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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
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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