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Issue 2

CJNM / Volume 2  / Issue 2

Clinical Guidelines for Return to Play Following COVID-19 Infection

03/10/2022
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Issue 2

Abstract The emergence of COVID-19 has impacted all areas of clinical practice, and to those working with elite athletes pose some unique challenges. Return to play (RTP) following an illness has received considerable research interest over the years, yet COVID-19 has forced consideration of strategies to govern safe RTP from a novel virus for which many unknowns remain. Cardiopulmonary complications seen with COVID-19 infection require careful consideration and thorough clinical evaluation to ensure RTP is conducted in a safe manner. Several advisory panels have convened and set forth guidelines to govern RTP for athletes following COVID-19 infection. This review will assimilate the recommendations of these various advisory panels and attempt to consolidate a practical comprehensive set of recommendations clinicians can call upon to minimize potential harms...

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Opportunities in the Metabolic Chaos of Cancer

03/10/2022
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Issue 2

Abstract Cancer cells demonstrate the Warburg Effect. They ferment fuel by anaerobic glycolysis despite the presence of oxygen. This remarkable metabolic transformation at the onset of malignancy appears to be an innate adaptation to hypoxia. Cancer cells always continue some oxidative phosphorylation, and will die in a completely anoxic environment, but adapt to a crowded, compressed, and hypermetabolic situation by moving almost entirely to a metabolic phenotype that can operate without oxygen. Fermentation is not just an alternative way to obtain cellular energy - it provides increased biosynthesis of cellular components necessary to maintain exponential tumour growth. Anaerobic glycolysis is also a route to epigenetic alteration of the phenotype. Increased de novo synthesis includes not only structural cellular components, but also signaling molecules such as succinate...

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Epilepsy: Nutrients and Herbs

03/10/2022
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Issue 2

Abstract Epilepsy is a common neurological disorder that affects a large global population. While antiepileptic medications provide great relief, nearly 30% of cases remain insufficiently or completely unmanaged. There is a growing interest in the complementary and alternative care and a number of systematic reviews have explored the potential benefits of many herbs. Unfortunately, these reviews focused on preclinical data, comprised of animal and in vitro studies. This review will explore the latest clinical developments in the nutritional and herbal approaches for epilepsy, including Paeonia officinalis, Ganoderma lucidum, Vinpocetine, probiotics, melatonin, omega 3, vitamin E, vitamin D, N-acetylcysteine, and coenzyme q10. Introduction Epilepsy is considered to be one of the most common neurological disorders worldwide (Beghi 2020), affecting 0.4 to 1% of the population of all genders, ages,...

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Clinical Evaluation of Green Tea (Camellia sinensis) as a Respiratory Anti-Viral

03/10/2022
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Issue 2

Abstract Green tea (Camellia sinensis) consumption originated in China and has been consumed for thousands of years due in part to its refreshing and pleasant taste and also to its purported health benefits. Over 200 compounds are synergistically present in green tea leaves including polyphenols, L-theanine, caffeine, tannins, and trace elements. Studies have found that polyphenolic compounds can constitute up to 30% of the total dry mass of green tea leaves. Catechins are the most abundant, potent, and well-studied of the polyphenolic flavonoids in green tea. Recent pandemics including influenza in 2009–2010 and the present severe acute respiratory syndrome coronavirus 2 (COVID-19) have put global pressures on the scientific, public health, and medical communities to research and develop other non-pharmaceutical preventative solutions against these infectious respiratory...

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The Promising Use of Omega-3 Supplementation in Psychiatric Diagnoses

03/10/2022
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Issue 2

Abstract It has been evident that the past few years of the COVID-19 pandemic have challenged many people physically, emotionally, and most of all, psychologically; the increase in prevalence of mental health diagnoses and associated symptoms has resulted in an immense need for integrative mental health management tools due to the numerous side effects of conventional medication, suboptimal reduction of symptoms, and the reluctance of parents to give children conventional medication. Omega-3 polyunsaturated fatty acids (PUFAs) have been effective at alleviating symptoms in various neurological, cardiovascular, and endocrine diagnoses, and more due to their anti-inflammatory nature. Omega-3s are an excellent candidate for therapy in psychiatric diagnoses due to their moderate to high efficacy and lower level of side effects. The goal of this article is to...

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Towards Establishing Standards of Care of Injection Therapies for Pain Management Delivered by Integrative Healthcare Providers

03/10/2022
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Issue 2

Naturopathic doctors practicing interventional orthopedics in provinces and states with a broad scope of practice are perfectly positioned to offer high quality interventional pain management care. Current injection training for NDs varies greatly depending on which state or province they are licensed in. NDs in North America primarily use landmark guided injections of orthobiologics (platelet rich plasma (PRP) and stem cells), prolotherapy, neural, and perineural injections. To further advance our profession in this field, a focus on diagnostic accuracy, competent delivery of image-guided procedural-based interventions, and the addition of hyaluronic acid and the judicious use of corticosteroids is warranted. Over the last 10 years the scope of naturopathic physicians in North America has markedly broadened. This progression in scope has afforded opportunities for naturopathic doctors to...

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Advancing Standardization of Ultrasound-Guided Injections in North America

03/10/2022
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Issue 2

Policy Position Title Advancing standardization of non-surgical orthopedic interventions in North America. Position Statement Healthcare professionals providing in-office interventional pain therapy procedures should be guided by evidence-based practices. Background The current landscape in North America estimates 20.4% of Americans experience chronic pain (Dahlhamer et al 2016). With the increasingly aging population and the opioid epidemic claiming the lives of 750,000 people since 1999, healthcare providers must consider alternatives for pain intervention (US Department of Health and Human Services 2010). Office-based landmark-guided corticosteroid injections have been a mainstay in addressing patients' needs for pain relief. While there is a time and place for the use of injectable corticosteroids, there have been many recent advances in the field of interventional orthopedics, including orthobiologic cell therapy and injectable hyaluronic acid. Interventional orthopedics asserts...

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CJNM Volume 2 Issue 2

Issue 2 June 2022

04/07/2022
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Issue 2, Volume 2

COVID messed up many things. Of note in our home was organized sports. Our children were just beginning to join sports teams when the pandemic hit, and for two years this aspect of life was put on pause. Yet now it is in full swing and I am embracing the role of taxi driver/cheerleader as best I can. I suddenly find myself wondering how my parents managed two boys in competitive sports? I am finding two young children in non rep sports a full-time job. It sure is refreshing to see sports fields filled with children again....

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