Restaurant cards for Nightshade avoidance

Explaining Nightshade sensitivities to busy waitstaff can be a nightmare… so I made these handy cards. This way they can bring one back to the kitchen for the chef to review. I’m not going to say they work perfectly – I still get cherry tomatoes in my salads! – but they definitely help.

Print these out on card stock and keep a few in your wallet. Bon appetit!

English front  English back

Spanish front  Spanish back

French front  French back

Dutch front Dutch back

German front   German back

Italian front  Italian back

If you notice a mistake or possible improvement in any of these translations, PLEASE let me know! :)

Fascia – the best kept secret in healthcare

I’ve talked about fascia before in this blog, but I wanted to expand on the topic: It’s SO important, causing so many resolvable issues. It’s frustrating to me that fascia is unknown by average people, and ignored by so many types of healthcare practitioners. It’s ESSENTIAL in understanding biomechanical dysfunction and healing.

Fascia is the connective tissue that – literally – connects all of our parts. It’s why we are up walking around instead of a pile of organs and bones on the floor. These delicate layers of tissue are supposed to move past each other inside us as we move, but sometimes they get stuck. Trauma like injury or surgery, or a sedentary lifestyle over long periods, are frequent causes of fascial adhesions. 

Once I bought a rotisserie chicken from a regular grocery store. As I was taking it apart, I was stunned at how bound up the bird was, compared to the free-range chickens I was used to. A lifetime of forced inactivity had created fascial adhesions all over – you know, that translucent white sheeting? The muscles were all shrink-wrapped in place. “This poor chicken needed a massage!” I told Robert. I felt so bad for it. Just another lesson on how important light, frequent movement is for our bodies.

Connective tissue / fascia (white) and muscle fibers (tan)

Tight fascia will pull on our muscles and bones, preventing free movement and potentially causing misalignments. In severe cases, it can constrict nerve and blood vessel function, creating swelling, pain, or numbness & tingling.

Resolving fascial adhesions is as simple as knowing the right medical massage technique, myofascial release. I can do it for you, and I can show you how to treat yourself and your loved ones.

For hard-to-reach areas, you can use a foam roller to soften the adhesions. I advise people to use it against a wall, rather than lying down on it, because you can control the pressure better. Remember you do NOT want to cause intense pain – that will spark an alarm response. The body will think you have a new injury and will send sticky connective tissue to glue up whatever is torn or bleeding – which means the adhesions you just broke up will reform themselves.  It’s best to use the roller gently, then move. Go for a walk or do your usual workout. Movement will help release those weakened adhesions.

Want to learn more? There’s a treasure trove of articles here.

Let me know if you have any questions!

CBD salve – New solutions for pain relief!

GREAT NEWS! At the office, in addition to my usual high-potency arnica for bruises, and anti-inflammatory spray (great for arthritis, sunburn, etc) I will have CBD salve! I did a lot of research and gave samples to patients before deciding on a brand, and I really like this one, from Frogsong. It’s CBD from hemp, no THC, so you won’t get high and it won’t show up on drug tests. It’s completely legal in all 50 states, so you can take it on road trips. I’ve been getting strongly positive responses from my test cases, especially for nerve pain (neuropathy, neuralgia, shingles, sciatic pain, etc).

The CBD oil is in a base of shea butter, coconut oil, argan oil (a Moroccan nut), sweet almond oil, beeswax, and essential oils. Ingredients are sustainably grown, non-GMO, preservative free, gluten free, cruelty free and packaged in BPA-free containers.

Come on by the clinic if you want to try it!

UPDATE: I now carry two salves. The one listed above is minty and highly moisturizing – great for feet – the other is light and lemony, in an aloe vera gel, and penetrates quickly. I also have their CBD Drops, an oral supplement you can use to help reduce anxiety, etc.

Before and After: A/C Separation

Anterior view of shoulder joint with muscles. SOURCE: Based on AMuscsk_20131017_v0_001.

