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How many treatments will I need?

The number of treatments will vary from person to person. Some people experience immediate relief; others may take months or even years to achieve results. Chronic conditions usually take longer to resolve than acute ones. Plan on a minimum of a month to see significant changes.

Treatment frequency depends on a variety of factors: your constitution, the severity and duration of the problem and the quality and quantity of your Qi. An acupuncturist may suggest one or two treatments per week, or monthly visits for health maintenance and seasonal “tune ups”.

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Is acupuncture safe for children?

Yes. In some instances children actually respond more quickly than adults. If your child has an aversion to needles, your acupuncturist may massage the acupuncture points. This is called acupressure or tuina.

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Why did my acupuncturist recommend herbs?

Herbs can be a powerful adjunct to acupuncture care. They are used to strengthen, build and support the body or to clear it of excess problems like a cold, fever or acute pain. Your practitioner may suggest starting with herbs and then adding acupuncture to your treatment in the future. This is suggested to build up your internal strength so you can receive the full benefits acupuncture has to offer.

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Why do they want to look at my tongue?

The tongue is a map of the body. It reflects the general health of the organs and meridians. Your acupuncturist will look at the color, shape, cracks and coating on your tongue.

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Why do they want to feel my pulse?

There are twelve pulse positions on each wrist that your acupuncturist will palpate. Each position corresponds to a specific meridian and organ. Your acupuncturist will be looking for twenty-seven individual qualities that reflect overall health. If there are any problems, they may appear in the pulse.

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What will my acupuncturist do?

During the initial exam a full health history will be taken. Questions will be asked regarding symptoms, health and lifestyle. Your acupuncturist also may check pulses and your tongue and may conduct a physical exam. This information is then organized to create a complete, accurate and comprehensive diagnosis of where Qi has become blocked or imbalanced. After the interview process, you may receive an acupuncture treatment. Visits with your acupuncturist may last from thirty to
ninety minutes.

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What is Acupuncture?

Acupuncture is an effective form of health care that has evolved into a complete and holistic medical system. Practitioners of acupuncture and Chinese medicine have used this noninvasive medical system to diagnose and help millions of people get well and stay healthy.

An acupuncturist will place fine, sterile needles at specific acupoints on the body. This activates the body’s Qi and promotes natural healing by enhancing recuperative power, immunity and physical and emotional health. It also can improve overall function and well-being. It is a safe, painless and effective way to treat a wide variety of medical problems.

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Five Finger Update.

Things I love.

Dogs.  Vibram Five Fingers. Special Ops. OTHER people jumping out of planes.

All of these things are featured here:

Vibram & Special Ops
A U.S. Army soldier with the 10th Special Forces Group and his military working dog jump off the ramp of a CH-47 Chinook helicopter from the 160th Special Operations Aviation Regiment during water training over the Gulf of Mexico. Tech Sgt. Manuel J. Martinez/defense.gov

The original focus of this picture was the German Shepherd, as reported in the NPR article which you can see here.  I find this HILARIOUS because the article talks about putting titanium canines in the dog. The irony is that the dog is getting equipped with technology to make his teeth even better.  The human is wearing “shoes” equipping him with the technology to bring him back to a more natural state.

Combat boots have certainly saved the footsies of plenty of soldiers, but the armed forces could be issued other gear to help prevent the orthopedic injuries that ensue from years of hitting the pavement in inflexible boots.

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What am I wearing?!

Vibrams.  Just Do It.

My vibram KSO's

I will be the first to admit that I’m not a fashionista by any means – What Not To Wear would have a field day with me.  The most recent fashion faux pas that grabs the attention of my clients, the bagger at Krogers, and the random people in line at the post office is my footwear.  I’m one of those people sporting the latest trend in athletic equipment, Vibram Five Fingers.

Dear God Why.

When training for the Austin marathon, a few years back, I was experiencing a lot of lateral ankle pain, knee pain, and hip tightness.  My IT band was rolling over my hip and creating a really loud “POP” anytime I would stand from a seated position.  I had to tape my ankle every time I ran and was popping NSAIDs and fish oils like they were going out of style.

