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The human body is more complex than scientists understand. Constantly, new research is being conducted and published that dives deeper into the bodies of multiple systems, uncovering new thought-provoking information. As of late, a lot of research is being conducted revolving around the human gut/gastrointestinal system. Originally thought, the gut was made to store and digest food. However, now we see that the gut is the real mastermind behind everyday bodily functions. The gut has now been linked to headaches, inflammation, and autoimmune disease.Â
BackgroundÂ
The digestive tract is one of the essential immune support organs. In fact, it is the immunological powerhouse that houses more than 80% of our antibody-producing cells. This means that our gut is the first line of defense when it comes to unwanted antigens. The gut is so powerful that researchers began to question and test its true abilities.Â
The GutÂ
The thought of the body having two brains sounds fictional, but scientists have begun referring to the gut as the body’s “second brain.†Researchers found that the brain in the human skull, working with the Central Nervous System (CNS) and the gut working with the Enteric Nervous System (ENS), can function separately. Although the two use the same “hardware,†the ENS can manage every aspect of digestion and is a nearly self-contained network of neurotransmitters and proteins.Â
Just throughout the small intestine, there are more than 100 million nerve cells. If you combine the number of nerve cells in the human GI tract, you will find that there are more nerves in the gut than there are in the human spine. This allows the ENS the capability to help with ION transport and GI blood flow.Â
Nearly every substance the body contains to control the brain can simultaneously be found in the gut. One of these substances being serotonin. 95% of serotonin is housed in the gut. A cell referred to as the enterochromaffin squirts serotonin into the wall of the gut, which then communicates with the nerve cells to get things moving. 90% of communication occurring is from the gut to the brain. When we take this into consideration with chiropractic care, we see how it is all connected. Chiropractic care focuses on the musculoskeletal system. The musculoskeletal system includes bones, muscles, tendons, ligaments, and soft tissue. All of these work together to support your body’s weight and help you move to perform daily functions. Injuries, disease, and aging can cause pain, stiffness, and other problems with movement and function. The muscular system is an organ system that consists of skeletal, smooth, and cardiac muscles. Smooth muscle is what lines the interior of the gut. As we know, the muscle systems in vertebrates are controlled through the nervous system. In fact, studies have shown that chiropractic care helps to reduce constipation, low back pain, and overall well-being. This study shows how the gut and digestive systems are directly connected to chiropractic care.
Inner Defense SystemÂ
As previously mentioned, the gut is our inner defense system. The mucosal layer that is associated with lymph node tissue is our primary source of immunological function. Gut-Associated Lymphoid Tissue (GALT) is the first to see foreign invaders and put up a fight. GALT produces two levels of defense, the most abundant being secretory IgA. Secretory IgA binds to antigens to provide protection against microbes.Â
It is important to note that secretory IgA in itself is NON-Inflammatory. However, when secretory IgA is fighting, it sends off signals for help from other immune cells, such as IgG and IgM, which do produce an inflammatory response.Â
Most individuals who have an autoimmune disease have worn-out IgAs. The goal of the gut and its defense system is to keep nutrients in while bouncing antigens off. In the case of autoimmune diseases, we see nutrients leaking out and antigens coming in.
InBody
In order to gain a better understanding of the health of our patients, we use the InBody 770. This allows us to assess health down to the orthomolecular level. With the use of the InBody, we can see phase angle, visceral fat (higher visceral fat has an association with type 2 diabetes, heart attack, and stroke), intracellular water, extracellular water (this is related to inflammation and swelling), lean muscle, and percent body fat. These numbers are critical when considering a health condition, especially if the extracellular water is high. We see a direct overlap in risk profiles with excess extracellular water to other inflammatory diseases and markers.Â
With more research shining a light on these, we see the true the gut and how it comes into play with autoimmune disease and inflammation.Â
[embedyt] www.youtube.com/watch?v=_6_sG_JV-0Q%5B/embedyt%5D
THE GUT IS GENUINELY SO POWERFUL AND HIGHLY OVERLOOKED. I CAN SPEAK FROM EXPERIENCE IN HAVING AN AUTOIMMUNE CONDITION WHERE NOT A SINGLE DOCTOR MENTIONED MY DIET OR MY GUT! NOW, KNOWING THIS INFORMATION AND BEING SURROUNDED BY PATIENTS WHO SUFFER FROM A DISEASE SIMILAR TO MINE, IT IS THE FIRST PLACE WE LOOK. THE GUT IS THE POWERHOUSE AND SHOULD BE TREATED AS SO. -KENNA VAUGHN, SENIOR HEALTH COACHÂ
ReferencesÂ
University, Functional Medicine and Ronald Grisanti , directors. Physiology of the Gut Associated Lymphoid Tissue, Enteric Nervous System and Mucosal Barrier. Functional Medicine University – The Leader in Online Training in Functional Diagnostic Medicine, 2010,.
