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Cold and Flu Season: Expanding the Repertoire
As we move into the winter months, it is important for clinicians to have a solid working knowledge of effective herbal protocols for treating and managing clinical cold and flu presentations.
Suffering Makes Us Human
It is possible that suffering, instead of being something negative, can be one of the greatest gifts to bring out one's humanity — if we allow it to be.
Detoxification Demystified and the Crucifers that Help
"Let food be your medicine and medicine be your food," is a quote often attributed to Hippocrates, a philosopher of the 5th century BC.
Yo San University Receives $1 Million Gift
Long-time Yo San University supporter Thomas S. Blount recently gave a $1 million dollar gift to the University, it's largest charitable gift to date. Mr. Blount was a retired naval officer, aerospace consultant and philanthropist.
Building Community: A New Way to Socialize Your Practice
Social Media can seem like a slippery slope when, in fact, it is fairly easy to understand. With social media platforms, you can connect with current and potential new clients, build strong customer loyalty and increase brand awareness.
Create Community and Grow Your Practice
Many healthcare providers are fortunate to enjoy the freedom and independence of owning their own businesses. However, the constant demands can lead to a lonely and isolating experience unless you make an effort to get out of your office.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
When I started to think about what I wanted to do, I toured different schools to choose where to pursue my original chiropractic education.
The 2015 Nobel Prize Shines a Spotlight on TCM Research
Traditional Chinese Medicine continues to make it's presence felt on the world stage as the 2015 Nobel Prize in Physiology or Medicine was jointly awarded to William C. Campbell and Satoshi Omura for their work on combating parasites and YouYou Tu for her discoveries in combating Malaria.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Are You a Stakeholder?
In today's world many new things are occurring, especially in the world of information technology. With these changes, comes an entire new set of vocabulary words and definitions.
How to Market to the Medical Profession
The world of health care is changing dramatically. When situations occur that cause expenses to increase, it is time for you to develop strategies that maintain and grow revenue.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Breech Baby: A Scientific Approach
You learned a classic cookbook style treatment strategy in college for treating breech baby presentation. I'm sure you've used it. The main ingredient: moxa at Urinary Bladder 67.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
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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