Step #3 Botanicals 1. Black cohosh 200-500 mg q.d. 2. Chaste tree 200-500 mg q.d.
Pain (Low Back)
History Due to a trauma, sprain, strain, disc herniation(s), arthritis, scoliosis, fractures, cancer, infection, cauda equine syndrome, or referred pain from other medical conditions
Symptoms include muscle aches, shooting or stabbing pain, sciatica, limited or loss of range of motion, difculty walking, and inability to stand up
Incontinence, low back pain with throbbing in the abdomen, fever, direct trauma to the spine, unexplained weight loss and experiencing back pain for the rst time after age 50, or have a family history of cancer, osteoporosis, steroid use and drug or alcohol abuse are red ags
Smoking, obesity, old age, physical or strenuous work, stressful job, poor posture, anxiety, and depression increases the risk of developing low back pain
Females are more prone to low back pain due to pregnancy
Evaluation Gait analysis Muscle, dermatome, and reex tests for nerve levels Blood and urine test as warranted -ray, CT, and MRI Electromyography
Treatment Overview Diet and supplementation
Botanicals
Cortisone injections Surgery On the average relief lasts about 10 years and afterwards individuals are usually no better off than patients that received alternative therapies
Step #1
Diet and Nutrition 1. Avoid food allergens 2. Increase chicken and cold water sh 3. Increase fruits and vegetables 4. Maintain proper hydration 5. Reduce simple sugars 6. Reduce saturated and trans fats 7. Avoid alcohol, caffeine and smoking
Step #2
Supplements 1. Antioxidants a. Vitamin A 10,000 I.U. q.d. b. Vitamin C 1,000 mg q.d. c. Vitamin E 600-800 I.U. q.d.
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Acupuncture, massage, and relaxation techniques Exercise Weight loss program
Chiropractic
2. Calcium citrate 1,200 mg q.d. 3. Magnesium citrate 750 mg q.d. 4. Omega 3 fatty acids 1,500 mg q.d. 5. Chondroitin sulfate 1,500 mg q.d. 6. Glucosamine sulfate with MSM 500 mg t.i.d.
2. Quercetin 200 mg q.d. 3. Curcumin 200 mg q.d. 4. Angelica 250 mg q.d. 5. White willow bark 150 mg q.d. 6. Kava 175 mg q.d. 7. Valerian 120 mg q.d. 8. Devil’s claw 150 mg q.d. 9. Capsaicin topical application PRN
Parkinson’s Disease
History Progressive degeneration of the central nervous system impairing motor skills, speech, and other functions
Another possible cause is damage to the nerve endings resulting in low norepinephrine levels and disruption of the autonomic nervous system
More common in men Symptoms usually manifest unilaterally Pill-rolling or intention tremor Bradykinesia, short, shufing steps, muscular rigidity, stooped posture, and loss of balance
Complications include: depression, sleep disturbances, dysphagia, difcult mastication, urinary incontinence, constipation, and sexual dysfunction
Evaluation Neurological exam Testing for toxins (i.e. hair) CT or MRI Rule out brain tumor or stroke
Treatment Overview Diet and supplementation
Surgery Detoxication/ chelation therapy if secondary to toxins
(Continued on next page) THE ORIGINAL INTERNIST JUNE 2016
Adjunct therapy Chiropractic, acupuncture, physical therapy, massage, tai chi and yoga
Botanicals
Blank, xed staring expression Problems with memory and mental clarity
Step #3 Botanicals 1. Bromelain 500 mg q.d. a. 2,000-2,500 mcu or gdu
d. Zinc 100 mg q.d. e. Selenium 100 mcg q.d.
Insufcient synthesis and activity of dopamine reduces the stimulation of the motor cortex by the basal ganglia
Lewy bodies are present in the brain Associated with family history and environmental exposure to toxins
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