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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
February, 2007, Vol. 07, Issue 02
Incorporating Whole-Body Health Into Your Massage Practice
By Moriah Petrini, LMT
As massage therapists, most of us have encountered a similar challenge when dealing with chronic injuries such as shoulder, neck or spinal pain: You push, pull and even dig into your client, and yet they never truly experience that "whole body" release.If you are like me and really care about your clients, unsatisfactory results are not an option. In fact, after years of giving deep-tissue massage, I started having arthritic symptoms myself. I constantly was stiff and in low-lying pain, which then created a snowball of ailments, including irritability, stress and fatigue. Finally, I decided to investigate a solution. The results might surprise you: Nutrition plays a much bigger roll in our practice than you can imagine.
After investigating tons of pain-relief agents - both pharmaceutical and alternative - I found that most relieved the system temporarily, but never got to the root of the problem. And, as most of you know, many of the pharmaceutical drugs have harmful side effects.
One day a client of mine recommended that I read a popular health book by Jon Barron called Lessons From the Miracle Doctors. It became painfully obvious that the root of the problem is that you can't look for a magic bullet when it comes to pain, but an entire host of health issues, including detoxing, pure water, good fats, exercise, nutrients and much more. The book does mention one critical factor that could drastically help my massage practice: Help clients reduce systemic inflammation.
Systemic inflammation is largely caused by the fact that we cook our food and destroy the food's natural enzymes, which are needed to digest food and allow the nutrients to be absorbed in the body. When this happens, the body has to work overtime to replace these digestive enzymes and the pancreas diverts its focus from making other enzymes for the body, such as ones needed to purify our blood. These are called proteolytic enzymes.
The topic of enzymes should not be taken lightly. Your digestive system, immune system, bloodstream, liver, kidneys, spleen and pancreas, as well as your ability to see, think, feel, and breathe, all depend on enzymes. All of the minerals and vitamins you eat and all of the hormones your body produces need enzymes in order to work properly. In fact, enzymes govern every single metabolic function in your body: your stamina, energy level, ability to utilize vitamins and minerals, immune system, and more.
I found that applying all this to my massage practice was essential. First, you need proteolytic enzymes to increase the flow of "good" nutrients into the muscles, reduce scar tissue and help remove lactic acid out of the muscles. Second, inflammation is a natural response of the body to injury; however, most people suffer from excessive inflammation that actually retards the healing process, making our jobs as therapists almost impossible.
How Proteolytic Enzymes Work
To understand how important proteolytic enzymes are to the massage, let me explain how they work. According to research, proteolytic enzymes reduce inflammation by neutralizing the biochemicals of inflammation (bradykinins and pro-inflammatory eicosanoids) to levels at which the synthesis, repair and regeneration of injured tissues can take place.1 Reducing inflammation can have immediate impact on improved heart health, circulation, and to help speed up recovery from sprains, strains, fractures, bruises, contusions, surgery - even arthritis. Trials have shown that supplemental proteolytic enzymes can help reduce inflammation, speed healing of bruises and other tissue injuries, and reduce overall recovery time when compared to athletes taking a placebo.2,3
After several weeks of using proteolytic enzymes, I first noticed that my own back pain and arthritis began to subside. I was more capable of truly focusing on my clients and actually enjoyed the experience of giving massage again. More interesting was the response from my clients! Overall, I found that the ones that used proteolytic enzymes had incredible results. Shoulders were getting a larger range of motion, sensitive backs and swollen knees were subsiding and the natural structural alignment of their bodies moved with ease. Some mentioned later that they were sleeping better and that my massage efforts were lasting over a longer period of time.
What was even more remarkable was that it helped me to massage the sensitive lymph areas since proteolytic enzymes digest organic debris from the circulatory and lymph systems. With great surprise, some of my clients who had only set out to reverse and/or eliminate painful chronic issues found great healing among other systems of the body, including reducing allergies, sinusitis and asthma.
The Massage Therapist-Client Relationship
Although this all sounds good, it's important to note that it's very difficult to recommend nutrition to clients when many clients simply just want a massage. We also have to be careful to not pretend to "diagnose or cure" any client of any disease. I found there is a gray area where, just as we encourage clients to "drink plenty of water" after a deep therapy massage, we can mention proper nutrition. Information is power and if we simply give clients options to their health, I find they usually appreciate it and recommend me to others. Quite simply, we stand out as true healers and not as someone that is just manipulating muscle to some peaceful tunes.
I also found that most clients were actually starving for real information about natural health remedies. Due to the confusion in the market, they all had the same question: "With so many products and differing opinions, who can you trust?" I simply remind them to talk to their doctor before taking any supplement, but that, just as I had found incredible resources, there is a ton of unbiased information available online.
In the end, the more we help our clients, the more they help us. To provide true healing for our clients, we need to look at the body as a whole system and approach the massage, as only one aspect of a client's true healing process. Simply put, our body needs nutrition to accept the benefits of a good massage and the benefits of nutrition are enhanced when the body is not stressed and relaxed from a good massage. The bottom line: Nutrition and massage are perfect complements to each other.
Moriah Petrini has been a massage therapist for more than five years and is located in Fremont, Calif. She holds certifications in a variety of massage specialties, including deep-tissue massage, reflexology, structural massage and stone massage.
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