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Noah Swerhun 2023-08-29 14:23:30 -05:00
parent d56388ae8d
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16 changed files with 503 additions and 9 deletions

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@ -1,7 +1,35 @@
const BasicsAndHist = () => { const BasicsAndHist = () => {
return ( return (
<section className="min-h-screen" id="basicsandhist"> <section className="min-h-screen" id="basicsandhist">
BasicsAndHist <p>
Acupuncture, a practice originating in China over 5,000 years ago,
diverges from Western paradigms with its emphasis on holistic patterns
and relationships. The French Jesuits introduced acupuncture to Europe
in the 17th Century, but its reception was lukewarm due to the clash
between Eastern and Western worldviews. The effectiveness of acupuncture
was long backed by anecdotal evidence until 1976 when controlled
experiments started gaining ground. Today, at least 17 lines of evidence
underscore its impact.
</p>
<p>
Key developments include acupuncture's introduction to Europe by French
Jesuits in the 17th Century, where it struggled due to paradigm
differences. Its anecdotal effectiveness gave way to scientific scrutiny
around 1976, leading to numerous controlled experiments that affirmed
its pain-relieving effects. Acupuncture's basis lies in endorphin
release, with three main endorphin-releasing sites being identified.
</p>
<p>
Evidence supporting acupuncture includes experiments with endorphin
blockers, genetic factors, and physiological pathways. Acupuncture's
efficacy stands at approximately 70-80%, with notable outcomes in pain
relief, addiction treatment, gastrointestinal disorders, and more.
Across the world, its integration into modern medical practices gained
traction over time, with many physicians incorporating it into their
treatments.
</p>
</section> </section>
); );
}; };

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@ -1,7 +1,32 @@
const EarAcupuncture = () => { const EarAcupuncture = () => {
return ( return (
<section className="min-h-screen" id="earacupuncture"> <section className="min-h-screen" id="earacupuncture">
EarAcupuncture <p>
Auriculotherapy utilizes the external ear's auricle to alleviate pain,
dysfunction, and diseases throughout the body. The ear's auricle is a
complete microsystem representing over 200 acupuncture points related to
vertebrae, nerves, organs, and the central nervous system. Dr. Paul
Nogier of France developed the concept of somatic tropic correspondence
in the auricle, building upon ancient Chinese acupuncture practices.
</p>
<p>
Auriculotherapy gained scientific validation through studies like the
1980 research by Abbot et al., showing endorphinogenic response. Dr.
Nogier's concept of embryological tissue types and hormonal basis formed
the foundation for understanding auricular points' somatotopic
functions. Auriculotherapy's efficacy in pain relief and natural healing
is demonstrated through increased skin conductivity and Vascular
Autonomic Signal (VAS) response.
</p>
<p>
Both body acupuncture and auriculotherapy facilitate natural healing,
with auricular therapy becoming increasingly recognized for its
diagnostic and therapeutic potential. Although the practice originated
in China, Dr. Nogier's work and further research revolutionized
auriculotherapy, making it a powerful tool in modern healthcare.
</p>
</section> </section>
); );
}; };

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@ -3,6 +3,32 @@ import Link from "next/link";
const ScalpAcupuncture = () => { const ScalpAcupuncture = () => {
return ( return (
<section className="min-h-screen" id="scalpacupuncture"> <section className="min-h-screen" id="scalpacupuncture">
<p>
In 1973, Dr. Toshikatsu Yamamoto introduced Yamamoto New Scalp
Acupuncture (YNSA) in Miyazaki, Japan. Unlike traditional Chinese
acupuncture, YNSA is a diagnostic and interactive treatment system
designed to alleviate somatic and visceral pain and balance Qi.
Particularly effective for neurological disorders, YNSA has been used to
treat conditions like post-CVA, paralysis, aphasia, and more.
</p>
<p>
YNSA employs a distinctive neck diagnostic method, developed by Dr.
Yamamoto, to determine meridian dysfunction's Yin/Yang and left/right
aspects. Immediate feedback from acupuncture needle placement aids
accurate diagnosis and treatment. I witnessed Dr. Yamamoto's success
firsthand during hospital rounds, where he achieved notable improvements
in stroke patients using minimal scalp needle placements.
</p>
<p>
This approach's efficacy has led Dr. Feely to integrate Dr. Yamamoto's methods
into his own practice, successfully addressing chronic and injury-related
symptoms. The technique's unique diagnostic process and interactive
nature contribute to its success in treating neurological conditions and
enhancing patients' well-being.
</p>
<Link <Link
href="/content/patient-resources/scalp_acupuncture.pdf" href="/content/patient-resources/scalp_acupuncture.pdf"
target="_blank" target="_blank"

