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Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Employing the Whole Person Approach to Massage
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.