Great Smokies Medical Center of Asheville

Archive for August, 2007

Advanced Clinical Massage

Sunday, August 19th, 2007

Most of the aches and pains of adults are the result not of injuries, but of the long-term effects of distortions in posture or alignment that have their origins in childhood or adolescence.

If the posture or body alignment of a child or teenager is periodically examined and corrected throughout the growing years, that child will be far less likely to experience what we have come to think of as the customary aches and pains of middle and old age. The short-term benefits include the child looking better, feeling better, and being less likely to suffer muscle injuries.

Structural balancing seeks to free the soft tissues so that the body can align itself comfortably and efficiently with gravity, to help one both feel and look better in the present, and to prevent the aches and pains that typically present problems as one grows older. Although structural balancing would ideally begin in childhood or adolescence, it can be effective later in adulthood as well.

The client’s biomechanical function is observed from front, back, and sides, taking note of irregularities in the movements of the legs, feet, arches, knees, hips, shoulders, and arms. The client is studied sitting and standing with arms held straight in front, straight up, and out to the sides to see how the body structure compensates for each of these shifts in balance. Balance is observed with the client standing on each foot with eyes open and closed, as is the positioning of the feet and knees in standing. The client is observed while sitting, with special attention to the positioning of the pelvis, sacrum, shoulders, cervical spine and head. A plumb line is used to help define structural imbalances.

Structural balancing is focused on the whole body, and the responses of the whole body to the work must be observed. The client will be draped with sheets and positioned with pillows to facilitate therapy. Patients may wear under garments during examination and treatment. The one-hour sessions are usually not more frequent than twice a week (to give the tissues time to respond to the work), and not less frequent than once every 10 to 14 days (to keep from reestablishing old patterns). Generally six to eight sessions will be required for children and eight to twelve sessions for an adult, although this may vary with the types of problems encountered. Treatment may include localized pressure to interrupt neuromuscular bad habits, stretching, and homework assignments. Referrals for chiropractic, radiology, and dental assessments may be made.

Before committing to structural balancing therapy, the evaluation findings and the reasons for treatment are discussed, in addition to answering any questions or concerns the client may have. Commitment of the therapist and client to the treatment plan is essential. Biomechanical structural balancing and bodywork is not simply done to the client, but is an ongoing process in which the client actively participates.

Lazlo’s Rules of Good Posture:

  • Everything is connected.
  • Anything can cause anything.
  • Bones go where muscles put them. Bones stay where muscles keep them.
  • When you sit: put your tail behind you and sit on your sit bones.
  • When you stand: let your head pull and hold your body up.
  • Listen to your body when it tells you something is wrong.
  • Posture yourself in life by being as kind to yourself as you are to others.

Advanced Clinical Massage Therapy has benefited the following:

  • Autism
  • Bulging Discs
  • Carpal Tunnel Syndrome
  • Chronic Low Back Pain
  • Cystocele
  • Effects of Trauma, Including Birth Trauma
  • Endometriosis
  • Fibromyalgia
  • Frozen Shoulder
  • Hammertoe
  • Headaches
  • Overall Health
  • Incontinence
  • Infertility
  • Knee Pain
  • Lazy Eye
  • Leg Pain, Athletic Performance
  • Nerve Impingement
  • Muscle Spasms
  • Pain Syndromes
  • Adjustment of Post-Surgical Joint Prosthesis
  • Pregnancy
  • Prolapsed Uterus
  • Neck Pain
  • Limitations from Scars
  • Sciatica
  • Scoliosis
  • Sports Injuries
  • Tendonitis
  • Tennis Elbow
  • Tinnitus
  • Symptoms Caused by Structural Misalignment

Lazlo Paule, L.M.B.T., has trained extensively in:

  • Therapeutic Touch (Hanna Kroger and Jenice Blitzer)
  • Quantum Touch (John Kennedy)
  • Cranio-Sacral Therapy (Upledger Institute)
  • Neuromuscular Therapy (Paul St. John)
  • Myoskeletal Alignment Techniques (Erik Dalton, Ph.D.)
  • Active Isolated Stretching (Aaron Mattes)
  • Manual and Assisted Lymphatic Massage
  • Frequency Specific Microcurrent (Carolyn McMakin)
  • Thai Massage (Margie Meshew, C.T.M.T.)
  • Applied Kinesiology (Arleen Green, B.S., L.M.T. )
  • Visceral Manipulation (Upledger Institute—Jean Pierre Barrall, D.O.)

