Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
April, 2014, Vol. 14, Issue 04
Absorbing Essential Oils Through the Skin
By Shellie Enteen, RA, BA, LMBT
I have always told students that an immediate and very effective form of aromatherapy is inhaling the aromatic molecules. It is a proven, powerful way to deliver the effects on body, mind and spirit.Even when body workers apply a lotion or oil product containing essential oils during a session, both the client and therapist are breathing. As such, both are receiving the effects of inhalation.
The question of absorption via the skin has been fairly mysterious and full of controversy for many years. Essential oils can and do affect the skin cells, but do they get into the body via lymph or bloodstream this way? Old research showing lavender in the bloodstream within a half hour after diluted skin application did not factor out inhalation.
The case against absorption through the epidermis begins at the uppermost layer, the stratum corneum that is designed to keep things from passing into the body. The other layers do not contain lymph or blood vessels, the reason why a cut needs to pass into the dermis and the subcutaneous layers to produce bleeding. How much of a product that will manage to reach the dermis has also been addressed. Aromatherapist and educator Robert Tisserand1 has said in his answer to whether a topical essential oil application could interact with a medication, "Only about 10% of that would be absorbed by the skin, so 10% EO applied becomes 1% EO absorbed." And any product containing true essential oils that has a detectable aroma indicates that an amount of the essence in the product is vaporizing, becoming a gas that is diffusing into the air (again, to be inhaled).
Medicinal products relying on skin absorption are frequently applied on areas of thinner epidermal layers, such as the axillary region. One might then assume that this would be true for essential oils, too. Some have suggested that fragrant molecules were more easily absorbed in openings in the skin, such as hair follicles and sweat glands. This gave rise to the idea that applying essential oils (often neat) to the feet, well known for their ability to sweat, was a potent way to deliver desired properties.
However, it appears that pores created by follicles and sweat glands have an exterior directed function and are not really a reliable delivery route. An article posted by Aromatherapy United2 titled, "Myth — Apply to Feet," listed some other interesting articles and research about dermal penetration including the following: "Absorption via the pores and follicles is considered to be insignificant because the orifices account for only 0.1% of the skin area and diffusion along sweat ducts is against an outward aqueous flow."
And these statements that also argue against the efficacy of dermal application to the feet and elsewhere: "The stratum corneum of the palms and soles is very thick (400-600 µM) whereas that of the arms, back, legs and abdomen is much thinner (8-15 µM)." "Normally, cells in solid tissues (for example, skin or mucous membranes of the lung or intestine) are so tightly compacted that substances cannot pass between them. Entry, therefore, requires that the xenobiotic have some capability to penetrate cell membranes. Also, the substance must cross several membranes in order to go from one area of the body to another."
More recently, researchers studying absorption methods have conducted an experiment to study dermal penetration via the feet. This study was not about essential oils, but sought to investigate an urban myth claiming people could become drunk by submerging their feet in vodka. (BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c6812 (Published 14 December 2010)) The conclusion proved that this was false and alcohol was not detected in the blood when samples were taken every 30 minutes for a total of 180 minutes.
Despite the clinical approach to reflexology that uses no type of lotion or oil product, I have taught a CE course in the past on aromatic foot massage with reflexology. It combines soothing massage of the feet with aromatic oil, warm moist fragrant towels and some standard reflexology moves. While I agree with the clinical reflexology practitioners that their method is adequate and needs no additions, this class was designed as a spa treatment. Again, my primary idea was that the specifically chosen essential oil aromas would be inhaled by the client and affect desirable changes in that way. The soothing massage would enhance the receptivity of the client, increasing those effects. In practice, this seems to be the case.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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