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?
August, 2012, Vol. 12, Issue 08
The Importance of Water, Part 1
By Ben Benjamin, PhD
Co-authored by Lois Orth-Zitoli
Most of us are aware of the importance of drinking water. Water is second only to air in importance for life. We can survive many days or even weeks without food, but we can only survive a few days without water.Getting your daily requirement of water helps your organs function, keeps your skin clear and hydrated, and supports the body's digestion, assimilation of nutrients and elimination of toxins. It also makes your body less vulnerable to injury. Unfortunately, the body's need for water and its importance for health are often overlooked. Your water intake is critical to good health. Let's explore the many functions of water in the body and give you supportive information to use and share with your clients.
Did you know that 60% to 75% of your total body weight is water? Most people know that the blood, lymph, urine, sweat and tears are mostly water. However, many of us do not realize that the lungs are 90% water; the brain 76% and even the bones are 25% water. Sixty-seven percent of the water in the body is inside the cell. The other 33% is outside the cells in the extra cellular fluid. This fluid surrounds the cells and is found in the blood, lymph, spinal fluid and joint spaces.
Water has many functions in the body. It is the medium by which nutrients are delivered to tissues and unwanted waste is carried away. It is also the medium in which all chemical reactions take place within the cells, and therefore, greatly influences cell function. Water also serves as a cushion and lubricant for our spine and other joints.
Most individuals lose between 10 and 16 cups of water per day. This loss is in sweat, urine, feces, in the air we exhale, and via direct evaporation from our skin. During exercise in a warm climate, as much as eight cups of water can be lost in one hour. When the heat of summer descends, it's a good time to remind ourselves to increase our water intake to compensate for more water lost through physical activity and time spent in the sun.
The loss of body water through urination is greatly increased by the ingestion of caffienated and alcoholic beverages. These drinks have a diuretic effect, meaning they stimulate the kidneys to excrete more urine. Not only do we lose more water, we also lose water-soluble vitamins such as vitamin C, vitamin B1 (thiamine) and other B complex vitamins. There is also increased excretion of calcium, magnesium, potassium, sodium, chloride and zinc. (For more information about the negative effects of caffeine please see the side bar.)
Negative Effects of caffeine
A high intake of caffeine has been linked to anxiety, insomnia, elevated blood pressure, heart palpitations, headaches, fibrocystic breast disease, diarrhea, increased stomach acidity and ulcers, birth defects and miscarriages. Long-term use of caffeine will cause overworked and weakened adrenals, which may lead to depression and chronic fatigue.
Tolerance for caffeine varies greatly. Some individuals can tolerate as much as 500 mg of caffeine per day, equivalent to 5+ cups of coffee. Other people cannot tolerate even one cup of green tea, which contains approximately 35 mg of caffeine. This intolerance is often due to decreased capacity of the liver to clear caffeine from the body. If any symptoms of excess caffeine consumption are present or pregnancy is planned, caffeine should be eliminated from the diet. Otherwise, intake of caffeine should be limited to less than 100 mg per day, the equivalent of one cup of coffee, and then only if your body is in excellent health. Besides coffee and tea, caffeine is present in soda, chocolate, aspirin and other drugs such as Fiorinal, Vivarin, NoDoz and Dexatrim.
Water From Other Sources
A diet containing lots of fruits and vegetables will supply about four cups of water per day. Even with a diet high in fruits and vegetables, it is still necessary to drink an additional six to eight cups of water per day to supply enough water to meet the body's daily needs. For every caffeinated or alcoholic beverage you drink, you need to add an additional glass of pure water.
Insufficient water intake results in less than optimal intra-cellular water volume and reduced cell function. This greatly diminishes the body's ability to heal damaged tissues from injury and maintain optimal health. F. Batmanghelidj, MD, the author of Your Body's Many Cries for Water, has successfully treated many diagnosed diseases, i.e., peptic ulcers, colitis, hypertension, rheumatoid arthritis, chronic back and neck pain, anxiety, depression, chronic fatigue, high cholesterol, asthma, allergies and diabetes, with just increased and regular intake of water.
According to Dr. Batmanghelidj, dry mouth is the last sign of inadequate cellular water. When the thirst signals produced by the body are ignored or are responded to with intake of beverages other than water such as soda, coffee, tea or concentrated fruit juice, eventually the body stops providing the sensation of thirst. It often requires drinking water regularly throughout the day (even if you are not thirsty) for as long as six to eight months for the normal thirst signals to return and for people to reacquire a taste for water. It can take up to a year or longer to rehydrate your tissues. The sensation of thirst also diminishes has we age. Therefore, it is very important for the elderly to acquire a "habit" of drinking adequate water to avoid cellular dehydration and subsequent health problems.
Author's Note: This article was adapted from an article by Joy Bicknell and Ben Benjamin.
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 .
Click here for more information about Ben Benjamin, PhD.
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