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Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
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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