…and then I discovered ugly shoes.

Vibram Five Fingers

I stumbled upon Vibrams at an REI, Inc and was instantly hooked.  Let me explain how they work, why they work, and why some people think they don’t work.

I’m hesitant to jump on the latest bandwagon in the world of diet, exercise, and gimmicks, so I did some research into the Vibrams and uncovered the world of barefoot running (which also introduced me to the Paleo movement, that is another blog, another day).  The idea behind the barefoot running ideology is that our bodies evolved to be bipedal with certain caveats to protect itself in the upright position.  Namely, the strength and alignment of our feet being the most important because this is the very start of our whole kinetic chain.

Daniel Lieberman, a professor of human evolutionary biology at Harvard University said, “People have been running barefoot for millions of years and it has only been since 1972 that people have been wearing shoes with thick, synthetic heels.”.  The devil’s advocate would say, “Well, we didn’t have paved roads either”.  CUE THE VIBRAMS!  There is a movement of barefoot running that includes b a r e f o o t   r u n n i n g.  This means NO SHOES.  Do you know what dying of tetanus is like?  There is no reason, in my opinion, to go militant and run around the streets of NY asking for ringworm, diseases, and injury, just so we can move in a way that is more ancestrally fit.

I digress.

For whatever reason people seem to think that the arches in our feet are some mysterious body part to be treated completely differently from every other muscle, joint and bone.  In fact, the arches of the foot are composed of tendons and ligaments connecting the tarsal and metatarsal bones.  These soft tissues need to be strengthened, stretched, and exercised just as much as your killer hamstrings or beefy biceps.  You would never start benching 200lbs when all you’ve been doing is curls of Miller Light, but you would slowly work up to it.  Slowly increasing the strength of your feet will make your WHOLE body stronger.

My feet are strong, aren’t they?

The average person wears 3 pairs of shoes a day.  (I made that up.)  Think about it though.  We wake up, put on some house slippers and walk around like a zombie until we put on our work shoes – high heels, dress shoes. Then we run over to the gym and throw on our sneakers with arch supports because when we run our feet hurt. Then because our bodies are nice and toned we switch to our fancy shoes and go out on the town.  How in the world do we expect the muscles in our feet to ever get stronger?

An Olympic high diver jumps off a platform with substantial spring.  They aren’t on a concrete slab.  Reducing the mobility of our feet, reducing the sensation of our feet to the ground, and changing the biomechanics of our stride is the same as trying to SPRING off a concrete slab.  Think of how much more explosive power, endurance, and strength your feet and legs would have if you strengthened your feet to the same powerful output of a spring board!

I have flat feet, I have high arches, my mommy didn’t hug me as a child.

Your feet will adapt.  To anything.  In fact, our poor footsies have adapted to RUNNING SHOES.  It is not normal for our foot to strike heel first in a normal stride and this is only possible with the advent of lots of padding that we can even accomplish this.  The natural motion is altered and will then change how the lower leg handles the shock – this translates to stress fractures, shin splints, tendon/ligament.meniscus tears.   Le sigh.

Don’t believe me?  Check out this video.

Barefoot Running

I firmly believe that changing your gait will normalize a lot of structural abnormalities and muscular imbalances.  Get some.  Try them.

Words of Wisdom:

Start slow.  At first continue running in whatever shoes you’ve got, slowly acclimate yourself, introduce your feet to the world of working out by walking around the house in the vibrams, then walk the dog, then go on a slow jog.  START SLOW.

 

5 Reasons to Wear Vibram FiveFingers:

http://www.vibramfivefingers.com/

1. Strengthens Muscles in the Feet and Lower Legs—Wearing Vibram FiveFingers will stimulate and strengthen muscles in the feet and lower legs, improving general foot health and reducing the risk of injury.

2. Improves Range of Motion in Ankles, Feet and Toes—No longer ‘cast’ in a shoe, the foot and toes move more naturally.

3. Stimulates Neural Function Important to Balance and Agility—When wearing Vibram FiveFingers, thousands of neurological receptors in the feet send valuable information to the brain, improving balance and agility.

