Category Archives: The Business Side of Massage

Care and Greeting of Clients

What are you doing?

My therapist friend said that phrase in a tone of voice that implied I was sculpting a stone wheel from a boulder.

I’m writing holiday cards to my clients, I replied.

Ohh, no, no, no you will get carpal! she said. Let me show you my toys.

Out whipped the tablet. With its apps. This one sends appointment reminders automatically, along with holiday greetings and birthday offers. Au-to-ma-tic, she said, as if it were a word I have never heard before.

Yup, that’s me sitting there with my stones knives and bear clubs, sending out cards to people whom I have been seeing for massages for so long they are like family. But no, I am modern. My stamps are self-sticking.

I swear it is not age. We are about the same age, my massage therapist friend and I, and we have come up through the ranks into developing our own independent practices.

And I still have an appointment book and pencil. And I send holiday cards. Handwritten.

As my software engineer client told me one day, those apps. are great. Until all your data gets stuck somewhere in the cloud.

Bah Humbug!

Jump Out of the Recycle Bin: Work-Finding Tips for Massage Therapists…

Most job hunts for massage therapists starts with the cover letter

email and attached resume. It’s the first introduction to a potential employer.

Grab this opportunity to make a great impression!

I have come up with some tips based on my experience interviewing and hiring therapists. These may seem elemental, but many people will be surprised how often applicants skip these steps, sending their first contact into the trash bin folder.

 


1. When an ad for employment lists requirements such as insurance, licensing, certification, etc., the applicant should be specific in listing those credentials. This means including the proper title, registrant number, issuance date and expiration. Believe it or not, I have seen resumes claiming “state license” in states that do not have licenses. Also, a massage class certificate is not a “license.”

 

2. Be clear if you do not have a credential. You can always say you qualify – if you really qualify – and will get the credential before starting work.

 

3. Please use spell check. When an applicant spells their title as “theraspit” it suggests lack of diligence and care, qualities many employers value highly.

 

4. List prior work experience even if it is in another field. Many massage therapists are on their second or third career, and unrelated work experience boosts applicant credibility.

 

5. Pictures are optional. Applications are not dating ads. That being said, if you think a picture will get you on top of the list, use it.

6. If you don’t get interviews, ask if there is anything you could do to improve your application for the next potential interview. Many employers will be happy to give you tips. It might also signal a willingness to learn, a quality that will get you noticed.

 

Good Luck!

Finding the Right Touch…


Recently a prospective client quizzed me on the phone about my massage therapy services. This is the type of call I used to be frustrated with – some people only ask about price and hang up.

          
I’ve never found a great way to turn the price-callers into appointments – I try to get a question in before they hang up after a pregnant pause that seems to indicate unhappiness with the bottom line – but they seem to be on a mission to find a price they like, not a service they need.
           
Money can be a source of consternation for massage therapists – we have to make a living but we also want to help people. Lots of my friends, including myself, have gone through periods of price accommodations that have left us very tired and unhappy with our income.

Price, it turns out, is a boundary, not a barrier.

People who ask questions about the massage, rather than the price, are the most likely to make an appointment. I try to answer as simply as I can and coax enough information to find out if I can be of help. That helps the prospective client understand and appreciate the value of the service.

The odd thing about price-shoppers, too, is the ones who have issues about price rarely have a true need for a lower rate. They are savvy shoppers.

Well, I’m a savvy shopper, too. But I know when I look at a shirt on the rack at a mega-discount store that I can see what I am buying, and I have to be OK with the presumed source of that wonderful discount – someone’s cheap, hard labor.

Massage, it turns out, can be like that too. I feel no “guilt” not booking a price-shopper because I know they will get what they pay for.

I find if I can communicate the value of my service – and there are ears to listen to that message, I can turn that call into an appointment.

Massage therapy is not a shirt.

Class Struggles

At a recent continuing education class, our instructor went around and asked us to introduce ourselves and talk about how we are doing with our massage therapy practices.

           
Our first participant said she is doing a few house calls and working for a chiropractor two days a week. Her practice is slow. Renting a space is out because her house call clients will not come to an office once they are used to home service.
          
Our second participant has an office 30 miles away from her home, and is hampered by chronic health issues. Her practice is sporadic at best. She has to turn away business, mostly because many clients want simultaneous couples massages. She is thinking about recruiting another therapist.
           
Our third therapist networks with friends, family and networking groups constantly. She is looking for more clients all the time and finds many do not want to pay $75 an hour for a massage. She does a lot of showers, spa parties, etc. and is struggling.

Another therapist, a male, had gone broke renting a therapy room for $500 a month while struggling to get two to three clients in that time. He gave up the office and has been going to the local swap meet, doing chair massages. Most people do not want to pay his fee for a full massage, preferring the cheaper joints around town, many of which do not use credentialed therapists. He is also often rejected because of his gender.

