AGING, INFLAMMATION, THE MICROBIOME, AND FECAL MICROBIOTA TRANSPLANTS
Earlier this month, a dozen researchers from several universities in the Netherlands published a study in Frontiers in Immunology titled Aged Gut Microbiota Contributes to Systemical Inflammaging After Transfer to Germ-Free Mice. What's especially interesting is that it deals with a subject I touched on in YESTERDAY'S POST on fascia and athletic injuries; "Inflammaging". What is inflammaging? It's the combination of two words, 'inflammation' and 'aging'. Although the word has been part of the scientific vernacular for nearly two decades, take a listen to what the experts are saying about inflammaging (BTW, there are over 300 studies with "inflammaging" in the title).
I already know what you're thinking; what the heck does this have to do with FECAL MICROBIOTA TRANSPLANTS -- one of the single hottest areas of research for the past five years? In previous studies, we saw where feces from obese mice was transplanted into thin mice, making them fat. The scientists turned right around and transplanted feces from thin mice back into the fat mice, making them thin. Back and forth, the outward expression of your health intimately related to the inward expression of your MICROBIOME. This is why I have shown you time and time again that overall health is all about GUT HEALTH. Now, take a look at what this brand new study has to say.
"Advanced age is associated with chronic low-grade inflammation, which is usually referred to as inflammaging. Elderly are also known to have an altered gut microbiota composition. However, whether inflammaging is a cause or consequence of an altered gut microbiota composition is not clear. In this study, gut microbiota from young or old conventional mice was transferred to young germ-free (GF) mice. Four weeks after gut microbiota transfer immune cell populations were analyzed. Here, we show by transferring aged microbiota to young GF mice that certain bacterial species within the aged microbiota promote inflammaging. This effect was associated with lower levels of Akkermansia and higher levels of TM7 bacteria and Proteobacteria in the aged microbiota after transfer [dysbiosis]. The aged microbiota promoted inflammation in the small intestine in the GF mice and enhanced leakage of inflammatory bacterial components into the circulation was observed. Moreover, the aged microbiota promoted increased T cell activation in the systemic compartment. In conclusion, these data indicate that the gut microbiota from old mice contributes to inflammaging after transfer to young GF mice."
Living the rest of your life with less inflammation is a noble goal, not so much because it will help you live longer (although it probably will), but because decreasing the amount of systemic inflammation coursing through your system will undoubtedly help you live better. And let's be honest with ourselves for a moment; who really wants to live longer, if the quality of life is terrible? Unfortunately, this is the perfect scenario for generating obscene pharmaceutical profits, and exactly what's going on in most Westernized countries, including America (HERE).
Think about it this way; How many people would purposefully choose to live the rest of their life with the aftermath of a stroke --- or a nasty autoimmune disease --- or cancer, if they could actually have avoided it / them in the first place? For those of you who believe that your specific disease is random or "GENETIC," while certainly possible, is far less likely than you've been led to believe (go back and click on the "epigenetics" link above). While I would never promote anything as a 'sure thing,' I've created a starting point --- a place to start gathering ideas for creating your own exit strategy (HERE) --- a way to start slowing down the medical merry-go-round so that you can get off. If you find this sort of thing intriguing, be sure to spread the wealth by liking, sharing, or following on FACEBOOK.
BRITISH JOURNAL OF SPORTS MEDICINE TACKLES...
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"Studies were included if they reported relative risk for melanoma associated with sunbed use, vitamin D and UV effects on human health. The overall health benefit of an improved vitamin D status may be more important than the possibly increased melanoma risk resulting from carefully increasing UV exposure. Important scientific facts behind this judgement are given."
I've never been in a tanning bed and am not advocating you use them, but this is interesting. I have a patient --- a professional --- whose life was destroyed after being maimed in a CAR CRASH (head on impact with a drunk traveling near 100 mph). The only two things that help her are our TISSUE REMODELING to help break up the SCAR TISSUE AND FIBROTIC ADHESIONS and her tanning bed. Again, there are probably better ways to get UV exposure in the winter than a tanning bed, but it's yet another example that seemingly everything you've been taught by the medical profession and media has been turned on it's head --- continued evidences of "best evidence" not being followed (HERE are many others).
Although I am not going to get into sunscreens here (look for that in a future post), it's important to realize that UVA radiation damages skin over time, causing said damage via OXIDATIVE STRESS. A very cool study from a 2016 issue of the International Journal of Food Science & Technology (Harnessing Food‐Based Bioactive Compounds to Reduce the Effects of Ultraviolet Radiation: A Review Exploring the Link Between Food and Human Health) essentially suggested that on some level, food can be your sunscreen.
"Appropriate exposure to sun is beneficial to humans and living organisms. However, excessive exposure to ultraviolet (UV) radiation can lead to photoageing, severe health risks and even death. Nowadays, the health risks of excess UV exposure have greatly increased due to the significant changes of global climate and human lifestyle as well as the thinning of the stratospheric ozone (a natural and effective filter for solar UV radiation). Therefore, protecting against UV radiation‐induced damage is a serious challenge. Research needs to address the understanding of the mechanisms underlying the UV‐induced damages and also explore the potential use of natural substances to combat the harm caused by UV radiation. Plant‐based substances have been found to exert significant protective effects against UV radiation. This review explores the most recent hypothesis of natural bioactive compounds (such as flavones, peptides, polysaccharides and terpenoids) as potential protective agents against UV radiation."
Bottom line, if undertaken with some wisdom and common sense, time with EARTH, WIND & FIRE (grounding, fresh air, and sunlight) can be a cornerstone of both health and recovery. In fact, it's been a part of my "UNIVERSAL CURE" post from day one. If you like our site and feel others need to be spending some time here, be sure and show us some love on FACEBOOK. Liking, sharing, or following is a great way to reach the people you love and care about most! Enjoy your day; I'm off to THE RIVER with my wife for a day of improving my health!
THE NEW FRONTIER IN MAMMALIAN TOXICITY AND ADVERSE HEALTH OUTCOMES
When it comes to nanoplastics, how tiny is tiny? Get a load of this. "Nanoplastics are thousands of times tinier, with a diameter of less than 0.1 μm..... By comparison, a human hair ranges from about 15 to 180 μm across. Some of these microplastics are deliberately engineered like microbeads in a facial scrub." In other words, not only are these nanoplastics microscopic, they are microscopically minuscule, making it possible for them to worm their way into places where larger particles could never get (see previous link). Dr. Meeker went on to warn, "They are now turning up everywhere and we know virtually nothing about how they might impact human health." Honestly, we do know something about how they are affecting our health, and none of it is good (see link at top of page).
Speaking of not good, try this on for size. Some sunscreens and cosmetics now contain nanoplastics (although they have been banned in rubs, scrubs, shampoos, etc, that are meant to be washed off immediately, they are allowed in toiletry items that meant to stay on the skin for an extended period of time). If you think I'm being a bit over the top, simply do a Google search for 'nanoparticle sunscreen' or 'nanoparticle makeup'. Knowing what you already know about the toxicity of plastics, prepare to be shocked. It's why it's more critical than ever that you keep your BODY'S BIOTRANSFORMATION SYSTEMS up and running and in perfect working order. The easiest way to accomplish this? Avoid exposure to toxic junk and eat the right kinds of foods. For more information on how to go about accomplishing this, be sure and take a look at THIS POST. And if you like what you're seeing, be sure to spread the word via FACEBOOK.
FASCIA CONGRESS 2018
WHAT TO EXPECT REGARDING THE LATEST ON FASCIA?
Some of the topics specifically mentioned included fascia research as related to quantum physics and BIOMECHANICS. I saw a speaker whose area of expertise was fascia and the lymphatics / immune system (HERE), which will always include various sorts of FASCIA-RELATED AUTOIMMUNITY. There was mention of the THORACOLUMBAR FASCIA as it pertains to CHRONIC LOW BACK PAIN. Fascia's relationship to FIBROSIS (the "THICKENED" SCAR TISSUE that is sometimes referred to as "DENSIFICATION") was discussed as well. Also mentioned was fascia as related to BREATHING, PROPRIOCEPTION, and ENDOCRINE FUNCTION. There was some discussion about TENSEGRITY and the fact that most physiological functions of fascia, including HOMEOSTAISIS and NEUROLOGICAL FUNCTION, are intertwined to the point that increasing numbers of academics are saying that all disease processes have their roots there (HERE). It looks like there will even be a talk given on FASCIA AS RELATED TO CANCER. And this is just the tip of the iceberg.
I hope you are looking forward to the results of the Fifth Fascia Congress as much as I am, but in the meantime be sure to check out my fascia overview (HERE) as well as my FASCIA SUPER PAGE --- the post that contains all of the nearly 180 articles I've written on the subject. If you know people who need to be made aware of this event or of the importance of fascia in general, be sure to show us some love on FACEBOOK as it's a simple way to reach those you love and care about most with valuable information that just happens to be totally free (just like, share, follow or tag).
NEW STUDY SHOWS HOW BAD MASSIVE
SALT RESTRICTION CAN REALLY BE
A study from the brand new issue of The Lancet (Urinary Sodium Excretion, Blood Pressure, Cardiovascular Disease, and Mortality: A Community-Level Prospective Epidemiological Cohort Study) started out by talking about the current salt restriction guidelines as recommended by the UN.
"The World Health Organization (WHO) recommends that populations consume less than 2 grams a day of sodium as a preventive measure against cardiovascular disease, but this target has not been achieved in any country. This recommendation is primarily based on individual-level data from short-term trials of blood pressure (BP) without data relating low sodium intake to reduced cardiovascular events from randomized trials or observational studies."
