resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
July, 2011, Vol. 11, Issue 07
Team With Pro Athletes: A Win For Everyone
By Debbie Roberts, LMT
More than eight years ago, I started working with an up and coming baseball pitcher striving to make it to the major leagues. At 26, Scott Proctor was hungry, hard working and as determined as anyone I've ever met.
Proctor's first visit to my office was for a biomechanic assessment. During his session, we found some stability issues and I created a custom exercise program to address those issues and move Proctor from random "gym philosophy" workouts to a systemized exercise plan that met his body's specific functional needs.
His stability improved almost immediately and his game improved, too. But due to the stress of pitching, Proctor soon began experiencing a nagging anterior shoulder pain in his throwing arm that just wouldn't go away. After assessing his shoulder, I discovered that one of the culprits was the subscapularis.
As we know, subscapularis trigger points will fire to the anterior shoulder. So I began treating Proctor with a multi-disciplinary massage approach and within a couple of sessions, he was pain free.
From that point forward we began to work together as a team. During the off-season, Proctor trained with me and I used massage techniques to help him recover from the previous season. During the demanding baseball season, he trained with the team and I continued to treat him with massage therapy to help keep him at the top of his game.
Within a year, Proctor's pro ball dreams became a reality when he was picked up by the Yankees. One of the biggest testaments to the work we did together came when Proctor reported for his very first Spring Training assessment and the coaches and trainers couldn't find a single flaw with his stability or mobility.
Once he made it to the big leagues, Proctor's determination and dedication to the game were stronger than ever. When I recently asked Proctor how he thought massage therapy contributed to his pro ball career he told me, "The biggest thing massage therapy has done for me is just allowed me to perform at a high level each and every day."
"As a pro-baseball player," Proctor added, "we don't have five or six days off like they do in football and other sports that only perform once a week. We play 162 games in a 180 days and it's a very, very rigorous schedule.
"When you're sore, your command or your execution might be down for a few days. But with massage therapy, if you're continually getting worked on and keeping your body at that peak level of flexibility, you're able to compete at a very high level for a number of days in a row."
This consistent high level of performance led to Proctor becoming one of the most used mid-relief pitchers in Yankee history.
Working with Proctor and other athletes has been hugely rewarding for me. If you would like the experience of working with pros in your practice, here are a few tips to help you score the right clients.
Practice Step #1: Assessment
When working with pro-athletes you should always follow the assessment, treatment and muscle stabilization protocol (ATM(TM) for short).
That means the first step in working with an elite athlete is to assess what's going on with their body. As a massage therapist, you need to know how to take a thorough evaluation of every joint, from the foot to the neck. In this assessment, you are evaluating his or her competency of movement patterns and looking at the mobility and the stability of each joint.
Have you ever worked on someone who's floated off your table feeling so good that they seem to have completely forgotten their pain, only to call you the next day to complain that it's back? Well that's because on the table the client's muscles are not doing what muscles do when they oppose gravity.
One of the often-overlooked keys in assessing a client is that you can't just assess them on the table, you must take a functional assessment when they are opposing gravity.
The purpose of this evaluation is not to diagnose, but to analyze their needs. This is especially important with pro-athletes. Your athlete will need to perform at a high level of speed, agility, strength, endurance and quickness in their jobs. As a therapist, you must have the knowledge, skills and ability to evaluate all of muscles that will contribute to your athlete's performance.
Practice Step #2: Keep Learning, Keep Improving
The next thing you need to do to attract and work with pro-athletes in your practice is to keep learning and improving your skills. Pro-athletes are at the top of their game, and they want nothing less from their trainers, coaches and therapists. For this, one or two massage techniques are never enough.
When I asked Proctor what he would tell other pro-ball players looking for a massage therapist, here's what he had to say, "I think you really need to be selective in who you choose. Find somebody who has the knowledge, the certifications and the education to be able to work with an elite athlete. As athletes, our bodies need to be cared for a different way. You want to work with someone who you can trust. You want to know that what they are telling you is right.
"As a professional athlete, every day I'm striving to just take a step forward. If I find a massage therapist who is content with where they're at, I'm not going to work with them. To me, the biggest thing is finding a therapist who's hungry to get better in their profession."
So, if you're a massage therapist who would like to work with pro-athletes in your practice, the most important piece of advice I can offer you is to follow my motto: "Become an education junky!"
Learn from everyone out there and don't skimp on your education or think that you can't afford it. The truth is, you can't afford NOT to improve your skills and your training if you want to stay at the top of your game.
Proctor agrees, "I would tell the massage therapist who wants to work on elite athletes to just stay hungry. Always strive to get better. You're really only limited by how far you want to go in your studies and what you want to learn."
Practice Step #3: Getting Into Their Rhythm
One of the challenges of working with pros is that they have very demanding training and travel schedules. That's why if you're working with pros you must have an understanding of their seasons and their schedules, and your treatment plan must be in rhythm with where they are in pre-season, post-season and especially during season.
This requires dedication and flexibility on the part of the therapist and the athlete. Working with Proctor has at times required late night sessions and long trips on my part. To a certain extent, I've had to bend and maneuver my schedule to work with him. But it's required his commitment as well.
Proctor told me in a recent conversation, "Massage is one of those things that I know I need to do, so I've got to work it in. It's just like working out or any other thing I need to do for my profession. It's a big piece of the puzzle and one I know I have to make time for."
The Final Score: Results, Results, Results
The bottom line when you're working with pro-athletes is that they are looking for results. At the end of the day, if you don't deliver measurable results in their performance, they're not going to continue to work with you.
Rigorous training schedules and the demands of the sport can take a serious toll on the body of elite athletes. Your role as a massage therapist is to relieve their pain and keep them as healthy as possible.
"Baseball isn't a natural motion and especially the overhand throwing. Combine that with the contact in the sport and injury is almost inevitable," Proctor admitted. "I definitely have to use my body throughout my career and I feel that massage therapy has kept me off the operating table for a very long time."
Since we all know injuries do occur in professional athletics, another important skill you need to possess if you're working with pros is injury and post-operative rehabilitation. This skill can have a real impact on your clients.
"At one point right before my Tommy John surgery," Proctor told me, "I was in just so much excruciating [medial elbow] pain that I was almost going tell the doctors to go ahead and cut me. After three or four days of intensive massage therapy I actually ended up finishing the season healthy.
"Eventually I did have to have the surgery, but massage therapy helped me to continue to perform at a high level even with that injury. After surgery, there isn't a real big percentage of guys who make it back and compete at the same level that they were at before.
"I would not have made it back to the major leagues if it wasn't for the massage therapy. The therapy broke up the scar tissue so I could get my range of motion back. Because of that, I actually have a better range of motion now than I did pre-surgery."
A Winning Team
Working with Proctor and other pro-athletes throughout my career has taught me the importance of teamwork and the need for dedication to your profession. Every day I go to work, I strive to bring these same traits into my own practice.
For me, there's nothing more rewarding than working with a client who understands, values and appreciates the quality of the work we do together. Every victory my clients achieve on the field, on the court or in the pool is a victory for me as well. Not only do I get to work with people I admire, respect and enjoy, but I get to form relationships with friends who inspire me to do more, be more and learn more.
This sentiment was echoed back to me recently when Proctor said, "In you Debbie, I've found a friend, along with a colleague and a massage therapist."
And I couldn't agree more.
Click here for more information about Debbie Roberts, LMT.
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