ChiroMasterMind

The ability to communicate with another person effectively is a key to success. It shows value and respect. Here are several key ways to show professional conduct. They will notice.

1. YOU communicate to your clients if you have a change in your schedule. You take ownershp of any changes and don’t expect front desk or maagement to handle it for you.

2. YOU communcate to your clients if you are going on vacation, having another doctor cover your office, changing your schedule, your rates, etc. You take ownership.

3. If a client’s treatment session regimen is up, YOU MUST communicate this to them. If you are uncomfortable with speaking finances to them for some reason(You need to work on this). Value your services.

4. Ask for feedback from your clients periodically. Feedback is the breakfast of champions. My favorite way is to ask this way. “On a scale of 1-10 how would you rate your experience in our office?” (Now the most important part!) Ask this follow up question, “What would it take to make it a 10?” POWERFUL! …This gives you the actions you can now take.

Remember the cost of trying to find a new client is not cheap. It’s far less expensive and far more powerful to focus on internal marketing and use your existing clientele to help build your business.

Perry Nickelston, DC

www.painlasercenter.com

973-800-6570

Tags: General by Dr. Perry
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This list is inspired from the RITZ-CARLTON Credo Card of service. Apply these principles to your office. They know how to serve.

1. Build strong relationships with your patients for life.

2. Always be reponsive to the expressed and unexpresed wishes and needs of your patients.

3. Become empowered to create unique, memorable, and personal experiences for your patients.

4. Continuosly seek opportunities to innovate and improve your practice experience.

5. Own and immediately resolve problems.

6. Create a work environment of teamwork and lateral service so that the needs of your patients and others are met.

7. Make the opportunity to learn and grow. Never stop learning.

8. Involve staff in the planning of the work that affects them.

9. Always use a warm and sincere greeting.

10. Anticipate and fulfill each paitent’s need

11. Fond farewll. Give a warm good-bye and use their name.

12. Be proud of your profesional appearance, langage and behavior.

If you are stuck in practice, looking to get ahead, and you are looking to create loyal, raving fans, start with creating a culture that is special.

Dr. Perry Nickelston, DC

www.painlasercenter.com

Tags: General by Dr. Perry
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In a down economy there is nothing like staying fired-up and keeping your energy sky-high.  You can do this by means such as attending workshops and conferences, joining mastermind groups of other successful people and attending mentorship programs. Put your energy out there and watch it multiply and come back to you. Weekly or monthly meetings with your staff for education, motivation and empowerment keep them swept up in your excitement and you in theirs. Feed your mind with journals and books on professional and personal development. A great goal for you is to read at least one book per month. Together, these efforts will allow you to keep your mind sharp, your energy flowing, and results happening.

 Perry Nickelston, DC

www.painlasercenter.com

Tags: General by Dr. Perry
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The term LASER is an acronym for Light Amplification by Stimulated Emission of Radiation. By definition, a Laser is: “ANy device which can be made to produce or amplify electromagnetic radiation in the wavelength range from 180nm to 1mm primarily by the process of controlled stimulated emission.” There are two types of lasers involved in the health care industry: surgical lasers and therapeutic lasers. Surgical lasers cut tissue; therapeutic lasers heal tissue.

Dr. Perry Nickelston, DC

www.painlasercenter.com

Tags: Class 4 Laser Therapy, General by Dr. Perry
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Practice tip of the day: Make a video and post it on YouTube. Do one every week and make it relevant to the viewer. This is not the time for blatant marketing, but of teaching and educating the public. Make sure to place your website and phone number over each video. This a free and powerful mediam to launch your business marketing. Check out my website to see it in action.

