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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.
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.
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.
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.
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."
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."
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.
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."
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.
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!
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.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
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.
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.
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.
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.
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.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
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.
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.
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.
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.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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