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					 16 changed files with 503 additions and 9 deletions
				
			
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					@ -1,7 +1,35 @@
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const BasicsAndHist = () => {
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					const BasicsAndHist = () => {
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  return (
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					  return (
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    <section className="min-h-screen" id="basicsandhist">
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					    <section className="min-h-screen" id="basicsandhist">
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      BasicsAndHist
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					      <p>
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					        Acupuncture, a practice originating in China over 5,000 years ago,
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					        diverges from Western paradigms with its emphasis on holistic patterns
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					        and relationships. The French Jesuits introduced acupuncture to Europe
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					        in the 17th Century, but its reception was lukewarm due to the clash
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					        between Eastern and Western worldviews. The effectiveness of acupuncture
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					        was long backed by anecdotal evidence until 1976 when controlled
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					        experiments started gaining ground. Today, at least 17 lines of evidence
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					        underscore its impact.
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					      </p>
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					      <p>
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					        Key developments include acupuncture's introduction to Europe by French
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					        Jesuits in the 17th Century, where it struggled due to paradigm
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					        differences. Its anecdotal effectiveness gave way to scientific scrutiny
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					        around 1976, leading to numerous controlled experiments that affirmed
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					        its pain-relieving effects. Acupuncture's basis lies in endorphin
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					        release, with three main endorphin-releasing sites being identified.
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					      </p>
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					      <p>
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					        Evidence supporting acupuncture includes experiments with endorphin
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					        blockers, genetic factors, and physiological pathways. Acupuncture's
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					        efficacy stands at approximately 70-80%, with notable outcomes in pain
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					        relief, addiction treatment, gastrointestinal disorders, and more.
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					        Across the world, its integration into modern medical practices gained
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					        traction over time, with many physicians incorporating it into their
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					        treatments.
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					      </p>
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    </section>
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					    </section>
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  );
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					  );
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};
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					};
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					@ -1,7 +1,32 @@
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const EarAcupuncture = () => {
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					const EarAcupuncture = () => {
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  return (
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					  return (
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    <section className="min-h-screen" id="earacupuncture">
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					    <section className="min-h-screen" id="earacupuncture">
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      EarAcupuncture
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					      <p>
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					        Auriculotherapy utilizes the external ear's auricle to alleviate pain,
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					        dysfunction, and diseases throughout the body. The ear's auricle is a
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					        complete microsystem representing over 200 acupuncture points related to
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					        vertebrae, nerves, organs, and the central nervous system. Dr. Paul
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					        Nogier of France developed the concept of somatic tropic correspondence
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					        in the auricle, building upon ancient Chinese acupuncture practices.
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					      </p>
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					      <p>
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					        Auriculotherapy gained scientific validation through studies like the
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					        1980 research by Abbot et al., showing endorphinogenic response. Dr.
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					        Nogier's concept of embryological tissue types and hormonal basis formed
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					        the foundation for understanding auricular points' somatotopic
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					        functions. Auriculotherapy's efficacy in pain relief and natural healing
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					        is demonstrated through increased skin conductivity and Vascular
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					        Autonomic Signal (VAS) response.
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					      </p>
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					      <p>
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					        Both body acupuncture and auriculotherapy facilitate natural healing,
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					        with auricular therapy becoming increasingly recognized for its
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					        diagnostic and therapeutic potential. Although the practice originated
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					        in China, Dr. Nogier's work and further research revolutionized
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					        auriculotherapy, making it a powerful tool in modern healthcare.
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					      </p>
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    </section>
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					    </section>
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  );
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					  );
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};
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					};
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					@ -3,6 +3,32 @@ import Link from "next/link";
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const ScalpAcupuncture = () => {
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					const ScalpAcupuncture = () => {
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  return (
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					  return (
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    <section className="min-h-screen" id="scalpacupuncture">
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					    <section className="min-h-screen" id="scalpacupuncture">
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					      <p>
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					        In 1973, Dr. Toshikatsu Yamamoto introduced Yamamoto New Scalp
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					        Acupuncture (YNSA) in Miyazaki, Japan. Unlike traditional Chinese
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					        acupuncture, YNSA is a diagnostic and interactive treatment system
