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The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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 more information about Shellie Enteen, RA, BA, LMBT.
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