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Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
April, 2004, Vol. 04, Issue 04
21-Year-Old Looks Forward to Pain-Free Adulthood
By John Upledger, DO, OMM
Author's Note: With all that has been written about scientific research, placebo effects, double-blind studies and such, one might wonder why I didn't listen to naysayers regarding CranioSacral Therapy (CST) and other techniques long ago.The following explains why I choose to listen to patients and their bodies, rather than to critics.
The smile on Jo Anna Wiersma's face speaks volumes beyond her words: "I've had pain for 12 years, and now it's gone." With one look, the tall, soft-spoken 21-year-old conveys all the hope of someone given a new chance in life - the first, really, for her.
Since the age of 8, Jo Anna Wiersma had lived at the mercy of reflexive sympathetic dystrophy (RSD), a neurological syndrome brought on, in her case, from a simple fall while roller-skating. Little explanation can be offered as to why she developed a life-altering condition from such a common childhood mishap. There is little beyond "the right set of circumstances all colliding together," as she puts it.
The pain began in Jo Anna's left foot about two days after the accident. It was a deep, persistent, "on-fire" kind of pain. The orthopedic doctor thought it was a sprain and put her in an air cast for six weeks. "It's the worst thing you can do," Jo Anna said. Casting and immobilization can actually worsen the symptoms of RSD. "My skin got a silvery sheen and was blue and purple." A family friend who was a nurse practitioner recognized Jo Anna's problem for what it was and recommended a doctor in the pain management clinic where she worked. Testing at Shand's Children's Hospital in Gainesville, Fla., confirmed RSD - a condition that has no known remedy.
Jo Anna found some relief during her teen years. "I was able to be in the marching band and on the swim team," she says. Then she started college, where she tried to do too much. The RSD flared up with a vengeance, spreading for the first time to her left hand. In a four-month span she went through seven lumbar punctures, two rhizotomies (in which the sympathetic ganglion nerves were severed), and an epidural catheter that left her paralyzed from the waist down for 11 days. That's when a friend of Jo Anna's mom recommended CST at the Upledger Institute HealthPlex Clinical Services (UI HealthPlex).
In a two-week intensive program, Jo Anna was found to have severe restrictions of her intracranial membrane system and dural tube - a compromised craniosacral system - and severe imbalances in her autonomic nervous system and myofascia. During the course of therapy, "I knew something was going on inside me," Jo Anna says. "There were times I forgot to take my methadone. And methadone is a drug that's really hard to forget because of the withdrawal symptoms and the pain that comes back." (Methadone is a powerful pain reliever that is extremely addictive; at this point, Jo Anna had been taking prescribed methadone for several years.) By the end of the intensive therapy program, Jo Anna's pain had improved enough that she was able to go back to school.
In January 2002, however, she faced another setback when she contracted encephalitis. Once again, the correct diagnosis was slow in coming. A neurologist, an infectious disease specialist and a rheumatologist all concluded that her condition was a complication of the RSD and medication. "They automatically assumed it was the RSD and was psychosomatic," Jo Anna recalls. In April, another neurologist finally confirmed the problem was encephalitis.
Jo Anna stepped up her appointments at the UI HealthPlex, coming at least twice weekly and going through another weeklong intensive program. Finally, this past December, "everything started to get better," she says. Though she readily admits it was a tough process. "There were times when I got very discouraged, wondering if this was even working. It took a good year to recover from the encephalitis, and I'm still feeling some of the effects. Especially when I'm under stress, I get very tired and the pain in my foot comes back. But I'm pain-free most days of the week now, which, actually, is a weird feeling. I honestly didn't remember life without pain."
Tad Wanveer, LMT, CST-D, worked on Jo Anna for her official "last appointment." "What a difference," he observes. "Jo Anna shows a high level of improvement and balance in the areas in which she initially presented. It's wonderful to see this courageous, intelligent, sensitive young woman able to go back and live her life, " he adds.
And living life is exactly what Jo Anna is doing: "I have a lot more focus, and I'm more sure about what I want to do. One of my goals is to run a triathlon, which I would never have been able to do," she says. "I've never been able to run even a quarter of a mile. I'm also graduating from my community college and going to college in Ft. Myers [Florida] for their pre-med program." From there, she wants to attend the Kirksville College of Osteopathy.
Laughing, Jo Anna says, "I have a twin sister, and we've always been competitive. She's in Tennessee going to school. She's a chemistry major with a biology minor, and I'll be a biology major with a chemistry minor. During the summers, she works for a big pharmaceutical company, and she's been gearing all her research toward finding a cure for pain. I keep telling her, 'It's right in front of your eyes!'"
The sparkle in Jo Anna's own eyes reveals how anxious she is to prove her point. "You know, a year ago I didn't even know if I'd get this far. I didn't even know if I'd graduate with my A.A. degree," she recounts. "I look at everything as a gift. I have my life back now. And it's a lot better life than I had before."
I will never forget the last time I saw Jo Anna. She came into the clinic and said simply, "I'm all better."
"What?" I asked, somewhat surprised.
"I think I'm finished," she said. "I feel great."
Seeing that smile light up her face, I couldn't help but agree.
Click here for previous articles by John Upledger, DO, OMM.
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