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Shouldn't the Pentagon Know More About Chiropractic Care? Office Flow: Have You Reviewed the Patient Experience Lately? Let's Stop Confusing the Public About Chiropractic; Cutting Down the Cherry Tree.
Anti-Aging: Educating Your Patients About The Skin
We know that cosmetic acupuncture works but what then? Education is a key part to the practice of Chinese medicine and when you practice cosmetic acupuncture, facial rejuvenation, etc., it is time talk about skin with your patients.
Are You Driving Patients Toward Dependence on Big Pharma?
Over the years I have had the opportunity to talk to doctors of chiropractic about health promotion, wellness and preventive care in chiropractic practice.
Colorado to Have the First Acupuncture Medical Reserve Corps in the U.S.
In the summer of 2012, Colorado was on fire. Literally. Many acupuncturists from around the state, especially those who had received disaster response training through AWB, wanted to help those affected by the fires as well as the first responders and tireless state and local officials, with the healing and stress-relief of acupuncture.
The Right Idea at the Right Time
On Feb. 28, 2014, Virginia Governor Terry McAuliffe appointed David Brown, DC, as new director of the Virginia Department of Health Professions.
Evaluating Prenatal and Pediatric Automobile Injuries
Often in a family practice, one of your patients or an entire family is in an automobile accident and you are sought out to provide care for their soft-tissue injuries.
Your Chance to Go Back to High School
As the father of a student who recently entered high-school sports (soccer), I have come to recognize an untapped opportunity for the chiropractic profession.
Alternatives to the Rainy Day Fund: Better Things to Do With Your Money
Google "rainy day fund" and you'll find the predominant and traditional advice given today is that you need to have three months of living expenses saved for an emergency. Some even recommend six months or more.
News in Brief
In Remembrance: A Moment of Silence for Dr. Dick Versendaal; NYCC Named Chiropractic College of the Year by ACA; National University Partners With Indiana VA Facility.
Chiropractic Management of Sports-Related Tendinopathy
Tendinopathy is increasing in prevalence and accounts for a substantial percentage of sports injuries. Despite the magnitude of the disorder, research on chiropractic treatment is limited.
Making Sense of Chronic Inflammation
Inflammation is big business, evidenced by not only the laundry lists of medications patients bring me aimed at managing inflammation, but also the never-ending stream of advertisements for anti-inflammatory supplements that constantly find their way to my desk.
No Whining on the Yacht
This admonition – no whining on the yacht – may sound familiar to you. Many claim its origination.
Shoulder Strategies: Reduce Pain, Improve Function With Proper Taping
Shoulder pain / dysfunction is a common problem for chiropractic patients. Clinicians who utilize elastic therapeutic taping as part of their treatment approach know it can be effective for a variety of shoulder problems.
Through the Eyes of a Child
Once upon a time there was a girl name Lucy. Lucy had cancer, but she had a heart filled with love and compassion. Please come along to hear this story of an amazing child, her tenacity and her dream to help other children.
Arch Height and Running Shoes: The Best Advice to Give Patients
Because runners with different arch heights are prone to different injuries, running shoe manufacturers have developed motion-control, stability and cushion running shoes for low-, neutral- and high-arched runners, respectively.
Revisiting the Neurological Exam
In spinal trauma or disease, the neurological exam chiefly aims to determine whether one (or more) of three basic neurological conditions is present: myelopathy, radiculopathy and peripheral nerve disorder.
How Much is Enough?
One of the primary arguments used against acupuncture care is the overuse of treatment. Some people say, "once you go, you have to go forever."
Socializing In My Slippers
When I graduated college, I had grandiose dreams of becoming an amazing acupuncturist. I wanted to build a great practice and make a good living. For four years, 13 semesters to be exact, I had a spreadsheet.
Environmental Toxins: Cause of Modern Illness (Part I)
Environmental toxins have created burdens on the human body that put demands beyond our evolutionary development. Modern diseases that historically did not exist to any great degree have been rising sharply in the last 40 years.
Dietary Supplement Research: Contradictions, Bias, Misinterpretation and Confusion
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.
San Zhen Protocols Part II: Case Studies
In my last article, I presented a collection of three-point acupuncture combinations which can provide effective clinical results.
Dry Needling is Acupuncture: Anatomy of a Legal Victory in Oregon
On January 23, 2014, the Oregon Court of Appeals overturned the Oregon Board of Chiropractic Examiners "dry needling" administrative rule, which allowed chiropractic physicians to perform acupuncture after only 24 hours of training.
