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NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
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 previous articles by Rita Woods, LMT.
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