4. Eliminate Heel Lift to Align the Spine and Improve Posture—By lowering the heel, your bodyweight becomes evenly distributed across the footbed, promoting proper posture and spinal alignment.

5. Allow the Foot and Body to Move Naturally—Which just FEELS GOOD.

*For those interested in running in Vibram FiveFingers, please go to our Running page for further information.*

 

 

Vibram FiveFingers and Barefoot Running FAQs

www.vibramfiverfingers.com

If my Vibram FiveFingers® hurt while running, should I continue using them?

Minor initial discomfort is not unusual for some individuals, depending on your foot type and running style, but you should not continue if pain persists. Transitioning slowly to build proper strength is imperative when beginning to run in Vibram FiveFingers.

I have always used motion control shoes. Should I drop down into a mid-range shoe before entering into a pair of Vibram FiveFingers®?

While some customers have transitioned successfully using this method, we’ve found that it is not the most effective way to make a transition. More minimal sneakers tend to continue enabling a heel-strike running form, whereas running in Vibram FiveFingers means learning to run on the forefoot. We recommend running first completely barefoot on a hard flat surface. This serves a dual purpose. One, it naturally forces you to run with a very light forefoot strike. Two, it allows your skin to function as a failsafe, so that you don’t push yourself too hard too soon. As you develop a solid forefoot running form you can begin transitioning to Vibram FiveFingers. Slowly building your mileage is critical as your body needs time to build the necessary lower leg strength for forefoot running.

Vibram FiveFingers® do not have a cushioned heel pad. What will that mean to my biomechanics?

In your typical running shoe, the heel is higher than the forefoot. In FiveFingers both the heel and forefoot lie on the same plane, so there is no cushioned heel. If you are a traditional heavy heel-strike runner or walker, you might have a biomechanical change to make, but this change is likely a good one. Humans are not meant to heel strike heavily, particularly when running. Try running without shoes on; you will see what we mean. Running barefoot with a strong heel strike will send you to the sofa to let your bone contusion or fracture heal. One of the goals of Vibram FiveFingers footwear is to encourage forefoot striking, meaning your forefoot will contact the ground first then engage muscles in your feet and lower legs as your heel touches down. This style of running may be safer and lead to fewer injuries, in addition to being biomechanically more sound from an energy and force distribution standpoint. Basically, it is a smarter way to ambulate.

Can I still run in my regular running shoes and use my Vibram FiveFingers® for training?

Yes. Training in Vibram FiveFingers will enhance your proprioception and foot strength and help you run better, especially if you utilize the technique adaptations you learned while using Vibram FiveFingers. That said, if you do continue to use running shoes in rotation with your Vibram FiveFingers, we recommend you seek out flat, thin-sole running shoes that allow you to maintain the good technique you will have learned using Vibram FiveFingers. Many have used Vibram FiveFingers® as a training tool at first, but often make the full switch as their form improves and feet strengthen.

How long until I see results in my training?

A change in your running style (to a more natural forefoot strike) should occur almost immediately, with lasting adaptations within a few weeks. As your form and foot strength improve you will become more adept at forefoot running and therefore be able to increase your speed and mileage. Maintaining a patient outlook is critical in transitioning to Vibram FiveFingers. Remember, you are learning to use a new athletic skill. Many runners will feel driven to regain the mileage they were used to doing in sneakers in a short period of time. Doing so can lead to overuse injuries, because muscles and tendons need sufficient time to build the strength required for running with a forefoot strike. Sticking to a slow, but steady transition will build a strength base for longterm success.

Some transitioning tips:

  • Tips on correct forefoot running form can be found here
  • Run no more than 10% of your typical running distance for the first 2–3 weeks
  • After 2–3 weeks, gradually increase mileage by 10%–20% every couple of weeks
  • If you ever start to feel pain during a run, stop! You can always try again in a couple of days
  • Never run 2 days in a row for the first month
  • Stretch before and after each run, focusing on calves and feet, because Vibram FiveFingers running will stimulate these muscles
  • If, after several weeks of training, you are consistently very sore, you need to rest and back-off on your mileage
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Brittle bones? Yeesh! Now What?

osteoporosis

Osteoporosis

What is osteoporosis, why does it happen, what can I do to prevent it or reverse it?

