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A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
April, 2012, Vol. 12, Issue 04
Treatment Decisions for Peripheral Neuropathy
By Rita Woods, LMT
First, the physiology and chain of events involved in a glucose-related neuropathy, as with diabetes, is more clearly understood than in some other neuropathies. This makes it easy to see how and why the protocol can be effective. Second, we know from experience that chemotherapy-induced peripheral neuropathy responds well to the massage protocol and is used today in some oncology massage clinics. Both of these conditions require that the underlying cause be eliminated for complete recovery. The glucose levels must be stable to prevent further damage and the chemotherapy must be completed or changed to achieve optimal results. Our work is to return the tissue back to normal (as much as is possible) through increased circulation and the condition will improve or go away. Peripheral neuropathies (PN) come with a variety of causes and in some cases, the cause is not known. Let's take a look at some of them.
About 30% of all PNs are a direct result of diabetes. Another 30% are considered idiopathic, meaning the cause is unknown. The rest fall into several groups and are either acquired (most of them are) or inherited. Presently, there are more than 100 known causes of peripheral neuropathy. The Mayo Clinic provides this list of known causes:
What I found missing from this list was that some medications are known to cause PN in some patients. In particular are the statins – cholesterol lowering drugs. This prompts me to remind you to get a complete medical history that includes a list of medication. Drugs are easy to look up online in order to identify possible side effects. (Please review two articles on this subject, "Chasing the Pain" from the October 2010 and February 2011 issues of Massage Today). To see how this happens, let's remember that a nerve is surrounded by a myelin sheath. Myelin is an insulating layer that forms around nerves and is made up of protein and fatty substances including cholesterol. The purpose of the myelin sheath is to allow impulses to transmit quickly and efficiently along the nerve cells. If myelin is damaged, for whatever reason, the impulses slow down or send imperfect signals that can be interrupted as pain. Stain drugs are developed to reduce cholesterol and in some patients, it prevents the myelin sheath from repairing itself. This reduces its ability to protect the nerve resulting in pain, tingling and numbness of the nerves. This can also affect nerves to internal organs. Do you see how our ability to help that client may be limited because the neuropathy is caused by nerve damage and is not the result of blocked or impaired circulation?
The neuropathies caused by physical trauma or pressure on nerves is really our area of expertise and an area in which can have a positive impact on the client. Repetitive stress often leads to entrapment neuropathies, a special category of compression injury. Cumulative damage can result from repetitive, forceful, awkward activities that require flexing of any group of joints for prolonged periods. The resulting irritation may cause ligaments, tendons and muscles to become inflamed and swollen, constricting the narrow passageways through which some nerves pass. Carpal tunnel syndrome is a good example of this kind of neuropathy. Remember to think it through. If the underlying cause falls within our scope of practice, then you may be able to have a positive outcome. If not, give what supportive care you can but be careful not to give false hope to the client. Help them to understand their condition and develop a treatment plan that you will both be happy with.
Click here for previous articles by Rita Woods, LMT.
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