I wasn’t feeling the confidence or success in this room. And people who bother to take c.e.u.s tend to be the go-getters. How can therapists develop practices when confronted with people who won’t pay or do not want the services offered?

I also felt like the oddball. My practice is going well, I have been too busy and I am working at my office and at homes. I can’t fit in all my clients.

A small sampling, but does it represent the struggles all massage therapists face?

Our instructor, an experienced and very smart therapist asked another question. “How many of you use social media?”

My hand went up. No others.

For folks trying to build a practice, remember much of social media is free. Cover the basics such as having proper credentials and licensing and you can list your availability on a number of sites. People looking for massage will find you.

Having your clients recommend your services to others often works very slowly. Their online review of your work makes that referral work for everyone who reads your information.

During the break, I was waiting for questions. No questions. Before class adjourned, I told my practice mate to stop going to swap meets. “Don’t chase people who do not want or value your services,” I said. Loudly enough for the rest of the class to hear, I hope.

Practice Punts

Massage therapists are not all alike when it comes to their understanding of how to build a practice. I have heard lots of explanations as to why bookings stay low, very few explanations of why they are full.

            
How to develop a practice is an art just as much as massage. It requires some close self-observation and sometimes an outside hand to help therapists along. Often when I catch an episode of some show like Salon Take-over or Bar Rescue or Hotel Impossible, I am reminded very quickly of what it takes to have a consistent practice.

 If you catch one of these shows the clichés are numerous. The owner wants help to make their business pay, but they don’t want to hear anything critical of their skills. The help is interested in making money, but stymied and discouraged by unsolved problems. Often there is a sacred cow: a lazy staffer or manager whom the owner wants to avoid confronting – or an unworkable idea that the manager/owner won’t drop. The bottom line is that the bank wants its money, not excuses. 

I enjoy these shows as a kind of self-therapy even though the environments are very different. Most massage therapists work alone. They are the owner, staff, manager and investor. The outlay to start a massage practice tends to be small, and there are very few therapists who make anywhere near “six-figures” when it comes to gross income. 

In common, though, are some basic universal truths. The formula for success is not a secret requiring an expensive marketing class or a practice coach. It is, just like the roaches in the kitchen of a failing restaurant, right in front of a person with eyes to see. 

Yes, darn it, arrive on time. Be clean. Do not wear jeans. Listen to the client. If it is a return client, go over your notes before they arrive. No notes? Where are they? Why be paid professionally if you don’t practice like a professional? Do you report your cash? And yes, a warm room and a clean heart. 

Argh. 

No shortcuts.

Boundaries and the Fine Print

Independent massage therapists (like myself) have a few extra duties to perform during the course of their careers. One of the least fun is leasing space.
My first office was a pretty simple deal. I rented two days in another therapist’s office and we had a handshake deal. I paid once a month and kept the place tidy while I was there. The biggest challenge was making sure we did not “borrow” each other’s supplies without at least a note and a replacement and or payment. Boundaries. Pretty easy stuff.

My next venture involved renting space in two local hotels. I had to come up with a contract that protected them, protected me and kept the business model viable. The first hotel signed the contract I wrote with the help of an attorney. No sweat. The second hotel wanted me to indemnify them from any negligence on their part with any of my clients and to pay court fees, etc. We went round and round for months. The hotel manager and I wanted the deal, the attorneys “got in the way.” We ended up changing the wording just enough to make it look like it was in compliance with corporate but did not really put me on the hook for anything beyond my massage room door. Whew.

A third facility was a negotiation nightmare. The corporate folks had in-house attorneys make up a “standard contract” for everyone that fit far better for a salon (and their toxic chemicals) than a massage center. The proposed contract ended up with about 20 paragraphs that were checked “does not apply.” Corporate would put the stuff back in. I ended up walking away from the deal rather than get hooked up with the “robo-lease.”

I learned to negotiate, a difficult skill for any businessperson, and I also waxed nostalgic for my handshake room-share lease. Keeping good boundaries, as in massage practice, is never easy.

By Sue Peterson

Seven Secrets THEY Don’t Want You to Know

My client, a teacher-in-training, was astonished when her fellow students ignored her first practice teaching class.

Her collegial group huddled over their laptops, tracking a package on UPS, reading e-mails, even one was applying to a competing college’s credential program.

Her carefully crafted first lesson was treated like a slow fly on a hot day.

She was dumbfounded, to say the least. What would happen if they had to put up with that behavior during their own first turn around the track, she asked. Could they at least pretend to be interested? How would they like to be treated like Charlie Brown’s teacher?

I sympathize, I empathize. In my own massage practice I had run into clients who don’t listen, employees who hated the least little coaching.

