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Rewiring Your Vagus Nerve: A Functional ApproachWhile vagus nerve exercises like cold plunges and humming are popular, this episode explores a deeper functional perspective. What if underlying factors like mineral imbalances, gut issues, mold exposure, or structural misalignments are blocking your vagal function?The Mineral ConnectionYour vagus nerve functions as your body's electrical system, with minerals as crucial conductors. Hair Tissue Mineral Analysis reveals important patterns:- Calcium/Magnesium Ratio: Excessive calcium dominance keeps you stuck in "fight or flight"- Calcium/Phosphorus Ratio: Ideally balanced at 2.3:1 for optimal function- Potassium Levels: Low levels signal insufficient nerve energy- Heavy Metal Burden: Toxic metals hijack nerve function by stealing mineral binding sites"Your vagus nerve is your digestive system's power cord. Mineral imbalances create short circuits!"The Gut-Vagus ConnectionYour gut contains the second largest neural system after the brain. Comprehensive stool testing can identify issues affecting vagal function:- Low microbial diversity correlates with reduced vagal tone- Deficiencies in butyrate-producers deprive the nerve of energy- Dysbiosis creates inflammation that dampens signalingThis creates a feedback loop: poor vagal tone worsens digestive function, increasing dysbiosis, further impairing vagal tone.Mold ExposureMold illness disrupts vagus nerve function through:- Direct neurotoxicity to vagal nuclei- Mitochondrial damage impairing energy production- Inflammatory cascades that dampen vagal toneMany experience treatment resistance because underlying mycotoxin burden continues suppressing function.Structural ConsiderationsThe vagus nerve can physically get "pinched" due to:- Cranial misalignments- Neck tension- Rib cage restrictions- Abdominal compressionThis explains why bodywork sometimes dramatically improves digestion when supplements haven't helped.Practical Support StrategiesWhile addressing root causes, try:1. Singing: Creates vibrations that stimulate the vagus2. Essential Oils: Applied diluted behind the ears3. Digestive Bitters: Trigger vagal firing4. Omega-3 Fatty Acids: Provide building blocks for nerve structureThe Holistic ApproachRather than isolated "hacks," assess your unique terrain. When we restore harmony to the entire ecosystem, vagal tone naturally improves, with benefits cascading throughout your physiology.Looking for deeper support? Visit the "Work With Me" page on my website to learn about my approach to mineral balancing and microbiome optimization – two key pillars that profoundly affect vagus nerve function and overall health. Mineral Foundations Course HERE Learn more about how you can I can work together HERE Book an initial health session HERE Join my newsletter HERE If you are interested in becoming a client and have questions, reach out by emailing me: connect@lydiajoy.me Find me on Instagram : @ Lydiajoy.me OR @ holisticmineralbalancing
Send us a textCoyal speaks with Chardae, the owner of Lucky Girl Wellness, about her journey in the beauty industry, focusing on holistic wellness and hair restoration. Chardae shares her personal experiences with hair loss and how they inspired her to create a safe space for women to discuss their struggles. The discussion delves into the emotional aspects of hair loss, the importance of a holistic approach to wellness, and the unique services offered at Lucky Girl Wellness, including cranial hair replacement. Chardae emphasizes the need for beauty professionals to understand the connection between emotional health and hair restoration, highlighting the significance of building relationships with clients. The episode concludes with a fun segment and acknowledgments.takeawaysChardae created Lucky Girl Wellness to provide a safe space for women.Holistic wellness connects beauty and emotional health.Hair loss affects both men and women emotionally.Cranial hair replacement offers a personalized solution.Beauty professionals should understand holistic hair restoration.Stress impacts physical health and hair growth.Building relationships with clients is crucial in beauty services.Consistency and discipline are key in hair care.Lucky Girl Wellness offers a range of personalized services.Community support is vital for those experiencing hair loss.Holistic Wellness Coach | HLPC, HHP (@iamchardaejoyce) • Instagram photos and videosLucky Girl Wellness Link Tree01:27Shardé's Journey and Inspiration for Lucky Girl Wellness03:54The Emotional Aspects of Hair Loss06:45Holistic Approach to Hair Restoration09:01Understanding Cranial Hair Replacement10:59Services Offered at Lucky Girl Wellness13:35Importance of Holistic Education for Beauty Professionals16:45Building Relationships and Consistency in Hair CareSubscribe to Visit Vegas Places with Coyal Never miss an episode again!Plus get behind the scenes coverage with business owners and chefs.Have you thought about hosting your own podcast show? If so, I have provided links below to get you started in the right direction.Riverside FM - provides quality recording and virtual capabilities for long distance guest.Access RiversideFM hereBuzzsprout - is hands down the easiest and best way to launch, promote, and track your podcast.Access Buzzsprout HereShow music composed by: Visit Vegas Places with Coyal. Real Vegas, Real Topics, Real Business with Real Owners. Covering topics on economics, entrepreneurship, health, well-being and FOOD! Thank You for tuning in and make sure to VISIT VEGAS PLACES!Follow our social media platforms:https://www.instagram.com/visitvegasplaces/https://www.youtube.com/c/CoyalHarrisonIIISupport the show
Cranial Nerve Review: Full Breakdown Cranial Nerves in Order 1. Olfactory (CN I) – Smell 2. Optic (CN II) – Vision 3. Oculomotor (CN III) – Eye movement (SR, IR, MR, IO), pupil constriction, eyelid elevation 4. Trochlear (CN IV) – Eye movement (SO – superior oblique) 5. Trigeminal (CN V) – Facial sensation, mastication […] The post 128b Cranial Neves 6-12 PANCE Practice appeared first on Physician Assistant Exam Review.
We're back to share with you the 7th episode of Mullets and Memories! Enjoy!NOTE: Mullets and Memories was recorded between September 2016 and July 2018.Find our 2023 & 2024 Summer Series from Episodes 207-211 & 240-245Find The Airwolf Years from Episodes 96 - 189Find The Knight Rider Years from Episodes 1 - 95-----Mullets and Memories Theme Composed by: Greg KleinThe 80's Years Logo Design by: Luke LarssonFollow us on Facebook: https://www.facebook.com/the80syearsInstagram: @the80syearsThreads: @the80syearsBluesky: @the80syearsTikTok: @the80syearsEmail us: letusblowyourmind@gmail.comCall our Hotline: (207) 835-1954
Summary In this episode of VetaHumanz Live, host Victoria Menendez engages with veterinary student Nailah Smith about her experiences in the current semester. They discuss favorite courses, study strategies, personal care, and goals for the future. Nailah shares insights into her learning process, challenges faced in anatomy, and her commitment to maintaining a healthy lifestyle while managing her studies. The conversation highlights the importance of time management and the pursuit of extracurricular opportunities in veterinary education.Keywords VetaHumanz, veterinary medicine, education, study strategies, personal care, veterinary school, student life, anatomy, histology, neuroanatomy TakeawaysNailah enjoys histology and finds it easier this semester.Neuro Lab is her favorite lab due to engaging teaching.Cranial nerves were a new and interesting topic for her.She uses objectives and repetition for studying effectively.Anatomy poses a significant challenge this semester.Nailah is focusing on personal care and gym attendance.She has been eating well but indulging in unhealthy lunches.Nailah is working on securing extracurricular leadership roles.Her recent exams have resulted in straight As.She aims to maintain her academic success moving forward.Chapters00:00 Starting the Semester: Updates and Experiences01:36 Favorite Courses and Labs: Insights from Histology04:02 Study Strategies: Adapting to New Challenges07:11 Personal Care: Balancing Health and Academics10:06 Goals and Achievements: Looking Ahead
Video Version linked below!https://www.youtube.com/watch?v=qXzDulhASUALinks & Socials here:https://linktr.ee/haleygutz
ASMR Realistic Cranial Nerve ExamAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Hey, ich nehme dich mit zu einem außergewöhnlichen Erlebnis: Eine italienische Ärztin führt eine entspannte Untersuchung der Hirnnerven durch. Doch Vorsicht – das Ganze könnte so beruhigend sein, dass du dich fragst, ob du überhaupt wach bleiben kannst! Tauche ein in diese besondere Mischung aus medizinischer Präzision und wohltuender Ruhe. Lass uns gemeinsam herausfinden: Ist diese Untersuchung zu entspannend für dich?
Cranial Nerves Overview 1. Olfactory – CN I – Smell 2. Optic – CN II – Vision 3. Oculomotor – CN III – Eye movement, pupil constriction, eyelid control 4. Trochlear – CN IV – Eye movement down and inward 5. Trigeminal – CN V – Facial sensation and chewing 6. Abducens – CN VI – Eye movement side to side […] The post 127: Cranial Nerve Palsies – Part 1 appeared first on Physician Assistant Exam Review.
