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.
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.
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.
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:
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.
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.
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.
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 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.
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."
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
April, 2012, Vol. 12, Issue 04
Boost Your Metabolism by Knowing When to Eat
By Ben Benjamin, PhD and Lois Orth-Zitoli
In the February issue of Massage Today, the first article in this series gave you a strategy for boosting your metabolism.Now, let's talk about when to eat. Humans have an internal rhythm that mimics the cycles of nature. Known as circadian rhythms, these patterns of physiological functioning repeat every 24 hours. For example, when you sleep at night, your blood pressure, heart rate and body temperature decrease. In the morning, your body temperature naturally rises to prepare you for a metabolic resurgence. So, how do you fire up your metabolism? Perhaps you decide to drink two cups of coffee for a morning boost and skip breakfast thinking it might help you to lose a little weight? How many of you reading this article have tried skipping meals in an attempt to lose weight? Were you disappointed with the lack of results? That's because your body gets confused when you don't eat. You are sending your body the message that no food is available so it had better start storing fat for the hard times ahead.
If you are reading this and thinking, "I'm not hungry in the morning," the next question is, "do you drink coffee in the morning before eating?" If the answer is yes, try waiting 30 minutes to start your coffee ritual in the morning. You may find that your appetite for breakfast returns. You may even find that without the coffee, which is an appetite suppressant, you are maybe even ravenous in the morning. If you want sustained energy all day, you must eat. Ideally, your breakfast will contain protein and unsaturated fat. Eating an all-carbohydrate breakfast or skipping breakfast entirely will set you up for cravings later in the day.
If our goal is to feel naturally energized during every waking minute of each day, if we follow our circadian rhythms closely, we will experience a greater energetic flow. For example, our muscles tend to gain more strength during the morning hours between 6 a.m. to 10 a.m. This is the perfect time of day to exercise and, of course, our breakfast fuel supports this natural process. Then, between the hours of 10 a.m. to 2 p.m., our digestive functions get stronger and metabolism reaches its peak. Like nature, when the sun is highest in the sky, our body temperature is at its highest point of the day. This is when your body digests foods and burns fuel most efficiently. So, it is best not to waste your peak metabolic opportunity of the day by failing to schedule at least 30 minutes to eat lunch. From 2 p.m. to 6 p.m., our parasympathetic nervous system is activated. This is the best time of the day for heavier mental activity and less physical activity (which can be impeded if you are crashing from too much coffee and carbohydrate intake at breakfast and lunch).
The second best time of the day to exercise falls between the hours of 6 p.m. to 10 p.m. However, because the body's metabolic processes have already started to slow down for an evening of rest, a less vigorous form of exercise should be chosen. You might also recognize these hours as prime dinner time. But, based on what you now know about the daily cycles of nature, when do you think the largest meal of the day should be eaten? If you said lunch, you would be correct. From 10 p.m. to 2 a.m., your body moves into its liver cleansing cycle. This is the second time of day when metabolic activity increases. During this time, the goal is to clean the blood and repair damaged tissue. We have all heard it said that going to bed with a full stomach, beyond the obvious discomfort, is bad for you. What's so bad about it? If you eat a big meal late in the day, your body must spend its important internal cleansing time doing the work of digestion. If you are living along with the cycles of nature, all is quiet and you are resting peacefully.
Knowing how and when to eat can help you maintain your energy level and be more productive throughout your day.
Click here for more information about Ben Benjamin, PhD.
Lois Orth-Zitoli, of Full Circle Health, maintains a private practice in massage therapy and health/nutrition coaching in Chicago. She is a graduate of the Institute for Integrative Nutrition in New York City. Lois leads workshops on nutrition, coaches both individuals and groups, and teaches healthy cooking classes. She can be reached at
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