Summer is a time of increased activity-- and we really hope you're getting out there and making the most of it! Being active is the best way to stay healthy, young and happy.
With increased activity comes the occasional trauma or repetitive strain. Many are familiar with the classic RICE protocol for injuries-- "rest, ice, compression and elevation." Often we observe patients instead practicing the "Double I" protocol-- "ice and ibuprofin." But is this truly the fastest way to get back in gear?
You may have heard us gently preach about ibuprofin and other NSAIDs once or twice before. The side effects of this class of drugs are not to be accepted casually: bleeding ulcers, tinnitus and hearing loss, and kidney damage are only the major ones. Some 100,000 people are hospitalized annually for NSAID-provoked GI issues alone, and some 16,500 of these patients actually die. On a sub-clinical level, these drugs have been shown to cause micro-lesions in the GI tract, contributing to such disorders as leaky gut, IBS and systemic inflammation.
Even worse, NSAIDs may not speed the healing of your injury at all. By interrupting your natural inflammatory response to tissue damage, which plays an important role in the early phases of healing, they may actually impede the normal arc of injury recovery.
(By Grace Rollins, MS, LAc) As I write this it's the last day of April, but I only just learned this month is considered National Foot Health Awareness Month. Well, there are a few hours left in the month so it's not too late to draw attention to the importance of foot health.
Why do foot issues impact us so much? First off, they impact our mobility. If your foot hurts, it can be really hard to exercise or do the daily walking we know is vital for our health. Since so much about our health depends upon physical activity, a foot injury or repetitive strain can create snowball effects.
Secondly, the health of our feet impacts our entire musculoskeletal system. The key word here is system. Our bones, joints and muscles work together in a coordinated fashion, and no one part is separate from the movement and functioning of the whole. In particular, the way we use the many joints and muscles of our feet (or the way we don't use them) has ramifications all the way up your anatomy chains. Your feet alone have 33 joints, 26 bones, and more than a hundred muscles, tendons and ligaments. Why would nature design us with so many tiny joints and muscles in the foot? If you guessed to serve as an active, intelligent interface between the body and the terrain, you win! (The prize is a barefoot walk across the yard.) When such a complex structure loses mobility, strength, sensory input, tissue integrity, or becomes inhibited by pain and deformity, it changes the way we interact with the terrain and impacts the body from toe to head.
A third reason foot health impacts us so much is that feet are sensitive, yo!
(By Paolo Propato, LAc) My son likes to call the body the “meat suit” that just takes cues from the brain, helping it get from point A to point B. Instead, I like to think of the body as the most highly sophisticated antenna in existence, transmitting and receiving all types of information that connects us to the world. Our unconscious mind listens to this all the time, but sometimes we need to fine-tune the conscious mind to listen better.
For instance, take the very ground you walk on. Whether you are walking on soft moss, asphalt, tiles, pebbles… these all have a different effect on your joint angles and motor function, your vestibular sense, even your emotions. The body even senses electron exchange with the earth, if we permit it to have direct contact through our skin to conductive surfaces like soil and water. The sound and vibration of our foot falls, the temperature of the ground, the pain or pleasure of certain pressures and stretches on the foot, different types of footwear… it’s a never-ending exchange of information with your entire body, if you tune in and listen, and your body can learn and adapt from this information. I was told by one of my acupuncture teachers that in Japan, stroke patients are sometimes told to walk barefoot on a rocky beach as part of their rehabilitation.
To take another example: our emotional environment. Our very thoughts affect the functioning of the body, and just think of all the things that influence our thoughts on a daily basis!
(By Brian Yang, LAc) Since I’ve been working lately with several cases of shoulder pain I thought I would offer some insights into how we approach common shoulder problems as acupuncturists. The shoulder allows for many of the movements that we use an everyday basis, and has an incredibly broad range of motion compared to other major joints-– something that allows a healthy shoulder to hang, reach, climb and throw with ease. Some of the incredible mobility of the shoulder comes from the shallowness of the ball-and-socket portion (the glenohumeral joint), and the fact that it has three other joints in addition to that ball-and-socket: the sternoclavicular joint (where your collar bone meets the breast bone), the scapulothoracic joint (where your shoulder blade glides close to the ribcage), and the acromioclavicular joint (where your shoulderblade meets your collarbone). In other words, the shoulder joint is actually four joints!
Similarly, the “rotator cuff” (or “rotator cup” as some are fond of saying) is not just one muscle but four (supraspinatus, infraspinatus, teres minor, and subscapularis)-- forming a “cuff” that helps “rotate” your upper arm in all different dimensions. In addition to your rotator cuff muscles, we could mention several muscles involved in scapular movement, upper and lower arm movements, and the relational movements between the neck and shoulder, not to mention muscles that impact the brachial plexus (innervation to the shoulder). Shout-out to the lats, biceps, triceps, pecs, scalenes, levator scapula, serratus, and don’t forget everyone’s favorites, the upper trapezius and rhomboids!
With such a complex “joint” there are many types of pathologies that can cause pain and loss of range of motion in the shoulder: tendonitis, tendinopathy and degeneration, arthritis, adhesive capuslitis (“frozen shoulder”), bursitis, impingement, fracture, radiculopathy, neurovascular compression, dislocation and more. Due to the complexity of the shoulder it’s helpful to narrow in on the origin of pain.
(By Grace Rollins, MS, LAc) It's worthwhile to contemplate why some individuals get sicker than others. Let's intentionally set any kind of judgmental attitude-- toward others or one's self-- aside for the sake of exploration. How much we do to take care of our health, and "how well," is always relative. My own personal day-to-day health maintenance practices are as imperfect as those of my self 20 and 30 years ago. However, each day I am making my best effort to advance my knowledge, discipline and efforts, while also practicing self-compassion.