There is a reason that no nation has hit the less-than-2-grams-per-day target. Do you have any idea what less than two grams of salt looks like? It's less than a teaspoon a day. No joke. And this is the upper limit. The goal is to have you as close to zero as possible (not a misprint). Furthermore, these recommendations are not based on real-world data. What do I mean by real-world data?
The study being discussed today has been going on for over eight years and encompasses almost 100,000 individuals from over 300 communities in 18 nations around the world (the lead author is Dr. Andrew Mente, a medical doctor and epidemiologist at Canada's McMaster University). The study has over thirty authors from institutions world-wide. In the world of research, this study appears to be wearing its big boy pants. To top it off, a letter to the editor co-authored by several researchers was published in the same issue of the same journal (Salt and Heart Disease: A Second Round of 'Bad Science'?), echoing the idea behind the letter's title.
"Two years ago, Andrew Mente and colleagues, after studying more than 130,000 people from 49 different countries, concluded that salt restriction reduced the risk of heart disease, stroke, or death only in patients who had high blood pressure, and that salt restriction could be harmful if salt intake became too low. The reaction of the scientific community was swift. 'Disbelief' was voiced that 'such bad science' should be published by The Lancet. The American Heart Association (AHA) refuted the findings of the study, stating that they were not valid, despite the AHA for many years endorsing products that contain markedly more salt than it recommends as being 'heart healthy'"
In other words, there is currently a war going on in the field of cardiology that's similar to the "wars" I mentioned in the first paragraph of today's post, with the majority of America's treating physicians having been brainwashed into taking the side of the AMERICAN HEART ASSOCIATION. Mente's team once again came to a different conclusion. "Our study adds to growing evidence to suggest that, at moderate intake, sodium may have a beneficial role in cardiovascular health, but a potentially more harmful role when intake is very high or very low. This is the relationship we would expect for any essential nutrient and health. Our bodies need essential nutrients like sodium, but the question is how much." It's just as you might expect, as well as what you see with every essential nutrient. There's a "Goldilocks Zone" where too much or too little is not good; the body want's things just right.
You must be aware of how corrupt the AHA really is (simply click the link). Not only can you see it in the earlier quote, it's all over the web. And it's not just the AHA. Big-name individuals and physician groups have frequently proved to be nothing more than hired guns --- scientific mercenaries --- ready to come up with the 'right' research findings for the 'right' price. We see the exact same thing happening with MEDICAL & DIETARY GUIDELINES. Riddle me this Batman? Why would the AHA "endorse" products (foods) in the first place? I'll give you a hint. It's something green that rhymes with honey.
And while significantly higher salt intakes were associated with strokes, what seems to be lost in this paper is that in similar fashion to the way that Dr. Russell Blaylock showed that the adverse effects of MSG could be largely mitigated by supplementing with magnesium, this study showed the same mitigation of strokes by supplementing with potassium. The authors of the letter to the editor put it this way.
"The association between potassium intake and cardiovascular events and mortality was independent of sodium intake. Diets rich in fruits and vegetables are rich in potassium and have been consistently associated with better health outcomes. Therefore, high potassium levels could simply be a marker of a healthy eating and lifestyle pattern. 'Potassium-rich diets provide substantially greater health benefits than aggressive sodium reduction.' Perhaps salt-reduction evangelists and salt-addict libertarians could temporarily shelve their vitriol and support the hypothesis that diets rich in potassium provide substantially greater health benefits than aggressive sodium reduction."
This begs the question of what the best sources of dietary potassium are? WHITE / BLACK BEANS, avocados, sweet taters or squash, BEETS, spinach, Swiss chard, or bok choy, WILD SALMON, bananas, HOME GROWN TOMATOES, citrus, and what I'm currently into right now, watermelon (or as my kids love to say, water-malone). There are plenty of others. And interestingly enough, guess what class of medication depletes potassium the worst --- often to the point where many taking these drugs must supplement with prescription liquid potassium supplements (the stuff in the dark red bottle)? That's right, drugs for HIGH BLOOD PRESSURE.
Dr. Chuck Dinnerstein's article on this study (Dinnerstein is a retired cardiothoracic surgeon), A Spoonful of Salt Makes The Blood Pressure Go Down, put it beautifully. "Our health involves so many interacting variables that it is foolish to believe that any study, including this one, reveals 'the' cause and answer. It is more foolish to set policy based on studies ignoring our physiology." Once you understand PHYSIOLOGY & HOMEOSTASIS you see why he is correct. For Pete's sake, people used to preserve everything they ate with salt --- back in the days when cardiovascular was not in the top ten as far as causes of mortality are concerned. Furthermore, previous research has shown that salt behaves differently in the body than it does in the lab.
Many of you reading this are looking for a way to get out of pain, get off your meds, and start taking your life back. In other words, you're looking to get off the medical merry-go-round. While it certainly doesn't have all the answers for every person or every unique situation, be sure and take a look at THIS POST because it will at least get you searching in the right direction. And if you enjoy our site and appreciate hard-hitting health-related information without the sales pitch, be sure to spread the wealth by liking, sharing, or following on FACEBOOK. After all, it's a great way to reach those you love and care about most.
TIME MAGAZINE TACKLES THE MICROBIOME AS RELATED TO OVERALL HEALTH
Your MICROBIOME is the sum total of the bugs (virus, bacteria, YEASTS, fungus, and even some PARASITES) that live both on and in you; largely in your intestinal tract or "Gut". It's why GUT HEALTH is such a big deal, and why I continue to warn my readers and patients alike that one of the single worst things they can do to destroy their overall health is to take ANTIBIOTICS, which destroy both the microbiome and immune system (HERE), leading to a problem widely known as DYSBIOSIS. Because dysbiosis is associated with almost every disease you can name (even those you've been told are "GENETIC"), not surprisingly, the article contained abundant discussion about FMT (FECAL MICROBIOTA TRANSPLANTS).
And while the interviewed experts talked about the people "trying" FMT's for any number of chronic illnesses, including AUTISM, DEPRESSION, and AUTOIMMUNITY, the director of the American Gut Project at Cal State SD, Dr. Daniel McDonald, said that, "Often lost amid the fecal transplant hype is the considerable risk involved. The potential to be harmed by this procedure is very high." This is news to me. While it's true that McDonald is the expert, virtually every study I have looked at (and I've looked at hundreds) shows just the opposite --- that the procedure is not only safe, but extremely safe, especially when you compare it to our CULTURE OF MEDICATION FOR EVERYTHING (see earlier link on FMT).
Were there other parts of the article that were problematic? Of course. Because our medical community cannot seem to break free from the FOOD PYRAMID MENTALITY of the 1980's, we shouldn't be surprised that in this article they praised GRAINS, while while extolling the dangers of fats, without discussing the difference between good fats and bad fats (HERE). On the other hand, the experts did suggest cutting back on both SUGAR and SODA, not because we know that sugar feeds infections, including dysbiosis (HERE), but mostly because of "broader nutrition research." And while PROBIOTICS were mentioned, they received almost no play in this article, probably because the research on them, while certainly showing promise, is not as cut and dried as you might expect (HERE, HERE, and HERE).
My suggestion to you is that if you want to get serious about restoring the health of your Gut and solving the problems associated with a dysbiotic microbiome, you must first have at at least a basic understanding of the HYGIENE HYPOTHESIS --- a rationale that will help you understand why so much of what we refer to as "science" or "evidence-based medicine" is a complete fraud that's geared at one thing and one thing only --- making money (HERE). Looking for a better way than being an industry GUINEA PIG? Browse THIS POST and see if anything leaps out at you. And if you know someone who would benefit from the free information on our site, be sure to reach them by liking, sharing, or following on FACEBOOK.
OUR NATIONAL OBSESSION WITH OPIOIDS
A brand new study from Mayo Clinic and published in this month's issue of the British Medical Journal (Trends in Opioid Use in Commercially Insured and Medicare Advantage Populations in 2007-16: A Retrospective Cohort Study) showed that not only is the opioid problem not getting better, it's arguably getting worse --- in some cases significantly worse. In looking across almost every demographic group and insurer in the United States, the author's conclusions were the same. "Opioid use and average daily dose have not substantially declined from their peaks, despite increased attention to opioid abuse and awareness of their risks." Writing for The Hill last week (Study: Opioid Prescriptions in US Have Not Declined), Megan Keller put it this way.....
"The study found that from 2007 to 2016, annual opioid usage among commercially insured patients was at 14 percent. The quarterly prescription rate also held relatively steady for aged Medicare beneficiaries, increasing from 11 percent to 14 percent over the decade. Disabled Medicare beneficiaries, who had the highest rates of opioid use among those viewed in the study, saw a sharper increase, from 26 percent quarterly opioid use in 2007 to 39 percent in 2016. The average daily dose also increased. The Centers for Disease, Control and Prevention reports that 63,632 Americans died from drug overdoses in 2016 and attributed two-thirds of those deaths to opioids."
The problem is that most people read something like this and think of opiod abusers as filling the profile of the average user of crack, meth, or heroin. Unfortunately, I've seen way too many 'good' people --- solid citizens --- get desperately hooked on these drugs (and THIS ONE as well). And while many manage to break free, many others don't, eventually becoming the statistics you just saw. But not before leaving a tsunami of despair, destruction and death in their path, both personal and financial. What's our government --- the very entity that created this epidemic in the first place (HERE) --- doing to solve this problem?
