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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
July, 2010, Vol. 10, Issue 07
Research: Sport, Pelvic Pain and Associated Symptoms
By Leon Chaitow, ND, DO
There is abundant research linking pelvic pain, and associated urinary tract symptoms, with various sporting activities. The studies reported on in this brief review are offered as a caution - particularly against excessive training and sport in early life.
In contrast however, with a few notable exceptions, evidence largely supports the benefits of athletic activities, and the negative long-term effects of inactivity.
Sport and CPP in Men: Pudendal Nerve Issues
Antolak et al (2002) report that chronic pelvic pain (CPP) syndrome is a puzzle that may be explained partly by pudendal nerve entrapment (PNE), which causes neuropathic pain. In men with PNE may involve aberrant development and subsequent malpositioning of the ischial spine as a result of excess athletic activity during youth. The changes appear to occur during the period of development and ossification of the spinous process of the ischium.
Common causative activities include "flexion activities of the hip (sitting, climbing, squatting, cycling, and exercising) induce or aggravate urogenital pain, chronic pelvic pain, or prostatitis-like pain."
Specific sports incorporating these activities involving teenagers and/or young adults include: American football, weight-lifting and wrestling.
Antolak et al suggest that hypertrophy of the muscles of the pelvic floor among young athletes, causes elongation and posterior remodeling of the ischial spine, leading to the sacrospinous ligament rotating, so that the sacrotuberous and sacrospinous ligaments become superimposed over each other. During repetitive squatting activities, or during sitting and rising, stretching of the pudendal nerve occurs over the sacrospinous (SSp) ligament or the ischial spine, with shearing forces on the nerve.
The piriformis muscle may also be involved. Antolak et al note that: "The pudendal nerve exits the pelvis at the inferior aspect of this muscle. In the athlete, flexion and abduction of the thigh are common motions, and they may lead to hypertrophy of the piriformis muscle, causing compression of the pudendal nerve against the posterior edge of the SSp ligament. Pain that suggests this process includes ... that induced during sports activity such as that of a baseball catcher (squatting and then rising to throw the ball - motions that require extension of the gluteus muscles and abduction and extension of the hip)." They suggest that the same principles be investigated in women with pelvic pain, in case their symptoms are "misdiagnosed and inappropriately treated."
Cycling and Genitourinary Symptoms in Men and Women
Leibovitch and Mor (2005) have reported on bicycling related urogenital disorders. They note the following pertinent facts:
Andersen and Bovim (1997) applied a questionnaire to 260 participants in a Norwegian 540 km bicycle race.
Thirty-five of 160 responding males (22%) reported symptoms from the innervation area of the pudendal or cavernous nerves. Thirty-three had genital numbness or hypaesthesia after the race. In 10, the numbness lasted for more than one week. Impotence was reported by 21 (13%) of the males, lasting for more than one week in 11, and for more than one month in three.
Both genital numbness and impotence were correlated with weakness in the hands after the ride, a complaint that in some cases lasted up to eight months. It is suggested that changing hand and body position, restricting the training intensity, and taking ample pauses, may all be necessary to prevent damage to peripheral nerves.
LaSalle et al (1999) reported that the hardness of bicycle seats, and years of cycling, influence lower urinary tract symptoms in women. "The hardness of the bicycle seat increased the incidence of incontinence and other urinary symptoms in females....[possibly] related to the neurologic and vascular stress that hard seats produce on the perineal area."
Sports That Appear to Increase Urinary Incontinence
Thyssen et al (2002) surveyed a total of 291 women with a mean age of 22.8 years. Of these 151 women (51.9%) reported having experienced urine loss, 125 (43%) while participating in their sport and 123 (42%) during daily life. The proportion of urinary leakage in the different sports was:
The activity reported as being the most likely to provoke leakage was jumping.
Osteitis Pubis and Running
Strakowski and Jamil (2006) report on osteitis pubis, "an uncommon cause of pelvic pain in runners". This condition presents insidiously with pain in the hip adductors aggravated by running or pivoting on one leg. The adductor muscles are usually noted as hypertonic, with pain on resisted hip adduction. Tenderness over the pubic symphysis will also be evident. Plain film radiographs commonly reveal sclerosis of the pubic bones, with occasional widening of the symphysis. (Harris and Murray 1974) Treatment includes use of NSAIDS and corticosteroid injections into the symphysis, along with stretching of shortened adductors.
Click here for more information about Leon Chaitow, ND, DO.
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