This week, we dive yet again into the Neil Breen Cinematic Universe (NBCU) to talk about the film that started it all: Double Down. There's not much that we can tell you about this film aside from what Neil Breen tells us about himself through his many, many exposition dumps, so you might as well watch the movie, and then listen to this episode. Let's do this! Desert dwelling dude donning diverse devices, deadly drugs, and a dead damsel! Terminator timpanis! You can tune a piano, but you can't Tuna Man! The ole excuse me anthrax application! Super sandy sleep sack storage of a spouse's skeleton! Documenting a dead dame's deterioration and decomposition? Breen's buoyant bean bag! Cranial cancer-curing side quests! The Willhelm Breen! Unexplained food fumbling! The magical rock/mushroom dice-hole world! Biological warfare for the halibut! Vanishing old man head blood! Disappointing lack of jizz buckets, and much, much more on this week's episode of The Worst Movie Ever Made! www.theworstmovieevermade.com
Amal Alaoui is a London-based homeopath, craniosacral therapist, and wellness mentor with over 12 years of experience. She specializes in holistic approaches to health, addressing physical, emotional, and mental well-being.In this podcast we discuss how homeopathy, craniosacral therapy, and mindfulness techniques to help clients achieve balance and restore their health.Amal is known for her compassionate and intuitive approach, often focusing on addressing the root causes of stress and other health issues. You can find out more about Amal at www.amalremedy.co.uk or on www.instagram.com/amalalaouicranial/.
Video Version linked below! https://www.youtube.com/watch?v=ynVmHPgJrJ8 Links & Socials here: https://linktr.ee/haleygutz
“As we enter the Advent season, do you think the Nativity Scene best represents of the Advent of the Kingdom of God? Should churches use the Christmas season to attract more people to the Christian religion? In today's podcast and post I will reveal that the bible's revelation of the Advent was an invitation out […] The post 467-Cranial Extraction: Advent NOT Nativity appeared first on Keven Winder.
Holmberg's Morning Sickness - Playdio 2024 DAY TWO - The Annual Local Music "showcase" - Bands 21-25 - Tuesday November 26, 2024 Learn more about your ad choices. Visit podcastchoices.com/adchoices
Holmberg's Morning Sickness - Playdio 2024 DAY TWO - The Annual Local Music "showcase" - Bands 21-25 - Tuesday November 26, 2024 Learn more about your ad choices. Visit podcastchoices.com/adchoices
ASMR Chaotic Full Body Check Up Doctor Roleplay Scalp Check, Cranial NeAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Today I speak with IFBB Bikini Pro Carly Lamberts who has been competing since 2019 and has competed in 210 shows. She earned her Pro card in 2024 at NPC Universe. Outside of competing, she is a wife to another bodybuilder and dog mom to two corgis. She works full time in sales for Red Bull Distribution and as a posing coach. She shares how bodybuilding impacted the trajectory of her life, from trying to shrink herself to be happy to building her dream body and finding confidence, leaving a toxic relationship and finding her forever person! TOPICS COVERED -journey to pro -the decision to switch coaches -fighting to get diagnosed -living with Superior Canal Dehiscence Syndrome -Pro card to cranial surgery -recovery post surgery and the importance of not taking movement for granted -importance of posing and starting early -core control and flexibility for posing -finding your confidence for stage -mental health and prep CONNECT WITH CELESTE: Website: http://www.celestial.fit Instagram: https://www.instagram.com/celestial_fit/ All Links: http://www.celestial.fit/links.html CONNECT WITH CARLY: Instagram: https://www.instagram.com/carlyifbbpro/ TIME STAMPS 1:00 introduction 6:10 practicing to be on stage 9:28 overlooked keys to posing 15:03 her journey to Pro 23:46 changed between 2021 and 2024 season 28:22 switching coaches mid-season 36:52 Superior Canal Dehiscence Syndrome 45:57 approaching post-show with surgery on the schedule 50:30 recovering from cranial surgery 53:35 not taking fitness for granted 58:24 returning to fitness after surgery 65:05 continuing to progress 78:11 working towards the future 80:30 advice for competitors CLICK HERE TO SIGN UP FOR THE FREE FOOD RELATIONSHIP COACHING SERIES CLICK HERE TO SIGN UP FOR THE FREE POST SHOW BLUES COACHING SERIES LEARN MORE AND APPLY FOR MY 5 WEEK FOOD RELATIONSHIP HEALING & DISCOVERY COACHING PROGRAM FOR OTHER FREE RESOURCES, LIVE EVENTS, AND WAYS TO WORK WITH CELESTE CLICK HERE
Video Version linked below! https://www.youtube.com/watch?v=e1wqtZQMfj8 Links & Socials here: https://linktr.ee/haleygutz
ASMR Cranial Nerve Exam & Close-Up Whispers For The Best SLEEP Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
ASMR Cranial Nerve Exam & Close-Up Whispers For The Best SLEEPAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Send us a textCover Image: Artist's MFA Studio - Tribeca Ball.To learn more, please visit Stefania Salles Bruins' site.Show Notes:1:15 art school's training to visually think2:00 Bruins' work as attorney2:30 overview of grad program at New York Academy of Art5:00 medium: use of linseed oil and paint without medium5:30 tools: importance of brushes6:15 support: Bruins' preference for aluminum7:15 Vincent Desiderio's Cockaigne 8:00 Lesson 1 Perspective8:45 Point of View9:30 Lesson 2 Light 10:50 Lesson 2.5 Shadow11:30 Rembrandt's The Nightwatch12:00 Lesson 3 Value 12:55 Lesson 4 Temperature13:05 Courbet's The Madman or The Desperate Man 13:50 Steven Assael - king of temperature shifts 14:20 Lesson 5 Depth15:00 Value is King, Temperature is Queen and Color is a Fool 15:30 Lesson 6 Lines 15:40 shapes within da Vinci's Mona Lisa 17:00 Adam Miller - narrative large oil paintings17:20 Carl Dobsky 17:30 NYAA Big Stories exhibit artist talk 18:00 transitions within grad school and post-grad19:40 learning to be your own voice of reason - parallel with work as general counsel20:55 Old Masters Rembrandt and Vermeer21:55 Alan Robertshaw: Vermeer's use of optics23:00 SSB: application of illusions in cinema and inspiration from movies more than paintings24:00 Kubrick's Barry Lyndon 24:50 use of grids and projectors27:15 use of technical and human assistants28:45 critiques 30:00 art historical references to read the work 31:20 Nnebundo Obi: time commitments within art grad school32:50 Escoda brushes33:00 use of aluminum34:45 advice for individuals who want to begin painting35:30 always clean your brushes!see also:JP Roy's IG post re lightcheckerboard illusionPlease share your comments and/or questions at stephanie@warfareofartandlaw.comTo hear more episodes, please visit Warfare of Art and Law podcast's website.Music by Toulme.To view rewards for supporting the podcast, please visit Warfare's Patreon page.To leave questions or comments about this or other episodes of the podcast and/or for information about joining the 2ND Saturday discussion on art, culture and justice, please message me at stephanie@warfareofartandlaw.com. Thanks so much for listening!© Stephanie Drawdy [2024]
ASMR Cranial Nerve Exam (Glove sounds, Personal attention, Face TouchingAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
About Dr. Michael Lande Dr. Michael P. Lande is a board-certified Doctor of Chiropractic (DC). He has spent the past 20 years combining his training and life experience into his unique treatment protocols, which combine chiropractic, muscular, osteopathic, breathwork, detox and cellular restoration, and regenerative medicine to create a technique that finds an individual's blockages wherever they exist. His knowledge and teaching cover an extensive range of topics in the fields of health, wellness, and human potential. Michael's thorough diagnosis allows each treatment to be customized to the patient's needs. He also advises on activities of daily living, ergonomics, general health, and rehabilitation/stabilization exercises as necessary. In addition to his formal doctoral-level training, Michael has received additional training in Functional Medicine, Craniopathy, Cranial-sacral therapy, organ manipulation, neurological reflex technique, energy healing, peptide therapy, and regenerative medicine. He incorporates these with 30 years of Tai Qi, Qi Gong, and other martial arts studies. Michael is also the developer of Elemental Qi Balancing, a powerful technique for energetic healing that he incorporates into all his treatments. WEBSITE: Stem Cell Tulum - Stem Cell Tulum (stemcellstulum.org) INSTAGRAM THIS EPISODE IS AVAILABLE ON YOUTUBE- CLICK HERE About Vanessa Soul: her to deeply support aspiring Conscious Leaders & Spiritual Entrepreneurs into an expanded life purpose. Vanessa holds a B.A in Political Science and a Master's Degree in Government & Public Policy from Pepperdine University. Vanessa is on a mission to help as many people as possible discover and expand into the highest Life Purpose of their lifetime. She believes that one of the purposes of life is to discover how limitless we are; and she has crafted a process to help individuals decode, discover, and expand into a fulfilling life of meaning and clarity. Vanessa believes that everyone possesses a purpose. She understands that when individuals fully embrace their purpose and life path, a transformative ripple effect occurs, ultimately leading to a positive global impact. Your LIFE PURPOSE Decoded, Discovered, and Designed! FREE 15 min Career & Life Purpose Astrology & Human Design Guidance- Limited Spots Each Month- First Come, First Serve! Get the FREE Soul Purpose Discovery Journal HERE Order your personalized Purpose Report (Hybrid product and service) Other Quick Links @sacredsoulenergetics | Linktree CONNECT WITH VANESSA ONLINE IG: https://www.instagram.com/sacred__soul____/ Facebook link https://www.facebook.com/vanessa.spiva.9/ Threads https://www.threads.net/@sacred__soul____ SUPPORT THIS PODCAST - Donate here https://www.venmo.com/u/sacredsoulenergeticsCash App: $abundantlife11 Paypal: michellespiva11@gmail.com
