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Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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