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A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
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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