n this episode, we sit down with Dr. Travis Johnson, a chiropractor specializing in Advanced Biostructural Correction™ (ABC) and Functional Cranial Release (FCR), to explore his innovative, fascia-based approach to chiropractic care. Dr. Johnson explains how his techniques go beyond addressing spinal misalignments to focus on restoring the structural integrity of the entire body. Through Functional Cranial Release, he reveals how realigning the cranial structures can clear blockages, improve blood flow, and resolve respiratory issues. This non-invasive therapy, which can often be an emotional experience, helps alleviate years of tension and trauma built up in the body due to misalignment and discomfort.Our conversation goes deeper into broader health concerns, discussing why many people today suffer from similar chronic ailments. Dr. Johnson highlights how our physical environment impacts personal health, emphasizing the importance of addressing the root causes of dysfunction rather than just treating symptoms. In a society that seems designed to keep us in a cycle of illness, innovative techniques like ABC and FCR offer powerful solutions. We also touch on practical advice, including Dr. Travis' expertise in biostacking, functional movement, and lymphatic drainage, providing listeners with actionable tools for improving their health and well-being through holistic chiropractic care.HIGHLIGHTS[3:00] Regulating Your Nervous System[7:00] Freddie's Experience With Postural Exercises[9:00] What Makes Dr. Travis a Unique Chiropractor[13:35] Advice on Exercises to Do Between Chiro Sessions[22:25] Why Are We All Suffering From the Same Ailments?[26:30] How Your Environment Might Be Harming You[30:40] The Remarkable Impact of Flowspresso and Lymphatic Drainage[34:15] The Power of the Functional Cranial Release Technique[41:30] Understanding Our Anatomy[46:10] How to Find Functional Cranial Release Chiropractors[49:15] A Glimpse Into the Patient Experience[59:45] What It Means to Be Beautifully Broken[1:01:35] Tuning Into the Things We Truly LoveGUEST LINKSDr. Travis Johnson of Hudson Spine and HealthWebsite: https://hudsonspineandhealth.com/Instagram: https://www.instagram.com/hudsonspinehealth Episodes Mentioned:Episode 206: Unlocking the Power of Zeolite: Detoxification Secrets with Jeff Hoyt: https://podcasts.apple.com/us/podcast/unlocking-the-power-of-zeolite-detoxification/id1451243028?i=1000664365180Episode 179: The Healing Power Of Stem Cells With Christian Drapeau: https://podcasts.apple.com/es/podcast/the-healing-power-of-stem-cells-with-christian-drapeau/id1451243028?i=1000637431469UPGRADE YOUR WELLNESSZeocharge from Zeolite Labs: https://www.zeolitelabs.com/?ref=voxdgitkCode: beautifullybrokenSTEMREGEN: https://www.stemregen.co/products/stemregen/?afmc=beautifullybrokenCode: beautifullybrokenSilver Biotics Wound Healing Gel: https://bit.ly/3JnxyDDCode: BEAUTIFULLYBROKENHouse of Macadamias: https://www.houseofmacadamias.com/Code: beautifullybrokenLightPathLED https://lightpathled.com/?afmc=BEAUTIFULLYBROKENCode: beautifullybroken CONNECT WITH FREDDIE Check out my website and store: (http://www.beautifullybroken.world) Instagram: (https://www.instagram.com/beautifullybroken.world/) YouTube: (https://www.youtube.com/@BeautifullyBrokenWorld)
ASMR At Home Doctor (Gloves, Cranial Nerve Exam, Personal attention, Light tAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
ASMR Cranial Nerve ExamAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
On this episode of Unclenched, Dr. Alex and Dr. Priya welcome Dr. Arthur Parker, Priya's mentor and a pioneer in the field of TMJ treatment. Dr. Parker shares his unique journey to becoming a TMJ specialist and how his holistic, whole-body approach, including cranial therapy, has revolutionized how TMJ is treated. Tune in to hear Dr. Parker's insights on hypermobility, dizziness, and his most memorable case, highlighting the importance of mentorship and integrated treatment approaches in the evolving world of dentistry.*****Disclaimer*****The information in the "Unclenched" podcast is not diagnostic.The "Unclenched" Podcast and content posted by Dr. Alex and Dr. Priya is presented solely for general informational and educational for the TMJ suffers and health care professionals. The use of information on this podcast or materials linked from this podcast or website is at the user's own risk. The contents of this podcast is not intended to be a substitute for professional dental/ medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical/dental advice for any medical/dental condition they may have and should seek the assistance of their health care professionals for any such conditions.© All materials and information included in this podcast are protected by U.S. and international copyright laws.The materials and information in this podcast are copyrighted by us and/or by other applicable rights holders. You may download a single copy of this podcast for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the materials and information is strictly prohibited without our prior written permission and the permission of the applicable rights holder(s).
Today on the radio show. 1 - Smoko chat. Dunc's teeth. 6 - My story is better than yours - The teeth edition. 11:40 - Cranial facial adjustment. 16:01 - Riddle god. 19:40 - Parents and tech. 23:40 - Punishing boomer hotline. 26:54 - Stealing 1.5 million dollars worth of chicken wings. 30 - Helping to name a new business. 32:47 - A message from Brett from the army. 36:24 - Daily dump - Doggy Daycare https://bit.ly/3Ajp7IS Minions voice actress: https://bit.ly/4dL72SJ 39:24 - Kingfish farm. 42:18 - Methed up lollies. 45:44 - Late mail. 49:35 - Last drinks. Get in touch with us: https://linktr.ee/therockdriveSee omnystudio.com/listener for privacy information.
Video Version linked below! https://www.youtube.com/watch?v=V7vUVXYXTDo Links & Socials here: https://linktr.ee/haleygutz
The Relaxing ASMR Cranial Nerve ExamAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
ASMR Most Relaxing Cranial Nerve ExamAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Hey, ich wünsche dir viel Erholung & Entspannung bei diesem Asmr Roleplay
On this episode, I sat down with Katrina Fahey, a Facial Cranial Health Coach whose expertise goes far beyond the surface. We explore the intricate connections between the bones, muscles, and fascia of the face, discussing their profound impacts on both beauty aesthetics and overall health. From the importance of chewing and early childhood development to the repercussions of mouth breathing and modern orthodontics, we cover a wide range of topics aimed at enhancing your well-being. Join us as we uncover practical insights and solutions for a healthier, more vibrant you! On This Episode We Cover: 01:14 - Tyna's experience with craniofacial health 03:37 - Katrina Fahey's backstory and experience 11:10 - The importance of chewing 15:52 - Early interventions for child development 19:41 - The repercussions of mouth breathing 23:07 - Plastic teeth aligners & other orthodontia 26:40 - Adult options for craniofacial healing 29:57 - Sleep apnea and low grade hypoxia 32:09 - Obesity 33:41 - Food supply and health in developed countries 35:36 - Violence and facial structure 41:51 - Slack jaw and diminishing intelligence 42:34 - Facial Exercises 46:24 - Mewing 48:06 - The long term health impact of jaw botox 50:41 - Fillers and other cosmetic procedures 52:42 - Katrina's Book Sponsored By: NutriSense Get $30 OFF with code DRTYNA at nutrisense.io/drtyna Paleo Valley For 15% off go to http://paleovalley.com/drtyna Purity Coffee Go to puritycoffee.com/drtyna and use code DRTYNA30 at checkout for 30% off your first purchase Kion Try KION and save 20% on monthly deliveries and 10% on one-time purchases at getkion.com/drtyna Check Out Katrina: Website Instagram Beauty Is Bone Deep Book Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Welcome back! I don't have to tell you this video is iconic in the ASMR community! I think I've wanted to do it for a few years now, and finally took the time to give it some real thought. I truly hope you enjoy! Many blessings and the sweetest of dreams!
