Naturopathic Approaches for Frostbite

WinterWith the frigid cold temperatures that have been descending upon us, it is important to understand the signs and symptoms of frostbite and how to treat it. In addition to the first aid advice you might be given, I will also throw a “naturopathic spin” on it.

Signs and Symptoms

In frost bite, there are three stages, with the condition increasing in severity with the increase in stages.

Stage 1: Frostnip – in this stage, one may experience pins and needs that progress to numbness. The individual will also have red skin that feels cold.

Stage 2: Superficial frostbite – the skin will now be hard, pale, blue and cold, which turns to red sore skin after it thaws. The skin may also start to blister. In addition to this, the individual may have a burning sensation and swelling as the skin warms.

Stage 3: Deep frostbite – at this point, deeper damage is done in the form of joint and muscle stiffness, large blisters forming, and gangrene forming. In addition, tissues, nerves, and bones may even be damaged. In addition to these physical effects, the individual may also begin having effects to their cognition such as difficulty speaking, difficulty concentrating, some hysteria, etc.

Prevention

In order to prevent frostbite, certain measures should be taken:

  • Limit your encounters in the cold when possible
  • Bundle up, making sure that all skin is covered
  • Wrap in layers to make sure you keep warm
  • Wear only dry clothing
  • Make sure you have adequate foot wear that is well insulated and keeps your feet dry
  • Drink plenty of fluids
  • Avoid alcohol and smoking

First Aid Approach

When you first notice signs of frostbite, go into a warm space immediately. Start by warming up the individual gently, such as giving them a warm blanket. Do not immediately go to putting their hands in very warm water as this can actually make the frostbite worse. Once they have been gently warmed then you can proceed to provide a warm (not hot) shower or rinse. If the individual has superficial frostbite, it may be necessary to take them to the hospital. However, in the case of deep frostbite, the individual needs to be taken to the hospital immediately.

Naturopathic Approach

Please note that the naturopathic approaches are not meant to be done instead of the first aid approaches, but are rather meant to compliment them and support them. These therapies are meant to be added to the first aid approaches that you should be taking. There are several different approaches that can be taken from a naturopathic perspective to help an individual who is suffering from frostbite.

Nutrients: Vitamin B3 (niacin) helps with vasodilation, which means it helps to increase circulation and get warm blood to the extremities or affected part of the body. Vitamin C is also a great nutrient to help improve circulation in general.

Homeopathy: The homeopathic remedy Agaricus is a general remedy for frostbite that can be given to an individual that has frostbite. Based on the principle of like cures like, this remedy has the following symptoms, making it well suited for frost bite: Burning and itching on both hands as if frozen; body parts are hot, swollen and red; pain and inflammation in frostbitten toes; shooting pains in fingers and toes; burning, red, itching ears as if frozen; frostbitten nose itches; chronic inflammation of the nose after exposures.

Botanicals: Use warming herbs and plants AFTER exposures have resolved in order to make sure circulation has not been compromised to the affected areas. Such herbs include garlic, onion, cayenne, ginger, mustard, and cinnamon. During the exposure, the individual may consume small amounts of these items in order to gently warm from the inside out. In addition, these herbs can be applied externally to the affected part in order to improve circulation, however this should be done cautiously as some of these herbs can burn the skin. Testing the skin before use for sensitivity should be done. In addition, applying aloe vera gel topically to the affected parts can help with the burning sensation that the individual experiences. Coconut oil can be applied externally as well due to its soothing effect, as well as warming effect. You can also have the affected individual drink a warming substance such as black tea, and add in some honey as this can be warming. Please note that you should avoid alcohol as this can make the condition worse.

Hydrotherapy: As mentioned above, a poultice with warming herbs can be applied to the affected areas, with the cautions taken into consideration. Following the frostbite incident, undergoing contrast showers can help to improve circulation and can also have a warming effect by the end of the treatment.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

Vaccines: Are Naturopathic Doctors against them?

Vaccine - a doctor giving  vaccination girl, health, prevention

In wake of the recent debate regarding whether to vaccinate or not, many people would assume that Naturopathic Doctors (NDs) in general, being the glorified hippies and witch-doctors (please note the hint of sarcasm here) that they are, would be against vaccinations. I wrote this blog to clear the air on what stance Naturopathic Doctors might take on this debate (Please note that I have attempted to be as un-bias as possible in the writing of this article, but if my opinions have come through, please be aware that they are merely my opinions and do not reflect that Naturopathic profession as a whole).