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					        designed to alleviate somatic and visceral pain and balance Qi.
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					        Particularly effective for neurological disorders, YNSA has been used to
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					        treat conditions like post-CVA, paralysis, aphasia, and more.
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					      </p>
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					      <p>
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					        YNSA employs a distinctive neck diagnostic method, developed by Dr.
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					        Yamamoto, to determine meridian dysfunction's Yin/Yang and left/right
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					        aspects. Immediate feedback from acupuncture needle placement aids
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					        accurate diagnosis and treatment. I witnessed Dr. Yamamoto's success
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					        firsthand during hospital rounds, where he achieved notable improvements
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					        in stroke patients using minimal scalp needle placements.
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					      </p>
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					      <p>
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					        This approach's efficacy has led Dr. Feely to integrate Dr. Yamamoto's methods
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					        into his own practice, successfully addressing chronic and injury-related
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					        symptoms. The technique's unique diagnostic process and interactive
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					        nature contribute to its success in treating neurological conditions and
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					        enhancing patients' well-being.
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					      </p>
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      <Link
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					      <Link
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        href="/content/patient-resources/scalp_acupuncture.pdf"
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					        href="/content/patient-resources/scalp_acupuncture.pdf"
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        target="_blank"
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					        target="_blank"
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					@ -39,6 +39,7 @@ const ArticleAcupunctureReferences = () => {
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          </li>
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					          </li>
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        </ul>
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					        </ul>
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      </div>
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					      </div>
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					      <hr />
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      <h2 id="addiction">Addiction</h2>
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					      <h2 id="addiction">Addiction</h2>
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      <p>
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					      <p>
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        Aiping, J. and Meng, C. Analysis on the therapeutic effects of
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					        Aiping, J. and Meng, C. Analysis on the therapeutic effects of
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					@ -0,0 +1,151 @@
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					import Article from "@/components/Article";
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					const ArticleArthritisAndExercise = () => {
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					  return (
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					    <Article
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					      title="Arthritis and Exercise"
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					      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
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					    >
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					      <p>
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					        In the 1980’s the idea of including exercise as part of a treatment plan
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					        was seen as a radical approach to the management of arthritis.
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					      </p>
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					      <p>
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					        Marion Minor, PhD, thought otherwise. In 1989 she conducted a study with
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					        120 arthritic patients with osteoarthritis and rheumatoid arthritis. The
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					        patients were randomly assigned to aerobic walking, aerobic aquatics, or
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					        to a control group of nonaerobic range of motion exercises. The duration
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					        of the study was for 12 weeks.
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					      </p>
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					      <p>
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					        The results showed that the aquatics and walking exercise groups showed
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					        significant improvement over the control group in their capacitiy to do
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					        aerobics, 50-foot walking time, depression, anxiety, and physical
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					        activity after the 12-week program.
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					      </p>
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					      <p>
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					        “Participants said that they were gaining back control on their lives,
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					        and not subject to the whim of the disease,” Minor said. “This provides
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					        a good prototype for self-management and problem-solving, the types of
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					        things that can further improve the condition of people with arthritis.”
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					        (1)
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					      </p>
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					      <p>
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					        Around the same time in Denmark researchers were also looking into
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					        physical training as a way of helping rheumatoid arthritis patients.
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					        They looked at a graduated exercises going from 2 times per week of
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					        aerobics and strengthening exercises to eventually progressing to
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					        strenuous exercises over an 8-week period.
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					      </p>
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					      <p>
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					        The results were encouraging in this study also. The patients had
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					        significantly fewer swollen joints than before. Exercising the muscles
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					        of the swollen joints resulted in more than a 35% decrease in the number
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					        of swollen joints. (2) The Denmark study showed that improving muscle
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					        strength also improved the affected joint. This was further confirmed in
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					        other studies.
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					      </p>
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					      <p>
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					        One particular study looked at the effect of strengthening the knee
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					        muscles of patients with arthritis of the knee joint. In this trial 20
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					        volunteers with knee joint arthritis were randomly assigned to a