I have sleep apnea. I also had major jaw surgery at 15. Are they connected? If I had a Magic 8 Ball, it would likely say, “All signs point to Yes”. And so would one pioneer in holistic dentistry by the name of Dr. Claire Stagg. Through my personal journey of trauma and jaw surgery, we highlight the limitations of conventional solutions like CPAP and oral appliances, underscoring the need for a comprehensive, whole-body approach. Dr. Stagg shares invaluable insights into the interconnectedness of our body's systems, focusing on non-surgical solutions for TMJ, clenching, grinding, sleep apnea, and airway disorders. This is about building your symphony of specialists who focus on the root cause, not just the diagnosis. It's the conversation I wish my parents and I had over 35 years ago when I sat in the dentist's chair. Today, I hope it serves as a guide for anyone struggling to find answers. And for parents, let it offer a new kind of hope for your kids to leave you better informed when it comes to your dental health and overall well-being. KEY MOMENTS 00:00 Intro 00:06 Whole Body Approach to TMJ 03:50 Orthodontic Surgery Complications and Alternatives 14:31 Identifying and Addressing Airway Issues 18:20 Comprehensive Approach to Airway Disorders 20:48 Navigating Specialists for Sleep Apnea 25:38 CPAP vs Oral Appliance 26:51 Addressing Root Cause of Sleep Apnea 34:34 Understanding Palatal Expansion and Growth 42:05 Empowering Dental Health Education and Advocacy 46:33 Parent's Journey to Healing Child 48:49 Rapid Fire Game 49:49 Dr. Stagg's closing thoughts 51:29 Hilary's closing thoughts/Wellness Resources and Support Availability Grab a copy of Dr. Stagg's book, “Smile: It's All Connected" Hardcover: https://amzn.to/3XLYm9X (Amazon) Share storytime about proper dental health with her children's book "Captain IFBI" https://amzn.to/4cipP7l (Amazon) Get the Daily Dental Protocol Checklist. https://lp.constantcontactpages.com/sl/Y4V5mXB CONNECT WITH DR STAGG https://healthconnectionsdentistry.com/ https://www.instagram.com/SmileProDentist https://www.facebook.com/SmileProDentist HEALING IN YOUR HANDS. HAVENING WITH HILARY https://www.hilaryrusso.com/havening CONNECT WITH HILARY https://www.hilaryrusso.com/podcast https://www.instagram.com/hilaryrusso https://www.facebook.com/HIListicallySpeaking/ https://www.facebook.com/groups/hugitoutcollective/ https://x.com/hilaryrusso https://www.tiktok.com/@hilisticallyspeaking Music by Lipbone Redding https://lipbone.com/ FULL TRANSCRIPT ALSO ON PODCAST WEBSITE 00:06 - Dr. Claire Stagg (Guest) Think about all the systems that are shut down because you can't breathe right? The oral appliance isn't going to fix it. The CPAP is definitely not going to fix it, because what's going to happen is the body is going to acclimatize or get used to that level of band-aiding and then it's like okay, you know what it is. The little Dutch boy with his finger came to mind with a dam. So you put one finger here and then you put one finger here, and then you put one finger here and you put one finger, and then you're not gonna have enough fingers or toes, and then the dam's gonna break. And it's exactly the same concept. 00:40 - Hilary Russo (Host) Okay, my friends, One of the reasons I went into the work that I do is it was an effort to heal my own trauma and, as a result of that, from having TMJ my whole life, from having jaw surgery when I was a teenager and not knowing really how to heal and not getting the right kind of support after that surgery, I wanted to know what I could do to heal later in life, because we really never stop healing, right? You hear me talk about that all the time and it's really how Havening came into my life. It was the first time I was ever Havened was on the trauma from my surgery years later. But what we're learning is that it's all connected. Everything from head to toe. It's all connected. Everything from head to toe, it's all connected. 01:32 So when I was introduced to Dr Claire Stagg, a holistic dentist who believes in the whole body approach thank you so much I knew that her story and her method would resonate with so many others, because I've had these conversations with so many Dr Stagg about TMJ, jaw issues, clenching, grinding, stress and the problems that happen after the breathing, the sleep apnea, and it's such a common problem. So when you came into my space, when I was introduced to you by a client who you introduced me to, I knew that you were the right person to talk about this, to share the journey, to share possibilities, and I am so grateful that you are here. 02:12 - Dr. Claire Stagg (Guest) Well, thank you, thank you, and I think it would be good to, if it's okay with you, to answer your questions and your journey, because I think you went through the whole gamut of from the start out the gate to the journey itself. So the first thing I'd like to add is that surgery is a massive undertaking and, unfortunately, one of the things because you and I have talked before this is that, without stepping on too many toes and being politically correct, it would be wise to figure out why orthognathic surgery is being done. A lot of times people are having their jaws move forward without understanding how the whole concepts work, and a lot of times some things can be done, so a lot and some can be done non-surgically. You just don't know what. You don't know until you know it. So surgery is a end-all, be-all concept and if you have a broken bone, it's a good time to put things together. 03:20 But the head, the cranium, all these things keep moving all the time. I have a skull here with sutures. I mean this is just the top part, if you will, this is the front. The head you can tell Fred moves a lot too with me. Then this is the part that I work with and this is what I tell everybody, this is what I do right this part and right this part, and then this part. All right, but not as crooked. But what happened is you had your surgery to go ahead and to fix something that might have been fixable without it actually having to have the surgery. So here we go. I'm trying to put it all together for you and showing us us on YouTube. 04:04 - Hilary Russo (Host) We are on YouTube in case anybody wants to watch the video rather than just listen. It is on YouTube. 04:10 - Dr. Claire Stagg (Guest) Right. So what I'm trying to say basically is that if you approach and saying that you need jaw surgery, please educate yourself more before you go down that rabbit hole, because it makes us a lot harder for us who are coming in behind to work on, to have arch expansion or arch development or airway issues to resolve them, if we're trying to move bone when you have screws tying them in. That's all I'm trying to say. So I interjected very early on. I'm sorry, but that's where I think. If you start off the gate that way and I think, unfortunately your issues, if I may say so, continued and stemmed from the actual surgery. They were trying to do one thing, but you ended up with a lot of other things. So that's where we have to weigh the pros and the cons, right. 04:59 - Hilary Russo (Host) Absolutely. 04:59 - Dr. Claire Stagg (Guest) Very delicate. 05:00 - Hilary Russo (Host) Yeah, and it's something that you know. Back in the 80s, when this surgery was done, I was 15 years old. What was known about it? It was pretty much a younger surgery. The surgery itself was hours, the healing process was eight to 10 weeks with a jaw wired shut, and just you know. If this is triggering to anyone, I just want to preface that we're going to go there, that this surgery was not a minor surgery that you're doing in a dental office. I had a doctor that dealt with the face, I had an orthodontist, I had a dentist. It was like this team. And even after the surgery, a year later, I had follow-up surgery and I told myself. I said this has got to be it Like there can't be more than this because it was very traumatic. And this has got to be it Like this, there can't be more than this, because it was very traumatic. And the years following, because I was still growing, there was movement still happening, obviously, right. 05:55 - Dr. Claire Stagg (Guest) So, and at 15, you're not finished growing. And that's the other thing to girls and boys grow differently. Girls can grow, still continue growing, sometimes up to 18, sometimes maybe even 21. Boys start later, but they can continue growing. I have a friend of my former husband who was continuing to grow tall at 29 plus. So everybody's different, but 15 is very young to do that. 06:19 - Hilary Russo (Host) It was young. It was a decision I had to make. 06:21 - Dr. Claire Stagg (Guest) We could start a column of pros and cons there, Hihillary, of things that could go really really well and things that we might want to wait because they might cause problems later on, right? 06:32 - Hilary Russo (Host) But this is also something that you have a lot of younger patients and I know that there are moms and dads out there that listen that this might not be for them, specifically someone who's in my age range, but perhaps their child has breathing issues or they are dealing with. You know, I had the malocclusion, I had a protruded lower jaw and it was causing a lot of lockjaw and pain and discomfort and to go to that extreme after braces. I imagine that's not the approach this day and age, because there's more science, there's been more development, so it's also to give parents an understanding of information that they're getting about holistic dentistry and other possibilities before taking that approach with their children even. 07:19 - Dr. Claire Stagg (Guest) All right, so let's go ahead about and talk. Interject also because you had four premolars extracted correct? 07:27 - Hilary Russo (Host) Yes, I think you're talking about the wisdom teeth. No, no, no, oh no. 07:32 - Dr. Claire Stagg (Guest) The 18 year old molar right. We, in theory, have 32 teeth, all right. Unfortunately, and I'm just so we're. We're going to talk about all the not to do things all right, to put it in quotes for air, quotes for those who are listening there are a lot of things that and I'm not bashing orthodontists, please don't get me wrong, I'm not. I do orthodontics too, so that's not the issue. There's different ways of doing things all right. That's not the issue. There's different ways of doing things All right. One of them and if you, if you read or you know of Western Price, western Price talked about nutrition, about airway, of growing, of growing arches. All right, your head, your neck. So basically we're back to this again All right. 