Rédly M. (2001). The effects of chiropractic care on a patient with chronic constipation. The Journal of the Canadian Chiropractic Association, 45(3), 185–191.Â
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Fifty-four million adults currently suffer from Arthritis. In addition to that, about 9% of adults have some type of limitation attributed to Arthritis. The CDC predicts the number of those diagnosed with Arthritis will only continue to rise in the years coming. With autoimmune disease continually growing, it begs the question, “What are we doing to reduce these chances in our patients?”.
Arthritis
Arthritis is inflammation of the joints. With “Arthro,” meaning joint, and “itis” referring to inflammation, it is clear that joint inflammation is the symptom being referred to. Many conventional approaches to arthritis treatment are aimed at reducing the inflammation of the joints. These medications also come with a heavy dose of side effects, including kidney failure, gastritis, and bleeding in the stomach. Looking from a functional perspective, aiming to heal at the orthomolecular level, we pinpoint what is causing the inflammation in the first place. By resolving the overall inflammation in the body, evaluating the musculoskeletal system, and creating a holistic plan, we are able to naturally reduce what is causing the inflammation. With this plan of action, joint inflammation ultimately subsites as well.
Underlying Conditions
As with other autoimmune conditions, we see underlying factors associated with Arthritis. One of the main contributing factors is infection and imbalance of the gut microbiota. For over 100 years, researchers have been searching for the exact link between the arthritis-infection connection. It has been documented countless times in animals and humans that those with Arthritis have another type of infection. We know that in patients with RA (Rheumatoid Arthritis), there are polymorphonuclear (PMN) leukocytes. This association of joint neutrophilia with RA has implied infectious etiology.
DNA Sequencing
DNA sequencing was used to identify the bacteria on the mouth and in the intestines of participants with RA. This research has found that those who have an early onset of RA have had 4x more porphyromans gingivalis bacteria vs. the healthy controlled adults. Intestinal bacteria was also associated with inflammation and is more prevalent in patients who have RA. A specific test we use to test DNA is from DNA Life called DNA Health. We also use a stool test from Genova to detect inflammation and strains of bacteria in the gut. The balance between the gut and inflammation is substantial. There are countless studies documenting “leaky gut”. When the gut becomes so inflamed, the barrier becomes permeable, and small undigested proteins leak through the barrier back into the bloodstream. Our body sees these proteins as foreign invaders and sends white blood cells to attack. This process is what starts the inflammation. With continuous leakage and cells attacking our own body, the autoimmune diseases set in. With the help of the Genova test-we are able to create a program that helps reduce, repair, and replenish the gut. A sample resort of both tests are shown below:
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”http://www.dnalife.healthcare/wp-content/uploads/2020/05/DNA-Health-Sample-Report-2020.pdf” /]
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://www.gdx.net/core/sample-reports/gi-effects-2200-sample-report.pdf” /]
Hormones
Hormones are to ensure our bodies are properly functioning. It is common for those who have Arthritis to have a hormone imbalance as well. These hormones include DHEA, Pregnenolone, Natural progesterone, natural estrogens, human growth hormone, cortisol, melatonin, and more. Hormones are delicate and can be thrown off by a multitude of environmental factors. Even something as simple as perfume, scented body soap, and lotions can throw imbalance hormones. One hormone test we specifically use is the DUTCH Plus test from DUTCH. This is a combination of 6 urine and six saliva samples throughout a 24 hour period. This test shows us the exact numbers and fluctuations one has in hormones. A sample of this report can be seen below:
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://dutchtest.com/wp-content/uploads/2020/01/DUTCH-Plus-Female-Sample-Report-Ref02252020.pdf” /]
A Functional Approach
When dealing with a disease such as Arthritis, there are six areas to be considered from a functional standpoint. The first being dehydration. Unfortunately, dehydration is widespread and causes the body to not function at its total capacity. We are able to track hydration levels at the intracellular and extracellular level of our patients with the use of our InBody 770 machine. The second aspect is food and environmental allergies. These allergies around us are impacting our genes and how we break down food particles. If we are sensitive to food, our gut is not properly digesting it. This leaves us with leaky gut syndrome and proteins leaking back into our bloodstream, resulting in inflammation. Third, hormone imbalances. As mentioned above, we can not improve our joints if we do not first assess the hormones. The fourth factor is infections. If we have previous infections, they may have altered our DNA or still be lingering around, leading to excess inflammatory factors. Fifth, nutritional imbalances. Similar to hormones, we need our nutrition to be fully functioning to properly allow energy creation and proper breakdown. If we lack micronutrients, our production and balance of energy will be offset. Finally, the last point to be evaluated is toxicities. Toxins surround us everywhere we go. They are in the products we use, the air we breathe, the food we eat, etc.