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					        treatment group (10 people) or to a control group (10 people). The
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					        treatment group completed six sets of five strong contractions three
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					        times per week for a period of 8 weeks.
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					      </p>
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					      <p>
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					        At the end of the study the treatment group as compared to the control
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					        group showed a a significant decrease in pain and stiffness and a
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					        significant increase in the ability to move. There was also a
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					        significant decline in the Osteoarthritis Screening Index and the
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					        Arthritis Impact Measurement Scale. (3)
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					      </p>
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					      <p>
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					        Other areas of exercise therapy for arthritis have also been
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					        investigated. One such area was to determine whether high or low
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					        intensity exercises were more effective.
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					      </p>
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					      <p>
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					        100 patients with moderately severe rheumatoid arthritis were randomly
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					        assigned to (a) intensive group exercises that included full weight
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					        bearing and also conditioning exercises on a stationary bike; (b) range
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					        of motion exercises and isometric exercises group; (c) individual
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					        isometric and range of motion; and (d) home instructions for isometric
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					        and range of motion exercises. The study ran for 12 weeks.
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					      </p>
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					      <p>
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					        There was about a 17% increase in aerobic capacity strength and joint
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					        mobility in the high intensity exercise as compared to the other
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					        exercise groups. When the patients stopped their exercise training
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					        whatever gains they had achieved in physical capacity disappeared.(4)
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					      </p>
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					      <p>
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					        In a study published in the Journal of the American Medical Association
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					        researchers looked at whether a structured exercise program would help
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					        older people with arthritis of the knee. 439 adults, aged 60 or older,
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					        took part in either an aerobic exercise program, a resistance exercise
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					        program, and a health education program. 83% of the people completed the
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					        18 month study.
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					      </p>
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					      <p>
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					        The results showed that the aerobic exercise group had 10% lower scores
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					        on the physical disability questionnaire, a 12% lower score on the knee
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					        pain questionnaire, improved performance on the 6-minute walk test, and
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					        also had improved the time it took to carry 10 pounds as compared to the
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					        health education group. The resistance exercise group also showed
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					        improvements but not as good as the aerobic exercise group. (5)
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					      </p>
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					      <p>
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					        Even though exercise is now considered standard treatment for arthritis
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					        it is not widely prescribed. In a study involving 110 elderly persons
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					        with chronic hip and knee pain, fewer than half had received the medical
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					        advice to exercise. Arthritis specialists did much better in prescribing
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					        exercise than the primary care physician. Further, those patients who
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					        were told to exercise by their physician were making an attempt to do so
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					        but only 10% were doing the exercises in a way that would be
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					        therapeutic. (6)
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					      </p>
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					      <p>
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					        <strong>References:</strong>
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					      </p>
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					      <p>
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					        (1) Efficacy of physical conditioning exercise in patients with
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					        rheumatoid arthritis and osteoarthritis. Minor MA, Hewett JE, Webel RR,
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					        Anderson SK, Kay DR. Arthritis Rheum 1989 Nov;32(11):1396-1405
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					      </p>
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					      <p>
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					        (2) The effect of physical training on patients with rheumatoid
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					        arthritis: changes in disease activity, muscle strength and aerobic
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					        capacity. A clinically controlled minimized cross-over study. Lyngberg
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					        K, Danneskiold-Samsoe B, Halskov O. Clin Exp Rheumatol 1988
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					        Jul;6(3):253-260
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					      </p>
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					      <p>
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					        (3) Effects of muscle-strength training on the functional status of
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					        patients with osteoarthritis of the knee joint. Schilke JM, Johnson GO,
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 | 
					        Housh TJ, O’Dell JR. Nurs Res 1996 Mar;45(2):68-72
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					      </p>
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					      <p>
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					        (4) Comparison of high and low intensity training in well controlled
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					        rheumatoid arthritis. Results of a randomised clinical trial. van den
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					        Ende CH, Hazes JM, le Cessie S, Mulder WJ, Belfor DG, Breedveld FC,
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					        Dijkmans BA. Ann Rheum Dis 1996 Nov;55(11):798-805
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					      </p>
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					      <p>
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					        (5) A randomized trial comparing aerobic exercise and resistance
 | 
				
