Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
December, 2011, Vol. 11, Issue 12
The Importance of Sleep
By Sharon Puszko, PhD, LMT
Let's be honest, when was the last time you heard someone say, "I got such a good night's sleep. I feel so energetic and refreshed!"? In my opinion, we should not even need to tell each other we are tired.I believe we have reached the point where being tired is considered normal. When we consider the implications of this fact, we should all be frightened. Missing a couple of hours of sleep here and there throughout the month is nothing to worry about, as long as we make up those hours in the future.
What is happening, and what is cause for alarm, is what researchers call "chronic sleep restriction" or "chronic partial sleep deprivation." These terms refer to people consistently getting less than seven hours of sleep per night, and people suffering from sleep disorders such as sleep apnea or insomnia. The fact that these conditions have become so normal is what makes it hard for people to recognize that sleep may be impacting their lives in a negative way. According to the Institute of Medicine, 50-70 million Americans suffer from a sleep disorder. There also is a relationship between long-term cumulative effects of sleep deprivation and increased risk for hypertension, diabetes, obesity, depression, heart attack and stroke. Especially for practitioners who devote their careers to the wellness of others, it is important to educate yourself on the role sleep plays on your physical and emotional well-being.
Sleep scientists could agree that children might have it right when it comes to the typical response to bedtime: "Why do we have to go to bed? I don't want to go to sleep." The truth is, no one can explain why we need sleep and what exactly sleep does to us. We know that it is necessary for people to function - a human being can go longer without food than it can without sleep - but research has yet to explain exactly what the purpose of sleep is. The field of sleep research is relatively new but even in the short time it has been around it has proven that without sleep, we suffer physically, emotionally and mentally. Some recent studies are shedding new light on what the brain might be doing while we are sleeping. Unlike previous assumptions that sleep is a time for the brain to rest and recover, it appears that the brain is very much active during sleep.
A small group of neuroscientists have been researching the effect of sleep on learning and memory in both animals and humans. Their findings support the theory that sleep plays an important role in helping someone remember new information, from learning new words to mastering a back flip. An article in The New York Times discusses how REM sleep (rapid eye movement), also known as "deep sleep," seems to improve pattern recognition, and the memorization of facts.
On the flip side of this is what scientists are learning about stage two sleep, which usually occurs as people are coming out of deep sleep early in the morning. Dr. Carlyle Smith of Trent University in Canada has found a strong association between improved learning of motor skills and the amount of stage two sleep a person gets. For example, musicians struggling with a particular piece of music performed it better when they were allowed uninterrupted stage two sleep (not waking up earlier than normal). Based on these findings, Dr. Smith believes it is more beneficial to stay up late practicing and sleep in the following morning, when trying to learn motor skills; which, unfortunately, contradicts the training schedule of most sports programs that have athletes rising early to practice.
As massage therapists, this means that when taking continuing education courses or practicing on clients for your licensure exam, you will better remember techniques if you practice in the evening and get a good night's rest the following day, rather than if you were to get up early to start practicing. Likewise, if you have a client who is a musician, designer or athlete that mentions they are struggling with a gross or fine motor skill, sharing this information with them might help them out.
Now that we are beginning to understand the role sleep might play in learning and memory, what can we do about it if we are sleep deprived? I think the first step is to try and get more sleep in your life, whether that is sleeping more at night or adding a nap. I know it is hard with our hectic schedules to guarantee seven to eight hours of sleep a night, but it is truly worth it. Not only will it help your capacity to learn, but it will also diminish your risk for obesity, diabetes, high blood pressure and depression, among other things. It will also improve your technique and give you more energy to see more clients or do something fun during the day. On its website, The National Sleep Foundation has a "white paper" on the ten best things one can do to improve sleep. I have combined and paraphrased these tips for you below. Please feel free to consult the website for all ten tips, as well as any more information you are interested in regarding sleep and sleep disorders. I hope you find this information as useful as I did. Sweet Dreams!
Maintain A Regular Schedule
If you struggle with falling asleep at night or getting up in the morning, one of the most beneficial changes you can make is to wake up at a consistent time every day, regardless of what day it is. Sleeping-in on days off is one of the worst things one can do to help with sleep issues. Our sleep-wake cycle is regulated by a "circadian clock" in our brain and the body's need to balance both sleep time and awake time. A regular waking time in the morning strengthens the circadian function and can help with sleep onset at night.
Create A Sleep-Conducive Environment
One of the most universal indicators for alertness is the presence of light. Adjustments in light have an immediate effect on circadian rhythms, so diminishing the amount of light around you at bedtime naturally induces a more sleepy state. Design your sleep environment to establish the conditions you need for sleep - cool, quiet, dark, comfortable and free of interruptions. Use your bedroom for only sleep and sex. The stimulating effects of TVs and computers in the bedroom hinder sleepiness. Make sure you have a mattress and pillows that are comfortable. If you have a sleeping partner whose sleep needs differ from yours, work together to create an environment that is as conducive as possible to your differing needs. Consider using blackout curtains, eye shades, ear plugs, "white noise," humidifiers, fans and other devices.
Avoid Alcohol, Nicotine, Caffeine And Eating Close To Bedtime
Contrary to popular belief, alcohol actually disrupts your natural sleep patterns. Nicotine and caffeine are both stimulants, which means they make you feel alert. Obviously, this does not help when trying to fall asleep, so refrain from nicotine and caffeine use three to five hours before bedtime. People who are especially sensitive to caffeine can feel the effects for 12 hours after ingesting it, so if you are one of those people, beware of caffeine! Eating and drinking close to bedtime can cause excessive nightime urination, which disrupts sleep. It can also cause heartburn, gas or physical discomfort, so it is best not to eat a substantial amount of food within two hours of going to sleep.
Click here for more information about Sharon Puszko, PhD, LMT.
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