resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
November, 2011, Vol. 11, Issue 11
Adding a New Dimension: Sedative Essential Oils
By Shellie Enteen, RA, BA, LMBT
Since a large percentage of massage clients come seeking relief from muscle and joint pain, it is good to know that the sedative group of essential oils can provide another level of lasting relief for these common issues.The sedative group of essential oils also provides benefits for clients whose issues stem from stress and those who simply have a need to relax. Sedative essential oils address all of these areas while adding a pleasing fragrant dimension to your therapeutic work. Within this larger "sedative" classification are other therapeutic properties. Knowing which essences have which properties helps the therapist select the right ones to make the most effective massage blend for an individual client. The properties found in the sedative essences are:
The most famous essential oil for pain relief and relaxation is Lavender. Distilled from the flowering tops, the best lavender oil comes from Bulgaria, France, England, Yugoslavia and Tasmania, though it can be grown all over the world. Lavender vera is grown in higher altitudes which produces more esters and a finer scent. Lavender has a long list of applications for skin and because of its anti inflammatory and cell regenerating properties, it can sometimes be applied neat, or undiluted, to the skin. This would be best when there is a burn, cut or immediate need for the infection fighting effects. Lavender is antimicrobial and antiseptic, making it effective in the treatment of wounds and as a front line defense against respiratory infection. It is tonic to the cardiovascular and digestive systems, lowers blood pressure and due to the presence of coumarins, helps thin the blood. Lavender is indicated for muscle spasm, sprain, strain, cramp, contracture and it aids rheumatic pain. It is sedative to the CNS and relieves headache, nervous tension, insomnia and can help balance mood swings. Spiritually, it is said to balance the physical, astral and etheric planes.
Because of Lavender's many therapeutic properties, many aromatherapists say that if they were stranded on a desert island with only one essential oil, they would hope it was lavender (it also takes the itch out of insect bites and helps heal sunburn). But here in civilization, what other essential oils can be called in to use? And what should be used if the client doesn't want the deep relaxation or sleep inducing effect of Lavender, or if they have a tendency toward lowered metabolism or low blood pressure? What if they need to relax because they are about to take an exam, give a presentation, walk down the aisle? It's a good idea to ask the client who indicates a need to relax what their stress is about and what life circumstances may be contributing to their pain cycle. This will help you select an essence that is most appropriate for their needs. Keep in mind, too, that when too much Lavender is used in a specific treatment or over time, it takes on the stimulating affect of a cup of espresso, so it's good for both you and your client to vary the relaxing, pain relief blend.
We'll begin with an exploration of aromatherapy for pain and stress and profile some of the other sedative oils. Space allows for only a partial listing of the properties and you can consult books such as The Aromatherapy Practitioner Manual, Vols I and II, by Sylla Sheppard-Hanger, Aromatherapy for Healing the Spirit, by Gabriel Mojay and others for more information on each essence. When you want slightly less sedation but powerful pain relief, there is another type of lavender, lavandula latifolia, L. spica or Spike Lavender. Lavindin, lavandula-super, is a hybrid consisting of lavender officinalis and latifolia. It is less expensive and often used to adulterate true lavender, but is still a powerful antispasmodic, well suited for muscular, respiratory and circulatory problems and not as sedative for the mind.
Moving away from the Lavenders altogether, more information follows on the other pain and stress relieving sedative oils, Chamomile (roman, anthemis nobilis and German, marticaria recutita), Clary Sage (salvia sclarea), Helichrysum (H. angustifolium), Sweet Marjoram (Origanum majorana), and Vetiver (Vetiveria zizanioides). Chamomile is a highly effective anti-inflammatory. It eases headache, neuralgia, dull muscle pain, low back pain and TMJ syndrome. It relieves dysmenorrhea, PMS and stress that manifests as digestive symptoms.
Clary Sage (not to be confused with Sage, Salvia officinalis), is considered mildly intoxicating and euphoric and should be used in small quantity and preferably not before an evening of cocktails, as it augments the effect of alcohol. Apart from this, the ability of Clary Sage to relieve spasm, muscle ache and cramping makes it extremely useful in massage. It is a digestive aid and can be blended effectively with Chamomile for tension and discomfort due to PMS and dysmennorhea. Along with Lavender, it is one of the essences chosen to ease labor. It is also associated with dreams and increased inner vision.
Helichrysum has a long history as anointing oil, but well deserves an honored place in therapeutic massage. With many of the properties of Lavender, Helichrysum is also indicated for bruising and burns, for depression, shock and phobia and is helpful in detoxification from drugs and nicotine. Helichrysum is said to improve the flow along the meridians and to increase spiritual awareness.
Sweet Marjoram is highly sedative. It relieves pain, stiffness, sprain, spasm, neuromuscular contractions and is indicated for both rheumatoid and osteoarthritis, dysmenorrhea and migraine. It has a powerful effect on the mind and emotions, relieving deep trauma, grief and heartache.
Vetiver is an interesting oil because it relieves arthritis, muscle ache, pain, sprain and stiffness, but increases venous circulation to help detoxification of tissues. It is said to balance the Central Nervous System and is grounding and revitalizing, while it relieves insomnia, tension and depression.
All of the sedative essences listed, apart from Lavender, are pretty potent and require few drops in a blend. More expensive but highly effective, the flower essences: Rose, Jasmine, Neroli and Ylang Ylang, relieve anxiety and have properties that induce relaxation and pain relief. Only a small amount of the flower oils is needed for the affect. Less expensive, the citrus oils: Sweet Orange, Grapefruit, Lemon, Lime, Tangerine and Mandarin, reduce tension and instill courage and optimism. Most of these, however, are phototoxic and must not be applied before prolonged sun exposure. Both flower and citrus oils blend well with the other sedative oils and add their own special dimension to the therapeutic experience. In the next Aromatic Message, we'll look at some of the stimulating oils used for pain relief.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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