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					        exercise with a health education program in older adults with knee
 | 
				
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 | 
					        osteoarthritis. The Fitness Arthritis and Seniors Trial. Ettinger WH Jr,
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					        Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, Shumaker S,
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					        Berry MJ, O’Toole M, Monu J, Craven T. JAMA 1997 Jan 1;277(1):25-31
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					      </p>
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					      <p>
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					        (6) Joint exercises in elderly persons with symptomatic osteoarthritis
 | 
				
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 | 
					        of the hip or knee. Performance patterns, medical support patterns, and
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					        the relationship between exercising and medical care. Dexter PA.
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					        Arthritis Care Res 1992 Mar;5(1):36-41
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					      </p>
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					    </Article>
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					  );
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					};
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					export default ArticleArthritisAndExercise;
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					@ -0,0 +1,45 @@
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					import Article from "@/components/Article";
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					const ArticleChronicMusclePain = () => {
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					  return (
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 | 
					    <Article title="Chronic Muscle Pain" author="Robert M. Kidd, M.D.">
 | 
				
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 | 
					      <p>
 | 
				
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 | 
					        If you are tired and fatigued and if your muscles ache all over, you may
 | 
				
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 | 
					        suffer from fibromyalgia syndrome (FMS), which is characterized by
 | 
				
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 | 
					        widespread pain and tenderness at specific points on certain muscle
 | 
				
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 | 
					        groups (joints are not usually involved). Symptoms most often come from
 | 
				
			||||||
 | 
					        hip, back, shoulder and neck muscles and usually arise gradually, often
 | 
				
			||||||
 | 
					        following a sprain, strain, whiplash, or other trauma. Some patients
 | 
				
			||||||
 | 
					        report FMS symptom onset following viral or bacterial infection. Many
 | 
				
			||||||
 | 
					        sufferers say it feels like they have the flu all the time.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        FMS remains a painful and poorly understood condition. There is no
 | 
				
			||||||
 | 
					        single cause. It seems to strike women between the ages of 20 and 50
 | 
				
			||||||
 | 
					        (about 25 percent of those with FMS are men), and there is no single
 | 
				
			||||||
 | 
					        treatment that is effective for every person. The signs and symptoms
 | 
				
			||||||
 | 
					        include fatigue, chronic muscle ache, sleep disturbance, anxiety,
 | 
				
			||||||
 | 
					        tenderness at specific muscle points, morning stiffness, intestinal
 | 
				
			||||||
 | 
					        complaints, and shortness of breath.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        There are no laboratory tests that can confirm a diagnosis of FMS.
 | 
				
			||||||
 | 
					        However, some practitioners of holistic medicine may order functional
 | 
				
			||||||
 | 
					        tests to determine if a metabolic imbalance is the source of muscle pain
 | 
				
			||||||
 | 
					        and fatigue. There are no generally effective medical treatments,
 | 
				
			||||||
 | 
					        either. However, aspirin, ibuprofen, indomethacin and other medications
 | 
				
			||||||
 | 
					        have been effectively used to relieve musculoskeletal pain, and the
 | 
				
			||||||
 | 
					        antidepressant Elavil has been helpful for some FMS patients.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        What can be said is that recovery from FMS requires an integrated
 | 
				
			||||||
 | 
					        approach that includes nutrition, diet therapy, mind/body work,
 | 
				
			||||||
 | 
					        medication in some cases, exercise, lifestyle modification, acupuncture,
 | 
				
			||||||
 | 
					        osteopathic manipulation and other modalities provided by a team
 | 
				
			||||||
 | 
					        approach with different professionals working together.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					    </Article>
 | 
				
			||||||
 | 
					  );
 | 
				
			||||||
 | 
					};
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					export default ArticleChronicMusclePain;
 | 
				
			||||||
| 
						 | 
					@ -0,0 +1,88 @@
 | 
				
			||||||
 | 
					import Article from "@/components/Article";
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					const ArticleCoccydyniaCaseReport = () => {
 | 
				
			||||||
 | 
					  return (
 | 
				
			||||||
 | 
					    <Article
 | 
				
			||||||
 | 
					      title="Coccydynia Case Report"
 | 
				
			||||||
 | 
					      author="Dr. Chelsey Shoemaker, D.O."
 | 
				
			||||||
 | 
					    >
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        Coccydynia, or pain of the coccyx (tailbone), is a common
 | 
				
			||||||
 | 
					        musculoskeletal ailment. The tailbone, though rarely thought of during
 | 
				
			||||||
 | 
					        the day, plays a key role in a person’s posture and ability to sit. It,
 | 
				
			||||||
 | 
					        along with a person’s hip bones, bears the entire weight of the body
 | 
				
			||||||
 | 
					        when someone sits. It is located at the very bottom of the spine. It
 | 
				
			||||||
 | 
					        consists of three to five vertebral segments, interconnected by small
 | 
				
			||||||
 | 
					        discs or fibrocartilaginous joints. It is common for some or all of
 | 
				
			||||||
 | 
					        these to become fused as one ages.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>Common causes of coccydynia include:</p>
 | 
				
			||||||
 | 
					      <ul>
 | 
				
			||||||
 | 
					        <li>
 | 
				
			||||||
 | 
					          Direct trauma to the tail bone. This would include a fall on the ice
 | 
				
			||||||
 | 
					          or pavement.
 | 
				
			||||||
 | 
					        </li>
 | 
				
			||||||
 | 
					        <li>
 | 
				
			||||||
 | 
					          Repetitive minor trauma to the tail bone. This occurs during periods
 | 
				
