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.
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.
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.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
July, 2004, Vol. 04, Issue 07
Toxic Brain Injury (Encephalopathy)
By John Upledger, DO, OMM
Health problems that occur secondary to the bodily absorption of toxic substances can come on acutely and result in life-threatening crises, or occur gradually over months or years. When symptoms present themselves one at a time, very slowly, the period of latency or incubation can be extremely variable in length.
During latency, the body's adaptational or defense mechanisms may be countering the effects of the toxic substances as best they can.Yet as toxins gradually overpower these mechanisms, symptoms may begin to appear slowly and increase in intensity as the body's adaptational or defense mechanisms founder and - perhaps - ultimately fail. Usually, acute responses to toxic substances occur either with large-dose exposure or when there is a severe allergic response to the toxin, no matter the dosage. Should the allergic response be severe enough to result in toxic shock, the situation becomes life-threatening.
In the case of slowly progressing symptoms, there may have been an acute dosage of the toxic substance. The body's resistance to the toxin input, however, may have been strong and appropriately tuned in, taking the edge off the exposure and resulting in mild symptoms that may or may not progress. The symptom pattern that progresses in severity over months or years, however, more likely resulted from ongoing exposure to smaller doses of toxic materials. The organs most obviously affected by toxic substances are the lungs, heart, kidneys and liver. Usually, we see less obvious effects in the gastrointestinal tract, pancreas, spleen, and the bones and joints of the musculoskeletal system.
It generally takes longer to recognize the effects of toxic substances on the brain, spinal cord, autonomic nervous system and voluntary peripheral nervous system. The brain seems to be a keen competitor for the title of slowest responder with the most endurance. What we have been calling "senescent changes in brain function due to normal aging processes" may actually be due to slowly advancing toxic brain inflammation. I refer to that as toxic encephalitis, or toxic encephalopathy.
Recently, toxic substances have been traced through the blood-brain barrier into the hypothalamus, and from the hypothalamus into the pituitary gland, where they cause dysfunction. Should the toxicity compromise the posterior pituitary gland, the result can be diabetes insipidus, secondary to dysfunction of the posterior pituitary gland. This posterior part of the pituitary gland produces anti-diuretic hormone. When production of this hormone is curtailed, the tubular reabsorption in the kidneys is impaired.
This situation results in the passage of large amounts of urine, great thirst, and often a voracious appetite. The increased quantities of urine do not contain significant amounts of sugar. Thus, it is differentiated from diabetes mellitus, which is due to a deficiency of insulin, or a problem with insulin receptors in the cell membranes. There are large quantities of sugar in the urine of diabetes mellitus (type I) patients. In type II diabetes (maturity onset), there is also increased urine output that contains significant quantities of sugar (glucose).
It is clear that diabetes insipidus may be caused by toxic substances that were eaten, taken in with water, inhaled, absorbed through the skin, etc., and eventually wound up in the brain and affected the posterior pituitary gland. Presently, there is little, if any, evidence to support the concept that either type I or type II diabetes mellitus is caused by toxic substances, although the possibility may exist.
When toxic substances get into the hypothalamus, there is a strong possibility that they will also get into the anterior pituitary gland, the master gland of the total endocrine system. Imagine that the repetitive inhalation of organic solvents, such as those that vaporize in gasoline fumes and cleaning solutions, may be the underlying cause of anterior pituitary gland dysfunction that might easily result in hypothyroidism (low thyroid); hypoadrenalism (poor adrenal response to emergencies, stresses, etc.); abnormal menstrual cycles; infertility; poor lactation, with the inability to nurse; and poor immune response, resulting in increased vulnerability to infections caused by low-potency bacteria, viruses, fungi, and on and on. Any of these symptoms could result from toxic substance infiltration of the pituitary gland.
Also, consider that these toxic substances probably invaded the hypothalamus of the brain en route to the pituitary gland. What happens when hypothalamic function is disturbed? First, the hypothalamus more or less governs the anterior pituitary gland. It doesn't seem to have much say over the posterior pituitary gland. However, the hypothalamus has a private connecting system with the anterior pituitary, and the highways between the two run both ways.
There are both nerve- and blood-system highways connecting the hypothalamus and anterior pituitary; therefore, they intercommunicate by both nerve impulses and hormonal molecules that are transported through their connecting blood vessels.Besides its influence on menstrual function via the anterior pituitary gland, the hypothalamus also strongly influences appetite and satiation, and a wide range of emotions, including pleasure, aggressiveness and sadness.
Imagine the possibility that being around cleaning solutions that are organic (and many are) and breathing the fumes every few days can affect your emotions; your sexual and reproductive function (including sperm count and vitality); your appetite-satiety balance (and hence your weight); and other functions. Organic solvent fumes can change your whole life, and you wonder how it is happening.
I suspect we should seriously look for ongoing and possibly hidden sources of toxin input. Perhaps if the input is stopped, the body may be able to effectively clear the remaining toxic substances/molecules. I am also sure that CranioSacral Therapy (CST), in conjunction with some other modalities, such as lymph drainage therapy, can assist in the clearing process.
Exercising the craniosacral system enhances the ability of cerebrospinal fluid to flush unwanted toxic materials from the brain and spinal cord tissues. Since it is now known that cerebrospinal fluid carries small molecule-chelating agents, clearly the enhanced flushing may remove unwanted metallic deposits from brain and spinal cord tissues. CST may also remove traumatically induced obstructions related to the meningeal and myofascial systems that interfere with cerebrospinal fluid flow.
All in all, it's better to include a modality in your protocol that stimulates fluid flow and helps flush the tissues than to ignore the body of evidence pertaining to toxic encephalopathy.
For a more in-depth article on toxic encephalopathy, please call 1-800-233-5880 and ask for the Toxic Brain Injury monograph.
Click here for previous articles by John Upledger, DO, OMM.
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