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Effects of chiropractic treatment on pain

5/18/2023

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Chiropractic treatment is a non-invasive form of healthcare that aims to improve musculoskeletal function and alleviate pain. This approach is based on the belief that the body has the ability to heal itself, and that by removing any interference in the nervous system and improving mobility the body can function optimally.
Chiropractors use a variety of techniques to treat pain and improve the function of the musculoskeletal system, including joint manipulation, soft tissue therapies, and exercise recommendations. In this article, we will explore how chiropractic treatment improves pain and affects pain pathology.

What is pain?
Pain is a complex phenomenon that is influenced by both physical and psychological factors. It is a protective mechanism that signals the presence of tissue damage or injury and is essential for survival. However, chronic pain can be debilitating and have a significant impact on a person’s quality of life. It is estimated that chronic pain affects approximately 1 in 5 people in South Africa alone. Chiropractic treatment is one of the many approaches used to manage chronic pain, and it has been shown to be effective in reducing pain and improving function in many patients.

How do Chiropractors treat pain?
Chiropractors use a variety of techniques to treat pain, including joint manipulation, soft tissue therapies, and exercise recommendations.
Joint manipulation involves the application of a controlled force to a joint to restore proper function, and yes chiropractors can treat any joint not just the spine. This technique is based on the belief that misalignments in the spine (subluxations) can interfere with the nervous system and lead to pain and dysfunction. By correcting these subluxations, chiropractors aim to improve nerve function, mobility and reduce pain.
Soft tissue therapies are another important component of chiropractic treatment. These therapies include massage, myofascial release, and trigger point therapy. Soft tissue therapies aim to relieve muscle tension and improve circulation, which can help to reduce pain and improve function.
In addition to joint manipulations and soft tissue therapies, chiropractors also provide exercise recommendations to help patients improve their strength and flexibility. These exercises are tailored to the individual patient’s needs and are designed to support the body’s natural healing process.

How effective is chiropractic treatment in managing pain?
The effectiveness of chiropractic treatment in managing pain has been studied extensively, and the results are promising. A systematic review of 26 randomized controlled trials found that chiropractic care is effective in reducing pain in patients with low back pain, neck pain, and shoulder pain. Another systematic review of 32 randomized controlled trials found that chiropractic care is effective in improving function in patients with low back pain, neck pain, and headaches.

In conclusion
Chiropractic treatment has shown to affect the nervous system, including the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. These systems play a role in the body’s response to stress and pain, and by modulating their activity, chiropractic treatment may help to reduce pain and promote healing. In short chiropractic treatment improves pain by reducing inflammation, improving circulation, and restoring proper joint function. Exercise recommendations may also help to improve muscle strength and flexibility, which can reduce the risk of future injuries and pain.
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Mechanism of chronic pain

5/9/2023

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Chronic pain is a debilitating condition that affects millions of people worldwide. It is characterized by persistent pain that lasts for more than three months and often does not respond to conventional pain management techniques.

Chronic pain can have a significant impact on a person’s quality of life and can lead to depression, anxiety, and other mental health problems. Understanding the complex mechanisms involved in chronic pain is crucial in developing effective treatments for this condition. In this article, we will explore the process of chronic pain, including the neurotransmitters and cytokines involved.
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The Process of Chronic Pain
Chronic pain is a complex process that involves the nervous system, the immune system, and the brain. It is caused by a variety of factors, including injury, inflammation, and nerve damage. In the case of chronic pain, the pain signals persist even after the initial cause of the pain has been resolved.
When an injury occurs, pain signals are sent to the brain through the nervous system. These signals are transmitted by neurotransmitters, which are chemicals that allow nerve cells to communicate with each other. Some of the neurotransmitters involved in chronic pain include substance P, glutamate, and GABA.

Substance P is a neuropeptide that is involved in transmitting pain signals to the brain. It is released by sensory neurons in response to injury or inflammation. Glutamate is an excitatory neurotransmitter that is involved in the transmission of pain signals in the spinal cord. GABA is an inhibitory neurotransmitter that helps to regulate pain signals in the nervous system.
In addition to neurotransmitters, cytokines also play a role in chronic pain. Cytokines are proteins that are produced by immune cells in response to injury or inflammation. They help to regulate the immune response and are involved in the development of chronic pain.

Some of the cytokines involved in chronic pain include TNF-alpha, IL-1 beta, and IL-6. TNF-alpha is a pro-inflammatory cytokine that is involved in the development of neuropathic pain. IL-1 beta is a cytokine that is released by immune cells in response to injury or infection. It is involved in the development of chronic pain by sensitizing pain receptors in the nervous system. IL-6 is a cytokine that is involved in the development of chronic pain by increasing the production of substance P and other pain-related neurotransmitters.

The Role of the Brain in Chronic Pain
The brain also plays a crucial role in chronic pain. When pain signals are transmitted to the brain, they are processed in the somatosensory cortex, which is responsible for processing sensory information. The brain also has areas that are involved in emotional and cognitive processing, which can influence the experience of pain.

