Just wanted to fill you in on a couple of significant changes happening this week and next that we hope will greatly improve the presence of Red Aspen Herbs & Acupuncture in Boulder!

First: The website has a new domain name  – Red Aspen Acupuncture Boulder -  so please be sure to update you bookmarks to: www.redaspenacupunctureboulder.com

Second: Effective December 2, 2009, the clinic is moving to: 2299 Pearl Street, Suite #205, Boulder CO, 80302.

Third: We’ve gotten on the social media band wagon, so be sure to track us down on Facebook and Twitter.

That’s all for now…have a great holiday season!

Best,

Sheila Liewald, L.Ac., Dipl.O.M
- and -
Erin King, Webmonkey

It’s Saturday morning and I think it’s a good time to experience a little bit of the world of pears, shall we?

Today, I am experimenting (operative word experimenting) the baking of 3 kinds of pears: Anjou, Bosc, and Asian.

• Pears have an average of 100 calories and roughly 25 grams of carbs.
• They have about 30% more potassium than apples
• b/c of their denseness they deliver more nutrition per calorie than calorie per nutrition.
• They are also a good source of fiber and Vitamins C and E

Here is a photo of the 3 pears in order: Anjou, Bosc and Asian.

A little about each pear:

The Anjou:

1. Their skin is yellow-green or light green, and they have tender, juicy flesh that is less granular than other types.

2. They have a thin skin with many notable lenticles, or pores, which allow the exchange of gases with the atmosphere (think pesticides here!).

3. The Anjou is truly an all-purpose pear. They are juicy when ripe, and their subtle sweetness hints at a refreshing lemon-lime flavor. Their dense flesh holds up well in heated applications like baking, poaching, roasting, or grilling.

The Bosc

1. First planted in the US in 1832 or 1833, and first bore fruit in 1836. First plantied in the eastern U.S.,  but now Bosc are grown largely in the Northwest, as the trees were found to thrive best in the soil and climate of the Pacific Northwest states of Oregon and Washington.

2. They tend be denser and fleshier, and unlike other pears, their skin can deliver a little bit of spice in its own flavor! They are sweeter earlier on in the ripening stage that other pears.

3. Many artists feature the Bosc pear in their paintings, drawings, and photography because of the natural beauty it imparts with it’s long stems, warm colors and idyllic pear shape.

Asian Pears

1. These are entirely different from European pears. They are crispy, round and firmer.

2. Two most common are Chinese and Japanese. Japanese are the most used and consumed in the US.

3. Asian pears are known for keeping well.  Store at room temp for a week, or up to 3 months in the fridge!!

1. Peel and cut pear in half and core it.  Place it in a shallow baking pan.

(again pears are placed in same order)

2. mix butter, honey, cinnamon and brown sugar.

3 tbl spoons butter

2 tbl spoons honey

dashes cinnamon

2 tbls spoons brown sugar

3. drizzle onto pears!

4. It took about 40 minutes for my pears to bake at 375.

We sported ours with whipped cream, chocolate, and some homemade crepes!

And the results are in!

The Anjou was the best. It absorbed the flavor the most and baked the softest. The Asian probably should stick to salads or other like dishes that can compliment it’s crispiness (even baked!). The Bosc fell somewhere in the middle.

By Gretchen Reynolds

Several years ago, David Nieman set out to study racers at the Western States Endurance Run, a 100-mile test of human stamina held annually in the Sierra Nevada Mountains of California. The race directors had asked Nieman, a well-regarded physiologist and director of the Human Performance Laboratory at the North Carolina Research Campus, to look at the stresses that the race places on the bodies of participants. Nieman and the race authorities had anticipated that the rigorous distance and altitude would affect runners’ immune systems and muscles, and they did. But one of Nieman’s other findings surprised everyone.

