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Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
August, 2010, Vol. 10, Issue 08
Safety Guidelines for Aromatherapy
By Shellie Enteen, RA, BA, LMBT
There are some very important things to know in order to work effectively and ethically with essential oils. Apart from selecting the correct essences, knowing their properties and contraindications and choosing the most efficient method of administration, it is also necessary to observe certain safety guidelines and to know how to obtain and use the best quality essential oils.Because there is no governmental regulation of aromatherapy or the essential oil industry in the United States at this time, it is easy for a company or an individual to give out information that might not be accurate and in some cases, could even be harmful.
Sometimes, that is intentional (as in the case of a company making claims about their product that they know aren't true, but sound good and will create sales) and sometimes it is unintentional (as when an individual is repeating information received that wasn't questioned). In both cases, having a good education from a qualified school or instructor is the best way to prevent making the mistake of following bad advice or falling for a sales pitch. (More about quality and education in a future Aromatic Message article.)
For the licensed massage therapist, failure to observe some of the standard safety protocols with essential oils could backfire in a very unpleasant way, creating harm and incurring liability for which there may well be no insurance coverage. Here, as always, it is important to remember our scope of practice and observe the exclusion of the ability to diagnose and prescribe.
Essential Safety Procedures
Two of the most critical safety procedures for working with essential oils are:
In one case discussed by Battaglia in his text The Complete Guide to Aromatherapy a man decided to ingest a small amount of eucalyptus because he thought it would keep him free of colds and make him "feel good". During a routine medical exam, he was shocked when told he had cirrhosis of the liver and since he was a non-drinker, the most likely cause was the regular ingestion of the chemical component, cineole, present in the eucalyptus oil.
Approval of an essential oil by the FDA means that it is possible to use it in food and flavoring and does not constitute safety for general ingestion. The amount and method used with essential oils in food flavoring is quite different from putting a few drops of oil into water (even diluting it first into honey, etc.) and drinking. Apart from the real risks associated with doing this, it is good to remember there is no regulation on essential oil companies in the U.S. and elsewhere for the most part, so it is very hard to be certain of purity or that what is in the bottle is exactly what it should be.
In my own experience, many years ago, I followed the suggestion of a fellow therapist and took a drop of peppermint oil on my tongue to disguise the odor of onions lingering from lunch. That seemed harmless enough. The essential oil had been purchased from a very reputable source. However, almost immediately, I felt very strange and that feeling lasted for several hours. Some time later, I learned from a well-known aromatherapy chemist that this batch had been tested after similar reports and instead of containing Mentha x piperita, which is the peppermint used in food flavoring, it was actually cornmint, Mentha arvens. Cornmint is cheaper than peppermint to produce, tastes and smells close enough to use as an adulterant but unlike peppermint, it contains a large amount of a chemical component that makes it toxic to the liver.
More Safety Guidelines
Working safely with essential oils demonstrates a commitment to excellence. Other guidelines when working safely with essential oils include:
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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