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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
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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