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Pediatric Massage Therapy for Scoliosis

Pediatric Massage Therapy for Scoliosis

Pediatric Massage - Scoliosis

Scoliosis is a condition that millions of Americans are familiar with. You may have already worked with patients who suffer from pain, discomfort, and stiffness due to scoliosis. This condition is particularly detrimental to children, who may struggle with weak muscles, back pain, and fatigue from long periods of standing upright.

Luckily, massage therapy can be used to help treat scoliosis in children. A pediatric massage involves manipulating soft tissues with the aim of relieving tension and improving blood flow to affected regions. When done correctly, the symptoms of scoliosis in children can be significantly reduced.

 

 

Understanding Scoliosis in children

Scoliosis is a condition where the spinal cord curvature is increased more than usual. The spine typically has a mild curve as it runs across your back. However, patients with scoliosis have a spinal cord that resembles a C or an S shape.

Congenital scoliosis (in children) typically occurs during birth and affects children as they continue to grow. The severity of this condition will vary from one patient to another. Some spinal curvatures are barely noticeable, while others can even cause a deformity in the spine.

Some risk factors of scoliosis include birth defects, infections, cerebral palsy, or genetic disorders such as Down Syndrome. Adding pediatric massage therapy skills to your current knowledge base will help you provide adequate relief to scoliosis patients.

Symptoms of Scoliosis

Scoliosis in children manifests itself in many different ways. It can begin to develop in the womb due to the incorrect division of vertebrae, or vertebrae that don’t fully grow during early stages. Diagnosis may be done soon after birth- or even later on when the child is 10-15 years old.

Some of the most common symptoms include:

Chronic back pain
An incorrectly tilted spine and pelvis
Fatigue from standing upright
Uneven shoulders
Benefits of Massage therapy

Pediatric massage therapy is a useful technique that can treat scoliosis in children. For example, effleurage massage techniques target the soft tissues and warm them up for adjustment. Through repeated strokes along the length of a child’s spinal cord, the muscles can relax and ease pain, stiffness, or tension.

Massage therapy also uses a combination of lubricants to soften the muscles and increase blood circulation to affected areas. Children with scoliosis can enjoy significant relief from symptoms and live a healthy life with timely massage therapy sessions.

Massage therapy techniques you can learn in massage school

If you wish to advance your knowledge and skills in massage therapy for scoliosis, attending massage school is an excellent way to get started. With these advanced skills under your belt, you’ll be able to provide timely pediatric massage therapy to children who’ve been affected by this condition.

Massage Therapist: A Career That Travels

Massage Therapist: A Career That Travels

Massage on the beach, Travel massage, massage schoolWhen it comes to a massage therapy career, the possibilities are endless. Massage therapists are able to work on cruises, in hospitals, in chiropractic centers, and even in airports. If you are someone who loves to travel, you may be wondering how you can incorporate your massage therapy career, and your love of traveling into one incredible life.
As a massage therapist, the world is your oyster. Not only can you help others relax and rehabilitate, you can also enjoy the exciting world of traveling as a massage therapist yourself. If you would like to find out how you can marry your two loves of travel and massage, check out some of the ways you can make your dream life a reality.

If the open sea is calling you, you might consider a massage therapy career aboard a luxury cruise liner. Along with helping vacationers relax and unwind, you can take in the beauty of some of the world’s most beautiful tropical destinations. Imagine yourself giving a world class massage to a couple who has just been married on day one, and then you could find yourself enjoying a beverage on a white sandy beach, overlooking the ocean on day two. This could be your every day life as a massage therapist, working on a cruise. Consider a massage therapy career and explore the possibilities yourself.
If you love traveling, massage therapy, and sports, you may consider starting your massage therapy career at an athletic training facility. You could be a massage therapist to one of your favorite athletes. You could travel from one stadium to another, providing relief and comfort to an athlete. If you want to work as a massage therapist in the Olympic field, you can make your dream a reality Many Olympians travel with their massage therapists to help them through grueling training sessions and competitions. While your client is busy working toward that gold metal, you may find yourself exploring the sites in China, South America, Canada, and more! This can be your reality with a massage therapy career.
If you are someone who prefers to be their own boss, you can choose where you would like to work. With the right marketing, you can open your services to various jobs, students, religious groups, and more. You can travel all over the country, and even the world, and offer world class massage therapy.
Do you love spas and resorts? If so, you might want to start your massage therapy career at a 5-star resort and spa. You could be just the person who helps an overworked executive begin to relax during their spa getaway. On your days off, you may find yourself looking at historical landmarks in Europe, or relaxing with a margarita on a beautiful beach in Mexico.
A massage therapy career can satisfy all areas of your life. If you are looking to incorporate massage therapy, and your love of traveling, into an exciting career, train to become a licensed massage therapist today. Your massage therapy career awaits.

