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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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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."
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!
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
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.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
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.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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.
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.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
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.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
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.
May, 2008, Vol. 08, Issue 05
By Rita Woods, LMT
As massage therapists, we are constantly on the lookout for the latest and greatest products to benefit our clients' various skin types. One client has sensitive skin and so only a certain lotion or oil will do. Another prefers lotions that don't give off any scent, while another wants to smell like a garden after a treatment. While there are some great products on the market, there are others that might contain chemicals some clients are trying to avoid at all costs.
So, what ingredients should we look for when preparing to purchase the various lotions, oils and topical creams we use in our practices? What does the federal government have to say about these chemicals and what is the research behind the movement to limit or eliminate our exposure?
The Federal Food, Drug and Cosmetic Act defines cosmetics as items intended to be applied to the human body for cleansing, beautifying, promoting attractiveness or altering one's appearance without affecting the body's structure or functions. This definition includes skin-care creams, lotions, powders and sprays, perfumes, lipsticks, fingernail polishes, eye and facial makeup, permanent waves, hair colors, deodorants, baby products, bath oils, bubble baths and mouthwashes, as well as any material intended for use as a component of a cosmetic product.
The products we use every day in our practices could fall under this definition. As you can imagine, we are exposed to hundreds of these products daily. How do we know if what we are using is harmful? That question would appear to be simple to answer. As it turns out, however, it's one of the most complicated issues we face today.
Several ingredients in our personal care products have come under fire recently thanks to the work of avid watchdog groups such as the Environmental Work Group (www.ewg.org). One chemical in particular comes from the family of "phthalates" (pronounced THAY-lates). This one has prompted the state of California to ban its use in toys and baby products beginning in 2009. This is important to you because it can be hidden in the products we use.
In general, phthalates are known as plasticizers. There are eight members of this family, and they are used in just about every industry in the world to make plastic pliable. Another important thing they do is make scents last longer in products. This characteristic puts them in our personal care products: makeup, nail polish, body washes, lotions, air fresheners, laundry soap, dryer sheets and shampoo, just to name a few.
But here's the catch - you won't see phthalates listed as an ingredient. They often are included as a part of the fragrance ingredient, which is exempt from the same labeling laws. Full disclosure of "fragrance" may jeopardize company trade secrets, so a company doesn't have to divulge that information. The real problem here is that this loophole can be used to "hide" other potentially harmful ingredients. Reproductive and birth defects are the main concern for people highly exposed. Some advocates are trying to get phthalates removed from all cosmetics and products that fall under the personal care definition. The loophole is under investigation.
Another area of concern is the use of preservatives such as "methylparaben" and "proylparaben" in cosmetics. The same preservatives often are used in foods. The food supply is under even greater scrutiny. As you can image, it affects everyone, not just those who use personal care products. If you eat a lot of processed foods, you could be increasing your exposure. According to most scientists, we just don't know the long-term effects of many chemicals. While there still is no concrete evidence they pose a health threat, there is some supportive evidence that they can elicit an allergic response in some people.
The Cosmetic Ingredient Review Board (CIR) Expert Panel issued an amended final report in 2006, concluding, "Methylparaben, ethylparaben, propylparaben, isopropylparaben, butylparaben, isobutylparaben, and benzylparaben are safe as used in cosmetics." The CIR provides information on the safety of chemical ingredients and issues safe recommended percentages of each chemical it tests. Some chemicals will be banned altogether, while others must be used only within certain levels. Formulating chemists use these guidelines when they make certain products.
Some factors in daily living can complicate the exposure issue. For instance, people exposed to "toluene" (a harmful chemical found in nail polishes) are at higher risk of toluene toxicity if they drink large amounts of alcohol or take over-the-counter pain-relieving salisylates such as aspirin or acetaminophen. Toluene is processed in the liver (as are most chemicals), which then overworks the liver. The overburdened liver can no longer do a good job and toxicity can occur.
Healthy people with healthy lifestyles are better equipped to deal with the onslaught of chemicals to which they are exposed. Unfortunately, people with certain diseases or sensitivities are at greater risk of having adverse reactions. Most adverse reactions are classified as allergic reactions. Regulations from other countries actually may put U.S. companies on the fast track to changing their ingredients. The worry is that the substitutions used may be as harmful as the ones they remove. We may not know about their toxicity until they start showing up in tissue samples a few years down the road.
So, what's a body to do? Here are some tips to help minimize your exposure to chemicals in the products you and your clients use.
Learn to Read Labels
Now is a good time to start reading cosmetic labels, if you don't already. The list of ingredients must appear on the label in descending order of predominance. The lower an ingredient is on the list, the less there is of it in that product. I have seen "fragrance" listed as high as ingredient number 22 out of 45, and I have seen it as the last ingredient. The same concept is true for parabens as well.
You don't have to be a chemist to figure out that either the raw product smells really bad and the manufacturer used a lot of fragrance to cover it up, or the fragrance may be hiding other chemicals. While it might not be an exact science, it's still your best defense in the cosmetic aisle.
Watch for "Greenwashing"
Some companies are trying to jump onto the green wagon train when it comes to naturals and organics. You'll see them supporting cancer research and yet continuing to offer some of the most toxic cosmetics on the market. Again, www.ewg.org has listings of products and companies. Watch out for the color green and natural scenes in ads. It's an attempt - and an effective one - to get you to see them as part of the natural movement. Their ad may say one thing, but their ingredients could say another. It's becoming increasingly difficult to pick out green abusers.
Check Out Other Sources
Be open-minded and look at all sides of the story. The Environmental Protection Agency and the Centers for Disease Control & Prevention have Web sites with consumer-friendly information. You'll also find links on their sites that will lead you to lists of known and probable carcinogens. Look to current research from other countries, as the U.S. government doesn't exactly lead the pack on these changes.
Get Healthy and Stay Healthy
Make healthier choices about the foods you eat. Reducing your overall exposure is key. Get plenty of exercise. Reduce your use of perfumed and dyed laundry soaps. Use dryer balls instead of dyer sheets. Dryer sheets coat your clothes with chemicals. By the way, this also makes your towels less absorbent. Wear less makeup. Become aware of the chemicals in your home and work to reduce their impact on you, your family and the environment. And share all this information with your clients. We may not be able to control what goes in products, but we can control what products we use.
Click here for more information about Rita Woods, LMT.
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