resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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'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.
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.
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.
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).
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.
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.
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).
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.
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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