Ever helpful, I volunteered an idea. You know that guy who makes people pay for the chance to find out how they can power up themselves personally? They get to walk on coals and find their true destiny? Perhaps what we need is that marketing hook for all lesson plans.

Should learning be packaged like soap, electronics and political opinions? Can a shouting commercial pitchman make people pay attention? Order now and I’ll double this offer!

Well, aren’t people supposed to multi-task these days? Sure, we all do. But her cognitive learning course was basically saying that if people can’t focus and listen they can not learn.

Perhaps a good hook is what they need. Instead of cognitive learning 201, try:

“Trick Your Students into Testing Well”

“Five Principles of Successful Vice Principals”

“Teach Algebra While you Text!”

“Get a Teaching Credential Just for Showing Up!”

Taken to its logical thread – yes I do have one – how about marketing hooks for those folks on our tables?

“Never Have a Headache Again!”

“Feel 20 Years Younger without Getting a Divorce!”

“Look to the Left without Pain!”

“Discover Your Personal Power Ranger Within!”

Well, it was good for a few laughs. Perhaps it might make a good e-book.

Five Things I Wish Job Applicants Wouldn’t Do

This is my edition of the B&M (B— & Moan) Club and it comes after interviewing therapists for employee jobs providing massage, and reading a recent findtouch blog about how not-fun it is to be interviewed for massage positions at chiropractic offices.
True, I have sometimes felt disrespected during interviews when I was looking for work in massage, and it did not bode well for future business relationships. But I have been on the hiring end of the process. Not as a chiropractor, of course, but a hard-working therapist and spa owner. I figured I had a lot to offer, empowering therapists to do their best in a creative environment, and I assumed, eek, that most potential employees would be interested.
  1. If you arrive late, wearing dryer lint on the back of your jeans, I have to assume you have trouble getting to work on time and dressing in appropriate attire. If your neighbor drives you because your car is broken, and your child is with you because the sitter is sick, you do get points for perseverance. They do not outweigh the 500 red flags.
  2. If you have not been convicted of a felony lately, be proud of that. But know that if you tell me you weren’t guilty and were forced to take a plea, and the unreasonable state parole office forces you to tell potential employers, I will think you have trouble taking responsibility for your actions.
  3. Lots of people in the business know where it is tough to work, so I don’t need a laundry list of your current employer’s dishonesty and lack of ethics. Do I need to add that it makes me wonder about your honesty and ethics?
  4. No matter how much you were adored at massage school, you still have to do a good massage with all clients. I’m not interested in dating you, or socializing with your buddies on the pro volleyball circuit.
  5. References should be to people you have worked for, who know your working habits and practices. Your clients should love you, and their testimonials are not references. P.S. Borrowing money from a client to buy a massage table is not a great way to show initiative.
Big sigh. I feel so much better now.
I know not everyone may agree with this list, but please, if you identify with it, makes some changes. It could spark your career.

Insurance Massage: What Makes a Session a Session?


I just do insurance massages, I don’t bill for them (thank the Gods). My wonderful boss is the one who walks the labyrinth on that one. So I was perplexed last week when a regular client came in feeling a touch irritated and betrayed about being billed for entire insurance sessions at the chiropractor’s office.

This gets a bit complicated, so let me elaborate. I was the one who referred the client to this particular chiropractor in the first place, and she loves his adjustment. I see him as a client myself, and also appreciate him as a skilled and honest practitioner . . . of chiropractic medicine. Now, I knew he employed a massage therapist who did a short kind of “spot” massage or chair massage to loosen up the muscles before adjustment. But I’ve never gotten one of these massages myself–partly because I call short chair massage “tease massage”–and I guess I never thought about how they were being billed. Maybe I didn’t even think they were being billed at all, just being offered as a nice extra, like a hot towel or a bottle of water.

However, as my client found out (just by chance, in asking an idle question), these 15 minute chair massages are being charged as complete sessions. So, in other words, if my client has 60 massages through her insurance, and she comes to see me for an hour massage, then her remaining number is 59. And if she then goes to get a chiropractic adjustment and agrees to get a 15 minute chair massage beforehand, she now has 58 massages in her “massage bank.”

What??? That made my head spin. How could an hour of massage therapy on the table and a 15 minute back rub equally count as “sessions?” Isn’t that like comparing apples to oranges? I couldn’t blame my client for being upset at having “lost” about 5 sessions to 75 minutes of chair massage when she could have had 300 minutes with me on the table.

Still, this didn’t sound right to me, so I went to the wonderful boss mentioned above and asked her to enlighten me. And she said something to the effect of: “Good question. Insurance pays for ‘up to 4 units per day.’ So no matter how many 15-minute units are billed for each date of service- 1, 2, 3, or 4, that’s going to count as a session. The concept that 1 massage = 1 hour comes from the massage world, not from the insurance or medical world.”

