Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
November, 2011, Vol. 11, Issue 11
Adding a New Dimension: Sedative Essential Oils
By Shellie Enteen, RA, BA, LMBT
Since a large percentage of massage clients come seeking relief from muscle and joint pain, it is good to know that the sedative group of essential oils can provide another level of lasting relief for these common issues.The sedative group of essential oils also provides benefits for clients whose issues stem from stress and those who simply have a need to relax. Sedative essential oils address all of these areas while adding a pleasing fragrant dimension to your therapeutic work. Within this larger "sedative" classification are other therapeutic properties. Knowing which essences have which properties helps the therapist select the right ones to make the most effective massage blend for an individual client. The properties found in the sedative essences are:
The most famous essential oil for pain relief and relaxation is Lavender. Distilled from the flowering tops, the best lavender oil comes from Bulgaria, France, England, Yugoslavia and Tasmania, though it can be grown all over the world. Lavender vera is grown in higher altitudes which produces more esters and a finer scent. Lavender has a long list of applications for skin and because of its anti inflammatory and cell regenerating properties, it can sometimes be applied neat, or undiluted, to the skin. This would be best when there is a burn, cut or immediate need for the infection fighting effects. Lavender is antimicrobial and antiseptic, making it effective in the treatment of wounds and as a front line defense against respiratory infection. It is tonic to the cardiovascular and digestive systems, lowers blood pressure and due to the presence of coumarins, helps thin the blood. Lavender is indicated for muscle spasm, sprain, strain, cramp, contracture and it aids rheumatic pain. It is sedative to the CNS and relieves headache, nervous tension, insomnia and can help balance mood swings. Spiritually, it is said to balance the physical, astral and etheric planes.
Because of Lavender's many therapeutic properties, many aromatherapists say that if they were stranded on a desert island with only one essential oil, they would hope it was lavender (it also takes the itch out of insect bites and helps heal sunburn). But here in civilization, what other essential oils can be called in to use? And what should be used if the client doesn't want the deep relaxation or sleep inducing effect of Lavender, or if they have a tendency toward lowered metabolism or low blood pressure? What if they need to relax because they are about to take an exam, give a presentation, walk down the aisle? It's a good idea to ask the client who indicates a need to relax what their stress is about and what life circumstances may be contributing to their pain cycle. This will help you select an essence that is most appropriate for their needs. Keep in mind, too, that when too much Lavender is used in a specific treatment or over time, it takes on the stimulating affect of a cup of espresso, so it's good for both you and your client to vary the relaxing, pain relief blend.
We'll begin with an exploration of aromatherapy for pain and stress and profile some of the other sedative oils. Space allows for only a partial listing of the properties and you can consult books such as The Aromatherapy Practitioner Manual, Vols I and II, by Sylla Sheppard-Hanger, Aromatherapy for Healing the Spirit, by Gabriel Mojay and others for more information on each essence. When you want slightly less sedation but powerful pain relief, there is another type of lavender, lavandula latifolia, L. spica or Spike Lavender. Lavindin, lavandula-super, is a hybrid consisting of lavender officinalis and latifolia. It is less expensive and often used to adulterate true lavender, but is still a powerful antispasmodic, well suited for muscular, respiratory and circulatory problems and not as sedative for the mind.
Moving away from the Lavenders altogether, more information follows on the other pain and stress relieving sedative oils, Chamomile (roman, anthemis nobilis and German, marticaria recutita), Clary Sage (salvia sclarea), Helichrysum (H. angustifolium), Sweet Marjoram (Origanum majorana), and Vetiver (Vetiveria zizanioides). Chamomile is a highly effective anti-inflammatory. It eases headache, neuralgia, dull muscle pain, low back pain and TMJ syndrome. It relieves dysmenorrhea, PMS and stress that manifests as digestive symptoms.
Clary Sage (not to be confused with Sage, Salvia officinalis), is considered mildly intoxicating and euphoric and should be used in small quantity and preferably not before an evening of cocktails, as it augments the effect of alcohol. Apart from this, the ability of Clary Sage to relieve spasm, muscle ache and cramping makes it extremely useful in massage. It is a digestive aid and can be blended effectively with Chamomile for tension and discomfort due to PMS and dysmennorhea. Along with Lavender, it is one of the essences chosen to ease labor. It is also associated with dreams and increased inner vision.
Helichrysum has a long history as anointing oil, but well deserves an honored place in therapeutic massage. With many of the properties of Lavender, Helichrysum is also indicated for bruising and burns, for depression, shock and phobia and is helpful in detoxification from drugs and nicotine. Helichrysum is said to improve the flow along the meridians and to increase spiritual awareness.
Sweet Marjoram is highly sedative. It relieves pain, stiffness, sprain, spasm, neuromuscular contractions and is indicated for both rheumatoid and osteoarthritis, dysmenorrhea and migraine. It has a powerful effect on the mind and emotions, relieving deep trauma, grief and heartache.
Vetiver is an interesting oil because it relieves arthritis, muscle ache, pain, sprain and stiffness, but increases venous circulation to help detoxification of tissues. It is said to balance the Central Nervous System and is grounding and revitalizing, while it relieves insomnia, tension and depression.
All of the sedative essences listed, apart from Lavender, are pretty potent and require few drops in a blend. More expensive but highly effective, the flower essences: Rose, Jasmine, Neroli and Ylang Ylang, relieve anxiety and have properties that induce relaxation and pain relief. Only a small amount of the flower oils is needed for the affect. Less expensive, the citrus oils: Sweet Orange, Grapefruit, Lemon, Lime, Tangerine and Mandarin, reduce tension and instill courage and optimism. Most of these, however, are phototoxic and must not be applied before prolonged sun exposure. Both flower and citrus oils blend well with the other sedative oils and add their own special dimension to the therapeutic experience. In the next Aromatic Message, we'll look at some of the stimulating oils used for pain relief.
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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