The authors revealed that CMS (Centers for Medicare & Medicaid Services) has created a new policy where there are numerous hoops for patients, doctors, and pharmacists to jump through if they want insurance to pay for the prescription. However..... "the patient would be allowed to fill the full prescription as written if the patient is willing and able to pay in cash." I'm not making this up folks --- the deciding factor is whether or not a person will pay for their opioids with cash, check, or credit card. Although it may come as a shock to many, opioids --- particularly generic --- are downright cheap when not purchased on the street (under 40 bucks cash, or less than half that with a coupon). Might there be a better way?
Before you email me or leave a comment about your unique situation, realize that I get it. I've seen people who've been burned, broken, crushed, and mangled by all manner of trauma and accidents; bedridden or incapacitated, and living every minute of every day with pain that could only be described as hellish. Yes, I very much realize that there is a time and a place for these sorts of drugs. I also realize that when it comes to opioids, few classes of drugs reside on a steeper, more dangerous, and slipperier slope. The drug and dose that works to relieve your pain today isn't going to be as effective tomorrow. It always takes more. It's the very nature of any addiction.
On the flip side of this coin, I've seen people in terrible situations turn things around by making radical changes to their lifestyles. What kinds of changes? Depending on your unique situation, you may need to consult with your medical provider before making any changes. However, I've created a protocol to help people start removing some of the SYSTEMIC INFLAMMATION from their lives.
No; not every point is going to pertain to every person, and no; it's not for everyone (some of you will require expert advice / treatment from FUNCTIONAL NEUROLOGISTS and FUNCTIONAL MEDICINE SPECIALISTS, but THIS POST will give you some ideas so that you can start formulating your own personalized EXIT STRATEGY --- a blueprint for starting the process of taking your life back. If you want to see what some of these "strategies" look like, HERE are links to a few of the case histories I've done for people as blog posts. And if you feel the free information provided on this site is helpful, be sure to get it in front of the people you love and care about most by liking, sharing, or following on FACEBOOK.
WESTERN MEDICAL CARE
THE WOLF IN SHEEP'S CLOTHING
"Politicians are more concerned with 'issues' than 'principles,' but talk as though the two nouns have the same meaning." Tom Clancy from Clear and Present Danger
"There are huge dangers here of turning all of us into patients... turning all of us into a sort of walking collection of predispositions to disease. There's a lot of money to be made by telling healthy people that they're sick." Dr. Ray Moynihan from the podcast being discussed today
Back in 2006, a group of physicians and researchers published the seminal study titled DEATH BY MEDICINE. This review of the scientific peer-reviewed literature showed that medical care is and has been for quite some time the number one cause of death in the United States. And despite the cries from the treating physicians within the medical community that "early" diagnosis and subsequent "early" treatment typically lead to better outcomes (therefore insurances, both public and private should pay for them), the scientific portion of the medical community --- the researchers --- have been saying for decades that not only is this false, it's completely backwards and upside down. The problem is so pervasive that a number of years ago a term was coined to describe what goes on when people are subjected to too much medical care; OVERDIAGNOSIS & OVERTREATMENT. It is this phenomenon that reveals just how big an oxymoron "Wellness Care" really is when used in the standard medical context (HERE). Enter Dr. Ray Moynihan.
Dr. Ray is a former award-winning investigative journalist-turned-health-researcher, who has been teaching about, lecturing about, and writing books about this topic for over two decades. His bio says, "Ray completed his PhD on Overdiagnosis at the Center for Research in Evidence-Based Practice at Bond University in Australia, where he is also a senior research fellow. Together with colleagues from around the globe he has been a member of the scientific program committee helping to organize Preventing Overdiagnosis scientific conferences." Some of his popular books include.......
- Too Much Medicine? The Business of Health and its Risks for You
- Selling Sickness: How Drug Companies are Turning Us All into Patients
- Ten Questions You Must Ask Your Doctor
- Sex, Lies and Pharmaceuticals: How Drug Companies Are Bankrolling The Next Big Medical Condition For Women
Health News Review is a website that everyone should be familiar with. Why? Started by Gary Schwitzer in 2006, "The project has now grown to a team of about 50 people who grade daily health news reporting by major U.S. news organizations. In addition, in 2015 the project began reviewing health care-related news releases by industry, medical journals, hospitals and academic medical centers, and others." Needless to say, many of these reviews are nothing short of brutal, showing, as I've shown you many times, that Evidence-Based Medicine (EBM) is frequently anything but evidence-based (HERE). Today I'm giving you a few tasty morsels from Moynihan's recent podcast on Health News Review titled The Clear and Present Danger of Too Much Health Care.
Dr. Moynihan started out my saying that his career is based on studying and educating people about the "mismatch between the public understanding of health and medicine and the reality of health and medicine," describing the difference as a "huge gulf". Especially interesting considering that five years ago I described this difference as large enough to make the Grand Canyon look like a roadside ditch (HERE). He went on to characterize the medical marketing machine as a constant "roar" that encompasses not only industry, but academic medicine as well ("the academies, professional societies, and increasingly patient groups"). Listen to how he described this roar's effect on medical practice. "It overpromotes the benefits and under-promotes the harms." The end result is that almost everything John Q Public sees and believes about healthcare is "distorted" --- thanks to an uncanny ability of industry to SPIN the research, and create PRESS RELEASES made to look like actual news.
Dr. M went on to discuss a meeting he had with global experts concerning the fact that far too many healthy people were being "labeled" (diagnosed), or in his estimation, "overdiagnosed" for the express purpose of making the practice of healthcare more profitable (see last quote at top of page). He went on to describe the phenomenon of overdiagnosis and overtreatment as, "a real threat to human health". And just how is it that we continue to fall for this never-ending horse and pony show? "We're all somewhat hardwired to believe that it's better to be safe than sorry --- that more is better."
The interviewer went on the ask Dr. Moynihan what it took to convince the public of these dangers. His answer? "That's the question?" In other words, even though the message is getting out there from the research side of medicine; industry, along with a significant percentage of practicing physicians, continue to promote the same false slogans that you and I grew up with --- things like "Early Diagnosis Promotes Wonderful Cures". He went on to discuss the harsh realities of numerous common tests and treatments, spending time specifically talking about the crazy radiation doses people get from CT SCANS.
After making the obligate disclaimer, he described the general thrust of the medical field as having the goal of, "turning everyone into a patient". In fact, he went on to describe the latest medical technology as always being "new and shiny". The claims made about it are likewise new and shiny. It's called marketing and for the most part, rarely holds up to rigorous scrutiny --- especially when so many people must be "labeled" in order to pay for said equipment, along with the next round of shiny new equipment required to keep people's interest (HERE). As someone who has been in the field for three decades, I can tell you that I've seen hundreds of these new-and-shinies come and go, rarely panning out or doing what's claimed of them. But just like clothing styles, give them a decade or two and you'll see them recycled and coming around again --- just like those ridiculous bell bottom jeans hidden in the bottom of your closet.
If you are interested in having a good laugh, watch the first three minutes of Dr. Moynihan's video. However, if you want to see just how serious the subject that he brings to the table really is, be sure and watch the next 15 minutes. See how what I refer to every day as THE MEDICAL MERRY-GO-ROUND is not only dog common, but is actually the end result of this way of thinking. If you are truly interested in getting off the medical merry go round, most of you could benefit from information found in THIS POST. And if you find yourself regularly spending more time on our site than you intended, be sure to spread the wealth by liking, sharing or following on FACEBOOK.
OBESITY AND THE FLU
IS THERE A CONNECTION?
"Viral shedding refers to the expulsion and release of virus offspring following successful reproduction during a host-cell infection. Once replication has been completed and the host cell is exhausted of all resources in making viral offspring, the viruses may begin to leave the cell by several methods. A person with a viral disease is contagious if they are shedding viruses. The rate at which an infected person sheds viruses over time is therefore of considerable interest." Wikipedia's definition of 'Viral Shedding'
"While previous studies identified obesity as a risk factor for severe influenza outcomes, we showed that obesity also affects less severe outcomes by significantly increasing the duration of influenza virus shedding in adults. Further, we found that, even in asymptomatic or mildly ill individuals, obese adults shed influenza virus for a longer duration than nonobese adults. This has important implications for influenza transmission. Symptomatic obese adults were shown to shed influenza virus 42% longer than non-obese adults. Even among pauci-symptomatic adults [those presenting with mild symptoms of the flu] and asymptomatic adults [those presenting with no symptoms], obesity increased the influenza A shedding duration by 104%. These findings suggest that obesity may play an important role in influenza transmission."
Why is this a big deal (no pun intended)? Because if you throw in the 8% of our population who are medically obese, normal weight (MONW) --- those whose weight appears "normal" via a height / weight chart but who have high bodyfat percentage and blood labs that show the tell tale characteristics of OBESITY --- almost 4 of 5 Americans (80% of our population) is either overweight or obese, with nearly 40% currently falling into the category of outright obesity. And as I've shown you before, obesity is is one of the myriad of diseases that are considered "INFLAMMATORY" --- driven by inflammation. Not surprisingly, the authors went on to say that.....
"Obesity leads to altered immune function and chronic inflammation, which increases with age, in addition to mechanical difficulties in breathing and increased oxygen requirements; these are plausible mechanisms by which obesity could alter influenza risk, severity, and transmission potential. We hypothesize that this immune dysfunction could lead to a longer duration of influenza virus shedding, possibly increasing the transmission potential of infected individuals. Obesity is associated with severe influenza outcomes....."