After looking at racers’ blood work, he determined that some of the ultramarathoners were supplying their own physiological stress, in tablet form. Those runners who’d popped over-the-counter ibuprofen pills before and during the race displayed significantly more inflammation and other markers of high immune system response afterward than the runners who hadn’t taken anti-inflammatories. The ibuprofen users also showed signs of mild kidney impairment and, both before and after the race, of low-level endotoxemia, a condition in which bacteria leak from the colon into the bloodstream.

These findings were “disturbing,” Nieman says, especially since “this wasn’t a minority of the racers.” Seven out of ten of the runners were using ibuprofen before and, in most cases, at regular intervals throughout the race, he says. “There was widespread use and very little understanding of the consequences.”

Athletes at all levels and in a wide variety of sports swear by their painkillers. A study published earlier this month on the website of the British Journal of Sports Medicine found that, at the 2008 Ironman Triathlon in Brazil, almost 60 percent of the racers reported using non-steroidal anti-inflammatory painkillers (or NSAIDs, which include ibuprofen) at some point in the three months before the event, with almost half downing pills during the race itself. In another study, about 13 percent of participants in a 2002 marathon in New Zealand had popped NSAIDs before the race. A study of professional Italian soccer players found that 86 percent used anti-inflammatories during the 2002-2003 season.

A wider-ranging look at all of the legal substances prescribed to players during the 2002 and 2006 Men’s World Cup tournaments worldwide found that more than half of these elite players were taking NSAIDS at least once during the tournament, with more than 10 percent using them before every match.

“For a lot of athletes, taking painkillers has become a ritual,” says Stuart Warden, an assistant professor and director of physical therapy research at Indiana University, who has extensively studied the physiological impacts of the drugs. “They put on their uniform” or pull on their running shoes and pop a few Advil. “It’s like candy” or Vitamin I, as some athletes refer to ibuprofen.

Why are so many active people swallowing so many painkillers?

One of the most common reasons cited by the triathletes in Brazil was “pain prevention.” Similarly, when the Western States runners were polled, most told the researchers that “they thought ibuprofen would get them through the pain and discomfort of the race,” Nieman says, “and would prevent soreness afterward.” But the latest research into the physiological effects of ibuprofen and other NSAIDs suggests that the drugs in fact, have the opposite effect. In a number of studies conducted both in the field and in human performance laboratories in recent years, NSAIDs did not lessen people’s perception of pain during activity or decrease muscle soreness later. “We had researchers at water stops” during the Western States event, Nieman says, asking the racers how the hours of exertion felt to them. “There was no difference between the runners using ibuprofen and those who weren’t. So the painkillers were not useful for reducing pain” during the long race, he says, and afterward, the runners using ibuprofen reported having legs that were just as sore as those who hadn’t used the drugs.

Moreover, Warden and other researchers have found that, in laboratory experiments on animal tissues, NSAIDs actually slowed the healing of injured muscles, tendons, ligament, and bones. “NSAIDs work by inhibiting the production of prostaglandins,”substances that are involved in pain and also in the creation of collagen, Warden says. Collagen is the building block of most tissues. So fewer prostaglandins mean less collagen, “which inhibits the healing of tissue and bone injuries,” Warden says, including the micro-tears and other trauma to muscles and tissues that can occur after any strenuous workout or race.

The painkillers also blunt the body’s response to exercise at a deeper level. Normally, the stresses of exercise activate a particular molecular pathway that increases collagen, and leads, eventually, to creating denser bones and stronger tissues. If “you’re taking ibuprofen before every workout, you lessen this training response,” Warden says. Your bones don’t thicken and your tissues don’t strengthen as they should. They may be less able to withstand the next workout. In essence, the pills athletes take to reduce the chances that they’ll feel sore may increase the odds that they’ll wind up injured — and sore.

All of which has researchers concerned. Warden wrote in an editorial this year on the website of the British Journal of Sports Medicine that “there is no indication or rationale for the current prophylactic use of NSAIDs by athletes, and such ritual use represents misuse.”

When, then, are ibuprofen and other anti-inflammatory painkillers justified? “When you have inflammation and pain from an acute injury,” Warden says. “In that situation, NSAIDs are very effective.” But to take them “before every workout or match is a mistake.”

