resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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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