In the 1,783 people studied, obese adults with two or more symptoms of influenza shed the virus for an average of 5.2 days, as opposed to 3.7 days for the non-obese. If this study pertains to you, what are you going to do about it? Rather than simply try and "LOSE WEIGHT," via fad diets and "MORE EXERCISE," let's get to the root of the situation and deal with the underlying causes.
Firstly, you must control your BLOOD SUGAR. Almost every disease you can name (even many of the so-called "GENETIC DISEASES") is related to blood sugar. On top of this, sugar is what's feeding infections in the first place, viral or bacterial, influenza virus included (HERE). To see my post on creating a plan to get healthy, lean, and stay that way for the rest of your life, HERE is the portal to enter. And if you appreciate the free information you find on my site, be sure to like, share, or follow on FACEBOOK as it's a great way to reach the people you love and care about most.
HOW VACCINE DAMAGE DENIERS TIP THE SCALES IN BIG PHARMA'S FAVOR
"Eczema joins the list of inflammatory conditions linked to cardiovascular risk. There is growing evidence that people with severe chronic inflammatory diseases may be at higher risk of cardiovascular disease, independent of more traditional cardiovascular risk factors." From a paper in the British Medical Journal published three short months ago (Atopic Eczema and Cardiovascular Disease)
"There are many different types of eczema according to various sources. Contact Dermatitis, Dishydrotic Eczema, Hand Eczema, Neurodermatitis, Nummular Eczema, Stasis Eczema/Dermatitis and Seborrheic Dermatitis, Scalp Eczema, or Cradle Cap." From Dr. Stephanie Davis' April 2017 article, Eczema: The Autoimmune Disease Everyone Seems To Be Overlooking
"Atopic dermatitis and the immune system. Immune system disorders are disorders in which the body’s immune system is either too active or too inactive. In the case of autoimmune disorders, the body’s immune system is too active, causing it to attack and damage itself. Inflammation is a classic sign of an autoimmune disease. Inflammation represents the body’s attempt to heal itself and repair damaged tissue. Underlying chronic inflammation is a major component of atopic dermatitis... It also contributes to the clinical features of other inflammatory skin diseases such as the autoimmune disease scleroderma. The condition [eczema] is autoimmune in nature. This year, researchers discovered that an overactive immune system skewed toward allergy actually alters lipid formation in the skin of eczema patients, which affects the skin’s barrier." From Sarah Hackley's May 2018 article, Is Atopic Dermatitis an Autoimmune Disease?
Two and a half decades ago, the NVIC was doing surveys showing that only 1 in 40 physicians ever report to VAERS --- the government's Vaccine Adverse Event Reporting System. Let that sink in a moment. 1 in 40. Study after study after study verifies that this has not improved, with adverse events to all drugs only being reported about 1% of the time; a phenomenon widely known in the SCIENTIFIC MEDICAL COMMUNITY as "UNDERREPORTING". Along with things like making your studies "invisible" or simply "abandoning" them (HERE are numerous examples), it's one of the chief ways that industry skews statistics to make their products and services appear safer and more effective than they really are.
And if you rock the boat concerning vaccine safety or the use of common vaccine ingredients like aluminum adjuvants (HERE) or MSG, may God have mercy on your career (HERE or HERE). What ultimately happens is that both patients and physicians have become increasingly muzzled as far as their ability (or in the case of physicians, their desire) to report adverse events. Sure, you as a patient can always go to any of the numerous sites on the world-wide web that deal with this sort of thing. But face it; too many people believe they are strictly for nut jobs and conspiracy theory advocates. Allow me to show you an all-too-common example of Vaccine Damage Denying that I got from "Lori" via a heartbreaking email this past weekend (I chose her case to do a CASE HISTORY ON). Lori lives in a large Midwestern city.
Hello Dr Schierling,
I was wondering if you work with toddlers? I have a 17 month old daughter who has already had a long health history. I am looking for someone who can give me guidance in healing her.
Her health issues started after her 2 month vaccinations. Less than 24 hours after her scheduled 2 month vaccinations, she went septic. The hospital diagnosed her with UTI related sepsis. I think she was vaccine injured. She was then placed on broad spectrum IV antibiotics for 3 weeks.
After we came home, she developed SEVERE eczema (head to toe weeping eczema). She never slept and itched chronically. She would wake up bloody all the time. I was unable to find a physician that agreed to stop vaccinating her despite my efforts in trying to explain how it affects her. With each vaccination it got worse. I finally decided to stop bringing her in to wellness checks because I didn't want her vaccinated further.
I've brought her to several pediatricians, dermatologists, and allergists. They all just wanted to put steroids on her from head to toe and to give her antibiotics. I refused. I later started doing my own research and started learning about gut dysbiosis. Since I was breastfeeding her, I completely changed my diet to a bland whole foods diet and started giving her probiotics. Her skin started improving and then she started to thrive. I thought I was on a good path.
Then i started weaning her off my breast milk (at 16 months) and that's when we started to face a even more devastating problem. She started to have seizures. I'm really lost and really want to help my daughter. Do you think you can help?
First off Lori, I work with toddlers but not in the capacity you are looking for. You may need to take her to a FUNCTIONAL NEUROLOGIST (for the seizures) who is versed in FUNCTIONAL MEDICINE as well. Once you understand what sorts of chemicals are purposefully put in vaccines (be sure and read MSG link above for a complete CDC list), it's easy to see why DYSBIOSIS occurs. The problem was then compounded when your daughter became septic and they hit her with the heavy artillery --- the very thing that most-causes dysbiosis --- antibiotics. And in her case, a massively heavy dose.
To my readers who are new parents, grandparents, or just plain interested in health, I have a suggestion. Read pediatrician, Robert Mendelsohn's, timeless classic, HOW TO RAISE A HEALTHY CHILD IN SPITE OF YOUR DOCTOR. He talks at length about several aspects of child and infant healthcare, including ANTIBIOTICS and VACCINES (FLU VACCINE also). Why do you need to be versed in these topics? Because of what you are starting to hear from many of the medical mouthpieces --- Dysbiosis drives vaccine failure. In other words, the reason your child's vaccine is not working properly is because he / she does not have the proper bacteria in their gut. Here is some of the evidence for this way of thinking.
- "Bifidobacterium predominance may enhance thymic development and responses to both oral and parenteral vaccines [shots] early in infancy, whereas deviation from this pattern, resulting in greater bacterial diversity, may cause systemic inflammation (neutrophilia) and lower vaccine responses. Vaccine responsiveness may be improved by promoting intestinal bifidobacteria and minimizing dysbiosis early in infancy." From the August 2014 issue of Pediatrics (Stool Microbiota and Vaccine Responses of Infants)
- "Human health is undeniably dependent on the vast number of commensal microorganisms that inhabit the gut. Yet we have only recently begun to understand the mechanisms by which these microbes impact host immunity against infection and disease. What determines vaccine efficacy (at the individual level) is largely unknown. Decades of vaccine research have shown that several factors may affect vaccine efficacy, including genetic background, prior exposure to antigen via natural infection or vaccination and nutritional status. A growing body of evidence now suggests that gut microbiota may also play an important role in determining vaccine efficacy." From the April 2015 issue of Review of Vaccines (Is the Gut Microbiome Key to Modulating Vaccine Efficacy?)
- "Probiotics comprise bacterial genera thought to provide a health benefit to the host. The intestinal microbiota has profound effects on local and extra-intestinal end organ physiology. As such, we further posit that the adjuvant administration of dedicated probiotic formulations can encourage the intestinal commensal cohort to beneficially participate in the intestinal microbiome-intestinal epithelia-innate-cell mediated immunity axes and cell mediated cellular immunity with vaccines aimed at preventing infectious diseases whilst conserving immunological tolerance." From the December 2017 issue of Vaccines (Adjuvant Probiotics and the Intestinal Microbiome: Enhancing Vaccines and Immunotherapy Outcomes)
- "Antibody-mediated responses play a critical role in vaccine-mediated immunity. However, for reasons that are poorly understood, these responses are highly variable between individuals. Using a mouse model, we report that antibiotic-driven intestinal dysbiosis, specifically in early life, leads to significantly impaired antibody responses to five different adjuvanted and live vaccines. Our results demonstrate that, in mice, antibiotic-driven dysregulation of the gut microbiota in early life can modulate immune responses to vaccines that are routinely administered to infants worldwide." From the May issue of Cell Host & Microbe (Early-Life Antibiotic-Driven Dysbiosis Leads to Dysregulated Vaccine Immune Responses in Mice)
- "Both undernutrition and GI infection have been shown to profoundly affect the microbiota, inducing ‘dysbiosis’ characterized by narrowed bacterial diversity and increased frequency of bacterial clades associated with the induction of inflammation. Recent studies have demonstrated that the microbiota exerts a profound effect on the development of mucosal immune responses. Therefore, it seems likely that oral vaccine failure in resource-poor regions is affected by alterations to the immune response driven by dysbiotic changes to the microbiota." From the June issue of Clinical Science (Role of Nutrition, Infection, and the Microbiota in the Efficacy of Oral Vaccines)
There are any number of others including last month's study in Nature Immunology (Dysbiosis Shapes Vaccine Responses). What do these studies really tell us? Do they provide a so-called ah ha moment as far as bettering our collective health is concerned? Of course not. They tell us only what we already know --- that when the health of the Gut is fouled, every single aspect of one's health is at risk. Once you realize that 80% of your body's entire immune system is made up of bacteria that live in the gut (HERE), it's not difficult to understand why. After all, it's no longer news that GUT BACTERIA "TRAIN" THE IMMUNE SYSTEM (or HERE).
