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Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
November, 2009, Vol. 9, Issue 11
Essential Oils for Pain Relief, Part 2
By Shellie Enteen, RA, BA, LMBT
Part one of this article discussed using analgesic and anti-inflammatory essential oils to relieve pain. Essential oils that treat the nervous system and bring down swelling may be only part of the picture when dealing with pain relief.Joint pain and muscle injury or chronic stiffness may also require bringing more circulation into the area and removing toxins. Essential oils that are considered detoxifiers and rubefacients and are known for their anti-rheumatic effects can boost even the best massage technique and help provide lasting relief. Part two explores the use of anti-rheumatic, detoxifying and rubefacient essences.
Anti-rheumatic properties provide relief for joint pain in conditions such as osteo- and rheumatoid arthritis and gout. They may be chosen for their anti-inflammatory action, as in the case of German and Roman chamomile, but detoxifiers and rubefacients, which increase circulation in the muscle tissue and skin, are frequently required. Detoxification is an important factor in conditions of chronic inflammation to help restore the immune system and help the body heal. Some essences known for their ability to detoxify are carrot seed (Daucus carota), sweet fennel (Foeniculum vulgare), juniper berry (Juniperus communis) and lemon (Citrus limon). Other essences that could be included are grapefruit (Citrus paradisi) and rosemary (Rosmarinus officinalis).
Carrot seed works with the liver and kidneys to help process and release toxins. It is said to purify the blood and help restore liver cells. Most commonly used for skin conditions where inflammation or ulceration is present, soothing carrot seed can also be added to blends to generally support the liver function and as a diuretic aid.
Sweet fennel has a long history as a digestive aid, but it is also a diuretic that assists in elimination of excess water and a lymphatic decongestant that relieves blockages and helps the body release toxins. Traditional aromatherapy cautions against the use of sweet fennel for people with epilepsy and during pregnancy. This may be due to the levels of the ketone, fenchone, and the estrogen-like action of trans-anthole. Some aromatherapists, such as Battaglia and Tisserand, feel that this would be true for ingestion, rather than a drop or two in a treatment blend.
Juniper berry is aromatherapy's most famous and commonly used detoxification essence. A powerful diuretic and decongestant for lymph, juniper is known to bring down uric acid levels, making it especially helpful for joint pain. The diuretic action includes some irritation of the renal epithelium and so it is best not to use juniper on a continuous basis or in cases where there is kidney infection or inflammation. It is also generally contraindicated during pregnancy.
Lemon is a mild diuretic essence which is considered cooling and recommended to clear heat, dampness and phlegm. As such, it is considered a helpful detoxifying oil. Expressed lemon oil is not used before prolonged exposure to sun due to phototoxic properties. Steam-distilled lemon oil does not have this contraindication.
Grapefruit is a lymphatic stimulant that is cleansing and decongesting for the liver, and rosemary, particularly Rosemary ct. verbenone, is a tonic to both the liver and gallbladder. A classic detoxifying blend (diluted into one ounce of carrier oil) for arthritis:
Juniper and rosemary also have rubefacient properties that increase circulation and bring a feeling of warmth to relieve stiffness. Other rubefacient oils are black pepper (Piper nigrum), ginger (Zingiber officinale), pine (Pinus sylvestris) and thyme (Thymus vulgaris ct. linalool). The rubefacient oils might not be used during the acute inflammatory onset of joint pain but are very helpful during chronic stages.
Black pepper warms as it increases circulation and also stimulates the spleen to produce new blood cells. It is recommended for muscle and joint stiffness. Ginger is a circulatory stimulant that is a tonic to the heart and recommended especially for poor circulation in hands and feet. Pine's stimulating effect on circulation has made it a familiar ingredient in liniments for joint pain and for muscle ache due to overexertion. It also has diuretic properties. Pine oil, if oxidized, can cause skin irritation so older pine essential oil must be used in high dilution. Thyme is a very warming oil that is said to remove blockages in joints and restore mobility to both joint and muscle tissues. It is particularly indicated for sports injuries. Thyme oil is also an immune-stimulant, as it increases production of white blood corpuscles. This helps strengthen the immune system where there has been repeated infection. A warming blend (diluted into one ounce of carrier oil) that promotes detoxification and pain relief:
Generally speaking, the subtle aromatherapy qualities of the warming, rubefacient oils bring courage and stamina which can be very much needed when dealing with both acute and chronic pain. The anti-inflammatory, analgesic essences relieve tension, anxiety and a feeling of anger about circumstances. The detoxifying oils clear the mind, remove a sense of burden, with juniper particularly helpful for clearing excess emotions and the citrus oils for creating optimism. Taking the client's mental and emotional state into consideration always helps indicate the right oils for a massage blend.
Editor's note: For more information on essential oils and treatment blends, log onto www.massagetoday.com and click on "Aromatherapy Central."
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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