A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
July, 2004, Vol. 04, Issue 07
Toxic Brain Injury (Encephalopathy)
By John Upledger, DO, OMM
Health problems that occur secondary to the bodily absorption of toxic substances can come on acutely and result in life-threatening crises, or occur gradually over months or years. When symptoms present themselves one at a time, very slowly, the period of latency or incubation can be extremely variable in length.
During latency, the body's adaptational or defense mechanisms may be countering the effects of the toxic substances as best they can.Yet as toxins gradually overpower these mechanisms, symptoms may begin to appear slowly and increase in intensity as the body's adaptational or defense mechanisms founder and - perhaps - ultimately fail. Usually, acute responses to toxic substances occur either with large-dose exposure or when there is a severe allergic response to the toxin, no matter the dosage. Should the allergic response be severe enough to result in toxic shock, the situation becomes life-threatening.
In the case of slowly progressing symptoms, there may have been an acute dosage of the toxic substance. The body's resistance to the toxin input, however, may have been strong and appropriately tuned in, taking the edge off the exposure and resulting in mild symptoms that may or may not progress. The symptom pattern that progresses in severity over months or years, however, more likely resulted from ongoing exposure to smaller doses of toxic materials. The organs most obviously affected by toxic substances are the lungs, heart, kidneys and liver. Usually, we see less obvious effects in the gastrointestinal tract, pancreas, spleen, and the bones and joints of the musculoskeletal system.
It generally takes longer to recognize the effects of toxic substances on the brain, spinal cord, autonomic nervous system and voluntary peripheral nervous system. The brain seems to be a keen competitor for the title of slowest responder with the most endurance. What we have been calling "senescent changes in brain function due to normal aging processes" may actually be due to slowly advancing toxic brain inflammation. I refer to that as toxic encephalitis, or toxic encephalopathy.
Recently, toxic substances have been traced through the blood-brain barrier into the hypothalamus, and from the hypothalamus into the pituitary gland, where they cause dysfunction. Should the toxicity compromise the posterior pituitary gland, the result can be diabetes insipidus, secondary to dysfunction of the posterior pituitary gland. This posterior part of the pituitary gland produces anti-diuretic hormone. When production of this hormone is curtailed, the tubular reabsorption in the kidneys is impaired.
This situation results in the passage of large amounts of urine, great thirst, and often a voracious appetite. The increased quantities of urine do not contain significant amounts of sugar. Thus, it is differentiated from diabetes mellitus, which is due to a deficiency of insulin, or a problem with insulin receptors in the cell membranes. There are large quantities of sugar in the urine of diabetes mellitus (type I) patients. In type II diabetes (maturity onset), there is also increased urine output that contains significant quantities of sugar (glucose).
It is clear that diabetes insipidus may be caused by toxic substances that were eaten, taken in with water, inhaled, absorbed through the skin, etc., and eventually wound up in the brain and affected the posterior pituitary gland. Presently, there is little, if any, evidence to support the concept that either type I or type II diabetes mellitus is caused by toxic substances, although the possibility may exist.
When toxic substances get into the hypothalamus, there is a strong possibility that they will also get into the anterior pituitary gland, the master gland of the total endocrine system. Imagine that the repetitive inhalation of organic solvents, such as those that vaporize in gasoline fumes and cleaning solutions, may be the underlying cause of anterior pituitary gland dysfunction that might easily result in hypothyroidism (low thyroid); hypoadrenalism (poor adrenal response to emergencies, stresses, etc.); abnormal menstrual cycles; infertility; poor lactation, with the inability to nurse; and poor immune response, resulting in increased vulnerability to infections caused by low-potency bacteria, viruses, fungi, and on and on. Any of these symptoms could result from toxic substance infiltration of the pituitary gland.
Also, consider that these toxic substances probably invaded the hypothalamus of the brain en route to the pituitary gland. What happens when hypothalamic function is disturbed? First, the hypothalamus more or less governs the anterior pituitary gland. It doesn't seem to have much say over the posterior pituitary gland. However, the hypothalamus has a private connecting system with the anterior pituitary, and the highways between the two run both ways.
There are both nerve- and blood-system highways connecting the hypothalamus and anterior pituitary; therefore, they intercommunicate by both nerve impulses and hormonal molecules that are transported through their connecting blood vessels.Besides its influence on menstrual function via the anterior pituitary gland, the hypothalamus also strongly influences appetite and satiation, and a wide range of emotions, including pleasure, aggressiveness and sadness.
Imagine the possibility that being around cleaning solutions that are organic (and many are) and breathing the fumes every few days can affect your emotions; your sexual and reproductive function (including sperm count and vitality); your appetite-satiety balance (and hence your weight); and other functions. Organic solvent fumes can change your whole life, and you wonder how it is happening.
I suspect we should seriously look for ongoing and possibly hidden sources of toxin input. Perhaps if the input is stopped, the body may be able to effectively clear the remaining toxic substances/molecules. I am also sure that CranioSacral Therapy (CST), in conjunction with some other modalities, such as lymph drainage therapy, can assist in the clearing process.
Exercising the craniosacral system enhances the ability of cerebrospinal fluid to flush unwanted toxic materials from the brain and spinal cord tissues. Since it is now known that cerebrospinal fluid carries small molecule-chelating agents, clearly the enhanced flushing may remove unwanted metallic deposits from brain and spinal cord tissues. CST may also remove traumatically induced obstructions related to the meningeal and myofascial systems that interfere with cerebrospinal fluid flow.
All in all, it's better to include a modality in your protocol that stimulates fluid flow and helps flush the tissues than to ignore the body of evidence pertaining to toxic encephalopathy.
For a more in-depth article on toxic encephalopathy, please call 1-800-233-5880 and ask for the Toxic Brain Injury monograph.
Click here for previous articles by John Upledger, DO, OMM.
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