Joint Pain in a Nutshell

Joint Pain in a Nutshell

joint pain

Most people think of muscles when they think of being flexible, but our bones equally give us mobility. Without our bones, our muscles would enable us to move like worms, but with our bones we become erect and perform a myriad of functional activities. Our joints are the articulations between bones, and vary depending on what kind of movement is required.

Types of Joints

Joint structures allow range of motion and accentuate a specific movement. There are three basic types of articulations: fibrous, cartilaginous, and synovial joints.

1. Fibrous joints have no joint cavity so the two bones must form a tight fit, and this achieved with fibrous connective tissue, that holds the bones together. This type of joint allows for very little movement. Sutures that connect the cranial bones and allow enough movement for the pulsing of the cerebral spinal fluid is an example of a fibrous joint.

2. Cartilaginous joints don’t have a joint cavity either, and the bones are held together by cartilage. The vertebrae of the spinal column and the pubic symphysis are examples of cartilaginous joints.

3. The synovial joint has a joint cavity, which allows for greater movement. Protective tissue surrounds the bone to cushion it for a lifetime of wear-and-tear: hyaline cartilage, a wrapping of ligaments, bursa sacs, and synovial fluid inside the joint reduce friction and maintain proper range of motion. Synovial joints are in the major articulations of the body: the knee, elbow, hip, and shoulders.

Directions of Synovial Joint

The synovial joint can move in many directions.

Gliding back-and-forth (ankles, wrists)

Rotation turns bone along its axis (flip hand palm up palm down)

Circumduction (rotate whole arm)

Angular increases (i) or decreases (d) between the two bones involved:

Flexion- bends  (d)

Extension- straightens (i)

Abduction- away from midline (i)

Adduction- towards and crossing midline (d)

The Injury and Healing of Joints

High-quality nutrition and regular exercise are the key ingredients for healthy joints. Our joints are susceptible to normal wear-and-tear, with age and gravity adding further stress on the tissue. The ligaments, tendons, and cartilage in the joint spaces get little or no blood supply, and it is for this reason that injuries seem to linger.

Studies have shown that acupuncture can speed healing in a wide variety of joint problems, both chronic and acute. From a Chinese medicine perspective, joints are places where things can get stuck, creating the sensation of tightness and pain. Acupuncture and its modalities facilitate local activity at the site of injury.

It is our recommendation that to keep your joints healthy and pliable, eat the best possible nutrition, keep moving by including stretch  and strengthening qi gong exercises in your routine, and when needed, decompress the joints when possible, and finally get some acupuncture to correct the problem before it gets worse.

Joint Pain in a Nutshell

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

 

The Official Fifth Season: Late Summer

keep a scarf on hand in case it gets cold, as the weather changes from summer to fall

Late summer is the period of transition from the heat of summer to the coolness of fall, that brings with it sudden changes in temperature and climactic conditions. Late summer is a time when dampness and heat prevail first, then give way to fluctuations that bring wind and dryness with the cooling off from high temperatures.

We have been entering the fifth season in New York City since early August this year, though late summer generally runs from late August to late September or early October (as in “Indian summer”).

At this time, our bodies are challenged more than the usual to adapt to these changes. All summer long we have already been in been in and out of (natural) heat and (unnatural) air-conditioning, and this continues into the late summer season.

Asking the body to keep regulating itself, back-and-forth, can tire us out, and leave us susceptible. An analogy might be the walled cities of yore: the gates were guarded, but if a gate was accidentally left open, invaders could easily enter and cause mayhem.

Chinese medicine has a correlate to the western immune system, but for simplicity’s sake, let’s say this time of year often brings sudden onset-type illnesses which resolve quickly with the appropriate intervention.

Our best bet to keep the gate of our immune systen well-guarded during this season is to double-down on our health practices, including quality nutrition (easy to do when fresh vegetables are plentiful in the markets), extra vitamin C & D, and adequate rest. Also, carrying an extra layer- shirt/sweater/scarf- when you leave the house will help you adjust to the sudden climactic changes.

