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Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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