Stories from Symposium - Dr. Kristina Petrocco-Napuli

“Are you thinking about physiological journey of women?” That was the question posed by Dr. Kristina Petrocco-Napuli to attendees at Logan’s Spring Symposium on Saturday. 

Dr. Petrocco-Napuli addressed the importance of treating women’s health issues that have historically been lumped with pediatric services and the pregnant population. 

“There is a shift occurring in women’s health, which is more encompassing than puberty, pregnancy and menopause. Young girls are aging fast wherein puberty is occurring between the ages 8 and 13.  What is that doing for bone building, reproduction, polycystic ovarian syndrome and infertility? Are we helping to prepare them for the future?”

Female pain, she said, is multifactorial, and women are more likely to experience more chronic pain, widespread pain and pelvic pain.  

Dr. Petrocco-Napuli pushed chiropractors to be asking questions about dysmenorrhea, age of their first menstrual period and urinary incontinence. “Pelvic floor dysfunction can occur in girls as early as 15,” she said. “If you’re not asking these questions, you’re missing it. We should be owning women’s health issues that move the profession forward.”

Another part of women’s health, she said, is educating females to advocate for the care they need and deserve, and making sure they are given all the information.

“Seventy eight percent of women in the U.S. make the household decision on health care. Are we helping them with this to make the right choice”,” Dr. Petrocco-Napuli asked. “We are not speaking loud enough and educating like we need to be ― our patients need us. We need to integrate, talk, advocate and work together, using all the tools available.”   

Dr. Petrocco-Napuli is a 2003 graduate of New York Chiropractic College. She is an adjunct faculty member at Logan University and associate professor of the Masters of Science in Human Anatomy and Physiology Instruction Program at New York Chiropractic College. Dr. Petrocco-Napuli is currently serving as President of the ACA Women’s Health Council. 

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Stories from Symposium - Dr. Paul Matz

Day three of Logan’s Spring Symposium kicked off with plenary speaker Dr. Paul Matz who spoke on spinal balance and what Doctors of Chiropractic need to achieve clinically as well as when to consider surgical options.

“I think the take home message is to think globally and look and act locally,” he said. “We tend to think segmentally, and the same is true for us. Most important is what’s your functional status which is maintaining head over the pelvis. When doing restorative treatment, you always want to do is the least amount to address the simple problem and you always want to address the functional problem.

Demonstrating that point, and the fact that not all degenerative disease is the same, Dr. Matz presented case studies of two patients (one with aging hyper pressure, the other with compensatory hyperextension) where the same area on each was treated, yet the first provided a local problem, and the other had a much more global problem, having more impact on other areas.

“Management becomes what’s efficacious, complication free and low cost,” he said. “When we see patients, older does not necessarily mean worse. You must look at morbidity and the number of risk factors. Preventative complications are related to the number of complications.”

Dr. Matz said age is acceptable, if healthy. Poorer health, however, is the real risk factor so maintaining bone and joint movement is important. Aging co-morbidities that affect the spine include osteoporosis, Vitamin D deficiency, renal failure, infections and malignancies and metasticies.

Dr. Matz is a 1992 graduate of Columbia University’s College of Physicians and Surgeons. He graduated magna cum laude from Yale University in 1987, was Chief Resident in Neurosurgery at the University of California at San Francisco, Assistant Professor of Neurosurgery at Stanford University and Assistant Professor of Surgery at the University of Alabama at Birmingham. He is a partner with the Brain and Spine Center at St. Luke’s Hospital in Chesterfield, Mo.

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Stories from Symposium - Dr. Nelson Marquina

Nelson Marquina, DC (1998) addressed attendees of the 2018 Spring Symposium about the effectiveness of laser therapy for pain and tissue healing. Dr. Marquina is the former Director of Research at Logan and is an internationally known expert on laser therapy.

Laser therapy is based on the body’s electrical properties, Dr. Marquina explained. Normal tissue down to the cellular level is electronegative, but injuries alter the electrical functioning of the cells and cause inflammation. Laser therapy intervenes to restore electronegativity. “Lasers are noninvasive – they’re not a drug,” Dr. Marquina said. “They’re working down to the intercellular level providing energetic resources. Whether you’re dealing with bone cells, neural cells, etc., it doesn’t matter – all are cells and all function in the same way.”

By reestablishing tissue’s electrical charge and creating the ideal electronic gradient for cell regeneration, laser therapy produces tissue remodeling. For external injuries, this means scar tissue becomes normal and tensile strength also goes back to normal. Dr. Marquina treated a dentist in Japan who had scar tissue from a major surgery on his shoulder and suffered from low-grade pain and limited range of motion. After just one laser treatment to promote tissue remodeling, the scar tissue became more pliant, the patient’s pain decreased and range of motion improved.

To be effective, the laser needs to reach the mitochondria, which makes energy (adenosine triphosphate, or ATP) and moves ions in and out of the cell membrane to maintain electronegativity. “The objective is to enable ATP production at the mitochondria level,” Dr. Marquina said. His research has demonstrated that when combined with additional modalities, the laser’s healing properties are increased. For instance, an ultrasound placed perpendicular to the laser lowers the interference created by tissue, allowing the laser to more easily reach the mitochondria. The result is much deeper laser penetration and more effective healing properties. Electrical stimulation by way of pulsed electromagnetic field therapy also enhances the laser’s effects. 

Dr. Marquina is the founder and Chief Technology Officer at Laser Biotech International, located in Richmond, Virginia. He authored a chapter in the third edition of “The Scientific Basis of Integrative Health,” released in 2017. Titled “Energy Medicine: Focus on Lasers,” his chapter provides a scientific basis for the clinical application of lasers. 

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Stories from Symposium - Dr. Lev Furman

Dr. Lev Furman (2013) addressed attendees of the 2018 Spring Symposium on Thursday about best practices for Doctors of Chiropractic to build and grow their patient base ─ one of which was maximizing the potential of Health Fairs.

Dr. Furman leveraged health fairs to educate potential patients about chiropractic while also educating himself on how health fairs could be better designed for the attendee as well as the company or organization hosting the fair.

He began meeting with HR of various companies, offering to organize health and wellness programs. Based on the company’s needs or employee concerns, he build a wellness team, comprised of physical therapists, nutritionists and nurse practitioners, to provide an interactive education experience best suited for the attendee. 

“We wanted people to leave the day learning something about themselves that they didn’t know before,” he said. “Research your target audience and understand where they are coming from. Find out from HR what people are struggling with the most and whether you need to provide biometric screenings or blood pressure screens and the find the right team.”

Today, Dr. Furman – owner and clinic director of the Furman Institute of Health in St. Louis –  serves as the Corporate Wellness Director for Pepsi and is the on-site chiropractor for Build-A-Bear and Cintas.  

He routinely organizes Health Fairs for companies and provides chiropractic care, soft tissue therapy and rehabilitation at on-site corporate clinics. Dr. Furman said companies find that the care reduces employee lost work time, increases productivity, prevents common work place musculoskeletal injuries and boosts employee morale and the health culture. 

“I want to make an impact on the profession through corporate care,” said Dr. Furman. “Companies need our help and we need to make care more accessible, convenient and easier. Building those relationships with HR, wellness and general managers holds a lot value.”

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