The limbic system, which is involved in emotional processing, can amplify or diminish the experience of pain. The prefrontal cortex, which is involved in cognitive processing, can also influence the experience of pain by modulating attention and expectation.
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Conclusion
Chronic pain is a complex process that involves the nervous system, the immune system, and the brain. It is caused by a variety of factors, including injury, inflammation, and nerve damage.
Chiropractors use a variety of techniques to treat and improve the function of the musculoskeletal system, including spinal adjustment, soft tissue therapies and exercise recommendations.
Dr. Marlo also makes use of various homeopathic, herbal and supplemental remedies to alter pain pathways in order to improve and manage pain.
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Muscle Cramps

8/5/2022

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- Dr. Marlo Swanepoel

A muscle cramp is a sudden and involuntary contraction of one or more of your muscles. Though
generally harmless, muscle cramps can make it temporarily impossible to use the affected muscle.
They are extremely common, particularly in the legs, feet and hands and at times the abdomen and
ribcage.
Generally, a cramp can last from a few seconds to minutes. Long periods of exercise or physical
activity, particularly in hot weather, can lead to muscle cramps. They may affect any age and may also
occur at rest.
Causes of muscle cramps may be classified as:
o Physiologic
- Dehydration causing electrolyte imbalance
- Overuse
- Nocturnal (night cramps)
- Pregnancy
o Metabolic
- Malnutrition – Deficiencies in B vitamins., magnesium, calcium and vitamin D
- Underactive thyroid gland
- Liver disease
- Kidney disease
o Medicine induced
- Diuretics
- Statins
o Pathologic
- Various neurological conditions and myopathic including stroke, Parkinson’s etc

Why cramps occur is not always clear and the cause is not always clearly understood.
Some theories of muscle cramps include:
o Electrolyte disturbances affecting the contraction and relaxation of muscles, caused by
exercise, overuse or some medication
o Neural fatigue caused by overuse
o Neurological disorders causing hyperexcitability of the nerves innervating the muscles.
o Inadequate circulation causing a lack of oxygen and nutrients and a build-up of metabolic
waste products.
o Nerve root compression

Treatment strategies
o Ensure adequate fluid and electrolyte intake
o Ensure adequate mineral intake

o Ensure proper acid-alkaline balance
o Stimulate peripheral circulation
Diet strategies to improve and prevent cramps
o Unrefined sea salt
o Potassium: found in fruit and vegetables, especially bananas, sweet potatoes, avocadoes,
green leafy vegetables, nuts and seeds etc
o Calcium: dairy foods, nuts and seeds, green leafy vegetables
o Magnesium: green leafy vegetables, whole grains, nuts and seeds, legumes, raw cacao
Supplements that support Muscle Cramps
o Magnesium – ensure that calcium to magnesium ratio does not exceed 2:1 esp if takin calcium
supplements
o Potassium
o CoQ10 – especially if using statin medication
o L-Arginine – vasodilator, be cautious is on blood pressure medication or if you suffer from low
blood pressure
Herbal support
o Spasmolytic – ginger, crampbark, valerian
o Circulatory stimulant, peripheral vasodilator – 78ginkgo, ginseng
Physical measures
o At first sign of cramp, stop and stretch muscle
o Apply heat to cramping muscles
o Ensure adequate fluid and electrolyte replacement when exercising

If your muscle cramps are chronic or excessive related to the level of activity or do not resolve with the
common treatment methods then further investigation by a health care professional is required.
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Diabetes Pandemic - South African overview

7/26/2022

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-By Dr. Marlo Swanepoel
 
Diabetes mellitus (aka sugar diabetes as called by many south Africans) is a metabolic disorder in which the body becomes resistant to the effect of insulin or where the body does not produce enough of insulin. Therefore, there is a build-up of glucose (sugar), in the body. This excess glucose can lead to serious health complications.
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During 2016 and 2017, Diabetes was the second leading underlying cause of death in South Africa and the number one cause of death in females.
It was estimated that 4.58 million people between the ages 20 and 79 years old suffered with diabetes in South Africa in 2019. There was a rapid increase in the prevalence of diabetes, from 4.5% in 2010 to 12.7% in 2019. This caused South Africa to be named the unhealthiest county in the world in 2019. This in turn lead to the sugar tax being implemented and increased by the South African Government in order to fight the global Diabetes pandemic.
 
Types of Diabetes Mellitus
There are two main types of Diabetes Mellitus:

  • Type 1 Diabetes Mellitus
    • is due to an autoimmune disease affecting the pancreas, resulting in the inability to produce insulin thus leading to elevated glucose levels
    • Irreversible
    • Autoimmune related
    • Requires exogenous insulin
 
  • Type 2 Diabetes Mellitus
    • is due to insulin resistance, where the body does not use or respond to the insulin produced thus leading to high blood glucose levels
    • Revisable
    • Lifestyle related
    • Does not always require exogenous insulin
    • Type 2 Diabetes is the most common form of Diabetes. It accounts for more than 90% of all Diabetes cases. It is caused mainly by excess carbohydrate and sugar consumption and a lack of activity or exercise.
 
 
Testing for Diabetes
Doctors will do a blood test to measure HbA1C levels. This stands for glycated haemoglobin. This test measures how well the body controls glucose over a period of 120 days, which is the lifespan of a red blood cell.
Red blood cells contain haemoglobin. This protein is responsible for carrying oxygen.  Once haemoglobin binds to glucose it becomes glycated. The higher the blood glucose levels the higher the number of glycated red blood cells would be thus the higher the HbA1C level.
Normal HbA1C levels should be less than 5.7%. People are diagnosed with Diabetes if their HbA1C levels are higher than 6.5%.
 