But the deeper question here remains largely undealt with by treating physicians --- where is the dysbiosis largely coming from? I say largely because even though it's far and away the number one causative factor, there are things other than antibiotics that can cause dysbiosis in infants. For instance, a study published in last month's issue of Annals of Nutrition & Metabolism (Dysbiosis in Children Born by Caesarean Section) warned of something I showed you well over five years ago (HERE).
"The rate of Caesarean-section delivery in the United States has increased by 60% from 1996 through to 2013 and now accounts for over 30% of births. The gut microbiota plays a critical role in infant immune and metabolic development, and the mode of delivery is a major determinant of early life exposure and colonization. The human gastrointestinal tract is essentially uncolonized in utero, so exposure to microbes during delivery and in the environment immediately following birth is key to the establishment of the microbiota. In the case of vaginal delivery, the infant is in contact with maternal vaginal and enteric contents. Vaginally delivered infants are colonized with microbes, which have been identified in vaginal and fecal samples from adult mothers. Microbial dysbiosis during pregnancy is often associated with complications that can indicate Caesarean-section delivery, such as preterm birth, extremes of maternal body mass index (BMI), infection, extremes of infant size, and gestational diabetes. Birth via Caesarean section interrupts the normal pattern of microbial colonization; infants are no longer exposed to maternal vaginal or enteric microbes during birth. Instead, Caesarean-section-delivered infants are dominated by human skin and oral bacteria, including Staphylococcus and Streptococcus. The gut microbiota is intimately associated with training the innate immune system, and its disruption in early life can result in infections, sepsis, and systemic immune and metabolic disorders, which influence lifelong disease risk. Microbial dysbiosis caused by Caesarean-section delivery has been associated with an increased risk of conditions such as asthma, obesity, food allergies, eczema, type 1 diabetes, systemic connective tissue disorders, juvenile arthritis, inflammatory bowel disease (IBD), and leukemia."
I showed you this study because I want you to notice something. I want you to notice that dysbiosis is heavily associated with AUTOIMMUNITY (the body attacking self). By clicking each provided link, you can specifically see that ASTHMA, T1D, (MCTD's such as Raynaud's, Lupus, Scleroderma, etc... all found HERE), JRA, IBD, etc, etc, etc, are all autoimmune diseases. And guess what; so is eczema, which is also known as Atopic Dermatitis ---- "atopy" is the name for the condition where people are hyper-allergic to everything they're exposed to. Not surprisingly, both eczema and atopy are associated with immune system hyper-activation, a hallmark of autoimmunity.
According to the Journal of Allergy and Clinical Immunology (Dupilumab Improves the Molecular Signature in Skin of Patients with Moderate-to-Severe Atopic Dermatitis), researchers were able to figure out that eczema is autoimmune by creating a drug that blocks certain protein markers associated with INFLAMMATION, thereby improving its symptoms. Before you get too excited, however, you should be aware that this class of drugs, known as biologics (they usually end with "mab"), while often quite effective, work by SUPPRESSING THE IMMUNE SYSTEM (the most well known of these is probably Humira, aka adalimumab). As you can imagine, there are some potentially ugly side effects that can happen when the immune system is suppressed (can anyone say increased levels of infections and CANCER?). As a side note, do not think for one moment that "BOOSTING" the immune system is the answer either.
Listen to what this study from the Annals of Nutrition and Metabolism (Atopic Dermatitis: Global Epidemiology and Risk Factors) said of eczema; "Atopic dermatitis affects up to 20% of children." Did you catch that? As many as 1 in 5 children suffer the effects of eczema, which is characterized by itchy and "LEAKY" skin (the epithelial barriers are compromised). Treatment of choice is exactly what I mentioned earlier --- immune system suppression, almost always in the form of CORTICOSTEROIDS, creams and in some cases, injections (for the record, MY BRO --- an MD with two decades of experience --- says that cortisone creams almost always perpetuate dermatological problems, ultimately making them worse). In other words, most docs never even attempt to get at the root of the problem. And what is the root of the root of the problem?
Before I tackle that question, allow me to address the opposite of the thought process we spoke of earlier --- that dysbiosis is what ultimately drives infant vaccine efficacy and reactivity (if you could ever get anyone to admit there was a vaccine reaction in the first place). Even though the medical community hates to talk about it, vaccine reactions drive dysbiosis. Not only did I show you this back in my six year old post titled "AUTISM COMMERCIALS," but the venerable Dr. Alex Velasquez has something to say on the topic as well. Just remember that even though his article pertains to AUTISM, we know that autistics not only have a plethora of Gut issues (HERE and HERE), but are far more likely to suffer skin conditions like eczema. For instance, a meta-analysis of "18 studies assessing the association between ASD and AD" was published in a 2015 issue of the American Journal of Clinical Dermatology (Association Between Atopic Dermatitis and Autism Spectrum Disorders: A Systematic Review). The five Italian researchers concluded that.....
"Atopic dermatitis (AD) is an allergic disorder caused by both immunological dysregulation and epidermal barrier defect. Several studies have investigated the association between AD and mental health disorders. Autism spectrum disorders (ASD) are a heterogeneous group of neurodevelopmental conditions characterized by impairments in social communication and restricted, stereotyped interests and behaviors. When all atopic disorders were considered when evaluating the risk of ASD, the association was strong... Overall, the results of this systematic review seem to reveal an association between ASD and AD, suggesting that subjects with ASD have an increased risk of presenting with AD compared with typically developing controls, and vice versa. This association is supported by clinical/epidemiological aspects, shared genetic background and common immunological and autoimmune processes."
Dr. Velasquez is not only a physician, but a chiropractor, naturopath, clinical nutritionist, and researcher. Last September, Dr. V published a paper called Autism, Dysbiosis, and the Gut-Brain Axis in ResearchGate. Listen to the overview of his paper --- a paper with nearly 200 sources in its bibliography. "This brief ebook substantiates the 'biological plausibility' that gastrointestinal dysbiosis contributes significantly to the autistic phenotype. The second section provides additional citations and justification regarding treatment and also exploring a possible interconnection between vaccination and the induction of gastrointestinal dysbiosis." Lest you think Dr. Alex is not on top of his game, check out the post I did on him destroying a recent study from the American Heart Association, who concluded that nutritional supplementation has little to no effect on heart disease (HERE).
As far as what needs to be done to reverse this; I am not giving you a list of things you should do. Instead, I'm telling you what I would do if something similar happened to a child in my family. Be aware that this list is short because I am not going to repeat everything ON THIS GENERIC PROTOCOL. Also be aware that not all of these points have been studied in infants and children, thus I cannot really recommend any of them other than to say do your own research.
- Firstly, I would probably continue nursing, or pumping and feeding via a bottle. For how long? I'm not really sure. Also be aware that COW'S MILK is heavily associated with eczema both anecdotally and in peer review.
- Secondly, I would seriously question future vaccinations and avoid antibiotics unless the situation were literally life-threatening.
- Thirdly, I would do an intensive study on FECAL MICROBIOTA TRANSPLANTS (not sure that there is much research on using this mode of treatment on youngsters).
- Fourthly, I would make myself a lay-expert on eczema, autoimmunity, vaccine reactions, seizures, etc. Not sure whether or not you are a stay-at-home mom, but if you spent an hour or two a day studying the topics I provided you here (no, not just on my site), it won't be long before you know more than your doctor on this topic.
- Fifthly, because of the seizures, be sure to look into the roll of the KETOGENIC DIET in stopping or slowing them down (HERE is the specific link). I have never done research into the effects of ketosis on children that young, but a ketogenic diet was the standard of care for halting seizures long before anti-seizure medication came on the scene. At the very least, increasing intake of good fats will be beneficial for both the brain and the eczema.
- Sixth, understand that when used by the medical community, the word "WELLNESS" is as bogus as it gets. In fact, in the context they use it in it is heavily associated with a phenomenon known as OVERDIAGNOSOS & OVERTREATMENT. It's what caused a friend of mine who is an MD to ask a rhetorical question in a discussion we were having, "why would you ever take a healthy baby to a doctor"? It's probably also why doctor Mendelsohn famously said that when it comes to your baby's health, "one grandmother is worth two medical doctors."
Instead of the medical community thinking like Dr Alex, let me show you where this thought process is headed. It's no mystery that ALTERATIONS IN ONE'S MICROBIOME (the type and ratios of bacteria both in and on you) lead to a myriad of problems, including autoimmunity (HERE). So instead of working to restore these as gently and naturally as possible, the medical community is now taking a their usual bull-in-the-China-closet approach. What do I mean?
In March of this year David Railton published an article in Medical News Today titled Could Targeting Gut Bacteria Prevent Autoimmunity? "In the study, researchers from Yale University discovered that bacteria in the small intestine can travel to other organs and induce an autoimmune response. Importantly, the team also found that this reaction can be treated by targeting the bacteria with an antibiotic or vaccine." Although it may come to that, treating SIBO (Small Intestinal Bacterial Overgrowth) with antibiotics should be a last resort because of the massive side effect profile, including the fact that it was ANTIBIOTICS that likely caused it in the first place. And as for using vaccines to do this kind of work, be aware that the latest tend in vaccine development is to create vaccines that work by actually inducing autoimmunity (HERE). No, that was not a misprint.
