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Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Giving Chiropractic Some Much-Needed PR
Public relations has not always been the chiropractic profession's strong suit, a shortcoming that has subjected the profession to countless attacks on its legitimacy and seemingly perpetual confusion among the public and the health care world as to the skills and services doctors of chiropractic provide.
News in Brief
Foundation for Chiropractic Progress Enrolls Second Group Member; Focus on Chiropractic Education at WFC-ACC Conference in Miami; Are You Ready for Another "Have-a-Heart" Campaign?
Drug War Rages in Wisconsin
Based on its actions over the past 15 years (review the sidebar in the app version of this article), controversy and the Wisconsin Chiropractic Association seem to go hand in hand.
The Bottom Line ... From a Surgeon Who Knows
Regardless of individual relationships between providers, there continues to be a type of Hatfield-McCoy feud between the philosophies of medicine and chiropractic, particularly when it comes to musculoskeletal ailments.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
"Turn, Turn, Turn"
Many people are credited with saying, "If you remember the '60s, you really weren't there." Given the fact I didn't become a teenager until 1970, I actually do remember the '60s (or at least part of it). And as a child of the '60s, I was, of course, influenced by the music.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Alcohol Consumption Strongly Linked to Risk of Colorectal Cancer
Alcohol intake is one of the primary risk factors for many human cancers, and is strongly associated with cancers of the oral cavity, pharynx, larynx, esophagus, liver, breast, and notably, the colon and rectum.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
The McGill Approach to the Lower Back (Part 1)
Stuart McGill, PhD, brings a unique combination of tools to the table. He is a scientist who also functions as a clinician. He describes himself as a medical consultant who is referred challenging patients. He is both evidence based and practical.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Correcting Dysfunctional Movement Patterns – Is Local Treatment Enough?
It is widely believed that mechanical, non-traumatic back pain is largely related to dysfunctional or compensatory movement patterns the body has adopted over time.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
December, 2009, Vol. 9, Issue 12
By Elaine Stillerman, LMT
It was supposed to be a Sunday like any other Sunday: get up, go to the gym, do the shopping and chores, and enjoy the rest of the day with my son. Except on this June morning, I couldn't get out of bed.I put one foot down and the pain shot down from my knee to my toes. It was the same with the other leg. And both arms: pain, stiffness, swelling, and fire from elbows to fingers. All the connective tissues and articulations were inflamed. I recently had some dental work and thought that I was having an allergic reaction to the inlay. But that wasn't it at all.
My doctor suspected acute onset rheumatoid arthritis (RA), which blood tests later confirmed. For someone who has been practicing yoga since my teen years (let's not count how long ago that is) and works out regularly, this felt so wrong. The doctor prescribed heavy doses of prednisone which put out the fire and helped ease the stiffness, but this nasty drug has awful side effects and cannot be used long term.
RA & the Immune System
Generally affecting people 20-50 years of age, the cause of rheumatoid arthritis is unknown although there are a number of viable theories. RA is considered to be, by Western standards, an autoimmune disease. In RA patients, the immune system seems to attack body cells that are mistaken to be invader cells. Elevated levels of white blood cells are present within the synovial membranes that line the body's joints. This results in swelling, pain, and limited mobility. Over time, joints can become deformed and rheumatoid nodules, or small lumps, may grow under the skin at pressure points.
In more serious cases, RA can also affect other body parts such as tear ducts, salivary glands, the lining of the heart, the lungs, and sometimes blood vessels. Women are two to three times more likely to get rheumatoid arthritis than men and the rates for women are increasing. After nearly four decades of steady decline, the tide has turned and the numbers are rising. From 1985 to 1994, 36.4 per 100,000 women suffered from this debilitating condition. In 1995 to 2004, that number rose to 54 per 100,000 women. The incidence for men, however, stayed the same. And no one can explain why.
At the turn of the 20th century, rheumatoid-like conditions (i.e. ankylosing spondylitis) were considered to be venereal diseases. A few short years later, urinary infections were deemed to be the cause. By the time steroids transformed treatment, these causes were largely debunked.
"Immunological crossreactivity" is currently the leading theory of RA. This view reinforces the autoimmune nature of the disease. Infectious agents are considered to be the major environmental factors involved in the inflammatory process. The production of tumor necrosis factor (TNF), a pro-inflammatory cytokine, seems to have a major part in the inflammatory response. But the actual triggering mechanism is still unknown.