08:21 And unfortunately, what happens is that when you have the jaw joint like this, all right, this is this is, think of it this way, like this, and then like that, when you translate, okay, what happens? A lot of times? You end up with a jaw disorder or joint disorder if this whole part, this maxilla, this part, is not developed enough and it sounds to me like what you had was an underdeveloped upper arch right. So, unfortunately, a lot of times, people say, oh, this one, they think that this is the normal one. And then this is too far forward, the lower jaw is too far forward, and that's why you end up having all these issues. Let's go ahead and let's take teeth out and bring the jaw back. Well, you've just created a joint problem, a TM joint, temporal mandibular joint problem, because now you shove the joint back, the jaw back. So now you see the cascade of events and this is what I was trying to say the cascade of events, of all the not to do so. First of all, figure out why you need surgery, what has happened, and then all the not to do so. You can't compound a problem with another, causing causative problem that will create another set of problems. 09:48 So the first thing that you want to do is you want to be able to develop the arches and figure out which one truly is underdeveloped, because nine times out of ten, it's not necessary that the lower jaw is too far forward. Most of the time it's because the upper arch is not developed enough. And so, in order to balance them, conventional orthodontics go ahead and say let's take teeth out to make more room. Well, there's just so much. Think of a garage. This is my favorite analogy that I use. All right, think of a garage and let's say you have a 20 by 20 by 24, four walls that are 20 feet long, right? So it's a square, okay. And you say you're going to make more room and you decide to take four feet off in the length of each side of the garage. Will you have a bigger or a smaller? 10:45 - Hilary Russo (Host) garage. You're not going to have a lot of space for those cars, that's for sure, correct. But you have a smaller garage, right, right, and it's exactly the same thing with the mouth, all right. 10:55 - Dr. Claire Stagg (Guest) So think too, now that you have on top of that garage, you have another room, all right, which is the nose. The nose, if you will, is a hollow space, all right. But the floor of the nose is the roof of the mouth, which you've just made smaller. What are you doing to the nasal passages? It's the same exact thing. Now you've brought the jaws up and back, you've made the garage or the box smaller. You've made the nasal passages smaller. Now you've brought everything back. What's back here? It's the tube that the airway is. So you start breathing through the nose, and the tube continues from the nose down to the throat. 11:43 - Hilary Russo (Host) And again, I just want to mention to folks if folks are actually listening and they want to see what Dr Stagg is talking about, you can go ahead and find this podcast episode on youtubecom slash Hilary Russo. You'll see all the podcast episodes there to watch as well, if you want to do that. 11:58 - Dr. Claire Stagg (Guest) So, if you go ahead, when you think about it, this is a person laying down, but this is the best picture that I can have right now to where we need to breathe through our nose. A lot of people breathe through their mouths, but, no matter what, if you lay back and everything closes up, then you have OSA or obstructive sleep apnea. So, basically, what I'm trying to say is the rabbit hole started by, probably, the diagnosis of lack of airway or lack of space, and so that's where it would be important to go ahead and to determine what type of space do you want? Which space are you trying to open up? The nasal passage or the oropharyngeal passageway? An oral mouth? Pharynx is the back, where the throat is. So in your case, it sounds to me like they wanted to go ahead and to move your jaw so that you can have straight teeth, right. 12:54 - Hilary Russo (Host) That was part of it, and also I was getting a lot of pain and jaw aches. So they broke it, set it back and I don't know if I truly remember everything because I was a kid. You know you think you're getting braces, retainers, it's all to straighten your teeth. That's it, day is done, perfect teeth and you're happy. But there were more issues I was dealing with and that is where I am now, 35 years later, where the problems have become the obstructive sleep apnea movement and wondering where does one go next when you have years in between and other issues are now coming up. 13:32 - Dr. Claire Stagg (Guest) Right. So the rabbit hole you're down at the bottom of the rabbit hole, right? Okay? So we're not going to cry over spilt milk, because it is what it is, it's done. But now you're aware that there are issues that you have to deal with. Okay, so then the goal is to figure out how we can get you out of the rabbit hole by reverse engineering what has occurred. So, basically, now you're going to address your airway, you're going to address your jaw joints, you're going to address your bite and you're going to address your nasal passages both going to address your nasal passages, both upper and lower. That's the airway, all, right. So this is where you mentioned that you were talking with um sleep doctors. Okay, that's one part of the orchestra. If you will, all right, then you're going to talk with dentists. That's the other part of the team, if you will, the orchestra. 14:22 I like to say that patients are the music. You either have harmony or cac. Say that patients are the music. You either have harmony or cacophony. It's a French term. You either have chaos or you have health, right. So the whole idea now is to figure out who's going to be in charge of trying to figure out what's wrong, what happened where you are now, because we can't reverse engineer everything to. If you have screws in there, per se, all right, but the whole idea is to figure out what can we do to either see what we can ameliorate or make better and or stop from getting worse. So that's the interesting part is that's where you really need to figure out where you are now. 15:02 If you do have an airway issue, to what intensity is the airway issue an issue? Those of you who do not know anything about sleep apnea we have either a sleep test, a home sleep test, to where you can take a little apparatus. Home Dentists, we're not allowed to diagnose sleep apnea, but we can treat it with oral appliances. So mild to moderate sleep apnea we can treat with an oral appliance. Severe sleep apnea is supposed to be treated. Standard of the gold, standard of care is with a CPAP machine, which stands for continuous positive air pressure. It's like a reverse blow dryer mower back up your nose or your mouth, right. So if you consider that you have an issue, then we need to figure out what your index or your indices are. So, again, a lot of this is on my website, healthconnectionsdentistrycom, where you can read up on the sleep screenings. Again, we cannot diagnose sleep apnea, but we can treat it with an oral appliance. 16:07 Mild to moderate sleep apnea, usually at normal. Zero to five. Your indices are normal. Five to 15, it's mild sleep apnea, 15 to 30, it's moderate and over 30 is severe. Now, those are just the standard of care, the norms and the indices and who cares right. All you really need, as a patient, to know is whether I can breathe or not. Please, let me breathe or not. Let me help me breathe. So if you go ahead and you consider them, that's why you can have a home sleep test and we do home sleep test, because it helps me figure out as a dentist, because I can treat a functional breathing disorder that is in my wheelhouse. But I cannot treat sleep apnea without it being diagnosed by a physician. So if you have officially been diagnosed as you have Hilary with by a physician for sleep apnea, then that's where, too, you need to find yourself a doctor, dentist, who is versed in this type of care. So then you need to figure out where you're going to go from there. 17:18 - Hilary Russo (Host) And I think that's the thing, and I've talked to other people and I know folks are tuning into this episode of HIListically Speaking with Dr Claire Stagg. Just to remind you, we will put that information on the website. We will put everything about the healthconnectionscom dentistry. Also her book that we're going to talk about that just came out. That's doing very well. And the questions I've been hearing from some who have been in these forums are are you know if you've been diagnosed with moderate sleep apnea? Like myself, I've also been through this traumatic TMJ surgery. I'm 35 years in. I know there are little plates in my mouth from the initial surgery and I've been given a referral to see an ENT, a referral to see a pulmonologist, a referral to see a speech pathologist. But then there's the airway side and then there's go find a dentist and it can be very overwhelming, like where to go first right. 18:12 And I think that's the similar question I hear from folks. 18:15 - Dr. Claire Stagg (Guest) Where do I go first? Right, and that's where I said the orchestra, all right. So I like to think that a doctor like myself, a dentist, who sees the medical side as well as the oral dental side, we and I liken it to the conductor of the orchestra the orchestra, the parts, the wind, the pipes, the drums, the bass, the, whatever the strings, whatever, all the different parts, if you will are all the different doctors, if you will, who are doctors, if you will, who are going to partake in making music. The patient is the one who is the music, and you either are going to have that harmony where everything just falls into place and that everything works well and you're healthy, all right or you have everybody throw something at the wall and expecting something to stick right. That's putting it pump up politely. So the goal is to get the bullseye the first time if you fail to plan to plan to fail, right, right. And so the goal now is someone like myself and we we talked about this is we got to figure out where you are exactly in this point in time. It didn't really matter so much anymore now, because you've had that surgery and that changes and has changed you forever. But where are you now? What are the building blocks that we can use now to move forward? Interject here for the parents and for those who are asking yeah, but this doesn't pertain to me. Well, we can work with children With the AFT systems. 19:50 Dr Nordstrom has come up with systems to work with neonates. You can do the tie releases. You can start as from the newborns on. The whole idea is to breathe properly. Once you breathe properly, as in, you have proper tongue position and then you have proper nasal breathing, then you set yourself up for success, right. 20:10 Unfortunately, with a modern diet and with the way that things are going nowadays, unfortunately things retract a lot and you don't have that room and you end up with disorders and you went through what you went through. Okay, so if we go ahead and we have that conductor I circled back now to the music all right, if you go ahead and you have a team, somebody's got to know what the right hand's doing. Somebody has to know what the left hand's doing, but together we make sure that we're all on board with the same ultimate goal, which would be to get you to breathe again properly. What I heard you say is that you went to see an ENT and they have their own wheelhouse, they have their own tools, they have their own tests, they have their own. We got to do this. This is it, this is my way, or the highway right I? 21:01 - Hilary Russo (Host) haven't actually gone to the ENT yet. I have a referral right because I'm like I want to go the right route before somebody starts telling me oh, you need this, this and this. I did consult with one dentist who said you need a CPAP, and I'm like you don't even know what you're talking about. 