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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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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).
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.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
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.
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?'
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.
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.
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.
August, 2005, Vol. 05, Issue 08
Stimulant Essences, Part II
By Shellie Enteen, RA, BA, LMBT
Editor's note: Read "Stimulant Essences, Part I" in the May issue at www.massagetoday.com/archives/2005/05/06.html.
This article will continue an exploration of the properties and uses for the stimulating essential oils.Used alone or in combination with sedative oils, the qualities of stimulant oils make them powerful allies in the treatment of muscle and joint pain, and whenever there is a need for a warming, invigorating effect and increased circulation. Many of the stimulant oils are powerful antibacterial and antiviral agents that help in the prevention and treatment of common infections. And many stimulant oils have a detoxifying effect, as well.
With one notable exception (eucalyptus), the stimulant oils have had a long history as cooking spices, used not just for their taste and aroma, but also for their healing properties and to help preserve foods before the advent of refrigeration. Their familiar aromas will bring up memories - one of the effects of aromatherapy. Hopefully, they are good memories that include a sense of feeling nurtured and satisfied. (In case you are wondering, birch has been an ingredient in chewing gum, and birch beer and juniper berries are used in the distilling of gin.) Because these oils are potent, it is best to use a small amount in treatment blends. In most cases, one to two drops in an ounce of carrier oil is sufficient. High dilution will also prevent potential skin irritation (See my previous columns for more information on the uses of basil, bay, sweet birch, black pepper, clove and eucalyptus).
Ginger (Zingiber officinale) is familiar as a kitchen spice and used by herbalists as a warming stomach tonic. In massage, ginger has analgesic properties, which help relieve muscle cramps, spasms and sprains, and combat the pain of arthritis and rheumatism. Ginger gives energy and a positive attitude.
Grapefruit (Citrus paradisi) is classified as a "euphoric" - a quality that makes it useful for all types of stress. It relieves headache, migraine, jet lag and exhaustion. Grapefruit has a stimulating effect on the lymphatic system, a tonic effect on the liver and digestive system, and a cleansing effect on the kidney and vascular system, making it a good oil to use for detoxification and weight loss.
Juniper (Juniperus communis) is a major essence for detoxification, having a tonic effect on liver, diuretic properties that relieve common fluid retention, and a decongestant effect on intestinal mucous. Because it helps the body eliminate uric acid, juniper is used for arthritis and sciatica. It is also a common ingredient in after-sports massage blends to keep muscles free from painful stiffening. Juniper also clears excess emotion.
Lemongrass (Cymbopogon citratus) Stimulating and revitalizing, lemongrass is helpful in the prevention and recovery from colds, sore throat and laryngitis. It stimulates circulation, has a toning effect on muscles and helps elimination of lactic acid, which makes it a good choice for pre- and post- sports massage or pain from overexertion. Lemongrass is also helpful for symptoms of jet lag, headache, tired legs and general fatigue.
Peppermint (Mentha piperita) helps regulate perspiration. It will cool you down if you're hot, but also provide warmth if necessary. A versatile oil, peppermint is famous for protection and regulation of the digestive tract; it is also a cold and flu preventative, and clears congested sinus. Peppermint is an analgesic and relives muscle pain as well as headache and migraine. It revitalizes and clears the mind and is helpful in cases of shock and vertigo, driving long distances, or studying for long hours. Caution: like the famous jalapeno pepper, peppermint will cause intense burning if it contacts the eyes and mucous membranes, so keep it well away from these areas and wash your hands after use.
Pine (Pinus sylvestris) was inhaled in Egypt, Greece and the Middle East to combat pulmonary infections. It is used in soaps as a deodorant and disinfectant ("Pine Sol," for one). Like peppermint, it can warm or cool as needed. Pine stimulates circulation and is indicated for rheumatism and arthritis. It has a decongestant and antibacterial action on the skin but can also be very irritating, more so as the oil ages. Pine, like juniper and cypress, is in the evergreen category and is helpful for people dealing with grief and transition issues as it imparts the image of everlasting life. This is also why the pine tree was the focus of the winter solstice celebrations that predated its use at the Christmas holiday.
Rosemary (Rosmarinus officinalis) is the most commonly used stimulant essence in aromatherapy. Rosemary increases circulation, including the brain and scalp so it is said to enhance memory and encourage hair growth (not from male pattern balding but from congested for muscles, headache, dysmennhorea and has many of the cleansing properties of juniper. Rosemary helps tonify the skin, and relieves congestion and bruising. It is said that rosemary should be used with caution where there is high blood pressure and epilepsy.
Some blending tips: The combination of rosemary and juniper with lavender is a favorite for massage. To this, one might add eucalyptus and lemon or sandalwood. Rosemary, marjoram and birch are an effective combination for arthritis flare-ups (Don't use this birch blend on a continual basis.) Peppermint and helichrysum help soothe the pain of sciatica. Rosemary, juniper and lemon are a good detox blend, especially after overindulgence in food or drink.
As stated previously, more drops of stimulating essences will create an overall stimulating effect, while more drops of the sedative oils will create a pain relieving, relaxing blend. Seven drops total in 1 ounce of cold pressed nut, seed or vegetable oil is the usual ratio for regular massage. Remind your client that the essences will keep working for up to 24 hours, and a rosemary/juniper blend will increase the experience of detoxification. It's always best to avoid consuming more than one glass of alcohol after an aromatherapy massage.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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