The Opioid Crisis Hits Home: An Acupuncturist's Inside Perspective of Addiction Treatment
My husband and I have four grown children, but we still sleep with a phone next to our night stand just in case they need us. But nothing could have prepared us for a 1 a.m.
Power of the Talk: A Simple Way to Attract New Patients
One of the most effective ways to bring patients in predictably, especially if you enjoy teaching, is by doing talks. Talks can also bring in another stream of income beyond just seeing more patients one on one.
Who's the "Father of Corrective Traction" in Chiropractic?
History teaches that a Presbyterian minister, Samuel Weed, coined the name for the profession of chiropractic from the Greek cheir for "hand" and praktos for "done."
How to Reduce Metabolic Endotoxemia
Approximately 50 percent of the Western population suffers from a condition known as metabolic endotoxemia (ME). The condition is characterized by increased serum endotoxin concentration during the first five hours of the post-prandial period.
The Medicine of Peace in a Land of Conflict
We often read about violence, despair, and political stalemate between Israelis and Palestinians. It's easy to feel overwhelmed and pessimistic. And yet there are Israelis and Palestinians working together to transform conflict into cooperation.
Weight Watchers Goes Wellness
Goodbye Weight Watchers, hello "WW." The company has changed its name to reflect its new WW brand not only on its website, but also on every aspect of its public expression, including every studio.
ACA, ICA at Odds Over H.R. 7157
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.
Winter Joint Health: Looking at Seasonal Influences
One of the most common clinical issues I see during the winter season is joint / muscle pain. These issues often appear due to the activities of winter sports or may appear due to seasonal influences on old chronic injuries.
An East & West Perspective on Sleep
You, your patients, and people all over the world are sleeping less. In 1979 a team led by American psychiatrist Daniel Kripke did a large-scale study of over a million people, which indicated that most people slept between 7-8 hours.
Dehydration ... A Commonly Overlooked Etiology
Water covers 71 percent of the earth's surface. It's found in every living organism and is considered the "universal solvent," yet we take it for granted as the foundation for optimal health.
Historic Farm Bill Provisions Legalize Hemp ... and CBD?
Until recently, hemp was classified as a Schedule 1 drug per the federal Controlled Substances Act, putting it in the same class as marijuana (and heroin, by the way).
Electromagnetic Hypersensitivity and the Science of EMFs
Movement of planet Earth's molten iron core generates a weak static geomagnetic field that varies in strength over millennia but currently ranges from 0.25 to 0.65 gauss. This is the native field in which all life has evolved.
3 Tips to Get New Patients After a Talk
One of the most effective ways to bring in new patients predictably, especially when an acupuncturist enjoys teaching, is by doing talks. It can also bring in another stream of income, beyond just seeing more patients one-on-one.
Differentiating Qi Under the Needle (Part 2)
While classic sages have said a lot on this topic, I will share my own experience with the sensations under the needle with you. You, in turn, will also need to gain your own understanding of them through daily clinical observation, thinking, and practice.
Neuroscience 101: Understanding Opioid Addiction and How Chiropractic Can Help
Opioids now account for nearly two-thirds of all overdose-related deaths in the U.S. This insidious bane is no respecter of gender, age, race or ethnicity, with nearly all categories experiencing increases.
Case Study: Forefoot Pain
Patient presents with a history of forefoot pain. Discomfort has become worse in the past six months. He has difficulty completing his four-hour shifts as a part-time hairdresser.
Pain in the Butt (Pt. 1)
Many of my patients (and probably many of yours) come in with pain and/or tenderness in the buttock region. First, I assess where the painful and/or tender spots are located and what these points represent.
Flying Into the Year of the Pig: Making Way for the Impossible
The first of the new year has passed, and some of our New Year's resolutions may have already come and gone. Fortunately, we will celebrate the Chinese New Year this month, and will welcome in the Year of the Pig.
Quickie Seminar Adjustments Have No Place in Chiropractic
Recently, I observed chiropractors treating each other in the vendor area at the annual meeting of a chiropractic association. "Quickie" chiropractic adjustments and other hands-on procedures were administered without appropriate history taking, physical examination, diagnosis or informed consent.
The Role of TCM When Treating Mental Illnesses
Mental illness is common in the U.S., nearly 20 percent of adults live with a mental illness which vary in degree of severity—ranging from mild to moderate, to severe. It is not exaggerated to say that mental illness is an epidemic.
Simple Screening Tests for Stroke and Other Brain Lesions
The drift test, arm rolling and finger rolling are three useful assessments in the identification of upper motor neuron dysfunction.
