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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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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?
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.
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?
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.
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.
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.
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.
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.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2012, Vol. 12, Issue 11
Adding Aromatherapy as Effective Ambience
By Shellie Enteen, RA, BA, LMBT
Whether you add essential oils to a massage blend for their therapeutic benefits or not, aromatherapy can add an attractive and effective dimension to your practice. Doing so makes a visit to your office even more memorable and can add to your income, too.
No matter what kind of method you use with massage, clients love the addition of hot moist towels to their session. It can easily be done without purchasing special hot cabinets if your volume doesn't warrant that. If you have a microwave or a crock pot that is used for hot stones, hot, moist, aromatic towels can easily be added to your sessions. The sprays themselves will not cost much to make but the added pleasure they provide will easily upgrade your client service rating.
Thinking ahead, it's best not to put hot moist towels on the table without a way to keep moisture from penetrating table linens and causing underlying padding or the table itself to retain moisture. This is especially true when you have back to back clients. Your next client certainly won't enjoy lying down on a damp area.
A quick trip to the infant needs section of a local store should produce the perfect thing: diaper changing pads. These can be cut to fit specific areas: under the head and neck and under the feet. They can be put under the bottom sheet for neck towel placement or foot wraps, draped over a pillow or bolster and covered with a towel for elevated foot massage like reflexology.
The best way to prepare the towel itself is to get it wet and then roll and wring out excess moisture. Roll so that the cotton tab is sticking out and can be easily grabbed. Place the number of towels needed, tab side up, into the hot cabinet or crock pot and allow them to heat up in advance. Microwave towels will take about a minute but can be done while your client is relaxing -- either after they roll over to the supine position or before you come into the room if you start your client in the supine position.
The tab does not retain heat and this lets you lift the towel without burning your own hands. You can use the tab to hold the towel up and wave it for a second or two to allow extreme heat to dissipate before rolling it again for placement. After you have rolled the towel again, apply the mister spray blend before placing. Heat accelerates the vaporization of the essential oil to enhance inhalation and that will deliver therapeutic effects along with a pleasant aroma.
A mister spray is made by placing a small amount of food grade alcohol in the bottom of a 1 oz mister spray bottle. Add up to 12 to 16 drops of essential oils, shake well and then fill the bottle with distilled water. As always, choose essential oils and blends based on the client preference and needs. Keep in mind that these oils and blends, though diluted in alcohol and water, will be placed against the skin where moist heat increases penetration, and avoid using the essences known to irritate the skin. Those include spices like cinnamon (Cinnamomum zeylanicum), thyme (Thymus vulgaris), basil (Ocimum basilicum).
For an under the neck roll, consider using the following in alcohol in a 1 oz mister:
Stress relief, muscle tension and pain:
Shake the bottle well and apply 2 to 3 sprays onto the side of the towel that will face up against the client's skin. Place under the neck after your head, face and neck work and continue your massage. Or, place it under the neck and begin your massage if you begin on the legs, removing it before you begin neck work.
For mister blends, essences known to aid anxiety relief, such as geranium (Pelargonium graveolens), orange (Citrus sinensis) or Roman chamomile (Anthemus nobilis), would be appropriate and will add to the client's general relaxation.
The moist aromatic neck roll is also helpful to decongest the client who has been lying prone for the first half of the massage. If your client begins supine and will be prone for the second part of the massage, you can also spray your hands with Peppermint or Eucalyptus and hold them under the nose area, telling the client to inhale deeply, before you leave the room.
A hot moist aromatic towel can also be placed in a loose drape over the client's face, excluding the nostrils, before doing face massage.
For feet, hold the hot towel by the tab and apply 2 to 3 sprays, then wrap the towel around the feet. Repeat for the second foot. Remove the towel from the first foot and wrap cover the foot with your drape, then repeat with the second foot. You can also use the moist aromatic towel to clean off feet in an unobtrusive way.
For foot towels, consider using the following in alcohol in a 1 oz mister:
General foot massage or foot pain:
The waiting room and bathroom are other places to create a pleasant ambience with aromatherapy. Instead of using synthetic fragrances in candles, soaps and hand lotion, consider other easy ways to make the experience more therapeutic and toxin-free.
There are small electric nebulizers that are inexpensive, very easy to use and perfect for a waiting room area. You might find them online or in your health food store. You just have to fill with tap water, add a small amount of essential oils and plug it in. Clean up involves emptying leftover water and wiping the chamber with a paper towel.
However, if you are adding aroma to this area, make sure it is an aroma blend of common fragrances that clients would encounter frequently. These would include woods, like cedar, pine and juniper, citrus oils like lemon, grapefruit, lime, orange and spices like cinnamon, clove and ginger. These essences will be less objectionable for clients who might not like flowery aromas and won't have a big effect on any other treatment blend you plan to use. They also won't build up to a level that can cause drowsiness (a reason not to diffuse lavender in common areas).
A sample diffusion waiting room blend might be:
Use up to 5 drops of this blend in the nebulizer and allow it to run for two hours and then take a break of several hours before diffusing again. Molecules will build up and be noticeable to people coming in even after you have stopped being aware of the aroma.
Make your own soap and hand lotion. It's very easy to do and you can enjoy making blends that appeal to you and even create a 'signature blend' for your office. For soap, buy a gallon of Dr. Bronner's pure organic unscented castile soap. Add a small amount of water to the soap to thin it a bit. Search bottle companies for pump dispensers. The best type of pump for pure castile is the foaming type as this soap can solidify and clog other pump and flip top styles. For hand lotion, find an unscented brand, free of the most undesirable ingredients. Search online or in the health food store. Put this into a dispenser bottle and add essential oils.
A protective, antibacterial soap blend might be:
A pleasant skin lotion blend might be:
If you have a retail license, you can sell your soap, lotion, room diffusion and mister blends. Be sure to use proper guidelines on the label. This includes safety directions like: 'For external use only', and directions for use, i.e., 'Apply to wet hands, wash and rinse'. You must also list all ingredients. Full label requirements can be found at www.fda.gov/Cosmetics/CosmeticLabelingLabelClaims.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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