Recently, the Dean of the Canadian College of Naturopathic Medicine released the following statement to all of the interns, including myself, that work at the Robert Schad Naturopathic Clinic:

“As many of you may have noted, there is considerable discussion in the media these days with respect to childhood vaccination. Given that childhood vaccination is discussed in a variety of areas in the curriculum, students may not feel as clear about our official curriculum position on vaccinations as they should be. Specifically, although all medical treatment should be administered in a manner that reflects the individual needs of the patient, CCNM is supportive of childhood vaccinations in general, including the recommended vaccination schedules. Interns are reminded that we have a policy on this in our Clinic Standards Manual 2014/15:

2.1 Vaccination is a population‐based strategy to protect a whole population or defined risk group or an individual against significant infectious diseases. In addition to vaccination, sanitation, hygiene, nutrition and lifestyle choices can also play a role in the prevention of contagious diseases as well as limiting their spread.

2.2 While it is recognized that vaccinations can be associated with self‐limiting (i.e., minor) adverse reactions, and even rare severe adverse reactions, the safety and benefits of vaccinations in reducing risks of diseases that were previously widely prevalent and caused substantial morbidity and mortality, are vastly superior to any other method currently available. Currently, no other strategies have been shown to offer equal protection to either the population or the individual.

2.3 It is the responsibility of the health‐care provider to report adverse effects to vaccinations and educate their patients. Health‐care providers at CCNM and CCNM teaching clinics should thoroughly review the most current version of the guidelines set out in the Canadian Immunization Guide which includes educational material as well as forms on how to report suspected or confirmed adverse reactions to vaccinations.

2.4 Some naturopathic doctors prescribe homeopathic remedies and/or other naturopathic treatments as alternatives to vaccinations.

2.5 The use of homeopathic remedies and/or other naturopathic treatments for the purposes described in 2.4 is not permitted at any of the CCNM teaching clinics.

2.6 The use of homeopathic remedies and/or other naturopathic treatments to provide immune support is acceptable.”

This statement may come as a surprise to most people, thinking that Naturopathic Doctors would be strongly opposed to vaccinations, because it’s a conventional means of treating. Naturopathic Doctors are not opposed to conventional medicine. As I tell many patients, there is a time and a place for antibiotics, surgery, and even, anti – depressants [gasp] to name a few. In the case of vaccines, they were created as a public health measure to protect against different diseases. That being said, some may be necessary and some may not be based on individual preference and opinion. It is the job of your health care provider to help you make an informed decision as to what you feel your family needs for their health. This is where informed consent comes in.

The bottom line to this discussion is simple: patient education and informed consent. Informed consent is at the heart of all medical procedures and needs to be obtained in all circumstances. Informed consent involves informing patients of all risks, benefits, complications, and alternatives to any medical endeavor. Unfortunately with the lack of time spent with health care providers, it can be challenging for parents to become completely informed as to what their options really are and the truth behind all of the research that exists in favour of or opposed to different procedures. The clear need that stands out in this debate of pro-vaccine versus anti – vaccine is that there needs to be more patient education in regards to their choices. One does not have to strictly get all the vaccines or no vaccines at all. You have a choice and you should feel empowered to choose what is best for your family and community. Informed decision making does not just involve vaccinations, but all other medical procedures as well. Naturopathic Doctors may have individual opinions on the issue, but the common thread that connects all is pro – informed-decision-making.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

 

Naturopathic Approaches to Weight Loss

Girl - Weight LossMany individuals struggle with weight loss, or simply want to lose a couple extra pounds. This process can be simple for some, and challenging for others. Weight loss can also differ between individuals based on various circumstances including having certain medical conditions, mobility issues, work conflicts, etc. However, there are treatments that can help, that can be provided through your naturopathic doctor. A Naturopathic doctor can use the following therapies to achieve therapeutic benefits for weight loss:

  • Traditional Chinese Medicine and Acupuncture
  • Botanical Medicine
  • Nutrition, Diet and Lifestyle
  • Hydrotherapy
  • Homeopathy
  • Physical Medicine

Ultimately, the goal of treatment will be to treat the root cause of disease. For the goal of weight loss, one might argue that there is no root cause, but this may not be true. There is a reason why individuals gain weight in the first place, whether it is due to stress, increased food intake, or developing a medical condition. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Treat any concurrent medical conditions
  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet
  • Increase exercise
  • Increase metabolism
  • Improve mobility
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. All of these emotions can contribute to stress, and therefore difficulties to lose weight. By correcting this disbalance, stress can be addressed, making it easier for some to lose weight. In addition, each organ can be affected by various factors from a TCM perspective, including dampness. Dampness can cause an overall sensation of heaviness and lethargy, as well as contribute to increased weight. By addressing any dampness in an individual’s system, it may help the individual to be able to lose weight.

Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for decreasing appetite in individuals who are looking to lose weight. Specifically, in this particular study, 95% of individuals found that there appetite decreased with the aid of acupuncture (http://europepmc.org/abstract/med/9679359).

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s struggles with weight loss. For example, one person may need help with coping with stress in order to lose weight, where another individual may need more energy in order to lose weight. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative, adaptogenic, and metabolism boosting effects.

Much research has been conducted on herbs used for weight loss, many of which should not be taken lightly. The research is positive for such herbs as caffeine and ephedra and their contribution to weight loss, however, many people can have ill health effects from their use (http://www.nature.com/ijo/journal/v30/n10/abs/0803283a.html).

How can Nutrition and Diet help?

One cannot talk about weight loss without talking about diet and nutrition. If an individual wants to lose weight, it is important for the individual to have some changes in their diet. Your naturopathic doctor can help you to make those changes, and make them realistic for your specific lifestyle. In addition, a naturopathic doctor can help you to correct for specific nutritional deficiencies, which may contribute to aiding in overall energy. Based on your specific case, several classes of action may be recommended for you, and thus foods or supplements recommended. These actions might include: anti-oxidant, mood – boosting, energy-boosting, or anti – inflammatory.

As one can imagine, much research has been conducted regarding diet and its role in weight loss. In one particular study, diet and exercise alone contributed to an 8% loss in body fat and 16% improvement in cardiovascular health (http://annals.org/article.aspx?articleid=713672).

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, increase metabolism, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for weight loss by addressing the various contributing factors to weight gain. In addition, hydrotherapy may be beneficial for inducing weight loss in and of itself.

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

Very little evidence has surfaced for the efficacy of hydrotherapy and its role in weight loss. However, from a mechanistic view, hydrotherapy could be beneficial for weight loss in helping with the body’s detoxification process. Specifically, saunas can provide a means to help individuals with weight loss and detoxification. In the following study, individuals who incorporated sauna treatments with their exercise regimes lost 3% more of body fat than those who exercised alone (http://www.sciencedirect.com/science/article/pii/S0031938497003533).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

There is very little research on the use of homeopathy for weight loss specifically, and the research is not very impressive, suggesting that there may be mild weight reductions (http://www.nature.com/ijo/journal/v29/n9/abs/0803008a.html). However, research does suggest homeopathy being beneficial for pain, stress, anxiety, and depression, all of which could contribute to weight gain and lack of weight loss (http://europepmc.org/abstract/MED/21733480). 

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, increased metabolism, and decreased inflammation. Similar to what was mentioned above, weight loss can be obstructed by various factors that should be addressed. Specifically in regards to weight loss, research has shown that massage and manipulation can be beneficial in helping individuals to lose fat (http://onlinelibrary.wiley.com/doi/10.1111/j.1468-3083.2009.03355.x/abstract;jsessionid=0AE2C7CC7AC94828461CA98BABA80853.f02t02?deniedAccessCustomisedMessage=&userIsAuthenticated=false).

How can Lifestyle changes help?

Various lifestyle factors can play a role in weight gain. By helping individuals to improve sleep, scheduling, stress management, and adopt an exercise regime that fits their lifestyle, one can move closer to achieving their weight loss goals. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods such as motivational interviewing or cognitive behavioural therapy to do so.

Research is quite extensive regarding exercise and its role in weight loss. As mentioned above, one particular study suggests that individuals who partake in exercise alone can lose approximately 8% of their body fat (http://annals.org/article.aspx?articleid=713672).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

 

Naturopathic Approaches for Stress

Grunge image of a stressed overworked man studyingStress is a very common “condition” to experience that can often lead to a variety of different health conditions, both physical and mental in nature. However, there are treatments that can help, that can be provided through your naturopathic doctor. A naturopathic doctor can use the following therapies to achieve therapeutic benefits in stress: Traditional Chinese Medicine and Acupuncture, Botanical Medicine, Nutrition, Diet and Lifestyle, Hydrotherapy, Homeopathy, and Physical Medicine.

