resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
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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