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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 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.
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.
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.
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.
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.
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?
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.
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 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.
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
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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