			||||||
 | 
					          of prolonged sitting on firm surfaces; including airline/car seats,
 | 
				
			||||||
 | 
					          bicycle seats, or the ground.
 | 
				
			||||||
 | 
					        </li>
 | 
				
			||||||
 | 
					        <li>
 | 
				
			||||||
 | 
					          Injury to the tail bone during childbirth. Prolonged births,
 | 
				
			||||||
 | 
					          mispositioned babies, or use of forceps can worsen the immense
 | 
				
			||||||
 | 
					          pressure applied to the coccyx during birth.
 | 
				
			||||||
 | 
					        </li>
 | 
				
			||||||
 | 
					        <li>
 | 
				
			||||||
 | 
					          Posterior bone spur on the tailbone or osteoarthritis. Years of poor
 | 
				
			||||||
 | 
					          posture, obesity, or repetitive trauma can lead to the production of
 | 
				
			||||||
 | 
					          bone spurs or loss of joint space between the coccygeal joints.
 | 
				
			||||||
 | 
					        </li>
 | 
				
			||||||
 | 
					      </ul>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        Mainstream medical treatment of coccydynia includes conservative
 | 
				
			||||||
 | 
					        treatment with seat cushions, nonsteroidal antiinflammatory pain
 | 
				
			||||||
 | 
					        medications, and heat or ice. In patients who experience discomfort for
 | 
				
			||||||
 | 
					        greater than 2 months, local injections at the site, pelvic floor
 | 
				
			||||||
 | 
					        physical therapy, and chronic pain medications are options for
 | 
				
			||||||
 | 
					        treatment. The most extreme treatment is complete surgical resection of
 | 
				
			||||||
 | 
					        the coccyx.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        At the Feely Center for Optimal Health our first line treatment includes
 | 
				
			||||||
 | 
					        same day hands on treatment to resolve the patient’s pain and
 | 
				
			||||||
 | 
					        misalignment of the tailbone. This saves our patients from months of
 | 
				
			||||||
 | 
					        discomfort, the hassle of multiple doctor office visits, and the use of
 | 
				
			||||||
 | 
					        unnecessary medications and expense. As an example of our success in
 | 
				
			||||||
 | 
					        treating this disease with Osteopathic manipulation; see the below case
 | 
				
			||||||
 | 
					        of a recent patient treated at the Center.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        A 32-year-old female presented to the Center due to 5 months of
 | 
				
			||||||
 | 
					        progressing tailbone pain. Pain started 2 months after delivery of her
 | 
				
			||||||
 | 
					        first child. The baby boy was born via C- section after a failed
 | 
				
			||||||
 | 
					        induction. She experienced a long labor without cervical dilation due to
 | 
				
			||||||
 | 
					        misalignment of the baby. She did not experience any tailbone pain
 | 
				
			||||||
 | 
					        directly after birth, however, she noticed a mild ache develop 2 months
 | 
				
			||||||
 | 
					        after delivery at the very tip of her tailbone. Her pain was worsened
 | 
				
			||||||
 | 
					        during long periods of rocking and nursing several hours a day in a
 | 
				
			||||||
 | 
					        glider at home. Severe pain occurred two weeks prior to presentation
 | 
				
			||||||
 | 
					        when she bent down to pick up her baby from the ground. Since that event
 | 
				
			||||||
 | 
					        she has had significant pain when sitting, greatly affecting her life.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        After a complete physical exam ensuring there were no life-threatening
 | 
				
			||||||
 | 
					        disease processes causing her pain, osteopathic manipulation was
 | 
				
			||||||
 | 
					        performed. She was instructed to place herself in specific positions
 | 
				
			||||||
 | 
					        which allowed key muscles and ligaments to relax. Dr. Feely utilized
 | 
				
			||||||
 | 
					        counterstrain Osteopathic techniques while the patient was lying on her
 | 
				
			||||||
 | 
					        stomach that completely resolved her pain. Using muscle energy and
 | 
				
			||||||
 | 
					        myofascial release techniques the bones of her spine, hips, and tailbone
 | 
				
			||||||
 | 
					        were moved into correct alignment, contributing to completing and
 | 
				
			||||||
 | 
					        maintaining her pain free state. Thus, she easily tolerated sitting
 | 
				
			||||||
 | 
					        directly on her tailbone, something she had not experienced in 5 months.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					    </Article>
 | 
				
			||||||
 | 
					  );
 | 
				
			||||||
 | 
					};
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					export default ArticleCoccydyniaCaseReport;
 | 
				