In the most simple of terms, osteoporosis is a bone disease manifesting with a reduction in the integrity of the bone composition and density. The National Osteoporosis Foundation1states that 50% of Americans over 50 are effected, with 80% of that population being women.

We have seen the commercials for Fosamax, Bonevia, and Actonel. The pharmaceutical industry is pushing ways to prevent and treat osteoporosis in postmenopausal women – but is this the best way?

So What Now?

A diagnosis of osteoporosis is not a life sentence of bone degradation or pain, rather it is a warning that you need to bring your body back into balance. A visit to you local integrative medicine practitioner (a great resource can be found here: paleophysiciansnetwork.com/) will get you started on evaluating your diet, lifestyle, and hormonal issues.

Clean up your diet.
Whatever you put in your mouth is medicine, not just the pills. Every artificially synthesized pill we put in our body had its origins in nature, even if it’s hard to imagine it now in the highly processed state it might be packaged in. Make smart food choices and treat food as medicine instead of pills as the only medicine. Find quality, natural, foods high in calcium and magnesium.
Do not drink sodas. Period.
Reduce Stress, Exercise, and Go Outside!
Cortisol is our fight or flight hormone, the one responsible for helping our bodies cope with stress. What our bodies don’t always understand is that the high intensity lifestyle of a fast-paced work environment floods the body with cortisol and pulls calcium from our bones. This was helpful when we were running from predators or warring tribes, but when our stress is because we’ve been sitting on our fannies all day this protective mechanism is a bit more harmful than helpful.
Weight-bearing exercise, pretty much anything where you are moving your body in the world, helps increase the strength of the bones.
Go Outside
Sure, there is lots of research about sun exposure and skin cancer, but moderation is key. There is a 100% off, Completely Free, Sale of Vitamin D. Go outside.
Consult with a specialist
Find a health practitioner that will treat you as a person that is capable of healing yourself. An advocate for your personal health and wellness can be an amazing tool to educate you and provide you with the resources to get you to a pain free and healthy place

The Science – Nerd Talk

Bones are mineralized osseous tissue that is very much alive. Bones account for mechanical protection and mobility of our frame as well as our host to metabolic survival. Bones are our reservoir for minerals integral to our survival, storage center for our metabolism, regulator of our pH balance, envoy for detoxification, and key player in blood sugar and fat metabolism. With all of these things listed it is obvious that bone health is more important than we first thought.

The cells within the bone, osteoblasts, osteocytes, and osteoclasts, all contribute to bone health. Osteoblasts are our bone builders – they sit on the outside of the bone, manufacture hormones, and eventually become mineralized into the bone itself. Osteocytes are responsible for the calcium balance within the cells and work to communicate with the mechano-sensory aspects of bone tissue to help signal to the body if the bone is receiving too much mechanical stress. Lastly, and most importably in osteoporosis is the osteoclast activity.

Osteoclasts are responsible for bone resorption, they are literally breaking down the bone. If someone were to be diagnosed with osteoporosis it would make sense to limit this particular cellular function, right? WRONG! Osteoclasts break down old bone and then stimulate the osteoblasts to build new bone. If this function is removed, as is the case in most pharmaceuticals “treating” osteoporosis, new bone will never be built. If all the pharmaceuticals do is prevent old bone from disappearing, but do not provide the stimulation for new bone growth, our bones will eventually wear away and become structurally compromised.

There are many hormonal factors involved in bone building. Osteoporosis seems to show up most predominately in women over 50 because osteoblasts are stimulated through the sex hormones estrogen and testosterone. When a hormonal imbalance occurs, as seen in menopause, the stimulation is reduced. Fortunately, the body relies on the pituitary, thyroid, and growth hormones to compensate for this absence.

