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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?
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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."
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.
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.
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.
February, 2007, Vol. 07, Issue 02
Fragile Eggs, Fragile Legs?
By Elaine Stillerman, LMT
It's called Fragile X, and I hadn't heard of it either.
We used to put our infant son in a bouncy seat that had colorful wooden beads for him to spin and play with. Luke enjoyed hitting them and watching them turn.By the time he was 4 months old, he was still swatting them instead of trying to lean forward and reach for them. When I mentioned this to my husband or to friends, they brushed my concerns aside.
By the time he was 6 months old, Luke still was at the same level. When we went to the pediatrician for his 9-month checkup, the doctor asked typical questions about his development: "Was he sitting up unassisted?" No. "Was he turning over?" No. "Did he babble?" Hardly. "Was he trying to crawl?" No. I remember feeling the blood drain from my face when she said, "It's probably nothing, but let's have some neurological tests done to rule things out."
Thus began our odyssey to find out why Luke wasn't achieving his developmental milestones. It took us to five pediatric neurologists, two or three developmental specialists, speech, occupational and physical therapists, an MRI, an EEG and finally, DNA testing to get an accurate diagnosis: Fragile X. This heartbreaking syndrome is the most common inherited developmental disorder in the world. One in 260 women is a carrier and one in 800 men will pass the defective gene to all of his daughters. (It was my father who passed the gene on to me.) And then, the waiting game begins, because no one can ever really know which generation will carry the full mutation and all that it signifies.
Luke finally started to walk when he was 2 ½ years old, just about the age when we learned his diagnosis. Language and speech, however, still is something I look forward to. Toilet training an 8-year-old has its challenges, and the seizures he suffers positively age me. But, he is the sweetest, happiest and most beautiful boy ever. He also has a wicked sense of humor, something else he inherited from me.
Fragile X affects about one in 4,000 boys and one in 6,000 girls, and most carriers are unaware of their status. Fragile X causes cognitive impairment, pervasive developmental delays, attention deficit, hyperactivity, seizure disorder for one in four, anxiety disorders and autism. All of this occurs because of the failure of a single gene (FMR1) to produce an essential brain protein necessary for normal brain function.
Carriers also have symptoms. Some older men will be impaired by Fragile X-associated Tremor Ataxia Syndrome (FXTAS) and some women are at risk for premature ovarian failure or early menopause. This certainly could impact a woman's decision to delay childbearing, since she might lose that option in her mid- to late-30s. Testing for Fragile X is a simple blood test. The DNA test can predict a woman's chance of having an affected child and can be used to diagnose carriers and affected individuals.
At present, there is no cure. Therapies and appropriate education can make inroads, but don't change the core problems. But there is hope on the horizon. Research tells us that Fragile X delays the brain's development rather than damaging it. So, it's likely that the research can eventually benefit all people who suffer from Fragile X. In addition, fixing this one gene, or its symptoms, could lead to a better understanding of more complex neurological conditions such as autism, Down syndrome and Alzheimer's disease.
When Luke gets back from school this afternoon, he will point to his DVD ("D!") and watch Elmo ("Ehmo") once again, exploring his world. I am looking toward the day that my son, too, will use his friends, his computer and his mother to explore his world.
For more information about Fragile X, visit www.fraxa.org.
Click here for previous articles by Elaine Stillerman, LMT.
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