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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
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.
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.
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%.
February, 2005, Vol. 05, Issue 02
Essential Oils for Pain Relief
By Shellie Enteen, RA, BA, LMBT
It is safe to say that a great number of clients come to massage seeking relief from muscle and joint pain. Many will also be suffering from stress and need to relax. Others may be athletic or high-powered performers who want pain relief without becoming tired or drowsy.Essential oils can address all of these areas and add a pleasing fragrant dimension to your therapeutic work.
The most famous essential oil for pain relief and relaxation is lavender (Lavandula officinalis, L angustifolia, L vera.) Distilled from the flowering tops, the best lavender oil comes from Bulgaria, France, England, Yugoslavia and Tasmania, though it can be grown all over the world. Lavender Vera is grown in higher altitudes, which produces more esters and a finer scent. Lavender has a long list of applications for skin; because of its anti-inflammatory and cell regenerating properties, it is one of the only essential oils that can be applied neat, or undiluted, to the skin.
Lavender is also antimicrobial, anti-infectious and antiseptic, making it effective in the treatment of wounds and as a frontline defense against respiratory infection. It is tonic to the cardiovascular and digestive systems, lowers blood pressure and helps thin the blood due to the presence of coumarins. Lavender is indicated for muscle spasm, sprain, strain, cramp, contracture and rheumatic pain. It is sedative to the central nervous system and relieves headache, nervous tension, and insomnia; it can also help balance mood swings. Spiritually, lavender is said to balance the physical, astral and etheric planes.
Because of lavender's many therapeutic properties, if aromatherapists were stranded on a desert island with only one essential oil, many would hope it was lavender (it also takes the itch out of insect bites and helps heal sunburn!) But what other essential oils can be called in to use here in civilization? What should you use if your client does not want the deep relaxation or sleep-inducing effect of lavender, or if they have a tendency toward lowered metabolism or low blood pressure? What if they need to relax because they are about to take an exam, give a presentation or walk down the aisle? It's a good idea to ask the client who indicates a need to relax what their stress is about and what life circumstances may be contributing to their pain cycle. This will help you select an essence that is most appropriate for their needs. Also keep in mind that when too much lavender is used it takes on the stimulating effect of a cup of espresso, so it is good for both you and your client to vary the relaxing, pain-relieving blend.
We'll begin with an exploration of aromatherapy for pain and stress, and profile some other sedative oils. Space allows for a partial list of the properties; consult The Aromatherapy Practitioner Manual, Vols. I and II by Sylla Sheppard-Hanger, Aromatherapy for Healing the Spirit by Gabriel Mojay, and others for more information on each essence.
When you want slightly less sedation but powerful pain relief, there is another type of lavender, Lavandula latifolia, L. spica, or Spike Lavender. A hybrid of lavender officinalis and latifolia, Lavandin, Lavandula-super is less expensive and often used to adulterate true lavender but is still a powerful antispasmodic well-suited for muscular, respiratory and circulatory problems, and not as a sedative for the mind.
Moving away from the lavenders altogether, other pain relieving sedative oils are chamomile (Roman, Anthemis nobilis and German, Marticaria recutita), Clary sage (Salvia sclarea), helichrysum (H. angustifolium), sweet marjoram (Origanum majorana), sandalwood (Santalum album) and vetiver (Vetiveria zizanioides).
Chamomile is a highly effective anti-inflammatory. It eases headache, neuralgia, dull muscle and low back pain, and TMJ syndrome. It relieves dysmenorrhea, PMS and stress that manifests as digestive symptoms.
Clary sage (not to be confused with sage, Salvia officinalis) is considered mildly intoxicating and euphoric, and should be used in small quantities and preferably not before an evening of cocktails, as it augments the effects of alcohol. Apart from this, the ability of Clary sage to relieve spasm, muscle ache and cramping makes it extremely useful in massage. It is a digestive aid and can be blended effectively with chamomile for tension and discomfort due to PMS and dysmennorhea.
Along with lavender, Clary sage is one of the essences chosen to ease labor. It is also associated with dreams and increased inner vision.
Helichrysum has a long history as anointing oil, but well deserves an honored place in therapeutic massage. With many of the properties of lavender, helichrysum is also indicated for bruising and burns, depression, shock and phobia, and is helpful in detoxification from drugs and nicotine. Helichrysum is said to improve the flow along the meridians and to increase spiritual awareness.
Sweet marjoram is highly sedative. It relieves pain, stiffness, sprain, spasm, neuromuscular contractions and is indicated for both rheumatoid and osteoarthritis, dysmenorrhea and migraine. It has a powerful effect on the mind and emotions, relieving deep trauma, grief and heartache.
Sandalwood, well known in Ayurvedic treatment and as incense, also relieves muscle spasm and is helpful in treating sciatica and lymph congestion. It is tonic in the cardiovascular and digestive systems and relieves depression, insomnia, obsession, grief and aggression. Sandalwood opens the mind to spiritual connection and grounds this awareness in the material world.
Vetiver is interesting because it relieves arthritis, muscle ache, pain, sprain and stiffness, but increases venous circulation to help detoxification of tissues. It is said to balance the central nervous system and is grounding and revitalizing, while relieving insomnia, tension and depression.
Apart from lavender, all of the sedative essences listed are pretty potent and require few drops in a blend. The flower essences: rose, jasmine, neroli and ylang ylang, relieve anxiety and have properties that induce relaxation and pain relief.
The citrus oils: sweet orange, grapefruit, lemon, lime, tangerine and Mandarin, reduce tension and instill courage and optimism. Flower and citrus oils blend well with the other sedative oils and add their own dimensions to the therapeutic experience.
If you have a great pain relief or relaxing blend and want to share it, please contact me. In the next Aromatic Message, we'll look at some of the less sedative and stimulating oils for pain relief.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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