Complications of Diabetes
  • Blindness
  • Kidney failure
  • Heart disease
  • Stroke
  • Nerve damage – loss of sensation in hands and feet
 
Prevention of Type 2 Diabetes Mellites
Progressing from prediabetes to diabetes isn’t certain.
Some risk factors like age, sex and genetics may not be altered but this does not mean it will cause or lead to diabetes.
As mentioned before Type 2 Diabetes is mainly caused by lifestyle.
How to reduce the risk
  • Reduce your total carb intake
  • Exercise regularly - Exercise increases the insulin sensitivity of your cells, meaning that you need less insulin to manage your blood sugar levels
  • Lose excess weight - Visceral fat is associated with insulin resistance, inflammation, prediabetes, and type 2 diabetes
  • High fiber diet. Soluble fiber and water form a gel like substance in your gut which slows down food absorption, in turn leads to a gradual rise in blood glucose
  • Optimize vitamin D levels
  • Minimize your intake of highly processed foods. Highly processed foods have undergone major processing which generally contain added sugars, unhealthy fats, and preservatives
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​What is a live blood analysis (LBA)?

8/3/2020

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By: Dr. Marlo Swanepoel

An LBA is a screening test use to give us as practitioners a broad overview of your health situation. An LBA is not a definitive diagnostic tool but, it is a tool that assists us to identify possible disease-causing problems. As your blood come into contact with your entire body, the blood and changes within may generate a picture of your health status.
It may be compared to a blood smear. This is a laboratory test to evaluate your red blood cells (RBCs), white blood cells (WBCs), and platelets. It is used to distinguish between the different types of WBCs, and to determine their relative percentages in the blood, which assist us to detect, diagnose, and  monitor a range of deficiencies, diseases, and disorders involving blood cell production, function, and lifespan. An LBA however does not make use of stains of chemicals preventing blood clotting.


LBA is composed of bright and dark fields. With standard bright field microscopy, you see the object you want to view, lit by bright light.
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​Darkfield microscopy blocks the light from the surrounding area so that you see the magnified images against a dark background. This allows better contrast and a better view of unstained specimens.
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​As mentioned previously we mainly look at is your red and white blood cells. It is quite easy to identify the types of white blood cells, which allows us to instantly see and identify any changes, which may indicate certain disease states.
Certain shapes and sizes of your red blood cells might also indicate a possible conditions and nutrient deficiency, for example possible Vitamin B12 deficiencies, as Vitamin B12 plays a major role in the synthesis of red blood cells.
The plasma of the blood (the watery substance in which the blood cells float) also indicate some disease conditions. This is mainly where some intracellular parasites may be seen.
 
How does the process work?
Your finger will be pierced with a lancet. A small drop of blood will be taken and placed on a glass plate, which is then covered with another thin glass film. This is then placed under a microscope. Generally, the practitioner will be able to project the microscopy field (what the Dr. can see) onto a larger screen allowing the patient to visualise their own blood.
 
What do we at the NAHCC use LBA for?
An LBA gives you a visual representation of what your blood looks like, which impacts your health. It empowers both the doctor and the patient with valuable health information. Generally, when patients can visualize potential problems, and see how things work, they tend to better adhere to treatment plans.  We at the NAHCC use LBA as an additional screening tool to assist in the treatment and management of our patients. By no means does the LBA replace required laboratory tests, it is merely used as a screening tool, similarly to what a finger prick test is used to screen for diabetes and high cholesterol.
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constipation

6/22/2020

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By: Dr. Marlo Swanepoel
 
What is Constipation?
 
Constipation is defined as a hard, tough stool to pass OR a decrease in frequency of passing a stool.
 
Many people experience constipation from time to time. Generally, occasional constipation is not alarming. If, however, you have been constipated for weeks or months, you may have chronic constipation, which is a cause of concern. The purpose of a bowel movement is to eliminate the undigested food and toxic by-product which may negatively affect our health.
Chronic constipation may lead to things like: 
  • hemorrhoids
  • anal fissures
  • fecal impaction
  • rectal prolapse
BUT that’s not all!!!!
Numerous studies have demonstrated that gut health is linked to the immune system, autoimmune diseases, mood and mental health, hormonal disorders, skin conditions, and cancer.
 
What are common causes of constipation?
  • a poor diet – diet low in vegetables and high in processed foods
  • dehydration – not drinking enough water
  • a lack of exercise
  • Some medications or vitamins or minerals – eg. calcium and iron. Ingredients in tablets or capsules such as lactose or talc, may also cause constipation.
  • Overuse of laxatives
  • Nerve issues or blockages in your colon or rectum
  • Certain medical conditions including: pregnancy, diabetes, hypothyroidism, or hyperparathyroidism
 
Natural treatment for constipation
 
1. PSYLUM HUSK 
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This is a type of fibre that increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. 
 
2. FERMENTED FOODS 
Fermentation is a natural process through which microorganisms like yeast and bacteria convert carbohydrates into alcohol or acids. The alcohol or acids act as a natural preservative which give fermented foods a distinct zest and tartness.
Fermentation promotes the growth of probiotics. These probiotics can help restore the balance of friendly bacteria in your gut and may alleviate some digestive problems.
Examples of fermented foods include:
  • Kefir
  • Sauerkraut
  • Probiotic Yogurt
  • Kombucha
 
3. MAGNESIUM 
Occasional constipation can be treated with magnesium citrate. This supplement is an osmotic laxative, which means it relaxes your bowels and pulls water into your intestines. The water helps soften and bulk up your stool, which makes it easier to pass. Magnesium citrate is relatively gentle and generally would not cause urgency, unless you take too much.

