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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
July, 2001, Vol. 01, Issue 07
Inside Aromatherapy -- How to Recognize and Offer High-Quality Aromatherapy
By Shellie Enteen, RA, BA, LMBT
Aromatherapy is a natural adjunct to the practice of massage, and one that greatly enhances the therapeutic experience. The demand for aromatherapy is booming. It has become a must-have modality at spas and salons, and essential oil companies are springing up everywhere.Most schools of massage have minimal training in aromatherapy, but massage therapists don't have the luxury of years of private research to become proficient in this modality. Because of this, and my love for the essences, I became a teacher of aromatherapy for massage therapists at the CEU level. It's my hope that the information and guidelines presented in this article, culled from over 10 years of experience, will help speed you in the right direction on your journey through the wonderful, welcoming and profitable world of essential oils.
Though relatively new to the U.S., the art and practice of aromatherapy are as old as our relationship with plants. Infused oils, pomades and plant resins were used from ancient times for healing, cosmetic and ceremonial purposes. References to the properties and uses for essential oils are found in manuscripts from China, India and Egypt dating as far back as 2800 BC. However, since most of these substances were rare and costly, they were employed mainly in the royal courts and temples, administered with ritual and invocation. Trade routes and methods of extraction were often closely guarded secrets.
A plant's "essential oil" is a liquid produced in small, gland-like pockets. The word "essential" refers to the fact that this liquid contains the imprint of the plant's specific qualities and acts as a protection for the plant itself. The volatile molecules of the essential oil communicate with the plant's environment, and with mankind, through aroma and vibratory rate.
In the 12th century, the introduction of the process of distillation in Europe made a large number of previously unobtainable plant essences available. Along with herbs and spices, these were the medicines of the time, and the primary ingredient of personal fragrances. Ironically, 19th century chemists, anxious to identify the active biochemical ingredients and their effects, laid the groundwork for synthetic derivatives, leading to the decline of essential oils and herbal medicine.
Modern scientific literature on essential oils began in the 1920s with the French chemist Gattefosse. He accidentally burned himself while working in his laboratory and instinctively plunged his hand into an open vat of lavender (a popular ingredient in the colognes and sachets of his day.) To his amazement, the burn healed without pain, blistering or scarring. Subsequent investigation into the sedative and regenerative properties of lavender led to scientific exploration and testing of other essences. A great deal of medical research on the effects of essential oils now exists, leaving no doubt that when the right oil is chosen, at the right time, wonderful things can occur.
However, there are also contraindications for essences, as well as possible sensitivities and dosage guidelines. Therapists who choose to use aromatherapy in conjunction with work on mind/body -whether in spas or private practice, as room diffusion or in massage -- need to be well-educated with regard to properties and effects and to treat essential oils with the respect they deserve as a powerful healing modality. Simply adding lavender to massage oil, or using the same commercially prepared blend for every client, isn't the way to go if you want to use these substances professionally and responsibly.
Many books and classes on aromatherapy are available, some for continuing education credit. As in other areas of our practice, opinions about therapeutic applications can vary, so try to read and listen to as many leaders in the field as possible so that you can form your own opinion. Also, because an individual's response to essences can differ from time to time, a good "sense" of which essence to choose can be as valuable as all the literature on properties. To develop this, familiarize yourself with different essences and the information conveyed through their individual aromas. Pay attention to "likes and dislikes," because it is thought that these responses communicate desirability of effects.
It is also important to realize that the most powerful aromatherapy treatment is simple inhalation. Molecules enter the brain and blood stream immediately via nerves, nasal membranes and the alveoli in the lungs. Essential oils are also said to pass the blood-brain barrier and studies indicate that some is absorbed directly into the lymph through skin contact. Realize, then, that you and your client receive the treatment at the same time. The greater your repertoire of essences, the more you can moderate your own exposure to certain oils. And it is advisable to use only therapeutic quality essential oils, which indicates a substance manufactured and grown with integrity and without adulteration or harmful additives. Therapeutic quality may cost more than fragrance grade, but it is definitely worth it, even for room diffusion.
True essential oils range in price from extremely expensive (like melissa, rose, jasmine,); to expensive (like frankincense, chamomile, sandalwood,); to moderate (like ginger, peppermint, basil); to inexpensive (like lavender, rosemary, orange.) "Bargains" are not always what they seem to be in this field. You should question whether therapeutic quality is present when a wide variety of essences are displayed in the same amount (usually 10 milliliters) for the same price. Think twice when an essence you know to be very expensive is offered in large quantity at a low price.
Many factors influence quality, including the method and expertise of extraction, and the region of growth. Also, a particular species of the same plant and/or extraction from certain parts of the plant may be considered better quality, and therefore more costly. (Quality standards may reflect both fragrance and levels of desired biochemical components.) For example, wild rose geranium from China may be almost twice the price of the farmed variety from Morocco. Orange blossom extracted from the flower and leaf can cost almost a third the price of that from the flower alone. And you'll pay more for silver fir (Abies alba) than for Douglas fir (Pseudotsuga menziesii.) As with crops, a shortage can push the price up. Occasionally, a price will come down, but usually not enough to take the essence out of its general price category.
In these and other ways, the essential oil business shares many characteristics with the wine industry: Many of the manufacturers of fine essential oils have been in business for centuries. Since plants are living organisms, they are affected by their environment and climate. Therefore, the same manufacturer can produce an essence that varies in aroma from year to year, so you can expect the same variance with true essential oils that you would from different vintages of wine.
Most distributors shop the manufacturers and repackage the essences, either singly or in blends, under their own label. Be wary if a distributor claims exclusivity on quality, but know that when distributors shop well, the results are good products that deliver fine fragrance and top therapeutic effect. Try distributors that are recommended by lecturers or referenced by authors of books on aromatherapy. Compare prices and samples. Experience will help you zero-in on the products you want to use in your practice.
The National Association for Holistic Aromatherapy is this industry's American Massage Therapy Association (AMTA). Offering conferences with international speakers, the organization promotes public awareness of true aromatherapy and standards for education and products. They can be reached at 1-888-ASK-NAHA or by email at .
Getting the information you need and finding the right products isn't really hard work. Attending lectures and sampling essences is both interesting and pleasurable - and it will bring tangible results. No matter how you choose to utilize essential oils in your practice, they will add a wonderful dimension to the therapeutic experience. Another benefit will be a growing respect and appreciation for the beauty, individuality and healing presence of our helpful neighbors in the plant kingdom.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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