Phase Angle
The phase angle is a snapshot of cellular health. We want our cells to be strong, healthy, and able to fight off infection. This comes from a solid cellular membrane. When an individual’s phase angle is around 7, we know the cells are healthy. However, in many cases, phase angles fall closer to the 4-5 range. A phase angle in this low range indicates that the cellular membranes are permeable and more susceptible to infection and early apoptosis (cell death). To improve overall phase angle, we must decrease visceral fat (the fat surrounding the organs) and increase our skeletal muscle mass to outweigh our weight and body fat mass. As previously mentioned, we use the InBody 770 machine to detect phase angle, visceral fat, water levels, inflammation, skeletal muscle mass, body fat mass, and BMI.
[embed]https://www.youtube.com/watch?v=047lML9ndPo[/embed]
Tie It Together
By approaching Arthritis and inflammation from these areas and considering these six factors, we are able to assess what the real source of inflammation is. This provides us with a great understanding of how to go about reducing inflammation and repairing the body in a functional way. The musculoskeletal system is intertwined with all areas of the body. It comes down to the cellular level.
We have discovered that everything is connected to the gut and phase angle. We did not associate joint pain with gut inflammation before, but now we see that it is all connected. We can start by feeding our bodies anti-inflammatory foods such as smoothies to reduce inflammation. -Kenna Vaughn, Senior Health Coach
References:
Brownstein, David. “Overcoming Arthritis.†Functional Medicine University . 2020.
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For cervical pain, there is often more than one cause and more than one course of treatment. To begin, the first step is to perform an inspection. The inspection can let us know if there is a deformity, instability, abnormal head posture, asymmetry, torticollis, or lower limb weakness. This is a crucial first step as it sets the tone for the course of treatment. Next, we have palpitation. This is where we examine if there is tenderness or masses. The areas to check are posterior in the midline, lateral, supraclavicular, and anterior. Midline tenderness in the cervical spine can be due to whiplash injuries and indicate more neck trauma. Range of motion is performed next. To obtain a proper diagnosis, we check the cervical motion in flexion (normal range is 80 degrees), extension (normal range is 50 degrees), lateral flexion (normal range is 45 degrees), and rotation (normal range is 80 degrees). Finally, we check for sensory. Sensory include numbness, tingling, burning, and pain in the neck, back, or extremities.Â
Causes of Neck Pain
Neck pain can be caused by a variety of things, as the list is long. However, the following list is used to rule out the most severe pathology to determine the root cause of a patient’s cervical pain.Â
Injury and Accidents- hyperextension and/or hyperflexion (whiplash)Â
Degenerative Disorder (osteoarthritis, degenerative disk disease, and spinal stenosis)Â
InfectionsÂ
Inflammatory Disorder (Rheumatoid arthritis, ankylosis spondylitis)Â
Tumors / Benign TumorsÂ
Cervical FracturesÂ
Inflammatory Disorders
As we take a closer look, we notice that at the root cause of any pain or discomfort occurring in the body is inflammation. Inflammation is needed to help the body heal. However, when inflammation is occurring for too long, problems begin to arise. Excessive inflammation begins to sends the wrong signals throughout our body, and additional hormones (like cortisol, the stress hormone) begin to be released. With additional cortisol, individuals begin to have trouble sleeping, weight gain, and headaches, eventually leading to an autoimmune disorder if not properly handled in the early stages. With inflammation running the body, orthomolecular health, and phase angle decline.Â
Phase AngleÂ
The phase angle is how health care professionals can monitor the integrity of cellular membranes. If the phase angle begins to decline, it has been linked directly to a decline in overall health. Similar to if phase angle increases, overall health is increasing. The integrity of cellular membranes is essential as cell survival depends on solid membranes. When the cellular wall is weak, it can collapse. From here, it is difficult for the body to take up the proper nutrients it needs. Additionally, with a weak cellular membrane, the cell is left with little to no protection from outside invaders. Stress impacts phase angle by causing individuals to release cortisol, be under adrenal stress, gain weight and decrease their overall health.
We monitor a patient’s phase angle with the use of the InBody 770. This advanced machine allows us to not only track the phase angle of our patients but many other areas of their health as well, including but not limited to intracellular and extracellular water.Â