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Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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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