resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
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 more information about Shellie Enteen, RA, BA, LMBT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.