The Advantages of Attending a Clinical Massage School

The Advantages of Attending a Clinical Massage School

Seattle Massage SchoolsIs your career in the health industry? Do you want to join a career that will enable you to promote healthy lifestyles? If this is the case, going to Northwest Academy’s Seattle clinical massage school may be the best option for you. Clinical massage therapy is an effective form of treatment of different kinds of ailments, diseases, and injuries. As a clinical massage therapist, you will use specific techniques that will ease muscle pain, reduce stress, and contribute to the overall wellness of your clients.

5 Benefits of Attending a Seattle Clinical Massage Therapy School

  1. Graduate with the essential skills: Northwest Academy’s Seattle clinical massage school involves a lot of hands-on training. The qualified instructors will train you in anatomy, musculature, and other massage therapy techniques. After graduating, you will have the needed practical experience to work in clinics, hospitals, and spas.
  2. You will become licensed: Most states require that massage therapists be licensed. For you to obtain your massage therapist license, you have to first complete a certification or degree program at a recognized Seattle clinical massage therapy school and obtain the necessary massage therapy experience. One of the main reasons why massage therapy has become a respected profession is due to the strict requirements that massage therapists have to meet.
  3. Qualified and licensed massage therapists are in high demand: The value of licensed massage therapists is now widely recognized. This has led to job growth in this industry; in fact, the BLS has predicted that it will experience a job growth of 26 percent more than the average. This means that it has a faster growth rate than the nursing profession which is at 15 percent. There are always new massage therapist jobs being created in places such as office buildings and nursing homes.
  4. It takes a short time to become a licensed clinical massage therapist: When most people think of starting a new career, they imagine spending two or four years in college. However, a typical training program at Northwest Academy’s Seattle clinical massage school takes between seven months and one year to complete. Training programs are designed to equip you with skills, safety precautions, and techniques you will need to enter the employment field. Therefore, if you desire to switch careers, the short massage therapy training programs are a real plus.
  5. Flexible class schedules: If you’re thinking about switching careers or enhancing your career with additional training, your busy work schedule and personal life may prevent you from achieving your goals. Fortunately, Northwest Academy’s Seattle clinical massage therapy school can tailor a training program that can fit your lifestyle and schedule.

Take the Next Step to Become a Massage Therapist

Now that you know the several benefits of attending a Seattle clinical massage therapy school, enroll for a massage therapist course at Northwest Academy. You will learn anatomy and physiology, kinesiology, massage theories and practices, pathology, first aid and CPR that will prepare you for a massage therapist career. For more information contact an admissions assistant today.

Tips For Choosing The Best Seattle Massage School

Tips For Choosing The Best Seattle Massage School

Have you stopped to ask yourself why a healing method that has been used for over 4000 years is now getting popular? Perhaps it’s because people are finally respecting this old healing method. Today, medically modeled massage is one of the fastest growing fields in the massage profession. Whether you have a desire for offering relaxation massages or you are passionate about assisting your patients with injuries or specific conditions, your education and experience from Seattle Massage Schools will help you succeed in your career.

4 Tips on How to Choose the Right Seattle Massage School

There are numerous Seattle Massage Schools and finding the right one can be an overwhelming process. It’s hard to choose a massage school that can provide you with the best training. Ideally, you need a Seattle massage school that:

  1. Has small classes: You should only consider Seattle massage schools that have the smallest classes. Small classes will help you get the one on one attention you deserve which is essential for you to succeed in this career path.
  2. Flexible class schedule: Life is often busy for most people, especially if you’re juggling between work and family. Therefore, you need a Seattle massage training program that can design a massage program to fit your lifestyle and schedule.
  3. Experienced faculty: Ensure that the Seattle massage therapy school you choose consists of licensed massage therapists, chiropractors, kinesiologists, naturopathic physicians, and physical therapists.
  4. Research or evidence-based curriculum: According to the Massage Therapy Foundation, massage therapists should have the necessary skills and knowledge to assess the available research and make effective clinical decisions. This can only be possible by choosing a Seattle massage school that has developed its curriculum around both theories and practices that are evidence-based. Additionally, the institution you choose should also utilize different classroom assessments.

