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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.
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.
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
July, 2007, Vol. 07, Issue 07
Combating Some Aromatic Myths
By Shellie Enteen, RA, BA, LMBT
It appears like a good time for another "Aromatic Myth" column after some of the information about the safety of essential oils has been circulating in the media and on the Internet recently.Strange things are happening. There is misinformation circulating about the use of two very popular essential oils: lavender and tea tree.
A short while ago, the Board of the National Association for Holistic Aromatherapy received a copy of an article appearing in The New England Journal of Medicine citing the case of three prepubertal boys from Denver who had developed some breast tissue. The condition is called gynecomastia. The researchers concluded that this abnormality was caused by the estrogenic effect of the miniscule amount of lavender and tea tree oil in some over the counter soap, shampoo and lotions. Their article, in a prestigious medical journal that is widely accepted as an authoritative resource, warns the medical community to caution parents about using products containing lavender and tea tree. So, is it true? Should we judge the use of essential oils based on this article? What do we tell our clients who talk about this report and ask for our opinion?
A press release by Robert Tisserand, a highly respected researcher and English aromatherapist, issued shortly after the article appeared, stated:
Derek Henley, who authored the research on which these reports are based, has said there is "not enough evidence to suggest people should stop using products containing these essential oils, even young boys," and that no firm conclusions can be drawn.
The details given about the cases are sketchy, but there is good reason to believe that tea tree oil could not have had any effect at all and that, in another case, lavender oil could not have caused gynecomastia. Further, the researchers failed to check for chemical hormone disruptors, such as parabens, pesticides and phthalates that may have been in the products concerned.
Laboratory testing did show evidence that both essential oils had an estrogen-like action, and this had not been previously reported. However, it cannot be assumed that the same (affect) will happen in humans. Any correlation between the laboratory testing and the three cases in question is, at best, circumstantial.
Prepubertal gynecomastia is an extremely rare condition. Both lavender and tea tree oil are present in aromatherapy cosmetics used by millions of people, who should be assured that they can continue to use them safely."
In a four-page letter to The New England Journal of Medicine, citing previous research on tea tree oil and asking for a retraction, the Australian Tea Tree Industry Association (www.attia.org/au) states:
When such science is amplified by publication in a respected journal, and the media beats up the story, it has damaging consequences all out of proportion to the facts. This article was uncritically reported around the world causing alarm and commercial impacts and fear. Is this responsible?
The journal refused to retract or to print the ATTIA letter and accompanying research article.
The lavender and tea tree information was closely followed by a report from Tony Burfield of www.cropwatch.org that the European Union cosmetic regulators were going to effectively eliminate the use of citrus oils in perfumes. "In our view, this once more confirms the Brussels 'anti-naturals' fragrance ingredients machinery is operating in overdrive, becoming a vendetta of scandalous proportions." Yes, citrus oils are known to contain a chemical that increases sensitivity to sunlight; however, citrus oils have been used for centuries in perfumes and personal products. A list of the fragrances alone that will be affected carries many famous names, old and new. And what this decision might do is put citrus oil producers out of business, so it won't just be the perfume industry that is affected.
Our concern here is practicing massage with essential oils in a safe way. In previous articles, I have said that I prefer to use essential oils in diffusion only for children under 7 years of age and in highly diluted amounts (i.e., up to three drops per oz of carrier oil) for those between 7 and 12 years of age. The ratio of essential oils to other components in over-the-counter personal products is much lower than this. As an active member of the aromatherapy community for 20 years, I have heard of a problem using lavender and tea tree on children. Nor have I been told of medical research that supports such a warning - and there is extensive medical research on essential oils. Nor have I heard evidence linking citrus oils to major health issues.
I don't plan to stop using these oils now and I encourage you to continue to use them with the proper dilution and consideration for allergy/sensitivity, age and other safety issues such as pregnancy. For more information, please read my previous articles in the archives or go to www.naha.org and search the safety section and frequently asked questions.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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