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Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
December, 2004, Vol. 04, Issue 12
Menopause, Part II
By Elaine Stillerman, LMT
Editor's note: Part I of this article appeared in the October 2004 issue and can be accessed online at www.massagetoday.com/archives/2004/10/13.html.
Progesterone ranks second to estrogen in its importance as a female hormone.It is made in the ovaries and, to a smaller degree, the adrenal glands. It stimulates the growth of the lining of the uterus to support the fertilized egg, helps in the production of breast milk, and maintains pregnancy. Progesterone is beneficial in decreasing the risks of endometrial cancer and has many metabolic influences. It enhances mood elevation and acts as a calmative, helps reduce premenstrual syndrome and menopausal hot flashes, regulates fluid balance, encourages thyroid hormone activity and normalizes blood sugar levels. Progesterone also plays a role in restoring and maintaining libido, and helps build bone mass. Together, estrogen and progesterone regulate a woman's monthly cycle and prepare the uterus for pregnancy.
The severity of menopausal symptoms vary from woman to woman, but it is safe to say that almost 75 percent of women experience at least some of the symptoms, with hot flashes and vaginal atrophy the most reported. Hot flashes, also known as "power surges," are the classic sign of menopause. Often unannounced, these sudden feelings of intense heat, flushing and copious perspiration, spread all over the body; these symptoms may be followed by chills. In addition to the decreased levels of estrogen, other factors that contribute to hot flashes are hot and humid weather, enclosed spaces, alcohol, caffeine and spicy foods.
Women who have undergone hysterectomies are more apt to have hot flashes. This internal fire lasts from a few seconds to several minutes and can be very uncomfortable and embarrassing. Some women experience hot flashes for just a year or two, while others continue to have them even decades after menopause.
One of the most helpful herbs known to reduce the severity of hot flashes (and memory loss) is black cohosh (cimicifuga racemosa). Native to Eastern North America, this herb is widely used for female reproductive problems from dysmenorrhea (difficult menstruation) to labor stimulation and menopause. There is much research documenting the effectiveness of black cohosh in balancing a woman's glandular system. In a study of estrogen-dependent cancer, black cohosh was given along with Tamoxifen. The herb worked along with the cancer drug to help block the growth of breast cancer cells; it appeared that the combination was more effective than the drug alone (Nesselhut, et.al.1998).
Dong Quai, another powerful emmenagogue (pertaining to women's reproductive health), is used pervasively in China to address women's reproductive problems. It is a natural form of estrogen and proves to be a hormone balancer beneficial to the treatment of hot flashes. Wild yam is another popular herb used to support female reproductive health and treat hot flashes, irritability, depression, insomnia and other menopausal symptoms. And some women get relief from menopausal symptoms with licorice root.
Other ways to address hot flashes are to keep as cool as possible, avoid alcohol, caffeine and spicy foods, and wear natural fibers. Drink plenty of water and cool liquids. A full body massage can help regulate body temperature, and stimulation of Spleen 3, the hormone balancer, along with Liver 3 for water balance is very helpful.
Vaginal thinning can be very uncomfortable, even painful for some women. Since estrogen has a major role in maintaining the health and function of the vagina and surrounding tissues (uterus, urinary bladder and urethra), low levels of the hormone may cause these organs to weaken and shrink. When the bladder is affected, urinary incontinence, infection or painful urination may occur. The thinning of the vagina may result in painful intercourse, dryness and itching. It is estimated that at least 50 percent of women over 60 have some degree of vaginal dryness. The good news is that regular sexual intercourse actually helps keep the vagina moist and toned. Black cohosh can help by improving the thickness and elasticity of vaginal tissues.
Women should be aware of some of the serious consequences of menopause, as well. Bone thinning, or osteoporosis, which occurs naturally in both men and women after the age of 40, is particularly aggressive after menopause. Skeletal bones thin out and become brittle and more prone to fracture, with the bones of the spine, wrists and hips the most susceptible. Hormonal supplementation, especially those rich in estradiol, can help maintain bone mass. A proper diet rich in calcium is also essential to maintaining bone health. Calcium should be consumed from a wide variety of foods to be most beneficial. Weight-bearing exercises not only help to maintain bone health but also are vital to increase bone mass at any age.
The risk for heart disease increases in women after menopause; in fact, it is the leading cause of death among women. Originally, it was believed that hormone replacement therapy (HRT) reduced the risk of heart disease in menopausal women. Since then, we have learned the opposite is more accurate: HRT contributes to higher rates of heart disease, stroke, blood clots and breast cancer.
To lower elevated cholesterol levels and contribute to overall health, a diet rich in phytoestrogens (plant nutrients that mimic estrogen in the body) can be helpful. The major phytonutrients that promote estrogen-like activity are isoflavonoids (genistein and daidzien from soybeans) and lignans (from nuts and flax seeds). This means including soy products, whole-grain cereals, seeds (particularly flax), nuts (walnuts), and many herbs as a regular part of the diet. Soy is not for everyone, however. A connection between soy products and breast cancer is still being investigated, and the results are inconclusive. Cardiovascular exercise is also vital for a healthy heart, elevated mood and general well-being. Exercising, eating well and embracing a wholesome lifestyle will help minimize the discomforts of menopause and promote optimum health.
Menopause is an unavoidable fact of life, but one of the most pleasurable and effective ways to treat many of the discomforts of menopause is massage therapy. A full body treatment can help balance a woman's hormones, encourage the elimination of excess fluid, elevate her mood and make her feel more accepting about the inevitable changes in her body, mind and life.
Click here for previous articles by Elaine Stillerman, LMT.
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