4. VITAMIN C 
Vitamin C is a water-soluble vitamin. Unabsorbed vitamin C, like magnesium citrate, has an osmotic effect in your digestive tract. That means it pulls water into your intestines, which can help soften your stool. Be warn to much vitamin C may cause urgency and stomach cramping.
 
5. PROBIOTICS 
Picking the right probiotic is key to treating constipation, as various strains have various functions and potencies.
The following strains of bacteria, which have been shown to improve stool consistency, should be included in your probiotic supplement:
  • Bifidobacterium lactis
  • Lactobacillus plantarum
  • Saccharomyces boulardii
  • Lactobacillus acidophilus
  • Lactobacillus reuteri
  • Streptococcus thermophilus
  • Bifidobacterium longum
A good probiotic should contain at least 1-10 billion CFU (colony forming units) per serving.
 
6. SENNA 
Senna is a smooth muscle stimulant, meaning it will stimulate bowel movement (peristalsis) to alleviate constipation.
The primary active compounds in senna leaves are known as senna glycosides, or sennosides. These Sennosides can be broken down by your gut bacteria, but it cannot be absorbed. It is this breakdown of sennosides which mildly irritates the cells in your colon, causesing the stimulating/ laxative effects.
Senna is to be used ONLY as a short-term treatment, for maximum 5-7 days. Long-term senna intake may lead to laxative dependence, electrolyte disturbances, and liver damage.
 
DISCLAIMER: Nothing posted or published by@ doc_marlo (Dr. Marlo Swanepoel) serve as medical advice. All posts are intended for informational purposes only and under no circumstances is it a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice should you experience any medical conditions or concerns.
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Biopuncture - Why use it

6/3/2020

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​By Dr. Marlo Swanepoel
 
What is biopuncture?
Biopuncture is a therapy consisting of injecting homeopathic products into specific areas in order to stimulate the bodies’ natural and own healing properties. Most of these injections are given under the skin or in the muscles.  In most cases, several small injections are given in a specific area or areas in a single session. Biopuncture also focus a lot on homeotoxicology, which means, the toxin accumulation in the body, which may block the natural responses such as immune system or the reflex responses of your nervous system (in simple terms it aids detoxification) which helps a lot when it comes to chronic diseases.
 
It is important to remember that biopuncture cannot be compared to conventional injection therapy such as cortisone or pain killers. Biopuncture is not an aniti-inflammatory nor is it a pain killer. It is a remedy which works on repairing and healing, by stimulating the bodies’ natural functions.
 
For example, in some cases such as in degenerative conditions (eg. early osteoarthritis) which is caused by overuse and chronic low grade inflammation, the use of biopuncture may cause an acute inflammatory response which will lead to increase in blood flow, increase in cytokines and macrophages which will lead to remodelling and repair and it may stop the chronic low grade inflammation which will reduce the degeneration process.
 
Conditions where Biopuncture may be indicated include (just to mention a few):
Musculoskeletal injuries of problems
  • Neck pain
  • Back pain
  • Sports injuries
  • Frozen shoulder
  • Tennis/ golfers elbow
  • Arthritis
  • “Sciatica”
  • Muscle train
  • Ligamentous sprain
Detoxification problems
  • Liver detoxification
  • Kidney detoxification
Other inflammatory conditions
  • Sinusitis
  • Gastroenteritis
  • Autoimmune conditions
 
An interesting and well explained article written by Dr. Lee Wolfer, MD Integrative Sports, Spine and Wellness Medicine  you might want to read
https://www.doctoroz.com/article/alternative-cure-biopuncture
 

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7 Common reasons for a decreased sperm count

5/26/2020

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34% of South African men of reproductive age are considered sub-fertile, meaning they will struggle to conceive.

Seven Lifestyle changes that may help to increase sperm count:

1. Stop smoking. Smoking causes free radicals and increases the toxic load on the body affecting the DNA and health of sperm.
2. Reduce alcohol use.
3. Shake off excess weight. Obesity go  hand in hand with insulin resistance and inflammation, both directly affecting the sperm.
4. Take some time to relax and keep your stress levels as low as possible. Increase in adrenalin and cortisol will lead to a decrease in sperm count and health.
5. Think about this for a sec ...
your sperm contain the DNA of your potential future children.........
If your sperm doesn't have the correct nutrients it will most likely lead to
"substandard" DNA. Feed yourself with nutrient dense food which will increase sperm count, morphology and mobility. Include foods rich in zinc, selenium,  vitamin c, and Lycopene.
6. Your testicles are outside of your body for a reason. Sperm are temperature sensitive. Overheated sperm will denature leading to a decreased sperm count. So limit excessively HOT baths and soaking and make sure your underwear are not to tight.
7. Protect your ... jewels. Injury to your testes may lead to poor sperm production. Long distance cycling is a big cause of testicular injury.