In almost all disease states, a failure to deal with underlying GUT HEALTH issues (LEAKY GUT, YEAST OVERGROWTHS, PARASITES, SIBO, H.PYLORI, etc, etc, etc) likely means either the problem isn't going to get better, or it appears to get better for awhile, only to rear its ugly head later in life in similar (or maybe dissimilar) ways. Furthermore, autoimmune disease tend to travel in packs. For instance, eczema is not really a "SKIN PROBLEM," but an immune system problem. Once the immune system starts attacking self, all bets are off as to what other tissues it might decide to attack.
Even though the American Autoimmune and Related Diseases Association says there are approximately 100 known autoimmune disease (most sources say 80), realize that because there are literally tens of thousands of different cells, tissues, enzymes, proteins, etc, in your body, any of them can be attacked by your own immune system. However, most of these autoimmune conditions do not have names because in most cases they are still working on tests to determine what specifically is being attacked.
Finally, I'm not here to suggest that everyone has problems with vaccines, nor am I saying that vaccines are the only reason people get some of the problems that have been widely associated with them (LIKE THIS ONE). I am saying, however, that with the absurd numbers of "jabs" being forced on children whose parents follow the recommended schedule (not to mention the 300 VACCINES currently in R&D), today's children are getting dosed in ways that children from past generations did not. If you thought this was a worthwhile 15 minutes of your day, be sure to like, share or follow on FACEBOOK since it's a great way for you to reach the people you love and care most about. And may God bless you Lori in your endeavor to find solutions for your daughter.
Hi Dr. Schierling, I just want to thank you for taking the time to answer my concerns in a blog post. The information that you provided is very helpful and I will be taking your suggestions on how to go about caring for my daughter moving forward. I hope other mothers like me who are struggling to find answers for their sick babies will stumble across more people like you - someone who wants to educate the public about REAL health and wellness. Please continue to be so passionate about true health. Know that your response to me has made a good change for my daughter and probably many others. God bless you. "Lori"
CHRONIC NECK PAIN, ARTHRITIS PAIN AND FIBROMYALGIA PAIN IMPROVED BY ADDRESSING CHRONICALLY ADHESED FASCIARead Now
LOOKING TO BREAK FREE FROM CHRONIC FIBROMYALGIA OR ARTHRITIS PAIN?
That goes doubly for those with FIBROMYALGIA and issues such as ARTHRITIS that are intimately related to a LOSS OF PROPRIOCEPTIVE FUNCTION (in this case her dysfunction was causing severe CHRONIC NECK PAIN). If you appreciate our VIDEO TESTIMONIALS, be sure to check out our latest below (Monday was her second visit, with her first being a bit over two years ago). And if you appreciate the totally free information on our site, be sure and like, share, or follow on FACEBOOK, as it's a great way to reach those you love and care about most!
MUSCULOSKELETAL THORAX / CHEST PAIN
RIB PAIN, RIB TISSUE PAIN AND MUSCULOSKELETAL / NON-CARDIAC CHEST PAIN
NO, YOU'RE NOT CRAZY!
Thirty years ago, a 1988 issue of the journal, Primary Care (Approach to Musculoskeletal Chest Wall Pain) made some very important points in regards to this topic. Firstly, they said that "Pain in the chest may be the presenting feature of a diverse number of musculoskeletal chest wall conditions." What were the most common of these "conditions"? "Trauma to the chest wall, benign overuse myalgia [muscle pain], fibrositis, referred pain." By the way, although fibrositis and myalgia would today be referencing TRIGGER POINTS, back then it's likely they were discussing what we today call FIBROMYALGIA, both of which are known to cause referred pain. Furthermore, "these disorders are often mistaken for angina pectoris and other serious disorders." In other words, they are frequently mistaken for heart or cardio related pain.
Why do you think that people --- especially people whose mechanism of onset points away from cardiac problems (i.e. they were injured, they frequently overwork, or they don't really fit a cardiac profile) --- end up being repeatedly run through every heart test imaginable (HERE and HERE are examples) only to be told there is nothing wrong with them? It's why these authors went on to state that, "Knowledge and understanding of the underlying pathogenic mechanisms of these musculoskeletal disorders is important for optimal management." Today I am going to hit you with quotes from numerous studies over the past half century (as always, many are CHERRY-PICKED) showing just how common this phenomenon of non-cardiac chest / rib pain really is. Pay attention because if you are reading this post because a Google search brought you here, you'll likely see yourself in many of them.
"Chest pain in ambulatory setting is predominantly not heart-associated. Most patients suffer from musculoskeletal.... chest pain." From the January 2015 issue of the German journal, Therapeutiche Umschau (Chest Pain)
"The musculoskeletal system is a recognized source of chest pain. However, despite the apparently benign origin, patients with musculoskeletal chest pain remain under-diagnosed, untreated, and potentially continuously disabled in terms of anxiety, depression, and activities of daily living." From a 2010 issue of Medical Clinics of North America (Chest Pain in Focal Musculoskeletal Disorders)
"Chest pain is a common presenting problem to general practitioners and accident and emergency departments. Such a symptom generates anxiety in both patients and their medical attendants, for fear that this symptom represents a life threatening event. Numerous investigations often ensue, adding to the physical and financial burden on an already stressed health system. Musculoskeletal causes of chest pain are common but frequently overlooked. Careful history taking to identify red flag conditions differentiates those who require further investigation. Historical features suggesting a musculoskeletal cause include pain on specific postures or physical activities. A musculoskeletal diagnosis can usually be confirmed by clinical examination alone, the key to which is reproducing the patient's pain by either a movement or more specifically palpation over the structure that is the source of the pain." From a 2001 issue of the Australian Family Physician (Musculoskeletal Causes of Chest Pain)
"Mechanical chest wall pain is a common presenting complaint in the primary care office, emergency room, and specialty clinic. Diagnostic testing is often expensive due to similar presenting symptoms that may involve the heart or lungs. Since the chest wall biomechanics are poorly understood by many clinicians, few effective treatments are offered to patients with rib-related acute pain, which may lead to chronic pain. Manual diagnostic and therapeutic skills can be learned by physicians to treat biomechanically complex rib-related chest wall pain in combination with interventional image-guided techniques. Pain physicians should learn certain basic manual manipulation skills both for diagnostic and therapeutic purposes." From the March 2016 issue of Pain Physician (Multi-Modal Treatment Approach to Painful Rib Syndrome: Case Series and Review of the Literature)
These quotes mention examinations several times. The problems is, competent examinations are rapidly becoming a thing of the past. Just yesterday I asked a patient who is a truck driver --- he's an old timer who's been driving for the better part of sixty years --- how much work he could do on his own trucks these days. Specifically, I asked him whether there was anything he couldn't do on a truck (I am loosely quoting him here). "I can't do everything anymore, but I used to be able to. But I hate taking my trucks to the shop. The people there rely almost totally on technology to diagnose your problem and can no longer think for themselves." I've heard essentially this same thing said of the medical community from physicians who have been in the field a long time (LIKE THIS ONE) --- take away their technology and they can't function or make an accurate diagnosis. Why not?
The massive replacement of competent examinations with technology (cardiac testing and x-rays or advanced imaging techniques that rarely provide an ah ha moment --- HERE and HERE) has in many ways been a disservice to suffering patients. The result is that people are written off, often times as having some sort of psychogenic pain that can be cured by things like (ahem) "MINDFULNESS". This sort of scenario is especially common with CHRONIC RIB TISSUE PAIN as you will see if you click the link. Follow along as I show you not only what the current research says (not to mention some older research), but why your problem might not be as hopeless as you have been led to believe.
MUSCULOSKELETAL CHEST PAIN
"Pain in the chest is a source of anxiety to both patient and doctor so long as its cause remains uncertain. Probably the most common cause is trauma to the rib cage from sporting activities, accidents, falls, or assault. X-ray films often show only about half the rib fractures that actually exist, given what is found at necropsy." From the Valentine's Day issue of the British Medical Journal (Rib Pain) 1976
"Chest pain in children is relatively common....." From a 1984 issue of Pediatric Clinics of North America (Recurrent Chest Pain in Children)
"Chest wall tenderness is common but does not always reproduce the presenting symptoms." Dr. Christopher Wise MD from his article Major Causes of Musculoskeletal Chest Pain in Adults
"Musculoskeletal chest pain or chest wall pain is the most common type of chest pain presenting to the primary care office." From the February 2018 issue of Musculoskeletal Sports and Spine Disorders (Muscluloskeletal Chest Pain)
"Chest pain is a common general practice presentation, which, because of its diverse and potentially serious causes, requires careful and often urgent assessment. Although it is critical to rule out potentially life-threatening conditions, in the general practice/primary care setting, musculoskeletal conditions are the most common causes of chest pain." From the August 2015 issue of the Australian Family Physician / Thorax (Musculoskeletal Chest Wall Pain)
After looking at fifty people who had been hospitalized for chest pain and then run through the gamut of cardiovascular tests, the authors revealed that, "Musculoskeletal causes for acute chest pain are common and varied. Most patients have an identifiable cause of pain, but accurate diagnosis is needed to select the most appropriate intervention. Anxiety and depression are frequent, with much self-reported pain and dysfunction." Once again, when all else fails blame it on ANXIETY & DEPRESSION. The harsh reality is that more often than not, pain and dysfunction are causing A&D, not the other way around as is usually touted by the medical community (it's why anti-depressants are commonly prescribed to those with chronic pain and part of what I refer to as chronic pain's 'BIG FIVE').
