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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.
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.
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.
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.
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.
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.
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?'
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?
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).
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.
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.
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.
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.
Code Connection: 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.
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.
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.
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.
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.
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.
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.
May, 2005, Vol. 05, Issue 05
Stimulant Essences, Part I
By Shellie Enteen, RA, BA, LMBT
In my previous article, I discussed some of the major sedative essential oils for relaxation and pain relief ("Essential Oils for Pain Relief." Feb. 2005, www.massagetoday.com/archives/2005/02/08.html).But for those clients who require pain relief without relaxation and sedation, or have conditions such as arthritis, the properties of the stimulating essential oils will be of greater benefit. These highly aromatic essences have the ability to increase circulation, detoxify, and bring warmth and energy to affected areas, making them useful aromatic tools for therapeutic and sports massage.
There are more than a dozen commonly used stimulant essences. Those with application for joint and muscle pain relief are: basil, bay, sweet birch, black pepper, clove, eucalyptus, ginger, grapefruit, juniper, lemongrass, peppermint, pine and rosemary. Stimulant oils can be blended with sedative oils for a more balanced experience or to add certain properties. The resulting overall effect will depend on the ratio of stimulant to sedative oil used. For example, a blend of lavender, rosemary and basil would be more stimulating than a blend of lavender, rosemary and sandalwood. Or, if using a sports massage blend of lavender, rosemary and juniper, a ratio of four drops lavender to one drop rosemary and one drop juniper will be more relaxing than two drops of lavender to two drops of rosemary and two drops juniper. Consider the first, more relaxing blend for a post-sport's massage, the second and more stimulating blend for a pre-match massage.
The qualities particular to each individual essence, along with its aroma, will indicate which one to use in a given blend. Because the stimulant oils are potent and can be irritating, especially for those clients with sensitive skin, it is best to use them highly diluted; that is, a small number of drops in a blend. Always dilute these essences in carrier oil before allowing them to contact the skin. Six of the commonly used stimulating oils are profiled below. Ginger, grapefruit, juniper, lemongrass, peppermint, pine and rosemary will be profiled in the next Aromatic Message.
Basil (Ocimum basilicum) relieves headache and migraine, is tonic to the respiratory system, and helps relieve distress in the upper digestive tract. Basil stimulates blood flow and is thought to lower levels of uric acid in the blood. These properties make basil effective for joint pain, general muscle pain and deep muscle spasm. Basil also sharpens the senses and helps clear the mind, so remember basil when you are doing a relaxing, pain-relief massage on someone who has an event shortly after a treatment that demands focus and concentration - a meeting, an exam, a golf game, etc.
Bay, or Laurel (Laurus nobilis) stimulates appetite and settles the stomach while it is tonic to the liver and kidneys. Combined with juniper, bay is used for rheumatism, muscle pain and sprain. It can help remove congested blood in bruises, and lower inflammation and scarring in wounds. Think of bay if you are doing head and scalp massage for its stimulating action that clears dandruff and congestion of hair follicles.
Sweet Birch (Betula lenta) is an invigorating, pain-relieving essence with diuretic properties. Birch removes uric acid accumulations in the joints making it a good choice for the treatment of arthritis. It also relieves rheumatism and muscle pain, and helps the body release toxins by stimulating the sweat glands. Birch has high levels of methyl salicylate, the pain-relieving component in aspirin. It is a very powerful oil, best used highly diluted in acute situations for a short period of time.
Black Pepper (Piper nigrum) is a very stimulating essence that gives courage and vitality. It relieves muscle aches, pain and stiffness by dilating blood vessels and bringing circulation to the area. It promotes digestion and elimination and helps detoxification. Like other stimulant oils, black pepper is helpful to warm up muscles before participation in sports. Like birch, it is best used in small doses and for short periods of time.
Clove (Eugenia carophyllata) is an antibiotic digestive essence that has also been used in perfumes as an aphrodisiac. It has a long history of use for pain relief in dentistry and also relieves rheumatism, arthritis and tension headache. Clove is best used on a local area, as opposed to full body. It is uplifting and strengthening.
Eucalyptus (Eucalyptus globulus) is a familiar aroma that conjures the idea of medicine. It is cooling and decongesting and has the most pain-relieving effect when combined with juniper and lemon. Use the aroma of eucalyptus in a sports or pain-relief blend to encourage the image of healing and relief for the client.
Editor's note: Check out the new online Aromatherapy Center hosted by Shellie at www.massagetoday.com/topics/aromatherapy.php.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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