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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.
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.
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.
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.
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...
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."
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.
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.
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."
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!
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
March, 2006, Vol. 06, Issue 03
Essential Oils for Fibromyalgia
By Shellie Enteen, RA, BA, LMBT
In this aromatic message, we will explore the use of essential oils in the treatment of fibromyalgia. The deep tissue work known to relieve spasms and pain actually can increase discomfort for those who suffer from FM and cause them to avoid further treatment.Clients who report this diagnosis frequently request a light massage touch. A gentle, noninvasive massage with essential oils providing relaxation, peace and comfort can offer great relief for the symptoms of this increasingly common complaint.
What Is Fibromyalgia?
The Web site for the National Fibromyalgia Association, www.fmaware.org, states, "Fibromyalgia (FM) is an increasingly recognized chronic pain illness which is characterized by widespread musculoskeletal aches, pain and stiffness, soft tissue tenderness, general fatigue and sleep disturbances. The most common sites of pain include the neck, back, shoulders, pelvic girdle and hands, but any body part can be involved. Fibromyalgia patients experience a range of symptoms of varying intensities that wax and wane over time. FM is characterized by the presence of multiple tender points and a constellation of symptoms."
How is the diagnosis made? The Web site continues: "Currently there are no laboratory tests available for diagnosing fibromyalgia. Doctors must rely on patient histories, self-reported symptoms, a physical examination and an accurate manual tender point examination. This exam is based on the standardized ACR criteria. Proper implementation of the exam determines the presence of multiple tender points at characteristic locations."
The site also says it can take an average of five years to have the condition diagnosed. The cause is not known, though current research points to a disorder involving neuroendocrine/neurotransmitter dysregulation. Increased pain appears due to abnormal sensory processing in the central nervous system. Studies also show multiple physiological abnormalities in FM patients, including increased levels of Substance P in the spinal cord, low levels of blood flow to the thalamus region of the brain, HPA axis hypofunction, low levels of serotonin and tryptophan, and abnormalities in cytokine function. Other evidence suggests a connection between early trauma and a more recent trauma of an emotional or physical nature will bring the symptoms out.
Discussing current treatment protocols for the varied symptoms, Lynne K. Matallana, president of the NFA has said, "The NFA suggests that individuals who suffer with the symptoms of fibromyalgia implement a self-management program which incorporates both Western and complementary approaches to health care. Some people with FM are very sensitive to medicines and prefer to use more natural health care options. Dealing with the constant pain and fatigue of fibromyalgia can be quite stressful, and finding ways to help relieve stress can also help to reduce the overall symptoms of this chronic illness. Since fibromyalgia involves an increase in neurological sensitivity, both physically and emotionally, practices that are calming can bring a sense of relief. To accomplish these goals, we suggest aromatherapy alone or in combination with massage and other relaxation techniques. The use of fragrant herbs or oils can help promote sleep, calm the mind, decrease muscle pain, increase circulation, relieve headaches and promote a general sense of well-being."
Essential oils to help the FM client during massage also can be used at home in bath and body oils, as well as simple diffusion (releasing in the air) or inhalation. For the purpose of therapeutic massage, up to 10 or 12 drops of a blend of essences can be used in a 1-ounce base of carrier oil, which should be a cold-pressed nut, seed or vegetable oil. I highly recommend fractionated coconut oil, which can be found on the Internet. It is clear, light and odorless, never oxidizes, and there is total skin penetration. The essential oils most useful in treating the symptoms of FM are:
While I believe the best blend will be specific to the individual and their needs, a useful overall blend might be: 4 drops of lavender, 1 drop of frankincense, 4 drops of sweet orange, and 1 drop of neroli. Another blend could include 4 drops of sweet marjoram, 1 drop of Roman chamomile, 4 drops of mandarin, and 1 drop of rose. If you want to provide more circulation, use 4 drops of lavender, 4 drops of rose geranium, 2 drops of rosemary, and 1 drop of lemongrass.
In your selection process, be familiar with the mental, emotional and spiritual effects of the essences, as well as their physical properties. This will make the blend more appropriate for a specific client. The citrus oils provide energy and courage, and the flowers create peace and harmony, while spiritual connection comes through rose, neroli, sandalwood, frankincense, helichrysum, mandarin and lavender. You might need to experiment with different blends before you find the one that works best for an individual. When you see a good result, for greatest benefit, encourage them to use the blend at home, too.
I invite your questions and any FM blends you would like to share.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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