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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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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