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Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
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 more information about Shellie Enteen, RA, BA, LMBT.
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