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Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
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).
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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%.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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).
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.
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.
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.
May, 2009, Vol. 09, Issue 05
Educating Others and Spreading Awareness
By Shellie Enteen, RA, BA, LMBT
I received my massage license back in the day when you had to convince chiropractors that massage could benefit their patients. Although there is still a need to educate the public and medical communities, the massage profession has come a long way since then. However, for the most part aromatherapy is still in the dark ages of acceptance by mainstream medicine although many nurses are now trained in this method and some hospitals do have aromatherapy as part of treatment. I was recently asked by a department head of the Greenville's hospital system to visit a family member in the ICU and, along with massage, bring whatever essential oils would help. We are making headway, and awareness of the benefits of using essential oils is growing but there is still a need to educate the public and offer good, reliable information.
I received a letter from a reader that, with her permission, I am going to share. Her experience is not uncommon for those in holistic health or CAM. It touches on an issue I had written about in an earlier column and shows the pervasive nature of misinformation when it comes from what should be a reliable source.
CarolAnn Hawkins, LMT wrote: "I am an LMT who enjoys your articles on essential oils and working with women. I have a question. On a recent pediatric visit with my two girls, I mentioned the use of a shampoo with tea tree for head lice, and our doctor warned us about using products with lavender and tea tree. She said that there has been a link to prepubertal gynecomastia/breast enlargement in boys. I requested (more information about) this observation, and it seems based on three boys who all seemed to have used some sort of shampoo, lotion or soap containing the two essential oils. They have concluded that is the reason for their breast enlargement. I have been using essential oils for over 17 years, and I feel this study has maligned the most commonly used essential oil, lavender, which I have always considered so safe. I reserve tea tree for oral hygeine, tick bites and deep puncture wounds. If you have any information regarding this topic, I would appreciate any and all."
And here is my answer: "Yes, we at NAHA [National Association for Holistic Aromatherapy] know all about that misleading information and the unwillingness of the New England Journal of Medicine to print letters from very reputable aromatherapists refuting the (very) faulty science in those claims. It was two boys in the same town, not in the same home. Another boy in one of the homes used the same products with no ill affect and no other such cases were reported. Compared to side effect information on medicines, why would this even get into a medical journal?
I am sure you are only too aware that the traditionally trained physicians have a hard time accepting anything about herbs, aromatherapy, etc. It's not in their training, but pharmaceuticals are a big part and come near the end as well. I am sure that it feels very 'safe' to a new physician to think that he can just follow the prescribed route, give the prescribed amount and not have to make his own judgments. I know I was anxious about massaging people when I first left school...imagine the difference for someone in a position of power over health and how they might need reassurance?
Perhaps you can educate your doctor by giving her some materials from the following link. You can read more on the topic of lavender/tea tree and gynecomastia here: www.naha.org/safety.htm, including a PDF by Robert Tisserand and an article by Tony Burfield. I had written about this in an earlier issue of Massage Today as well."
Generally speaking, when hearing information that sounds strange, too good to be true or makes negative judgments about essential oils, it's best to get the facts before answering or forming an opinion. Resources like the link above, given to the public and medical practitioners makes information more credible. Reputable peer groups in aromatherapy provide sources of education and information needed to be a professional practitioner. Some of these groups include the National Association for Holistic Aromatherapy, the International Federation of Aromatherapists, the Canadian Federation of Aromatherapists and the International Federation of Professional Aromatherapists. Membership in peer organizations provides the resource for up-to-date, current, reliable information on what is happening in the field of aromatherapy. Finally, practicing aromatherapy with knowledge and proper safety is good for the practitioner, clients and the growth and reputation of the whole profession.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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