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Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
August, 2012, Vol. 12, Issue 08
Extending the Benefits of Massage By Using Aromatherapy
By Shellie Enteen, RA, BA, LMBT
Most massage therapists interested in using essential oils as part of their sessions can easily relate to the idea of the physical properties of each of the oils and how they can be applied for a client's specific needs.Those familiar with the concept of subtle aromatherapy, which I have written about in previous columns, also know that a client can have the specific mental, emotional and spiritual energies that are part of the symptoms being presented directly addressed and assisted by using appropriate essential oils in the massage oil blend. But what happens after the client leaves the office?
On the purely physical level, essential oils can take from 18 to 24 hours to be processed and eliminated by the body. This is one of the reasons it is important to educate yourself and your clients about certain contraindications, such as increased UV impact on skin cells for the expressed citrus oils of lemon (Citrus limon), lime (Citrus aurantifolia) and bergamot (Citrus bergamia). Another example is the heightened intoxicant ability of clary sage (Salvia sclarea) that could easily cause unpleasant affects for a client who might consume alcohol at a dinner or party shortly after their massage. But this long lasting quality of essential oils is also a great benefit when working with clients who have chronic or acute inflammation and pain. It greatly enhances and extends the relief the client gets from the hands on techniques.
Along with delivering the essential oils to the body through application, simple inhalation of lavender (Lavandula angustifolia) has been shown to relieve pain and stress. The question of whether it is the stress relief achieved by inhalation alone that is responsible for the lowered pain experience has not been determined, but that has been suggested as a distinct possibility by research oriented aromatherapists like Robert Tisserand. Other essential oils with anti-anxiety properties, such as Roman chamomile (Anthemis nobilis), geranium (Pelargonium graveolens), sweet marjoram (Origanum majorana), patchouli (Pogostemom cablin), rose (Rosa damascena) and ylang ylang (Cananga odorata) can also demonstrate this stress relieving effect upon inhalation. Certainly, both therapist and client receive these benefits during the use of an aromatic massage oil blend.
Other ways to extend massage benefits with essential oils include giving the remainder of the blend to the client for home use. In a previous article, I mentioned that in order to sell an essential oil or blend, the therapist must have a retail license and collect taxes where required by law. But if the blend involved is part of the client's session, an extra amount can be created and given to the client as part of that session. This would require the massage session to cost more of course, but it does bypass the retail issues.
I would advise that whenever the client is going to leave with an aromatherapy blend for home use, they be given a "directions for use" form with the blend so they will know exactly what to do with it once they are at home. Verbal directions heard when a client is relaxed and focused on check out issues might not be retained as well. If they are given only the remaining massage oil, it can be used as a spot treatment a certain number of times a day and it can also be mixed into bath salts and used in a bath. If a small bottle of the undiluted blend itself is given for some reason, be sure to also include directions for proper dilution before use on the skin. Undiluted essences would be appropriate for room diffusion and inhalation, for dilution into honey, cream or bath salts for bathing, or for being added to an unscented carrier oil to create more for topical use. That could be helpful if the client is not going to be able to return for several weeks and they are dealing with a chronic issue, like arthritis. Essences I might avoid for bath use would be peppermint (Mentha x piperita), as it can be highly irritating to sensitive skin or mucous membranes, lemon (Citrus limon) and pine (Pinus sylvestris), unless it is certain that these are not old oils that have oxidized to become more irritating, and the above mentioned expressed citrus oils of lime and bergamot, due to their phototoxic potentials.
Be sure to keep a record of the exact essential oils and amount of drops to amount of carrier oil that was used for each client and the directions for use given. The good reports received about the extended benefits from using essential oils when the client returns will not only bring satisfaction but could easily result in increased referrals.
General Aromatherapy Bath Directions
Draw a hot tub that is not so hot that it will cause excessive perspiration. While the tub is filling, add all or part of the diluted aromatic massage oil to 2 cups of Epsom salts, mixing well. And undiluted blend can be added by drop to a tablespoon of honey or a cup of heavy cream. Up to 15 drops may be used and let the aroma be your guide. Again, mix well for complete dilution.
Once you are seated in the tub, add the essential oils (salts, honey, cream) to the water and swirl, inhaling deeply. Soak for 10 minutes and enjoy!
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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