Two medical doctors, Jeffrey Oken and Aaron Hanyu-Deutmeyer, writing for PM&R Knowledge said this of something known as Chest Wall Pain Syndrome (CWPS). "Chest wall pain syndrome is a painful condition that manifests as direct or referred pain to the chest wall as a result of stress/injury to the body. CWPS is used to describe a multitude of pathologies that may result in pain that can be self-limiting or chronic. CWPS is readily mistaken for more serious conditions, such as acute coronary syndrome and pulmonary embolism.... The most common cause of CWPS is musculoskeletal." Are you seeing a trend?
What about the neck's relationship to chronic musculoskeletal chest pain? Clear back in 1985, the Canadian Medical Association Journal (Musculoskeletal Chest Wall Pain) said this of the affiliation. "The musculoskeletal structures of the thoracic wall and the neck are a relatively common source of chest pain." An excellent 2013 article by three physicians in Primary Care Clinics (Evaluation and Treatment of Musculoskeletal Chest Pain) agreed, taking this concept a step further by saying, "Pain can also radiate to the chest from the shoulders, cervical and thoracic spine, lower neck....." What would make the neck a trigger for chronic chest or rib pain? All you really have to do is look at the anatomy.
For instance, the SCM, CERVICAL FASCIA, and PLATYSMA --- three of the more commonly injured tissues of the cervical spine --- attach to the clavicle (collar bone) which makes up the top margin of the chest. This means that they can be involved in much more than CHRONIC NECK PAIN (as we just saw, all of these, along with the THORACOLUMBAR FASCIA, refer pain to the tissues of the thoracic wall. But the pain can be referred from below as well. For instance, ABDOMINAL MUSCLES (or HERE) and HIP FLEXOR ADHESIONS have the potential to pull at the tissues that attach to the thoracic cage / rib cage, potentially causing pain as well. The same thing can be said of the muscles that actually make up the thoracic cage (I commonly see SCAR TISSUE built up in the area where the chest muscles, shoulder muscles and biceps muscle come together).
What is the medical community doing to help people with chronic musculoskeletal chest or rib pain? You can take a guess, but the last study mentioned said it all. Despite the article providing a number of useful flow-charts for helping make an accurate diagnosis, their solution is about the same as it is for any number of pain-related issues. Their top-recommended ways to treat these problems? After looking at 25 pages of different causes of chest and rib pain, as well as the treatments endorsed for each; over and over again we see that the most common treatment is PAIN MEDS and NSAIDS. Think about it this way; if this approach was really so wonderful, you likely wouldn't be reading this with tears in your eyes at three AM. Things, however, may be starting to change.
Just last year, an MD --- a retired cardiologist by the name of Daniel Gelfman (he is now working as a professor at an osteopathic college) --- wrote an editorial for the American Journal of Medicine (Osteopathic Manipulation in Treatment of Musculoskeletal Chest Pain) in which he stated, "Throughout most of my 29 years of practicing clinical cardiology, I was never really satisfied with treatments I employed in the treatment of musculoskeletal chest pain. This was especially true with the recognition of nonsteroidalanti-inflammatory drug (NSAID) complications. Now, at the end of primary clinical practice, I believe I have found a satisfactory treatment. The technique I employed for this specific chest discomfort is called myofascial release. I suspect many physicians are, as I previously was, unaware how effectively somatic dysfunction such as musculoskeletal chest pain can be treated with.... a multitude of gentle, non high-velocity low-amplitude techniques [adjustments]. This includes techniques such as muscle energy, strain counterstrain, myofascial release, soft tissue,and balanced ligamentous tension." While this is super cool, it's nothing new outside of the mainstream medical arena --- sort of like trying to convince an Egyptian that you discovered the pyramids.
RIB TISSUE & THORACIC WALL PAIN FROM...
OLD RIB FRACTURES
Fifteen years ago, the Journal of Trauma asked a question via a study title; Rib Fracture Pain and Disability: Can We Do Better? Their conclusions? Rib fractures, especially multiple rib fractures, have a shockingly high probability of causing long-term pain and dysfunction (disability). "Rib fractures are a significant cause of pain and disability in patients with isolated thoracic injury and in patients with associated extrathoracic injuries. When compared with the chronically ill reference population of the RAND Medical Outcomes Study, our patients as a group were more disabled at 30 days in all categories except emotional stability, where they showed equivalent disability." As far as issues with emotional stability go, they usually tend to show up after a longer time of struggling with CHRONIC PAIN. A decade after this study, things had not changed much.
The May 2013 issue of the American Journal of Surgery (Prolonged Pain and Disability are Common After Rib Fractures) tells you most of what you need to know via its title. The authors --- a group of acute care trauma surgeons from Oregon --- went on to say, "The presence of significant associated injuries was predictive of prolonged disability. Prolonged chest wall pain is common, and the contribution of rib fractures to disability is greater than traditionally expected." For the record, when you see the term "flail chest" used (see middle pic above), it indicates three or more broken ribs together, all fractured in two or more places. But what about thoracic cage injuries that are not considered "serious"? What about people who get a rib fracture or two, go to the ER and are subsequently released because there is little that doctors can do for MTI (Minor Thoracic Injury)?
The Academy of Emergency Medicine published a study a few months after the one above called Risk Factors of Significant Pain Syndrome 90 Days after Minor Thoracic Injury.... Almost 1 in 5 of the 735 individuals in the study "was experiencing clinically significant pain at 90 days after a MTI." Unfortunately, 90 days is a threshold most often used to asses potential permanency of these sorts of problems. For example, research shows that if you are still struggling 90 days out from a WHIPLASH INJURY due to a MOTOR VEHICLE ACCIDENT (or for that matter, other similar injuries from any number of sources) your odds of having that problem become, at least on some level, permanent, skyrockets. In the past few years, several studies have shown similar.
For instance, the May 2014 issue of the American Journal of Surgery (The Contribution of Rib Fractures to Chronic Pain and Disability). After following almost 100 rib injury (rib fracture) patients for six months, the authors (the same group of surgeons from Portland's Health & Science University) said this... "The prevalence of chronic pain was 22% and disability [dysfunction -- these people were not necessarily "disabled"] was 53%. Associated injuries, bilateral rib fractures, injury severity score, and number of rib fractures were not predictive of chronic pain. No acute injury characteristics were predictive of disability. The prevalence of chronic pain was 28% and of disability was 40%. No injury characteristics predicted chronic pain. The contribution of rib fractures to chronic pain and disability is significant but unpredictable with conventional injury descriptors." One other tidbit in this study was that initially having worse pain was predictive of long-term problems.
in January of 2015, a group of Australian physicians and researchers published a study (Quality of Life After Major Trauma with Multiple Rib Fractures) in the journal Injury. Conclusions were that, "Rib fractures are a common injury presenting to major trauma centres and community hospitals. Aside from the acute impact of rib fracture injury, longer-term morbidity of pain, disability and deformity have been described. Despite this, the mainstay of management for the vast majority of rib fracture injuries remains supportive only with analgesia." In essence, there is little to do other than make sure people are comfortable. After following 400 multiple rib trauma patients for two years, the authors determined that, "Patients with multiple rib fractures demonstrated significantly lower quality of life at all time points measured. Return to work rates were poor with only 71% of those who were working prior to their accident, returning to any work. This study demonstrates a significant reduction in quality of life for rib fracture patients requiring admission to hospital..." Think about that --- almost 1 in 3 was severe enough that after two years they were still not working.
A 2016 study from the Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine (Physical Function and Pain after Surgical or Conservative Management of Multiple Rib Fractures – A Follow-Up Study) looked at two groups of thirty subjects each --- one group having surgeries for their multiple rib fractures and the other not, determining that "concerning respiratory and physical function, pain, range of movement in the shoulders and thorax, shoulder function and kinesiophobia [fear of movement]... The results concerning pain, lung function, shoulder function and level of physical activity were similar in the two groups. Patients undergoing surgery have a similar long-term recovery to those who are treated conservatively except for a better range of motion in the thorax and fewer limitations in physical function. Surgery seems to be beneficial for some patients, the question remains which patients."
In April of this year, a study by the French military (Chronic Chest Pain after Rib Fracture: Can it Cause a Disability?) was published in Revue de Pneumologie Clinique. The authors, six trauma physicians, concluded after following 40 patients for almost six years (most of them young males who had been in motor vehicle accidents), "The initial management consisted in the use of analgesics systemically in all patients. Persistent pain was noted in 60% of cases. This pain was triggered by simple to moderate effort to moderate in 55% of cases, and hard effort in 28% of cases. In 17% of patients, even at rest, the pain occurred intermittently. Impact in terms of disability was mild to moderate in 28% of cases and important in 17%. Neuropathic pain was found in 3 patients. Our study confirms the persistence of chronic painful, sometimes lasting several years after the initial chest trauma. This pain is responsible of disability triggered most often after exercise."
I could have kept going but you get the point. Firstly, lots (LOTS) of people break ribs for various reasons. And secondly, it's exceedingly common for these fractures to lead to chronic pain. And if you think about what I've told you in the past (HOW DOES FASCIA TEAR), "impact injuries" are an ultra-common mode of soft-tissue and fascial injury (today's articles spoke extensively of blunt force trauma). To take this phenomenon to its logical conclusion, realize that it's also common to see these same kinds of injuries over any fracture. For example, I have effectively treated numerous people (INCLUDING MY WIFE who broke her arm in a run-in with a drunk back in 2005) for pain at the site of old fracture(s).
