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Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
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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