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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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 more information about Shellie Enteen, RA, BA, LMBT.
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