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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.
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.
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.
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?
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
October, 2013, Vol. 13, Issue 10
Nutritional and Supplement Needs Differ with Gender and Age
By Tina Beaudoin, ND
Life is significantly more complicated than it was just a few decades ago and knowing what to eat and what to supplement can be confusing. According to the National Health and Nutrient Examination Survey (NHANES), more than half of Americans report taking one or more supplements.In terms of nutrition and supplementation, there are some universal guidelines, as well as some variations in recommendations based on gender and age. Proteins, fats and carbohydrates are the three basic macronutrients of our diet that should be enjoyed in balanced proportions during meals and snacks. Balance in most endeavors is beneficial and the right balance of certain macro- and micronutrients can change with age, gender and activity level.
Most people think about protein being essential to build strong muscles, but adequate protein intake also influences the production of antibodies, hormones, enzymes, clotting factors and brain chemistry. Protein needs, in terms of grams/kilogram/day, are highest in infants and gradually decrease as age increases. Pregnant and lactating women, as well as athletes, have increased metabolic needs that require additional protein intake.
In private practice, I have many patients that either skip breakfast altogether or opt for just a bagel or muffin. If you aren't able to consume more than a quick carb at breakfast, a protein shake or protein bar is a great way to get what you need to start the day right. Eating a simple carbohydrate at breakfast will give you a brief bump in energy as glucose is quickly released into the bloodstream. The adage, "all that goes up must come down" holds true in this situation. After the initial bump in energy, you then feel a sharp drop in blood sugar, which leaves you feeling tired and lethargic. Having a balanced meal that includes some protein and fats ensures a more gradual release of glucose and nutrients that gives you more consistent energy.
I wouldn't want anyone calling me a "meat head" on the playground, but I would be just fine with receiving the title "fat head." Fats and cholesterol are the essential building blocks of neurons, the individual cells of the nervous system. The recommendations around fat intake vary with age. Children between the ages of 1 and 3 have the highest AMDR (Acceptable Macronutrient Distribution Range) at 30% to 40% of calories per day of total fat. The AMDR is established based on reducing the risk of developing chronic disease while providing adequate intake of essential nutrients. Infants and toddlers have especially high needs for adequate fat intake to support healthy development of their brain and nervous system.
Omega-3's are polyunsaturated fatty acids that have been found to be an especially beneficial fat to both the young and old. Adequate DHA has been shown to offer cognitive benefits during pregnancy and early childhood development. Brain and retinal maturation are optimized with adequate DHA availability during fetal development and infancy. DHA has also been found to be of benefit to elders by providing resistance to the deleterious effects of aging and stress on the brain. Unfortunately, the typical American diet does not provide adequate intake of omega-3's and therefore does not offer an optimal supply of DHA for brain health. Eating a diet rich in walnuts, ground flax, wild-caught fatty marine fish and soybeans will help you enjoy the benefits of this healthy fat. Adding a daily omega-3 supplement is a great option to maintain adequate levels and help ensure that you keep your quick wit and cognitive abilities as you age.
Folate and zinc are great examples of how micronutrient requirements can differ between the sexes. It is not surprising that pregnant women have increased intake needs across the board of most macro and micronutrients. Folate is especially important during fetal development to ensure complete development of the nervous system and decrease the risk of neural tube defects.
The recommendations around zinc increase as you age with slight variations between the sexes. Teenage boys and adult men should consume 11mg daily of zinc daily, which is slightly more than teenage girls at 9mg daily and adult women at 8mg daily. Zinc is not only essential to immune function and our sense of taste and smell, it is vital to the sexual development and fertility of males. Research studies have shown that zinc supplementation produced positive changes in sperm quality and function. Supplementing or a targeted increase of zinc-rich foods (e.g., oysters, pumpkin seeds, and lamb) should also be a consideration for anyone taking thiazide diuretics or ACE-inhibitors, as these medications increase the amount of zinc lost in the urine. If you opt to supplement with zinc for an extended amount of time, you need to add 1-2 mg/day of copper for every 15-30 mg/day of zinc to avoid zinc-induced copper deficiency.
Whether discussing macro or micronutrients, our nutrient needs vary somewhat with age and gender. Eating a whole-food, nutrient-dense diet is a great way to ensure you have what your body needs to stay healthy and vital. Working with a licensed nutritionist or your family doctor can offer additional guidance on which nutrients should not be overlooked to ensure optimal health. When diet is not optimal, there is a growing body of research that has shown how specific supplementation can offer a variety of benefits. Remember that when you look down at your plate, be sure to enjoy a balanced meal with a colorful assortment of vegetables, proteins and healthy fats.
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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