Monday, April 10, 2017

Polypharmacy


Literally, this means “the simultaneous use of multiple drugs by a single patient for one or more conditions.”
There are now patients coming into my office who are taking upward of eleven or twelve different medications. Often their meds are prescribed by different doctors, and there may be no one doctor who is overseeing or coordinating the mix. Potential harmful drug interactions are not being monitored, and the patient is subject to a myriad of side effects of the various drugs.
Sometimes the pharmacist who fills the patient’s prescriptions may be serving as overseer or monitor, but this is not always the case.
For patients on multiple medications, I advise them to talk with their primary care physician about making sure some caregiver is fulfilling this role.

Monday, April 3, 2017

Numbness, Tingling in Arm or Hand

Nerve impingement of the brachial plexus, the nerves exiting the spine in the neck, can be the cause of numbness or tingling in the arm and / or hand. If the alteration of sensation is diffuse throughout the upper extremity, all or most of the nerves in the brachial plexus may be affected, sometimes due to impingement between the clavicle and the first rib, or in passage between the scalene muscles at the sides of the neck. However, if only parts of the arm or hand are affected, it may be possible to pinpoint the specific spinal nerves that are being impinged. This can guide the specific Activator Chiropractic adjustment which can help alleviate the problem.