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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
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 more information about Shellie Enteen, RA, BA, LMBT.
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