@doc_marlo
Naturopathic Health Care Centre
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4 Pillars of treating an Autoimmune disease

5/15/2020

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By. Dr. Marlo Swanepoel
M-tech Hom (UJ)
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With Autoimmune diseases being a big interest of mine, I thought I would give you a brief and simple overview of how I see autoimmune diseases and hopefully bring some hope as to how it can be managed and treated naturally.
                                                                                                       
What is an autoimmune disease?
To oversimplify this, autoimmune diseases are inflammatory conditions where your immune system attacks yourself.
You see, normally your immune system should protect you from invaders such as bacteria, viruses, fungi and parasites by sending out an army of soldiers whose job it is to fight off, kill or neutralise the threat.

Your immune system can normally do this very well and effectively as it can differentiate between foreign or abnormal cells and your own healthy cells, thus it kills off the invaders and leaves your own cells alone. BUT with an autoimmune disease, the body loses the ability to differentiate between normal and abnormal and thus mistakenly start to attach the body's cells.

There are many autoimmune diseases. Although a lot is known about autoimmune diseases many of them are still poorly understood. Some autoimmune diseases will only target a specific organ or system where others will cause a systemic invasion, meaning it goes all over.
 
How does an autoimmune disease occur?
As I mentioned, the exact cause is not completely understood or even known. Your immune system is extremely complicated and, in my opinion, it has more integrated parts than any other system in your body. Although the basic function of an immune system is the same in all humans, not a single person’s immune system is identical.

Think about it, even identical twins will not have the same immune system functionality, for simple reasons like, we were not all exposed to the same things throughout our lifetimes.

Some studies showed that women are twice as likely to develop an autoimmune disease compared to men. Some ethnic groups are more prone to develop specific autoimmune diseases. Some autoimmune diseases run in families, but that being said not all family members will develop the same autoimmune disease and some will not develop an autoimmune disease at all.

So yes, genetics might play a role in this whole debacle, but it most certainly is not the be-all and end-all. In fact, some doctors believe that genetics only play a 20%-25% role in the development of autoimmune diseases. Many of these diseases are increasing in frequency in especially industrialised countries, which brings us to other causes or contributing factors.

These include: environmental factors i.e. toxins, diet, inflammation, infection and so the list goes on. Some studies even hypothesise that the development of autoimmune diseases might be linked to vaccines and antiseptics, as this might cause the immune system to overreact to a harmless substance.?

So, if we don’t really know what causes an Autoimmune disease how do I treat it?
Once again, I oversimplify, but the way I see an autoimmune disease is as an inflammatory process. This inflammation is a direct response of the immune system that never shuts down. You see, acute inflammation is a good thing.

Let say you get the flu. Your immune system will release all kinds of chemicals and recruit all kinds of cells to kill this virus. One of the responses is inflammation, which will lead to a fever. This happens to be one of the best natural ways to kill off any invaders. Once the threat has been neutralised, the inflammatory response will decrease and shut down and continue to patrol the perimeter, until it sees the next threat.

However, with an autoimmune disease, the inflammatory response is never switched off. Yes, the intensity decreases but a low-grade inflammation is present 24/7. This is where and when things go haywire.
So, for me personally in my practice, I treat autoimmune diseases based on 4 pillars.
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The Four Pillars of treating an Autoimmune disease
1st you must Remove any possible triggers of the autoimmune disease. This may be food sensitivities, infection, heavy metals, etc.

2nd Control the inflammatory response. Once you stop the continuous inflammatory response the immune system can rest and reboot. I always think about this as someone going to war. If you are sleep deprived and in constant fight mode you might just end up hurting one of your own.

3rd you need to start Repairing your immune system. One of the ways I do this is by diet. Go read my previous article on leaky gut (http://www.naturopathichealthcarecentre.co.za/articles/leaky-gut). Remember 70%-80% of your immune system is located in your gut. This means that if your gut is healthy, your immune system might just be healthy too.  Which is why repair and control goes hand-in-hand.
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4th I always try to Balance and support your immune system. This might include a few supplements to optimise the immune system functionality, but NEVER forget the power of sleep and exercise. Relaxation is just as curtail, as stress will only cause an increase in adrenalin and cortisol which will result in a tired, overworked and misfiring immune system.  ​
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tuesday morning informative talks

2/18/2015

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Homeopathy remedies and solutions for babies and toddlers
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ACNE – the “dreaded skin disease”…

12/2/2014

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According to the Stedman’s medical dictionary Acne is defined as an “Inflammatory disease of sebaceous follicles marked by papules and pustules. Typically begins during puberty, affecting mainly the chest, back, shoulders and face”

What does this mean?
This simply means that due to occlusion or “plugging” of the hair follicle due to a collection of oil and dead skin tissue inflammation is caused leading to redness and swelling, resulting in pimples or bumps filled with pus. This creates a breeding ground for bacteria resulting in bacterial infection. This aggravates the severity if acne. The full medical term for acne is known as Acne Vulgaris

Skin anatomy 101
The skin or intugumentary system is the largest organ of the body and the body’s first line of defence. It acts as a barrier and thus protects the body from external factors and invasion, while keeping the internal system intact. Other functions of the skin include: excretion of salt, water and other organic waste products; thermoregulation; vitamin D production; nutrient storage; and detection of stimuli such as touch, pressure, pain and temperature.

