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Eating to beat the heat

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herbal-medicineOriental medicine (OM) emphasises that we should eat according to the season to stay healthy.

Summer is the season of maximum Yang (expansive, warming, vibrant energy). These days, we often see it as a time to kick back and relax, but it’s worth remembering that in ancient times, especially in an agrarian culture, summer would have been a physically demanding time of year. So diet would have been very important.

So what sort of food should we eat to help cool ourselves down when the mercury starts climbing? Have you ever noticed that when you devour an ice cream, it feels cooling at the time but you actually feel hotter soon afterwards? This is an example of the body trying to restore equilibrium. You put something very cold in your system and the body will try to warm itself up again to counteract this, and will often overshoot.

Oriental medicine (OM) takes a subtler approach. One of the first principles is to eat lighter meals than you would in winter or autumn, as heavy meals are taxing on the digestion and can make you feel sluggish.

Flavour is very important in OM dietetics, with five main flavours identified – salty, sweet, sour, pungent (acrid, spicy), and bitter. Each of these flavours has different energetic properties and has a different action in the body when consumed. The bitter flavour is thought to be cooling. So during summer, it’s a good idea to incorporate some foods with a slightly bitter flavour. Some of the examples recommended in ancient texts are a little hard to come across in the modern supermarket, but equivalents include green leafy vegetables such as kale, Chinese greens, raddichio, and rocket; sprouts; vinegar; and raw cacao. Bitter drinks would include green tea, dandelion tea, and tonic water. The key here is moderation – you would not include all of these at every meal, but just use some of them in small amounts, according to the temperature and how much you feel the heat.

From a broader health perspective, many of these bitter foods are packed with beneficial nutrients such as antioxidants. The bitter taste also helps stimulate the production of gastric acid and bile, and therefore helps digestion. Interestingly, modern Western culture tends to instead favour the sweet taste, overconsumption of which can tax our digestive systems and, in the long term, lead to diabetes and obesity.

applesSpicy foods can also be cooling when eaten in moderation. Think fresh ginger, chilli, capsicum, horseradish and black pepper, as seasoning or in curries. These spices help dissipate heat by bringing it out to the surface. But again – moderation – as if eaten in excess, they can dissipate too much energy, leaving you susceptible to illness in cooler weather.

Other foods seen to have an intrinsically cooling effect in OM are cucumber, tomatoes, celery; and many fruits, including apples, watermelon, lemons and limes. But don’t overdose on these either, especially if you have weak digestion (tendency to bloating or loose stools).

So, as you can see, OM has many dietary strategies to help you keep cool this summer, without reaching for the ice-cream.

TMJ and Chiropractic

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Temperomandibular JointYou may have heard or experienced a condition called TMJ which is a condition of clicking or pain in the Temperomandibular Joint (TMJ) or jaw. It is more correctly termed TMD which stands for Temperomandibualr Disorder (TMD). These occur as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw.

Causes include:

  • Injury to the jaw, Temperomandibular joint, or muscles of the head and neck (such as from a heavy blow or whiplash)
  • Grinding or clenching the teeth, putting great pressure through the TMJ
  • Stress, which can lead to clenching teeth, and/or tight facial and jaw muscles
  • Arthritis in the TMJ
  • Disrelationship of the complex jaw joint

Common symptoms of TMD include:

  • Decreased ability to open the mouth wide
  • A locked or stuck jaw either in an opened or closed position
  • Clicking, popping or grating sounds in the jaw joint on jaw movement
  • Pain or tenderness in the face, jaw joint, neck, shoulders and/or ear, including headaches and earaches
  • A tired feeling in the face
  • A change in the bite, as the teeth are not aligned

Intra-oral Cranials is a technique that your Chiropractor may use that is extremely effective in improving the movement of the jaw joint and hence reducing the symptoms relating to TMD. This Cranial technique addresses the bones of the skull and jaw to normalise the relationship of the skull with the jaw and the neck, and allow the jaw to move smoothly and freely and with its normal range.

Chiropractic and Medicare

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MCAs you are most likely aware, Chiropractic can be calmed under Private health insurance, but you may not be aware of a Medicare service that has been available since 2004. The Medicare Allied health initiative provides for Medicare benefits to be paid for allied health and dental care services provided to people with chronic conditions and complex care needs. They will allow for up to five visits under this initiative.

