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5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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