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There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
December, 2008, Vol. 08, Issue 12
Your Clients’ Winter Skin
By Rita Woods, LMT
What can I do about it? In the winter months, this is the question most often asked by my clients. They are talking about their dry and sometimes cracked skin. The skin is the first barrier of defense against millions of bacteria, viruses, molds and fungus. The skin is like the walls of a fortress that protect the interior from invading armies. Intact, healthy skin is vital to our overall health. As a therapist, I always keep extra lotion on hand during the winter because the client's skin will suck it up like a sponge.
Skin is our domain. We see it and touch it on every client. We use it to get to muscles, ligaments, fascia and all that lies underneath it. Just think about it - we work muscles and soft tissue, but never actually get to touch it. We make contact with our target muscles by using the skin. It's important that we offer advice, suggestions and services that will assist our clients, as they depend on us for information. Let's face it, we probably see more skin on a person than their spouse or partner.
Let's first look at why the skin becomes dryer in the winter months. Low humidity is the main cause. The air around us is more dry, so the moisture is wicked out of our body and we receive virtually no moisture from our environment. Other factors contribute to dry skin but dry air will exacerbate an existing problem. When you think about dry skin, you should have two objectives in mind: first, getting moisture into the cells, and second, keeping it there.
One thing you can do is to work with the air around you. Add some moisture to it. When I was a kid I remember my mom putting containers of water on the vents in the floor. She was adding moisture back into the air. That was our humidifier. Grandma had a wood stove and always had a cast-iron tea kettle simmering on the stove. Again, moisture back into the air. In addition to keeping our skin moist and cutting down on static electricity, moist air retains heat better.
If you are dehydrated, drinking more water can help. However, recent studies suggest people who are adequately hydrated do not receive any additional skin benefit from drinking more water.
Now let's look at topical applications. We call these moisturizers, with hand and body lotions being the most commonly used products. There are three types of basic moisturizers. One puts moisture in, one prevents moisture from escaping, and one makes the skin feel smoother. Individual skin varies, so trial and error may be necessary to find the right combination. It's chemistry that make these work, so I'll give you ingredients to look for. There are many substances in each category, but these most often appear in over-the-counter lotions.
Humectants. This is a classification of moisturizer that penetrates the stratum corneum, the top layer of skin, and helps absorb moisture. Humectants are popular in anti-aging products since skin dries out more as we age. The common ingredients in this category include glycerin, hyaluronic acid, panthenol, propylene glycol and sorbitol.
Occlusives. This category works by coating the top layer of the skin to decrease evaporation. Common substances with occlusive properties include lanolin, stearic acid, cetyl alcohol, caprylic/capric triglyceride, mineral oil and petrolatum. I can already hear the moans about using mineral oil or petrolatum. But keep in mind that for many people, their hands, fingers and feet will actually crack and bleed. This is a most unhealthy condition and can be quite painful as well. In this case, they may want to use grandma's beauty secret of smearing a white petroleum product, like Vaseline, on their hands and then donning a pair of white gloves before going to bed.
Emollients. Emollients soften and smooth skin texture. Common substances with emollient properties include cyclomethicone, dimethicone, isopropyl myristate, octyl extenuate, isopropyl palmitate, isopropyl isostearate and jojoba oil.
By knowing the action of different ingredients, you and your client will have the ability to make better decisions about winter skin care. But there is still more that can be done. The skin has a layer of lipids that is vital to healthy skin. This natural lipid component can be stripped away with soaps, harsh cleansers and even hot water. At the very least, try using warm rather than hot water for showering. After showering, pat dry and while the skin is moist, but not wet, apply your lotion; especially a moisturizer or lotion with humectant properties. This can draw moisture from the surface into the skin.
Exfoliates. A lotion or moisturizer works more effectively when the skin is free from dead surface cells. For best results in the winter, use a good nonabrasive exfoliator that contains its own moisturizing properties. A salt scrub may be helpful but can also be drying to winter skin.
The skin is the largest organ of the body and deserves quality care. For many people, winter care may require measures that go beyond their normal routine. Skin care problems should be viewed as any other acute or chronic health issue and be addressed accordingly. The use of products or ingredients that you may normally avoid could be your best defense. I had a friend tell me that when her hands start to crack, she uses grandma's Vasoline-and-gloves regime. She sees it as medicine: It's not to be taken all the time, but she is grateful for it when there is a problem.
Click here for more information about Rita Woods, LMT.
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