resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
June, 2004, Vol. 04, Issue 06
Cholesterol: Friend of Foe?
By John Upledger, DO, OMM
As a physician who is passionate about all aspects of the human body, I frequently get questions about situations outside of the realm of CranioSacral Therapy. One such topic that has come up a lot over the last few years is that of cholesterol.With all the talk about the evils of cholesterol, you might think it is a dangerous substance that should be avoided at all costs. But is it really as terrible as it seems? Let's take a look.
Cholesterol is what is called a sterol molecule, which is any of a group of solid, mostly unsaturated polycyclic alcohol molecules. There is one hydroxyl (OH) group on carbon 3 that makes cholesterol an alcohol. If you aren't savvy in chemistry, don't worry; I'll make it as simple as I can.
Cholesterol is abundant in a wide variety of animal tissues, including human tissue. It is especially abundant in brain, spinal cord and peripheral nervous tissues. It is a generous constituent of the myelin sheathes that serve as insulation for all of the white nervous tissues. Without adequate cholesterol, the myelin disintegrates and the conduction of impulses in all nerve tissues, including the brain, is impaired. So when cholesterol is not present in adequate amounts, brain function is proportionately compromised.
In addition to cholesterol's contribution to myelin, it has more recently been discovered that cholesterol molecules are essential for nerve cells to communicate with each other. It seems that for a message to be successfully sent from a presynaptic neuronal axon to the receiving neuron, on the postsynaptic side of the gap between the two neurons (the gap is the synapse), there must be an abundance of cholesterol molecules on the presynaptic side of the gap (synapse). We don't yet know precisely how this works, but we do know that cholesterol is necessary for the nerve impulse to be transmitted from one neuron to the next.
We also know that cholesterol is the primary molecule from which all of the corticosteroid hormones of the adrenal glands are derived. Without these adrenal corticosteroid hormones, we would live in pain. These hormones are secreted by the adrenal glands. They mitigate the inflammatory responses that are induced and continually produced under any circumstances that stimulate an inflammatory response by the immune system. Without the proper level of corticosteroid hormone being produced by the cortices of the adrenal glands, we probably wouldn't survive attacks of various bacteria, viruses, fungi, molds, allergies, and more. We would simply inflame our lives away.
Another arena in which we would get a tremendous amount of pain is in the area of muscle, tendons, ligaments, fascia, bone wear and tear, etc. The corticosteroids reduce the inflammatory responses in those tissues and bones tremendously. I could go on and on with what inherently produced corticosteroids do for our creature comforts. Yet another arena that requires cholesterol as a primary substance is that of the sex hormones. Cholesterol is the essential basic substance from which our bodies manufacture both male and female sex hormones, i.e., testosterone and the various estrogen- and progesterone-related hormones. Where would we be without cholesterol? We would be asexual and childless. The aforementioned are only some of the things that we know require cholesterol.
Here's one other thing we know for sure about cholesterol: In our skin, in the presence of sunshine, cholesterol is converted to vitamin D, which is necessary for health. Lack of vitamin D in children results in rickets, in which the bones are very soft and easily become misshapen.
In the category of cholesterol functions, there is an argument that I believe began in the 1950s. From 1960 through 1963, I was attending osteopathic medical school and concurrently participating in a biochemistry teaching and research fellowship. I was selected as the award recipient by the biochemistry department chairman, Dr. Stacy F. Howell, who had great experience in the field of biochemistry, and was due to retire at the same time I graduated. Dr. Howell's PhD was from Cornell University where he helped establish proof that enzymes were proteins. His mentor, Dr. J. Sumner, received a Nobel Prize for establishing that same proof.
Dr. Howell and I spent many hours together, and he mentored me several nights. I recall that his friend, Ancel Keyes, PhD, from the University of Minnesota, discovered that there was abundant cholesterol in the plaques that form in arteries. These plaques serve to partially and sometimes completely obstruct the flow of blood through the involved arteries. The medical community immediately took this information from Ancel Keyes and decided that cholesterol was the demon that caused the plaques because when they formed in the arteries to the heart (coronary arteries), a "heart attack" (myocardial infarction) was the result. So it was simple: Cholesterol in the blood was the cause of ischemic (not enough blood) heart disease.
Within a year following his discovery, Ancel Keyes tried to reason with the "powers that be" that simply because cholesterol was present in the plaques did not mean it was the cause of the plaques. It struck Dr. Howell that the medical community was eager to find a cause for ischemic heart disease, a.k.a. coronary artery disease, and it could be treated by lowering blood cholesterol. The simplicity of the concept overcame scientific scrutiny. I listened to Dr. Howell and respected his wisdom; I also felt that Dr. Keyes should be listened to very seriously.
A few years later, a heart surgeon from Texas named Michael DeBakey hypothesized that the artery became infected by a bacteria, virus, etc., first, and that part of the body's defense might be to isolate the infected and inflamed area in the artery so that it would not spread throughout the arterial system and become lethal. Dr. DeBakey suggested that the cholesterol deposits might be part of the body's attempt to isolate the inflamed/infected part of the artery before it spread. Shortly after hearing Dr. DeBakey's ideas, I went to Mexico City to study with Dr. Demetrio Sodi-Pallares, a well-known cardiologist. Dr. Sodi agreed with Dr. DeBakey. I performed several autopsies with Dr. Sodi while I was there, and he showed me some instances in which plaque was not present, and the inflammatory response to a spreading infection in the coronary arteries was the cause of death.
With this information, I offer the idea that cholesterol is not the demon that it is touted to be. First, I believe that Mother Nature would not have the liver manufacturing cholesterol in response to physiological need if the cholesterol molecule were indeed such a menace to our well-being, and it would not have the intestines absorbing cholesterol from our food intake. If cholesterol were that bad for us, it would mean that Mother Nature wants us dead, and I just cannot accept that idea.
When I was in general practice from 1964 through 1975, a normal blood cholesterol level was 250 to 300 mg% (mg% being the number of milligrams of cholesterol per 100 milliliters or cubic centimeters of blood). Now doctors want it to be at 125mg% or less. I believe that cholesterol is an effective part of the immune system's armament against disease invasions. When we starve our bodies for cholesterol, we get sick and taken over by depressive moods more often. Frankly, I believe that the statin medications that are used to lower cholesterol production by the liver are far more toxic than blood cholesterol of 300mg%. As far as "good" and "bad" cholesterols are concerned, I believe that Mother Nature can deal with that better than medicine can.
Editor's note: This article has been written for informational purposes only and is not a substitute for personal medical advice. Please consult your physician with any questions or concerns you may have about your health.
Click here for previous articles by John Upledger, DO, OMM.
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