OTHER CAUSES OF RIB OR MUSCULOSKELETAL CHEST PAIN
"Slipping rib syndrome occurs when the cartilage on a person’s lower ribs slips and moves, leading to pain in their chest or upper abdomen. Slipping rib syndrome goes by many names, including clicking rib, displaced ribs, rib tip syndrome, nerve nipping, painful rib syndrome, and interchondral subluxation, among others. It mostly affects middle-aged people. Overall, the syndrome is considered rare."
According to the Indian Journal of Anesthesia, however (The Painful Rib Syndrome), it's not so rare. "Painful rib syndrome is a fairly common condition. The painful rib syndrome is thought to arise from the inadequacy or rupture of the interchondral fibrous attachments of the anterior ribs. This disruption allows for the subluxation of costal cartilage tips, impinging on the intercostal nerves. This may cause a variety of somatic and visceral complaints." In other words, the FASCIA covering the ribs, for whatever reason (there are many, and in many cases the reason is unknown) fails to hold the tips of the ribs in place, allowing them to move out of position and not only cause pain, but organ issues as well. How do you diagnose this problem?
In doing this research I found several sources (both articles and journals) saying that the "Hooking Maneuver" is really the only way to make a correct diagnosis. It's not difficult. Simply reach under your bottom front ribs, hook your fingers and pull out and up. If it reproduces your pain, this is likely the cause. Confirmation comes from having a nerve block and seeing if it hides the pain caused by the Hooking Maneuver. As far as treatment, the medical literature abounds with choices. First is usually, you guessed it, NSAIDS, followed by various sorts of INJECTIONS, and in some cases, actually removing the offending rib. A 1993 study from Gut (Painful Rib Syndrome--A Review of 76 Cases) said that of every one of the patients sent to pain management for this problem, all were "without relief of symptoms".
There are other causes of non-cardiac rib or chest pain as well. Because you can easily look them up online, there is Tietze's Syndrome -vs- Costochondritis. I found dozens of studies on rib pain and muscluloskeletal chest pain in competitive rowers. I also discovered studies on these sorts of pain issues related to surgical ports. I even found two different studies on rib pain and mechanical chest pain caused by deficiency of Vitamin D (Vitamin D Deficiency: An Unrecognized Cause of Flank Pain in a 2017 issue of Bone and Mineral Metabolism as well as Association Between Nonspecific Skeletal Pain and Vitamin D Deficiency in a 2010 issue of the International Journal of Rheumatic Disease). It will be no shock to see that those struggling with COPD usually deal with this sort of pain. In other words, there are numerous potential causes of this kind of pain.
My rule of thumb is that if the pain can be reproduced either by a certain posture (for instance, sitting) or by certain movements (sometimes these movements must be forced with some intensity), it's much more likely that the problem is something I can help. In other words, it's more likely that it's in the THORACIC WALL AND NOT THE THORACIC CAVITY.
WHAT CAUSES RIB TISSUE PAIN AND MUSCLULOSKELETAL CHEST PAIN?
WHY DOES IT HURT SO BAD BUT NO ONE SEE IT OR TELL ME WHY?
While there is new technology that's starting to be used to image fascia in certain places like the low back (THORACOLUMBAR FASCIA) there is no good imaging tests for the rest of the body --- not a good thing for a tissue that's not only the most common connective tissue in the body, but also happens to be the chief culprit in chronic pain's "PERFECT STORM". So, beyond doing the things it takes to cut systemic inflammation from your life (HERE), a trip to see me might just be in order. After all, who else tells you that you will know from a single treatment whether or not my approach will help you (HERE). If you liked today's post, be sure to like, share, or follow on FACEBOOK.
IS EVIDENCE-BASED MEDICINE REALLY EVIDENCE BASED?
SUUURE IT IS. BY THE WAY, I HAVE THIS BRIDGE IN BROOKLYN....
"I knew it was bad, but didn’t realize it was this bad, the numbers are staggering, really makes you question most of the biomedical research more than you probably already do. One day I hope people start requiring a study to be at least reproduced once in another lab on different equipment before they start making outrageous claims, recommendations, prescribing, etc. At least it sounds like there is a movement in the right direction, but I think it will be slow and don’t see a paradigm shift any time soon."
He was describing the podcast from yesterday's issue of the oldest scientific journal in America (Scientific American) titled Out with the Bad Science, which consisted of Richard Harris discussing his book, Rigor Mortis: How Sloppy Science Creates Worthless Cures, Crushes Hope and Wastes Billions. Although Harris believes the root of the problem is not enough tax dollars for the NIH, I would argue that this is not the root of the problem (they have had their funding increased 10 billion dollars in the last five years), the problems with "the culture" run much deeper --- a point brought out in Lev Facher's article in STAT from earlier this week (Series of Ethical Stumbles Tests NIH’s Reliance on Private Sector for Research Funding).
"NIH officials told STAT this week the agency is completing a plan to ensure better ethical compliance and better delineate the actual process for private-sector collaboration. The officials said the plan will be presented to an advisory committee in December."
You can promise all you want but when there is billions of dollars of pharmaceutical money on the table, mouth's get dry, palms get sweaty, and the best laid plans seem to change midstream; usually according to the whims of whichever industry happens to be supplying the funding. Lest you think I am being mean-spirited or critical for the sake of being critical, remember back to the post I put up just two short weeks ago about the amount of money being shuffled to the people on the boards who make the guidelines (HERE). Call it bribery or call it lobbying, I don't care. Everything is tainted and the well is poisoned. We saw this with the ridiculous alcohol research that manufactures recently paid the NIH to do, as well as the NIH concussion research that was bought and paid for by the NFL (REPEATED BLOWS TO THE HEAD? NO PROBLEMO).
I've also shown you how this untrustworthy research is occurring --- the mechanisms that make things look valid on the surface but hide the rotten center. For instance, half of all medical studies are "INVISIBLE & ABANDONED" in order to hide unwanted or unintended results. The other half cannot be reproduced or verified (HERE) --- a cornerstone of the scientific method --- the thing that makes science scientific. If you like our regular EBM column on this site, be sure to like, share, or follow on FACEBOOK.
WARNING WARNING WARNING
BEWARE OF THE WAY YOU DESCRIBE YOUR PAIN TO YOUR DOCTOR
"If you're in the hospital or a doctor's office with a painful problem, you'll likely be asked to rate your pain on a scale of 0 to 10 – with 0 meaning no pain at all and 10 indicating the worst pain you can imagine. But many doctors and nurses say this rating system isn't working and they're trying a new approach."
What is this "new" approach? Instead of doctors simply having patients rate their pain 1 to 10, they are now asking whether their pain is tolerable or not, and then providing some "flowery" descriptors in their own customized scale ("Many health care providers are trying to come up with a system that involves words, not numbers"), such as aching, burning, waxing & waning, moving around, etc, etc. The final bit of advice to patients was to, "share other treatments you've sought... Let the doctor know what you've done and whether it was effective."
Firstly, as to the initial part of this (using descriptors beyond numbers), while it's certainly a great idea, none of it is even remotely new. Physicians have been asking patients to describe their pain and find out what makes it better or worse for as long as physicians have been treating people with pain. However, I've actually warned my readers to be careful how they go about these descriptions. For those of you struggling with various sorts of CHRONIC PAIN, be aware that if you describe your pain in ways that are not common or standard), you are much more likely to be labeled. Labeled? You know, hypochondriac, drug seeker, crazy (HERE is an example), lazy (trying to get SSI disability), or any number of others.
Secondly, after almost three decades of doing what I do, I'm not too convinced that the average doctor is very interested in what helps your pain if it falls outside the mainstream. Although some would argue with me (HERE for example), the more "natural" or outside-the-box the treatment that helped you, the less interest your doctor is likely to show . Case in point, two of the three examples from the last red sentence two paragraphs above were acupuncture and massage.
Also realize that doctors are highly discouraged (in many cases they are banned) from referring to anyone outside their network (especially to someone who talks a lot about FASCIA, GUT HEALTH, SYMPATHETIC DOMINANCE, or just how dadblamed dangerous most drugs really are --- HERE or HERE) . I completely agree that doctors should be told. Just don't hold your breath waiting for an earth-shattering reaction TO ASTOUNDING RESULTS.
Also remember that it's not really the doctor's fault. Not only are doctors burned out and swamped by ignorant amounts of moronic paperwork (HERE and HERE), the system itself is corrupt and geared toward keeping you alive for a very long time via taking drugs --- lots of drugs (HERE). Mind you, while these drugs are not making you healthy (YOU ARE RESPONSIBLE FOR DOING THAT), they are turning you into what could only be described as a cash cow. You can't possibly be shocked considering I've shown you time and time again that Big Pharma will do whatever it takes to maintain / expand market share (read my posts on "EVIDENCE-BASED MEDICINE" if you think I'm being harsh).
My advice to anyone who's read this far? Realize that even though there is really no such thing as 'average,' I've created a generic protocol that will get the ball rolling as far as helping the average patient is concerned. Just remember that before you do anything radical like trying to get off of a particular prescription or starting a "WEIRD DIET," it's always a good idea to talk to your doctor first --- even though they might just know less than you if they haven't been keeping up with current research (HERE).
Today would be a great day to START CONTEMPLATING A CHANGE since it's the first day of the month. After all, you owe it to yourself. And if you know someone else who owes it to themselves, be sure to reach them by showing us some love on FACEBOOK.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration