products, it's always smart to ask your supplier if they happen to have any samples. Manufacturers sometimes will supply their distributors with sample-size products to try. In the event there are no samples, I would suggest you buy the smallest available size of the product in order to give it your evaluation. In most cases, once you break the seal on a product, it cannot be returned. This is the best reason I know to buy the smallest size on the first try. You can always buy a larger size if you like the product. Even if you have used the same lubricant for years, it never hurts to branch out a bit and see what else the market has to offer.
How should I care for my lubricants? This is a question I get asked all the time. I have to say, it's always best to avoid extreme temperatures. I have heard of therapists who have left their products in their cars for months during searing heat and bitter cold, and then wonder why it separated or smelled "funny." You should care for your lubricants by providing them storage in a temperate location not prone to climate changes. Oils like the dark, so a cabinet or closet works well. Avoid prolonged exposure to sunlight.
How do I know when my lubricant has "gone bad?" Most manufacturers provide information regarding the shelf life of their products. In some cases, you may even see an expiration date printed on the bottle or jar. You will want to avoid using any product that has an undesirable odor. Oils can sometimes have a faint "cooking oil" smell when they begin to turn. Lotions and crèmes can give an unpleasant smell that somewhat resembles "plastic," for lack of a better descriptive. Of course, should you see any discoloration or growth on the inside of the container or cap, you should discard the product immediately.
One way you can help inhibit the growth of bacteria in your lubricants is to avoid cross-contamination of the product. Never use your hands to dip product from a larger container to a smaller one. Always use a clean spoon or spatula. This will prevent bacteria that live on your skin from being transferred to the product.
Whether you decide to use an oil, lotion or crème, it's always important to make sure you have asked your client about any allergies they may have. Occasionally, you will have a client who may have a pronounced allergy to an ingredient found in your lubricants - most commonly nuts. Be sure you have asked the proper questions on your intake form so you can avoid your client having an uncomfortable reaction.
This brings us to the question, "Which lubricant type will work best for me?" This will depend largely on the type of massage you want to perform. Each type of lubricant has its own special properties that aid the therapist in treatment. Oils can be used for any modality in which you will need extended glide. Oil provides the least amount of friction and is widely utilized for Swedish massage. Seed oils and nut oils are widely used; however, I would again stress the importance of making sure your client has no allergies to the ingredients in the oil you use. Lotions and crèmes are better suited for modalities that do not require a great deal of glide but instead utilize grip. You will want a product that will allow you enough glide to warm the tissue, but finish with enough grip as to allow you to work the tissue below the skin.
Finally, "How do I clean my sheets and avoid staining?" This is a concern for therapists and spas alike. Once your sheets are stained, you really cannot use them again because your clients will have the impression they are unsanitary. So, how do you care for them? There are detergents on the market made especially for the removal of oils, creams and lotions. You can surf the Web site of your favorite massage-product supplier and find a number of eco-friendly and lubricant-specific detergents designed to break down and remove the residue. Also, many manufacturers are using ingredients that make the products "water-dispersible," which certainly helps when it comes time to do laundry!
I encourage you to check out all your options and begin your journey of exploration. There are so many wonderful and exciting things appearing on the market every day; you owe it to yourself to stay in the know and be informed about the newest advancements and product breakthroughs in the industry. It's a big sea of options out there; happy fishing!
Click here for previous articles by Angie Patrick.
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