Aug. 24) — The body’s appendix has long been thought of as nothing more than a worthless evolutionary artifact, good for nothing save a potentially lethal case of inflammation.

Skip over this content

The appendix is a slimy dead-end sac that hangs between the small and large intestines. Scientists long believed it to be a useless remnant, but new research suggests it could have a critical function.

Skip over this content

This is a really good and thought provoking article for those that run and/or log a lot of miles one way or another on their feet.

By CHRISTOPHER McDOUGALL  Last updated at 8:01 PM on 19th April 2009

Thrust enhancers, roll bars, microchips…the $20 billion running – shoe industry wants us to believe that the latest technologies will cushion every stride. Yet in this extract from his controversial new book, Christopher McDougall claims that injury rates for runners are actually on the rise, that everything we’ve been told about running shoes is wrong – and that it might even be better to go barefoot…

Every year, anywhere from 65 to 80 per cent of all runners suffer an injury. No matter who you are, no matter how much you run, your odds of getting hurt are the same

At Stanford University, California, two sales representatives from Nike were watching the athletics team practise. Part of their job was to gather feedback from the company’s sponsored runners about which shoes they preferred.

Unfortunately, it was proving difficult that day as the runners all seemed to prefer… nothing.

‘Didn’t we send you enough shoes?’ they asked head coach Vin Lananna. They had, he was just refusing to use them.

‘I can’t prove this,’ the well-respected coach told them.

‘But I believe that when my runners train barefoot they run faster and suffer fewer injuries.’

Nike sponsored the Stanford team as they were the best of the very best. Needless to say, the reps were a little disturbed to hear that Lananna felt the best shoes they had to offer them were not as good as no shoes at all.

When I was told this anecdote it came as no surprise. I’d spent years struggling with a variety of running-related injuries, each time trading up to more expensive shoes, which seemed to make no difference. I’d lost count of the amount of money I’d handed over at shops and sports-injury clinics – eventually ending with advice from my doctor to give it up and ‘buy a bike’.

And I wasn’t on my own. Every year, anywhere from 65 to 80 per cent of all runners suffer an injury. No matter who you are, no matter how much you run, your odds of getting hurt are the same. It doesn’t matter if you’re male or female, fast or slow, pudgy or taut as a racehorse, your feet are still in the danger zone.

But why? How come Roger Bannister could charge out of his Oxford lab every day, pound around a hard cinder track in thin leather slippers, not only getting faster but never getting hurt, and set a record before lunch?

Tarahumara runner Arnulfo Quimare runs alongside ultra-runner Scott Jurek in Mexico’s Copper Canyons

Then there’s the secretive Tarahumara tribe, the best long-distance runners in the world. These are a people who live in basic conditions in Mexico, often in caves without running water, and run with only strips of old tyre or leather thongs strapped to the bottom of their feet. They are virtually barefoot.

Come race day, the Tarahumara don’t train. They don’t stretch or warm up. They just stroll to the starting line, laughing and bantering, and then go for it, ultra-running for two full days, sometimes covering over 300 miles, non-stop. For the fun of it. One of them recently came first in a prestigious 100-mile race wearing nothing but a toga and sandals. He was 57 years old.

When it comes to preparation, the Tarahumara prefer more of a Mardi Gras approach. In terms of diet, lifestyle and training technique, they’re a track coach’s nightmare. They drink like New Year’s Eve is a weekly event, tossing back enough corn-based beer and homemade tequila brewed from rattlesnake corpses to floor an army.

Unlike their Western counterparts, the Tarahumara don’t replenish their bodies with electrolyte-rich sports drinks. They don’t rebuild between workouts with protein bars; in fact, they barely eat any protein at all, living on little more than ground corn spiced up by their favourite delicacy, barbecued mouse.

How come they’re not crippled?

