Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
April, 2011, Vol. 11, Issue 04
Methods: Inhalation and Topical Application of Essential Oils
By Shellie Enteen, RA, BA, LMBT
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.
When working with essential oils in massage, it is helpful to understand the way they enter the body. There are two basic pathways that we utilize in a massage practice: inhalation and topical application.
Inhalation and the process of olfaction are well documented and understood. During inhalation, the volatile molecules of essential oils become a vapor which contacts the sensory nerves in the nasal passage. Now, the vapor is converted to an electrical charge that is carried via the olfactory nerve to the olfactory bulb and into the brain. (At this point, there are several theories of how the charge is recognized.) However, it is then conveyed to the limbic region and reaches the hypothalamus, where it will continue on to either the ANS or the pituitary gland to stimulate hormone activity. Other molecules will pass into the cerebral cortex, stimulating memory, learning and emotional responses. Blood circulation is immediately accessed during inhalation via the nasal mucosa and the alveoli in the lungs.
Inhalation of essential oils is achieved through diffusion via machine or air sprays in the office or treatment room. It is also the most direct pathway of the aromatic blend or essence used during the massage. The therapist and other clients or office staff will also receive essences diffused into common areas via inhalation. Because of this, it's good to note that regarding true essential oils (versus synthetic fragrance), once the brain recognizes and transmits the information of the essential oil molecule, the sense of smell is satisfied and the fragrance may stop being detected -- unless we leave the room and re-enter, causing this to become "new information" for the olfactory nerve to deliver. However, the molecules remain active and in the air for hours.
Unless an air purifier is used between clients, the treatment room can become a muddled mixture of blends. This will tamper with the purity of the specific aromatic treatment. For example, if the goal is to relax a client, but stimulating essences are still in the room, the relaxing effect will be lessened ... and vice versa. The buildup can also become overpowering for the therapist. For these reasons, using an air purifier to clear the aromatic molecules in the room while the sheets are being changed is a very good idea. And because the constant diffusion of essential oils will also build up in the waiting room, a time release diffuser is preferable. It is best to use essences that are neither too sedative or stimulating, such as those from citrus and wood, for common areas. For greatest purity of experience, use no fragrance at all in the rest of the office or in the treatment room.
Unlike inhalation, the amount and action of essential oils absorbed in topical application is not as well understood, nor can it be completely and accurately described at this time.
Dermal penetration presents a more difficult route, beginning with the fact that percutaneous absorption requires that the essential oil in liquid form enters the stratum corneum, the thin outer layer of the skin that is equipped to protect the body from invading organisms. Hair follicles, eccrine and apocrine glands, which account for only 1 percent of the skin's surface, provide easier access than the cells and keratin content of the stratum corneum. Thus, certain areas of the body are said to be more permeable: forehead and scalp, soles and palms, genitals, armpits and mucous membranes.
According to aromatherapist and educator, Salvatore Battaglia, if the essence is able to permeate the complex biological functions of the stratum corneum, a variety of things can occur. One potential is for the essential oil molecule to remain in the skin itself, where it may be metabolized by cutaneous enzymes. (It is speculated that enzymes may convert some components, such as safrole, methyl chavicol and carvacrol, into potentially harmful substances.)
Another possibility is that the essence remains in the skin, forming a reservoir by binding to the stratum corneum or subcutaneous fat where it may be slowly released into the capillaries. The best case scenario is that all or part of the essential oil components will reach and be completely absorbed into the cutaneous micro-circulation.
Essential oil components may also bind with proteins in the skin, which creates the sensitizing response of allergic contact dermatitis. Skin permeability may be increased by:
Research about skin absorption rates have not resulted in a clinically proven pathway to date. In addition, none of these studies or speculations takes into account the vibratory action of the essence when it touches the body. These effects can be experienced, even if not successfully measured.
Regarding the topical method, Sylla Sheppard-Hanger writes, "Just because whole essential oils may not be absorbed into the bloodstream creating a systemic reaction, beneficial skin affects and certainly the mental effects (relaxation) are very much possible with essential oil treatments. ...Certainly the beneficial mental effects induced when using a pleasing fragrance cannot be denied."
The combination of inhalation, vibration and potential dermal penetration, coupled with the caring touch of the therapist could well be the reason Sylla concludes, "The safest and most pleasant method of delivery is the external use of essential oils (highly diluted), usually in the form of massage."
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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