Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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 more information about Shellie Enteen, RA, BA, LMBT.
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