resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
November, 2006, Vol. 06, Issue 11
Essential Safety When Using Essential Oils
By Shellie Enteen, RA, BA, LMBT
Continuing on the theme of aromatherapy myths and misconceptions, I would like to help clarify some misinformation that is the basis of one of the most popular current myths. This particular myth has been accepted by a large number of practitioners and might provide some welcome income.Nevertheless, the following information is true and the facts can be checked. Understanding and exploring this information, along with seeking more education on the use of essential oils, can provide you with the awareness that will help to avoid the complications which have been reported over the years concerning the use of undiluted essential oils on the skin.
One of the guiding principles for safe use of essential oils is this: Always dilute essential oils before use on the skin. There are a few notable exceptions, such as in the case of cell-regenerating oils like lavender. However, when applying an oil such as lavender "neat" (undiluted), we use a drop or two for application to a burn, cut (due to proven cell-regenerating and antiseptic properties), insect bite (due to proven anti-inflammatory, itch-reducing properties) or to the temples for headache relief (due to proven sedative, pain-relieving properties). Even the use of a "safe" oil such as lavender neat for a specific period of time can create sensitization that will affect the user whenever they apply that particular essential oil in the future.
In the considerable amount of literature available on the subject of the physical effects of essential oils, research and testing have shown that some essential oils are potential allergens and others have very harsh effects on the skin if applied undiluted. "Harsh effects on the skin" from using undiluted essential oils does not refer only to an allergic response such as a rash, which also is possible, but to damage to the tissue itself, indicated by redness, an itching or burning sensation, soreness and occasional peeling. If left alone, the irritation might clear up on its own, but a strong reaction for a very sensitive skin type could require application of an anti-inflammatory, such as cortisone cream, or for the more holistic-minded, calendula or aloe vera gel.
Understanding this basic principle helps unravel the myth which suggests that after dropping undiluted essential oils onto the skin for an intended therapeutic effect, heat and redness of the skin indicates "toxins are being released" and shows that the underlying muscles and tendons are being healed of some abnormality.
Commonly used essential oils known to cause, or have the potential to cause, skin irritation are: basil (Ocimum basilicum), bergamot (Citrus bergamia), birch (Betula lenta), black pepper (Piper nigrum), cinnamon (Cinnamomum zeylanicum), clove (Eugenia aromatica), expressed (cold pressed from peel) oils of lime, lemon, orange and grapefruit (Citrus limetta, limonum, sinensis and paradisi), lemongrass (Cymbopogon citrates), oregano (Origanum compactum), Scotch pine (Pinus sylvestris), Siberian, balsam or silver fir (Abies siberica, alba, balsamea), thyme (Thymus vulgaris), wintergreen (Gaultheria procumbens) and in some cases, tea tree (Melaleuca alternifolia), ylang ylang (Cananga odorata) and peppermint (Mentha piperita).
Again, if any of these essential oils are placed undiluted onto the skin and a hot, red irritation manifests, this is the result of damage to the skin cells, and that damage might require help for repair. These same oils, if used in dilution (in some cases, very high dilution), are perfectly safe unless there is a specific sensitivity or allergic reaction to a specific essential oil.
More information on this topic can be found at the National Association for Holistic Aromatherapy Web site: www.naha.org/safety.htm. Also available is a full research paper about a specific technique that promotes the use of undiluted essential oils on the skin. If you wish to expand your knowledge and experience of essential oils further, there are several opportunities to hear world-class speakers at conferences here in the U.S. Some offer continuing education credit for massage therapists and nurses. Search for "aromatherapy conferences" online or get information at www.aromatherapyconferencetours.com and www.naha.org. There also are many schools of aromatherapy that provide quality education and also are listed on the NAHA Web site. Further reading on the subject of safe use of essential oils also might include The Aromatherapy Practitioner Manual, Vols. I and II, by Sylla Sheppard Hanger.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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