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.
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.
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:
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.
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.
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.
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.
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.
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.
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).
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.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
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 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.
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."
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?
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."
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.
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.
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?
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.
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.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
October, 2004, Vol. 04, Issue 10
Menopause, Part I
By Elaine Stillerman, LMT
After spending most of my career treating pregnant and postpartum women, I decided to explore the next stage of a woman's reproductive life for this first article: a topic near and dear to many of us aging (gulp!) female baby-boomers - perimenopause and menopause.
We are not alone.Every day in the United States, about 4,000 women start menopause. Its symptoms read like a Stephen King horror novel: irregular periods (when menstruation ceases for over a year, menopause has been firmly established), hot flashes, flushes and night sweats (although some women experience cold flashes instead), heart palpitations, vaginal dryness and decreased libido, weight gain - especially in the midsection - mood swings and depression, memory lapses, bone-density loss, elevated cholesterol levels, gastrointestinal distress, insomnia and fatigue, the list goes on and on. As if menstrual cramps and labor weren't enough, we now have to suffer this final insult to our gender. (If it's any consolation, men undergo their own changes, called andropause. It is caused by a decrease in male hormones, particularly testosterone, growth hormone and DHEA. Men often experience decreased libido, lack of energy, fatigue and muscle weakness accompanied with loss of muscle tone.)
Why all the "Sturm und Drang" associated with menopause? Because it is a time of bewildering physical, hormonal, emotional and spiritual changes in a woman's mind and body.
Menopause is a normal part of the aging process, which usually occurs naturally in 25 percent of women by age 47; 50 percent by age 50; 75 percent by age 52; and 95 percent by age 55. It can also be brought on earlier as a result of chemotherapy or other medical interventions, such as hysterectomy, which accounts for 30 percent of menopausal women in the U.S. over the age of 50. As part of the aging process, it happens when the woman's eggs cells, the oocytes, are used up and menstruation ceases. As menopause nears, the ovaries stop making estrogens; these low hormone levels cause most of the discomforts associated with menopause.
Estrogen is also called the "female hormone" since it is essential to the development and maturation of the female reproductive system. It is the hormone that gives us our feminine shape and prepares our bodies for the unique expression of pregnancy. It also stimulates skeletal growth and helps maintain healthy bones. Estrogen plays an active role in protecting the heart and veins by increasing HDL (high-density lipoproteins, the "good" cholesterol) levels. Estrogen influences the brain and is thought to be important in memory and healthy functioning of nerve cells in the brain.
Estrogen is not one hormone, however. There are at least three major estrogens of which 90 percent are predominantly produced in the ovaries, although small amounts are manufactured in the adrenal glands, liver and kidneys. This explains why there are still low measurable levels of estrogen in menopausal and postmenopausal women. Fat cells can also produce small amounts of estrogen. Women who are overweight tend to have fewer hot flashes and osteoporosis.
Estradiol, produced in the ovaries, is the leading estrogen found in a woman's body during her reproductive years. It helps relieve menopausal symptoms, protects against osteoporosis, heart disease and possibly Alzheimer's disease. Estradiol has been shown to enhance mental alertness and memory. It also increases serotonin and endorphin levels, so it is easy to understand how a decrease in this estrogen results in insomnia and mood swings.
Estriol, manufactured in large quantities during pregnancy, promotes urogenital health and has been shown to provide protection against the production of some cancer cells. (A study by Dr. H.M. Lemmon, reported in a 1966 issue of the Journal of the American Medical Association, found that higher levels of estriol correlated with the remission of breast cancer; in addition, women without breast cancer excreted less estriol in their urine than women with breast cancer. Dr. Lemmon also noted that women without breast cancer have naturally higher levels of estriol, compared with estrone and estradiol. Vegetarians and Asian women also produce higher levels of estriol and have a lower risk of developing breast cancer. Estriol has the most benefit to the vagina, cervix and vulva.
Estrone, the weakest of the three estrogens, is more prevalent in postmenopausal women, thus providing a modicum of estrogen's benefits. The body manufactures it from hormones stored in fat cells and it is comparable to estriol's function in the body but is not nearly as effective.
Editor's note: Part II of this article will appear in the December 2004 issue.
Click here for previous articles by Elaine Stillerman, LMT.
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