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The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
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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