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In the Unlikely Event of an FDA Recall ... No News Has Been Good News
East Asian herb product manufacturers have practiced impeccable diligence by complying with current Good Manufacturing Practices (cGMP) and providing the practitioner community certificates of analyses that detail laboratory testing results for things like heavy metals and toxic elements.
Safety First, Protecting the Patient: A Herbal Certification Program by the NCCAOM
The acceptance of acupuncture and Oriental (East Asian) medicine in the U.S. has made tremendous strides over the last 30-plus years. AOM/TCM is no longer "alternative or complementary" medicine. Yet, as acupuncture has become more mainstream, acceptance of herbal medicine has lagged behind.
The Opioid Crisis: "Let's Roll!"
Sept. 11, 2018 will mark the 17th anniversary of the horrific terroristic attack on the U.S. Whenever I think about that day, I am reminded of the heroes on Flight 93 who took action to keep the airliner away from Washington, D.C., by making it crash into the ground near Shanksville, Pa.
A Functional Approach to Type 2 Diabetes
Diabetes is recognized as one of the top chronic illnesses plaguing our society today. Here are some quick statistics on the prevalence of both diagnosed and undiagnosed diabetes:
News in Brief
Chiropractic Takes Leap Forward in France; New ACA President Named; Sherman College Responds To "Choosing Wisely" Recommendations; R.I. DCs Speak at Medical CE Event.
The Veteran's Choice Program & Your Claims
Q: I have recently begun treating veterans under the Veteran's Choice program. I am getting paid just fine for acupuncture codes and evaluation and management services but have been denied all physical medicine codes including infra-red heat 97026, massage 97124 and manual therapy 97140.
Preparing for the Opioid Patient: The Future of the Acupuncture Profession
In the future there will be many more clients with opioid addictions in acupuncture practices. Acupuncture is being promoted as an excellent resource to help with recovery from opioid addiction.
Fixing a Major Practice Hurdle in Wisconsin
Wisconsin Gov. Scott Walker has signed Assembly Bill 834, legislation repealing the requirement that DCs wishing to practice in Wisconsin score higher on Part III and Part IV of the NBCE examination than is required in most other states.
Lancet LBP Series: Relevance to the Chiropractic Profession
The Lancet Low Back Pain Working Group consists of a team of leading international experts on back pain from different professional backgrounds and from countries around the globe. The group published a series of three papers in The Lancet on March 21, 2018, and have subsequently received significant media attention. Here is a summary of the relevant data from these three important papers.
The Pain of Chemotherapy: A Case Study
The primary reason for presenting this case study and patient is to review the pain relief response she experienced from micro-current electro-acupuncture for taxane induced neuropathy.
Standard Process Unveils Nutrition Innovation Center
The North Carolina Research Campus, a 350-acre research center in Kannapolis, North Carolina, just north of Charlotte, is a research collaborative that includes university, corporate and community partners.
Renew Your Passion: The National
It's another August day in Florida with temperatures reaching almost 90 degrees. The sun is shining through the tall windows of the Hyatt Regency Orlando on all the attendees at The National by the Florida Chiropractic Association.
Corporate Chiropractic (Pt. 2): The Dark Side
In a previous DC article (May issue), I tried to make the case that the trend of corporations and franchises delivering chiropractic care might actually be positive.
Practicing Tai Chi Between the Seasons: Balancing the External and Internal Environments
Each morning for the past week, I have found myself to be a bit more tired than usual. There were nights when I went to bed a little late and nights I went to bed early, but it didn't make a difference.
The Spirit of the Points: The Pericardium Meridian (Part 2)
As indicated in part one of this series, the vast majority of our patients, regardless of the presence of physical symptoms, are also imbalanced at the levels of mind and spirit. The ancient Chinese knew that to treat the whole person, all levels must be taken into account so that complete balance and harmony can be achieved.
Leave Acupuncture to Acupuncturists
Colorado acupuncturists are desperately fighting to reverse a recent decision — the passing of HB18-1155 — that adds dry needling to physical therapists' scope of practice. You can support Colorado acupuncturists by signing their Change.org petition here.
Mineral Nutrition for Athletic Performance and Recovery
Research on sports, exercise, and mineral nutrition has been ongoing for decades. It is widely held that strenuous exercise can increase the need for minerals.
VA and Medicare Billing: Case of the Missing Modifier
Indeed, the Veterans Administration is paying directly to chiropractors for care under the VA Choice or PC3 Program. There are currently two administrators for this program: Health Net for the northeast and TriWest for the southwest (approximate geographic regions).
Text Neck: Assess and Adjust
A common presentation in a chiropractic clinical practice is the patient with neck pain and stiffness. Patients usually report limited range of motion on rotation of the head and neck.
Legos Lead to New Patients
It's time to examine a different way of envisioning the marketing and promotional flows in your office. This 10,000-foot perspective I like to call your practice's "marketing Legos." Much like the Legos we all played with as kids – now you get to sort them out in practice!
A Report From the 3rd Annual ASA Council Congress
This past March the American Society of Acupuncturists (ASA) was proud to hold its third annual ASA Council Congress in Denver, Colorado.
The Gut/Brain Relationship: Exploring Brain Diseases
Several thousand years ago ancient Chinese doctors stressed the importance of a healthy diet, and leading a healthy lifestyle as the primary ingredient to maintaining health.
Art of the Associateship: Success Is in the Finances
Finances are an important part of any business relationship. Money serves as the fuel for all business operations and ultimately the long-term success of owners, employees and customers. This is especially true in the world of health care.