21:17 - Dr. Claire Stagg (Guest) That's the weekend course. 21:20 - Hilary Russo (Host) Right, that's the oh, I heard sleep apnea. I'm not a sleep dentist, I don't even deal with this stuff, but I've heard this is the best route to go. I don't want to hear, I've heard. I want to know what is good for me, because it's bio individuality. This is what I've been through. So I'm in this place. Where do I go to the ENT first? Do I go to the pulmonologist first? Do I go to a dentist who deals with, who is specializes in airway and TMJ? You know that's and sleep apnea, which obviously falls under that. 21:52 - Dr. Claire Stagg (Guest) So one of the things you need to be aware of is the American Dental Association does not recognize these as specialties, unfortunately. I think that will change my practice. I have an emphasis in treating sleep apnea, tmj disorders, head, neck, facial pain. So that is one thing that you can be aware of. The second thing is a lot of us who do this have had many, many, many, many, many, many, many, many, many, many, many, many hours of extra training. It's just not a weekend course. 22:26 I mean, I've been doing this for nearly 20 plus years to this intensity and it's a process I keep learning. I mean, I'm still going through a residency for pediatrics right now and it's a lot that I know, but now I'm learning to fine tune and I'm going. I can deep dive a little bit more for certain things that I have been able to do, because it's same old, same old. Plus ça change, plus c'est la même chose, as we say in French. The more it changes, the more it's the same. So there's a lot of different things but, like you said, I like that bio individuality. So everybody's different but everybody's the same. It's just you can't use one cookie cutter technique, but we're all humans and that's where it's all connected. 23:10 So we're circling back to how it's all connected. And if you have somebody who understands how it's all connected, that's when they could guide the ENT to say hey, you know what? This is what I suspect I use the word very underlined, bold caps suspect. I suspect, for example, she has a nasal valve collapse. I suspect, for example, she has a deviated septum. I suspect she has sinus issues. I suspect that she has pharyngeal obstruction. Could you please verify for me? Could there be upper airway resistance syndrome? I suspect that she may be having obstructive events. You might even have central apneic events, we don't know. So that's where you get somebody who understands as a dentist. All right, cause we're the best ones, and this is what floors me and I'm just going to put something for hooah, hooah for my team, my team, all right, this is what we do all day long. We're in the mouth. We see this stuff day in, day out. 24:17 What bothers me is that they don't train dentists nowadays to read the signs of obstructive C-papnea and or airway disorders. That's going to change. That's all in the book, by the way. Every single sign you could think of is in the book. But I think that's what needs to be changed. It should be common sense that it's not drill, fill and build, it's actually determine what you see, that it's not normal. 24:43 So I would hear patients tell me entire lives they've had these tore eyes. They look like little mushrooms at the bottom of their jaws or one on the roof of their mouth, on their palate. Or my dentist told me that was normal. No normal for whom? All right, I digress. So, anyhow, what happens is if you have a team conductor, then the dentist who understands this, who is more versed in this knowledge, can go ahead and say okay, then this ENT, could you please help me accomplish X, y, z. If you have a sleep doctor, all right. You don't want to get lost in the rabbit hole of medicine, right, because that's the other thing too. You can very easily get lost in that rabbit hole, all right. 25:29 So, you want to stay with those of us, because your mouth, your head, your neck is this, is our wheelhouse. Ent is air, nose and throat. All right, sleep. They're the physicians. They're the ones that are going to. Yes, they prescribe the CPAP. Yes, they're the ones that are going to diagnose it. But at the end of the day it they're the ones they're going to diagnose it, but we're at the end of the day, it's still the dentist that's going to do the appliance for you. 25:50 one way or the other, it's going to be something in your mouth right right and I prefer to go that route it bugs me that now you have physicians who are doing oral appliances. It's like, okay, you won't let us diagnose something that we deal with, okay, yes, yes, there's the medical, the physical aspect, the insurance part, blah, blah, blah, blah, of sleep apnea. Yes, there's a lot of pathophysiology that needs to be dealt with by a physician. Get that, get that, but don't go make an oral appliance for my patient. You don't know what you're dealing with, you don't know how to make it, you don't know what position to do it and you certainly don't know how to put it into the way they breathe better, and you don't know how to check it and you don't know where you're putting that jaw joint. So, yeah, that that kind of bugs me a lot. 26:33 - Hilary Russo (Host) Sorry, I think that's part of the reason why now share. This is an open space. If you want to drop an F bomb, you can. I don't mind. 26:41 - Dr. Claire Stagg (Guest) I can say it in French, but I could say it in French. 26:49 - Hilary Russo (Host) Yes, right, you can French your way out of this. So I, my thing is and I've thought this, but from talking to you, from talking to others in the field that even though I've been given referrals, I've been holding off on filling those referrals because I'm like I think that's just a doctor telling me this is what's normal and this is how we normally protocol this. My gut tells me that it's somebody who deals with this face all the time and that moves into the next things like how do you find that sleep dentist? How do you find a dentist who is experienced or emphasizes work in that area and know that you're getting someone who's good and isn't just going to say, hey, we're going to, we'll get you fixed up with an orthodontist and now you're going to get a palate expander or now we're going to do the surgery over? Because that's a fear that I've run into as well as one that I have on my own. 27:43 - Dr. Claire Stagg (Guest) Right, I wouldn't go there yet if I were you. Okay, just stop Whenever you hear surgery again, just let's think this over, all right. So let me give you some of my feedback too. Right, there was a sleep course, all right, and I thought, okay, cool, I'll go ahead and I'll go, I'll support the symptom. Nobody's talking about causes, and that bugs me to high end. And there was a children's neurologist in a very, very prestigious hospital Boston I think it is who said yes, said yes, I mean it's all fine and good. Because they said, oh, don't worry about it, you know. And then she said no, no, no, I think she has a point. 28:34 Yes, so the thing that is that, all right, if you go ahead, you think about all the systems that are shut down because you can't breathe. Right, the order appliance isn't going to fix it, the c-pap is definitely not going to fix it, because what's going to happen is the body's going to acclimatize or get used to that level of band-aiding. And then it's like okay, you know what it is, the little dutch boy with his finger came to mind with a dab. So you put one finger here and then you put one finger here, and then you put one finger here and then you put one finger here and you put one finger and then you're not gonna have enough fingers or toes and then the dam's gonna break. And it's exactly the same concept, because if you go ahead and you the the concept of an oral appliance okay to come back again and I'm showing the picture to mount moderate c, pap. Yeah, it's called a mandibular advancement device, or MAD for short, right, okay, well, what does that do? It brings the lower jaw forward. Why? Because the tongue is attached to the front of the lower jaw. So you bring the lower jaw forward. All right, so that's the mandibular advancement device. Well, how far are you going to be able to break the jaw out of socket? Eventually? No, because if you don't address the root cause, you're going to have inflammation. 29:55 So that airway that's already restricted, be it because of diet, because of environment, because of whatever. You have large tonsils which are supposed to be there as buckets to hold whatever pathogens or whatever bugs that are in the air or that you're eating, or whatever. They're the engines that are holding the foot down, if you will, the soles, whichever. They're the ones that protect you so things don't go to your lungs, but eventually they get overwhelmed, and that's when your airway is so closed up by these massive tonsils. And then again let's take them out. Surgery to remove tonsils. All right, did that too? All right. 30:34 So I know I'm jumping everywhere right now, but I'm trying to go by the anatomy. If you'll follow, there's a process to my reasoning here. So the dentist will say say okay, let's do a manageable advancement device for mild to moderate sleep apnea, but that's not treating the root cause. All right. The sleep doctor will say you need a CPAP because it's severe sleep apnea. But that's not also treating the root cause. 31:05 Because somewhere along the line, if you don't have a nasal what we could call a patent nasal passage or passageway to get air through your nose, all right then. And or if you're doing a CPAP to push air down your mouth which you should be breathing in your mouth anyhow then you're still not getting the air, the quality of air you need. As a sidekick, just so you know, when you breathe through your nose, you actually develop nitric oxide. It's a gas, all right that you develop. You create it. As a human, we create nitric oxide in our sinuses. When you don't nose breathe, you're not getting your nitric oxide, which means that your vessels are getting hotter faster, you age faster. All right, none of that's going to happen with a CPAP and none of that's going to happen with the appliance, because three months down the road there's just so much that you could advancement that you can do. There's just so much titration with a level of pressurization with a CPAP that you can do, and eventually you're back to square one. 32:10 Okay, well then now let's do orthognathic surgery to bring your jaws forward. And then that's when you have another issue, because now you're locked in. So let's tie back that in. With the anatomy, remember I showed you, and for those of you who can't see, the skull is not fixed. There's lots and lots and lots and lots of little sutures. That's why I was saying there's dozens and dozens and dozens of bones, but they're all connected, and the cranium, the housing of the cranium, but there's lots of them underneath, all right, under the skull, all right. So what happens is all these bones actually pulse. That's called the cranial sacral rhythm. All right, that's where cranial sacral therapy would be really good. That's where you unfortunately have issues because you have screws holding your face. Your facial plates are held together, right, so we're trying to go through all the systems and the scenarios here. 33:08 An ideal person who hasn't had surgery can have all these little bones changed. Because they're not fused together. They are not fused together. They are not fused together. What did you hear me say? They're not fused together, they are not fused together. So if anybody says that you cannot expand your palate because you're over nine run, it's not true. I expanded, I've done an arch expansion on an 83 year old all right. 