I’ve watched them climb sheer cliffs with no visible support on nothing more than an hour’s sleep and a stomach full of pinto beans. It’s as if a clerical error entered the stats in the wrong columns. Shouldn’t we, the ones with state-of-the-art running shoes and custom-made orthotics, have the zero casualty rate, and the Tarahumara, who run far more, on far rockier terrain, in shoes that barely qualify as shoes, be constantly hospitalised?

The answer, I discovered, will make for unpalatable reading for the $20 billion trainer-manufacturing industry. It could also change runners’ lives forever.

Dr Daniel Lieberman, professor of biological anthropology at Harvard University, has been studying the growing injury crisis in the developed world for some time and has come to a startling conclusion: ‘A lot of foot and knee injuries currently plaguing us are caused by people running with shoes that actually make our feet weak, cause us to over-pronate (ankle rotation) and give us knee problems.

‘Until 1972, when the modern athletic shoe was invented, people ran in very thin-soled shoes, had strong feet and had a much lower incidence of knee injuries.’

Lieberman also believes that if modern trainers never existed more people would be running. And if more people ran, fewer would be suffering from heart disease, hypertension, blocked arteries, diabetes, and most other deadly ailments of the Western world.

‘Humans need aerobic exercise in order to stay healthy,’ says Lieberman. ‘If there’s any magic bullet to make human beings healthy, it’s to run.’

The modern running shoe was essentially invented by Nike. The company was founded in the Seventies by Phil Knight, a University of Oregon runner, and Bill Bowerman, the University of Oregon coach.

Before these two men got together, the modern running shoe as we know it didn’t exist. Runners from Jesse Owens through to Roger Bannister all ran with backs straight, knees bent, feet scratching back under their hips. They had no choice: their only shock absorption came from the compression of their legs and their thick pad of midfoot fat. Thumping down on their heels was not an option.

Bowerman didn’t actually do much running. He only started to jog a little at the age of 50, after spending time in New Zealand with Arthur Lydiard, the father of fitness running and the most influential distance-running coach of all time. Bowerman came home a convert, and in 1966 wrote a best-selling book whose title introduced a new word and obsession to the fitness-aware public: Jogging.

In between writing and coaching, Bowerman came up with the idea of sticking a hunk of rubber under the heel of his pumps. It was, he said, to stop the feet tiring and give them an edge. With the heel raised, he reasoned, gravity would push them forward ahead of the next man. Bowerman called Nike’s first shoe the Cortez – after the conquistador who plundered the New World for gold and unleashed a horrific smallpox epidemic.

It is an irony not wasted on his detractors. In essence, he had created a market for a product and then created the product itself.

‘It’s genius, the kind of stuff they study in business schools,’ one commentator said.

Bowerman’s partner, Knight, set up a manufacturing deal in Japan and was soon selling shoes faster than they could come off the assembly line.

‘With the Cortez’s cushioning, we were in a monopoly position probably into the Olympic year, 1972,’ Knight said.

The rest is history.

The company’s annual turnover is now in excess of $17 billion and it has a major market share in over 160 countries.

Since then, running-shoe companies have had more than 30 years to perfect their designs so, logically, the injury rate must be in freefall by now.

After all, Adidas has come up with a $250 shoe with a microprocessor in the sole that instantly adjusts cushioning for every stride. Asics spent $3 million and eight years (three more years than it took to create the first atomic bomb) to invent the Kinsei, a shoe that boasts ‘multi-angled forefoot gel pods’, and a ‘midfoot thrust enhancer’. Each season brings an expensive new purchase for the average runner.

But at least you know you’ll never limp again. Or so the leading companies would have you believe. Despite all their marketing suggestions to the contrary, no manufacturer has ever invented a shoe that is any help at all in injury prevention.

If anything, the injury rates have actually ebbed up since the Seventies – Achilles tendon blowouts have seen a ten per cent increase. (It’s not only shoes that can create the problem: research in Hawaii found runners who stretched before exercise were 33 per cent more likely to get hurt.)

