I recently reviewed a report on acupuncture for chronic pain. It reviewed 13 clinical randomized trials that occurred up until December 2015 and included over 20,000 patients. It compared the use of acupuncture to no acupuncture in patients or sham acupuncture, which was fake acupuncture and it found a significant difference in both pain relief and improved function in the patients using real acupuncture. It also found that the results can persist over many months. Our clinic does feel that acupuncture can be a significant beneficial modality for treatment of many types of pain. Patients can sometimes lower their pain […]

Please click on this link for this article by Pauline Bartolone. Drug Overdose Deaths Plateau In California, Soar Nationally This story was produced by Kaiser Health News, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

For years we have known that opioids (drugs such as Norco, percocet, oxycontin, morphine, fentanyl, etc.) are dangerous. They can lead to dependence and addiction. They can often also lead to overdose and death. A new study suggests that the risk is higher than previously thought. A Centers for Disease Control and Prevention (CDC) study, released on March 17, 2017, (https://www.cdc.gov/mmwr/volumes/66/wr/mm6610a1.htm) evaluated the likelihood of long term opioid use by studying opioid use patterns in the U.S. between 2006-2015. The study demonstrated that patients who had one day of opioid therapy had a 6% chance of long term dependence (still […]

Morphine Equivalent Dose (MED), also known as Morphine Milligram Equivalents (MME) is a numerical way to compare different opioids (narcotics).   For example, if person A is on 4 tablets of Norco (hydrocodone/acetaminophen) 10/325 and person B is on 4 tablets of Percocet (oxycodone/acetaminophen) 10/325, how do we know who is on a higher dose?  We can calculate the MEDs.  1mg of Hydrocodone has an MED of 1, whereas 1 mg of Oxycodone has an MED of 1.5.   Therefore, person A is on 40 MEDs per day and person B is on 60 MEDs per day. If person C is on 20 mg of oxycontin […]

Most people in the Western world will suffer from disruptive lower back pain at some point in their lives.  And studies show that about 75% of people who’ve had one bout of debilitating back pain will have another within a year, which often leads to a downward spiral of pain and a weakening in the muscles of the lower back.  But there’s good news:  even if you have back pain now, a commitment to the right kind of exercise will help keep future back pain at bay, according to a broad new review published in the Journal of American Medicine Association, […]

DEA Reclassifies Hydrocodone Combination Products to Schedule II On August 22, 2014, the U. S. Drug Enforcement Administration (DEA) published the Final Rule moving hydrocodone combination products (HCPs) from Schedule III to the more-restrictive Schedule II classification.   The Final Rule in effective October 6, 2014. The Controlled Substances Act (CSA) places substances with accepted medical uses into one of four schedules, with the substances with the highest potential for harm and abuse being placed in Schedule II, and substances with progressively less potential for harm and abuse being placed in Schedules III through V.   Schedule I is reserved for those […]

The University of Nottingham located in the United Kingdom published a study in 2008 which looked at the role that the length of people’s fingers may play in predicting osteoarthritis. The researchers at the University of Nottingham studied more than 2,000 people.  The conclusion of the study was that people who have an index finger shorter than the ring finger are up to twice as likely to suffer from osteoarthritis.  Osteoarthritis is a general term, which refers to degeneration of joint cartilage or the bone.  This is most commonly associated with age, but some people develop it at an earlier […]

The Healing Art of Jin Shin Jyutsu The body contains energy pathways that feed life into all of the cells.  When one or more of these pathways become blocked, the effect can lead to discomfort, pain, illness and injury.  Jin Shin Jyutsu (pronounced Gin Shin Jitsu) a Japanese form of acupressure, helps release the tensions that cause these various physical symptoms.  By gently applying the hands to a clients’ fully clothed body, Jin Shin Jyutsu re-harmonizes and balances the energy flows.  This aids in healing, promotes optimal health and helps the client to feel better.  The practice of Jin Shin […]

Physiatrists, or rehabilitation physicians, are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move and function. Physiatrists are medical doctors who have completed training in the medical specialty of physical medicine and rehabilitation (PM&R). Specifically, rehabilitation physicians: Diagnose and treat pain Restore maximum function lost through injury, illness or disabling conditions Treat the whole person, not just the problem area Lead a team of medical professionals Provide non-surgical treatments Explain your medical problems and treatment/prevention plan The job of a rehabilitation physician is to treat any disability resulting from disease or injury, from sore […]