Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
May, 2013, Vol. 13, Issue 05
The Top 5 Supplements You Need for Self-Care
By Tori Hudson, ND
To propose a mere five supplements for self-care is a presumptuous task. But indeed, those of us in a position to advise others about their health, and offer healing touch, must attend to the proverbial "health thyself," if not heal, at least attend to.Dietary supplements I might recommend in everyday clinical practice depend on a patient's age, family history, medical history, current health issues and any disease burden they already carry, medications, lifestyle habits and personal and economic ability to follow my advice are all front and center variables in how I would approach each situation. With that disclaimer in mind, I offer five supplements that cover a broad range of considerations and what I might assert offer the most bang for the buck and can have some specific connection with a very physical job and close contact with many people. This list includes fish oil, rhodiola, vitamin D, turmeric and echinacea.
It is estimated that approximately 80 percent of Americans consume a diet deficient in essential fatty acids (EFAs). This is thanks to processed foods, high saturated fat diets, higher meat diets and low fish diets. The balance of fats in the typical North American diet is dramatically out of sync with the needs of our bodies. An insufficiency of fish and fish oils in our diet has led to a decrease in our intake of omega-3 fatty acids by 80% during the last century.
EFAs play crucial roles in the body on a minute-by-minute basis. They produce hormone-like compounds (prostaglandins); maintain cell membrane function; regulate pain, inflammation and swelling; dilate and constrict blood vessels; mediate immune response; regulate smooth muscle responses; prevent blood clots; regulate blood pressure and nerve transmission; regulate cholesterol levels; and even much more. Deficiencies of EFAs, which are so vital to many of the body's most basic functions, can lead to many health problems. Diseases linked to EFA deficiency include depression, anxiety, childhood developmental and behavioral problems, rheumatoid arthritis, diabetic neuropathy, cardiovascular disease, osteoporosis, breast cancer, allergies and skin conditions such as eczema.
Supplementing the diet with fish oil supplements has been shown to prevent and/or improve these health issues. The research that is the most robust for fish oils is in heart disease - reducing heart attacks, improving blood pressure, lowering triglycerides, regulating heart rhythms and much more. A high quality fish oil supplement is money well spent and the more you know, the more you will assure a product with proven purity and freshness, adequate concentration of the two fatty acids in the fish oil (EPA and DHA), and dosed according to the specific health needs she has.
Turmeric, or Curcuma long, is a common spice native to India, China and Indonesia. The main constituent group that has been identified in turmeric is polyphenolic curcuminoids, which is what is responsible for the bright yellow pigmentation. The curcuminoids represent 2% to 5% of the root which is 85% curcumin, the most well researched constituent. Properties of the curcumin include antioxidant effects, suppressant effects on mutagens, anti-inflammatory mechanisms, immune influences, inhibition of platelet aggregation and a wide range of cancer prevention actions. Curcumin also has the ability to alter lipids, improve digestion and support liver/gall bladder function. Clinical indications include generalized chronic inflammation, uveitis, chemoprevention with specific abilities to reduce the risk of colorectal and pancreatic cancers as well as multiple myeloma, cardiovascular disease, osteoarthritis, irritable bowel syndrome and gastric ulceration. My main reason for including it in this list of top five self-care supplements is due to its wide range of action and its particular research in improving joint function by improving osteoarthritis pain, stiffness and physical function. Choices of optimal turmeric products should be based on curcuminoid content and demonstration of superior absorption into the blood stream.
Rhodeola rosea, or "golden root," has been used in Eastern Europe, Scandinavia and Asia for centuries. Traditionally, R. rosea was used in folk medicine with a reputation to increase physical endurance, productivity, longevity, resistance to high altitude sickness, fatigue, depression, anemia, impotence, gastrointestinal ailments, infections and disorders of the nervous system. The roots were used as bouquets to enhance fertility in young Siberian couples prior to their marriage. The tea was used for colds and flus during the hard winters in Asia.
The Vikings of Scandinavia used the herb to enhance their physical strength and endurance - something they came to be famous for. All of this folklore first led to investigations of its phytochemistry in the early 1960s that identified adaptogenic compounds in the roots of the plant. These adaptogens, as well as the later discovered antioxidant and stimulating compounds in Rhodiola rosea, are responsible for its medicinal properties. Rosavin is the constituent currently selected for standardization of extracts.
