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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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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