resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
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 more information about Shellie Enteen, RA, BA, LMBT.
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