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Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
August, 2007, Vol. 07, Issue 08
Keeping Cool Through Pregnancy
By Elaine Stillerman, LMT
There is a sign posted outside of my gym's sauna that warns pregnant women about using the heated room. This same sign should be posted outside of steam rooms and hot tubs at health clubs, gyms, spas and resorts across the U.S.But what a lot of pregnant women don't understand is why this warning is provided in the first place.
According to a 2003 study reported in the International Journal of Hyperthermia, "Hyperthermia during pregnancy can cause embryonic death, abortion, growth retardation and developmental defects."1 The study also asserts that an increase in maternal temperature of even 2 C (3.6 F) for a 24-hour period also can cause a "range of developmental delays."2
An equally revealing study reported in JAMA states that "women who used hot tubs or saunas during early pregnancy face up to triple the risk of bearing babies with spina bifida or brain defects."3 Hot tubs and heated baths pose more grave dangers than other heat sources because immersion disrupts the body's attempt to cool through perspiration. The fetus cannot escape the increased temperatures while still in utero. But there also is another serious problem that pregnant women have to be made aware of - the heat of ultrasound.
There are a lot of important reasons to maintain a normal body temperature during pregnancy. (The average temperature is 98.6 F.) Proper body temperature is essential to proper enzyme reactions. Temperature can affect the actual shape of the proteins that manufacture enzymes, and when their shape is thwarted due to increased temperature, enzyme reactions become less and less efficient until they are permanently damaged.4
We have different ways to stay cool and keep our core temperature stable. We shiver when we are cold and perspire when we are warm. But the fetus cannot do that. However, fetuses do have a defense against rising temperatures. Each fetal cell contains heat shock (HS) proteins that temporarily stop the formation of essential enzymes when temperatures become too high.5 Unfortunately, HS fails to protect the fetus in later pregnancy, and once normal protein synthesis is delayed or suspended, normal development may not occur.6
Ultrasound heats the bones of the developing fetus at a different rate than other tissues. The older the fetus and the more calcification within the skeletal system, the more heat these young bones absorb and retain. During the third trimester, the fetal cranium can heat up 50 times faster than its surrounding tissue.7 This can subject the parts of the brain near the skull to secondary heat that can continue after the test is completed.
We have to conclude that when a pregnant woman is exposed to heat, whether it's from a water source, maternal temperature or ultrasound, the fetus can suffer devastating consequences. In order to prevent this from occurring, pregnant women need to be made aware of the potential dangers and risks of all of these heat sources.
It's one thing to be a "hot momma." It's quite another thing to endanger the baby when this can easily be prevented.
Click here for previous articles by Elaine Stillerman, LMT.
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