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Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
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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