			||||||
| 
						 | 
					@ -111,7 +111,6 @@ const ArticleFiveElementAcupuncture = () => {
 | 
				
			||||||
        <Image
 | 
					        <Image
 | 
				
			||||||
          src={fiveElements}
 | 
					          src={fiveElements}
 | 
				
			||||||
          alt="Diagram of the five elements of acupuncture"
 | 
					          alt="Diagram of the five elements of acupuncture"
 | 
				
			||||||
          className="max-w-full md:max-w-md"
 | 
					 | 
				
			||||||
        />
 | 
					        />
 | 
				
			||||||
      </div>
 | 
					      </div>
 | 
				
			||||||
      <h2>Section B | Fire</h2>
 | 
					      <h2>Section B | Fire</h2>
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
| 
						 | 
					@ -6,9 +6,6 @@ const ArticleOmtCodes = () => {
 | 
				
			||||||
      title="OMT Codes"
 | 
					      title="OMT Codes"
 | 
				
			||||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
					      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
				
			||||||
    >
 | 
					    >
 | 
				
			||||||
      <p>
 | 
					 | 
				
			||||||
        <em>Richard A. Feely, D.O. FAAO, FCA, FAAMA</em>
 | 
					 | 
				
			||||||
      </p>
 | 
					 | 
				
			||||||
      <h2>Coding</h2>
 | 
					      <h2>Coding</h2>
 | 
				
			||||||
      <p>
 | 
					      <p>
 | 
				
			||||||
        The CPT Editorial Panel ruled to include OMT codes starting in the 1994
 | 
					        The CPT Editorial Panel ruled to include OMT codes starting in the 1994
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
| 
						 | 
					@ -0,0 +1,113 @@
 | 
				
			||||||
 | 
					import Article from "@/components/Article";
 | 
				
			||||||
 | 
					import griefPic from "@/public/content/stages_of_grief.png";
 | 
				
			||||||
 | 
					import Image from "next/image";
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					const ArticleTenStagesOfGrief = () => {
 | 
				
			||||||
 | 
					  return (
 | 
				
			||||||
 | 
					    <Article
 | 
				
			||||||
 | 
					      title="The Ten Stages of Grief"
 | 
				
			||||||
 | 
					      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
				
			||||||
 | 
					    >
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>1. SHOCK:</strong> The initial stage of grief is usually
 | 
				
			||||||
 | 
					        experienced even if the death has been expected, as in a long terminal
 | 
				
			||||||
 | 
					        illness. There is only so much physical or psychic pain which can be
 | 
				
			||||||
 | 
					        endured by the mind, and when that limit is reached, the mental
 | 
				
			||||||
 | 
					        /emotional system shuts down. There is often denial that can last for
 | 
				
			||||||
 | 
					        quite some time. This is expressed as “numbness,” or as a sense of
 | 
				
			||||||
 | 
					        unreality.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <div className="flex justify-center">
 | 
				
			||||||
 | 
					        <Image src={griefPic} alt="Woman in grief" />
 | 
				
			||||||
 | 
					      </div>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>2. EMOTIONAL RELEASE:</strong> As the shock wears off, there is
 | 
				
			||||||
 | 
					        a need to release all the emotions that have been building up. This
 | 
				
			||||||
 | 
					        release may be verbal or physical, and while this is healthy, care
 | 
				
			||||||
 | 
					        should be taken to ensure the safety of the individual, others, or
 | 
				
			||||||
 | 
					        personal property. Some hospitals have recognized this stage of grief
 | 
				
			||||||
 | 
					        and have provided special “screaming rooms” where these powerful
 | 
				
			||||||
 | 
					        emotions can be safely vented.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>3. DEPRESSION:</strong> There are often feelings of loneliness
 | 
				
			||||||
 | 
					        and utter isolation that come with depression. The feeling of “there is
 | 
				
			||||||
 | 
					        no help for me,” is normal and very common. There is a push/pull
 | 
				
			||||||
 | 
					        situation, wanting to be alone and yet feeling a need for people at the
 | 
				
			||||||
 | 
					        same time. This frequently produces fears of panic and impending
 | 
				
			||||||
 | 
					        insanity.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>4. PHYSICAL SYMPTOMS OF DISTRESS:</strong> The grieving
 | 
				
			||||||
 | 
					        individual will often take on the physical symptoms of the illness that
 | 
				
			||||||
 | 
					        caused the death of the loved one. In the event of an accident, the
 | 
				
