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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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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.
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."
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.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
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.
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."
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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