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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."
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.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
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.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
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:
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
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.
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.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
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.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
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?
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
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.
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.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
April, 2007, Vol. 07, Issue 04
Aromatherapy for Clients With Special Needs
By Shellie Enteen, RA, BA, LMBT
Continuing on the topic of safe use of essential oils, it is important to know some of the current perspectives on using aromatherapy during pregnancy and childbirth. This is one area that holds some widely differing opinions.I personally have known a woman who went through two "perfect" pregnancies while working full-time in a small aromatherapy shop making blends and pouring oils, and then delivered beautiful, healthy babies. Still, I believe it is better to be safe than sorry when treating this emotionally sensitive client population.
As part of the safety information contained in The Aromatherapy Practitioner Manual, Volume I, Sylla Sheppard-Hanger writes:
Distillation water, which results from the method of steam extraction of essential oils, is commonly called a floral water, hydrosol or hydrolat and would not be appropriate for massage. For the purposes of relaxation and lifting the spirit, Sheppard-Hanger suggests using the following essences in small doses: geranium, lavender, neroli, rose, jasmine, petitgrain, patchouli, mandarin, Roman chamomile, sandalwood and ylang ylang.
Salvatore Battaglia, in his widely used text The Complete Guide to Aromatherapy, cites research from another publication that suggests the main cause of infant mortality is premature birth, in which stress plays a major role. Because of this and the heightened sense of smell during pregnancy, conscious and caring use of aromatherapy can be of great benefit. The use of essential oils in bath, inhalation or room diffusion also is suggested.
For backache, Battaglia suggests spike lavender, cajeput and lemon, which will relive pain and tone muscles supporting increased weight. For morning sickness, inhalation of ginger, lavender or spearmint is suggested. For constipation, try chamomile, neroli, sweet orange, tangerine and black pepper. For leg cramps, try geranium, lavender, cypress, ginger and black pepper. For edema, try a foot massage or soak with grapefruit, sweet orange, geranium, tangerine or lime, as applicable.
When using the essences in the massage blend for pregnant clients, the more diluted the essence, the better. Do not exceed the normal 2 percent solution (approximately 7 drops in 1 ounce of carrier oil). I have used even less than this to great effect for a client in her eighth month, suffering with leg pain and fatigue due to circulation problems (not deep vein thrombosis, which is a contraindication for massage and requires prompt medical attention). I gently applied light effleurage with a mixture of rosemary and geranium (1 drop each into half an ounce of carrier oil). I gave her what I had left over, and her daughter applied this for her at home. She reported great relief. I also found that a blend of two drops of lavender, one drop of sandalwood and one drop of ylang ylang bestowed relaxation, relieved lower backache and produced a state of peaceful euphoria for pregnant clients, particularly those in the last trimester.
Aromatherapy is a great support during childbirth. Some essences are known to strengthen and deepen contractions and at the same time, relieve pain. Others remove anxiety. Jasmine is a famous aid in the labor room, often combined with clary sage, lavender, chamomile and neroli or rose.
English aromatherapist Patricia Davis says that neroli (also called orange blossom) is the first aroma the newborn should experience. The beautiful, gentle essence of neroli has strong spiritual qualities and is calming to the smooth muscles of the intestines, while it facilitates easy breathing. Neroli can be diffused in the labor room, where everyone will benefit along with the baby or the receiving linens can be fragranced with a few drops or a spray of neroli hydrosol.
If a client is suffering from postnatal depression, Battaglia recommends the essential oils of bergamot, rose, neroli, clary sage, geranium, grapefruit, frankincense, mandarin, patchouli, rosewood, tangerine, vetiver and/or ylang ylang.
As always, your clients will have a preference or dislike for some aromas and could have sensitivity to certain essences. Screen for these, use proper dilution methods, and you will add a welcome aromatic support to your pregnancy massage.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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