Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
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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