Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
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.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
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.
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.
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!
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
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.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
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.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
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.
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.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
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.
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.
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 more information about Shellie Enteen, RA, BA, LMBT.
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