Sleepless In America

Sunday, August 19th, 2007

Sleepless in America
Americans spend 25 percent less time sleeping than they did 100 years ago and have added one month to their average annual commute or work time in the last 25 years. For these and several other reasons including the availability of artificial lighting, 24/7 television and Internet access, shift work, working more than one job, emotional stress, workaholism, hormonal imbalances, and the use of drugs, cigarette smoking, caffeine, and alcohol, many Americans are accumulating a sleep debt that they are ill-equipped to pay back. Add airway obstruction to this imposing list and the deck is stacked against getting a good night’s sleep.

Sleep Apnea/Hypopnea
The Greek word “apnea” translates to “without breath,” and is defined as a reduction of air flow greater than 80 percent of baseline. Hypopnea is shallow breathing that reduces air flow to 50– 80 percent of baseline.

The two major types of sleep apnea/hypopnea are central (due to lack of effort to breathe, often from a stroke or brain trauma) and obstructive (due to collapse of the throat tissues into the airway). Of the two types, obstructive Sleep Apnea (OSA) is far more common.

Clinically significant OSA is defined as five or more events/hour of 10-seconds or longer cessation of breathing during sleep that is accompanied by a greater than three percent decrease in oxygen saturation or a neurological arousal (when high carbon dioxide or low oxygen levels alert the brain to briefly awaken a person to restore breathing). Five to 15 apnea/hypopnea events/hour is rated as mild, 15 to 30 events/hour is moderate, and more than 30 events/hour is severe.

People afflicted with OSA often have no memory of their frequent, momentary awakenings during sleep and may also be genuinely unaware of the severity of their breathing difficulties for years or even decades, and may think they “just snore.”

Who’s at Risk
An estimated 12 million Americans suffer from OSA, and many of them are untreated. Risk factors for developing OSA include being male and older than 40, smoking cigarettes, and having a short, thick neck, large tongue, receding jaw, and obesity. Additionally, the use of alcohol and drugs that contribute to muscle relaxation contribute to OSA. The incidence of OSA in post-menopausal women approaches that of men in the same age group.

Health Problems Associated with OSA
Health problems/symptoms associated with chronic suboptimal tissue levels of oxygen from OSA include feeling on waking as if one hasn’t slept, high blood pressure, memory problems, heart disease, stroke, esophageal reflux, difficulty concentrating, irritability, decreased libido, impotence, heavy sweating at night, self-reporting a poor quality of life, weight gain, severe daytime fatigue and sleepiness, morning headaches, seizures, heart arrhythmias, adrenal stress (from prolonged physiological stress of struggling to breathe), and death.

Sleep deprivation (which is largely due to the interruptions of deep, restorative REM sleep that is an absolute requirement for normal daytime functioning) can result in difficulty with both relationships and job performance.

Driving Drowsy vs. Driving Drunk
Accurate statistics on the impact of driving while drowsy are difficult to obtain in part because there is no roadside reliable test for fatigue as there is for alcohol intoxication and because people in motor vehicle accidents may not be forthcoming about their level of fatigue. A conservatively estimated 100,000 accidents dur to driving while drowsy result in 71,000 injuries and 1,500 deaths annually in the United States.

A Stanford University study of 113 people with sleep apnea and 80 volunteer control subjects examined the dangers of driving while drowsy.

Following baseline testing of reaction time for both groups, the 80 volunteers were tested three more times while drinking 80-proof alcohol and again afterwards.

On the first follow-up testing, the sleep apnea subjects scored worse on all seven measurements of reaction time than the 80 volunteer drinkers. The sleep apnea patients performed worse on three out of seven tests when compared to those volunteers who tested legally drunk.

Most people overestimate their ability to override their need for sleep by using sheer willpower when they are behind the wheel. Falling asleep at the wheel for even a split second, particularly at higher speeds, can result in tragedy.

Two Cases of Airway Obstruction
Case # 1 A man whose airway is obstructed from choking on food in public is likely to be the recipient of a Heimlich maneuver by a trained good Samaritan coming to his aid to help expel the food obstructing his airway.

Case # 2 A man whose airway is obstructed from his own tissues collapsing into his airway while sleeping at home in his own bedroom is not likely to have his airway obstruction relieved by a well-intended bystander. He is left struggling to breathe and often remains oblivious to the serious nature of his malady.

No Laughing Matter
The use of sleep deprivation as a tactic to coerce prisoners of war to reveal information is considered cruel and is banned internationally. Sleep deprivation that results from airway obstruction during sleep, however, is often mentioned only in humor or for the fact that it’s disruptive to people in the same household. Sleep deprivation can affect the health of an entire family and is no laughing matter.

