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What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
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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