resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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