A fibromyalgia patient case study, including a thorough background on the syndrome for clinicians as well as treatment strategy and protocol recommendations.
Adrian den Boer, ND, DC, IFMCP | November 9, 2022
Providing patient education is imperative. For patients experiencing pain, this must be carefully and intentionally delivered and timed to accommodate that individual's capacity, depending on where they are in their journey.
Adrian den Boer, ND, DC, IFMCP | October 12, 2022
Results of a 2017 double-blind, placebo-controlled, three-arm study showed safety and efficacy of both the low and high doses of the turmeric complex extract for patients with osteoarthritis.
Adrian den Boer, ND, DC, IFMCP | August 29, 2022
Whichever medical discipline we choose should be leveraged as a cornerstone of our approach to healthcare. To offer more comprehensive healthcare, it is beneficial to adopt different and additional tools.
Adrian den Boer, ND, DC, IFMCP | June 27, 2022
In this article, we cover three broad recommendations for acute pain and inflammation as well as those for tissue and collagen repair.
Adrian den Boer, ND, DC, IFMCP | June 6, 2022
A whole tribe of lifestyle medicine practitioners have been utilizing supplements and know that it has clinical benefits. Benefiting financially is OK as long as you are helping your patient.
Shilpa P. Saxena, MD, IFMCP, Adrian den Boer, ND, DC, IFMCP | May 31, 2022
It was a typical Monday morning. I walked into one of our treatment rooms and encountered a fit, 53-year-old female patient in severe pain. She had severe right cervical pain that radiated into her right arm and hand. Her debilitating pain drastically...
Adrian den Boer, ND, DC, IFMCP | February 14, 2022
The musculoskeletal (MSK) system is the focus of attention in many of our practices, with pain and function being the focal point of attention. I would love to broaden this scope of thinking to include the concept of immune health and inflammation, and how they are influenced by the MSK system. Part of the reason I'm shining a light on this topic is that in recent decades, the focus has narrowed on just pain and function, but there is so much more to these intricately linked systems.
Adrian den Boer, ND, DC, IFMCP | November 16, 2020
It is the start of a busy Wednesday morning and I walk into treatment room #2. One of my long-time patients is sitting on the treatment table, beaming at me, and says, "Doc, that stuff you gave me last month just rocked my socks!" Not quite knowing how to take that statement, I inquired, "Umm, how do you mean?" They replied, "My chronic knee pain is significantly better, and that deep hip pain is now well enough for me to sleep through the night!"
Adrian den Boer, ND, DC, IFMCP | December 16, 2019
Inflammation is the most common target for arthritis symptom management. However, to get to the root cause and ultimately improve outcomes, the target must incorporate the microbiome and consider systemic inflammation. Diverse pleotropic phytonutrients not only relieve local inflammation caused by the degradation of cartilage, but also enhance microbiome diversity and the gut epithelium, which helps reduce systemic inflammation. Here are the top phytonutrients I recommend for my arthritis patients:
Adrian den Boer, ND, DC, IFMCP | September 16, 2017
"Exercise is medicine." This is probably one of the most to-the-point and impactful pieces of advice you can give your patients. The improvements exercise imparts on health, including rate of healing and decreased pain, are so significant that we are doing our patients a disservice if we neglect to encourage exercise in all its forms.
Adrian den Boer, ND, DC, IFMCP | September 16, 2016
Chronic pain is a widespread, incapacitating and expensive condition. In the United States alone, an estimated 126 million adults reported some type of pain in the previous three months, with 25.3 million adults (11.2%) reporting daily (chronic) pain and 23.4 million (10.3%) describing intense pain.1 Chronic pain costs the United States an estimated $560 to $635 billion annually.1
Adrian den Boer, ND, DC, IFMCP | October 16, 2015
Your day begins as soon as you set foot in your office. Ten patient messages await your attention; an insurance denial on a patient's MRI beckons from your desk; one of your staff, who manages patient services and scheduling, calls in sick. As you begin responding to patient messages and mentally prepare for the day, you see your first patient pull into the parking lot. Before you know it, the day is over, and you can't help but wonder how you survived.
Adrian den Boer, ND, DC, IFMCP | February 16, 2015
From the pages of medical journals to the worried minds of family members watching loved ones suffer, the opioid crisis continues to permeate our society. Whether in chiropractic, allopathic or physical therapy offices, clinicians must focus on bringing awareness and solutions to patients concerned about physical pain and the very-real risk of addiction.
Adrian den Boer, ND, DC, IFMCP | August 16, 2014
If patients are experiencing low back pain, they're not alone. About 80% of adults experience low back pain at some point in their lifetimes, and it is one of the most common reasons patients seek out medical care. Most causes of low back pain are not acute broken bones or traumatic accidents, but subacute/overuse injuries in which increased mechanical stress accumulates and degenerates body tissues over time, resulting in tissue failure. Any injury, whether categorized as a micro or macrotrauma, results in biomechanical dysfunction and is commonly characterized by both pain and inflammation.
Adrian den Boer, ND, DC, IFMCP | July 16, 2014
According the CDC, NIH, and Institute of Medicine, more than 30% of Americans are living with some form of chronic or severe pain. To put this in perspective, 116 million Americans live in pain, compared to the 30.3 million who suffer from diabetes, 25.4 million who suffer from cancer...
Adrian den Boer, ND, DC, IFMCP | July 16, 2013