Lost A Sale, But Initial Phone Consultations â€” A Big Part Of Brilliant Customer Service
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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
July, 2006, Vol. 06, Issue 07
Are You Feeling Hot, Hot, HOT?
By Elaine Stillerman, LMT
Humorously referred to as a "power surge" or "my own private Florida," hot flashes are no laughing matter. They probably are the number one symptom of menopause in Western societies. It's interesting that these sweats are not as common in some Asian countries or Mexico where only about 10 percent of menopausal women suffer from hot flashes.1 One theory postulates the reason Japanese women have such low rates of hot flashes is due to their high fiber, low fat and high consumption of soy diet.
It's estimated that anywhere from 50 to 90 percent of American women of a certain age experience hot flashes; referred to medically as vasomotor flushes.2 Nobody really is sure what causes them, but there are a number of speculations.The most common explanation is that lower estrogen levels and declining ovarian function are causative. (This also can explain the profuse sweating a postpartum woman experiences when her estrogen levels dramatically drop after the baby is born.) But this theory cannot apply to women with low levels of estrogen who do not have hot flashes or women with estrogen excess who get them. The fact that almost 30 percent of women treated with placebos have an improvement in hot flashes also might indicate there is more involved than estrogen.
Other factors that might trigger hot flashes can be explained by the complex neuroendocrine reactions to thoughts and emotions. Spicy food, hot drinks, alcohol, sugar, caffeine, stress, heated environments and tobacco also might be triggers.
Another theory suggests they are brought on by a dramatic, sudden downward normalization of the body's internal core temperature. Since estrogen and progesterone are significant in regulating temperature, a decrease in their levels might contribute to a shift in the body's ability to control temperature. Studies with both natural progesterone creams and prescription estrogen show a significant reduction in hot flashes.3
As our clients reach peri-menopause, menopause and post-menopause, these flushes or hot flashes can be very uncomfortable, not to mention embarrassing. They seem to occur at the most inopportune times and can be very disruptive of restful sleep. They start as mild to intense heat that spreads through the upper body and face. Red blotchy skin might appear on the face, arms and back or the face might appear flushed. Cardiac rate increases and often copious amounts of perspiration appear, followed by a chill as the hot flash subsides.4
They can be short, lasting only a few seconds or as long as 30 minutes, although most diminish after 5 minutes. They can occur every hour or occasionally. They can disturb sleep at night or creep up at any time during the day. And they can drag on for years, well into menopause.
Lifestyle changes are an integral part of any natural approach to treating hot flashes and the massage therapist's first line of defense in treating hot flashes is a soothing massage that increases endorphins and allays stress. Pressing Spleen 3, found at the medial aspect of the feet, posterior and inferior to the head of the first metatarsal, can help balance hormones. Your client should discuss all these suggestions with her doctor before deciding which suits her best.
Some medicinal plants have been used for centuries as female tonics. (Author's note: It's essential that your client discusses any herbal remedies with a naturopathic physician or some medical authority with a knowledge of herbs who can determine which herbs are beneficial and at what doses. Herbs are medicines and it's outside the scope of our practice to diagnose and prescribe medicines.) Herbs that have palliative, soothing effects on the female reproductive system and endocrine glands are black cohosh, motherwort, chaste berry tree, blue cohosh (can potentially raise blood pressure to dangerously high levels when too much is taken; must be avoided by any woman with high blood pressure); red clover, ginseng, dong quai (rich in estrogen), licorice, sarsaparilla and false unicorn.5
The effects of black cohosh in treating menopausal symptoms has not received extensive research in the U.S., although the herb has
Soy and red clover have plant-derived, estrogen-like compounds called isoflavones that mimic a weak form of the body's estrogen. This might explain why women who consume soy-rich diets have fewer hot flashes. Clinical trials in the U.S. have yielded inconclusive results. There also is a concern that isoflavones could cause cancer and those women with breast cancer, or who have had breast cancer, should discuss the efficacy of taking isoflavones with their doctor.
Simple lifestyle changes include wearing layers of loose clothing made of natural fibers; exercising daily; sipping a cool drink at the onset of a hot flash; avoiding excess alcohol; avoiding spicy food and caffeine; employing stress reduction techniques such as yoga, meditation or a massage; quitting smoking; taking vitamin E; increasing soy intake; taking evening primrose oil capsules; sleep in a cool room; drinking plenty of water throughout the day.
There are many women who choose hormonal therapy when natural approaches are unsuccessful or symptoms are extremely severe. Estrogen or progesterone therapy can relieve symptoms, but personal risks and benefits have to be considered. Taking certain antidepressants might decrease hot flashes, especially when they are from a class known as selective serotonin reuptake inhibitors (SSRI). Brand names might include Paxil, Prozac, Celexa, etc.7
An off-label use of the medication Gabapentin (Neurotonin) that is FDA-approved to treat epileptic seizures and the pain
Women can't avoid menopause. Whether it was chemically or surgically induced, or just a matter of normal aging, these power surges are an annoying part of it. But women can be more in control of their bodies by adopting simple lifestyles changes and understanding that this, too, shall pass. Now, open a window. Is it hot in here, or is it me?
Click here for previous articles by Elaine Stillerman, LMT.
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