In-Home Testing for OSA
Watch-PAT100 provides screening, diagnosis and assessment of sleep-related breathing disorders.

Watch-PAT (Peripheral Arterial Tone) provides an in-home, reliable, unattended, affordable, user-friendly, evaluation that is accessible to OSA sufferers. It offers a single button operation and allows patients to sleep in their own beds at home during testing, without the stress of being observed by a stranger in the unfamiliar environment of a clinical sleep lab. Watch-PAT100 also provides a cost-effective ongoing monitoring of the effectiveness of OSA therapies.

The Watch-PAT unit weighs in at a mere 3 ounces, and it is velcroed to a comfortable glove/sleeve worn on the wrist and forearm of the non-dominant hand just before the person being studied goes to bed. Two non-invasive probes are attached to the fingertips to measure the PAT signal, pulse rate, sleep/wake cycles, body movements, and oxygen saturation.

The recorded signals are stored in a removable memory card in the device and are downloaded for computerized analysis of the data after the testing is completed.

Comparative studies have revealed a 90 percent correlation between Watch-PAT results and those of sleep lab testing (polysomnology).

Treatment for OSA varies based on an individual’s medical history, the severity of OSA, and the cause of airway obstruction.

Treatments include lifestyle changes such as losing weight, stopping smoking, avoiding sleeping on one’s back, and evaluating the use of drugs which contribute to airway obstruction.

A variety of surgical procedures are used to reduce the volume of the tissue that is obstructing the airway or to support the obstructive tissues to prevent them from collapsing into the throat.

The most common physical intervention is Continuous Positive Airway Pressure (CPAP) in which room air under pressure is delivered to the patient via a mask to lessen airway obstruction.

Other interventions include oral splints, acupuncture, and allergy desensitization.

Obstructive Sleep Apnea Self-Assessment Questionnaire

Developed by Professor David White of Harvard University Medical School

1. Snoring
a) Do you snore more than three nights/week?
Yes (2) No (0)

b) Is your snoring loud enough to be heard through a closed door or a wall?
Yes (2) No (0)

2. Has anyone ever reported that you stop breathing or gasp during sleep?
Frequently (5) Occasionally (3) Never (0)

3. What is your collar size?
Male: 17 or more inches (5) Less than 17 inches (0)

Female: 16 or more inches (5) Less than 16 inches (0)

4. Do you occasionally fall asleep during the day when
a) you are busy or active? Yes (2) No (0)
b) you are driving or stopped at a traffic light? Yes (2) No (0)

5. Have you had or are you being treated for high blood pressure?
Yes (2) No (0)

Totaling Your Score

A score of 5 points or less: low probability of sleep apnea
A score of 6 – 8 points: a gray area — contact your physician for an exam and assessment
A score of 9 points or more: a high likelihood of having OSA. Seek a medical consultation.

Frequency Specific Microcurrent

Saturday, August 4th, 2007

Inner Space
Each of a human’s estimated 50 trillion living cells is energetically powered by a virtual “computer within” that enables cells to communicate with each other and to organize, monitor, and regulate an entire complex, dynamic organism. However, when this subtle, invisible energy is disrupted, symptoms or diseases can result. The ability to restore an organism’s subtle energy that has been adversely impacted by injury, toxins, infection, inflammation, or stress represents an exciting potential in clinical medicine’s vast, new frontier: Inner space.

Spanning from 2750 BC and the medical use of electric eels for stimulating healing to current-day, innovative research of electricity to treat cancer, electromagnetic energy has made fascinating and sustaining contributions to science and medical practice. Electromagnetic therapies were used by 50 percent of U.S. physicians in 1910. However, in the 1930’s, these therapies were nearly driven out of existence by competitive influences that favored emerging pharmaceutical and technological advances in deference to several therapies in practice at that time.
In 1995, Oregon-based Carolyn McMakin, M.A., D.C., was given tissue frequency protocols from a retired Canadian osteopath to use in her practice. “Dr. Carol” used the frequencies on hundreds of patients who were referred to her and who had proved to be resistant to a variety of other treatments. As a group, these patients responded extremely well. Fueled by her observations, Dr. Carol ushered FSM into the 21st century by expanding its applications to help assure its ongoing relevance, establishing the reproducibility of FSM protocols through clinical research, and educating healthcare professionals in FSM training seminars worldwide.