			||||||
 | 
					        bereaved will sometimes feel pressure in the chest or have stomach
 | 
				
			||||||
 | 
					        problems, and fear heart attack or cancer. This is normal and usually
 | 
				
			||||||
 | 
					        indicates the depth of the loss and the person wishing to “join” the
 | 
				
			||||||
 | 
					        deceased.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>5. ANXIETY: </strong>A common response to loss is for the
 | 
				
			||||||
 | 
					        bereaved to experience vivid dreams of the deceased, so vivid that they
 | 
				
			||||||
 | 
					        believe they have actually seen or heard their loved one. Another common
 | 
				
			||||||
 | 
					        manifestation is that the bereaved will mistake another person for the
 | 
				
			||||||
 | 
					        deceased, usually on the street or in a store. This will sometimes cause
 | 
				
			||||||
 | 
					        great embarrassment as they may address the stranger, only to realize
 | 
				
			||||||
 | 
					        their mistake.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>6. HOSTILITY: </strong>When a loved one has died, it is very
 | 
				
			||||||
 | 
					        common for the survivor to feel anger at those who were involved in the
 | 
				
			||||||
 | 
					        situation, especially medical personnel and clergy. There is a feeling
 | 
				
			||||||
 | 
					        of “Why didn’t you do more?” God is a frequent target for this rage,
 | 
				
			||||||
 | 
					        which many people have a difficult time accepting.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>7. GULT:</strong> This emotion can be imaginary or exaggerated,
 | 
				
			||||||
 | 
					        but should not be ignored. Following the death, it is a common
 | 
				
			||||||
 | 
					        experience for the survivor to remember only the negative aspects of the
 | 
				
			||||||
 | 
					        relationship, those times of insensitivity or harsh words spoken in
 | 
				
			||||||
 | 
					        anger. Seldom does the bereaved pause and remember the beautiful times
 | 
				
			||||||
 | 
					        when all the love and tenderness were evident.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>8. HESITANCY TO RENEW NORMAL ACTIVITIES:</strong> There is often
 | 
				
			||||||
 | 
					        a fear of returning to the regular routine of living. This fear takes
 | 
				
			||||||
 | 
					        several aspects. There is concern about how people will respond to the
 | 
				
			||||||
 | 
					        bereaved; there is a desire to talk about the deceased but a fear of
 | 
				
			||||||
 | 
					        rejection; there is a pain that comes with hearing that “special” song,
 | 
				
			||||||
 | 
					        or seeing something in a store that brings back the memory of the loved
 | 
				
			||||||
 | 
					        one.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>9. HEALING OF MEMORIES:</strong> There is a slow realization
 | 
				
			||||||
 | 
					        that the painful memories are part of the healing process and must be
 | 
				
			||||||
 | 
					        integrated into the life of the bereaved. It is a time of reaching out,
 | 
				
			||||||
 | 
					        however tentatively, to embrace fully all that has happened and to
 | 
				
			||||||
 | 
					        accept that life must change if it is to continue. The memories become
 | 
				
			||||||
 | 
					        less frightening, and the sky a bit brighter as the bereaved begins to
 | 
				
			||||||
 | 
					        face the world with more and more confidence.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					      <p>
 | 
				
			||||||
 | 
					        <strong>10. ACCEPTANCE OF ONE’S NEW ROLE IN LIFE:</strong> Loss brings
 | 
				
			||||||
 | 
					        about changes. Whether it is the resumption of single life after years
 | 
				
			||||||
 | 
					        of marriage, or going on through the years without a parent, there must
 | 
				
			||||||
 | 
					        be the realization that a new role is to be accepted and lived. The
 | 
				
			||||||
 | 
					        cycle of life continues, and the bereaved can finally shed the cloak of
 | 
				
			||||||
 | 
					        grief and take on the robe of peace and renewal.
 | 
				
			||||||
 | 
					      </p>
 | 
				
			||||||
 | 
					    </Article>
 | 
				
			||||||
 | 
					  );
 | 
				
			||||||
 | 
					};
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					export default ArticleTenStagesOfGrief;
 | 
				
			||||||
| 
						 | 
					@ -3,6 +3,21 @@ import Link from "next/link";
 | 
				
			||||||
const ArtsForPatients = () => {
 | 
					const ArtsForPatients = () => {
 | 
				
			||||||
  return (
 | 
					  return (
 | 
				
			||||||
    <section className="min-h-screen p-36" id="artsforpatients">
 | 
					    <section className="min-h-screen p-36" id="artsforpatients">
 | 
				