OXFORD, 1954: Roger Bannister crosses the finish line, running a mile in 3:59.4, in thin leather slippers

In a paper for the British Journal Of Sports Medicine last year, Dr Craig Richards, a researcher at the University of Newcastle in Australia, revealed there are no evidence-based studies that demonstrate running shoes make you less prone to injury. Not one.

It was an astonishing revelation that had been hidden for over 35 years. Dr Richards was so stunned that a $20 billion industry seemed to be based on nothing but empty promises and wishful thinking that he issued the following challenge: ‘Is any running-shoe company prepared to claim that wearing their distance running shoes will decrease your risk of suffering musculoskeletal running injuries? Is any shoe manufacturer prepared to claim that wearing their running shoes will improve your distance running performance? If you are prepared to make these claims, where is your peer-reviewed data to back it up?’

Dr Richards waited and even tried contacting the major shoe companies for their data. In response, he got silence.

So, if running shoes don’t make you go faster and don’t stop you from getting hurt, then what, exactly, are you paying for? What are the benefits of all those microchips, thrust enhancers, air cushions, torsion devices and roll bars?

The answer is still a mystery. And for Bowerman’s old mentor, Arthur Lydiard, it all makes sense.

‘We used to run in canvas shoes,’ he said.

‘We didn’t get plantar fasciitis (pain under the heel); we didn’t pronate or supinate (land on the edge of the foot); we might have lost a bit of skin from the rough canvas when we were running marathons, but generally we didn’t have foot problems.

‘Paying several hundred dollars for the latest in hi-tech running shoes is no guarantee you’ll avoid any of these injuries and can even guarantee that you will suffer from them in one form or another. Shoes that let your foot function like you’re barefoot – they’re the shoes for me.’

Soon after those two Nike sales reps reported back from Stanford, the marketing team set to work to see if it could make money from the lessons it had learned. Jeff Pisciotta, the senior researcher at Nike Sports Research Lab, assembled 20 runners on a grassy field and filmed them running barefoot.

When he zoomed in, he was startled by what he found. Instead of each foot clomping down as it would in a shoe, it behaved like an animal with a mind of its own – stretching, grasping, seeking the ground with splayed toes, gliding in for a landing like a lake-bound swan.

‘It’s beautiful to watch,’ Pisciotta later told me. ‘That made us start thinking that when you put a shoe on, it starts to take over some of the control.’

Pisciotta immediately deployed his team to gather film of every existing barefoot culture they could find.

‘We found pockets of people all over the globe who are still running barefoot, and what you find is that, during propulsion and landing, they have far more range of motion in the foot and engage more of the toe. Their feet flex, spread, splay and grip the surface, meaning you have less pronation and more distribution of pressure.’

Nike’s response was to find a way to make money off a naked foot. It took two years of work before Pisciotta was ready to unveil his masterpiece. It was presented in TV ads that showed Kenyan runners padding
along a dirt trail, swimmers curling their toes around a starting block, gymnasts, Brazilian capoeira dancers, rock climbers, wrestlers, karate masters and beach soccer players.

And then comes the grand finale: we cut back to the Kenyans, whose bare feet are now sporting some kind of thin shoe. It’s the new Nike Free, a shoe thinner than the old Cortez dreamt up by Bowerman in the Seventies. And its slogan?

‘Run Barefoot.’

The price of this return to nature?

A conservative £65. But, unlike the real thing, experts may still advise you to change them every three months.

Edited extract from ‘Born To Run’ by Christopher McDougall, £16.99, on sale from April 23

PAINFUL TRUTH No 1

THE BEST SHOES AND THE WORST

Runners wearing top-of-the-line trainers are 123 per cent more likely to get injured than runners in cheap ones. This was discovered as far back as 1989, according to a study led by Dr Bernard Marti, the leading preventative-medicine specialist at Switzerland’s University of Bern.

