resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
May, 2006, Vol. 06, Issue 05
Client Sensitivities to Aroma
By Shellie Enteen, RA, BA, LMBT
Following the publication of my article on treating fibromyalgia (FM) with essential oils, several readers contacted me with questions about what to do when clients appear to have difficulty with scents.Of course, this is a topic that has relevance for a broader population than those with FM.
I do not believe that sensitivity to aroma is a result of, or indicator for, FM, and so I would not consider aromatherapy a general contraindication for that diagnosis. In fact, Lynne K. Matallana, president of the National Fibromyalgia Association (NFA), has said the following:
"The National Fibromyalgia Association 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. To find credible information on aromatherapy, you can contact NAHA (National Association for Holistic Aromatherapy), www.naha.org."
It's important to know there are misconceptions about aromatherapy that have been communicated by people who have an agenda or have had insufficient education, or both. An agenda could involve the sale of essential oils, or it might arise from a competitive point of view from a practitioner of another modality. I can assure you there are wonderful scientists in the field of aromatherapy who are very up-to-date on contraindications, toxicity and safety issues, and the latest information from research being conducted throughout the world. The NAHA Web site has sections devoted to "frequently asked questions," safety and research. You can rest assured that the information you find there is credible.
People contact essences on a daily basis in food, as well as in cleaning and cosmetic products. Thus, it is not surprising that most of the research on essential oils has been conducted by the food and cosmetic industry, the largest users of essential oils. Issues of toxicity and sensitivity are important with distribution and accountability on such a large scale.
On the topic of sensitivity in general, I once heard a teacher who also sold essential oils falsely advise her students, "No one is allergic to true essential oils." There are times when a person can have sensitivity to the chemicals in synthetic fragrances and do well with true essential oils, but the truth is that a person can be allergic to anything. And there are essential oils that are known sensitizers. It's wise to consult a book such as The Aromatherapy Practitioner Manual, Vols. I and II, by Sylla Shepard Hanger, and learn possible contraindications for essential oils, particularly before using them on the skin. A proper client intake form should have a question about sensitivity to aromas and a place to list allergies. Case notes should list the essential oils (and the number of drops) used in a treatment, so the client has access to that information if a reaction occurs.
I have been fortunate; in more than 15 years, I have known only one client who appeared to have a reaction to a blend I used. What does a reaction look like? It can be a skin rash, a digestive response, nasal congestion/sneezing, or in this case, a headache. The good news is that once the client removes the blend and avoids additional exposure, the reaction goes away. There have been no cases of anaphylactic shock associated with the use of essential oils on the skin in the current research literature. So, while there is a chance of temporary discomfort resulting from an aromatherapy treatment, there will be no serious, lasting damage due to the application of diluted essential oils during a massage.
I interpret sensitivity to aromas as an aversion to inhaling fragrance. If this type of sensitivity were present, a way to add essential oils to the treatment would be to choose aromas that are commonly experienced on a daily basis and use them in high dilution. If they are not known allergens for the client, the citrus oils - orange, grapefruit, lemon, mandarin, lime, tangerine and bergamot - might easily be tolerated in high dilution (two or three drops to an ounce of carrier oil.) Citrus oils have an uplifting, encouraging effect, but also are soothing and relaxing. The essence of common cooking spices enhances circulation, bringing warming and a feeling of protection. Rosemary, thyme, ginger, cinnamon, nutmeg and even black pepper in high dilution (one drop per ounce of carrier oil) could be acceptable. And finally, a common wood aroma, such as pine or cedar, might be considered if these are not known allergens. Naturally, if the client refuses all aromas, you will have to do without this tool.
Please see prior articles on my columnist page (www.massagetoday.com/columnists/enteen) for more information on the properties and use of relaxing and stimulating essential oils. In future articles, I will explore some of the other misconceptions about aromatherapy. As always, I welcome your questions and comments!
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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