			||||||
 | 
					      <div>
 | 
				
			||||||
 | 
					        <h1>General</h1>
 | 
				
			||||||
 | 
					        <Link href="/articles/ten-stages-of-grief" className="block">
 | 
				
			||||||
 | 
					          The Ten Stages of Grief
 | 
				
			||||||
 | 
					        </Link>
 | 
				
			||||||
 | 
					        <Link href="/articles/coccydynia-case-report" className="block">
 | 
				
			||||||
 | 
					          Coccydynia Case Report
 | 
				
			||||||
 | 
					        </Link>
 | 
				
			||||||
 | 
					        <Link href="/articles/chronic-muscle-pain" className="block">
 | 
				
			||||||
 | 
					          Chronic Muscle Pain
 | 
				
			||||||
 | 
					        </Link>
 | 
				
			||||||
 | 
					        <Link href="/articles/arthritis-and-exercise" className="block">
 | 
				
			||||||
 | 
					          Arthritis and Excercise
 | 
				
			||||||
 | 
					        </Link>
 | 
				
			||||||
 | 
					      </div>
 | 
				
			||||||
      <div>
 | 
					      <div>
 | 
				
			||||||
        <h1>What is Osteopathy?</h1>
 | 
					        <h1>What is Osteopathy?</h1>
 | 
				
			||||||
        <Link href="/articles/cranial-osteopathy" className="block">
 | 
					        <Link href="/articles/cranial-osteopathy" className="block">
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
| 
						 | 
					@ -43,7 +43,7 @@
 | 
				
			||||||
  .ArticleContent ul {
 | 
					  .ArticleContent ul {
 | 
				
			||||||
    @apply list-disc;
 | 
					    @apply list-disc;
 | 
				
			||||||
    @apply list-inside;
 | 
					    @apply list-inside;
 | 
				
			||||||
    @apply ml-3;
 | 
					    @apply ml-8;
 | 
				
			||||||
  }
 | 
					  }
 | 
				
			||||||
 | 
					
 | 
				
			||||||
  .ArticleContent h1 {
 | 
					  .ArticleContent h1 {
 | 
				
			||||||
| 
						 | 
					@ -60,4 +60,10 @@
 | 
				
			||||||
    @apply m-5;
 | 
					    @apply m-5;
 | 
				
			||||||
    @apply ml-3;
 | 
					    @apply ml-3;
 | 
				
			||||||
  }
 | 
					  }
 | 
				
			||||||
 | 
					
 | 
				
			||||||
 | 
					  .ArticleContent img {
 | 
				
			||||||
 | 
					    @apply max-w-full;
 | 
				
			||||||
 | 
					    @apply md:max-w-md;
 | 
				
			||||||
 | 
					    @apply my-3;
 | 
				
			||||||
 | 
					  }
 | 
				
			||||||
}
 | 
					}
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
| 
						 | 
					@ -8,7 +8,7 @@ interface Props {
 | 
				
			||||||
 | 
					
 | 
				
			||||||
const Article = ({ title, author, children }: Props) => {
 | 
					const Article = ({ title, author, children }: Props) => {
 | 
				
			||||||
  return (
 | 
					  return (
 | 
				
			||||||
    <article className="ArticleContent">
 | 
					    <article className="ArticleContent min-h-[58.4vh]">
 | 
				
			||||||
      <h1>{title}</h1>
 | 
					      <h1>{title}</h1>
 | 
				
			||||||
      <h6>{author}</h6>
 | 
					      <h6>{author}</h6>
 | 
				
			||||||
      {children}
 | 
					      {children}
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
| 
						 | 
					@ -44,7 +44,7 @@ const Navbar = () => {
 | 
				
			||||||
            alt="Feely Center Logo"
 | 
					            alt="Feely Center Logo"
 | 
				
			||||||
            className={
 | 
					            className={
 | 
				
			||||||
              "drop-shadow-2xl " +
 | 
					              "drop-shadow-2xl " +
 | 
				
			||||||
              (useSmallNav ? "w-32 md:w-44" : "w-16 md:w-24")
 | 
					              (useSmallNav ? "w-24 md:w-44" : "w-16 md:w-24")
 | 
				
			||||||
            }
 | 
					            }
 | 
				
			||||||
          />
 | 
					          />
 | 
				
			||||||
          <div
 | 
					          <div
 | 
				
			||||||
| 
						 | 
					
 | 
				
			||||||
										
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		Reference in a new issue