The skin is composed of three main layers namely the epidermis, dermis and subcutaneous tissue (Fat layer) as illustrated in the figure below


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The main structures in involved in Acne is the sebaceous gland (oil gland), hair follicle which houses the hair and in which the oil is transported to the outside of the skin and the epidermis from where the dead skin cells comes from.

Who suffers from Acne most commonly?
Acne is most common among teenagers in their puberty years, with a reported prevalence of 70 to 87 percent. These days we see an increase number of younger children suffering from acne.

Although both men and women are affected by acne, chances are that young men will suffer from acne much longer than women would. This can be attributed to the much higher levels of testosterone in men.

WHY??
Well the bad news is there is no clear cut answer to this question. As mentioned above the start of acne is due to the blocking of the pores. This is increased in puberty years due to the increase in androgens (type of hormones) which leads to an increase in oil production as well as an increase in skin turn over (the rate at which dead skin cells are replaced) resulting in pores being blocked faster.

Hormonal changes during pregnancy might trigger the development of acne or it might lead to the reoccurrence there of.

There are studies that shows that acne might have a genetic component to it, i.e. if mom or dad had it you might have it.

Greasy cosmetics may cause acne in some susceptible people or it may just aggravate it. Some hair products are extremely greasy which might have the same clogging effect.

As we all know a High GI diet and dairy is also liked to the development or aggravation of acne. The good news is that there is now scientific proof as published in the Journal of the Academy of Nutrition and Dietetics

Anxiety and stress. Long standing chronic stress causes a change in some hormones like cortisol and adrenalin. These hormones influence the rate of oil production and pro-inflammatory cells leading to the onset or aggravation of acne.

Climate changes especially, hot humid climate leads to an increase in perspiration which leads to oily and sticky skin, resulting in an increase in clogging

There are a few different types of acne

·         Whiteheads – they remain under the skin, and are usually very small

·         Blackheads – or comedones are small black and clearly visible

·         Papules - These are small pink  bumps on top of the skin

·         Pustules – these are the ones that are filled with pus and appear yellow

·         Nodules – These are the large, solid and painful ones and run deep into the skin

·         Cysts – These can lead to scar formation. They are large, panful and filled with pus

How to treat your acne
Acne is not dangerous but may occasionally cause scarring and have an emotional or psychological impact. However squeezing or “popping a zit” is a bad idea. By squeezing a papule underlying tissues are damaged and the infected pus may spread causing aggravation of infection and scarring.

Depending on the severity of your acne, doctors will adjust their treatment protocol.

Common topical treatments involve ingredients that will try and limit inflammation, kill bacteria, increase dead cell removal and oils production suppressants etc.

Antibiotics are often give to prevent bacterial overgrowth however in most cases as soon as the antibiotics’ effects wear off the acne returns.

Retinoids containing medication is often given. This however may have LONG TERM side effects and can become toxic.

Oral contraceptives are often given to females as this supress overactive glands, however one should consider the hormonal effect these medications cause.

Homeopathic and natural treatments for acne
A visit to your Homeopath will result in proper and more effective treatment, especially if your problem is hormonal related.

Some OTC (over the counter) products include:

·         Tissue salts
               -  Ferrum phos (4) which will aid in inflammation of the skin and calm the                                redness
               -  Silicae (12) this will aid in the expelling of the acne pustule, at first this might                   seem like it is aggravating the acne but be calm as this will start clearing.
·         Acne plus ointment from Natura. This may be used with calendula cream which           will aid in the inflammation and infection if pustules.
·         Organo 1 (Natura) – Homeopathic medicine assisting in immune system                             function and aiding in the prevention of spreading of infection. It has a marked               function on suppuration, thus the pus forming infections such as acne.
·         Feminon (Natura) – This might assist in the regulation of female hormones                       which might be beneficial for premenstrual acne
·         Omega 3 – Essential Fatty Acids plays an important role in hormonal regulation           and production. Omega 3 is an extremely important supplement as it regulates             and decrease inflammation. It is common that people ingest too many Omega 6             which might lead to an inflammatory response. People on blood thinning                            medication should consult a practitioner before taking omega supplements.
·         Zinc – Zinc deficiency is a common problem in especially teenagers. Zinc is                       known for skin health due to the inhibition of enzymes leading to testosterone             conversion leading to increase in oil production and abnormal follicular growth.           Please be careful not to overdose on zinc as it is a metal and there are chances              of toxicity in high doses. Something like zinc picolinate can be used in doses of                15-30mg a day.
·         Selenium – is an immune boosting mineral with an effect on glutahion. This                       leads to decrease inflammation. Once again one should be careful not to                             overdose on selenium due to toxicity levels.
·         Wash your skin after sweating with lukewarm water as sweating may lead to                 aggravation on acne
·         Stay clear of alcohol containing skin products. This might aggravate                                       inflammation and dry up your skin.
·         DO NOT PICK, POP or SQUEEZE you skin. This just causes more damage to                     your skin and will take much longer to heal. Let nature take its course and let it             heal by itself. This will minimize scarring and spread. In other words HANDS                  OFF FACE.
·        Consult your health care professional for treatment should your acne be “bad”.