Dr. Perry Nickelston

www.painlasercenter.com

Tags: General by Dr. Perry
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 Go the extra mile: Give people more than they expect. It amazes me why doctors think they should get referrals for getting people out of pain. So why don’t you get referrals? Because you gave the patient what they expected, and no MORE! Your job is to get them out of pain, that’s why they pay you. They are not going to reward you for simply doing your job. The question is, did you ‘WOW’ them with an experience beyond what they anticipated? It’s all about the ‘experience’. Take Starbucks for example. Is their coffee that much better than all the others. No. People flock to Starbucks for the atmosphere and experience.  Take a lesson from that and make your office a special place to visit. Action Step: Call them personally after the first treatment and send a handwritten ‘Thank You’ note. 

Tags: General by Dr. Perry
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If you ever have a sticking point with resolving back pain move down and check the ankle. Sure we can sometimes remember to check the foot for inversion/eversion and maybe even put in orthotics. But what about the ankle mortise? Freeing up the joint can make a profound change your chiropractic treatment for spinal fixations. Remember the Kinetic Chain? Take a few extra minutes to adjust the ankle and imrove it’s ROM. The results can be astounding.

Perry Nickelston, DC

www.painlasercenter.com

Tags: General by Dr. Perry
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There are about as many treatment recommendations out there for proper laser therapy on elbow tendinitis as there are stars! How in the world do you know what works? Well I can tell you what works for me…and to my patient’s that’s all that matters. Just give it a shot…Here we go.

It’s all about the dose and diagnosis. I prefer very high doses with Class 4 laser with a certain number of joules per cm/2. I always do the cervical nerve root first with 600J. Then scalenes and brachial plexus/pec major minor with an additional 1,500J. Next is the supraspinatus with 600J then the actual elbow and forearm with 1,500J. Now you may be saying that’s too much dosage. Wrong! (at least in my clinical opinion) I keep the dose to about 500J per 50cm/2 and expanding higher for deeper tissue. That’s the target range. It’s all about absorption.

Just give this a try next time and see what happens. Of course if you have a Class 3 cold laser this is impossible to do since these dosages can’t be obtained anytime this century. The important thing is to get laser into the area. So anything is better than nothing. I do not recommend any particular brand of laser. Just use one!!

Why do I hit all these areas for tennis elbow? That is for another blog post.

Perry Nickelston

www.painlasercenter.com

Tags: General by Dr. Perry
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Remember the VMO? The small little muscle in your thigh that can cause a huge problem in the knee. Ah, the Vastus Medialis Obliques brings back memories from anatomy class. But how many of you evaluate it with knee complaints? Trigger points in the VMO can cause a myriad of signs and symptoms. Most notably patellar pain and deep aching in the knee. Particularly when in a seated position. When evaluating chronic knee pain, ensure you check the VMO for active/latent trigger points. Perfrom MFR, ultrasound, or my preferrd modality (laser therapy) I recommend 600Joules of energy into the entire VMO muscle. Laser first and then perform soft tissue work and manipulate last. You may find an internal/external tibia. Oh and don’t forget to check the hip. Takes anywhere from 4-6 visits for resolution of chronic problems.

Perry Nickelston, DC
973-800-6570
www.painlasercenter.com

Tags: General by Dr. Perry
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Remember that wonderful system of the body which interconnects all layers of muscle tissue? Sure you do? Think hard…it will all come rushing back to you. Hint: It starts with an F. Right! Fascia. I am here to tell you this is the ‘missing link’ to resolving chronic pain, not just in the shoulder. So the power clinical tip of the day is this..whenever you treat shoulder pain or dysfunction ALWAYS look at the hip structure. Assess the gluteus medius, minimus, piriformis, TFL, iliopsoas and latissimus dorsi attachments…don’t forget the hamstrings by the sacrotuberous ligament. Why are you looking at these places? FASCIA. Restricted fascia and trigger points in these muscles will prevent proper scapular abduction leading to overload and movement dysfunction of the glenohumeral joint. So the moral of this story is ‘STOP CHASING PAIN’, begin fixing problems. Big difference. Have fun! It works.

Dr. Perry Nickelston, DC

973-800-6570

www.painlasercenter.com

Tags: General by Dr. Perry
3 Comments »