Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
March, 2006, Vol. 06, Issue 03
Celiac Disease, Part 1: What Is Going On Here?
By Ruth Werner, LMP, NCTMB
One of the interesting aspects of my job is that I get to keep my ear to the ground to find out what is being discussed as the "disease of the week." Celiac disease, also called celiac sprue, has been garnering a lot of attention recently.It's a surprisingly common digestive disorder that has many confusing signs and symptoms that overlap some of the most common conditions our clients deal with. This is the first of a two-part article on the specific information currently available about celiac disease.
When I asked readers about their experiences with this problem, I got some heartfelt responses I felt could be of general interest. Here are some samples:
From a therapist in Colorado:
From another in Virginia:
These therapists have identified one of the most frustrating situations for people who live with long-term, low-grade, "I know I could feel better than this" kinds of conditions. The overlap in symptomatology between celiac sprue, fibromyalgia, chronic fatigue syndrome, hypothyroidism, metabolic syndrome, depression, candida, and half a dozen other common complaints makes wading through the possibilities a daunting task. Furthermore, any combination of these disorders can occur simultaneously. Add a medical community that is only now awakening to the subtleties of many of these disorders, and it's clear why so many people miss out on accurate diagnoses and useful treatment options.
Celiac disease is unique among these disorders, however, because of the way it affects the body, and strategies to reverse the damage are relatively clear-cut. Read on for the details.
What Is Celiac Disease?
Celiac disease, also called sprue or gluten-sensitivity enteropathy, is a condition in which the intestinal villi are damaged as part of an immune system reaction in the presence of gluten. Gluten is a protein present in wheat, rye, barley, spelt, triticale, kamut and other grains. Amaranth, buckwheat and quinoa don't have gluten, but they are often stored in containers where gluten-containing grains have been stored, so many people are sensitive to them as well. Gluten is used as a thickener or binder in prepared foods, makeup, vitamins and other pills. Oats don't have gluten, but they do have gluten-like proteins. Some people with celiac disease are sensitive to oats as well, but this is not true for every patient.
The incidence of celiac disease in the U.S. is a topic of some controversy. While once considered rare and diagnosed only in its most extreme form among infants who failed to thrive, recent studies indicate it might affect about one out of every 133 people. Not everyone has it in an extreme form, and many adults find that symptoms only develop after a traumatic event, such as an injury, childbirth or surgery. A genetic link for celiac disease is clear; it occurs in 5 percent to 10 percent of all first-degree relatives (children, parents, siblings) of diagnosed people.
When a person has celiac disease, the gluten in triggering foods is broken into its components, including an amino acid chain called gliadin. The absorption of gliadin in the small intestine triggers an inflammatory response that damages or completely disables the villi. The lack of functioning villi results in problems with the absorption of any nutrient - not just gluten products. Poor uptake leads to signs of malabsorption and malnutrition, although the diet of a person with celiac disease may be identical to that of someone who is healthy. Many people with celiac disease have a particular sensitivity to dairy products; they might be diagnosed as "lactose intolerant," while missing the larger problem.
Celiac disease frequently occurs concurrently with other autoimmune disorders, including lupus, rheumatoid arthritis and type 1 diabetes.
In addition, many people with celiac disease develop a painful rash called dermatitis herpetiformis ("skin inflammation that looks like herpes") and mouth sores called aphthous stomatitis ("inflamed mouth ulcers").
To be continued ...
In Celiac Disease, Part 2, we will discuss the symptoms and complications of celiac disease, the very hopeful and positive prognosis for this disorder, and the special role of massage in the context of gastrointestinal problems in general. In the meantime, if you have other experiences with celiac disease that you'd like to share with Massage Today readers, by all means write and let me know: What's on your table?
Many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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