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Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
August, 2013, Vol. 13, Issue 08
The Most Important Piece of the Nutrition Puzzle
By Christopher Mohr, PhD, RD
I was sitting in an airplane in Newark, New Jersey, awaiting take off for an 18-hour international flight to Singapore. Aside from the obvious need for a personal massage therapist to help me recover from my trip across the world, there was something else that stood out to me on that particular flight.
It had nothing to do with flying itself, but rather with something the flight attendant said during the safety speech before we took off. "In the unlikely event of an emergency, if you're traveling with an infant or someone who needs assistance, please put on your oxygen mask first, before helping them." The last part — "put on your oxygen mask first" — resonated with me.
When I think about massage therapists, this message can't be overstated. Your job is to make people feel better. Too often, you are so busy giving to others, you put yourself on the back burner and forget to take of yourself. We could go on about different ways of taking care of yourself, from regular exercise to eating well, getting enough sleep to benefiting from massages yourself. But there's another piece to this "health" puzzle that is often forgotten.
More specific than the blanket message of "eating well," is focusing on the quality of the foods you eat. People often demonize whole categories of foods saying, "carbohydrates are bad," or, "fats are bad." It's important to look at the unique qualities of individual foods, rather than categorize an entire food group as "good" or "bad." After all, soda is a carbohydrate. So are apples and broccoli. Shortening is fat. So are olive oil and fish oil. You get the point.
There are certainly big differences among all of them. The quality of the foods you eat is the most important piece to the eating puzzle. So let's focus on some details that will shed some more light on this topic. More specifically, let's put the focus on fat, a macro-nutrient that certainly has taken its fair share of hits.
A Primer on Fat
There are many different types of fats in the diet, so it's first important to provide a quick overview:
Let's start at the beginning. How much should we eat? Currently, the Institute of Medicine recommends eating 20% to 35% of total calories from fat, which means around 40 to 70 total grams for the "average" 2000 calorie-a-day diet that often is recommended. To boil that down even further, here is a short list of common sources of fat in the diet and how much a serving provides:
Looking at that chart, you'll notice the servings of food range from 8 grams of fat up to 14 grams of fat. Of course, other foods may provide more or less. With this particular example though, it doesn't mean since cheese is lower in fat than salmon or olive oil, it's "better." In fact, quite the opposite is true. While I think cheese is fantastic, salmon and olive oil are healthier sources of fat. Salmon, in particular, has a unique type of fat that may just very well make you feel better, think more clearly and be better at your job by lubricating your joints and keeping inflammation under control. Again, you're giving massages all day, so you need to keep those joints lubricated and hands and muscles feeling great. More on that in a bit.
Different Types of Fat
Saturated Fat (SFA): Saturated fats are easy to identify because they are solid at room temperature (butter, shortening, animal fats, coconut, coconut oil, etc.). Not all saturated fats are created equal. In general, it's good to keep your intake to about one-third of your total fat intake.
Monounsaturated fat (MUFA) (mono, meaning one): Monounsaturated fats are liquid at room temperature (olive oil, canola oil, avocado, nuts, etc.). These types of fats get a lot of attention because they're closely tied to health, particularly heart health. The Mediterranean Diet is high in monounsaturated fats, which is one reason most studies give it so much positive support. Like saturated fat, intake should be around one-third of total intake.
Polyunsaturated fat (PUFA) (poly, meaning many): Polyunsaturated fats are also liquid at room temperature (fish oil, fish, flax oil/seed, nuts, etc.). These foods contain omega-3 and omega-6 fats, known as essential fatty acids or essential fats. They are called "essential" because our bodies need them for optimal health. Because our bodies cannot make them, we must get them from the diet. To round out the three sources listed, total intake should be around one-third of polyunsaturated fat calories as well.
Essential Fatty Acids
I'd like to focus on the essential fats — omega 3s in particular. You'll want to pay close attention here, because as a massage therapist, including more omega-3 fats in your diet can certainly help you feel and move better. Remember, both omega-3 fats and omega-6 fats are essential. The best sources of omega-3 fats are from fish and a quality fish oil supplement. Omega-6 fats are in vegetable oils, like soybean and corn oil, and in most of the processed foods we eat.
Notice the difference. Though both omega-3 and omega-6 fats are essential, we typically get plenty of the latter (processed foods and vegetable oils), yet not enough omega-3s (fish and/or quality fish oil). This causes an imbalance between the two, which can lead to inflammation. Inflammation can affect your joints, your skin and your overall health in a significant way. The question then, is how to change this unhealthy balance of omega-3 fats and omega-6 fats?
The answer lies within the foods you eat each day. To simplify the question of what to eat, I created a basic table.
Time for An Oil Change
In addition to knowing what to eat, it's important to understand why. Feeling better and having better mobility with your joints and hands, which is, of course a necessary part of your job and lifestyle, are just the beginning. There are many other benefits to "changing your oil."
Can Omega-3s Boost Fat Loss?
A study published in the American Journal of Clinical Nutrition, showed that when adding a daily omega-3 dietary supplement to an aerobic activity based weight-loss program, there was an improvement in health outcomes and fat loss. This is certainly an important consideration.
Will Omega-3s Help My Joints Feel Better?
Researchers at the Institute of Human Nutrition in the United Kingdom showed that the anti-inflammatory actions of omega-3 fatty acids might actually be therapeutic in conditions with an acute or chronic inflammatory component. Thinking about your chosen profession, massage therapy requires a lot of strength, flexibility and mobility in your joints. Of course, exercise is important for these benefits, too, but complementing the health benefits of exercise with essential omega-3 fats, may work together for optimal health and keep inflammation under control.
List of Benefits
Much of the benefit from eating omega-3 fats appears to be in reducing inflammation in the body. This can directly impact you, your recovery from your job and your overall health. Though there are currently 19,546 studies (and counting) to date about omega-3 fats, focusing on just a few of the benefits is important to highlight just how "essential" essential fats really are.
What Can You Do?
The American Heart Association's recommendations are to eat 12 ounces of fatty fish (salmon, tuna, sardines, etc.) each week. In addition, there are certainly plenty of data, governing bodies and experts that support supplementing fish intake with the purest omega-3 fish oil available.
Remembering what the flight attendant shared with us on the plane, "In the unlikely event of an emergency, if you're traveling with an infant or someone who needs assistance, please put on your oxygen mask first, before helping them." You need to make sure you take care of YOU, so you can better help your clients take care of themselves.
Dr. Christopher Mohr, PhD, RD, is a nutrition spokesperson and consultant to a number of media outlets. He is also the Sports Nutritionist for Under Armour's TNP Training Council. His weekly health segment can be heard on WHAS radio in Louisville and he often appears on television as a nutritional guest expert. He is a sought out nutrition expert who has written more than 500 articles for consumer publications such as Men's Fitness, Weight Watchers, Men's Health and Fitness, to name a few. Dr. Mohr serves on the Nordic Naturals Board of Advisors.
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