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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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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.
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.
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.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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."
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.
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.
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.
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.
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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