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Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
November, 2010, Vol. 10, Issue 11
Essential Oil Quality and Education
By Shellie Enteen, RA, BA, LMBT
It is important to understand that since there is no regulation on essential oil production and sale in the U.S. and in many other countries, the buyer must find ways to assure to the best of their ability that the essences purchased are of good quality.And because this is important, there are also many claims made by certain companies that suggest exclusivity on quality which include misleading information about regulation. We'll examine some of those claims and discuss the best way to resource quality essential oils.
Claims and Misleading Information
The first "red flag" claim currently in use is the phrase "Therapeutic Grade". This idea is going to appeal very strongly to those in healing professions like massage. And, of course, it is best to work with essences that are of a high quality to get the effects desired. However, there is no grade system in the aromatherapy industry. An essential oil is either a pure product extracted from a plant in a traditional way ... or not. As leading aromatherapy experts point out, why would anyone want to purchase something that wasn't of high quality? Would there be a market for essential oils labeled grade B, C or D if that product actually existed?
It is true that essences grown in certain countries are considered more desirable. For example, lavender (Lavandula angustifolia) can be grown in many places but the oils from France, Bulgaria and England are preferred and lavender grown in high altitudes gives its enhanced chemistry created by growing conditions and lower temperatures used in distillation a "preferred" nod. Also, unlike most essential oils, ylang-ylang (Cananga odorata) can be purchased in four different qualities due to the distillation process itself, which pulls the oil at different stages. The first pull is called "extra" and has the most potent and pleasurable fragrance. Next is ylang-ylang I, which is slightly less expensive than the first pull but is still desirable for fragrance and properties. The two other distillation pulls, II and III, have had more heat exposure, are much less expensive, have a less impressive aroma and are used mainly to fragrance laundry powder and other cosmetic and cleaning products.
However, these two examples do not suggest there is a Therapeutic Grade in the aromatherapy industry. All of the lavenders and ylang-ylangs are either pure essential oil or they are not. The term "Therapeutic Grade" is a marketing term and nothing more. One company has advertising that includes the phrase "Certified Therapeutic Grade" but investigation reveals that is a trademarked logo. The Federal Trademark agency is not interested in the truth of the statement. One possibility that exists if the price of an essential oil is a lot higher than the average for the same product and there are exclusive and "Therapeutic Grade" claims for the essences, is that the claims are an attempt to justify the higher cost.
Another group of claims to watch out for is that the oils meet standards set by ISO (International Organization for Standardization) or AFNOR (Association francaise de normalisation) or the idea that the essence contains the sanction of being designated GRAS ("Generally Recognized As Safe") by the FDA. The details to clarify this would require more space than the Aromatic Message column can contain, but I will be happy to send that information to anyone who wishes to contact me.
The use of the gas chromatography mass spectrographic analysis (GC/MS) and the component profile it provides is employed by many companies to test for purity. It is reassuring to know that a supplier is taking the time and spending the money to have this testing done. However, it is helpful when the provider has the test done by an outside company and is willing to provide the result sheets for each essential oil. Still, because this is a test that depends on the skill, experience and knowledge of the individual who does the analysis, we should not rely on this to exclusion of the personal olfactory experience and knowledge of the intent and reputation of the company.
Guidelines for Good Quality
So then, how can one pick a company to resource essential oils? The following are some suggested guidelines to find a company providing good quality:
Despite the issues around finding good quality essential oils, I am happy to say that the industry contains many good companies sourcing their product from reputable growers and distillers. Some are even concerned with sustainability, some with sourcing organic oils. It may take some time, certainly helped along by having a quality education with a registered aromatherapist who is not motivated by selling their own oils, to find the company that will work best for personal and practice needs. It is time well spent.
Along with taking a course with a qualified and objective professional aromatherapist, becoming a member of an organization such as NAHA (www.naha.org) gives access to e-journals, e-newsletters, tele-seminars with a large number of reputable authorities in the field. Advertisers, authors and speakers are in alignment with quality standards. This access broadens both perspectives and resources and helps create the confidence needed to use this wonderful art and science in a safe and effective way.
Editor's note: Shellie is currently creating a Professional Aromatherapy online training that will qualify the student for Professional Membership in NAHA and to meet the requirements of the Aromatherapy Registration Council and their exam leading to the title, Registered Aromatherapist. Please contact Shellie for details.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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