More and more patients and physicians are realizing that medically based massage isn’t just an alternative treatment but a necessary one. What’s more, many insurance companies are now paying for medically modeled massages that have been prescribed by doctors for different ailments such as falls, work-related injuries, sports activities, auto accident injuries, and diseases.

Consider a Second Career in Massage Therapy

Psychologists agree that loving what you do is necessary to achieve job satisfaction. Therefore, if your current job is very demanding, you should consider a career change. Among all health care careers, the U.S. News has ranked massage therapist as the fourth best in terms of job prospects, salary, and work-life balance. Follow the above tips to find the best Seattle massage therapy schools. If you have any questions, visit Northwest Academy or call a helpful academic adviser at 206-932-5950 today.

Massage and Scleroderma

Massage and Scleroderma

Scleroderma massage therapy seattle

Let’s talk about a difficult condition called scleroderma. Massage therapy might not be among the resources you’d think of in addressing the patient’s challenges with this condition, but you’d be surprised. For a wide variety of conditions, massage therapy becomes a versatile tool for healthcare professionals who add it to their repertoire.

When you study the body from a massage therapy perspective, you also gain insight and ideas for your work as a yoga instructor, fitness professional, or other roles where you’re concerned with your clients’ physical wellbeing. It’s both a whole-body and localized treatment. Here’s how it helps with scleroderma when carefully used.

Scleroderma and its Stages

Scleroderma is an autoimmune condition which, like many such conditions, affects women much more frequently than it does men. It causes hardening of the body’s tissues, either locally or throughout the body’s systems, producing a thick feeling to the skin and other stiffness and internal damage.

The progression of a client’s scleroderma is an important factor in considering massage treatment. As damage to the body continues, its surface hardens and loses vitality and eventually internal organs can be affected. Massage therapy may not be advisable or may be of limited use during later stages of the disease.

The Advantages of Skilled Massage Therapists

Multimodal treatment, mixing massage therapy with treatment by physicians, nurses, and other healthcare providers, can help a patient’s body to respond better to treatment in general. If you have one of these backgrounds, you can augment your clinical skills in a significant way by learning massage therapy. For example, it can help increase blood circulation and possibly delay the onset and worsening of symptoms.

Because there are many specialized massage techniques with varying effects on the body, a carefully designed massage program can be offered to clients to address medical concerns. Where deep tissue massage may help with some aspects of a condition, your skill and tactile sensitivity as a massage therapist can help you use a gentler approach, similar to that used for fibromyalgia.

Using the Unique Qualities of Massage to Help Scleroderma Patients

Medical guidance is essential when you are working with a client who is diagnosed with scleroderma. Depending on the type and extent of a client’s condition, deep tissue massage techniques may be somewhat useful, but attention to circulation and joint function, breath and relaxation may be more productive approaches.

You can provide gentle, repetitive touch to help capillary flow and relaxation, while breathwork and assisted joint movement can help the body stay resilient. Myofascial (muscle) techniques can conflict with the hardening of the body’s surfaces, and generally you should avoid this type of approach.

Patient Engagement Makes a Difference

Massage therapy training helps you understand the body from a client’s perspective. In addition to being a caring presence in each person’s life, you learn how to constructively use touch to assist bodies in healing from disease and maintaining health. The power of one human caring for another in a safe, structured setting allows one of the most basic human needs to be addressed — that of touch.

As an autoimmune disease, scleroderma is a complex condition and patients may feel at a loss in dealing with it. From nurses to fitness coaches, when people help us with our physical well being, it’s usually with a minimum of hands-on connection and mostly verbal. When you, as a massage therapist, address specific physical challenges which the client is experiencing, you also address the patient as a whole, helping her to develop an inner strength to deal with her life’s challenges.

To learn more about how massage therapy can be beneficial for Scleroderma contact our Seattle student massage clinic

Massage Therapy Job Outlook in Washington

Massage Therapy Job Outlook in Washington

Massage Therapy Job Outlook – A career in massage therapy gives you the power to relieve pain and promote health while earning a good income. Nationally, the field is expected to continue growing at an accelerate rate through the year 2024.