Prevention – A dose of prevention is the best medicine

History of osteoporosis in your family, early diagnosis of osteopenia (early stages of osteoporosis), symptoms of fragility in the bones? How do you prevent this in the first place? Hormonal imbalances are certainly a risk factor. Hormone replacement therapies have been shown to have a whole host of side effects, but there are ways to balance your hormones naturally (a can of worms and wonderful blog post unto itself).

•Alcohol – excessive alcohol intake2 has been shown to have an effect on bone mineral density.
•Smoking – there isn’t a need to launch into all the many negative effects of smoking, specifically as it relates to osteoporosis, tobacco smoking has been shown to inhibit the osteoblast (bone building cell) as well as breakdown the estrogen in the system (a factor for early onset menopause and hormonal imbalances)
•Malnutrition – How in the world can someone be living in modern society and have malnutrition? Poor diet, limited sun exposure, high blood pH, and poor nutrients can all lead to malnutrition. Low protein diets have also been linked to lower bone mineral density3 as well as imbalances of Omega-6 and 3 ratios of polyunsaturated fats4.
•Inactivity – bones are reformed through stimulation. Weight bearing activity, such as walking, jogging, weight lifting, all help signal our bones to get stronger
•Soft Drinks – every soft drink, diet or otherwise, is a factor. Soft drinks contain phosphoric acid which has been shown to be a direct factor in osteoporosis

Foods to Eat
Eating foods high in calcium isn’t the only solution to osteoporosis. According to Dr. Loren Cordain5 “In the U.S. calcium intake is one of the highest in the world, yet paradoxically we also have one of the highest rates of bone demineralization (osteoporosis).  Bone mineral content is dependent not just upon calcium intake but upon net calcium balance (calcium intake minus calcium excretion).” This is a frustration piece of the puzzle that we don’t always take into consideration.
When researching for this blog posting the #1 hit took me to a PubMed6 article from a peer reviewed source that listed the top 2 foods to increase to prevent and treat osteoporosis are “cheese and ice cream”. Sigh. I wish I could say close but no cigar but they aren’t even close.
A high protein diet increases intestinal calcium absorption which allows for better utilization of any calcium you consume. Milk tends to be the big champion of strong bones, but it has a insulinotropic effect that triggers your body to SECRETE more insulin in the urine so it can be counter-productive in the fight against osteoporosis. Kale, a leafy vegetable, has more calcium than milk without the blood sugar spiking side effects. Watercress has 2181mg of calcium where milk just has over 800mg. Livestrong.com has a great article on calcium-rich foods:
Foods
Calcium is often consumed through dairy and grain products, but these foods are not allowed on the Paleo diet. Following the Paleo diet requires calcium to come from vegetables, fruit and seafood. Rhubarb, for example, contains 348mg of calcium per 1-cup serving and a 4-oz. salmon steak provides 225mg. A 1-cup serving of kale, white beans and beet greens supply more than 100mg of calcium. Other fruit and vegetable sources of significant amounts of calcium include broccoli, okra, green beans, oranges and cabbage. Seafood choices containing calcium includes oysters, clams, shrimp and haddock.
Read more: http://www.livestrong.com/article/262772-calcium-the-paleo-diet/#ixzz1IldgYKHI

National Osteoporosis Foundation. America’s Bone Health: The State of Osteoporosis and Low Bone Mass in Our Nation. Washington, DC: National Osteoporosis Foundation; 2002.2 Berg KM, Kunins HV, Jackson JL et al. (2008).
“Association between alcohol consumption and both osteoporotic fracture and bone density”. Am J Med 121 (5): 406–18.3 WHO Scientific Group on the Prevention and Management of Osteoporosis (2000 : Geneva, Switzerland) (2003).
“Prevention and management of osteoporosis : report of a WHO scientific group” (pdf).4 Ratio of n–6 to n–3 fatty acids and bone mineral density in older adults: the Rancho Bernardo Study American Journal of Clinical Nutrition, Vol. 81, No. 4, 934-938, April 2005
http://www.ajcn.org/content/81/4/934.full5
http://thepaleodiet.com/nutritional_tools/acid.shtml6 http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001400/

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