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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
The Pain of Undercharging
Are you charging what your therapy is worth? Or are you settling for fees that reflect your insecurities instead? That's an important distinction, because how you do money is how you do everything. If your rates are too low, they're compromising more than the health of your practice. They're having a negative impact on your clients — and on every other area of your life.
To find out if you need to heal your fees, take this fee stress test:
If any of these questions caused your throat to tighten or your breathing to become shallow, that's a good sign that you're suffering from the pain of undercharging. And chances are, you came by it honestly.
If you're like most practitioners, you spent a decent chunk of money earning your license to touch. Then you looked around your community for a treatment room you loved. You chose your massage table, your linens and your artwork with care. And then you selected session fees that were low enough to keep you feeling comfortable.
You may have even justified that to yourself by saying, "That's okay. I'm just starting out. It'll give me room to practice. I can always raise my rates later." The problem is, in that moment, you unconsciously reinforced an old subconscious pattern you hold that's not just preventing your practice from growing. It's also preventing you from growing — until you decide to change it.
In order to serve your clients to your greatest capacity, you have to overcome your old money habits and embrace prosperity in your practice. You've got to create an environment that allows you to share your skills freely without holding back. And your environment is more than your physical space. It also consists of the ideas and beliefs you surround yourself with every day. And these ideas and beliefs will always show up in your relationship with money. That's why, when you release the restrictions you hold around money, you naturally release those old patterns in the other areas of your life. And you free yourself to become more deeply fulfilled as a practitioner.
I was once in the middle of a heavenly 90-minute massage when I spontaneously told Deidre, my therapist, "I hope that one day when I die, it's when I'm getting a massage." She got a wistful look on her face and said, "I hope I die giving a massage." Wow, right? That's the mark of a woman who is doing what she was born to do. I wouldn't want her doing anything else. Yet, I knew she was also extremely stressed out. She was divorced with two grown kids who had challenges of their own. And she was often working to squeeze one more session into her already booked days because she needed more money to make ends meet.
Deidre is a perfect example of the first big problem you face when you're undercharging for your work: The only way to make more money is to work on more clients. And you know better than anyone: Massage therapy is hard work. Yes, it's a labor of love. But it's still hard work.
Some therapists mistakenly believe that if they practice only light-touch modalities like Craniosacral Therapy or Lymph Drainage Therapy, it'll be easier. But that's not always the case. Because even when you're using a light touch, these sessions can be emotionally taxing. Some days, you may be working on garden-variety head, neck and back pain. But other days you'll be working on a little boy with autism. Or a midlife woman whose body has been wracked with the pain of fibromyalgia for years. Or a young mother with cancer.
These are some of the real benefits of the hands-on work you do. And you should feel blessed to have the natural skills and abilities to help these deserving people. But make no mistake, light touch or not, bodywork can be intense. So, you can fill your practice with your favorite clients. But unless you're charging what your work is worth, you won't experience the financial peace of mind you deserve.
Value That Investment
The second big problem with undercharging? Many of your clients won't get the results they want. Whether we like it or not, people value what they invest in. If you have any question about that, just look at how fast or, more accurately, how slow people tend to heal when they're working through insurance.
Many years ago, my then-husband Roy came home from his practice one afternoon feeling tense, exhausted and frustrated. He said he had a couple clients that day who were on disability insurance. And he couldn't help but notice that week after week, and month after month, they were making almost no sustainable progress compared to his injured clients who paid out of pocket. Eventually, he saw such a huge disparity between the two groups — people on insurance and people who paid on their own — that in good conscience, he realized he had to stop taking insurance altogether. The result? His practice grew faster. He not only had more satisfied clients, but more satisfying clients. People who were far more invested in creating their own health and well-being. So even though it's counterintuitive, when you charge less, your clients invest less of themselves in the healing process. And they may even take you less seriously.
Money Stress = Therapy Stress
The third big problem that occurs when you undercharge for your services is simply this: Despite your best intentions, your negative feelings may leak into your sessions. When you're stressed out and anxious and tense about money, it's tough to put all those emotions aside and work to the best of your ability. You may be able to do it for awhile, but eventually you'll pass your internal stress threshold. And those feelings you're trying to stuff away? They'll come out in your sessions — or in some other area of your life — in the same way that your clients' symptoms come out in theirs.
Let me tell you about one of my clients, Mindy. She has a hands-on practice helping women who are in stress and pain feel whole again. And she came to me for coaching specifically because she was struggling with her fees. She was doing great work and getting rave reviews. And her practice was nearly full. But she began to notice that she was experiencing an unusual symptom after every session: a subtle yet unmistakable feeling of resentment.
Now fortunately, Mindy is a very aware woman. And she was able to trace that sensation of resentment directly to the fact that she knew she was delivering far more value in her sessions than her clients were paying for. And that felt out of balance to her. Now, in addition to being intelligent, Mindy's a woman of great integrity. And she realized that if she didn't correct this dynamic, she would eventually begin carrying her resentment into her sessions. And that wasn't okay with her.
In our work together, Mindy got very clear on the results her clients were enjoying because of her therapy. She also got crystal clear on her own sense of value and self-worth. And she chose healthy new fees that gave her a felt sense of balance and joy. And when she told her clients? Here's what they said: "It's about time." "Heck yeah, you're raising your rates. You should have done it a year ago!" "It wouldn't matter what you charged. I'd be there."
Mindy came away from that experience feeling whole, complete and powerful every time she stepped into a session. And her clients enjoyed the results. There's a saying I love: "If you want to be generous, it is good to be rich." If you want to be generous with your time, your energy and your resources, it is good to be rich. So embrace that truth. And practice saying this new money mantra out loud: "The more prosperous I am, the more generous I can be." Then look around and make note of every instance where that new belief might be true. Once you do? Give yourself a healthy raise. Your clients will thank you for it.