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From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
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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