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@ -39,6 +39,7 @@ const ArticleAcupunctureReferences = () => {
</li> </li>
</ul> </ul>
</div> </div>
<hr />
<h2 id="addiction">Addiction</h2> <h2 id="addiction">Addiction</h2>
<p> <p>
Aiping, J. and Meng, C. Analysis on the therapeutic effects of Aiping, J. and Meng, C. Analysis on the therapeutic effects of

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@ -0,0 +1,151 @@
import Article from "@/components/Article";
const ArticleArthritisAndExercise = () => {
return (
<Article
title="Arthritis and Exercise"
author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
>
<p>
In the 1980s the idea of including exercise as part of a treatment plan
was seen as a radical approach to the management of arthritis.
</p>
<p>
Marion Minor, PhD, thought otherwise. In 1989 she conducted a study with
120 arthritic patients with osteoarthritis and rheumatoid arthritis. The
patients were randomly assigned to aerobic walking, aerobic aquatics, or
to a control group of nonaerobic range of motion exercises. The duration
of the study was for 12 weeks.
</p>
<p>
The results showed that the aquatics and walking exercise groups showed
significant improvement over the control group in their capacitiy to do
aerobics, 50-foot walking time, depression, anxiety, and physical
activity after the 12-week program.
</p>
<p>
Participants said that they were gaining back control on their lives,
and not subject to the whim of the disease, Minor said. This provides
a good prototype for self-management and problem-solving, the types of
things that can further improve the condition of people with arthritis.
(1)
</p>
<p>
Around the same time in Denmark researchers were also looking into
physical training as a way of helping rheumatoid arthritis patients.
They looked at a graduated exercises going from 2 times per week of
aerobics and strengthening exercises to eventually progressing to
strenuous exercises over an 8-week period.
</p>
<p>
The results were encouraging in this study also. The patients had
significantly fewer swollen joints than before. Exercising the muscles
of the swollen joints resulted in more than a 35% decrease in the number
of swollen joints. (2) The Denmark study showed that improving muscle
strength also improved the affected joint. This was further confirmed in
other studies.
</p>
<p>
One particular study looked at the effect of strengthening the knee
muscles of patients with arthritis of the knee joint. In this trial 20
volunteers with knee joint arthritis were randomly assigned to a
treatment group (10 people) or to a control group (10 people). The
treatment group completed six sets of five strong contractions three
times per week for a period of 8 weeks.
</p>
<p>
At the end of the study the treatment group as compared to the control
group showed a a significant decrease in pain and stiffness and a
significant increase in the ability to move. There was also a
significant decline in the Osteoarthritis Screening Index and the
Arthritis Impact Measurement Scale. (3)
</p>
<p>
Other areas of exercise therapy for arthritis have also been
investigated. One such area was to determine whether high or low
intensity exercises were more effective.
</p>
<p>
100 patients with moderately severe rheumatoid arthritis were randomly
assigned to (a) intensive group exercises that included full weight
bearing and also conditioning exercises on a stationary bike; (b) range
of motion exercises and isometric exercises group; (c) individual
isometric and range of motion; and (d) home instructions for isometric
and range of motion exercises. The study ran for 12 weeks.
</p>
<p>
There was about a 17% increase in aerobic capacity strength and joint
mobility in the high intensity exercise as compared to the other
exercise groups. When the patients stopped their exercise training
whatever gains they had achieved in physical capacity disappeared.(4)
</p>
<p>
In a study published in the Journal of the American Medical Association
researchers looked at whether a structured exercise program would help
older people with arthritis of the knee. 439 adults, aged 60 or older,
took part in either an aerobic exercise program, a resistance exercise
program, and a health education program. 83% of the people completed the
18 month study.
</p>
<p>