-- By Dr. M Swanepoel

References
Boon, NA. (editor). (2006). Davidson’s Principles & Practice of Medicine. Edinburgh: Churchill Livingston. Pp1299-1300

Gawkrodger, 2009
Martini, F. (2004). Fundamentals of Anatomy & Physiology. USA: Benjamin Cummings. Pp 154-179 

Mark, H (editor). (2006). The Merck Manual of Diagnosis and Therapy. New Jersy: Merc Research Laboratories. Pp941-946

Lukens, R (Editor). (2005). Stedman’s Medical Dictionary of the Health Professions and Nursing.cott Williams & Wilkens.P15

http://ykdy.org/acne-curiosity-good-looking-skin/

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nappy rash

9/16/2014

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treatment of diaper rash
Baby with nappy rash
nappy rash treatment
Baby without nappy rash

Which one is your child?   
By Dr. Marlo Swanepoel

The topic of this month’s article was a complete surprise.  After a consultation room full of crying babies and desperate mommies, I decided to share some knowledge I gained while conducting and writing my thesis as a student.  The topic TREATMENT OF NAPPY RASH.

Why Nappy rash you may ask. Well I am proud to say that I conducted a pilot (first) study on alternative, more specific homeopathic, treatment for Nappy Rash (NR).  My study yielded positive results and was published in the Journal Health SA Gesondheid (Read: Health).  Follow the link should you wish to read it http://www.hsag.co.za/index.php/HSAG/article/view/680. 
In the past few months I was bombarded by mommies desperate to find some solution to this common daily problem their baby had to face.

What is Nappy Rash?

The medical word for NR is known as Diaper Dermatitis.  Diaper meaning Nappy and “derma” skin and “-itis” inflammation, which is exactly what NR is, inflammation of the skin restricted to area covered by a nappy (1).  Nappy Rash is the most common skin complaint in babies and toddlers, estimated at 7% to 35%.  It is nearly impossible to determine the exact prevalence as many cases are treated at home. Others however are so severe that medical intervention is required (2,3).

What does Nappy Rash look like?

There are many different presentations of a Nappy Rash. The most common description is a red, flat, itchy and painful rash restricted to only the area covered by the nappy (diaper).  In some cases the rash may be more severe presenting with pimples and pus like eruptions.  It can become so severe that the skin may be broken forming an ulcer (2,3,4).  In many cases this rash may become infected with bacteria such as Staphylococcus spp. or Streptococcus spp., or fungi such as Candida albicans (5). Many studies showed that up to 77% of cases will within the first three days of having a Nappy Rash  be infected by the above mentioned organisms (6).

What causes Nappy Rash?

Nappy Rash is primarily caused due to the prolonged exposure to faeces and urine as well as the environment present within the diaper.  Although diaper technology has improved in recent years, resulting in a decrease in both incidence and severity of Nappy Rash, this condition remains a common problem (5). Things like: ammonia levels, friction, skin dampness (influenced by the type of diaper), pH level, enzymes contained in the urine and stool, micro-organisms (bacteria, fungus), diet (which has an effect on the alkaline levels), and skin maturation all affect the permeability of the skin resulting in an immune response which leads to inflammation which is what we will see as a rash (1,7). 

There are mainly three types of Nappy Rash: 
  • Primary irritant diaper dermatitis, 
  • Allergic contact diaper dermatitis and 
  • Candida diaper dermatitis; all of which leads to the red painful rash we all dread (8).

What you can do to prevent or treat NR?

Due to the numerous causes of NR one must try to avoid contact with the most common causative agents. The golden rule is prevention is better than cure.
  1. Nappies should be changed directly after every stool or urine passed 
  2. Time spent out of a nappy should be increased
  3. Harsh chemicals or irritants such as: wet wipes, perfumes and soap should be avoided
  4. Only tepid water and cotton wool must be used to clean the nappy area 
  5. Disposable nappies should be used instead of cotton nappies unless sensitivity or allergies towards the nappies are present (6,9,10). 

Moisture barrier creams, which have been shown to decrease water loss from the skin as well as  improving skin conditions in some patients may be applied . 

Topical creams used for Nappy Rash usually contain one or more of the following ingredients:  zinc oxide, petrolatum or dimethicone (a silicone based polymer) (4,9). Creams containing petrolatum, mineral oil, mineral wax and wool wax (lanolin), have also been shown to decrease loss of water, reduce inflammation and lower skin colonisation (bacterial or fungal growth) (2,4,10). Anti-bacterial, anti-fungal or Corticosteroid creams are prescribed for persistent NR to reduce inflammation and prevent secondary infections. However adverse effects such as thinning of the skin and adrenal axis suppression are risks (8,10) thus these should be avoided as long as possible.

In my experience protecting the skin by creating a barrier with things like lanolin, caster oil with zinc oxide mixture, bees wax, milking cream or Happy Nappy Cream (formulated by me) will be sufficient. Some paediatric nurses recommend using Mazina in a paste or the slimy water from oats (make sure it is cold when applied). I have to say even though I will only be a daddy in January 2015 I have been motivated to do my research due to my brothers and sisters having a total of 9 children and these tips I have witnessed as effective.

TOP 5 take away points

1.      Change the nappy regularly

2.      Keep the skin dry by allowing your baby to spent time without a nappy. Be careful of using baby powder as the fine dust can be inhaled by the baby and cause respiratory issues

3.      Avoid harsh chemicals or irritants such as: perfumed wet wipes, perfumes, soap and creams containing parabens

4.      Use tepid water and a cloth or cotton wool to clean the nappy area

5.      Apply a cream or ointment to create a protective barrier against urine and faeces, but be sure to wash your babies bum.