Dr Marti’s research team analysed 4,358 runners in the Bern Grand Prix, a 9.6-mile road race. All the runners filled out an extensive questionnaire that detailed their training habits and footwear for the previous year; as it turned out, 45 per cent had been hurt during that time. But what surprised Dr Marti was the fact that the most common variable among the casualties wasn’t training surface, running speed, weekly mileage or ‘competitive training motivation’.

It wasn’t even body weight or a history of previous injury. It was the price of the shoe. Runners in shoes that cost more than $95 were more than twice as likely to get hurt as runners in shoes that cost less than $40.

Follow-up studies found similar results, like the 1991 report in Medicine & Science In Sports & Exercise that found that ‘wearers of expensive running shoes that are promoted as having additional features that protect (eg, more cushioning, ‘pronation correction’) are injured significantly more frequently than runners wearing inexpensive shoes.’

What a cruel joke: for double the price, you get double the pain. Stanford coach Vin Lananna had already spotted the same phenomenon.’I once ordered highend shoes for the team and within two weeks we had more plantar fasciitis and Achilles problems than I’d ever seen.

So I sent them back. Ever since then, I’ve always ordered low-end shoes. It’s not because I’m cheap. It’s because I’m in the business of making athletes run fast and stay healthy.’

PAINFUL TRUTH No 2

FEET LIKE A GOOD BEATING

Despite pillowy-sounding names such as ‘MegaBounce’, all that cushioning does nothing to reduce impact. Logically, that should be obvious – the impact on your legs from running can be up to 12 times your weight, so it’s preposterous to believe a half-inch of rubber is going to make a difference.

When it comes to sensing the softest caress or tiniest grain of sand, your toes are as finely wired as your lips and fingertips. It’s these nerve endings that tell your foot how to react to the changing ground beneath, not a strip of rubber.

To help prove this point, Dr Steven Robbins and Dr Edward Waked of McGill University, Montreal, performed a series of lengthy tests on gymnasts. They found that the thicker the landing mat, the harder the gymnasts landed. Instinctively, the gymnasts were searching for stability. When they sensed a soft surface underfoot, they slapped down hard to ensure balance. Runners do the same thing. When you run in cushioned shoes, your feet are pushing through the soles in search of a hard, stable platform.

‘Currently available sports shoes are too soft and thick, and should be redesigned if they are to protect humans performing sports,’ the researchers concluded.

To add weight to their argument, the acute-injury rehabilitation specialist David Smyntek carried out an experiment of his own. He had grown wary that the people telling him to trade in his favourite shoes every 300-500 miles were the same people who sold them to him.

But how was it, he wondered, that Arthur Newton, for instance, one of the greatest ultrarunners of all time, who broke the record for the 100-mile Bath-London run at the age of 51, never replaced his thin-soled canvaspumps until he’d put at least 4,000 miles on them?

So Smyntek changed tack. Whenever his shoes got thin, he kept on running. When the outside edge started to go, he swapped the right for the left and kept running. Five miles a day, every day.

Once he realised he could run comfortably in broken-down, even wrong-footed shoes, he had his answer. If he wasn’t using them the way they were designed, maybe that design wasn’t such a big deal after all.

He now only buys cheap trainers.

PAINFUL TRUTH No 3

HUMAN BEINGS ARE DESIGNED TO RUN WITHOUT SHOES

‘Barefoot running has been one of my training philosophies for years,’ says Gerard Hartmann, the Irish physical therapist who treats all the world’s finest distance runners, including Paula Radcliffe.

For decades, Dr Hartmann has been watching the explosion of ever more structured running shoes with dismay. ‘Pronation has become this very bad word, but it’s just the natural movement of the foot,’ he says. ‘The foot is supposed to pronate.’

To see pronation in action, kick off your shoes and run down the driveway. On a hard surface, your feet will automatically shift to selfdefence mode: you’ll find yourself landing on the outside edge of your foot, then gently rolling from little toe over to big until your foot is flat. That’s pronation – a mild, shockabsorbing twist that allows your arch to compress.

