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Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
August, 2012, Vol. 12, Issue 08
The Importance of Water, Part 1
By Ben Benjamin, PhD
Co-authored by Lois Orth-Zitoli
Most of us are aware of the importance of drinking water. Water is second only to air in importance for life. We can survive many days or even weeks without food, but we can only survive a few days without water.Getting your daily requirement of water helps your organs function, keeps your skin clear and hydrated, and supports the body's digestion, assimilation of nutrients and elimination of toxins. It also makes your body less vulnerable to injury. Unfortunately, the body's need for water and its importance for health are often overlooked. Your water intake is critical to good health. Let's explore the many functions of water in the body and give you supportive information to use and share with your clients.
Did you know that 60% to 75% of your total body weight is water? Most people know that the blood, lymph, urine, sweat and tears are mostly water. However, many of us do not realize that the lungs are 90% water; the brain 76% and even the bones are 25% water. Sixty-seven percent of the water in the body is inside the cell. The other 33% is outside the cells in the extra cellular fluid. This fluid surrounds the cells and is found in the blood, lymph, spinal fluid and joint spaces.
Water has many functions in the body. It is the medium by which nutrients are delivered to tissues and unwanted waste is carried away. It is also the medium in which all chemical reactions take place within the cells, and therefore, greatly influences cell function. Water also serves as a cushion and lubricant for our spine and other joints.
Most individuals lose between 10 and 16 cups of water per day. This loss is in sweat, urine, feces, in the air we exhale, and via direct evaporation from our skin. During exercise in a warm climate, as much as eight cups of water can be lost in one hour. When the heat of summer descends, it's a good time to remind ourselves to increase our water intake to compensate for more water lost through physical activity and time spent in the sun.
The loss of body water through urination is greatly increased by the ingestion of caffienated and alcoholic beverages. These drinks have a diuretic effect, meaning they stimulate the kidneys to excrete more urine. Not only do we lose more water, we also lose water-soluble vitamins such as vitamin C, vitamin B1 (thiamine) and other B complex vitamins. There is also increased excretion of calcium, magnesium, potassium, sodium, chloride and zinc. (For more information about the negative effects of caffeine please see the side bar.)
Negative Effects of caffeine
A high intake of caffeine has been linked to anxiety, insomnia, elevated blood pressure, heart palpitations, headaches, fibrocystic breast disease, diarrhea, increased stomach acidity and ulcers, birth defects and miscarriages. Long-term use of caffeine will cause overworked and weakened adrenals, which may lead to depression and chronic fatigue.
Tolerance for caffeine varies greatly. Some individuals can tolerate as much as 500 mg of caffeine per day, equivalent to 5+ cups of coffee. Other people cannot tolerate even one cup of green tea, which contains approximately 35 mg of caffeine. This intolerance is often due to decreased capacity of the liver to clear caffeine from the body. If any symptoms of excess caffeine consumption are present or pregnancy is planned, caffeine should be eliminated from the diet. Otherwise, intake of caffeine should be limited to less than 100 mg per day, the equivalent of one cup of coffee, and then only if your body is in excellent health. Besides coffee and tea, caffeine is present in soda, chocolate, aspirin and other drugs such as Fiorinal, Vivarin, NoDoz and Dexatrim.
Water From Other Sources
A diet containing lots of fruits and vegetables will supply about four cups of water per day. Even with a diet high in fruits and vegetables, it is still necessary to drink an additional six to eight cups of water per day to supply enough water to meet the body's daily needs. For every caffeinated or alcoholic beverage you drink, you need to add an additional glass of pure water.
Insufficient water intake results in less than optimal intra-cellular water volume and reduced cell function. This greatly diminishes the body's ability to heal damaged tissues from injury and maintain optimal health. F. Batmanghelidj, MD, the author of Your Body's Many Cries for Water, has successfully treated many diagnosed diseases, i.e., peptic ulcers, colitis, hypertension, rheumatoid arthritis, chronic back and neck pain, anxiety, depression, chronic fatigue, high cholesterol, asthma, allergies and diabetes, with just increased and regular intake of water.
According to Dr. Batmanghelidj, dry mouth is the last sign of inadequate cellular water. When the thirst signals produced by the body are ignored or are responded to with intake of beverages other than water such as soda, coffee, tea or concentrated fruit juice, eventually the body stops providing the sensation of thirst. It often requires drinking water regularly throughout the day (even if you are not thirsty) for as long as six to eight months for the normal thirst signals to return and for people to reacquire a taste for water. It can take up to a year or longer to rehydrate your tissues. The sensation of thirst also diminishes has we age. Therefore, it is very important for the elderly to acquire a "habit" of drinking adequate water to avoid cellular dehydration and subsequent health problems.
Author's Note: This article was adapted from an article by Joy Bicknell and Ben Benjamin.
Lois Orth-Zitoli, of Full Circle Health, maintains a private practice in massage therapy and health/nutrition coaching in Chicago. She is a graduate of the Institute for Integrative Nutrition in New York City. Lois leads workshops on nutrition, coaches both individuals and groups, and teaches healthy cooking classes. She can be reached at .
Click here for more information about Ben Benjamin, PhD.
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