The Recliner Test
"Hi, Bill, how are you?" "Oh, I'm OK, Doc. I've got pain down the leg again, so I thought I would stop by and get you to check it."
AAAOM: Facing An Ultimatum
On the heels of the growing discontent with leaders of the AAAOM, the Council of State Associations (CSA) recently took it upon themselves to present the organization with an ultimatum: for all board members to resign from the board and turn the organization over to the CSA or they will proceed on their own to become the primary representative of the AOM profession.
Chinese Herbs Debut at the Cleveland Clinic
Chinese herbal medicine is now being prescribed at the Cleveland Clinic thanks to a trailblazing team of people.
July, 2005, Vol. 05, Issue 07
PMS: Please Make It Stop
By Elaine Stillerman, LMT
The first time I menstruated my mother slapped me across the face.
"Whadya do that for?!" I demanded, rubbing my sore cheek.
"So the blood should never leave your face."
This and numerous other old wives' tales have plagued women throughout our unique reproductive lives.PMS, premenstrual syndrome, is another set of symptoms that had to struggle to gain respect and acceptance in the medical community. First described as a set of symptoms in 1931 by an American neurologist, women who exhibited irritability, headaches, bloating, tension etc., a week or two before their periods were considered mad or hysterical. At the very least, the syndrome was "all in our heads."
Then in 1953, Dr. Katharina Dalton, a very brave English doctor, and her colleague Dr. Raymond Greene coined the term PMS in a paper they published. She recognized that during her own (four) pregnancies her premenstrual-related headaches disappeared. She knew that high levels of progesterone during pregnancy contributed to her calmness and freedom from these crippling migraines. In her practice she had great success in treating women who displayed migraines, asthma, irritability and epilepsy with progesterone. She (rightfully) concluded that hormonal imbalances - and not madness - prior to menstruation were responsible for the wide variety of symptoms so many women suffered.
PMS is a disorder brought on by hormonal shifting that triggers mild to severe disruptive symptoms in almost 40 million (40 percent to 80 percent of menstruating) women. Almost 5 million require medication for intense mood and behavioral changes. Over 150 symptoms have been ascribed to PMS, with the most common being headaches and fatigue. The symptoms are often physical as well as emotional. Physical symptoms might include headache, migraine, fluid retention, fatigue, constipation, joint pain, backache, abdominal cramping, breast swelling and soreness, food cravings, heart palpitations and weight gain. Emotional changes may include uncontrollable crying spells, depression, anxiety, panic attacks, tension, clumsiness, failure to concentrate and diminished libido.
Hormonal influences have not been examined until recently. Right after menstruation, estrogen levels start to rise and peak around mid-cycle, or ovulation. If a woman does not become pregnant, levels rapidly drop off only to slowly rise again just before her period. Estrogen holds fluid and with an increased level of estrogen, women tend to bloat. (I had one client who needed two sizes of clothes - one set for after her period and one set just before because she gained as much as 15 pounds of fluid.) Estrogen has a central neurological effect and can cause increased brain activity, including seizures. This hormone can also create a cycle of salt retention and drop in blood sugar. PMS and migraine sufferers benefit from a diet that restricts salt and sugar, and includes a mild diuretic to reduce the excess swelling.
As if PMS wasn't bad enough on its own, a more severe, disabling form of PMS is PMDD - premenstrual dysphoric disorder. Here, the emotional symptoms are depression, anxiety, tension, persistent anger and rage, and irritability. With PMDD, these symptoms often lead to intense problems with relationships and social functioning. Physically, PMDD is accompanied by headaches, joint and muscle pain, bloating and breast sensitivity. According to the American Psychiatric Association, PMDD is diagnosed if at least five of the usual symptoms are present two weeks before menstruation and are extinguished after the period starts. Antidepressants are used to treat PMDD.
What else can we do for our clients to minimize PMS? A general massage will alleviate joint and muscle pain, treat headaches and migraines, reduce swelling (using lymphatic drainage), and elevate her spirits. Other suggestions include
PMS goes away with the onset of menopause. Oh great, something to look forward to...
Editor's note: Elaine Stillerman recently signed on with Mosby Publishing to write Prenatal Massage: A Textbook of Pregnancy, Labor and Postpartum Bodywork. Elaine is also the developer of MotherMassage®: Massage During Pregnancy, a professional certification workshop, and author of MotherMassage: A Handbook For Relieving the Discomforts of Pregnancy and The Encylopedia of Bodywork. Congratulations, Elaine!
Click here for previous articles by Elaine Stillerman, LMT.
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