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Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
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.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
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.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
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.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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.
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?
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
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.
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.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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.
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.
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.
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.
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.
November, 2007, Vol. 07, Issue 11
Topical Application of Essential Oils
By Shellie Enteen, RA, BA, LMBT
When working with essential oils in massage, it's helpful to understand the way they enter the body. Inhalation and the process of olfaction are well-documented and understood. However, the amount and action of essential oils absorbed in topical application is not as understood, nor can it be completely and accurately described at this time.
During inhalation, the volatile molecules of essential oils become a vapor and pass rapidly from the cilia lining in the nasal passage to the olfactory nerve, where they are transported to the olfactory bulb and into the brain.Here, they may enter the limbic region and, reaching the hypothalamus, continue on to either the ANS or the pituitary gland to stimulate hormone activity. Other molecules will pass into the cerebral cortex, stimulating memory, learning and emotional responses. Blood circulation is immediately accessed via the nasal mucosa and the alveoli in the lungs.
Dermal penetration presents a more difficult route, beginning with the fact that percutaneous absorption requires that the essential oil, in liquid form, enters the stratum corneum, the thin outer layer of the skin that is equipped to protect the body from invading organisms. Hair follicles, eccrine and apocrine glands, which account for only 1 percent of the skin's surface, provide easier access than the cells and keratin content of the stratum corneum. Thus, certain areas of the body are said to be more permeable: forehead and scalp, soles and palms, genitals, armpits and mucous membranes.
According to aromatherapist and educator, Salvatore Battaglia, if the essence is able to permeate the complex biological functions of the stratum corneum, a variety of things can occur. One potential is for the essential-oil molecule to remain in the skin itself, where it might be metabolized by cutaneous enzymes. (It is speculated that enzymes might convert some components, such as safrole, methyl-chavicol and carvacrol, into potentially harmful substances.) Another possibility is that the essence remains in the skin, forming a reservoir by binding to the stratum corneum or subcutaneous fat, where it may slowly be released into the capillaries. The best- case scenario is that all or part of the essential oil components will reach, and be completely absorbed into, the cutaneous micro-circulation.
Essential-oil components also might bind with proteins in the skin, which creates the sensitizing response of allergic contact dermatitis. Skin permeability might be increased by:
Following the idea of increasing circulation for increased permeability, it would seem that the extreme local hyperemia created by massage cupping also would enhance the absorption of whatever essences might be in the carrier oil used for "slip."
Research where the inhalation factor has been completely removed has not yet been accomplished, so these speculations about skin absorption rates have not been clinically proven. None of these studies or speculations takes into account the vibratory action of the essence when it touches the body. These effects can be experienced, if not measured.
Sylla Sheppard-Hanger writes, "Just because whole essential oils may not be absorbed into the bloodstream creating a systemic reaction, beneficial skin effects and certainly the mental effects (relaxation) are very much possible with essential oil treatments. ... Certainly the beneficial mental effects induced when using a pleasing fragrance cannot be denied."
The lack of full dermal penetration might be the very reason why Sylla concludes, "The safest and most pleasant method of delivery is the external use of essential oils (highly diluted), usually in the form of massage."
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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