resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
December, 2004, Vol. 04, Issue 12
An Introduction to Aromatherapy
By Shellie Enteen, RA, BA, LMBT
This column will examine the practice of aromatherapy to increase reader knowledge about the use of essential oils in the practice of massage in therapeutic and spa settings, and for a range of client issues.I have taught continuing education classes in aromatherapy for over 10 years in Florida and across the U.S. Many massage therapists who take the introductory class have had little formal training in aromatherapy.
They are excited to learn that essential oils are not just for relaxation and that there are a large number of essences they can use to enhance their practices. They discover they don't need to rely on a few blends purchased from a supplier; with some knowledge, awareness and good intent, they can create blends more directly suited to a particular client's immediate needs.
Practice Issues: Appropriateness, Contraindications and Technique
Diagnosing and prescribing is not in our current scope of practice, but at this time there is no regulation on using essential oils in massage oils or air diffusions. It is common practice for spas to offer clients a choice of relaxing, cleansing, stimulating, or pain relieving aromatherapy blends. Some go further and have the client fill out an intake form that narrows down the complaint and helps the therapist select essences for an individual blend. I doubt you will have much to consider in this respect when using aromatherapy as part of your practice, though you might avoid sentences like "It sounds like you have a cold. I will make a blend of Eucalyptus, Lavender and Tea Tree for you." A way to deal with a scope of practice issue, should it arise, is to educate.
If you have a book like Aromatherapy, an A-Z by Patricia Davis (or any other standard text in the field), you can look up a condition and show your client what an author says. The client can then choose to follow the author's advice. Or you can use a personal example like: "When my Aunt Martha had this, she found relief from using..." Again, the client can choose to follow Aunt Martha's example or not. These approaches fall under the heading of "education," which we are all free to do.
The issue of contraindication is a bit controversial in the aromatherapy community today. Aromatherapists like Sylla Sheppard-Hanger (author of Aromatherapy Practitioner Manual, Vols. I and II) list the contraindications for certain essences and specific conditions, such as pregnancy or high blood pressure. Others, like Australian Aromatherapist Ron Guba, follow the French medical model that believes any danger from essential oils comes from the ingestion of fairly large amounts. If you read current trade publications like The Aromatherapy Journal or Aromatherapy Today, you will see articles from both sides. My own belief falls somewhere between the two. I feel that it is always best to trust your instincts about using some of the more powerful essences, like sage, thyme or oregano.
Because the most direct and effective method for aromatherapy is inhalation, as you give a treatment, you, too, receive a treatment. As a therapist, you have more exposure to the essences than your clients. Essences can remain in the body for up to 24 hours, and are eliminated in our usual ways of elimination. With daily use, essences can build up in the system, so it makes sense to vary the oils you use and reserve the stronger ones for situations that truly require them.
Most aromatherapists would agree that essential oils, with the notable exception of lavender, should not be used "neat," or undiluted, on the skin. Essential oils are highly concentrated and applying one directly to the skin can cause mild to severe irritation, depending on the essence and a person's sensitivity. Eucalyptus, peppermint, ginger, cinnamon, sweet orange, juniper, oregano, sage, black pepper, thyme, clove, and sweet birch are some of the more commonly used oils that are known irritants and should be used in high dilution (only a drop or two in an ounce of carrier oil) and not on sensitive tissue areas.
Some people can have allergic reactions to essential oils. If a person is allergic to pollen, you might avoid using essential oils that come from various pollen producers: flowering plants, trees and grasses. Likewise, some people are allergic to fruits. It's a good idea to clear those issues on your intake sheet before you blend. What does an allergic reaction to an essential oil look like?
Take heart, there are no reported cases of death due to anaphylactic shock in the extensive medical literature on essential oils (a great deal of research has been done by the food and cosmetic industries who use most of the essential oils produced.) An allergic response can include headache, sneezing, upset stomach and skin rash. The good news is that the reaction is not usually long lasting.
Phototoxicity means that the skin cell membrane is weakened, making it more permeable to ultra violet (UV) light. Some essential oils are considered phototoxic. Expressed bergamot, cedarwood, cinnamon, ginger, grapefruit, expressed lime, mandarin, expressed orange, and patchouli should be avoided prior to prolonged exposure to strong sunlight. The distilled oils of lime, orange and essence of bergamot that have had the furocoumarins (FCF) removed are not considered phototoxic. This is important to remember if you practice in a resort area or anywhere people sunbathe and partake in outdoor sports and activities.
Making a Blend
To make a treatment blend, use a cold pressed nut, seed or vegetable oil as your carrier. Choose something with no other ingredients or fragrances added. Never use mineral oil. Some kind of oil, fat or emulsifying agent must be present in your carrier to absorb the essential oils. I recommend fractionated coconut oil, which has had the solid white, smells-like-coconut component removed. This is a light, colorless and odorless oil that does not oxidize. And because it consists of saturated fatty acids - the closest substance to human subcutaneous fat - you have almost complete skin penetration.
While there are no hard and fast rules, generally speaking, for regular massage you would use up to seven drops of up to five different essences in one ounce of carrier oil. This number can vary due to the essences used and with need. For example, a blend for muscle ache might contain three drops of lavender, two drops of geranium, one drop of Roman chamomile, and one drop of Clary sage. You might double this recipe if the pain is chronic or severe. But if a blend for muscle pain included two drops of spike lavender, one drop of peppermint, one drop of helichrysum, and one drop of thyme linalool, you might increase the spike lavender, and maybe add one more drop of peppermint, but the intensity of thyme and helichrysum would limit them to one drop each. The intensity of the essence will be very clear to you from its smell.
I base my blends on information about properties and from information about inhalation. In this area of work, "the nose knows" is a true saying. When you inhale essential oils, the volatile molecules are carried via the olfactory nerve to the limbic region of the brain where the properties are recognized. The response of pleasure - yes, attraction - is an indication that the properties will be useful and helpful. A response of dislike, like nose wrinkling, would indicate that you shouldn't use that essence at this time. You get information for yourself and for others this way. Try it and see. Some of the best-laid blend ideas can be undone when inhalation is the judge.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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