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Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
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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