resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
July, 2010, Vol. 10, Issue 07
Research: Sport, Pelvic Pain and Associated Symptoms
By Leon Chaitow, ND, DO
There is abundant research linking pelvic pain, and associated urinary tract symptoms, with various sporting activities. The studies reported on in this brief review are offered as a caution - particularly against excessive training and sport in early life.
In contrast however, with a few notable exceptions, evidence largely supports the benefits of athletic activities, and the negative long-term effects of inactivity.
Sport and CPP in Men: Pudendal Nerve Issues
Antolak et al (2002) report that chronic pelvic pain (CPP) syndrome is a puzzle that may be explained partly by pudendal nerve entrapment (PNE), which causes neuropathic pain. In men with PNE may involve aberrant development and subsequent malpositioning of the ischial spine as a result of excess athletic activity during youth. The changes appear to occur during the period of development and ossification of the spinous process of the ischium.
Common causative activities include "flexion activities of the hip (sitting, climbing, squatting, cycling, and exercising) induce or aggravate urogenital pain, chronic pelvic pain, or prostatitis-like pain."
Specific sports incorporating these activities involving teenagers and/or young adults include: American football, weight-lifting and wrestling.
Antolak et al suggest that hypertrophy of the muscles of the pelvic floor among young athletes, causes elongation and posterior remodeling of the ischial spine, leading to the sacrospinous ligament rotating, so that the sacrotuberous and sacrospinous ligaments become superimposed over each other. During repetitive squatting activities, or during sitting and rising, stretching of the pudendal nerve occurs over the sacrospinous (SSp) ligament or the ischial spine, with shearing forces on the nerve.
The piriformis muscle may also be involved. Antolak et al note that: "The pudendal nerve exits the pelvis at the inferior aspect of this muscle. In the athlete, flexion and abduction of the thigh are common motions, and they may lead to hypertrophy of the piriformis muscle, causing compression of the pudendal nerve against the posterior edge of the SSp ligament. Pain that suggests this process includes ... that induced during sports activity such as that of a baseball catcher (squatting and then rising to throw the ball - motions that require extension of the gluteus muscles and abduction and extension of the hip)." They suggest that the same principles be investigated in women with pelvic pain, in case their symptoms are "misdiagnosed and inappropriately treated."
Cycling and Genitourinary Symptoms in Men and Women
Leibovitch and Mor (2005) have reported on bicycling related urogenital disorders. They note the following pertinent facts:
Andersen and Bovim (1997) applied a questionnaire to 260 participants in a Norwegian 540 km bicycle race.
Thirty-five of 160 responding males (22%) reported symptoms from the innervation area of the pudendal or cavernous nerves. Thirty-three had genital numbness or hypaesthesia after the race. In 10, the numbness lasted for more than one week. Impotence was reported by 21 (13%) of the males, lasting for more than one week in 11, and for more than one month in three.
Both genital numbness and impotence were correlated with weakness in the hands after the ride, a complaint that in some cases lasted up to eight months. It is suggested that changing hand and body position, restricting the training intensity, and taking ample pauses, may all be necessary to prevent damage to peripheral nerves.
LaSalle et al (1999) reported that the hardness of bicycle seats, and years of cycling, influence lower urinary tract symptoms in women. "The hardness of the bicycle seat increased the incidence of incontinence and other urinary symptoms in females....[possibly] related to the neurologic and vascular stress that hard seats produce on the perineal area."
Sports That Appear to Increase Urinary Incontinence
Thyssen et al (2002) surveyed a total of 291 women with a mean age of 22.8 years. Of these 151 women (51.9%) reported having experienced urine loss, 125 (43%) while participating in their sport and 123 (42%) during daily life. The proportion of urinary leakage in the different sports was:
The activity reported as being the most likely to provoke leakage was jumping.
Osteitis Pubis and Running
Strakowski and Jamil (2006) report on osteitis pubis, "an uncommon cause of pelvic pain in runners". This condition presents insidiously with pain in the hip adductors aggravated by running or pivoting on one leg. The adductor muscles are usually noted as hypertonic, with pain on resisted hip adduction. Tenderness over the pubic symphysis will also be evident. Plain film radiographs commonly reveal sclerosis of the pubic bones, with occasional widening of the symphysis. (Harris and Murray 1974) Treatment includes use of NSAIDS and corticosteroid injections into the symphysis, along with stretching of shortened adductors.
Click here for more information about Leon Chaitow, ND, DO.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.