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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.
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.
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.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
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...
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!
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.
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."
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
August, 2009, Vol. 9, Issue 08
Massage Today Reader Discovers "Anything’s Possible"
By John Upledger, DO, OMM
Terri, a normally healthy 62-year-old woman, was recently scouring the Internet for help when she ran across a Massage Today article that she said "literally saved my life." She was suffering from severe anemia that doctors at two different hospitals couldn't explain.
Her health had started degrading a year earlier when she found herself dramatically short of breath. "I couldn't get dressed in the morning without having to sit down and rest," Terri said. "I couldn't even walk to the bathroom from my desk at the office."
Doctors suspected Terri had a rare form of asthma, but that didn't sit right with her. "I wasn't wheezing at all. I just had shortness of breath." Nonetheless, they put her on a steroid for six months to try to clear it up. "It didn't do anything except make me gain a lot of weight," she said.
Then last November, Terri's right foot and big toe went numb and turned blue. She immediately checked into the hospital, but this time she was told she probably had peripheral artery disease. The surgeons began preparing for an angioplasty. "In the process, they asked me to sign a release that gave them permission to amputate my foot!" she exclaimed. Fortunately for Terri, her intuition told her that something wasn't quite right with this picture. So against doctor's orders and pleas from her daughters, she signed herself out of the hospital and found her way to a different doctor, one she hoped would finally listen to her.
After a battery of tests ruled out plaque around the heart, doctors gave Terri a new diagnosis. "Your big toe is broken," they said. "What's wrong with that?" she asked. As it turned out, plenty. She was also suffering from something the other doctors hadn't mentioned: severe anemia.
Anemia occurs when you don't have enough healthy red blood cells, or when the red blood cells don't have enough hemoglobin to transport oxygen to the organs. For men, a count of less than 14g per deciliter is worrisome. In women, anything less than 12g is a problem.
By the time Terri went back to the hospital five days later, her hemoglobin was at an 8. But she still wasn't prepared for what her doctors recommended next: a blood transfusion. "I was shocked. I had no idea it was that bad," she said. "But it was all too much. I told them I had to go home and think about it."
Unfortunately, within a of couple days, her hemoglobin had dropped to the dangerous level of 6 and she collapsed.
Back at the hospital, Terri received four consecutive blood transfusions. "They say one every few months is the norm. But that's what it took to get my hemoglobin level back up to an 8," Terri said. Assuming she must have been bleeding internally, the doctors ordered another round of tests. Everything came up negative.
By January Terri's hemoglobin was back down to a 7, but the doctors still didn't know what was wrong. So they gave her another transfusion. Finally, they told her it was just too dangerous to continue doing that. They were going to wait until it got down to a 6 before giving her any more.
"I was playing with my life," Terri said. "I thought, at this rate, I might just not wake up one day." Her doctors agreed and actually advised her to get her affairs in order. "They still didn't know what was causing it. They even suggested chemotherapy just in case it was a cancer they couldn't find."
When Terri went home that day, she decided to take her health care into her own hands. She started by searching for clues on the Internet. The last time she had looked, she was reviewing the prosthetics she thought she'd need after her foot was amputated. But this time she was determined to "sit there for 24 hours if that was what it took to find some kind of treatment for anemia."
She began Googling. That's when she found a Massage Today article called "Unwinding Meridians to Reverse Anemia" by Dr. Kenneth Koles (April 2009 issue). In it, Koles talks about combining acupuncture with CranioSacral Therapy to treat a woman named Helen who was suffering from anemia like Terri was.
CranioSacral Therapy rang a bell with Terri. "I have a friend who's a massage therapist and she was trained in cranial work, too," she said. So she quickly called Laura Gomez, Ms.T. Coincidentally, Laura had just read the same article, and she immediately drove to Terri's for her first treatment.
"It didn't feel like any massage I'd ever had," Terri said. "It felt more like acupressure to me. It was strange, I remember hearing in my right ear the sound of blood flowing. It sounded like the ocean." Laura continued to work on her for two hours, coming back several times in seven days.
Terri went to her doctor to have her blood checked once again. "I was so depressed. If this didn't work, I didn't know what I was going to do." To her surprise, her hemoglobin count actually went up two-tenths of a point. "That doesn't sound like a lot, but normally I'd go down five-tenths every week. So to me, that was more like seven-tenths of an increase!"
Hopeful for the first time in months, Terri had two more CranioSacral sessions the following week. Her next blood test was even more promising. She was up to a 9.3. "It went up six-tenths of a point! And my iron levels went up one whole gram, and I wasn't eating spinach or anything. I had just started taking iron pills, but the doctor told me they wouldn't have started working for months."
"My doctor said it's a miracle," Terri said. And when she told him about CranioSacral Therapy, he commented, "I suppose anything's possible." Fortunately for Terri, with the help of hands-on therapy, he's right.
Click here for previous articles by John Upledger, DO, OMM.
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