Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
November, 2015, Vol. 15, Issue 11
Aromatic Allergy Relief
By Shellie Enteen, RA, BA, LMBT
The end of summer and early fall is often a time when people exhibit symptoms of allergy (allergic rhinitis). There are blooming weeds and even sensitivity to mold that forms on fallen leaves.Sometimes, it's hard to tell whether the itching eyes, congestion, sneezing and even sore throat are this allergic response, rather than the common cold. But, fortunately, in either case, essential oils can provide relief.
For the massage therapist, this information is helpful when you have your own symptoms of allergy and don't want to alarm your clients or take over the counter medicines that can also make you drowsy. It can also be a benefit to both you and the clients who show up for their appointment, bleary-eyed and congested.
A ground-breaking piece of information came to my attention recently, provided by Robert Tisserand, via the Tisserand Insitute. It has applications for many conditions, including allergic response. "Some very new research has revealed that the brain is 'drained' by lymph vessels, showing for the first time a direct connection between the brain and the immune system. This suggests that inhaled essential oils could have effects on our immune system, which could have great relevance, again, in the treatment of some neurological diseases." (www.nature.com/nature/journal/v523/n7560/full/nature14432.html)
We know that both allergies and colds are related to the immune system — in the former, the immune system produces histamine when it comes into contact with a certain substance; in the latter, the immune system is not strong enough to resist a viral load. How wonderful to have this evidence now that simple inhalation of essential oils can positively affect the immune system. Inhalation is also the fastest and most direct method of essential oil delivery, too. For the massage therapist, this means all you have to do is diffuse essences in the office or treatment room in order to create a therapeutic effect on the client and yourself. To increase exposure for the client, adding an essential oil to the massage blend prolongs the inhalation of essential oil molecules, even when the client no longer notices the aroma. Once an essential oil has exhausted the olfactory nerve and delivered its information to the brain, the experience of aroma is lowered, or disappears. However, essential oil molecules remain in the air, diffusing from the skin, where they are still inhaled and have effects.
Aromatherapists have often said that essential oils "boost the immune system." And that comment could mean anything from the ability to create white blood cells, to the stimulation of white blood cells already present, to taking an active role in overcoming the invasion. For allergies, there are several oils that are able to lower histamine levels. Certain essential oils also have anti-inflammatory and decongesting properties. Since there are many to choose from, the LMT can make a blend and vary it, too. That is a bigger benefit for the therapist, who is breathing the essential oil molecules in the same location for a long time. But it also allows for more specific effects to be selected, both on physical and mental/emotional levels, and targeted for the best outcome for a client's immediate needs.
When dealing with a known allergic respiratory response, there are two essential oils that are said to lower histamine levels: German chamomile (Matricaria recutita) and Blue Tansy (Tannacetum annum). Fortunately, one or two drops of either is sufficient, as both are blue in color and will turn massage oils this color. I've used German chamomile (also called chamomile blue) in high dilution without creating issues with clothing or linens. Of the two, the tansy has a sweeter scent, but even German chamomile is acceptable when blended with other essences.
For those who suffer from allergic bronchial asthma, an uncommon essential oil from Morocco, Amni Visnaga has proven effective. It appears to stabilize the mast cell and prevent histamine release, and has also shown promise with allergic bronchial asthma because it is said to dilate the bronchia and relieve bronchial spasms. Use this sparingly because it is also photo-sensitizing, hepatotoxic in large, prolonged doses, and is said to have a very unpleasant aroma.
More common anti-inflammatory essential oils include: Lavender (Lavandula angustifolia), and Roman chamomile (Anthemis nobilis). Both of these would be preferred in blends for children. In the decongestant category, there is: Atlas Cedarwood (Cedrus atlantica), Eucalyptus (Eucalyptus globulus), Juniper Berry (Juniperus communis), Laurel leaf (Laurus nobilis), Lavender (Lavendula angustifolia), Peppermint (Mentha x piperita), and Rosemary (Rosmarinus officinalis ct. 1,8 cineole). Adding a citrus essential oil to the blend creates relaxation and relieves anxiety. It can also make the blend have a more pleasant aroma. Sweet orange (Citrus Sinensis var. dulcis) is often chosen as it is not considered photosensitizing.
A sample diffusion blend might include, 5 drops per small area nebulizing diffuser:
A sample massage oil might include, in 1 oz carrier:
Click here for previous articles by Shellie Enteen, RA, BA, LMBT.
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