Under the initiative, people with chronic conditions and complex care needs firstly need to be managed by their GP who would set up a Enhanced Primary Care (EPC) plan. This care plan can include 1 or more allied health professionals to assist in the treatment plan. These can include Chiropractic, Physiotherapy, Exercise Physiology, Occupational Therapy, Mental health services, Psychology, Speech Pathology and Dental. Medicare will pay a large percentage

If you would like Chiropractic care and this is something that you may be eligible for, all you need to do is speak to your GP, who will set up an EPC, which includes myself as your Chiropractor. Your GP will give you a copy of this EPC with a referral to me, which you need to bring to your next Chiropractic consultation. I will sign it to agree to the care plan and send it back to your GP. For the next 6 visits, you pay your invoice as per usual, then take your receipt to Medicare to claim. Medicare will cover the majority of the bill.

Back Pain and Chiropractic

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Chiropractic Back PainThe back or spinal column is the central support structure of the body, and is therefore crucial to our functioning ñ most especially our mobility. The nerves that radiate out from the spinal cord are essential to the operation of every muscle, nerve and organ in the body ñ so if they become trapped or pinched in any way, they can affect our posture and movement significantly. This is often what happens when the discs that cushion the spinal column become worn or rupture. Other sources of back pain involve injury or strains to the muscles of the back ñ often from unusual movements or over stretching. Lifting and carrying with poor techniques also places strain on back muscles, especially if the knees are not bent, and the back ends up taking all the stress. Typical symptoms of a back problem include headaches, localised pain in the neck or back which may radiate to the shoulders, arms or legs. Chiropractic treatment is a popular alternative to invasive surgery or conventional medication, and is a recognised profession by the medical establishment.

 

What is Chiropractic Treatment?

Chiropractic treatments and chiropractors are primarily concerned with the alignment of the spine, and to a lesser extent the skull and pelvis, using a range of techniques to adjust it. This is designed to allow the nervous system to function without impediment. Techniques used include hand pressure and gravity as well as specialised equipment, including adjusting tables and wedges. A chiropractic adjustment utilises force applied to a joint, with the intention of encouraging normal motion and function. Chiropractors are health professional that typically undergo tertiary education, are regulated by government and must be registered to practice ñ so they are qualified to deal with a range of back problems.

 

How Can Chiropractic Treatment Help Back Pain?

A holistic assessment of the patient is first conducted to determine what may be the origin of the condition or ailment. A treatment plan is then devised which may consist of physical treatment or adjustment, exercises and advice on preventative measures that can be followed. Adjustment methods may involve a range of techniques, including quick or slow movements, and constant pressure. Depending on the condition or ailment, this is typically an ongoing program of supportive care, with repeated visits until the problem recedes.

If you are considering chiropractic treatment as a therapy for your back pain, ensure that you consult a trained and qualified chiropractor.

Frozen Shoulder (Adhesive Capsulitis)

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Health In The Bay Frozen ShoulderSigns/Symptoms

  • Frozen shoulder is characterised by stiffness and restriction of movement leading to a high degree of shoulder joint immobilisation (passive and active movements).
  • In most cases there is also some localised pain that can also cause secondary pain in the neck and trapezius muscle.
  • Patients are generally unable to raise their arm above 45 degrees and often any movement that involves external shoulder rotation inhibits pain.
  • Pain at night is often more severe, and a secondary side effect of frozen shoulder is insomnia.
  • It is most common over the age of 40 and more prevalent in woman.
  • Symptoms can often last from 5 months to 3 years, but healing time can be reduced with appropriate therapy, stretching and preventative techniques.

 

Causes

  • It is most commonly caused by thickening and contraction of the joint capsule – the connective tissue around the bony structures of the shoulder joint. There can also be a lack of synovial fluid in the joint
  • Can be caused by injury, however, it may also be a secondary symptom of thyroid, metabolic disease, stroke and auto-immune disease. Higher incidence in smokers. In many cases, there is no recognisable cause.
  • In Eastern medicine – deficient cases, there is a lack of nourishment (Ying Qi), leading to tendon/muscular weakness. In excess cases, wind/cold/damp/injury penetrates the shoulder joint causing local Qi/Blood stagnation in the channels (often Colon/Small Intestine channels). Can also include Gall Bladder, Lung, Triple Heater and Pericardium channels.

 

Treatment

  • Aims to reduce pain, increase recovery time, increase range of movement and prevent worsening of symptoms.
  • Western medicine treatment aims to reduce pain and inflammation with anti-inflammatory drugs, and if particularly severe, steroid injections are used. Chronic painful issues are sometimes treated with surgery.
  • The most effective method of recovery is to continue a full range of movement within the joint to prevent further joint stiffness and muscle loss/weakness. Therefore, physical therapy generally involves range-of-motion exercises. Functional exercises should include moving the diseased shoulder in abduction, adduction, internal rotation and external rotation – morning and night.
  • Other therapies that can be effective are massage, acupuncture, herbal linaments and stretching. Common acupuncture points include SI9,10, LI4, 11, 14, 15.