Supplement Safety: Is It Time to Give Big Pharma a Chance?
Why in the world would I, a chiropractor, consider Big Pharma when I make a vitamin / supplement recommendation to a patient? There are several supplement manufacturers at every chiropractic conference, even at some of our schools.
A Little More Chiropractic, A Lot Less Pain
Why should I visit a doctor of chiropractic when I'm not experiencing pain or other symptoms? That's the question many patients still ask themselves, despite the growing body of research supporting the value of chiropractic maintenance care.
The Carcinogen Most Patients Consume
A known carcinogen is being naively consumed by many, if not most of your patients, who have little to no understanding of how dangerous it really is. Depending on the age of the patient, this carcinogen is a leading, if not the leading, risk factor for death and disability.
Renying-Cunkuo Pulse: The Essential Pulse Method of the Ling Shu
The Ling Shu is a Han Dynasty classic book on the practice of Chinese medicine. It presents five main channel systems: Muscle Channels, Chapter 13; Luo Collaterals, Chapter 10 and others; The Main Channels, Chapter 10 and many more; Separate Channels (Divergent Channels) Chapter 11; and the Eight Extraordinary Channels, referenced in chapters throughout the book (there is very little theory).
A Moment of Silence for Dr. Leon Chaitow (1937-2018)
After months of declining health, Dr. Leon Chaitow – clinician, author and teacher – passed away on Sept. 20, 2018 at the age of 80.
How to Address the Question, "Do You Accept Insurance?"
Do you ever dread getting asked the question, do you accept insurance—when you only accept cash, or when you are out-of-network? As part of my daily practice, mentoring acupuncturists to grow their practices faster and more effectively, I talk to a lot of practitioners.
Pregnancy Health: Looking at the Lower Extremities
When patients tell us they are pregnant, many times we focus on the obvious pregnancy signs and symptoms related to their current trimester of pregnancy, and the biomechanical impact on the spine and pelvis.
Procuring a Place for the Future
As the acceptance of acupuncture continues to grow in the U.S. it is important that the profession be licensed in every state, and nationally board certified.
A New NCCIH Director ... One That Backs Acupuncture
The third time is a charm—the National Center for Complementary and Integrative Health (NCCIH), a division of the National Institutes of Health (NIH), announced it's newest director, Dr. Helene Langevin.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 1)
In the absence of acute trauma, a usual strength-building session includes concentric, eccentric and isometric exercises. Popular exercise programs typically include concentric movements as the major muscle contraction and should constitute approximately 70-75 percent of the workout time.
Paradise Lost: AWB Relief in Hawaii
In November, 2014, Acupuncturists Without Borders (AWB) was hosting a training seminar on Oahu. A couple of us from the big island (aka "Hawaii" County) contacted AWB because the big island was in the middle of a crisis.
Manual Muscle Testing for Cervical Radiculopathy (Pt. 2)
Dr. John Bandy developed a protocol that associated specific muscles with myotomal nerve root levels. The deltoid is associated with the C6 nerve root; the triceps with the C7 nerve root; and the finger abductors with the C8 nerve root.
World Acupuncture Day: A Meeting in Paris
World Acupuncture Day is an event organized by the World Acupuncture Day Organization (WADO) in response to the eighth anniversary that UNESCO has included acupuncture and moxibustion on it's Representative List of the Intangible Cultural Heritage of Humanity.
Creatine: Muscle Fuel No Longer Just for Athletes!
Erase that image of the 20-year-old, muscle-bound bodybuilder using creatine. Replace it with the image of a lean, strong, fit 80-year-old hiking up a mountain. Creatine, a staple of athletes for more than 50 years, is now being used by athletes and non-athletes alike to help slow normal age-related muscle loss, improve exercise recovery, increase strength, and live a more active lifestyle.
Travel-to-Treat Coverage Finally Becoming a Reality?
Long-awaited legislation poised to hit the president's desk extends liability insurance coverage from one state to another for DCs and other state-licensed health care professionals who care for athletes / athletic teams that cross state lines.
