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Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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 more information about Shellie Enteen, RA, BA, LMBT.
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