Ultimately, the goal of treatment will be to treat the root cause of the stress. Though your naturopathic doctor cannot provide you with money, vacations, etc., they can help you to better cope with your stress. Some individuals may also have a root cause to their stress that could be easily addressed by a naturopathic doctor’s approach to treating the root cause of disease (e.g. if you are stressed because you are in pain all of the time). Thus, the approach to each individual will be different based on the root cause of your stress. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet to increase mood and reduce stress
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. As one can see, all of these organs could play a part in stress, and so, individual cases are taken, and the root cause is determined. Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for Post – Traumatic Stress Disorder (PTSD) in helping to decrease the symptoms associated with it, for up to 3 months following treatment (http://journals.lww.com/jonmd/Abstract/2007/06000/Acupuncture_for_Posttraumatic_Stress_Disorder__A.7.aspx). Some would even argue that acupuncture specifically can be a relaxing experience, and thus help with stress.

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s presentation and symptoms associated with their stress. For example, one person may need help with sleep, where as one may need help with low mood, both in combination with needing help with coping with their stress. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative and adaptogenic.

Specifically in research, one such example of a botanical that might be used for stress is Rhodiola. In the research, Rhodiola has been used to help individuals in stressful situations to function more effectively. In one particular study, students took Rhodiola prior to being examined, and found that concentration was better, and physical and mental fatigue was much less (http://www.sciencedirect.com/science/article/pii/S0944711300800781).

How can Nutrition and Diet help?

Stress can be severely impacted by one’s diet. In addition, the many ill health effects that can be caused by stress can be caused by poor diet, if not aggravated by it. For example, depression can be aggravated or caused by various nutritional deficiencies. Based on your individual needs, a naturopathic doctor will help you to improve your diet in order to help treat any root causes of stress, as well as prevent ill health effects.

In addition, stress can often cause changes in one’s eating habits, e.g. eating more or less in general, eating more processed foods, etc. This can further aggravate stress and increase it overall (http://www.sciencedirect.com/science/article/pii/S0193953X14000768). A naturopathic doctor can help you to develop a diet that best suits your individual needs, including developing strategies to motivate you to eat a proper diet. In addition, they can correct for any nutritional deficiencies that may be aggravating your stress and overall health.

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for stress based on the different root causes. For example, if an individual is stressed because they are in pain, hydrotherapy may be beneficial by helping to decrease the individual’s pain. An example of this can be seen in studies for hydrotherapy during labour. The hydrotherapy treatments caused a decrease in pain and anxiety, as well as caused an increase in relaxation (http://brn.sagepub.com/content/early/2010/03/29/1099800410361535.abstract).

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

Homeopathy is challenging to study in research, but research does exist. In one particular study, homeopathy was used for various psychiatry conditions including anxiety, stress, fibromyalgia, chronic fatigue syndrome, and depression. In the study, the results were not as beneficial for stress or anxiety in general, but proved to be effective for fibromyalgia and chronic fatigue syndrome (which can often cause individuals to become stressed) (http://europepmc.org/abstract/MED/21733480).

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, and decreased inflammation. Similar to what was mentioned above, stress may be decreased or alleviated based on these potential effects.

Research has shown that patients undergoing cancer treatment may benefit from massage therapy by helping them to experience less stress as well as having decrease stress hormone circulating (http://link.springer.com/article/10.1007/s00737-009-0143-9).

How can Lifestyle changes help?

Various lifestyle factors can play a role in stress. By improving sleep, exercise, scheduling, and coping mechanisms, it is possible that some individuals may have reduced stress, and stressful experiences in general. In addition, the way that an individual thinks can influence stress significantly. By addressing negative thought patterns, poor sleep patterns, lack of exercise, or coping mechanisms, one may have decreased stressful experiences overall. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods use as motivational interviewing or cognitive behavioural therapy to do so.

Research has demonstrated that sleep can have a significant impact on one’s stress response. For example, individuals who had better sleep, were less likely to experience stress (http://psycnet.apa.org/journals/hea/26/3/288/).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.