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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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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 more information about Shellie Enteen, RA, BA, LMBT.
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