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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).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
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.
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.
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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
November, 2013, Vol. 13, Issue 11
Healing with Simple, Healthy Food
By Aimée Gould Shunney, ND
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As massage therapists, you know the power that regular self-care has for your clients.When they make time for stress reduction, keep to their exercise regimen and eat well, they report less pain, better energy and deeper satisfaction with their lives. Yet these simple dietary and lifestyle measures are often overlooked in conventional medicine.
Nutrition, for example, has somehow become "alternative medicine" to many. What could possibly be more fundamental to health than the food we put into our bodies? As a naturopathic physician, diet is an integral part of every treatment plan I create. Whether a patient comes in for aches and pains, hormone imbalance, depression or elevated cholesterol, proper nutrition is essential to helping them reach their unique health goals. While there are many "super foods" available to us, I find that there are five food groups I repeatedly recommend for their stellar nutritional performance. Be sure your clients (not to mention you and your family) eat plenty of these foods to feel great today and reduce the risk for chronic disease tomorrow.
Eat a Rainbow
You can actually follow the rainbow on your plate to the pot of gold at the end. As luck would have it, eating a diet rich in fruits and vegetables is your best bet for reducing your risk for virtually every chronic disease. In addition to the vitamins and minerals in these foods that provide nutritional support for optimal function, research has shown they also contain phytochemicals that include pigments such as carotenes, chlorophyll and flavonoids, which have potent health effects including protection against cancer.
By filling your plate with a variety of colors including red, orange, yellow, green, blue and purple, you'll be giving your body the full spectrum of pigments, each with their own powerful antioxidant effects and health benefits. Some highlights worth mentioning are sweet potatoes, berries and dark-green leafy vegetables.
Sweet potatoes are very high in vitamin C and beta-carotene, a safe-to-consume version of vitamin A. Higher dietary intake of carotenes have been shown to reduce the risk for certain cancers, heart disease and eye issues. Unlike many other starchy vegetables, sweet potatoes have actually been shown to help stabilize blood sugar and are, therefore, a delicious treat for those trying to control diabetes or lose weight.
The reds, blues and purples of berries indicate their high flavonoid content. In addition to their potent antioxidant effects, flavonoids have impressive anti-inflammatory, anti-allergic, antiviral and anticancer properties. Berries are a great way to make your morning smoothie delicious (try adding organic frozen berries) and, like sweet potatoes, are a healthy sweet for those watching their blood sugar.
Dark-green leafy vegetables are a great source of calcium, in addition to containing both carotenes and flavonoids. Many of these – kale, collards, broccoli, Brussels sprouts, mustard greens – are also part of the cruciferous vegetable family. These foods are worth special mention because they have more phytochemicals with demonstrated anticancer effect than any other food family.
Preliminary studies suggest the average person would need to eat about 2 pounds of broccoli (or other cruciferous veggies) per week to see significant cancer risk reduction. Since the cancer-fighting compounds are more concentrated in the less-mature plants, the same reduction in risk theoretically might be seen with just a little over an ounce of broccoli sprouts each week.
Look for them at the farmer's market or next to the alfalfa sprouts at your local health food store. Cruciferous vegetables are also formidable antioxidants that improve the body's ability to detoxify, support estrogen metabolism and help eliminate toxins.
The Power of Fish
Fish contain long-chain omega-3 fats called EPA and DHA. These essential fats must be taken in from our food, as we don't make them ourselves. As it turns out, these omega-3s are incredibly important for every aspect of our health, especially when it comes to decreasing chronic inflammation in the body and therefore, reducing our risk for chronic diseases like heart disease, diabetes and cancer – the top three killers in the U.S. Omega-3s have also been shown to support mood and memory, reduce allergies and decrease pain.
When I was in medical school, I was taught that omega-3s could be supplemented as fish or flax (walnuts, hemp, chia, etc.). Research in the past 15 years, however, has shown that we don't reliably convert the short-chain omega-3 fats found in plant sources to the long-chain EPA and DHA that have been so well-studied for their health benefits. To get a reliable source of EPA and DHA, you need to eat fish or take a pharmaceutical-grade fish or algae oil supplement.
In addition to the omega-3s in fish, it is an excellent source of protein and dense nutrition including the minerals iodine and selenium. Wild Alaskan salmon, sardines, anchovies, herring, mackerel and Arctic cod are among the fish that pack the best omega-3 punch.
Most people need at least one serving of fish daily to balance their omega-6 fat intake (another essential fat with equally important, but pro-inflammatory effects that is found in meat, dairy and vegetable oils); and frankly, many people require more. In this case, supplementation is often necessary. I generally recommend 1,200 mg to 1,500 mg combined EPA+DHA daily, although I often dose higher amounts based on the person's diet and general health issues.
These foods provide live CFUs (colony- forming units) for the gut. These beneficial bacteria help prevent bacterial and yeast overgrowth, support digestion of fiber, promote bowel regularity and enhance immune function. Recent research even suggests balanced gut flora positively impacts mood. You can consider taking a probiotic supplement, but eating fermented foods like yogurt (look for those containing live cultures), sauerkraut, kimchee, miso, tempeh and kombucha can also add a delicious twist to your diet while promoting optimal health.
Do you know that we don't make a single mineral in our bodies? That means we have to get them from our food. Sea vegetables or seaweed have many times more mineral content than land vegetables, offering the broadest range of minerals of any food. They also contain lignans that have anticancer and hormone-balancing properties and fucans, which can reduce the body's inflammatory response.
Easy ways to get sea vegetables include eating sushi or buying nori sheets and eating them as snacks or as a "tortilla" to wrap hummus, black bean dip and/or cut veggies. You can also cook beans, soups and stews with kombu and then discard it when done. The minerals will get infused into the food (which will also make beans, etc., easier to digest). Lastly, you can use kelp flakes as a condiment to sprinkle on your food instead of salt.
Cooking with spices to improve the taste of your food can also provide potent health benefits. Cayenne is an effective pain reliever, helps digestion and supports a healthy heart. Cinnamon has been shown to help reduce fasting blood sugar, triglycerides and cholesterol. Ginger is a powerful digestive aid and a potent anti-inflammatory. It has also been shown to decrease nausea and alleviate menstrual cramps.
Turmeric packs a hefty antioxidant punch and has been shown in many studies to reduce inflammation. It holds promise for both the prevention and treatment of various cancers, as well as in the prevention of heart disease and as a brain-protective agent. And of course, don't forget garlic and onions, which reduce inflammation, support heart health and promote healthy detoxification. Figuring out how to integrate these foods into your daily life is key.
Dr. Aimée Shunney is in private practice in Santa Cruz and Campbell, Calif., where she blends conventional medical diagnosis and treatment with the use of natural therapeutics. Dr. Shunney specializes in women's health, functional endocrinology and family medicine. She is also co-host of "Green Tea & Honey," a podcast about integrative medicine, delicious food and the joys of eating; and co-creator of Cleanse Organic, a 28-day fully supported whole-foods cleansing program designed to optimize health and create sustainable healthy living choices. She currently serves on the Nordic Naturals Advisory Board. Visit www.drshunney.com to learn more.
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