resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
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 previous articles by Shellie Enteen, RA, BA, LMBT.
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