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?
October, 2012, Vol. 12, Issue 10
The Importance of Water, Part 2
Water, Salt and Protein
By Ben Benjamin, PhD and Lois Orth-Zitoli
Water does not work on it's own. It needs help from both salt and protein. Salt and protein are like guardians, they move water to where it should be and keep it there.Without sodium (salt) in the body, the water you drink would never be absorbed and drinking a glass of water would cause diarrhea. Basically, salt pulls water through the intestinal lining and into the circulation. Once water is in the circulation, proteins attract water in almost the same way that iron filings are attracted to a magnet. The attraction of water for the proteins in the blood maintains the blood volume and circulation. If there were no proteins in the blood, the water would flow right through the walls of arteries and veins and into the surrounding tissue. The blood volume would drop and cells and tissues would not receive necessary nutrients and oxygen and the cells would die. Insufficient salt and protein results in low blood volume and, therefore, very poor blood circulation. The most common symptoms of this are cold hands and feet, low blood pressure and dizziness when standing quickly from lying down or sitting.
Besides helping to control fluid volume in the body, sodium is also required for the absorption of many minerals and amino acids (proteins). Many people know that too much salt can be "bad for you." Individuals who eat a lot of processed foods have high salt diets that can be detrimental. One reason is that excessive salt intake causes increased excretion of calcium in the urine. Of course, processed foods do not contain adequate calcium or other quality nutrients so eating refined foods actually causes depletion of nutrients. However, if you are on a whole foods diet and do not eat a lot of refined or processed foods, you might need to add some salt to your food. Many health conscious individuals are actually salt deficient. Recent research has even found a link between salt deficiency and chronic fatigue syndrome.
The quality of available salt is very variable. Salt in its natural form is 82% sodium and chloride and 18% other minerals. Most salt sold in the grocery store is processed and therefore is almost 100% sodium and chloride. The purpose of adding iodine to processed salt is to prevent iodine deficiencies. Adding iodine to sodium chloride crystals causes them to turn purple. Since purple salt is not "acceptable," the salt is bleached to turn it white again. Flow agent chemicals are added to reduce the absorption of moisture from the air and keep the salt flowing from your salt shaker. Most table salt is no longer in its natural form, it has had all the minerals except sodium and chloride removed and it contains residues of the bleaching chemicals along with the flow agents. Sea salt, frequently sold in health food stores, may also have had all the minerals except sodium and chloride removed. If a salt is very white and dry, it has had the additional minerals removed. Salt in its natural form is usually greyish, off-white, or even pink, and is moist. One of the best sources for natural salt is the Grain and Salt Society. The Celtic Salt they sell is harvested from the Brittany area of France using methods that have been used for hundreds of years. The salt is grey and moist and to most people has a much more pleasing taste than either sea salt or processed salt.
Editor's Note: Adapted from an article by Joy Bicknell and Ben Benjamin
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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