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Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
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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