The properties of Rhodiola rosea have been attributed primarily to its influence on the levels and activity of serotonin, dopamine and norepinephrine in the brain. It may be that the plant inhibits the breakdown of these chemicals and facilitates the neurotransmitter transport within the brain. In addition to these effects on the central nervous system, Rhodiola has been reported to increase the chemicals that provide energy to the muscle of the heart and to prevent the depletion of adrenal catecholamines induced by acute stress.
Historically, Rhodiola was observed to act in humans as a tonic, increase attention span, memory and work performance. Two human studies were able to show that individuals with fatigue, irritability, insomnia and decline in work capacity responded favorably to a Rhodiola extract dose of 50 mg three times a day. In one of those studies of 128 patients aged 17 to 55, Rhodiola alleviated fatigue, irritability, distractibility, headache and weakness in 64 percent of the cases. In a study of students, physicians and scientists, Rhodiola was given for 2 to 3 weeks beginning several days before intense intellectual work such as final exams. The extract improved the amount and quality of work and prevented decrease performance due to fatigue. Using Rhodiola during final exams appears to be beneficial as well. Medical students took a Rhodiola extract for 20 days and had significant improvements in mental fatigue, general well-being, final exam grades and physical fitness.
Several studies have shown that Rhodiola increased physical work capacity and significantly shortened the recovery time between bouts of intense exercise. In one study, work capacity was increased by 9 percent and the pulse slowed to normal much more quickly. Biathlon athletes given Rhodiola also have shown statistically significant increased shooting accuracy, less arm tremor and better coordination. Improved recovery time, strength, endurance and cardiovascular measures were also significantly better in those who took Rhodiola. While it is uncertain as to what is responsible for these effects, animal studies suggest that Rhodiola increases essential energy metabolites in the muscle and brain cells.
The reference files that take up the most space in my home library second to fish oils, is vitamin D. Vitamin D deficiency is a very common problem in the U.S., and especially in an aging population. Most of our vitamin D comes from sun exposure, and only a small amount typically obtained from food or supplements. Due to our decreasing exposure to sun, with spending so much time indoors, wearing clothing and/or sunscreen, the majority of us just don't get enough vitamin D anymore, whether we live in Alaska or Arizona.
Vitamin D deficiency is associated with osteoporosis and increased risk fractures. Lower levels of vitamin D is also associated with risks of cancers of the colon, breast and ovary. Vitamin D deficiency has other serious implications and has been associated with several autoimmune diseases, asthma, cognitive decline, depression and even increases in the risk of hypertension and cardiovascular disease. Supplemental vitamin D is being used to prevent and treat osteoporosis, depression, fibromyalgia, multiple sclerosis, breast cancer patients and much more. The most recent Recommended Dietary Allowance (RDA) recommended by the Institute of Medicine is now 600 IU per day for people ages 1 to 70 and 800 IU per day for those 71 and older. The updated safe upper limit is 4,000 IU a day for those 9 years old and above, pregnant or not. Most practitioners and a studious group of consumers realize that there are scores of studies on the many other potential health benefits of vitamin D and more individualized testing and dosing can easily occur.
The reason that Echinacea deserves a spot on the top five list is due to its ability to defend against the common cold and other upper respiratory infections. Several species of Echinacea plant are used to make preparations from its leaves, flowers and/or root. Echinacea can be taken at the first sign of a cold, after cold symptoms already start, or even routinely especially in fall/winter due to the propensity of colds and upper respiratory infections during this time. Modern research demonstrates that Echinacea can have an ability to reduce cold symptoms and shorten the duration of a cold. Echinacea can also be used for many other infections including flus, urinary tract infections, gum disease, tonsillitis, strep infections, skin infections and more. Commercial Echinacea products are available in liquid extracts, herbal tinctures, tablets, capsules and teas. There are nine species of Echinacea but the most common preparations are Echinacea purpurea and Echinacea angustifolia.
These top five supplements of fish oils, vitamin D, turmeric, rhodiola and echinacea can offer a vast and significant array of health benefits. Not only are these five supplements attractive due to the significant research that has been done, they are also appealing due to the broad scope of benefit, safety and reasonable affordability. I encourage all massage practitioners to attend to one's health, not only with important supplements, but the basics of a healthy whole foods diet, regular exercise, rest, stress management, time in nature and fun!
Dr. Tori Hudson is a naturopathic physician, national lecturer, author, award winning researcher and educator with more than 25 years of experience and expertise in women's health. She is currently in private practice serving as the Medical Director of A Woman's Time clinic and is the Program Director at the Institute of Women's Health and Integrative Medicine. Dr. Hudson also serves as a Nordic Naturals Advisory Board Member.
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