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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
June, 2008, Vol. 08, Issue 06
The Danger of Mastitis
By Elaine Stillerman, LMT
While flying home to New York from a trip to California to introduce my 6-week-old son to his uncle, aunt and cousins, I struggled with nursing him. It wasn't until two years later, when we got his diagnosis of fragile X, that his failure to latch on and global hypotonia made any sense.
However, my breasts were bursting and I decided to bring my breast pump into the bathroom to fill a bottle and feed my son. I looked around for an electrical outlet and was stunned to find they had all been removed for fire safety reasons. I attempted manual (breast) expression, but that wasn't very effective, and I sat for the remainder of the five-and-a-half-hour flight in agony as my breasts engorged and a fever developed. Luckily, I didn't develop mastitis, but the discomfort was intense nonetheless. (Since that time, I have suggested to my clients they carry a battery-operated pump for such eventualities.)
It's not at all uncommon for women in late pregnancy and/or new mothers to feel their breasts engorge, especially when they first start nursing. When the tenderness becomes painful, a serious breast infection or mastitis might be the problem. Mastitis, or inflammation of the breast, used to be called "milk fever" or "milk leg," and there actually might be a genetic component for susceptibility to this painful condition.
This infection, which generally affects only one breast, usually occurs two to three weeks postpartum, but it might occur after only one week. It's caused by Staphylococcus aureus and Escherichia coli bacteria.1 These bacteria often are carried on the mother's or (hospital) staff's unwashed hands, or in the newborn's mouth.2 The bacteria enter the mother's body through an open, injured area of the nipple, although in some cases there might be no discernible wound.
Engorgement and milk stasis often precede mastitis, so new mothers can start paying closer attention to these warning signs. Sometimes the breasts engorge if the baby misses a feeding, when the baby starts to sleep through the night, or when mom starts to wean the baby. Other causes might be failure of the milk ducts to drain completely, underwire bras or bras that are too tight, as well as maternal stress and fatigue. Any pre-existing condition that lowers her immune system also might be a contributing factor.2
Once mastitis has developed, new mothers suffer with very sore and tender breasts. A red, inflamed spot develops and a red line can be seen that traces the clogged milk duct. Flu-like symptoms, general aches, fever (101.1 F or higher), headaches and chills accompany mastitis. If left untreated, a painful abscess can develop. This occurs 5 percent of the time.8 The milk from the affected breast might taste saltier than usual because there are higher levels of sodium within the swollen, inflamed tissue. The baby might even notice the difference and protest during the feeding.3
Some women misdiagnose plugged ducts for mastitis, although many women who have frequent bouts of plugged ducts often develop at least one case of mastitis. While plugged ducts, which are more prevalent than mastitis, can feel equally painful and require treatment, they don't hurt as much as mastitis and are not caused by bacterial infections. Milk ducts might become blocked for other reasons: an overabundance of milk, poor latch (when the baby's mouth does not form a firm seal around the nipple), a shift in nursing patterns or compressed breasts (either a bra that is too tight or from sleeping on the affected side).4
Other differences that set plugged ducts apart from mastitis are:
However, one of the best ways to treat mastitis is to continue nursing. Breastfeeding with mastitis is safe for the baby and most antibiotics used to treat this inflammation are not going to harm the newborn. La Leche League urges women not to give up on nursing because it actually shortens the duration of the infection and reduces a woman's chance of developing an abscess.3 Some women might be concerned about taking antibiotics when the child is so young. At least half of new mothers who develop mastitis don't need antibiotics.1 There also is reason to be cautious about multiple rounds of antibiotics. One study suggested repeated dosing of antibiotics might increase the risk of breast cancer.5
So, what can a new mother do to treat this painful infection? Obviously, strategies to prevent the condition need to be in place. Gentle breast massage will keep the milk ducts from becoming plugged. While in the shower or when moisturizing, the new mother can lightly effleurage around her breasts six times, lightly knead the base of the breasts and press on any areas that might feel tender. There also are some effective acupuncture points that might help reduce the discomfort. She can draw an imaginary line from the nipples vertically upward, just beneath both clavicles. These tender spots are Stomach 13. Press both points for a count of 6-10, repeating 6-10 times. From there, she can make an imaginary line about 3 inches down to the beginning of each breast. These are the Stomach 16 acupuncture points. Treat them as you would Stomach 13.
In the middle of the sternum, your client can find Conception Vessel 17. This point is going to feel tender to the touch. She should start the treatment by pressing gently and gradually increasing her pressure.6
Other natural treatments to treat plugged ducts or mastitis can be used once symptoms appear, as a way to prevent the condition from worsening. For those women who chose to avoid antibiotics, these techniques might be their best form of defense and care.
When the breast starts to feel tender, apply moist heat to the area. This will help dilate the milk ducts and prevent them from clogging. She can stand in the shower, facing away from the shower head, and let the water cascade over her shoulder(s). Anyone who has ever taken my workshop knows what to do with potatoes (I am going to keep the rest of you guessing). For breast tenderness, grate a raw potato and apply a cold poultice a few times each day to the sore spot.6 Place cold, raw cabbage leaves in the bra to reduce swelling. Rupture the veins by rolling over the leaves with a rolling pin and wear them until they become room temperature, and then change them. Some women report a decrease in milk supply from using the leaves, so the new mom needs to be attentive to that change.4
Start nursing with the sensitive breast first until it's empty and direct the baby's chin toward the tender area to create more sucking power on the clogged duct.1 Dietary changes also can have a positive impact. Reducing the amount of saturated fats and sodium in the daily diet has been shown to help some women. Certain nutritional supplements also might aid mastitis prevention: lecithin, bromelain, the vitamin B complex, vitamin C, echinacea and iron. Be sure your client discusses any and all supplements, herbs or homeopathic remedies with her care provider before taking them if she is nursing.1,3,7
Another simple remedy is to remember to drink adequate amounts of water daily. Eight to 12 glasses will help maintain the milk supply and keep the new mother's body running (internally) smoothly. Once the baby stars to crawl, bacteria can be picked up from the floor and any surfaces they touch, so moms should wash their hands and the baby's face before nursing. If mastitis persists, she should consult with her care provider. She might want to get another opinion to rule out tumors.
By paying attention to her body and heeding the warning signs, a new mother can enjoy the intimacy, nurturing and pleasure of breast-feeding her baby.
Click here for previous articles by Elaine Stillerman, LMT.
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