For massage therapy Seattle and its tech-heavy culture make a perfect match. If you are thinking about a career in massage therapy Seattle is one of the best places in the country.

Washington State Requirements

Massage therapists are regulated by the Washington State Department of Health, Board of Massage. To maintain an active license, therapists must meet the following requirements.

Applicants must complete an approved training program that includes:

  • 130 hours anatomy and physiology
  • 40 hours kinesiology instruction
  • 50 hours pathology
  • 265 hours theory and practice, including technique
  • 55 hours clinical and business practices
  • Red Cross first aid certification
  • CPR certification
  • 4 hours HIV/AIDS discussion

Those who received training out-of-state or who are licensed in another location may not meet Washington state education requirements. To verify previous experience, a verification form must be completed by the jurisdiction or school where your credentials were gained.

All applicants must successfully complete the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) or Federation of State Massage Therapy Boards (FSMTB) examination.

After completing the training program and testing, therapists must submit all necessary paperwork to the Board of Massage, along with any applicable fees. Once your application information is verified, you will receive your Washington state massage therapy license.

Massage therapy licenses expire on the holder’s birthday every year. They can be renewed up to 90 days in advance.

Every two years, practitioners must complete 24 hours of continuing education credits. These must include:

  • 8+ hours direct massage skills training
  • 4+ hours professional ethics, communication, or review of state laws and regulations
  • 2 hours review of professional roles and boundaries

Massage Therapy Seattle Area Employment Outlook

For those practicing massage therapy Seattle has a variety of job opportunities in different industries.

  • Personal care services, such as in-home aid
  • Working with other health practitioners as part of a team
  • Amusement and recreation, such as spas and high-end hotels
  • Hospitals and long-term rehabilitation care

Massage Therapy Job Outlook for Washington is great in general. For a successful career in massage therapy Seattle is a great place to set up a freelance operation. For mobile massage therapy Seattle is the perfect place to create your own career by making office visits.

  • When it comes to pay for those practicing massage therapy Seattle is one of the best paying locations in the country. Seattle area therapists command an impressive hourly mean wage of $26.89, well above the national average of $19.17.
  • Washington has the 4th highest demand for massage therapists in the country. The state also consistently posts high employment rates for those in the field.
  • Massage therapy positions in Washington are expected to increase by 41.3% in the next 8 years. The demand for new massage talent will soon cause a shortage of qualified applicants. This could drive wages up in the future, making the area even more attractive for knowledgeable bodywork professionals.

When practicing massage therapy Seattle offers opportunity and variety. Enjoy a fulfilling and profitable career as a respected health professional. When it comes to massage therapy Seattle is the best place in the country to learn, practice, and live.

For questions relating to the Massage Therapy Job Outlook in Washington State contact our admission department today!

Massage School vs. Traditional College

Massage School vs. Traditional College

massage students, community college students

Are you thinking about adding a massage license to your list of qualifications? Those who want to train in the massage field can choose between a traditional college or schooling with an academic focus or a school that specializes in massage training. Both options have their advantages and drawbacks. Which one is right for you depends on your timeframe, current educational goals, and previous training and experience.

What Are the Legal Requirements for Massage Training Programs?

Laws governing massage training and licensing vary by state. Currently, forty-five states and the District of Columbia regulate massage therapy activities. General requirements include:

  • Between 300 and 1000 hours of instruction
  • Passing grade on an official exam: MBLEx
  • Periodic license renewal or continuing education credits
  • Criminal background check

Some states require active liability insurance prior to receiving your license. There are often other requirements as well, such as CPR certification and blood tests proving you are not a carrier of certain contagious diseases.

Read the state and local requirements for your area thoroughly, and understand them before you start your school search. That way, you won’t waste time investigating programs that don’t fit your specific needs.

What Is Taught in a Massage Therapy Program?

Like licensing requirements, the mandatory educational content for massage training programs also varies by state. Most programs will include the following elements.

  • Instruction in anatomy, physiology, pathology, kinesiology, and nutrition
  • Hands-on training, with a knowledgeable teacher present, in a classroom setting
  • How to assess clients’ needs and determine proper treatment
  • Information on ethical concerns, communication skills, and legal issues
  • Business management and accounting

If you are studying for a specialty certification, like prenatal or myofascial release therapies, additional courses will be necessary.