Wow. If this is correct, then I think an ethical question has arisen for chiropractors and other potential providers: Don’t you need to explain to the client that your 15 minute massage “counts” the same as an hour at a massage clinic as far as insurance is concerned? My client had 60 sessions of massage/physical therapy/chiropractic to “burn,” but most of us have only a dozen or so (if any). So this could be baaaaaaaaaaaaddd for someone who needed their massage and couldn’t pay for it out-of-pocket.

I’m in a quandry. I wonder if I should approach the chiropracter, as I really respect him and want to think he wouldn’t mislead anyone purposefully. On the other hand, I am making an apples and oranges argument, but still may not be grasping the situation correctly, which would mean, I guess, that I’m talking out of my cornucopia. Any thoughts out there?

Life By the Clock: Why Keeping Within Time Limits is Not Always a Bad Thing

Living life by a clock is not always easy. In fact, it can be quite difficult when you are a sensitive and caring massage therapist often dealing with clients suffering from stress and pain. But like all good things, a massage session must come to an end … preferably when the schedule says it should. For some very good reasons.

I’ve been working with an excellent young therapist who seems to have an inborn talent for softening difficult clients. In addition, we’ve sometimes called her the Queen of the 80 Minute Extension because so many of her 55 minute clients request more time. On the other hand, she was becoming almost infamous for running 10-20 minutes or more over the allotted massage time when the client had NOT requested a paid extension. In talking to her, I explained that while being a sweet, good, caring person is admirable, “going late” is a bad choice for the following reasons:

1. It hurts the therapist. Going late on a regular basis is usually overworking your body and cheating yourself of needed financial compensation.

2. If you work for someone else, it hurts your employer. If that extra 20 mintues is not being paid for, you’re not the only one losing potential income.

3. If you work for a clinic or studio, it hurts your team. Clients may come to expect extra time from all the therapists. And if you’re doing part of a “couple’s massage” (in this case two people coming at the same time with sessions in diffirent rooms), it makes your fellow therapist look bad when she ends the session at the prescribed time and HER client sits there for 15 minutes waiting for a friend or spouse to emerge from YOUR room.
4. It can backfire and hurt the client relationship. While clients do appreciate extra work, unfortunately many people will come to expect extras, and if there is a time when you can’t deliver them, resentments occur.
5. It can hurt clients in following sessions. Since you haven’t emerged from your room to check, someone may have scheduled you another massage. You may have just worked into 20 minutes of someone else’s scheduled time and impacted their day and their health and state of mind.

After speaking to my young therapist several times on this topic, she still insisted that she couldn’t get over feeling like she was “throwing clients off the table” and this made her “feel really bad.” I replied that although I empathized with her, I stood firm on the reasons stated above. And I shared a few things that I do in order to deal with my own empathy issues. For one, I start talking (murmuring, really) to the client about five minutes before the end of the session, explaining softly some things that I found, any suggestions I have for home care, and what I think we should work on next time. And in cases where more work is obviously needed, I often say things like “I wish we had another hour to work today” or “Your poor neck is still not letting go all the way; maybe next time you could book 80 minutes and we could spend a lot more time soothing those neck muscles.” Statements like these show I care. As do my large numbers of rebooks, return clients, and cards and notes thanking me for helping clients in their healing. Point is, I’m a pretty good therapist and can still be a good therapist even while living by that ratty clock.

In massage school, when we students were wringing our hands over the inconceivable task of doing “all this in 50-55 minutes,” some instructors told us that if we couldn’t get the hang of it, private practice was probably a better option. On the other hand, that can have it’s special problems too. I once worked with a lovely, kind, motherly therapist whose bookings were not that high. Mystified, I got on her table, an experience which ended in epiphany. She was all over the board because she had no real plan. She had no real plan because she wasn’t watching the clock closely. And she wasn’t watching the clock closely, because she’d been doing her own home practice for over 20 years, and having been her own boss, she’d let the clock side. If there is no prescribed time, there is no real plan . . . so how do you ever know when you’re finished? She had been willing all those years to accept less money and take on more work for her body because the clock hadn’t been important (and because she was an angel). But in the end, that didn’t translate very well into a flowing massage or being a good team player.

There are always rare exceptions to the clock rule. For example, a client who has an extreme emotional release at the end of the session may need a few extra minutes to be soothed and to come back down to earth. If another room is available, I’ve often let such clients stay on the table and compose themselves while I went and started the next session elsewhere. But for the most part, as I used to tell grammar students, you need to know a rule well before you can usefully break it. Learn to live in more harmony with the clock; it’s almost always to the benefit of everyone involved.