That being said, we do have a great deal of power over our health through our personal actions. How to generate health states is something our mainstream culture perhaps surrenders too much. Instead we often focus on the "bad luck" aspects of genetics, trauma or infectious disease.
Do some healthy people get a difficult case of COVID due to simple genetics or bad luck? Possibly, we truly don't know at this point. But there are some things we do know. On average, COVID (and many other "bad luck" diseases) tend to hit people harder who don't exercise, who are overweight and who have weakened immune systems, all factors that usually relate to one's overall state of health. It's therefore highly likely that other aspects of health cultivation (how much we sleep, how much stress we suffer, the condition of our microbiome, our nutritional status, etc.) also relate.
(By Grace Rollins, MS, LAc) I've practiced Zen for close to 20 years. Though the primary practice is seated meditation (Zazen), there is a lot more to it, even for a layperson like me. In the past I've traveled several times to a Zen monastery for special week-long formal trainings known as Sesshin. There I would practice Zazen, walking meditation, chanting, formal meals, strict etiquette, and cleaning. Yes, cleaning.
I was actually fond of the twice-daily cleaning periods during Sesshin because it let me move my body out of the sitting position I was in for so many hours of the day. Probably because I was among the younger and fitter, the monks usually assigned me to floor cleaning duty. In the common Japanese way this involved mopping the floor by hand using a zokin (cleaning rag). To clean the long monastery hallways I'd run in a crouch, pushing the zokin out in front of me in the traditional fashion. The faster, the better-- it was invigorating, and if I'll be honest my martial arts buddies and I were probably showing off to see who could finish their floor section first. Plus, if I finished my chores early, I could have a longer break before the next sit!
One evening I was cleaning the tile stairs that led up to the old head priest's quarters when I saw him coming up the stairs. I respectfully stepped aside but to my surprise he took the zokin right out of my hand and demonstrated how to properly clean the corners of the stairwell. In my haste I was being too sloppy, apparently, and he saw me missing the corners. "Clean even where no one can see it," he said to me.
(By Paolo Propato, LAc) The other day Issa (my son) and I found a plethora of mushrooms in the woods. We both got very excited. “Issa, I’m not sure but I think these are Chanterelles!” Our eyes lit up like we had happened upon a hidden treasure. In my mind all I could see were plates full of mushrooms... there was enough for Mamma, Grace, Faye and the rest of the crew (we picked a lot of mushrooms).
As I looked at them sitting on the kitchen table I remembered Grace once had an experience of mistaken identity with chanterelles. A quick google and message to Grace with a picture, and the verdict quickly came in, they were not chanterelles but Jack O’lanterns. Very similar in appearance except Jack O’lanterns can cause GI distress. Of course I got rid of them, but it left an impression on me because they looked so good!
As I threw out the mushrooms a thought came to me: Do I think I’m a Chanterelle but am really a Jack O’ lantern, or vice versa? Have I convinced myself that I am one way but in reality I am something else?
(By Paolo Propato, LAc and Grace Rollins, LAc) The late summer weeks are associated in Eastern Medicine with the Earth element and the Spleen and Stomach energetic systems. These systems are a Yin-Yang pair and govern all aspects of digestion and assimilation. Even other organs obviously related to digestion, like the bowels and the gallbladder, are secondary to the importance of the Spleen and Stomach. In the 5-element system so central to Chinese medicine practice, the Earth energy is like the gravitational force that holds everything else together. So if the Spleen and Stomach energies are out of balance, many other systems can become compromised.
As we transition from the slower pace of summer back to the rushed life of full-time work and school, it's good to take a look at how it's not just what we eat, but the manner in which we eat that can drastically affect the health of the Spleen and Stomach, having ramifications throughout the body.
(By Paolo Propato, L.Ac.) “Our attitude towards life counts more than our ancestry.” I can’t remember who told me this but it has always stuck. Many patients attribute their health issues with genetics, whether rheumatoid arthritis, IBS, migraines... the list goes on. This attribution relinquishes not only responsibility but in a way, hope. At any rate it is probably premature in most cases.
If you take the seed of a healthy plant and place it in a harsh environment it may survive, but not thrive. The better the environmental quality, the more that life or Qi can expand outwardly. In healthy soil with appropriate light and water, the plant will be able to blossom, attracting bees and butterflies.
When I was growing up, many times I saw my grandfather replant a tree or bush that someone else had pulled out and discarded due to its appearing unhealthy. With gradual nurturing it would again flourish. (And later he would sell it!) In this day and age, surrounded by so many toxins we can't control, it’s especially important that we do our best to give ourselves a healthy soil to thrive in.
A few years back I went to the Horsham township meeting over the concern of water contamination with perfluorooctanioc acid (PFOA) and perfluorooctane sulonate (PFOS) from the Air Force base. The room was packed like sardines with people from various townships venting their concerns.
(By Grace Rollins, MS, LAc) This spring I’ve been having conversations just about every day with patients, friends and family about the COVID vaccines. Whether to get one, safety concerns, which one is better, even which arm to get the shot in. My studies of biochemistry and immunology only went so far, and I’m not qualified to offer specific advice on the subject, I tell people again and again. However, I do have some observations that may be helpful based on the way I see everyone grasping for answers.
Personally, I put a lot of thought into getting one of the COVID vaccines (which I did back in February). After all, they are brand-new, super-expedited, and let’s be honest, still quasi-experimental. Under normal circumstances I wouldn’t have felt compelled to get the jab until it had undergone a bit more testing.
Trying to keep an open mind, I read the entire tomb of Vaccine: The Controversial Story of Medicine’s Greatest Lifesaver over the winter.
Write something about yourself. No need to be fancy, just an overview.