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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
August, 2013, Vol. 13, Issue 08
Don't Believe Everything You Read Online
How the Internet Changed Aromatherapy Education
By Shellie Enteen, RA, BA, LMBT
Thirty years ago, to get information and education in the use of true essential oils, a person in the United States had few choices: go to Europe or England and take a course (costly), find a book or magazine on the topic (with not very many to choose from), find a person selling true essential oils nearby (rarer still) and take a class with them or have the good fortune to find that they were sponsoring a class given by a visiting aromatherapist from Europe or England (very infrequent).
Clearly, a lot has changed since then and there are now many more options including full professional training and a peer recognized exam that confers the RA (Registered Aromatherapist) designation. And there are many benefits of having the Internet. You can search and get information on many aspects of aromatherapy and lists of books to order. However, as companies and blogs and short articles on holistic health have proliferated online, so has information that would not be very wise to follow.
I love the Internet and all the gifts it brings. I'm glad my Massage Today columns are now archived and can be accessed online. However, it is disturbing to me and other professional aromatherapists to see many items online that convey wrong and even dangerous information to an unsuspecting public. I do not doubt that the authors themselves are as misinformed and unaware of the dangers in what they are promoting as their readers. But the fact that this kind of information, masquerading as knowledge, is so easy to access makes it important that the person seeking advice about aromatherapy remembers several things.
First, know the source. Do they have the credentials in aromatherapy training that give them the ability to offer information that could affect your health and well-being? Second, look at the sources credited by the author and apply the same scrutiny to them. And third, know the basic safety information about using essential oils so you can recognize when something seems and really is off base.
One of the first safety rules of aromatherapy is to keep essential oils out of the eyes. How important is this? It's not just to avoid an unpleasant stinging sensation. Many essential oils are solvents that can strip varnish off wood, hardly something you would put in one of the most delicate and important areas of the body. Often, we don't even place them on the delicate tissues around the eyes because of skin irritation potential and because the volatility of the aromatic molecules will cause them to enter the eye if applied at close range.
Recently, a very highly respected educator and long-time aromatherapist came across a blog post that recommended treating eye conditions by using drops of essential oils placed directly in the eye. The educator shared this blog on Facebook with the suggestion that her peers contact the blog writer and ask them to remove the post to prevent people from the very real potential of serious and possibly permanent eye damage if they followed this advice. Several were so concerned that they reported the post to the FDA. Eventually, the writer did remove the post. But who knows how many people had already read that and will think of trying the suggestion in the future?
All too often, information that comes from the herbal tradition is transferred to using the essential oil. It may be harmless to make an herbal eye wash or put an herb soaked compress over the eyes in some cases, but the herb form and the essential oil are not the same in composition and function, and certainly not in potency. When word of the dangerous blog post got to Robert Tisserand, another highly respected author and educator in aromatherapy, he considered the topic important enough for this detailed article about the dangers of using essential oils in treating the eye, including other examples of misinformation: http://roberttisserand.com/2013/02/essential-oils-and-eye-safety.
Years ago, I subscribed to the newsletter of a famous holistic integrative medicine practitioner and was stunned one day to see what might have been a wonderful piece on using essential oils as natural mosquito repellents contain the suggestion of using an undiluted skin application of the essential oil of Pennyroyal. This essential oil is considered toxic and is not used in any application of aromatherapy. I contacted them about my concern and it took a very long time to get that post removed, along with a retraction statement. During this time, it was also revealed that these blogs and articles are not written by the famous professionals themselves and they frequently don't even know what is written by their “paid for” staff. However, even if he had written it, this famous holistic practitioner was not actually trained in the essentials of aromatherapy practice and safety.
Here are four basic safety rules as recognized by most professional aromatherapists and member organizations (not necessarily multi-level companies) in the U.S. and abroad:
And if you want to get information about using essential oils to affect a physical condition, consult aromatherapists with qualifications such as the RA (Registered Aromatherapist) or approved schools and leave the Internet surfing to other, less potentially dangerous issues.
For more safety and approved schools information, consult www.naha.org or www.alliance-aromatherapists.org. For more information on skin sensitization, see the archives of “The Aromatic Message” at www.massagetoday.com/columnists/enteen.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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