resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
January, 2011, Vol. 11, Issue 01
Basic Aromatherapy: Recognize and Offer High-Quality
By Shellie Enteen, RA, BA, LMBT
I have been with Massage Today since the first year of publication in 2001. So many new readers have joined us since that first year, and many are now viewing these articles for the first time.This 10th year of publication seemed like a good time to review some of the basics of aromatherapy and begin again ... from the beginning.
It's my hope that the information and guidelines presented in this and following articles on the basics of aromatherapy, culled from more than 20 years of experience, will help propel Massage Today readers in the right direction on a journey through the wonderful, welcoming and profitable world of essential oils.
Aromatherapy is a natural adjunct to the practice of massage and one that greatly enhances the therapeutic experience. The demand for aromatherapy is booming. It has truly become a must-have modality at spas and salons, and essential oil companies are springing up everywhere.
Most schools of massage still have minimal training in aromatherapy, but massage therapists don't have the luxury of years of private research and experience to become proficient in this modality. Because of this, and my love for the essences, I became a teacher of aromatherapy CE courses for massage therapists. I then went on to develop a "Foundations in Aromatherapy" course; and after becoming a registered aromatherapist (the only recognized credential in the U.S. today in this unregulated industry), I went on to develop professional level courses that would prepare those interested in becoming registered aromatherapists, too.
Though still relatively new to the U.S., the art and practice of aromatherapy is as old as our relationship with plants. Infused oils, pomades and plant resins were used from ancient times for healing, cosmetic and ceremonial purposes. References to the properties and uses for essential oils are found in manuscripts from China, India and Egypt that date as far back as 2,800 B.C. However, since most of these substances were rare and costly, they were employed mainly in the Royal Courts and Temples, administered with ritual and invocation. Trade routes, methods of extraction and blends were closely guarded secrets.
A plant's "essential oil" is a liquid produced in small, gland-like pockets. It is called an oil, not because it has the same chemistry as non-volatile oils such as almond or olive, but because it will emulsify into fats and not water. Another term for this is "lipophilic". Essential oil producing glands appear in different parts of individual plants. Citrus oils come from the rind, flower oils from the petals and other oils from leaves, resinous bark, berries and roots.
The word "essential" refers to the fact that this liquid both contains the imprint of the plant's specific chemistry and has meaningful qualities for the plant itself.
The volatile molecules of the essential oil communicate with the plant's environment, and with mankind, through aroma and vibratory rate. Volatility refers to the ability of this liquid to change into a gas at room temperature. This is how it is conveyed into the nasal cavity and lungs. When it reaches the olfactory nerve it becomes an electrical charge which runs along the nerve pathway into the brain, activating different glands and centers. In the nasal mucosa and lungs, it passes quickly into the bloodstream.
After a long history in the Middle East, India and the Orient, the use of essential oils caught on in Europe largely as a result of contact with these precious materials during the Crusades and through increased trade routes. Although archeologists have recently uncovered a clay distilling apparatus in Egypt, the process through which we get many of our essential oils was greatly increased after glass became a more common material.
The distillation process was written about extensively in 16th century Germany. This made a large number of previously unobtainable plant essences grown in Europe, like lavender, chamomile and rosemary, available. Along with herbs and spices, essential oils were the medicines of the time and the primary ingredient of costly personal fragrances. Nineteenth century chemists, anxious to identify the active biochemical ingredients and their effects, laid the groundwork for synthetic derivatives which led to the decline of both essential oils and herbal medicine.
Modern scientific literature on essential oils began in the 1920s with the French chemist, Rene Maurice Gattefosse. He suffered a serious burn while working in his laboratory in the family's cosmetic firm and, knowing the herbal lore about healing burns, plunged his hand into an open vat of lavender (a popular ingredient in the colognes and sachets of his day.) To his relief and amazement, the burn healed without pain, blister or scarring. His subsequent investigations into the sedative and regenerative properties of lavender led to scientific exploration and testing of other essences. He coined the term "aroma therapie" to describe this medicinal aspect of the fragrant botanical component.
A great deal of medical research on the effects of essential oils now exists, leaving no doubt that when the right oil is chosen, at the right time, wonderful things can occur. It is also possible to complete medical school in France and specialize in aromatherapy.