The Official Fifth Season: Late Summer

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Cytochrome P450: One Tablet or Two?

cyp450_imageJust as we all don’t wear the same sized sweater, so too are medication dosages not meant to be one-size-fits-all proposition. Physiologically, a 100-pound woman and a 200-pound man process the same dosage differently, so it’s important to follow medication directions, for both over-the-counter and prescription drugs.

The liver takes in raw materials and produces all sorts of products we need to live. It is also a purification plant that takes in toxic waste for elimination while cleaning some substances and sending them out for further use. This article is about the medications we take and the toxic components built into them by science, knowing that a particular enzyme system in the liver, cytochrome P450 (CYP450), will clear them in the liver.

Pharmacology is the study of the actions of drugs on biological systems. These drugs either activate (agonists) or inhibit (antagonists) normal physiological processes. For example, selective serotonin reuptake inhibitors (SSRI’s), one kind of anti-depressant drugs, are designed to affect biological activity through inhibition.

When developing a drug, scientists ascertain its therapeutic use measuring pharmacokinetics-dosage and the absorption, distribution, metabolism, and excretion in and through the body, and pharmacodynamics- how the drug acts on the body.

By the time a drug makes it to the market, it has been well-tested to make it safe for public consumption. Very basically, the measure known as the Area Under the Curve (AUC), measures the movement of a substance into and through the body, depicting the time of its greatest concentration.

This copious testing takes into account how long it takes for the body to eliminate one-half life of the drug from the body and then how much is left in the body after five half-lives. For example, if 100 mg has a half-life of 50 mg, then its subsequent half-lives will be 25 mg, 12.5 mg, 6.25 mg, and 3.125 mg, respectively. This is why some drugs you may take require several weeks of regular dosage before achieving correct concentration in the blood, body fluids, or tissue for a therapeutic effect, and others go directly to the targeted area and have an immediate effect.

Cytochrome P450 is the generic name for a group of enzymes clustered in the liver and small intestines that breaks down anything the body doesn’t want hanging around in active form, including things eaten such as food and herbs. Two major points to remember regarding the CYP450 enzyme system are:

1) More is NOT better- CYP450 can process only so much at a time, and
2) Herbs and prescription drug should be taken two hours apart to minimize interaction

Here’s why:
As mentioned above, certain drugs are designed to increase the activity of CYP450 and others inhibit it so that the drug can stay in the body longer.
1) Some chemical reactions in the body are additive: for example, substance A combines with substance B, or 2 + 2 = 4.
2) Some chemical reactions in the body are synergistic: for example, substance A combines with substance B to produce a stronger effect by staying in the body longer, so that 2 + 2 = 10.
3) And, some chemical reactions in the body inhibit each other or cancel each other out: for example, substance A combines with substance B, or 2 + 2 = .05 or 2 + 2 =. These include certain foods and herbs, which can interact with certain drugs and get in the way of CYP450 either additively, synergistically, or by inhibiting ts functions.

Therefore, it is important to take follow dosage recommendations, and to not overtax the liver by asking it to process too many medically-intended substances at once: think twice next time you reach for something, asking yourself if you really need it. If you say “yes,” remember what else you ate or  in the past hour, and maybe wait a bit, or take a lesser dosage and see how that works.

http://mountaintopacupuncture.com/cytochrome-p450-one-tablet-or-two

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Functions of the Liver

your liver is a tireless marathoner

your liver is a tireless marathoner

The liver is a multi-tasker: it produces, purifies, and converts many substances essential to life. It plays a role in the digestion, hematology (blood), immune and inflammatory response, and endocrine systems.

1) The liver’s digestive function is simple: it manufactures bile, which is stored in the gallbladder. The gallbladder then secretes the bile as needed into the small and large intestines to emulsify and absorb the fats we eat.

2) The liver also transforms excess simple sugars and converts them into glycogen or fats for storage. When you need that extra boost of energy, the liver can take that stored fat and glycogen and converts it into the energy you need. It can also transform proteins into energy as a last resort.

3) The liver stores fat-soluble vitamins and minerals and distributes them where and when they are needed.

