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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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