NBCE Exams: Better, Shorter, More Opportunities
The NBCE's Written Exams department, led by Bruce Shotts, DC, developed a solution to computer-based testing on college campuses. Their work has resulted in 11 exam opportunities per year. CBT exams are on schedule to begin January 2019 as follows:
The Husband/Wife Imbalance
The Husband/Wife Imbalance, like Aggressive Energy, is an energetic block that will result in death, unless cleared, as its presence indicates that nature has given up the fight against the internal or external pathogenic factors that have assaulted the body/mind/spirit of the patient.
Case Study: Osteoporosis and the Role of Orthotic Support
The following is the second of three case studies by Dr. Wong on conservative management of lower-extremity complaints. Article #1 (September issue) explored chiropractic management of patellofemoral arthralgia.
Bait & Switch: Are You Guilty?
One of my three sons recently shared a story with me regarding an experience with a chiropractor, which stimulated me to write this ethics article. According to my son, he called a chiropractor's office and asked if his insurance was accepted at the office.
Cyberthreat Checklist: 10 Key Steps to Defend Your Practice
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.
Vertebral Subluxation: Give Credit Where Credit Is Due
Vertebral subluxation: have any other words caused as much turmoil and controversy in the chiropractic profession? As a chiropractic term, vertebral subluxation did not make its debut until six or seven years after the profession's founding.
Chiropractic Integration a Big Success, Suggests Research
Whether chiropractors should integrate with other health care professionals in medical / multidisciplinary settings remains a contentious issue, depending on whom you ask, but there's no denying two realities.
An Effective Herb for Stress
We all know stress has become a significant factor in the increasing number of reported mental health disabilities and a contributor to various physical health conditions, such as ulcers, high blood pressure, heart disease, and so on.
On Point: Acupuncture Theory & Discussion
Welcome to my new column for Acupuncture Today, which will focus exclusively on the theoretical discussion and clinical application of acupuncture theory and acupuncture points. One of the most common questions I encounter from novice to experienced practitioners is "how do I choose the correct acupuncture point?". I hope this column can help answer some of these questions.
The NCCIH Seeks Participants for Acupuncture RCT
The National Center for Complementary and Integrative Health (NCCIH) is seeking participants for a new Funding Opportunity Announcement (FOA)—a Randomized Control Trial (RCT), which will evaluate the impact of, and strategies to best implement acupuncture treatment of older adults (65 years and older) with chronic low back pain (CLBP).
Checking Your Posture: A Wholistic View From Head to Toe
As you begin reading this article, what position is your body in? Are you sitting down, standing up, lying down, or walking down the street perhaps? Whatever position you are in, stop and observe your posture.
Avoid These New-Patient Turnoffs (Before It's Too Late)
I can't believe this doctor is making me watch this video in a room by myself, your new patient thinks to herself as she texts her best friend.
The Road to TCM, A Talk With Bob Doane
Bob Doane, a veteran acupuncturist, talks about his journey to TCM, the evolution of this medicine, and what he foresees in the future.
Cynicism, Burnout and the Search for the Ideal Patient (Pt. 1)
There is a video on the Internet that has gathered 6 million views as I write this article (so likely millions more by the time you read it). The video is of a doctor in an ER mocking a patient who is extremely weak and distressed.
Placebos, Presence and the Zero Point
We spend a huge amount of time learning the techniques and methods of acupuncture and Chi-nese medicine, and are given professional licenses based on our ability to remember and accu-rately apply them.
A Moment of Silence for Dr. Leon Chaitow (1937 – 2018)
After months of declining health, Dr. Leon Chaitow – clinician, prolific author and teacher – passed away on Sept. 20, 2018 at the age of 80.
News in Brief
The Next Generation of Chiropractic Researchers: Historic NIH Grant; Cleveland University – Kansas City VP Joins CCE Site Accreditation Team; NUHS Opens Second Veterans Clinic; R.I. Chiro. Society Celebrates 100 years.
May, 2013, Vol. 13, Issue 05
The Top 5 Supplements You Need for Self-Care
By Tori Hudson, ND
To propose a mere five supplements for self-care is a presumptuous task. But indeed, those of us in a position to advise others about their health, and offer healing touch, must attend to the proverbial "health thyself," if not heal, at least attend to.Dietary supplements I might recommend in everyday clinical practice depend on a patient's age, family history, medical history, current health issues and any disease burden they already carry, medications, lifestyle habits and personal and economic ability to follow my advice are all front and center variables in how I would approach each situation. With that disclaimer in mind, I offer five supplements that cover a broad range of considerations and what I might assert offer the most bang for the buck and can have some specific connection with a very physical job and close contact with many people. This list includes fish oil, rhodiola, vitamin D, turmeric and echinacea.