Other possible causes include hormonal factors which may explain the heightened risk factors for women. Reduced childbearing and breastfeeding (which seem to be contradictory) are associated with elevated prolactin levels.
In addition, there may be a genetic component to RA, abnormal bowel permeability, environmental and lifestyle factors, food allergies, and microorganisms all which lead to a multidimensional disease where any combination of factors may be culpable.
Treatment: Western vs. Eastern Thought
So how does Western medicine treat this painful, debilitating disease? Since the cause is unknown, standard medical therapy works by treating the symptoms - often times successfully. Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) are often well tolerated and inexpensive.
If these drugs are not effective, corticosteroids are prescribed, with prednisone the most frequently prescribed oral corticosteroid. This drug is very effective in the short term in reducing the inflammatory response, but long-term use generally causes more harmful side effects than benefits. Long-term use suppresses the natural production of the corticosteroids by the adrenal glands, and sudden withdrawal of the drugs may lead to collapse, coma and death. Other side effects, over a protracted period of time, may include: depression and other mental/emotional disturbances (this occurs in 57 percent of patients being treated with high doses of prednisone over a long period of time); high blood pressure; diabetes; peptic ulcers; acne; excessive facial hair in women; insomnia; muscle cramps and weakness; thinning and weakening of the skin; osteoporosis; and increased susceptibility to the formation of blood clots.
Disease-modifying anti-rheumatic drugs (DMARDs), such as hydroxychloroquine, gold therapy penicillamine, etc., are used to slow joint erosion, but their effectiveness is still unproven. One drug that has proven to be effective in delaying joint damage and reducing the inflammation is methotrexate, a drug commonly prescribed for breast cancer and severe psoriasis. This drug works by inhibiting the body's ability to use folic acid which is required for cell production (which is why it is used in instances of cancer.). In RA, the dosage is much lower than for cancer patients, but the side effects still may include gastrointestinal ulceration and bleeding; mouth and throat ulcers; hair loss; bone marrow suppression; liver, lung, and kidney damage; increased rate of infections; and higher risk for developing cancer.
Dietary considerations are strongly implicated in cases of RA. Some doctors posit that certain diets might even cause RA. It is interesting to note that the incidence of RA is practically non-existent in cultures and societies that eat a more "primitive" diet while it is found at a high rate in societies that eat a Western diet. A diet rich in whole foods, grains, vegetables and fiber and low in refined foods, sugar, and meat provides the best protection against developing RA. A vegetarian diet showed a substantial reduction in inflammation in many patients tested.
Another interesting factor in the development of RA is altered gastrointestinal gut flora. This is linked not only to RA, but other autoimmune diseases as well. Improper digestion is also suspect. Many patients with RA are deficient in digestive factors such as HCl and pancreatic enzymes resulting in incomplete digestion.
The Eastern interpretation of rheumatoid arthritis is quite different than the allopathic point of view. Arthritis is considered to be a "bi-syndrome" (pronounced "bee") which is a disorder resulting from blocked energy channels, the sluggishness of qi and blood circulation after wind, cold, dampness or heat. The symptoms of bi-syndrome are pain, numbness and heaviness of muscles, tendons and joints, joint swelling, hotness, and limited range of motion.
The wind-dampness-heat type of bi-syndrome is differentiated from the wind-cold-dampness type by its joint redness, swelling, hotness, and pain. An acupuncturist can determine the type of bi-syndrome it is and either disperse the wind and cold, dredge the meridians, and eliminate the dampness, or warm the meridians, disperse the wind and cold, and eliminate the dampness.
Chinese herbs may also be prescribed to support the related organs, nourish the blood and connective tissues, and eliminate the inflammation.
Massage & RA
Massage is never performed in cases of acute inflammatory RA, but can be very effective once the inflammation is controlled. A study by Field, Hernandez-Reif, Seligman, et al (1997) with children with mild to moderate juvenile RA showed that after the parents massaged their children 15 minutes a day for 30 days and a control group practiced relaxation therapy, the massaged group reported less stress and anxiety, less pain, and improved motor activities.
After including regular acupuncture, chiropractic care, dietary restrictions, herbal remedies, and stretching as part of my treatment along with proper medication, I am back on track. Perhaps not as agile and fluid as I once was (who is?), but I've got it under control. And I hope that this episode was my only one...one can hope.
Author note: I want to say a special "thank you" to Kellie White, senior editor, and Kelly Milford, editor, Elsevier Publishing, for their help in researching this article.
Click here for previous articles by Elaine Stillerman, LMT.
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