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Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
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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