This 40 year old gentleman separated his acromioclavicular joint 2 years ago, in the April of 2016. Since then, he’s had shoulder pain and a lot of crunching noise with movement.

I treated him with acupuncture and medical massage. The goal was to break up fascial adhesions (scar tissue) and his muscles working properly again.

These pictures were taken on 4/3/18 and 4/25/18. He received 4 sessions of care.

First, look at the outside curves of the shoulders. He is much more symmetrical in the after pic. His deltoid (“shoulder cap” muscle”) has filled out now that he’s using it. Secondly, the shoulder girdle is no longer being held

forward. See the difference in the shadow at Arrow 2? And the A/C joint isn’t sticking out as sharply.

Here in the side view, you can see how the shoulder has rotated back to its normal position. In the Before pic you can’t see his chest at all at the top. His scapula (shoulder blade) is also sticking out in the Before shot.

Most importantly, the patient reports less pain, less crunching, better range of motion, and generally better performance. :)

Tinnitus

Tinnitus (ringing or roaring in the ears) is one of the few things I can’t reliably treat with acupuncture. It can be mildly irritating or absolutely maddening, depending on the frequency, volume, and pitch.

Here’s a use-at-home method that just requires your hands. I can’t test it personally since I don’t suffer from tinnitus, but two of my friends who do reported this gave them temporary relief. I suspect it has to do with the impact affecting the vagus nerve. Anyway, here’s the video: Good luck!

https://www.youtube.com/watch?v=ajb37ie-Juo

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Instant Pot cooking

NOTE:  I am not getting paid by Instant Pot (or Amazon), nor do I have any other reason for this post other than to make it quicker and easier for you to cook healthy food at home. I work long hours, and sometimes I lack the energy / time to cook a traditional dinner. The Instant Pot ensures we eat out less, which saves us both cash and calories.

fast-food-collageAn Instant Pot is a digital pressure cooker. It’s well engineered to be safe and simple to use, unlike the terrifying stove pressure cooker my Mom used to make jelly when I was a kid. There are a few other brands out there that make similar machines, and if you have one of those you can use these same recipes with minimal changes in fluid amount and times.

The IP can:

  • Make hard boiled eggs* that peel like a dream, even when fresh.
  • Make bone broth / stock in an 90 minutes, not a day and half!
  • Make yogurt (some models have a specific button, others require more attention)
  • Make rice perfectly
  • Steam perfect veggies (just set it for 0 minutes!)
  • Cook tender roasts in 1.5 hours or less
  • Saute in the pot to reduce your dishwashing load
  • Caramelize onions in half an hour (make a bunch and freeze some for later!)

*Cook your eggs 5 min on high, 5 NR, 5 in an ice bath. Or for a lovely color and nutty flavor, 90 min (not a typo!) – makes incredible deviled eggs!

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Colds and Flus

How to beat a cold with acupressure:

In the past, when people called me with a cold, I told them to come in. Acupuncture is great for the immune system! In the last few years, I have changed my policy. I now prefer you stay home if you’re contagious (how long is that?). I have patients who are immune-compromised*. This means I want to prevent their exposure, and also that I can’t work if I am sick at all – and losing a week or more of income is pretty rough (despite all the kitty snuggles).

li4So – here are some handy dandy acupressure points you can use for yourself. In all cases, press firmly with a fingertip for a few seconds, on both left and right sides. Continue reading

Plantar Fasciitis

Plantar fasciitis is a painful condition that makes your feet hurt, especially with the first few steps after being off of them for a while. What’s happening here? First, we have to understand fascia. It’s a system of connective tissue that holds us together. 

Each muscle fiber has connective tissue, called fascia, surrounding it like a layer of Saran wrap.

Connective tissue (white) and muscle fibers. When fascial adhesions form, it can cause unexplained pain.