It is estimated that approximately 80 percent of Americans consume a diet deficient in essential fatty acids (EFAs). This is thanks to processed foods, high saturated fat diets, higher meat diets and low fish diets. The balance of fats in the typical North American diet is dramatically out of sync with the needs of our bodies. An insufficiency of fish and fish oils in our diet has led to a decrease in our intake of omega-3 fatty acids by 80% during the last century.
EFAs play crucial roles in the body on a minute-by-minute basis. They produce hormone-like compounds (prostaglandins); maintain cell membrane function; regulate pain, inflammation and swelling; dilate and constrict blood vessels; mediate immune response; regulate smooth muscle responses; prevent blood clots; regulate blood pressure and nerve transmission; regulate cholesterol levels; and even much more. Deficiencies of EFAs, which are so vital to many of the body's most basic functions, can lead to many health problems. Diseases linked to EFA deficiency include depression, anxiety, childhood developmental and behavioral problems, rheumatoid arthritis, diabetic neuropathy, cardiovascular disease, osteoporosis, breast cancer, allergies and skin conditions such as eczema.
Supplementing the diet with fish oil supplements has been shown to prevent and/or improve these health issues. The research that is the most robust for fish oils is in heart disease - reducing heart attacks, improving blood pressure, lowering triglycerides, regulating heart rhythms and much more. A high quality fish oil supplement is money well spent and the more you know, the more you will assure a product with proven purity and freshness, adequate concentration of the two fatty acids in the fish oil (EPA and DHA), and dosed according to the specific health needs she has.
Turmeric, or Curcuma long, is a common spice native to India, China and Indonesia. The main constituent group that has been identified in turmeric is polyphenolic curcuminoids, which is what is responsible for the bright yellow pigmentation. The curcuminoids represent 2% to 5% of the root which is 85% curcumin, the most well researched constituent. Properties of the curcumin include antioxidant effects, suppressant effects on mutagens, anti-inflammatory mechanisms, immune influences, inhibition of platelet aggregation and a wide range of cancer prevention actions. Curcumin also has the ability to alter lipids, improve digestion and support liver/gall bladder function. Clinical indications include generalized chronic inflammation, uveitis, chemoprevention with specific abilities to reduce the risk of colorectal and pancreatic cancers as well as multiple myeloma, cardiovascular disease, osteoarthritis, irritable bowel syndrome and gastric ulceration. My main reason for including it in this list of top five self-care supplements is due to its wide range of action and its particular research in improving joint function by improving osteoarthritis pain, stiffness and physical function. Choices of optimal turmeric products should be based on curcuminoid content and demonstration of superior absorption into the blood stream.
Rhodeola rosea, or "golden root," has been used in Eastern Europe, Scandinavia and Asia for centuries. Traditionally, R. rosea was used in folk medicine with a reputation to increase physical endurance, productivity, longevity, resistance to high altitude sickness, fatigue, depression, anemia, impotence, gastrointestinal ailments, infections and disorders of the nervous system. The roots were used as bouquets to enhance fertility in young Siberian couples prior to their marriage. The tea was used for colds and flus during the hard winters in Asia.
The Vikings of Scandinavia used the herb to enhance their physical strength and endurance - something they came to be famous for. All of this folklore first led to investigations of its phytochemistry in the early 1960s that identified adaptogenic compounds in the roots of the plant. These adaptogens, as well as the later discovered antioxidant and stimulating compounds in Rhodiola rosea, are responsible for its medicinal properties. Rosavin is the constituent currently selected for standardization of extracts.
The properties of Rhodiola rosea have been attributed primarily to its influence on the levels and activity of serotonin, dopamine and norepinephrine in the brain. It may be that the plant inhibits the breakdown of these chemicals and facilitates the neurotransmitter transport within the brain. In addition to these effects on the central nervous system, Rhodiola has been reported to increase the chemicals that provide energy to the muscle of the heart and to prevent the depletion of adrenal catecholamines induced by acute stress.