Top Social Media Do's & Don'ts for Chiropractors
For years, health care practitioners have avoided embarking on the social media highway, primarily due to patient HIPAA privacy issues and the time needed to give the process due diligence.
Outcomes for Any Occasion
Outcome assessment tools (OATs) are a necessary part of documentation and patient care. They are used to show patient progress and help practitioners show changes as a result of their treatment interventions.
Quick Sacroiliac Assessment: Treating Different Types of Pain
The lower back is a generator for a number of types of pain. The lower back involves several different articulations – the lumbar spine with vertebral bodies, discs, and facets – the sacroiliac joints – and the lumbosacral junction.
Know Your Clinical Flags: 5 Different Colors to Consider
In health care, the term red flag is used to describe signs and symptoms that can indicate the presence of serious health conditions. These conditions generally carry an increased likelihood for serious complications, disability or even death.
February, 2008, Vol. 08, Issue 02
Bodywork High: The Cannabinoid Connection
By Leon Chaitow, ND, DO
Have you ever wondered why your clients/patients feel so good after receiving bodywork: massage, manipulation and mobilization? Is it the simple effect of feeling more relaxed, with an altered mood, possibly combined with an actual reduction in muscle tone?4,8 Or perhaps feeling better/good accompanies enhanced circulatory function deriving from bodywork?7 Or possibly it's due to endorphin release and consequent reduction in pain perception, as has been suggested?6,15 Or does bodywork produce an "energy" effect, as Oschman and others have described?12
Or perhaps all of the above? Or could it be due to something else altogether, such as the increased production of endocannabinoids - chemicals that mimic the effects of cannabis?11
Research suggests that all of these effects can occur in response to appropriately applied bodywork. The data related to this research are readily available, and much of it is probably familiar to you - apart perhaps from the last observation regarding endocannabinoids. And that is the topic I want to explore in this brief article.
Endorphins - Changing Views
Before discussing the endocannibanoids, it will be useful to discuss something we are perhaps more familiar with - the topic of endorphins.
Opioid receptors in the brain, as well as these neuropeptide substances (the name derives from an abbreviation of endogenous morphine, which literally means morphine produced naturally in the body) were first identified in the mid-1970s by different groups of investigators.3,14 Endorphins have a pain-killing influence and produce a sense of well-being, and it has become common to use the term "endorphin rush" to refer to feelings of exhilaration.
Also widely accepted for many years as an endorphin effect is the so-called "runner's high" following strenuous exercise. Endorphins were thought by many to be released during lengthy aerobic workouts, especially when stored glycogen is exhausted, such as during running, long-distance rowing, swimming and cycling. However, the mechanisms involved have however been questioned.5 Fairly recently, the link between the "runner's high" and endorphins has been virtually abandoned, since a study in 2004 by Dietrich and McDaniel2 demonstrated that these pleasant feelings were actually the result of the release of a different, naturally produced body chemical - the endocannabinoid anandamide.
Anandamide is similar to the active chemical THC in marijuana. Apparently, the body produces it in response to prolonged stress and pain - for example, strenuous exercise. When people illegally use cannabis/marijuana as a means of easing their pain symptoms, the THC works by mimicking endogenous (self-produced) anandamide, which binds to the same cannabinoid neuroreceptors and imparts pain-relieving effects.9
As Dietrich and McDaniel report, "Exercise induces changes in mental status, particularly analgesia, sedation, anxiolysis and a sense of well-being. The mechanisms underlying these changes remain unknown. Recent findings [however] show that exercise increases serum concentrations of endocannabinoids, suggesting a possible explanation for a number of these changes."2
Not Only Exercise - Bodywork
Darmani, et al.,1 have noted that anandemide is produced in the body, not only in response to aerobic activity or pain, but also as a response to bodywork (such as massage, deep-tissue work, high-velocity [HVLA] manipulation/adjustments, etc.) and according to McPartland, et al.,10 4VC in cranial treatment. Anandemide may therefore account, at least in part, for the sense of well-being that follows such treatments, most specifically anti-inflammatory and pain-relieving benefits.
Enhanced release of endocannabinoids may be one of the mechanisms of osteopathic (and chiropractic) manipulative treatment,10,11 parallel to the effects of manipulative treatment on serum endorphin levels.15 The endocannabinoid (eCB) system balances sympathetic-parasympathetic tone, imparts anti-emetic and antihypertensive benefits, and favorably modulates stress in the HPA axis.13
As we all know, there are numerous beneficial effects from bodywork, and this particular area offers yet another for us to consider and carefully explain to patients/clients.
Click here for more information about Leon Chaitow, ND, DO.
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