However, there are also contraindications for essences, as well as possible sensitivities and dosage guidelines. Therapists who choose to use aromatherapy in conjunction with work on mind/body - whether in spas or private practice, as room diffusion or in massage - need to be well-educated with regard to properties and effects and to treat essential oils with the respect they deserve as a powerful healing modality. Simply adding lavender to a massage oil or using the same commercially prepared blend for every client isn't the way to go if you want to use these substances professionally and responsibly.
Many books and classes on aromatherapy are available, some for continuing education credit. As in massage practice, opinions about therapeutic applications of essential oils can vary, so try to read and hear from as many leaders in the field as possible with principles of safety in mind, so that you can form your own opinions.
And, because an individual's response to essences can differ from time to time, a good "sense" of which essence to choose can be as valuable as all the literature on properties. In order to develop this, become familiar with essences and the information directly conveyed through their aroma. Pay attention to "likes and dislikes" because it is thought that these responses, occurring in the limbic region of the brain, communicate desirability of effects.
It is also important to realize that the most powerful aromatherapy treatment is simple inhalation. Realize that through breath, you and your client receive the treatment at the same time. The greater your repertoire of essences, the more you can moderate your own exposure to certain oils. And it is advisable to use only high-quality essential oils, which means a substance manufactured and grown with integrity and without adulteration or harmful additives.
Remember, good quality essences will cost more than fragrance grade, but it is definitely worth buying them, even for room diffusion.
True essential oils range in price from extremely expensive (like melissa, rose, jasmine,) expensive (like chamomile, helichrysum, and the endangered oils of frankincense and sandalwood) moderate (like ginger, peppermint, basil) to fairly inexpensive (like lavender, rosemary, orange).
"Bargains" are not always what they seem to be in this field. You should question whether therapeutic quality is present when a wide variety of essences are displayed in the same amount (usually 10 milliliters) for the same price. Think twice when an essence you know to be very expensive is offered in large quantity at a low price. Also think twice if oils are more expensive than the usual retail price and claims are made for certain grades or exclusivity. And finally, since light affects essential oil chemistry, avoid essences sold in clear glass bottles or those that are kept in a sunny window in a store or salon.
Many factors influence quality: the method and expertise of extraction, the region of growth, a particular species of the same plant and/or extraction from certain parts of the plant may be considered better quality and therefore more costly. (Quality standards may reflect both fragrance and levels of desired biochemical components.) For example, wild rose geranium from China may be almost twice the price of the farmed variety from Morocco. Orange blossom extracted from the flower and leaf can cost almost a third the price of that from the petal alone. And you'll pay more for silver fir (Abies alba) than for Douglas fir (Pseudotsuga menziesii). As with other crops, a shortage will push the price up.
In these, and other ways, the essential oil business shares many characteristics with the wine industry. Many of the manufacturers of fine essential oils have been in business for centuries. Since plants are living organisms, they are affected by their environment and climate. Therefore, the same manufacturer can produce an essence that varies in aroma from year to year, so you can expect the same variance with true essential oils that you would from different vintages of wine.
Most distributors shop the manufacturers and repackage the essences, either singly or in blends, under their own label. It is for this reason (and because of the vast amounts of plants required to produce essential oils) that one should be wary if a distributor claims exclusivity on quality. But when distributors shop well, the results are good products that deliver fine fragrance and top therapeutic effect.
As a consumer, try essences from distributors that are recommended by lecturers or referenced by authors of books on aromatherapy or who advertise in professional journals such as the one produced by the National Association for Holistic Aromatherapy (NAHA). Compare online or in-store prices and samples. Experience will help you zero-in on the products you want to use in your practice.
The NAHA is a non-profit educational organization of peers. The organization promotes public and professional awareness of true aromatherapy and standards for practice, education and products. They can be reached by e-mail at or online at www.naha.org.
Getting the information you need and finding the right products isn't really hard work. Attending lectures and sampling essences is both interesting and pleasurable - and it will bring tangible results. No matter how you choose to use essential oils in your practice, they will add a wonderful dimension to the therapeutic experience. Understanding the world of essential oils will no doubt provide you with a growing respect and appreciation for the beauty, individuality and healing presence of our helpful neighbors in the Plant Kingdom.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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