Your foot’s centrepiece is the arch, the greatest weight-bearing design ever created. The beauty of any arch is the way it gets stronger under stress; the harder you push down, the tighter its parts mesh. Push up from underneath and you weaken the whole structure.

‘Putting your feet in shoes is similar to putting them in a plaster cast,’ says Dr Hartmann. ‘If I put your leg in plaster, we’ll find 40 to 60 per cent atrophy of the musculature within six weeks. Something similar happens to your feet when they’re encased in shoes.’

When shoes are doing the work, tendons stiffen and muscles shrivel. Work them out and they’ll arc up. ‘I’ve worked with the best Kenyan runners,’ says Hartmann, ‘and they all have marvellous elasticity in their feet. That comes from never running in shoes until you’re 17.’

SO SHOULD WE ALL BE RUNNING BAREFOOT?

BY JUSTIN COULTER, SPORTS PODIATRIST

Running barefoot may have some benefit in muscle strengthening as the muscles have to ‘tune in’ to the vibrations caused by impact loading.

If, like Zola Budd, you grew up running barefoot on a South African farm, your tissue tolerance would adapt over time. But for someone who has grown up wearing shoes and is a natural heel striker (see right), the impact loading will be beyond tissue tolerance level, and injury will occur.

We are all individuals, therefore it is prudent to have your own running technique assessed and work around that.

As for getting out your old worn out trainers and running in them – don’t! Based on the individual’s size and running surfaces/conditions shoes should be changed between 500-1,000 miles. It’s best to seek the advice of a specialist running store.

http://www.dailymail.co.uk/home/moslive/article-1170253/The-painful-truth-trainers-Are-expensive-running-shoes-waste-money.html

From Joe Friels Blog:

I’m still in the UK having spent the weekend at the TCR (Triathlon, Cycling and Running) Expo in London. I had a great time meeting people, attending some talks and doing a few of my own. On Sunday I sat in on a talk by a local physical therapist (called a ‘physio’ here). He had some great action videos shot of various runners of many different abilities. Each was running barefoot on a treadmill with a view from the back. I wish I had gotten his name and business affiliation but I failed to do so as I got there after the introduction.

The first video he showed was of a sub-2:20 marathoner who had been running for several years. This runner certainly had what could be called ‘excessive pronation.’ Shortly after footstrike, which appeared to be fairly midfoot, his foot collapsed medially (to the inside) quite a bit. Yet when the video was freeze framed at this point and advanced one frame at a time there was no medial collapse of the knee. In fact, the knee and leg held a straight line from the hip to the ankle. That is unusual for a runner with such an extreme amount of pronation. Maintaining a straight line from hip to ankle means that the core muscles must be quite strong to keep the hip from dropping as the recovery leg swings through. If the hip drops the knee must collapse to maintain balance. With this runner, again being viewed from the back, the waistline of his shorts remained perfectly horizontal. That was because his core muscles kept everything nicely in place. So despite an excessively pronated foot there was no medial or lateral stress being placed on the leg, knee or hip. And, in fact, this athlete reported that he had never been injured despite many years of running.

Another video was presented in which a young female runner was viewed from the back as she ran. Her foot and ankle movement were nearly textbook with the ankle showing only a slight amount of pronation, which is considered ‘normal.’ However, she reported a significant history of iliotibial band (ITB) injuries. It was obvious why this was the case. As her recovery leg would swing through the hip on that side collapsed and the knee of the support leg buckled in considerably as a result. Going farther up the chain it was evident that her core muscles were quite weak because the waistband on her shorts rocked up and down pivoting around her SI joint region.