College Courses vs Massage School

Whether you choose to pursue an Associates of Applied Science degree from a traditional college or a Certificate of Completion from a vocational school, the information and guidance you receive will be similar. There are other major differences that can help you decide which path to take.

  • Nearly half of students pursuing an associate’s degree take 4 years to complete their studies. Massage training programs can usually be completed in less than a year.
  • The average degree seeker will pay $7,020 in tuition and fees. Add in the cost of books and other supplies, and that number can easily reach $10,000 or more. The cost of massage programs can range from $6 to $17 per hour, depending on factors like location, special offerings, and clock hours. That means you pay between $3,000 and $8,500 for a 500-hour course.
  • Many massage schools offer online or self-paced instruction. This allows for a more flexibility when compared to scheduled lectures and labs.
  • Practicing professionals who already have a degree don’t need to repeat general education courses that are irrelevant to their current goals.

Which One Is Right for You?

Your choice depends on your goals. Are you planning to use massage therapy as a starting point for a career in specialized therapies? In this situation, college might be the right path for you. Academic institutions offer more opportunities for experimentation and inspiring new experiences.

If you are an established therapy professional who wants to offer clients a safe, natural, and effective addition to existing methods that promotes healing and reduces stress, a massage school program is your best choice. You can get the knowledge you need more quickly, and with a smaller investment of time and money.

Kinesiology Taping in a Massage Practice

Kinesiology Taping in a Massage Practice

Kinesiology Tape and Massage Therapy

Since the 1970s, athletes have been using kinesiology taping to help them heal faster and build stronger muscles. Therapists have recently started using taping methods to bring those same benefits to their clients. Massage therapists can use taping to prolong relief and increase the body’s natural ability to heal itself.

What is Kinesiology Taping?

Kinesiology studies the body, and how it uses each part to move. Using knowledge of physiology, biomechanics, and psychology, the kinesiologist seeks to improve strength and muscle condition.

Kinesiology tape is a thin, stretchy fabric that adheres to the skin with acrylic adhesives. The adhesive itself is mild on the skin but very strong. The tape is waterproof and can stay in place up to five days. Usually made of brightly colored cotton, it has the same thickness and elasticity of healthy skin. It is designed to not cause any pinching, binding, or restrictions.

When applied to the skin, the tape gently lifts surrounding skin, allowing for a better flow of interstitial and lymph fluids. These fluids help remove dead cells and other waste caused by injury or a hard workout. They also deliver vital nutrients that cells need to repair themselves.

Interstitial fluids are also responsible for facilitating intercellular communication. When muscles cells are able to easily send and receive the electrical impulses that stimulate muscle movement, coordination and flexibility are dramatically increased.

Benefits of Taping

When applied around problematic joints and muscles, taping increases the healing and pain relieving properties gained from other therapy methods.

  • Reduce painful inflammation by allowing the removal of cellular waste.
  • Reduce pressure on nerve endings by lifting the skin away from pain receptors.
  • Relax hypertonic muscles that make proper movement and posture impossible.
  • Revive dying or inhibited muscles by restoring needed nutrients and fluids.

Taping allows the body to repair cell damage caused by injury. This allows muscles to restore or improve strength and proper function.

Kinesiology tape is a useful addition in the treatment of many common disorders.

  • Sprained or strained muscles and ligaments
  • Bruising
  • Joint realignment and instability
  • Rounded shoulders or spine
  • Recently healed fractures
  • Tendonitis
  • Arthritis
  • Fibromyalgia

Taping and Massage Therapy

Patients with chronic conditions benefit most from a combination of massage therapy and taping. When tape is applied after massage:

  • Muscles that have been stretched and warmed by massage will stay loose longer.
  • The body can remove lactic acid more easily, which decreases soreness after deep tissue techniques.
  • Softens scar tissue and fascial adhesions so future sessions can be more productive.
  • The natural pain relieving ability of massage will last longer.
  • Added stability will keep muscles from moving out of alignment.

Tape can be safely applied to any body part. Different application methods encourage pain relief, structural support, and other therapeutic goals.

