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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
September, 2013, Vol. 13, Issue 09
Let Food be Thy Medicine: Diet Plans with a Purpose
By Tina Beaudoin, ND
Every person is unique and as such they will have varying needs based on the individual's genetics and current state of health. Some people prefer to accomplish their health goals through diet and lifestyle alone, while others may opt to rely heavily on supplementation or pharmaceutical interventions.Nutrition, exercise and mental health are important predictors of whether or not you enjoy health and vitality versus illness and lethargy. In terms of nutrition, Hippocrates said it best; "Let food be thy medicine and medicine by thy food." Sleep, hydration and environmental exposures also play a considerable role in wellness, but for the purposes of this discussion, we will explore nutrition and diets that target specific elevated cholesterol and diabetes.
Pop media has shone the spotlight on many fad diets like the Atkins Diet and the South Beach Diet, but there are additional options that can help you target specific health conditions that go beyond the goal of losing weight. For example, the Mediterranean Diet supports cardiovascular health using Mediterranean-style cooking that focuses on primarily plant-based foods as well as fish, poultry and olive oil. There is also the anti-candida diet that eliminates intake of foods that contain yeast and high-glycemic foods to help re-balance intestinal flora. The Elimination Diet is the gold standard when your objective is to identify and remove food sensitivities. The DASH Diet has a list of recommendations to help control elevated blood pressure that focuses on limiting sodium intake while emphasizing vegetables, fruits and low-fat dairy products.
Elevated cholesterol and diabetes are prevalent conditions in which a targeted diet plan can offer tremendous benefit. Nearly 71 million Americans have elevated cholesterol and less than half of them seek treatment. The Center for Disease Control and Prevention reported that more than 16 million people are diagnosed with diabetes in our country. In addition, it is estimated that there are 7 million undiagnosed cases and an astounding 79 million people are considered pre-diabetic. The Portfolio Diet and the Low-Glycemic Index Diet are two great examples of how a targeted diet can help individuals "let food be thy medicine."
The Portfolio Diet is a two-fold plan that is designed to help reduce elevations in cholesterol. In a review of clinical studies, the Portfolio Diet was found to reduce LDL cholesterol by 22% to 30% after one month when all food was provided. A community-based study found a 15% reduction in cholesterol after six months. The first part of the recommendations involves following the Formal Step II dietary guidelines devised from the National Cholesterol Education Project which permits total fat calories to account for less than 30% of total dietary intake with less than 7% from saturated fat and less than 200mg per day of cholesterol.
As the name suggests, the second part of the diet relies on a business strategy of utilizing a diverse array of nutritional "investments" to increase returns. Four specific types of foods encompass the second set of recommendations that include:
Sterols are the cholesterol made by plants that block the absorption of cholesterol in the digestive track. Sterols are found in small amounts in legumes, vegetables, grains, nuts and seeds. To achieve the target recommendation of sterols it will likely be necessary to use supplements or consume sterol fortified foods. Eating a handful of unsalted almonds (as well as cashews or walnuts) is an easy way to incorporate the nut recommendation. Reading labels and enjoying a regular intake of soy and colorful vegetables will help you reach the fiber and soy protein goals.
It does not have the catchiest name but the results are fantastic when lowering blood sugar is your goal. Glycemic index refers to the amount of glucose released into your blood within two hours of a meal. As diabetes mellitus is one of the largest and most costly chronic disease facing Americans, learning to identify and incorporate low glycemic foods into your diet is a healthy step on the road to preventing or managing diabetes.
Foods with a high glycemic index release glucose faster into the bloodstream than low glycemic index foods. A quick rush of sugar into the blood stream puts a strain on the pancreatic cells that secrete insulin. Chronic strain on these cells will lead to decreased production and insulin resistance, precursors to diabetes. Balancing your meals and snacks with a combination of low glycemic-index carbohydrates, fats and proteins will help slow the release of glucose into the blood stream and support healthy blood sugar control.
Most people can guess that maple syrup, honey and high fructose corn syrup are at the high end while lentils, beans and nuts are at the low end of the glycemic index. White rice, breads and pasta are also at the high end of the spectrum along with popcorn and corn flakes. Whole vegetables and legumes nearly all have a low glycemic load with exceptions including white potatoes, corn, carrots and parsnips that are higher glycemic index veggies. Melons, pineapples and grapes are higher glycemic index fruits and should be minimized.
At the onset, it be challenging for individuals to remain compliant on a targeted diet plan. This is especially true when foods seem completely foreign. Consider adding the support of a licensed nutritionist to lend expertise in learning new foods and recipes. There are also low glycemic index applications available for smart phones, as well as numerous sites online to help individuals make sure they are purchasing specific low glycemic and low cholesterol foods. Be sure to enjoy the process by seeking support and keeping an open mind, as there are the many delicious options available.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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