The bottom line of his presentation was that the core muscles are at least as critical to running stability and performance as are the feet. He gave an excellent presentation and much food for thought. I only wish I had gotten his name.

http://www2.trainingbible.com/joesblog/2009/02/running-and-core-stability.html

LA Childrens Hospital Teams With Respected School
Acupuncture Today
By Tina Beychok, Associate Editor

One of the more encouraging findings from the recent National Center for Complementary and Alternative Medicine CAM survey (see February issue of Acupuncture Today) was the increase in its use among pediatric patients. Combine this with the trend toward integration into traditional medical settings, and there would seem to be a natural niche where AOM would fit very neatly. We have already seen acupuncture and Oriental medicine making inroads into the armed services, as well as providing unique learning opportunities for medical students. All of this points toward AOM being accepted as a part of the whole health care package. Now, a new collaborative externship program between a prestigious children’s hospital and a well-respected AOM school in Los Angeles seems to have found a way to bring these two elements together.

Childrens Hospital Los Angeles, which was ranked among the top 10 pediatric hospitals last year by U.S. News & World Report, and Yo San University have teamed up to provide acupuncture services to patients in the Pain Management Clinic. The services are offered for free, one day a week in the hospital’s outpatient clinic. The collaboration, which began in January, offers benefits all the way around; Yo San students get the opportunity to work in a hospital environment, providing pediatric services, clinicians at Childrens Hospital are given an opportunity to see how AOM can help patients, and the patients and their families get the direct benefit of pain relief that acupuncture can provide.

Yo San President Johnathan Heywood, in an interview with Acupuncture Today, explained that while this externship program is starting small, there are hopes of expanding the program later this year. He added that feedback from the students has been extremely positive. “They are absolutely thrilled to be involved with treating pediatric patients. This is also definitely a fantastic opportunity for integrative medicine. It’s reaching out to help the East come together with the West.”

Heywood mentioned that the program also serves the purpose of fulfilling Yo San’s mission statement, which is to educate students to “become exceptional practitioners of Traditional Chinese Medicine and the Taoist healing arts. The school facilitates the development of students’ spiritual and professional growth and provides the community with an integrative medical care model and services.”

The other half of this story, however, belongs to Jeffrey I. Gold, PhD, Assistant Professor of Anesthesiology and Pediatrics, and director of the Pediatric Pain Management Clinic at Childrens Hospital, whom Heywood credits with having gone through the detailed process of getting the program started. Gold, whose primary specialty is in clinical psychology, has published several papers on CAM methods to reduce pediatric pain, including one review article of acupuncture that concluded, “Given the promising trends in the current research, the relative willingness of families to engage in acupuncture and the low risk of deleterious side effects, acupuncture may serve to harmonize traditional Western medicine and traditional Chinese medicine as a means of promoting preventive care and symptom management for children.”¹

In an interview with Acupuncture Today, Gold explained that part of what drove him to start the program was that he felt that more needed to be done beyond just drugs and psychotherapy to treat pediatric pain. Although it took a year to launch the program, he was “very tenacious to make sure that it happened.” He added that because Childrens Hospital is a teaching hospital affiliated with the Keck School of Medicine of the University of Southern California, the collaboration was very important.

Although Gold was unsure how his colleagues would react when he announced the new program at a faculty meeting on its first day, he admitted to being startled when they all “burst into cheers” and wanted to know when their departments might be able to take advantage of the service. Although the program is currently only affiliated with the pain clinic, there are plans to eventually roll it out to the rest of the hospital.

As for the families and the patients, they are also thrilled with the service. According to Gold, the patients, most of whom are between the ages of 13 and 19, all say that they feel more comfortable and relaxed after receiving the treatments and have been coming back on a regular basis. Gold is collecting data on these patients for further studies.

The students participating in the clinic are equally happy with this opportunity. Gold says that the students are excited to be able to do intakes, diagnose patients and actually learn in real time.

Gold explained that, at least when it comes to treating pediatric pain, “we are not getting to the core of the problem with regular medicine.” He likened using acupuncture treatments for these patients to re-setting the nervous system, rather than just treating symptoms, as is done with Western medicine. “It’s all about health and wellness,” he concluded.

Reference

1. Gold JI, Nicolaou CD, Belmont KA, et al. Pediatric acupuncture: a review of clinical research. Evid Based Complement Alternat Med. 2008 Jan 10. [Epub ahead of print].