Historically, Rhodiola was observed to act in humans as a tonic, increase attention span, memory and work performance. Two human studies were able to show that individuals with fatigue, irritability, insomnia and decline in work capacity responded favorably to a Rhodiola extract dose of 50 mg three times a day. In one of those studies of 128 patients aged 17 to 55, Rhodiola alleviated fatigue, irritability, distractibility, headache and weakness in 64 percent of the cases. In a study of students, physicians and scientists, Rhodiola was given for 2 to 3 weeks beginning several days before intense intellectual work such as final exams. The extract improved the amount and quality of work and prevented decrease performance due to fatigue. Using Rhodiola during final exams appears to be beneficial as well. Medical students took a Rhodiola extract for 20 days and had significant improvements in mental fatigue, general well-being, final exam grades and physical fitness.
Several studies have shown that Rhodiola increased physical work capacity and significantly shortened the recovery time between bouts of intense exercise. In one study, work capacity was increased by 9 percent and the pulse slowed to normal much more quickly. Biathlon athletes given Rhodiola also have shown statistically significant increased shooting accuracy, less arm tremor and better coordination. Improved recovery time, strength, endurance and cardiovascular measures were also significantly better in those who took Rhodiola. While it is uncertain as to what is responsible for these effects, animal studies suggest that Rhodiola increases essential energy metabolites in the muscle and brain cells.
The reference files that take up the most space in my home library second to fish oils, is vitamin D. Vitamin D deficiency is a very common problem in the U.S., and especially in an aging population. Most of our vitamin D comes from sun exposure, and only a small amount typically obtained from food or supplements. Due to our decreasing exposure to sun, with spending so much time indoors, wearing clothing and/or sunscreen, the majority of us just don't get enough vitamin D anymore, whether we live in Alaska or Arizona.
Vitamin D deficiency is associated with osteoporosis and increased risk fractures. Lower levels of vitamin D is also associated with risks of cancers of the colon, breast and ovary. Vitamin D deficiency has other serious implications and has been associated with several autoimmune diseases, asthma, cognitive decline, depression and even increases in the risk of hypertension and cardiovascular disease. Supplemental vitamin D is being used to prevent and treat osteoporosis, depression, fibromyalgia, multiple sclerosis, breast cancer patients and much more. The most recent Recommended Dietary Allowance (RDA) recommended by the Institute of Medicine is now 600 IU per day for people ages 1 to 70 and 800 IU per day for those 71 and older. The updated safe upper limit is 4,000 IU a day for those 9 years old and above, pregnant or not. Most practitioners and a studious group of consumers realize that there are scores of studies on the many other potential health benefits of vitamin D and more individualized testing and dosing can easily occur.
The reason that Echinacea deserves a spot on the top five list is due to its ability to defend against the common cold and other upper respiratory infections. Several species of Echinacea plant are used to make preparations from its leaves, flowers and/or root. Echinacea can be taken at the first sign of a cold, after cold symptoms already start, or even routinely especially in fall/winter due to the propensity of colds and upper respiratory infections during this time. Modern research demonstrates that Echinacea can have an ability to reduce cold symptoms and shorten the duration of a cold. Echinacea can also be used for many other infections including flus, urinary tract infections, gum disease, tonsillitis, strep infections, skin infections and more. Commercial Echinacea products are available in liquid extracts, herbal tinctures, tablets, capsules and teas. There are nine species of Echinacea but the most common preparations are Echinacea purpurea and Echinacea angustifolia.
These top five supplements of fish oils, vitamin D, turmeric, rhodiola and echinacea can offer a vast and significant array of health benefits. Not only are these five supplements attractive due to the significant research that has been done, they are also appealing due to the broad scope of benefit, safety and reasonable affordability. I encourage all massage practitioners to attend to one's health, not only with important supplements, but the basics of a healthy whole foods diet, regular exercise, rest, stress management, time in nature and fun!
Dr. Tori Hudson is a naturopathic physician, national lecturer, author, award winning researcher and educator with more than 25 years of experience and expertise in women's health. She is currently in private practice serving as the Medical Director of A Woman's Time clinic and is the Program Director at the Institute of Women's Health and Integrative Medicine. Dr. Hudson also serves as a Nordic Naturals Advisory Board Member.
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