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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
October, 2010, Vol. 10, Issue 10
Premature Ovarian Failure (POF)
By Elaine Stillerman, LMT
The New York Times recently cited a 2008 report which showed that birth rates for women over 40 years of age rose 4 percent over the previous year and a 2009 survey indicated that 14 percent of people in their prime childbearing years decided to delay becoming pregnant due to the economic recession. For some of these women, this decision may have dire consequences on future pregnancies.
For nearly 1 in 1,000 women (1 percent to 4 percent, or 250,000 to 1 million) between ages 15-29 years old who delay pregnancy, it may already be too late. These women may have a condition called premature ovarian failure (POF). It is also referred to as primary ovarian insufficiency, premature menopause, or hypergonadotropic amenorrhea.
When girls are born, we generally have enough eggs in our ovaries to menstruate monthly from puberty until the supply is depleted and menopause ensues. But in women with POF, there either aren't enough eggs at birth or there is something genetically wrong or dysfunctional with the ones they have. (There is also a possibility of surgical intervention, such as removal of the ovaries, and radiation or chemotherapy that can bring on early menopause.)
When this occurs at an early age, it is considered a natural, yet premature menopause and the symptoms are the same as in older women: cessation of menstruation, hot flashes, night sweats, decrease in breast size (or lack of breast development in puberty), vaginal dryness, mood swings, loss of energy, dry eyes, low sex drive, painful sex, bladder control problems, and insomnia. While these symptoms usually accompany POF, some women with the condition have periods and hot flashes, or no periods and no other symptoms.
A simple blood test to check the levels of FSH (follicle-stimulating hormone) can indicate the presence of POF. High levels of FSH usually confirm the diagnosis. However, that same blood sample can be used to test for other genetic causes of POF, and these should not be overlooked. A positive result for any genetic causes may have a significant effect on the carrier's long-term health, if not her immediate fertility.
Genetic or chromosomal causes of POF may include: Turner syndrome (the absence of two functioning X chromosomes affecting 1 in 2,500 women), Swyer syndrome (a condition also called XY gonadal dysgenesis or the lack of functioning gonads), Androgen Insensitivity syndrome, or premutation of Fragile X (the most common inherited cause of cognitive impairment, global developmental delays, seizure disorders, carried by 1 in 259 women worldwide [and 1 in 800 men]. Approximately 20 percent of women who carry the defective gene have POF).
There may be a family history of early menopause or some enzymatic or metabolic defects such as galactosemia (when the body is unable to metabolize galactose), thalassemia major (an inherited blood disorder where the body makes an abnormal form of hemoglobin), or hemochromatosis (wherein the body cannot break down iron and blood levels escalate).
Autoimmune diseases may also be causative for POF: thyroid dysfunction, rheumatoid arthritis, polyglandular failure I and II, diabetes, pernicious anemia, adrenal insufficiency, vitiligo, and lupus erythematosus.
But missing a period and its fertility sequelae are only part of the concern with POF. Women with POF are at higher risk for osteoporosis and heart disease. And of course, infertility, although 6 percent to 8 percent of women with POF can become pregnant.
The current medical treatment for POF is hormone replacement therapy (HRT). The dose generally starts out low to give the woman's body a chance to acclimate itself. Then the dose is gradually increased to a level higher than menopausal women. Sometimes birth control pills are prescribed in lieu of hormone replacement therapy. About 1-2 months after the start of HRT, a menstrual cycle may begin, accompanied by increased breast size, cramps, and even PMS.
Acupuncture and massage can have palliative effects on the symptoms of POF, helping reduce the discomforts associated with this condition. Points that support the reproductive system and hormone production are very useful.
Having a baby is still not out of the question, however. IVF with donor eggs may work for some women, while adoption may be the better choice for others. And while there is no current cure, support groups can be a great help and benefit. With so many young women experiencing this dramatic change in their lives, it's wonderful to know you are not alone.
Click here for previous articles by Elaine Stillerman, LMT.
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