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First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
April, 2013, Vol. 13, Issue 04
The Current Emphasis on Clinical Research and Essential Oils
By Shellie Enteen, RA, BA, LMBT
The use of essential oils to benefit body, mind and spirit greatly predates the modern era, the term "aromatherapy" and the current emphasis on clinical research. Empirical evidence and information passed down through generations and occasionally recorded in books was the norm.Despite the advent of the microscope and aromatherapy research pioneers such as Rene Maurice Gattefosse, scientific investigation into the affect of essential oil components was not common. And of course, the recipients of essential oil blends responded in a positive way, even before the chemical components were identified and classified.
But as we massage therapists know, today it is important to have evidence backed up by scientific studies to create agreed upon facts and practices. Those branches of the healing arts that are given the Complementary and Alternative Medicine (CAM) designation are working hard to present these facts. For aromatherapists, especially when they are hoping to teach this modality to other health professionals, the need to produce verification through research is paramount. The scientific community just won't respect this field without evidence that meets their criteria.
In the aromatherapy community, the idea of research and even the emphasis on the chemistry of essential oils has produced widely divergent points of view. Just as it would seem odd to have to prove the soothing effect of gentle effleurage, to some aromatherapists the historical evidence for the relaxing affect of lavender is enough. Some even fear that going the scientific route is an attack on the basic human element which is so important in both the selection and blending of essential oils. Some are in favor of the clinical case study as a middle ground for proving the reliability of their art. But, there is a growing movement in the aromatherapy community to investigate the chemicals on their own and find personal justification and acceptance through studies proving effects.
Salvatore Battaglia tells us that while research can help create clients who need this proof and that it can also provide recognition and legislation in favor of essential oils there are some basic problems when approaching research in this field. In my opinion, the most important is this: "The essential oils are complex pharmacologically active chemicals. The whole essential oil will have different properties from that of any single constituent alone. Most pharmacological studies involve the use of individual chemical constituents." (The Complete Guide to Aromatherapy, 2nd Edition, 2003.)
A principle that describes this is called the "quenching affect," wherein the presence of all chemical components may reduce the potential intensity of one component. An example would be the chemical limonene. Considered a strong skin irritant, limonene is present in many citrus and citrus note oils where it is brought to a manageable level due to its amount relative to the other chemicals present. However, the focus on the effect of limonene on its own has resulted in legislation in Europe that leaves perfumers with the great problem of no longer being able to use the essential oil of lemon (Citrus limon) in their formulas because it contains limonene. Many of these perfumes have been worn for hundreds of years without ill effect.
Another issue for research in the field of aromatherapy was simply lack of funds. Much of what we knew about physiological and skin care properties of essential oils came from research conducted for the cosmetic and food industries, where the funds and the need for specific research on affects have been vital to ensure public safety. But, as the need for more effective methods of treating chronic pain, anti-biotic resistant bacteria and other health related problems has grown, more research has been going into the relevant properties of essential oils.
If there is a need to find research regarding essential oils, there are some online resources that will yield results. PubMed is one: www.ncbi.nlm.nih.gov/pubmed. And there are good texts that provide research information as well. These include the Aromatherapy Practitioner Reference Manual by Sylla Sheppard-Hanger, Natural Aromatic Materials – Odours and Origins by Tony Burfield, Essential Oils 2008-2011 by Dr. Brian Lawrence. Aromatherapist Jane Buckle, PhD, RN teaches clinically based aromatherapy and has two books, Clinical Aromatherapy and Clinical Aromatherapy for Nurses. She has also authored an article on how to conduct clinical research for aromatherapy that can be found in a special e-book, published in 2012 by the National Association for Holistic Aromatherapy on the topic of research and essential oils.
On a happy research note, it can be said that the scientific conclusions about the dangers of lavender oil used by young boys has now been disproven. The New England Journal of Medicine had run an article some years ago concluding that the development of breast tissue in two pre-pubescent boys (gynecomastia) residing in the same town (not in the same family) was a result of minute amounts of lavender and tea tree essential oils in personal care products from the health food store. This prestigious scientific magazine was unwilling to publish letters from well known aromatherapists refuting this notion. Robert Tisserand, one of our foremost colleagues, posted a link on Facebook this week with the note, "Nice to know that Lavender oil is conclusively not estrogenic." (This hormone like effect was said to be the cause of the gynecomastia.) Read the whole story here: http://roberttisserand.com/2013/02/lavender-oil-is-not-estrogenic.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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