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News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
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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