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.
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.
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."
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.
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.
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.
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.
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.
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."
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?
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.
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.
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.
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?
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:
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 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.
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.
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).
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.
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.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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 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.
November, 2005, Vol. 05, Issue 11
By John Upledger, DO, OMM
Osteoporosis has become a "popular" problem over the last decade or so. While it's traditionally discussed in terms of post-menopausal women, more recently it's been showing up in increasing numbers of men.It commonly manifests as compression fractures in the spinal vertebrae in the elderly, and seems to relate to declining sex hormones and the inability to exercise the musculoskeletal system at least moderately.
In osteoporosis, we see a demineralization of bone and a reduction of bone mass. The bone itself has a negative calcium balance thought to be caused by hormonal imbalances, inadequate dietary intake of calcium and faulty metabolism of protein, which might be secondary to inadequate protein in the diet. Osteoporosis also might be secondary to the prolonged use of therapeutic steroids or heparin.
While many other causes have been considered, I believe a considerable number of osteoporosis cases fall within an etiologic model that can be effectively treated with CranioSacral Therapy and related techniques.
Osseous tissue constantly is reabsorbed by cells called osteoclasts. In turn, the boney tissue that's reabsorbed continually is replaced by osseous tissues synthesized by cells called osteoblasts. It's estimated that under normal circumstances, our skeletons are totally renewed every 10 years or so, and maybe even remodeled a bit to adapt to the demands of our evolving lifestyles.
However, when osteoclasts reabsorb more bone than osteoblasts replace, we see bone thinning and demineralization known as osteoporosis. If the balance shifts in the opposite direction - if osteoblasts outperform osteoclasts - we see the formation of bone spurs, spinal stenosis, malignant and benign bone tumors and more.
How do osteoclast and osteoblast activities relate to CranioSacral Therapy?
First, CST is aimed at generally mobilizing body fluids, neuronal-impulse conductions, cellular communication and the like. More recently, I've seen CST favorably interact with the immune system and many of its activities.
For instance, a cytokine named interferon beta is produced by a wide variety of immune cells. Interferon beta also inhibits the activity of osteoclasts. So an increased flow of interferon beta gives osteoblasts an opportunity to produce more osseous tissue than what can be reabsorbed in any given time period. This makes the CST approach to enhancing the production of interferon beta a valid treatment for osteoporosis.
The communication between the immune cells and you, the therapeutic facilitator, takes place not only through hands-on work and blending, but also by actually dialoguing with cells and tissues. Remember, intention is everything.
If the problem is overproduction of osseous tissue, the therapeutic approach simply is reversed. I have asked immune cells to reduce the production of interferon beta. I also have asked osteoclasts to reabsorb or liquify abnormal osseous structures that are interfering with the body's health and well-being. The results were well worth the conversation.
It seems almost too simple, I know. But I've seen it work. And why should we discount something just because it's simple?
Click here for previous articles by John Upledger, DO, OMM.
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