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With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
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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