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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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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."
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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.
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.
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.
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.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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."
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.
January, 2012, Vol. 12, Issue 01
Rubefacient Essential Oils for Pain Relief
By Shellie Enteen, RA, BA, LMBT
According to Mosby's Medical Dictionary, the word 'rubefacient' derives from two Latin words: ruber, red, facere, to make, and it is defined as:
This redness is caused by dilation of capillaries and increased blood circulation; a property that is useful for many client issues where pain or stiffness is present. An abstract published in Medline in 1982 reports the effects of a rubefacient commonly used by massage therapists and containing essential oils of cassia and clove called Tiger Balm. They tested application on rabbit skin to discover the effect of long term use and found that, "Tiger Balm Red (which contained 5% cassia oil plus 5% clove oil) caused irritation consisting of erythema, eschar formation and some oedema, to which a degree of tolerance developed. This irritation resulted in hyperkeratosis and sometimes inflammatory changes but no major damage to the skin. Tiger Balm White (no cassia oil and 2% clove oil) was better tolerated and produced less irritation and histological change than either Tiger Balm Red or a mixture of commercial waxes similar in composition to the wax base for Tiger Balm Red. None of the treatments produced any signs of systemic toxicity."
From this study, we learn two important things: rubefacients are well tolerated and don't cause permanent damage, and cassia oil is much more irritating than clove. Trained aromatherapists know this and also how important it is to dilute the rubefacient essential oils by putting them into carrier oil (such as almond, sesame, or my favorite, fractionated coconut) before use on the skin. And cassia (cinnamomum cassia) is listed in Sylla Sheppard Hanger's Aromatherapy Practitioner Manual, Vol. I as being a "DERMAL IRRITANT, avoid use on sensitive or damaged skin; use very highly diluted if at all."
There are many other essential oils that deliver the rubefacient property and which are more commonly used in massage application. They increase circulation in the skin and muscle tissue, creating relief from pain through an anti-inflammatory effect as well as helping to clear the tissue of byproducts of prior inflammation. They provide a comforting feeling of warmth as they accelerate metabolism in the area. Rubefacient essential oils are used to treat conditions such as rheumatoid and osteoarthritis, back pain, bunion, bursitis (application to area without massage or manipulation), muscle cramps, sciatica, strain and sprain. Frequently, they are paired with essential oils that increase detoxification, such as juniper berry (Juniperus communis), carrot seed (Daucus carota) and lemon* (Citrus limon). This is especially helpful for joint pain and arthritis. They can also be blended with more relaxing anti-inflammatory analgesics like lavender (Lavandula angustifolia, Lavandula spica) or German chamomile (Matricaria recutita) where stress and tension is known to be a major cause of muscle pain.
The commonly used rubefacient essential oils are:
You can read profiles on some of those essences in an article on the stimulating essential oils published in the November 2011 issue of Massage Today. Nutmeg is less commonly used and has a reputation for having psychotropic properties. Studies have shown that this is true for whole nutmeg, while the essential oil is weak in the myristicin and elimicin content that metabolize to produce hallucinogenic effects. It is unlikely that non-oral use of the essential oil of nutmeg (the only safe method for delivering this and most essential oils) would have any such affects at all.
An example of a blend for chronic arthritis might be (in 1 oz of carrier oil):
An example of a blend for neck and/or back pain due to tension (in 1 oz of carrier oil):
Blending tip: Essential oils of higher aroma intensity require fewer drops.
*Expressed lemon essential oil is phototoxic. Avoid exposure to sunlight for 18 hours after use, or use distilled lemon essential oil.
Shellie Enteen resides in Greer, S.C., and can be reached at . Shellie will be teaching a three day aromatherapy CEU workshop at the AMTA South Carolina Chapter Spring Mini-Convention in Charleston, SC, March 16-18th, 2012. More more information, visit www.amta-sc.org. For a brief biography, a printable version of this article and a link to previous articles, visit Shellie's columnist page at www.massagetoday.com/columnists/enteen.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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