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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2006, Vol. 06, Issue 05
Celiac Disease, Part 2: What Is Going on Here?
By Ruth Werner, LMP, NCTMB
In the March issue (see www.massagetoday.com/archives/2006/03/16.html), I introduced the basic concepts behind celiac disease (also known as celiac sprue), a disorder involving an inflammatory reaction to gluten.When people with celiac disease eat gluten-containing products (which is hard to avoid in processed foods), the body launches an immune response that damages or even destroys the intestinal villi. This makes it impossible to absorb nutrients, not just from gluten-rich foods, but from everything else as well.
One point that came up in reader responses to part 1 of the article was a need to clarify the difference between wheat allergy and gluten sensitivity. A wheat allergy is an immune response to anything with wheat in it; this is typically rare, and is detected in infants and young children who experience inflammatory reactions when they include wheat products in their diet. Gluten sensitivity, by contrast, is a reaction to incompletely broken-down gluten in the GI tract. The symptoms are not immediate, and they are not limited to wheat products, because gluten is found in many other grains as well.
Symptoms and Complications of Celiac Disease
Celiac disease can be mild or severe, depending on the severity of the inflammation and the extent of damage to the villi. Very severe cases are diagnosed in young children as "failure to thrive," since the affected child can derive little value from food. More often, it occurs as a subtler problem that is easily misdiagnosed as irritable bowel syndrome, fibromyalgia, chronic fatigue syndrome, hypothyroidism, lactose intolerance, candida, depression, or other chronic, multi-system conditions. Some people don't develop symptoms until adulthood, often after a stressful trigger such as an infection, surgery or childbirth.
Signs and symptoms of celiac sprue usually are arranged around malabsorption and malnutrition. Pain, gas, bloating and diarrhea are common. Stools tend to be high in volume, oily and very foul smelling. Anemia, irritability, depression, osteoporosis and muscle cramps are other frequent signs or complications of celiac disease; any one of these can be traced to poor absorption of nutrients, including iron, B12 and vitamin D. Poor absorption of folic acid can lead to neural tube defects (i.e., spina bifida) in infants of pregnant women with celiac disease.
Other dangerous complications of celiac disease are associated with chronic inflammation in the GI tract: Adenocarcinoma or lymphadenoma are cancers of the small intestine linked to celiac disease. Non-Hodgkins lymphoma is another type of cancer with a statistical connection to this disease.
Research is underway that would create a drug to limit intestinal T-cell hyperactivity in the presence of incompletely broken-down gluten. This might eventually open the door to a less limited diet for celiac disease patients. In the meantime, the best treatment option is to avoid gluten in any form, which is a considerable challenge. Flour made from corn, potatoes, beans or soy can be used as a wheat flour substitute. Fruits, vegetables, fish, and meats (that are neither marinated nor breaded) also are gluten-free. It's possible to have a varied and well-balanced, gluten-free diet, but eating processed foods or at restaurants might be problematic.
The good news is that the majority of celiac disease patients who can avoid all sources of gluten for months or years heal completely, and achieve the complete rebuilding of their intestinal villi. However, a person with celiac disease must commit to a lifelong dietary adjustment to accomplish this.
Massage has some specific cautions in the context of gastrointestinal tract problems. Because many symptoms of GI problems (gas, bloating, indigestion, constipation) can be related to stress, many people find that massage, even if not administered directly to the belly, has a positive effect. Most of the time, this is wonderful, but not always. GI symptoms are notoriously vague. The complaints of a person with irritable bowel syndrome (a functional problem that, although painful and inconvenient, is not life-threatening) can be similar to the symptoms of a potentially dangerous problem, such as ulcerative colitis or diverticulitis. Therefore, if a person finds that massage relieves symptoms, even temporarily, an accurate diagnosis might be delayed. Massage therapists should encourage clients who report new or persistent GI problems to seek medical advice, regardless of whether massage temporarily relieves symptoms.
In relation to celiac disease specifically, massage has no direct impact on the health of intestinal villi. Consequently, massage can neither improve nor exacerbate celiac disease. However, its ameliorating effects can make the transition to a gluten-free diet easier to take - if you can't have chocolate cake anymore, at least you can have a wonderful massage!
For Next Time
I've been receiving inquiries lately about MRSA: methicillin-resistant staphylococcus aureus, the causative agent behind some difficult and stubborn skin injuries. Massage therapists exposed to this pathogen are at particular risk for spreading it to others. If you have experience with this condition, write to me and let me know: What's on your table? Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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