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Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
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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