The results showed that the aerobic exercise group had 10% lower scores
on the physical disability questionnaire, a 12% lower score on the knee
pain questionnaire, improved performance on the 6-minute walk test, and
also had improved the time it took to carry 10 pounds as compared to the
health education group. The resistance exercise group also showed
improvements but not as good as the aerobic exercise group. (5)
</p>
<p>
Even though exercise is now considered standard treatment for arthritis
it is not widely prescribed. In a study involving 110 elderly persons
with chronic hip and knee pain, fewer than half had received the medical
advice to exercise. Arthritis specialists did much better in prescribing
exercise than the primary care physician. Further, those patients who
were told to exercise by their physician were making an attempt to do so
but only 10% were doing the exercises in a way that would be
therapeutic. (6)
</p>
<p>
<strong>References:</strong>
</p>
<p>
(1) Efficacy of physical conditioning exercise in patients with
rheumatoid arthritis and osteoarthritis. Minor MA, Hewett JE, Webel RR,
Anderson SK, Kay DR. Arthritis Rheum 1989 Nov;32(11):1396-1405
</p>
<p>
(2) The effect of physical training on patients with rheumatoid
arthritis: changes in disease activity, muscle strength and aerobic
capacity. A clinically controlled minimized cross-over study. Lyngberg
K, Danneskiold-Samsoe B, Halskov O. Clin Exp Rheumatol 1988
Jul;6(3):253-260
</p>
<p>
(3) Effects of muscle-strength training on the functional status of
patients with osteoarthritis of the knee joint. Schilke JM, Johnson GO,
Housh TJ, ODell JR. Nurs Res 1996 Mar;45(2):68-72
</p>
<p>
(4) Comparison of high and low intensity training in well controlled
rheumatoid arthritis. Results of a randomised clinical trial. van den
Ende CH, Hazes JM, le Cessie S, Mulder WJ, Belfor DG, Breedveld FC,
Dijkmans BA. Ann Rheum Dis 1996 Nov;55(11):798-805
</p>
<p>
(5) A randomized trial comparing aerobic exercise and resistance
exercise with a health education program in older adults with knee
osteoarthritis. The Fitness Arthritis and Seniors Trial. Ettinger WH Jr,
Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, Shumaker S,
Berry MJ, OToole M, Monu J, Craven T. JAMA 1997 Jan 1;277(1):25-31
</p>
<p>
(6) Joint exercises in elderly persons with symptomatic osteoarthritis
of the hip or knee. Performance patterns, medical support patterns, and
the relationship between exercising and medical care. Dexter PA.
Arthritis Care Res 1992 Mar;5(1):36-41
</p>
</Article>
);
};
export default ArticleArthritisAndExercise;

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import Article from "@/components/Article";
const ArticleChronicMusclePain = () => {
return (
<Article title="Chronic Muscle Pain" author="Robert M. Kidd, M.D.">
<p>
If you are tired and fatigued and if your muscles ache all over, you may
suffer from fibromyalgia syndrome (FMS), which is characterized by
widespread pain and tenderness at specific points on certain muscle
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;

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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 persons posture and ability to sit. It,
along with a persons 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 patients 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;

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@ -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>

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@ -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

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@ -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 didnt 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 ONES 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;

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@ -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">

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@ -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;
}
} }

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@ -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}

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@ -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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