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Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
When Does Aromatherapy Exceed Your Scope of Practice?
People in the healing arts want to help others. Massage therapists, like other professionals who work with the public in ways that affect their body, want to do as much as possible to insure their client's well-being. But, all health professions have their parameters, including an accepted legal scope of practice. As massage practitioners, we know that as much as we might like to, we don't adjust the bones of the neck and spine. If we do, we are working outside our scope of practice and doing that can have legal consequences. When does using essential oils cross that line?
Until now, aromatic massage oils, scented towels and face cradles and diffusion in the massage room or office have been standard and accepted ways to incorporate aromatherapy into a massage practice. When doing so, the practitioner is expected to know and follow safety guidelines, too. Standard safe practices includes always diluting essences before topical use and not applying the essential oils that are known to be phototoxic on the skin of a client that will be exposed to sunlight within 17 hours.
For more in-depth information on this, please refer to a previous article on skin sensitivity. One thing it is important to mention regarding topical application is that, when it comes to skin reaction and toxicity issues, it doesn't matter how pure the essential oils used are. For example, the purest, highest quality expressed lemon oil will have enough furocoumarin content to create an uncomfortable, long lasting burn (photodermatitis) or rash (berloque dermatitis) with sun exposure.
Most know that the scope of practice for massage does not include diagnosis and prescription.Therefore, when it comes to using aromatherapy, it's best not to directly prescribe a certain essential oil for your client's needs. Instead, offer to create a blend that has been suggested in books for alleviating pain, inflammation, etc.
What is probably the most controversial issue for massage scope of practice and in the practice of aromatherapy in general, is prescribing essential oils to be taken orally for any condition. In certain circles, it has of late, become a popular notion that it is safe to ingest essential oils, either as drops on the tongue, in water or in gel caps. Many of the people conveying this idea have had no medical background, no training in anatomy and physiology or aroma-chemistry and could easily be drawing mistaken conclusions from other information, like that issued by the FDA in guidelines for food preparation. But no matter where this information has come from, suggesting ingestion to a client is out of the scope of practice for a massage therapist and could be seen as practicing medicine without a license.
Can or will suggesting ingestion of essential oils have consequences? Some toxic reactions can be seen quickly, such as gastritis or burning of oral mucosa. Others, as is the case when habitually eating ingredients in certain kinds of fast foods, could take a while to show up. Even then, symptoms may not be quickly traced to the use of ingested essential oils. But still, it bears noting that consequences do exist and ingestion of these powerful substances is best left to a qualified medical practitioner who has also had a strong education in the use of essential oils.
When it comes to what happens when essential oils are ingested, Registered Aromatherapist and LMT, Katharine Koeppen, had this to say in a blog on her website, www.Aromaceuticals.com: "In this case, essential oils may have time to act upon some digestive system issues, but by the time they reach the small intestine, they are absorbed into the circulatory system and taken up by the liver. There, they are broken down into various phytochemicals, which are then further metabolized. Problems can occur when the liver decides it prefers to process other substances first, and phytochemicals accumulate in line waiting to be processed, sometimes accumulating in toxic amounts. For example, the liver doesn't 'like' 1,8 cineole, a common bioactive fraction of peppermint, tea tree, niaouli and many eucalyptus. Taken orally in improper doses, 1,8 cineole can quickly accumulate to the point where it causes liver failure. In a child, less than 2 milliliters are a deadly dose. In an individual with compromised liver function, even small amounts of oils containing 1,8 cineole taken orally can cause dangerously elevated liver enzymes in a matter of a few days.
"There is also the matter of drug interactions. All essential oils have some sort of effect upon P450 liver detoxification enzymes. Some inhibit or accelerate phase 1 enzymes, some inhibit or accelerate phase 2 enzymes, and still some interact with both phase 1 and 2 enzymes. This does not pose a problem with the majority of essential oils when inhalation therapy or topical application is used, but does create problems with oral ingestion. If a pharmaceutical medication has a narrow therapeutic window, it is undesirable (and may be downright dangerous) to limit the effectiveness of the drug by slowing or speeding up the way it is processed in the body.
"There are different protocols for ingesting essential oils, depending on the part of the body that the aromatherapy needs to target. If you don't know these protocols, don't take essential oils orally. Taking oils incorrectly may cause burning of the mucous membranes of the mouth and throat, upset stomach, heartburn, diarrhea or may be altogether ineffective.
A surprising number of consumers believe that all natural remedies are safe, and see no problem using essential oils with abandon. A person who would never consider taking half a bottle of aspirin in a sitting has no problem downing a teaspoon of highly concentrated essential oil."
Massage therapists work hard to get through school, pass exams, build a practice and take required CE courses. It is worth staying within the scope of practice to avoid jeopardizing this hard-earned privilege. I agree with Katharine that, "Unless you have the time and energy to devote to your own serious research, or wish to invest in classes covering aroma-chemistry, pharmacology, anatomy and physiology, don't experiment with ingesting essential oils. If you find this suggestion intimidating and still feel you must take aromatics orally, book a consultation with a qualified clinical aromatherapist for guidance." It certainly isn't a good idea to put a practice or another person in jeopardy by crossing the line and prescribing ingestion of essential oils for clients.
Author's Note: In a recent letter to Do-Terra, the FDA said, "Failure to implement lasting corrective action on violations may result in regulatory action being initiated by FDA without further notice." This regulatory action could affect the industry as a whole, not just individuals who choose to practice medicine without a license. Read the complete letter at http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2014/ucm415809.htm.