resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Dietary Supplement Research Dilemma
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.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
July, 2005, Vol. 05, Issue 07
A Natural Approach to Degenerative Diseases of the Central Nervous System
By John Upledger, DO, OMM
As a complementary care practitioner with a long history in the medical field, I tend to look at trends in medicine with a broader eye than some mainstream physicians. With all the press these past few years on degenerative diseases of the central nervous system (CNS) - Alzheimer's, Parkinson's, senile dementia, and the like - I'd like to weigh in on noninvasive options in therapeutic care.It's vital for clients to have choices.
Research indicates that a significant number of degenerative brain diseases are caused by the accumulation of waste products generated by physiological reactions that involve brain proteins. This particular waste product is called "beta amyloid peptide" (BAP). The peptide is formed from a protein called "amyloid precursor protein" (APP), which is a constituent of the neural cell membranes of the brain, spinal cord and spinal cord roots. Toxic levels of the peptide can also be formed from the accumulation of heavy minerals such as mercury, aluminum and cadmium. (Some authorities suggest this abnormal accumulation of BAP results from genetic mutations. The jury is still out on that concept.)
Beta amyloid peptide products accumulate at toxic levels more often in the brain than in the spinal cord and its roots. Yet when abnormal accumulation does occur in the cord or roots, degeneration that histologically resembles that of the brain does occur. In any case, the formation of BAPs from APPs is physiologically normal; however, when BAPs are neither removed as waste nor neutralized by normal biochemical reactions, CNS diseases can occur.
No matter the reason, the abnormal accumulation of BAPs may result in the formation of extracellular amyloid plaques. The presence of these plaques can then induce the inflammatory response, which facilitates the hyper-phosphorylation of a protein named "TAU." While still under study, we know TAU forms intracellular fibrillatory tangles. Between the plaques and the tangles, the neurons become dysfunctional and may die. In addition to producing plaques and tangles, BAPs can: 1) interfere with the proper functioning of voltage-dependent calcium channels, usually causing neuronal hyperexcitability and ultimately death, and 2) enhance the activity of an enzyme known as "GTPase," the hyperactivity of which then interferes with long-term potentiation at the synaps, which results in memory failure.
The production of BAPs depends on the presence of APP, which is an integral cellular-membrane protein. It has three different isoforms made up of either 695, 751 or 770 amino acids. It also has a large domain outside of the cell. The extracellular portion is connected to a smaller intracellular portion by a part of the molecule that passes through the cell membrane, thus forming a connection between the extracellular and intracellular parts of the molecule. Since both parts have receptors, APP passes information between the extracellular and intracellular domains of the molecule; hence, between the extracellular and intracellular regions. In view of all this, it's clear that the major causes of degenerative diseases of the CNS include the incomplete removal of BAPs and excessive inflammatory responses.
Certainly, biochemicals that have been used to treat these conditions (neprilysin, insulin degrading enzyme, endothelial-converting enzyme and plasmin) have been moderately successful in terms of slowing the disease processes. But what about approaching the situation by using hands-on therapeutic techniques that physiologically remove the culprit molecules, namely the beta amyloid peptides?
It seems to me that using approaches such as massage and CranioSacral Therapy (CST) to enhance the flow of fluids that pass through the interstitial spaces of the central nervous system would be of great therapeutic value. If we could help the body obtain a proper balance through these techniques, the accumulation of BAPs would naturally be reduced. One of the major goals of CST in particular is to enhance the flow of cerebrospinal fluid through the craniosacral system, which surrounds the brain and spinal cord. We accomplish this by releasing any membranous tensions that restrict the easy, natural, rhythmical motion of the craniosacral system. When the craniosacral system is operating at a high level of efficiency, the accumulated BAP waste is flushed from the interstitial spaces of the central nervous system and excreted from the body. Thus, a major contributing cause of degenerative diseases of the brain or spinal cord is eliminated.
Yet even preventing further degenerative changes will not restore neurons, neuronal circuits and glial cells that have already been lost. How can manual therapists help restore these losses? Personally, I incorporate CST with SomatoEmotional Release and dialogue techniques to "talk" with the stem cells that are already numerous in the brain and spinal cord. First, I humbly and respectfully describe the functional losses of the central nervous system to the stem cells.
Next, I politely request that these stem cells replace lost neurons, circuits or what have you, as they see fit. It's important to understand that I do not tell them how to do it. I only describe the problem and ask that the stem cells apply their wisdom and ingenuity to do whatever they feel is appropriate and necessary to restore normal function to the brain and spinal cord.
For those of you willing to venture with me into new areas of thought and therapeutic care, you'll find yourself able to render valuable services to clients afflicted with a wide range of degenerative diseases of the brain or spinal cord. And isn't that where the true value lies?
Click here for previous articles by John Upledger, DO, OMM.
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