4) The liver is also an organ of detoxification: it takes toxins and poisons from medications, alcohol, and metabolic waste and transforms them into less harmful substances. It also stores toxins that can’t be broken down and eliminated, including some chemicals and other poisons.

5) The liver synthesizes the proteins that regulate blood clotting and molecule transporters in the blood.

6) The liver makes the cholesterol that is used in hormone production.

7) The liver produces proteins that affect the inflammatory response and manufactures some antigens for immunity.

8) The liver has cells that specifically destroy bacteria and breakdown old worn-out red blood cells.

With so much activity to accomplish, you can imagine the liver is prone to diseases such as viral infections, inflammatory diseases, toxicity, vascular disorders, metabolic diseases, and cancers.

In order to keep your liver healthy, choose pesticide-free foods and wash your vegetables, consume plenty of antioxidants , avoid taking medications you don’t really need, and limit alcohol consumption. Ways to nourish your liver include having lemon juice regularly, and engaging in some form(s) of exercise.

http://mountaintopacupuncture.com/functions-of-the-liver

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

The Nuts and Bolts of Carbohydrates

complex carbs: grains, seeds, nuts, and vegetables

complex carbs: grains, seeds, nuts, and vegetables

Carbohydrates are our primary source of energy and dietary fiber. Carbohydrates are also intrinsically involved in many biologic processes.

It’s no accident that when we are hungry, we reach for carbohydrates, for carbohydrates are the form of energy our bodies prefer and digest first:

-Our cells prefer using carbohydrates to enter into the KREBS cycle, a complicated metabolic process that yields THE energy molecule, ATP

-Our bodies prefer carbohydrates as the energy source because those calories are structurally easier to get to than fats or protein

-Amylase is the enzyme in saliva that begins the breakdown process of carbohydrates into its usable units as sugars

In the context of nutrition, carbohydrates are referred to as simple or complex
-Simple carbohydrates
—monosaccharides = 1 sugar molecule; glucose and fructose are monosaccharides
—disaccharides = 2 sugar molecules = 1 glucose and 1 fructose; lactose and sucrose are disaccharides

-Complex carbohydrates
—polysaccharides = many monosaccharides joined by chemical bonds into chains and branches
—oligosaccharides = 2-10 monosaccharides joined by chemical bonds into chains and branches

Complex carbohydrates provide a higher quality source of energy with a longer breakdown process, which slows the onset of hunger and stabilizes blood sugar levels.

The plant sources of complex carbohydrates provide dietary fiber:
-The cellulose in the plant wall has polysaccharides and oligosaccharides
—The polysaccharides portion is made of insoluble fibers, and because humans lack the enzyme to digest cellulose, this material passes through the digestive tract nearly intact, helping to eliminate other toxins from the body with it

—The oligosaccharides can break down; they are the food source for the micro- flora in our digestive tract

-Compounds from plants are used in our cellular functioning and systemically
— Lower cholesterol, anti-cancer, antibacterial, antifungal and antiviral; bind to specific hormones that are in excess to clear the body of them and eliminate with solid waste; reduce hunger cravings
-Compounds from plants are commonly used in industry
—As thickening and binding agents for a multitude of products, from ice cream to pharmaceutical gels

Carbohydrate Digestion, Assimilation, and Synthesis
The storage carbohydrate in animals is glycogen. When not utilized by the body, carbohydrates are stored as glycogen in the liver and in the muscles. Leftover leftovers are stored as fat.

Recommended Amounts
Age, gender, general constitution, and activity levels vary from person to person, so recommending the proportions of protein, fat, and carbohydrate in the diet isn’t possible.

For every gram of carbohydrate you consume, you get 4 calories of energy- this is true for any type of carbohydrate. Here’s a link that gives you a general guideline of amounts for you, including vitamins and minerals for you, based on age, gender, and activity level.

At Mountaintop Acupuncture, we will review of your diet to figure out what your dietary needs are, and offer feedback and suggestions after assessing your condition, health history, and general constitution.

http://mountaintopacupuncture.com/the-nuts-and-bolts-of-carbohydrates

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.