resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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."
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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 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.
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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