33:41 - Hilary Russo (Host) I actually had a conversation with a dentist who told me that women they're finding and tell me if what your thought is on this the palate of a woman actually is able to expand for much longer than we originally thought years wise like it, and maybe I'm saying this wrong, but she even had a palate expander in the top and she's in her 50s. So I'm curious, I mean, is that an approach to try? So can I guy it's a human period. Anyone can. Anyone. Okay. 34:11 - Dr. Claire Stagg (Guest) A human can have. Now I don't know if there's going to be a sex differentiation for the progression of the of the treatment. The treatment I don't know, but any human can have their arches expanded, short of having a disorder of one sort or the other, but in general you can have the arches expanding because the bones are not fused. Right, it's not here, it's here. Let's talk about why you can develop a palatal expansion and growth. All right, this is a totally misunderstood concept. All right, remember we talked about the roof of the mouth is the floor of the nose, and this is magnetic. So bear with me, that's why it was all all catawanka earlier on. So in here you have what we call the nasal passages and you have a thing called turbinates, right? So if you look at it, there's little windmills in here. So you have anterior, middle and posterior nasal passages too, and here you have what we call the sinus, the maxillary sinuses. Here you have the frontal sinuses, all right, okay. 35:14 So how arch expansion works? And this is why you do slow. Slow is good what you do. Remember this is magnetic, so it might be a little hard for me to do. You go ahead, you do a little bit. All right, you do a little bit and then you wait, then that goes ahead and creates bone. Then you do a little bit, then it creates bone, you do a little bit and it creates bone and so, slowly but surely, you've created the arch that is wider, because it happens in the middle. All right, if you go too fast, what happens is you end up having extrusion of the teeth, or the flaring of the teeth and or what we call the buckle plate perforations, which is what the orthodontist freaked out about. You're going to flare out the teeth because you're going too fast. 36:07 - Hilary Russo (Host) Well, how long does something like that take normally? What is that process? 36:11 - Dr. Claire Stagg (Guest) They do what the orthodontist usually do, what they call rapid palatal expansion. Slow is the best thing. Do a little bit grow bone. Do a little bit grow bone. Do a little bit grow bone. Do a little bit grow bone. Guess what happens, unless you have a septal spur which acts like a handcuff to hold that nasal passage, that septum tied up to another bone on the side. If you don't have a septal spur, that deviated septum just lines right down. That's what happened with me and I was in my fifties I was over 55 when I did mine. If you go ahead and you do slowly, you can expand an arch. Now there's a school out there that says let's do it in a month and then we wait six months. I'd say okay. That to me sounds so wrong and this is my humble opinion, for each time I'm giving you anything. These are my humble opinions and what I've learned and what I've read and my interpretation of everything. 37:13 Okay, of course, but if you're going to go ahead and you're going to go like zip and then wait, go ahead and you're going to go like zip and then wait, all right. The big fallacy with that is you zipped and you waited six months and that space, in theory, is supposed to grow bone. Uh-uh, it fills up with collagen. That is why, when you go too fast and kids or whom on whom, no matter what age, if you go too fast, you end up with a ton of relapse. So, slow, a little bit grow bone, a little bit grow bone, a little bit grow bone, a little bit grow bone. 37:49 - Hilary Russo (Host) Now you have success now, this is just one approach. Right, the palette expansion is just one approach okay, that's the transverse approach. 37:58 - Dr. Claire Stagg (Guest) So if you're doing this in 3d, you have to think your garage right, because you have width, you have depth and then you have length. Well, it's the same thing. This is the width. The transverse effect is the width. All right, now we have the sagittal aspect, which is from the side, so that's where two to for example, if I'm not mistaken that your issues came from, is that if you look at my profile and they said that this part of you was there, but this part of you was too far forward, so I'm going to exaggerate now, like that, right? 38:36 - Hilary Russo (Host) That's exactly what it was like, right. 38:38 - Dr. Claire Stagg (Guest) It wasn't that this was too far forward. It can be, but in reality it's that this was underdeveloped. So that's the side view, or the sagittal view. Nine times out of 10, if you have an airway issue, it's because you're overclosed, and then you need height, and that's when we can go ahead and do height. Interestingly enough, oral appliances the same one that they advocate to go ahead and do the mandible advancement devices the same thing. There's two things that they do. When they're doing a sleep appliance, what are they? Protraction vertical, but they're doing the protraction with the lower jaw only and vertical. They're putting the special amount of vertical or the height into the appliances. 39:27 - Hilary Russo (Host) Acrylic Now there's a lot of information that we're sharing with folks. I'm taking in a lot of information. I do want to mention real quick that Dr Stack has a new book that just came out, called Smile. It's all connected whole health through balance. I'm going to put a link on there in the podcast notes, rather to grab that book, because this is really something that was written for the everyday person to understand. It's not like reading a medical guide or anything like that. 39:56 You will be able to go to an upset or an issue that you might be confronted with, learn more about it because, as we were saying before, what gets measured gets managed. But also we have to be our own healthcare advocates and then find the right kind of people to support you, because obviously you can't fix the problem yourself, but you can support yourself in that. And also I know you have a children's book and that's Captain IFBI. I in that. And also I know you have a children's book and that's Captain IFBI. I love that Right encouraging good oral hygiene habits, which, by the way, that ties in with the download that you're offering as well, which is the dental protocol checklist, and I love that. We're going to put all that in the podcast notes so that folks that are tuning in or if they're watching on YouTube because you know you're showing us some fun stuff on visual they'll have the option to either listen to this anywhere we have podcasts and also on YouTube. 40:46 But, on that note, if you feel that this podcast episode with Dr Claire Staggs inspiring you anyway, touches you anyway, if you know anyone who might be confronted with any of these upsets whether it's sleep apnea, whether it is TMJ or any kind of upset that you might be dealing with, the dental side of your life, or even breathing this is something you can pass along to somebody, share it, let them have the knowledge and make a decision where they want to go next, because we definitely are sharing some really good information here and I really appreciate it. 41:18 Dr Sags, I know we're talking a lot about my upset, but I know there are other people out there that are dealing with the sleep issues, the sleep apnea, the breathing, the grinding, the bruxing, and wanting to change the holistic approach to dentistry. You're just a normal person, sweetie. I'm just like everybody else. I know I am, and it's one of the reasons why I do this show, because many of the things that I'm facing or have seen with clients is something I want to talk about so that I can make this a vessel for others to get answers or at least find something that they could take away from this and hopefully make a choice that helps them become a happy and healthy grownup, you know. 42:03 - Dr. Claire Stagg (Guest) So let's talk about the book. This book was written. It's taken me 10 years to get it out here. All right, this book was written for the average lay person. It's a conversation from one mom to all the other moms who have asked me questions. 42:21 All these years I've been practicing. I graduated in 1982. So I've been at this for a long time. I came to this country in 87. So I was not of American training per se, so I have had different training. I'm also very outside the box thinker and I like to ask why? So why do you want me to do it this way? Give me a reason why I should do it that way. 42:47 So the whole idea was to understand that, yes, why are these patients getting better? Why is there cacophony? Why is there not harmony? Why do they have all these issues all the time that they haven't had resolution for and that I have not been able to finger point. That's when I went down my training what's going on? What's going on, what's going on. 43:10 So the book's goal is to go ahead and to change the demand. Because my what? To educate the demand, if you will, because the more people are educated in this is the more they'll understand what's actually going on. It's for you to be your own advocate in your own choices. Just like Hilary at 15 did not know any better or any know what to do or not not to do, her mom or parents didn't know, because they followed their, the advice of their physicians, which is okay, don't get me wrong. You know, but why don't you find out? If you go ahead and you're playing a game of poker, wouldn't it be nice to know your hand instead of playing blind? You know what I mean. 43:58 So this, this book, has the entire deck in it. This is what I'm trying to say. It's written with you for everything, everything that Hilary and I have talked about, and I think one if you have the book, you will see anything about airway, you'll see about joints, you'll see about teeth, you'll see about muscles, you'll see about nerves, how it used to be, how it is and what the connections are structural, chemical, mechanical, functional, emotional, spiritual, because we're all one. And then in the future, where I think dentistry should and could be. But I think and I know that if we change the demand, the supply will have to change, because the more the moms and the dads and all of us understand how this is connected. They're going to have to teach doctors how to connect the dots too. So that was the goal of this book is to change the way dentistry is perceived and experienced in the world and then change the world for a healthier, better place people to be healthy so they don't have to suffer like a Hilary. 