resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
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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