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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%.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
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.
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.
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.
December, 2008, Vol. 08, Issue 12
Working With Women, Part 1
By Shellie Enteen, RA, BA, LMBT
Over the years, this column has covered a host of information on the way to use essential oils in massage practice. Earlier columns have covered the basics of aromatherapy and important safety issues, working with specific problems as well as profiling sedative, stimulant and known skin-sensitizing essential oils.It is good to have that information in mind whenever you are adding aromatherapy to a massage practice. (For more information on this topic visit www.massagetoday.com/topics/aromatherapy.php.)
This article focuses on specific essential oils for women's physical and emotional needs. (The special concerns of working with pregnant women were discussed in a previous article: www.massagetoday.com/mpacms/mt/article.php?id=13593.) Part 1 will give a brief profile of five essential oils in relation to their effect on women's issues. Part 2 will cover other essences including important flower oils of jasmine, rose, neroli and ylang-ylang. Essences for working with women's special needs are those that deal with amenorrhea, dysmenorrhea, PMS, childbirth and menopause, certain common complaints in the urinary and digestive systems and those that address confidence, desirability, life cycles and self-image.
Here again, it is important to combine the physical effects of essential oils with the subtle effects on the mind and emotions for the best result. It is best to treat each client as an individual, listening to the issues that are uppermost in their lives. To do so results in a specific, custom blend that will have a more powerful influence than a standard "PMS blend." For example, as it could well include an essence not mentioned below that resonates with a different type of specific need. Mindfulness and knowledge combine in choosing the essential oils that will enhance the massage session and offer a long-lasting effect.
Five Essential Oils That Address Women's Needs
CHAMOMILE: There are three varieties of chamomile used in aromatherapy. All have similar properties in the sense of their physiological ability to aid digestion, boost the immune system and relieve pain and inflammation in the body and mind. Aromatherapist Gabriel Mojay says that the key to understanding the "psychological effect of chamomile" is its energetic influence on the solar plexus where issues of control and desire to nurture are located. A buildup of tension here results in frustration and irritability, "over-controlling" or losing control. (These qualities make it one of the oils that is most used with children, too.) Chamomile is also an emmenagogue, which means it aids in bringing on menstruation. Historical use of this plant for female reproductive complaints is shown in the botanical name of German chamomile or chamomile blue, Matricaria recutita, which is derived from the word "matrix" or "womb." German chamomile also has remarkable skin and wound healing properties as well as a relaxing effect on spasms that cause pain during menstruation and it is beneficial for urinary tract infections, such as cystitis. Because of its great power and strong aroma, German chamomile might be seen as the "matriarch" of the chamomiles.
The word chamomile is originally derived from the terms chamai - "on the ground" and melon - "apple." The most commonly used chamomile is Roman chamomile (Anthemis nobilis) which has the softer, familiar apple-like smell. It is gentler in action, used to treat red, irritated, sensitive and dry skin, and is helpful for insomnia, digestive complaints, nervous tension and headaches.
Moroccan chamomile (Anthemis mixta) is the least commonly used and has a more camphoraceous aroma. Some aromatherapists choose this for menstrual problems where there is also depression, irritability and digestive issues, such as colitis.
CLARY SAGE: The botanical name for clary sage, Salvia sclarea, refers to healing and clarity. The euphoria for which this essence is known is also grounded. It relaxes while providing a mental-emotional uplift. Clarity helps dispel illusion, fluctuating emotion and despondent worry. Salvatore Battaglia tells us that clary sage is one of the most important women's remedies as it addresses all three phases of life: menstrual, childbirth and menopause. Its antispasmodic and analgesic effect relieves cramping; it is a uterine stimulant and emmenagogue, and studies have shown that it is one of the best pain relievers during labor. During menopause, clary sage has an estrogenic effect that is probably the result of pituitary/gonadal stimulation. It is known to ease hot flashes. Some aromatherapists caution that this essence should not be used with women who have a history of estrogen-dependent tumors, a contraindication that would be more of a factor with continual use than using a few drops in a massage blend during an office visit.
CYPRESS: This tree originates in the eastern Mediterranean and is exceptionally long-lived. Some are believed to be 2,000 or more years old, a fact reflected in its botanical name Cupressus sempervirens (from the Cupressacea family - "always living"). While all evergreens give a reassuring sense of persisting life, making them a comfort in times of bereavement, Mojay tells us that cypress helps us cope with and even accept difficult change, both inner and outer. It is useful in times of transition such as career change, ending of a close relationship or empty-nest syndrome. Cypress unearths fears that block change and strengthens in time of self-doubt. Physiologically, cypress is a circulatory decongestant, used for varicose veins and hemorrhoids. It is a menstrual regulator that relieves painful periods, heavy bleeding during periods as well as severe hot flashes during menopause.
SWEET FENNEL: The botanical name (Foeniculum vulgare var. dulce) describes a common herb with a dried hay-like aroma; this variation is "sweet." A diuretic and lymphatic decongestant, Mojay says this essence helps free repressed and toxic emotions and encourages confident self-expression and creativity. It is indicated for simple fluid retention, cellulite and weight control. Fennel is helpful with urinary tract infection and is recommended to help regulate the menstrual cycle. During menopause, fennel helps balance symptoms of fluctuating hormonal levels. Due to levels of the ketone fenchone and the estrogen-like action of trans-anethole, contraindications for the use of fennel include epilepsy, pregnancy, estrogen-dependent tumors and breast-feeding. Sweet fennel has less of this ketone constituent than bitter fennel.
GERANIUM: The fruit of this bushy shrub is thought to resemble a stork's bill, and so the botanical name (Pelargonium graveolens) contains the Greek word for stork, pelargos. In the same way that the stork can balance easily on one leg, Geranium essential oil is known for its ability to bring balance to the body and emotions. Mojay tells us that this essence conveys calm strength and security, relieving chronic and acute anxiety, particularly due to stress from overwork. Because of its aphrodisiac quality, it reconnects those with an overload of mental energy to sensuality, spontaneity, and pleasure. Citing the work of several aromatherapists, Battaglia tells us that geranium oil may stimulate the adrenal cortex, increasing hormones that are essentially regulating and balancing. This makes geranium good for situations of fluctuating hormone levels such as PMS and menopause. As both a diuretic and lymphatic stimulant, this essence is helpful with cellulite, fluid retention and simple edema of the ankles. The aroma is familiar from skin-care products, which use this essence for its ability to balance the production of sebum, making it useful for all skin types.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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