resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
February, 2013, Vol. 13, Issue 02
Supplementation: Is It Necessary?
By Keri Marshall, MS, ND
Your need to supplement or fortify your diet depends on many factors. If everyone ate a healthy diet full of fruits, vegetables, whole grains, organic dairy products and cold-water fish every day, there may not be a need to supplement the diet with vitamins and minerals.If everyone got plenty of exercise outside with regular exposure to sunlight, there may not be a need to supplement the diet. Unfortunately, this just isn't the case. Our busy lives prevent us from eating the diet we wish we could and from getting exercise outside, often leaving us depleted of vital nutrients.
Keeping your immune system strong and resilient by maintaining a proper diet, nutrition and exercise can be hard for any massage therapist, as well as for their clients. For those whose dietary needs are not being met, supplementation can be of great support to maintain optimal health. If your health is compromised or your vitality is depleted by stress or illness, then you may also be able to benefit from specific supplements.
The question is, just how many people are using dietary supplements regularly to maintain health? According to an October 2012 survey by the Council for Responsible Nutrition (CRN), 68% of American adults now take dietary supplements, with multivitamins being the most popular. Forty-nine percent of all adults report taking multivitamins, with 71% of supplement users reporting that they take a multivitamin in general, and 53% report taking a multivitamin daily. While the majority of supplement users take a multivitamin, at least 23% are taking a fish oil supplement.
What Do We Really Need?
Our bodies require essential nutrients and vitamins every day in order to function normally. Without them, our bodies begin to accumulate molecular and biochemical byproducts, such as free radicals, that may cause damage to our cells. The human body is hardwired with innate mechanisms to repair itself and return to homeostasis if fed a variety of nutrients to keep the engine running. Giving the body the nutrition it needs to carry out these functions can have a significant impact on delaying the aging process and achieving a longer, healthier and happier life.
One of the most important things you can do for your health is to eat a variety of fruits and vegetables every day. In fact, you should aim for between seven to nine servings a day. But ... not everyone eats even close to this amount of healthy plant matter and, as a result, may have difficulty obtaining all of the vitamins and minerals they need to maintain optimal health.
Many of us have heard the cliché that we should eat from the rainbow, but may not really understand what it means. Fruits and vegetables come in a wide range of colors and each of those individually colored foods has a unique phytochemical profile with an array of nutrients. For example, blue and purple foods are rich in an antioxidant nutrient called anthocyanins, which help support heart health and optimize immune function. Orange fruits and vegetables contain carotenoids, which help the eyes, heart, mucous membranes and promote healthy joints.
Most Americans are not getting enough fruits and veggies and follow more of what we call "The Western Diet," which is high in "bad" fats, sugar, white flour products and fried foods. It does not provide a variety of foods nor does it provide nutritionally dense foods. And, for some with lactose intolerance or other food intolerances, vital nutrients may be limited unless there is dietary supplementation.
Conventionally grown foods today are also to blame for providing fewer nutrients than they used to due to poor soils and growing processes. So, you may be trying to eat all the right things, yet still come up short because the foods are not as nutrient-dense as you might assume.
Even more worrisome is 100% of the vitamins and minerals we eat, either through food or supplementation, are not absorbed by the body. The excess gets removed via urine and other means of excretion. Because of all of these factors combined, I would absolutely recommend to my patients that they take a daily multi-vitamin/mineral supplement.
What About Fat?
The typical Western diet is highly deficient in omega-3s, or healthy fats, in large part because people choose to eat foods — often unknowingly — that are concentrated with omega-6 fats. And omega-3 rich foods are often difficult to find. Refined and processed foods, many cooking oils, dressings and overconsumption of corn and soy are the main culprits for increased levels of omega-6 fats in the diet. In and of themselves, omega-6s are not unhealthy, they're just over-consumed, and omega-3s, found primarily in cold-water fish, are under-consumed.
Omega-3s are considered "essential" because they are required for optimal health but cannot be produced by our bodies and, therefore, must be consumed daily through diet or supplementation. All fatty acids we consume reside in our cell membranes, where they impact every biological process in our bodies — such as cell division, circulation and blood pressure. Omega-3s are clinically proven to support the body's natural anti-inflammatory response, which in turn optimizes heart, brain, metabolic, joint and tissue health. With adequate intake of omega-3s, cells function properly, and overall health is supported.
Achieving balanced intake of these fats is important because omega-6s are pro-inflammatory and omega-3s are anti-inflammatory. It is vitally important to ensure balanced intake by limiting omega-6 foods and taking a quality omega-3 fish oil supplement, along with eating a healthy diet including fish. The typical Western diet works against this goal and, as a result, most people do not obtain the suggested daily minimum of 500 mg eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Consumers are searching for a solution to correct this deficiency and purified fish oil supplements are a safe and effective source of these essential omega-3s.
Key to the success of any delivery system for supplementation is palatability. Fishy smell, taste or aftertaste are common deterrents to continued daily use. Research shows that fish oils only smell unpleasant when oxidation has started to degrade the oils' lipids, causing rancidity. Rancid lipids may also contain free radicals that can damage proteins, DNA, and ultimately the cells in the body. Utilization of oxygen-free processing methods, such as the patented systems used by some high-quality companies, protects the oils from oxidation and guarantees an exceptionally fresh product that tastes great and will encourage continued use.
Vitamin D is another nutrient that many people lack, in part because of excessive use of sunscreen, but also because people tend to spend less time outdoors than they used to. Most people can make enough vitamin D by spending at least 15 minutes a day outside, without sunscreen, with a good amount of skin exposed. What this means in practical terms is going for a walk outdoors in shorts and a T-shirt or tank top, without first applying sunscreen. Not everyone can do this for a variety of reasons, although with the exception of seasons and inclement weather, everyone should try to spend at least 15 minutes a day outdoors, weather permitting. The fresh air and bonus of getting exercise are also vitally key to optimal health.
The reality, though, is many of us live in places where we cannot wear shorts year round. For people who live in the beautiful Northwest, sometimes the sun does not shine for weeks on end. In cases such as this, Vitamin D can be a very important nutrient to supplement. I recommend getting a baseline test done by your primary care physician before beginning supplementation, because you then have a baseline number to track for progress. A baseline number also allows you to determine how much you may need to supplement. A recent CRN survey indicates that up to 22% of people take Vitamin D supplements daily to fortify their diet.
How To Choose
But, more than anything, people are easily confused as to how to choose the best quality dietary supplement. Products that are third-party tested are superior to those that aren't. When taking a supplement, you want to be assured that what it says on the label is, in fact, what is in the supplement. Be sure that the company is adhering to Good Manufacturing Practices (GMP) to ensure compliance with industry quality standards and required testing.
Finally, review the ingredients. With a small amount of education, you can spot which are quality products and which are not. Avoid unnecessary binders, fillers, preservatives and additives. Most company websites will help you discern if they have gone out of their way to produce a superior product and if you don't see it, don't be afraid to ask the company for proof of quality. Quality and absorption are key to making sure you get your money's worth to optimize your health!
Dr. Keri Marshall is a licensed Naturopathic doctor who specializes in pediatrics, women's medicine and chronic disease management. A published author and media favorite, Dr. Marshall appears regularly as a scientific and nutrition expert on national radio and TV. She is Chief Medical Officer for Nordic Naturals.
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