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Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
April, 2012, Vol. 12, Issue 04
The Business Side of Adding Aromatherapy to Your Practice
By Shellie Enteen, RA, BA, LMBT
While I usually focus on the therapeutic benefits of adding aromatherapy to the massage session, I receive many queries asking practical questions about resourcing quality oils and the retailing potential.Here are some helpful pointers and advice on the business aspect of adding aromatherapy to a massage practice.
Important Facts About Quality
Other archived articles I have written discuss how quality and price of essential oils is based on where and how a plant is grown, how difficult it is to harvest or extract the essential oil and, of course, the ever-changing issue of supply and demand. The manufacture of essential oils is a very large and well established industry. Most of the oils produced are purchased in large quantities by the cosmetic and food industries. That leaves a much smaller portion for other buyers, like aromatherapists. Naturally, the bigger buyers get the lower prices. No essential oil retailer has exclusive access to a certain product, unless they grow their own plants, and this requires huge amounts of land in prime locations. It is highly unlikely that any company could own enough land to manufacture some 350 known extracted botanicals, or even the fifty most commonly used in aromatherapy. In fact, no such retailer exists. For the most part, there are long established, well known suppliers who service a growing number of retail essential oil companies.
How Much Will it Cost?
True essential oils will have different prices for the same quantity. In other words, 10 mls of Lavender (Lavandula angustifolia) might cost $16 or more, while 10 mls of Orange (Citrus sinensis var dulcis) costs $6 or less. The price of certain essences, such as Rose (Rosa damascena) at $45 or more for 5 ml, or Chamomile (Anthemis nobilis or Matricaria recutita) at $22 to $33 or more for 5 mls, might discourage therapists from purchasing and using these very helpful substances. But we must realize that we work with drops, not whole bottles. And we may add only one or two drops of these more expensive oils to the massage blend. Once the cost per drop is discovered, the costlier oils might be within reach.
It is very easy to calculate how much it costs to use each essential oil by dividing the price, by the number of mls to get the one ml price, and then dividing this by 25 as the number of drops in a ml (an approximate measure that is standard). Example: Lavender 16.00 divided by 10 mls = 1.60 per ml, 1.60 divided by 25 drops = 0.064, a little over six cents a drop. If you used 5 drops of Lavender in a 1 oz carrier oil blend, it would cost 0.064 x 5 or 32 cents. A drop of Rose would be 36 cents (45 divided by 5 = 9.00 per ml, divided by 26 equals 36 cents per drop). You might use one drop in the blend, possibly two. Generally speaking, the cost of any blend that includes some essences that are less expensive per drop and some that are more costly will come to or under $5 (including factoring in the cost of the carrier oil). In order to cover the cost or make a profit, it is necessary to charge at least $5 to $10 to add aromatherapy to the massage session. $10 is really best, as the client is also paying for your education and expertise in creating the blend.
How can you resource quality you can trust?
Apart from high profile multilevel companies whose prices can be much higher due to payments for the upline, there are many very reputable companies who retail essential oils. If you research resources online and find a company that belongs to a major aromatherapy organization like the National Association for Holistic Aromatherapy (NAHA), (which gives you information including Latin binomial, country of origin, method of extraction and says their oils are periodically tested by GCMS analysis), there is a good reason to trust their quality. Further investigation of other such companies will show that prices for specific essences will be very similar. Pay close attention to the Latin binomial to be sure you are looking at the same plant. A wide difference in price for the same amount might indicate a different plant, method of extraction or country of origin, or a specific chemotype. If you see a company with very low prices on essences that are usually costly, it is unwise to make the purchase, even though the price is tempting. Very low prices (unless wholesale or wholesale direct from distiller) frequently indicate a diluted or adulterated product.
Can I retail essential oils in my office?
Many massage therapists will not have the time to deal with all the issues of creating their own essential oil company. Apart from legal matters to register the business name and get the retail license, there is the time consuming process of resourcing and storing wholesale bulk essences, bottles and other apparatus. Then there is pouring them into smaller bottles, and labeling with the right information to provide protection from lawsuits. If you don’t wish to dedicate that kind of time, there is the potential to represent an essential oil company. Naturally, your profits are smaller, but so is your workload and your potential liability. If interested, contact me for the names of reputable companies that have representation opportunities.
Other than retailing the essential oils themselves, you can charge a higher amount for the aromatherapy massage if you utilize a custom blend and give what is left over to your client to take home. Inclusion in the session cost circumvents the whole issue of retail. If you are going to do this, make sure you clean off the plastic massage bottle, or pour into a glass bottle with a dropper insert. An individual blend can be added to bath salts or used on the body. Also be sure to provide instructions for use which include adding to the bath and the fact that once the essences are in the carrier, they need to be used within a month. Be sure to keep a record of the blend recipe. Your client might ask you to use it again.
It is important to remember that most massage insurance coverage does not extend to any essential oils or blends that you sell. It will usually cover any reaction to an essence used during treatment, unless the treatment includes a method that is recognized as unsafe use. Be sure to check with your insurance to find out if it covers techniques that are done with undiluted essential oils.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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