Connective tissue (white) and muscle fibers. In plantar fasciitis, those fibers get tight and brittle.

It may help to picture a muscle fiber as a new drinking straw in a paper wrapper. The straw is actually the muscle cell, while the white paper is fascia. At each end, that flap of fascia becomes our tendons. It attaches to bone – or, more precisely, to the fascia surrounding bone. These sheaths of fascia are supposed to slide past each other as muscles move. With long periods of no movement, if the muscles are tight, or if there’s an injury, they can stick together and form a fascial adhesion.

When the plantar fascia (the fascia on the bottom of the foot) doesn’t move, it gets stiff and brittle, causing plantar fasciitis. When you do move, it hurts like crazy! The immediate answer – the one most old-fashioned podiatrists give – is to stop the movement. They prescribe stiff orthotics and walking-boot-type shoes that prevent your feet from flexing. That approach does give short-term relief, but in the long run it just sets you up for more pain.

Instead, advanced podiatrists like Dr. Ray McClanahan recognize that our feet evolved to be mobile. For millennia, they were a wide, stable base for our bodies that responded to uneven ground. Most modern footwear is too stiff and constricting, which restricts both toe movement and foot flexing, and reduces us to balancing on a solid block. The best long-term fix for plantar fasciitis is to get things moving again!

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The entire bottom of the foot can hurt, although pain is usually focused in the heel.

That means:

1) Gradually changing to more minimal, flexible footwear. In some cases, toe spreaders will be useful. 

2) Strengthen the feet with exercises (more here!). The muscles that create the arch of your foot are actually in your lower legs (they have long tendons down to the bones in the foot). Myofascial release for your legs will be helpful, too. With a little work, your legs and feet will support you as nature intended.

3) Break up the adhesions in the feet, using any combo of myofascial massage, acupuncture, rolling with small balls, etc. You have to do this a little bit at a time. Some people like to get in and dig the adhesions apart, deep-tissue massage style. That works well in the short term, but it also causes inflammation… which causes scar tissue and fascial adhesions to form… putting you back where you started. Myofascial release uses a more subtle massage approach to slide the layers apart. I love doing this type of work because the result is immediate freedom of movement and no boomerang side-effects.

The bad news: This is the only treatment I do that hurts.

The good news: It stops hurting immediately, and the relief is powerful and swift.

NOTE: This is how to treat the underlying problem – stiff fascia. If you are in a painful flare right now, we need to treat the “hot” injury first. That means (just as with any tendonitis) rest, ice, acupuncture and anti-inflammatory help via the diet or a topical medication.

Come see me and let me treat your plantar fasciitis. Won’t it be nice to go for a walk without pain again? I’ll be happy to help you assess your current shoes (sometimes there are tweaks we can make to give you more space in them) or pics of those you are considering on the internet!

 

 

 

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Cupping

You may have seen the news coverage of Michael Phelps and other Olympic athletes getting cupping. What the heck is it and how does it work?

cupping therapyDespite what that ridiculous article says, it IS ancient Chinese traditional medicine. The Chinese have been using heated cups for millennia. Practitioners warm the air inside the cup, then place it on the skin. A seal is formed. As the air cools, a vacuum is created. Standing cups are left in place. Another technique, moving cupping, involves sliding the cups around without breaking the seal. In both cases, the point is for the vacuum to separate the layers of skin and muscle and break up fascial adhesions.

Yes, it absolutely works! The reason I don’t do it in my office is that the dark circles are actually bruises – they are visual proof of broken capillaries bleeding under the skin. The vacuum created in cupping is strong enough that it does a little damage along with the good. I personally prefer to use myofacial release to break up the adhesions, sticking to the rule of “First, do no harm.” I get the same great results without any blood vessel trauma.

Next time you’re in the office, ask to see the cupping equipment. I keep a few cups around because they’re great conversation starters and they are beautiful, but sometimes modern innovation can provide a better solution.