Good Vibrations
All matter is made of atoms. Negatively charged atomic particles called electrons vibrate and spin in orbits around the nucleus of atoms and, in doing so, produce electromagnetic energy. Each tissue and organ has a specific frequency that is unique from all of the body’s other tissues and organs. Because water is a conductor of electromagnetic energy and because the human body is approximately 70 percent water, people are susceptible to electromagnetic field changes, whether intentional (therapeutic) or from background environmental pollution.

Bad Vibes
When cells are injured or diseased, the vibrational frequencies of their electrons are disrupted. The specific abnormal vibration is not only determined by which tissue is afflicted (cartilage, tendon, bone, liver, etc.), but also by the type of causation (inflammation, infection, stress, shock, injury, toxicity, etc.). These two variables determine the frequency selection and are thus essential to achieve good results.
Disturbed cellular frequencies can become “stuck,” in effect perpetuating symptoms and leaving the affected person chronically afflicted with ailments that may not yield to the usual physical interventions.

The Equipment
GSMC uses FSM equipment manufactured by Precision Distributing, Inc. FSM is a U.S. Food and Drug Administration (FDA) approved medical device that is grouped by the FDA in the same category as Transcutaneous Electrical Nerve Stimulator (TENS) units, even though FSM outputs in millionths of amperes (the same as human cells), and TENS units output in thousandths of amperes (1,000 times greater). Microcurrent devices such as FSM that deliver amperage similar to that of the body cooperatively resonate with the body’s energy, as opposed to devices that deliver amperage which forces a biological response by suppressing or overriding the body’s more subtle energy.

FSM Results
Some patients have reported significant benefits immediately after or within 24 hours following a single FSM session. These reported benefits can be permanent, or they may last between four days to a week, with the duration of benefit lasting longer with each subsequent FSM session. Other patients, particularly those with long standing symptoms or a decreased vital force, have reported benefits only after six sessions.
Electrons that have been vibrating at disrupted frequencies for an extended period of time tend to habitually return to those frequencies, often within four to seven days following an FSM session. This situation calls for repeated FSM sessions at appropriate intervals. Though early intervention generally enhances favorable outcomes with FSM and other medical interventions, good outcomes have also been observed when using FSM for long-standing symptoms, even when other treatments have failed.
No technology, device, or technique is 100 percent effective, and FSM is no exception. Some patients may not respond. Predicting in advance who will or won’t respond to FSM is not possible. No significant or lasting adverse reactions to FSM have been reported.

General Information
FSM requires a light touch–no painful or deep pressure is involved. Bodywork or massage techniques may be used during an FSM session.
Because FSM’s amperage is similar to the body’s own cellular amperage, patients experience no sensation whatsoever. Benefits of improved cellular function include warmth, softening of tight tissues, emotional release, and reduction of pain during a session.
The therapist may deliver FSM through moist towels or thin black graphite gloves. The gloves enable the therapist to have a “hands-on” feel of the response of muscles and other affected tissues during the session and target FSM to smaller areas such as trigger points.
When normal tissue frequencies are restored, tissue function can also be restored, resulting in backed-up cellular toxins being released, and possibly the occurrence of flu-like detoxification symptoms. These symptoms have started as soon as an hour after a session and usually last two to four hours and up to a day or two. Drinking one or two quarts of water in the first two hours following a treatment is recommended to help prevent or lessen detox symptoms.

Home-Based FSM
Some patients may respond well to FSM, but do not experience a sustained improvement in symptoms without ongoing sessions. These patients may be candidates for purchasing a portable unit that can be programmed with their specific frequencies for safe and effective, ongoing home-based FSM.

Conditions For Which Others Have Reported Benefits With FSM
Achilles tendonitis
Back pain
Bell’s palsy
Benign Prostatic Hypertrophy (BPH)
Carpal tunnel syndrome
Chronic Regional Pain Syndrome (CRPS)
Emotional issues
Fibromyalgia associated with cervical spine injury
Frozen shoulder
Interstitial cystitis
Irritable bowel syndrome
Kidney stone pain
Migraine headaches
Myofascial pain
Neuromuscular pain and inflammation
Peripheral neuropathy
Post-herpetic neuralgia
Post-surgical pain
Post Traumatic Stress Disorder (PTSD)
Reflexive Sympathetic Dystrophy (RSD)
Restless leg syndrome
Scar tissue
Spinal disc pain
Sports injuries
Temperomandibular Joint (TMJ) Pain
Tendon and ligament injury or pain
Tension headaches
Tennis elbow
Wound healing

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