Give Obesity the Attention It Deserves: Practice Pointers
During my earlier years in practice, I first became aware of the obesity problem in New Mexico because of an offer to star in a movie.
Low Back Rehab: Hip Mobility
The strength of chiropractic physical rehabilitation is first and foremost CMT, closely followed by our appreciation of a whole-body approach to balancing the entire kinetic chain.
K2: The Supplement for Your Anti-Aging Treatments
While aging as a whole is inevitable, some aspects of aging may actually be caused by a simple vitamin deficiency. That's right – wrinkles, stiff muscles and decreased athletic performance can all be symptoms of just one micronutrient deficiency: vitamin K2.
NIH Agenda: How Will More Drugs Help?
National Institutes of Health (NIH) Director Francis Collins announced in April that his agency will be partnering with drug manufacturers to address the opioid and pain crisis. The project is known as the Helping to End Addiction Long-Term (HEAL) Initiative.
A Five-Step Plan for Marketing the Sale of Your Practice
We spend so much time and energy educating ourselves to be successful practitioners that many of us never stop to consider what comes next. What happens if you have a great practice but you need to move, are getting burned out, or are simply ready to retire and try something else?
A Model for Integrative Health in the U.S.
This past March I met Dr. Benjamin Kligler, national director for the Integrative Health Coordinating Center of the Veterans Administration (VA), at an Integrative Health and Wellness Congressional Caucus briefing, where he presented on the VA health care system.
April, 2016, Vol. 16, Issue 04
Employing the Whole Person Approach to Massage
By Shellie Enteen, RA, BA, LMBT
I was reminded again of the need to address aspects of a condition that might not be immediately apparent when one of my aromatherapy students called me for advice about which essential oils to use for her teenage son.He had been in a serious, head-on car collision and had not been sent to the hospital by responding officers. They had apparently thought the behavior caused by his concussion might instead be drug or alcohol related (they weren't). When a mother's instinct led my student to take her son to the ER, doctors found there was serious trauma to the head, neck, shoulders and upper spine. They also said his concussion required 24 hour observation. Now, he was coming home and she worried that she might not be able to help him relieve his symptoms by only using lavender oil. Her immediate thought was about the pain and his difficulty sleeping.
As she spoke, I realized she was also angry and in shock, just like her son was likely to be. After all, going home to sleep instead of getting to the hospital could have led to serious repercussions to his health. I was not being called upon for massage services, but at some point this boy would certainly be in the capable hands of a massage therapist to help address the muscular-skeletal situation. And if the massage therapist wanted to get powerful results, they would want to consider this whole situation, just as I did now. Doing this meant that, along with choosing sedative and anti-inflammatory essential oils, I would include those essences that would address emotional shock, tension, and anger. In order to do this, knowledge of what is called the "subtle" properties of essential oils is necessary.
Shock, as an acute stress reaction, is a psychological condition. It happens in response to intensely traumatic events and affects the sympathetic division of the autonomic nervous system. At first, the person may appear to be in a daze or unresponsive to the reality of the situation. That state will move toward the observable physiological symptoms, including agitation, hyperactivity, anxiety, impaired judgement, confusion, detachment, and depression. Tachycardia, sweating and pallor may also be present. While some of the more obvious signs of shock can disappear within several days, we now know that post traumatic shock syndrome (PTSD) can last a lifetime, taking the form of "panic attacks" or more severe depression, and even violent behavior, to self or others.
Addressing shock as soon as possible seems advisable. I suggested that to a pain relieving, anti-inflammatory and sleep promoting blend of lavender (Lavandula angustifolia), sweet marjoram (Origanum majorana), and Roman chamomile (Anthemus nobilis), my student should add neroli (Citrus aurantium var. amara), and/or ylang ylang (Cananga odorata) to counteract shock, and patchouli (Pogostemon cablin) to create a feeling of grounded stability in the body. To augment the grounding properties and specifically address anger, myrrh (Commiphora myrrha) could be included. If myrrh or patchouli were not available, atlas cedarwood, (Cedrus atlantica) could substitute. It brings strength and confidence during stressful times, and the Roman chamomile would work on the anger aspect. If cost is an issue, ylang ylang is a less expensive flower essence than neroli. However, neroli also brings spiritual connection and only a drop is needed to bestow the subtle effect. This blend would be used in diffusion, so it would help both mother and son. Any of the ingredients could be added later to carrier oil for massage. As time goes on, this blend should be adjusted when different emotions or physical needs appear.
Adding the subtle properties of an essential oil to the consideration of a blend is a way to treat the whole person. Doing so augments the desired outcome for all clients, not just those suffering from traumatic events. Because it can take time to learn these aspects of essential oils, I recommend several books for reference to have in the library. (The Complete Guide to Aromatherapy, by Salvatore Battaglia includes subtle effects in the descriptions of oils. Another good resource for subtle properties is Aromatherapy for Healing the Spirit by Gabriel Mojay.) Eventually, after using them for this purpose, the subtle properties will spring to mind automatically.
Author's Note: Farewell to Readers
With an article on my favorite aspect of aromatherapy – the way it is used to benefit the whole person, body, mind and spirit – I am taking my leave as a columnist Massage Today. For fourteen years, I've been privileged to write these articles. I am grateful that I have been able to provide the knowledge and experience of an independent, professional aromatherapist and convey the resources I have come to know and trust. In an age of increasing Internet publications that often fall, sometimes dangerously short of reality and safe practice, this is even more important. Over the years, I have offered the best of my own experience and information, and enjoyed a wonderful relationship with both readers and my excellent editors, past and present. But now, it is time to pass the baton on to a younger generation to receive their insights and wisdom.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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