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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
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 previous articles by Rita Woods, LMT.
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