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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
April, 2008, Vol. 08, Issue 04
Office Scents Make Sense
By Shellie Enteen, RA, BA, LMBT
This month's Aromatic Message is appropriate for those who don't use essential oils to enhance bodywork treatments, as well as those who do. Simply introducing essential oils into the air of your office, waiting room and restrooms can clear, uplift, protect, relax and/or invigorate, depending on which oils you choose. Major spas certainly know and practice this subtle method of influencing clients and creating the desire to return. The method is called diffusion. Inhalation is the most immediate way to deliver an aromatherapy experience on all levels, so air diffusion has as powerful an effect as applying essential oils to the body. Although you won't run into issues of skin sensitivity with diffusion, there still are some important things to know and certain safety practices to follow.
Methods of diffusion range from simple to sophisticated and inexpensive to costly. Simple methods include placing drops of a pure essential oil or blend onto a material such as a cotton ball, piece of felt or unscented potpourri ingredients and letting the aroma fill the room. An air-spray can is made using essential oils and distilled water (put essences into a small amount of food-grade alcohol, like vodka, before adding water for greater dilution of essences.) Simply spray an area briefly two or three times a day. Direct the spray onto an air intake vent and it will fragrance the whole space if heat or air-conditioning is being used.
Heat accelerates the mobility of the aromatic molecules. To take advantage of this, a potpourri pot that keeps water hot but not boiling delivers an immediate effect. Simply add drops to the hot water from time to time. Unless you are extremely vigilant, it is best to avoid the "cup over candle" method in an office or waiting room due to the hazards of fire. However, a ceramic light bulb ring to which a small amount of water is added before your essential oils is appropriate. (Turn the light on, of course!) While they seem to be an easy alternative, I have found that the type of diffusers which use a cotton pad enclosed in a device that plugs into an outlet have the tendency to burn the oil and make the aroma less pleasant. Burning also will change the properties. (To avoid the "burn," water is added first to the light bulb ring or cup over a candle.)
More sophisticated and costly methods involve the use of electronic diffusers or "nebulizers." Some of these also come with a time-release setting, which I would suggest using. The aroma of a true essential oil will not be detected once the message of the essence is sent to the brain. However, the molecules remain in the air and will be detected by anyone entering (or re-entering) the area. Constant diffusion overloads the space and leads to negative responses such as headaches, lethargy or agitation. And the amount of essential oils required for continuous diffusion is an unnecessary expense.
Some important ideas to consider when choosing an essence or blend are: Don't choose essential oils known to sedate, such as lavender, marjoram, chamomile or clary sage, which is an "intoxicant" for the waiting room or reception area. Do choose them for the treatment room, unless you are doing aromatherapy blends in your treatment. Ylang ylang causes negative responses more rapidly if diffused on a continuous basis. Be cautious when using major stimulants such as rosemary. Add eucalyptus, thyme or bergamot to blends during cold and flu season. Stay away from those that have a history of allergic response, such as flowers, grasses and pine. Instead, opt for essences that are commonly encountered in life, such as citrus, spice, woods and geranium, which is a balancing, uplifting essence and common ingredient in cosmetics. Create a signature blend or vary your essences with the seasons or your own personal needs.
If you choose quality soap with essential oils, this alone can fragrance a restroom. Drying the peels of organic oranges, limes or grapefruit, and then placing small pieces in a pretty bowl with dried rose petals, lavender buds and pieces of cinnamon, clove or anise, is another attractive, natural way to fragrance an area.
Why should you choose true essential oils instead of fragrance products like plug-ins and scented candles? Recent studies have shown that certain chemicals in plug-ins and synthetic products can cause health problems. Many people are sensitive to the synthetic fragrances in scented candles and will react with sneezing or headache, even if the candle isn't burning. A soy candle with true essences will not have this effect unless the essences are specific allergens for that individual. Your clients may not be aware of these issues or even the reason for a negative response, but they will notice and appreciate an office fragranced with pleasing, natural aromas.
Hidden Hazards of Air Fresheners (NRDC Online Newsletter)
Could the floral scent of your air freshener contain toxic chemicals known to cause birth defects? NRDC recently tested 14 different air fresheners and found that 12 contained chemicals called phthalates (pronounced tha-lāt), which can cause hormonal abnormalities, birth defects and reproductive problems. Even air fresheners marketed as "all-natural" or "unscented" contained the hazardous chemicals.In addition to phthalates, air fresheners might contain allergens, volatile organic compounds (VOCs), as well as cancer-causing chemicals such as benzene and formaldehyde.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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