Referece

1.      Fölster-Holst, Buchner & Proksch 2011

2.      Wolf, R., Wolf, D., Tüzün, B. and Tüzün, Y. (2000). Diaper Dermatitis. Clinics in Dermatology, 18:657-660.

3.      Barkin, M.B. and Rosen, P. (2003). Emergency Pediatrics A Guide to Ambulatory Care. Pennsylvania: Mosby. Pp588-589.

4.      Visscher, M.O., and Hoath, S.B. (2006). Diaper Dermatitis. In Irritant Dermatitis. Edited by Chew, A., Maibach, H.I. New York: Springer, pp 37-51

5.      Fernandes, J.D., Machadoll, M.C.R. and de Oliveirall, Z.N.P. (2009). Clinical Presentation and Treatment of Diaper Dermatitis – Part II. Anais Brasileiros de Dermatologia, 84(1).

6.      Concannon, P., Gisoldi, E., Phillips, S. and Grossman, R. (2001). Diaper dermatitis: A Therapeutic Dilemma. Results of a Double-Blind Placebo Controlled Trial of Miconazole Nitrate 0.25%. Pediatric Dermatology, 18: 149-155.

7.      De wet, P.M., Rode, H., van Dyk, A. and Millar, A.J.W. (1999). Perianal candidos in a comparative study with mupirocin and nystatin. International Journal of Dermatology, 38: 618-622

8.      Wahrman, J.E., and Honig, P.J. (2000). Clinical Features and Differential Diagnosis. In Textbook of Pediatric Dermatology. Volume 1. Edited by Harper, J., Oranje, A., and Prose, N. London: Blackwell Science Ltd, pp 58-

9.      Scheinfeld, N. (2005). Diaper Dermatitis: A Review and Brief Survey of Eruptions of the Diaper Area.  American Journal of Clinical Dermatology, 6(5): 273-281.

10.  Friedlander, S.F., Eichenfield, L.F., Leyden, J., Shu, J. and Spellman, M.C. (2009).  Diaper Dermatitis: Appropriate Evaluation & Optimal Management Strategies. Contemporary Pediatrics, April: 1-13.

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Stuffed Butternut

6/3/2014

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By: Dr. Marlo Swanepoel

For those who love good food but not standing in front of the pots for hours especially while our temperatures are dropping and the tiles are cold. Here is a 50min HEALTHY recipe that requires 5-10 min in front of the pots. The rest of the time, enjoy your cup of tea or coffee while you are cuddled up in your blanket on your favourite couch or spend much needed time with your family.
Homeopath Pretoria, Health Shop
INGREDIENTSFor two people

1x Medium sized Butternut
¼ Green bell pepper
¼ Red bell pepper
¼ Yellow bell pepper
4-6 button mushrooms
2-4 Baby marrows (Zucchini)
Peas
Mielies

2-3 teaspoons onion marmalade

Optional: 1 chicken breast fillet

Process:

Start by rinsing all vegetables.  Cut the Butternut in half lengthwise so that you end up with two equal parts to add the filling. Remove the seeds and strings. Steam the butternut for approximately 50min or until cooked. It is preferred not to boil any of the vegetables as you lose most of your nutrients this way. If however you do not have a steamer the butternut may be boiled or if you have a metal strainer you can put it in a pot where you can add some water to the bottom and create your own steamer this way.

Cut the peppers and marrows into small cubes. Slice the mushroom into medium sized slices. Add all of the vegetables into a pan with the onion marmalade and fry for 5-10 minutes (without oil). DO NOT OVER COOK the veg. They still need to be crunchy and colourful. Season to liking with Himalayan salt and pepper.

For the meat lovers: Cut the chicken fillet into small pieces and fry (without oil) before adding the veg.

Once the butternut is cooked place it in a plate and add the filling. Sit back and enjoy the full flavours dancing on your taste buds.

BONUS: For added health benefits add the butternut seeds instead of discarding them. This adds additional protein and mono- and polyunsaturated fats making this a healthy snack for your heart. ½ a cup of the seeds supply almost a third of the RDA zinc for men and almost half of that for women, thus naturally boosting your immune system. Remove the stringy bits and toast them in the oven in a small amount of salty water until the water has evaporated and the seeds are crisp alternatively fry them with the rest of the other veggies.

Why this is a healthy meal.

The full spectrum of nutrients makes this a great dish to enjoy at least once a week. Unfortunately it may not be eaten to often if you are suffering from diabetes or are on a carbohydrate restriction diet. Even though the butternut is filled with many good nutrients it is rich in carbohydrates and fiber. This means that you may not combine this with any other starchy foods like potatoes, rice or couscous.

Nutrient Index.

The combination of veggies used in this meal makes it rich in anti-oxidants, phytochemicals carotenes and other vitamins. The proteins are supplied by the mushrooms, peas and seeds. Instead of listing each one individually I am including a very nice and accurate chart below, (sourced from: vitosworld.com) which explain what is found not only in this dish but in all other similar fruits and veggies so that you can make your own nutrient packed menu.

Enjoy and keep the healthy food going.

VEGETABLE CHART
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    Authors

    Dr. Marike de Klerk
    ​Dr. Swanepoel 
    (Homeopath)
    Sister Alida 
    (Registered Nurse)

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