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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
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.
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.
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!
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?
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.
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?
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.
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.
November, 2005, Vol. 05, Issue 11
Questions From Readers
By Shellie Enteen, RA, BA, LMBT
In a previous column, I invited questions from readers. Fortunately, I received some important questions and felt everyone might benefit from the information in the answers. I have received permission to use the names and questions that appear below.Again, please do contact me with any comments and questions you might have and I will answer you directly and, where appropriate, might ask to use your question as part of an Aromatic Message column.
My first question came from Angela Barker:
Question: "I just read your very interesting article on essential oils. Can any essential oils be used during pregnancy?"
Answer: Yes, essential oils can safely be used during pregnancy within certain parameters. There is some controversy over how cautious one has to be during this time. Some Aromatherapists are very conservative, while others are more liberal in this respect. Most would agree that if you don't have problems with bleeding during the first trimester, Lavender is safe to use throughout. One of the safety concerns is that essential oils pass through the placental walls into the fetus. Another is that essential oils affect the hormonal system and also stimulate processes in the digestive, elimination and reproductive systems.
If you decide to use essential oils, it's best to remember that and use less of the oils considered safe than you would in a regular massage blend (up to four or five drops as opposed to seven or eight drops of all combined oils in one ounce carrier oil). You safely can inhale Peppermint for morning sickness (however, best not to use Peppermint if you are nursing, as it can stop the milk flow). Floral waters (also called 'hydrolats' and 'hydrosols') can be used with more confidence as they are more dilute.
Later in the pregnancy, other essential oils considered safe on the body and in the bath are Rose, Neroli and Chamomile. In small doses, Geranium, Jasmine, Petitgrain, Patchouli, Mandarin, Sandalwood and Ylang Ylang also can be used. I have had great success with a highly diluted blend of Rosemary and Lemon (1 drop each per one ounce carrier oil) used only on the feet and legs of a woman in her ninth month, suffering from decreased circulation and swelling. During labor, Clary Sage, Jasmine and Lavender help relieve pain, anxiety and assist delivery. Much of this information comes from "The Aromatherapy Practitioner Manual" by Sylla Sheppard-Hanger. You also might like to read some other authors on the subject, Patricia Davis and Valerie Worwood for example.
Several questions came from David Ponsonby:
Question: "You have an interesting overview of aromatherapy in the current MT. However, I still find it difficult to make choices or blends. We see a lot of 'failed back syndrome' patients...everything hurts, all the time. They often have surgical scars and retained hardware. They can be 10 years post-surgery. We tend to feel there is a psychosomatic component. There might be aches, sprains and spasms as well. They might be unemployed and surviving on insurance and security payments. Women tend to be more sensitive to scents than men. Do we combine approaches so that the patient smells the scent (e.g. cotton ball in bra for females), as well as having it on their lumbo-sacral region? Or have it on their pillow, clothes closet...for longer term exposure? Some essences are quite expensive."
Answer: I would like to refer you to an article I compiled on treating Fibromyalgia with Aromatherapy on the NAHA Web site www.naha.org, as you say you feel there is a psychosomatic component and an overall chronic pain issue, and we explore this in the article on Fibromyalgia. Another suggestion is to combine Bach Flower remedies with essential oils, as they treat the mind. You can read more about Bach Flowers on my Web site at www.astralessence.com. Bach Flowers can be put into a treatment blend that your client applies themselves and might use in a bath. You would shift the vibration of the Bach Flowers if you apply this type of blend to someone else, so they need to do it themselves. You also can suggest Bach Flowers they can take orally.
As for blending, I believe you do need to learn the properties, but there is no substitute for your own sense of smell. In my classes, I teach blending with the nose as the final judge. Make a list of what you think you should be using based on the properties you either know or have found in a reference book. Before you add the essence, smell it and allow yourself to come up with a quick 'yes' or 'no' answer. Don't linger over the smell, if in doubt, 'no' is the answer. What is happening is that the limbic region of the brain is registering all the properties and the 'yes' or 'no' is the response you have to indicate if those properties are the ones needed, for yourself and for others. Smell each proposed addition along with the blend you have going before you put it in. You will know if you should add it and also how much of it you should add. If you get some 'no' answers, another essential oil, not on your list, might come to mind and even if you don't know why, if it smells right, put it in. It might be that you will discover the reason you chose it, either through a communication the client makes during the session or something you read about that essence later. Trust yourself. I highly recommend having books that address the psychological/spiritual aspect of essences such as "Aromatherapy for Healing the Spirit" by Gabriel Mojay and "Subtle Aromatherapy" by Patricia Davis.
It's fine to fragrance a cotton ball if you are working on the psychological levels, stress, etc., but I would highly recommend using the essences in the treatment oil (you will notice I don't say lotion because you would need one that will totally absorb the essences and many won't do that). There is a powerful therapeutic effect when essential oils touch the skin, due both to their physical and vibratory effect. You certainly can give the client some of the blend to use at home.
You say some essential oils are very expensive and that is true, but when you figure the cost per drop, you will discover that even the most expensive essence is very affordable. A regular massage blend in one ounce carrier oil would contain up to seven drops of essential oils. The cost per drop is calculated by taking the price and dividing that by the number of millimeters (price divided by quantity) and then dividing that figure by 25 drops (the approximate number of drops in a ml). For example, if you bought 10 ml of Lavender for $14, you would divide $14 by 10 and have a price of $1.40 per ml. Then, divide $1.40 by 25 and you find that good quality therapeutic Lavender is a bit less than six cents a drop. You might use three or four in the blend, which would be 18 to 20 cents. Suppose you bought Rose at retail for $45 a ml. No need to divide by the number of ml, it's $45. If you divide this by 25, you get $1.80 per drop. Rose is a strong scent so you might add only one drop. When you realize your blend is now costing you $2, even using one of the most expensive essential oils, you find that this definitely is do-able.
I always would charge at least $5 or even $10 more for adding Aromatherapy to massage for both your material cost and your expertise. Even if you do an expensive blend occasionally, much of the time your blends would cost you a lot less than $5, even with the carrier oil figured into the price.
Question: "I still wonder about trusting my selection. Should the client select his/her own?"
Answer: No, the client should not select their own essences. Every inhalation is a treatment, so if the client is inhaling a lot of essences, they already are being treated and even over-treated. Try spending a little time blending for yourself or for friends first, and you will feel more confident. If you absolutely don't feel comfortable with blending after this, then you can opt for purchasing premixed blends for pain relief, relaxation, circulation or detoxification. You can ask the client to select one of those by the name and not by the smell. This is not my favorite way of treatment because there are more levels to each of those areas and each client is an individual, but a generic blend will do if necessary!
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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