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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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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...
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.
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."
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!
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.
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.
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.
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.
November, 2008, Vol. 08, Issue 11
Are You Magnesium Deficient?
By Rita Woods, LMT
Many of our clients come to us because of muscle soreness, spasms, cramps and even twitching. In addition to the physical pain they may experience, they often say they just can't relax. We may work diligently on the muscles, but the client continues to experience the same nagging symptoms: stressed, muscle tightness, can't relax, headaches, anxiety, hyperactivity, irritability and even chest tightness.The problem may not be their lifestyle, but rather a magnesium deficiency.
I recently read a magazine article in the waiting room of my chiropractor's office. (The truth is, I "borrowed" the magazine and brought it home to read.) The article triggered my research button, and I've now learned more about magnesium than I could possibly share in one article. Today I'll share with you how a magnesium deficiency can have a direct impact on muscle tissue. But first, some basic facts.
Magnesium is the fourth most abundant mineral in our body and is essential to good health. Approximately half of the magnesium in our body is found in bone. The other half is predominately inside the cells and only about 1 percent is found in circulating blood. Magnesium is essential for more than 300 biochemical reactions in the body. It helps maintain normal muscle and nerve function, as well as cardiac health, blood pressure and blood sugar levels, and helps keep bones strong. Magnesium is even involved in energy metabolism (production of ATP) and protein synthesis. Simply put, we must have it to have good health.
Specific to our profession, magnesium plays an absolutely vital role in allowing muscles to relax. One role of magnesium is much like a gatekeeper at the cell wall. There are channels on the cell membrane that allow some things in at certain times and at specific levels. Magnesium is responsible for allowing calcium into the cell when a muscle needs to contract or a nerve needs to fire. Calcium helps it contract. Magnesium helps it relax. Magnesium is responsible for pushing the calcium out of the cell when the job is done. This allows the cell to return to normal and await its next command. If there is insufficient magnesium, calcium enters the cell and never leaves.
When this happens, the muscles and nerves continue to contract or fire. They never relax and the cell stays on alert status. This is akin to the fight-or-flight stress response. Remember that cells make up tissue, and tissue makes up organs. The whole body gets involved in this process. The result of magnesium deficiency is excessive muscle tension (which can then lead to muscle weakness), muscles spasms, cramps, tics, restlessness, anxiety and irritation. Stress has been known to further decrease magnesium levels, so a vicious cycle begins. In this case, the only way to break the cycle and restore a healthy state is to increase magnesium.
Early signs of magnesium deficiency also include loss of appetite, anorexia, fatigue, weakness, insomnia, poor memory, reduced ability to learn, apathy, worry and confusion. Brain function can be reduced because almost 20 percent of all the ATP in the body is in the brain. When magnesium is not present to help make ATP, the brain doesn't get what it needs to function properly. As the magnesium deficiency worsens, numbness, tingling, ringing of the ears, personality changes, abnormal heart rhythms, coronary spasms and continued muscle contractions can occur. Severe deficiencies can result in low levels of calcium in the blood. It's easy to see why a balanced ratio of calcium to magnesium is so important in preventing osteoporosis.
One report I read said as high as 80 percent to 90 percent of people may be magnesium deficient. There may be medical reasons why magnesium is not absorbed in some people, but that would be the minority. The main problem is that our diets tend to lack the green leafy vegetables, beans, nuts and fruits high in magnesium. Our soil has also been depleted of many natural minerals, so our foods are also lacking the minerals. Thus, the need to supplement is necessary for many people. Supplementation of magnesium must be balanced with calcium. Too much supplemental magnesium can result in loose stools or diarrhea, so stick with the recommended dosage. Toxicity can occur, but is rare and mostly due to taking excessive amounts, rather than following the directions on the bottle. I asked my chiropractor what products they offer their clients for relaxing. When they showed me the three products they offer, I was not surprised that all had magnesium as a main component.
I think a common complaint we hear from our clients is that they just can't seem to relax. They catch themselves with tensed shoulders and have to consciously make themselves relax, just to find that the tension is back in a matter of minutes. They may think it's just the stress of their job, family or busy schedule. In trying to be helpful, we might suggest meditation, yoga or a nice walk in nature. But let's face it, all of our clients don't have the best diet and some obviously lack nutritional knowledge. While it may not be within our scope of practice to recommend supplements, it's OK to share things you have learned. If you think they could benefit from knowing more about magnesium, give them a copy of this article or suggest they Google "magnesium deficiency." You should look it up, too. While you're at it, look up how muscle pain can be associated with a vitamin D deficiency.
Click here for more information about Rita Woods, LMT.
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