Kinesiology taping is an effective addition to any physical therapy routine. It can be used to treat a variety of musculoskeletal disorders and injuries in a noninvasive manner. When therapists add taping as a final touch to their therapy process, clients increase healing, flexibility, and muscles strength while reducing pain, swelling, and possible injury.

Attending Massage School as a Healthcare Professional; 8 Questions to Ask

Attending Massage School as a Healthcare Professional; 8 Questions to Ask

massage school questions

Massage therapy is a great additional service for any healthcare provider including; physical therapists, yoga instructors, fitness trainers, or holistic practitioners. Thinking about adding licensed massage therapist to your list of qualifications? Here are eight questions to ask yourself.

Business and Career Value

  • Do I need help with networking? Massage therapists are a diverse group. The contacts you make will introduce you to new clients and opportunities.
  • Would this service bring people back? Independent practices live and die by repeat business.
  • Is your field slightly crowded? An extra certification helps you outshine the competition.

Client Value

  • Can massage therapy really help my clients? Think of the ways increasing blood flow and reducing stress can benefit your regulars.
  • How will studying massage improve my understanding of the therapy process? Massage school curriculum includes comprehensive studies in anatomy and physiology. How can that information improve what you do?
  • When could I start using what I learn?.
  • Do you need to make any changes to your workspace or procedures? Portable massage tables are easy to store and can fit almost anywhere!
  • How does massage improve your existing programs and techniques?

Personal Commitment

Finally, ask yourself, do I have the time? This is a serious course of study. Calculate your time to get the most out of your studies.

Massage has many proven health benefits. As a licensed massage therapist, you can use these benefits to improve the efficiency of your existing services, help your clients feel better, and increase your bottom line.

Contact us today to learn more about our massage therapy programs!

Bookkeeping & Taxes in Massage

Massage Therapy Bookkeeping

The dreams of owning your own business are layered with the benefits of doing so: making your own schedule, doing something you love, being your own boss, leaving the time clock and name badge to the annals of history. You may not, however, be prepared for the required work that must be done as owner or co-owner of a business.

If you purposely or accidentally neglect massage therapy bookkeeping requirements, you may have to pay for it later. It is better to be prepared, organized, and aligned with both state and federal requirements for entrepreneurs so that you can focus even more of your energies on the mission of your massage therapy business.

Tips for Massage Therapy Bookkeeping and Tax Requirements as an Independent Massage Therapist

  • Get educated, knowledgeable, and licensed in the field. There are great massage therapy programs available to you wherever you are located. To be in compliance in most states, you will have to provide licensure. A good massage therapy program will also give instruction about how to run a business, how to file with the state revenue departments and the IRS, and how to keep the paperwork under control.
  • Taxes – Taxes can be the bane of any business owner, yet they are mandatory. It is best to have a system that works for you. While some massage therapists may choose to do their own personal taxes or quarterly business taxes, many also contract with a licensed tax professional. There are books and online courses available for learning the process of taxation, but as other therapists therapists for advice.
  • Keep accurate and precise financial records – The key to efficiency in massage therapy bookkeeping is routine. Figure out a system that works for you on a daily basis and then keep it. Having accurate, precise records of your business expenses, appointments/sessions, and income will save you both time and money when the records are needed. Whether you are using a computer-based system, cloud-based system, or file folder system, keep it organized. Poor record keeping inevitably leads to lost time, and as a small business owner, time has financial value.
  • Keep thorough records – No one ever wants to be a part of a legal suit, but it can happen. Medical and health services professionals are often called as trusted witnesses for a variety of legal suits. When this happens, you want to have records that explains the specific reasons each patient was treated, the ailment or reason for their making the appointment, and the level of comfort after.
  • Estimate monthly expenses – One of the basic demands of owning a business is estimating your projected expenses so that you can create a reasonable, reliable budget. Many business owners estimate both monthly and annually, adjusting based upon need.
  • Familiarize yourself with accounting software – If you do decide to save on the cost of hiring a tax professional, you will need to look at various accounting software packages that keep your massage therapy bookkeeping accurate and documented. The good news is that you have many options. QuickBooks, Sage, and FreshBooks are three of the leaders, but there are others that may work best for you, depending on your need and level of detail.

You’re going into business, in part, for financial reasons. You want your own work to result in your own profit. To make this dream real, you have to be concerned with implementing organization and accuracy in your massage therapy bookkeeping from the first time you turn the sign in the window to say “We’re Open.”