45:04 - Hilary Russo (Host) Yeah, I so needed. I wish my parents had this back in the 80s when I had this surgery, even though it was different back then. We've progressed, we've gotten better, we're more knowledgeable, we have more tools available to us and science and approaches, but it's here now and if my what is the saying? Someday your story can be somebody else's survival guide. I use that one a lot. I know that's Brene Brown. 45:26 - Dr. Claire Stagg (Guest) That's a good one, yeah. 45:27 - Hilary Russo (Host) Yeah, and I'm hoping that this next stage of my own journey is much less invasive and more productive. It's finding ways. So having conversations with doctors like yourself, people who practice more of a holistic and whole body approach and aren't really running right to surgeries and appliances and everything that might not be the best plan, you know. It's constructing the plan building the house and realizing what size garage is really going to fit and what kind of cars do you have for that garage. 46:03 - Dr. Claire Stagg (Guest) Right, because there's different appliances too, so there's different arrows in your quiver, because you want to shoot for the bullseye every time, right, and that's that's where I did all that additional training. It's like, okay, okay, so we have a joint issue. Well, well, let's deal with a joint, but then you can't disconnect the tongue and the space that the tongue holds. And then, okay, so now I do tie releases. So, and not everybody's going to practice the way that I practice this. 46:33 This is my passion, though, and you talked about your survival journey. My daughter fell and hit her chin when she was three and a half, and that's where she hit her chin, which automatically put her jaw joints up and back, got her disc displaced. So here I am searching for answers back in 2003, 2004. And that's where I ended up. So, yes, I was doing the chemical aspect, where we were mercury free, we were doing all the nutrition, everything. But then it's like, how do I fix my child, how do I get her to not be in pain too? And so that's where it's like, okay, let's do this, let's figure out how we can make this happen. And so that was my journey to go ahead and to put that together for all the other parents who would have these questions. 47:22 - Hilary Russo (Host) Yeah, and interestingly enough, here you are, a dentist, being confronted with something that you think, oh, I have the answers because I'm a dentist At least it happened to a dentist's daughter and you're looking for the approaches that are going to help her heal and live her best life the best way possible. 47:39 - Dr. Claire Stagg (Guest) So you know, it makes me laugh too. I guess I'm getting very spicy today. I like spicy, dr Staggs Very spicy. So I remember I had this 83,. He's 90-something now, but he was clearly apneic. I mean his lips were blue, all right, his he had no airway, really, really bad. And so I told, I told him you know why don't you do a sleep screening? No, no, no, my doctor blah, blah, blah. So I went ahead and I said okay, ask your doctor to go ahead and send you to lab and have a sleep test. So he goes ahead and he tells his physician that and his physician says what does she know? She's just a dentist, yeah. 48:29 - Hilary Russo (Host) Aye, aye, aye, aye, aye. I wish we could all just get along and work together. So anyhow, that's my two cents again. 48:38 - Dr. Claire Stagg (Guest) So don't read a book by its cover and look for somebody who understands how it's all connected and there's going to be more of us. There are more of us, it's just you don't know where to find them. 48:49 - Hilary Russo (Host) So what I want to do real quick in closing, I usually do a game with all of my guests, and what I've been doing is I pull you're going to have a little fun and what I've been doing is I pull you're going to have a little fun. This is what we do here. Not everything's so serious. I'm going to throw out a word, something you said today, and I want you to come back with the first word that comes to mind. Just a quick word association game. 49:08 I already want to say happy. Say happy as much as you want. But if I say the word holistic, what's the first word that comes to mind? Body, jaw, oh God, pain, palate, growth, airway, life, dentist, happy. 49:28 - Dr. Claire Stagg (Guest) Smile, beautiful Happy. 49:30 - Hilary Russo (Host) Beautiful. Love that. I love that you focus on the word happy. Just be your own healthcare advocate. You know we don't, we don't have to throw out a name. There are a number of things out there that are good and there are a number of things out there that are not so good, and you have to be your own healthcare advocate to make that choice. 49:47 - Dr. Claire Stagg (Guest) And things can work different strokes for different folks. I mean it could be the best thing, anything could be the best thing for anybody. It's just that sometimes, when you don't know any different, you wish that had you known, had I known. Had I known, had I known I wouldn't have done it this way that's kind of where I am. 50:06 - Hilary Russo (Host) I wish I knew at 15. So I'm hoping that what you shared, I know we'll have more conversations because I'm on a route where I'm going to be looking for approaches uh, because unfortunately we're not in the same area, but that doesn't mean I wouldn't hop a flight to come down to Florida, by the way, no, you still can. I can, I can, but I'm gonna. I know you have a tight schedule, a lot of people to talk to, everybody is. You're in high demand, dr Stagg, and for good reason, and I'm just so grateful to have you here. 50:35 - Dr. Claire Stagg (Guest) I am eternally grateful to you interviewers, because you have platforms that you can spread the word to the world, because you're the ones, basically, that are going to change. I'm just, I'm just flotsam on the ripple of the of the thing you know. I'm just like, hey, go this way, go this way, go this way. 50:55 - Hilary Russo (Host) We're all in it together as you said, it's all connected, we're all connected. So if we can do anything to help others, that's what we're here for and I'm just so grateful for you. Thank you so much. Thank you too. 51:06 - Dr. Claire Stagg (Guest) And thank you for having me. And so, on a one little note, I was like this is my last little saying in the book, which has lots of little life lessons. My one is that you're not a drop in the ocean, you're the entire ocean in a drop. So blessings, Hilhillary, I love you. Thank you so much. 51:24 - Hilary Russo (Host) I love you too. Thank you for being part of the ripple. 51:28 - Dr. Claire Stagg (Guest) Thank you. 51:29 - Hilary Russo (Host) I know we unpacked a lot, I know there's a lot going on here with Dr Stagg, but for good reason and we are not done. Next, I want you to grab a copy of Dr Stagg's book Smile it's all connected whole health through balance, plus her children's book that she has Captain IFBI, as well as her checklist to download for daily dental protocol. All of this is in the podcast notes and, if anything resonated with you that we shared here on the show, if you were touched, moved and inspired by our conversation, if you have more questions, dr Stagg is actually holding a Q&A online on Wednesday, july 17th, at 7 pm Eastern time. It's a really great chance to connect with her again, maybe follow up on some of the things we talked about, or if you have your own questions, and get to the root of your dental journey no pun intended with that one and you can get some more knowledge, because knowledge is power. Right, what gets measured gets managed. So be your own healthcare advocate. 52:30 First, and you know I share a lot about my havening journey, how it has been a big part of my chronic pain. My TMJ and I want to offer you the opportunity to try Havening and see if it works for you. This is a really wonderful way to overcome fears. If you have a fear of going to the dentist or the doctor or even managing chronic pain, or maybe you just wanted to self-soothe, to self-regulate, for daily self-care, it's a wonderful tool to put in your toolbox and I'd be happy to have a conversation with you and see if it's right for you. A link to connect with me is also in the podcast notes. 53:07 HIListically Speaking is edited by 2MarketMedia with music by Lipo Redding, and I know you tune in week after week because you want answers, you want to find ways to be a happy and healthy grownup, and I'm here for you and I just want you to know that those traumas that you're turning into triumphs, they're happening, they're in motion and I am proud of you. I believe in you, I love you and I will see you soon. Be well.
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Cranial neuralgias comprise a distinct set of disorders typified by short-lasting attacks of intense pain in the distribution of a particular nerve in the cranium. Cranial neuralgia syndromes are rare but can be debilitating and go undiagnosed or misdiagnosed for years. In this episode, Lyell Jones, MD, FAAN, speaks with Stephanie J. Nahas, MD, MSEd, FAAN, MD, an author of the article “Cranial Neuralgias,” in the Continuum® April 2024 Headache issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Nahas is an associate professor of neurology at Thomas Jefferson University and assistant director of the Headache Medicine Fellowship Program at Jefferson Headache Center in Philadelphia, Pennsylvania. Additional Resources Read the article: Cranial Neuralgias Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @ LyellJ Guest: @stephanieJnahas Full transcript available here Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the show notes. AAN members, stay tuned after the episode to hear how you can get CME for listening. Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today, I'm interviewing Dr. Stephanie Nahas, who has recently authored an article on cranial neuralgias in the latest issue of Continuum on headache. Dr. Nahas is a neurologist at Thomas Jefferson University where she is an Associate Professor of Neurology and serves as Assistant Program Director of the Headache Fellowship program there. Dr. Nahas, welcome, and thank you for joining us today. Dr Nahas: Thanks for having me. Glad to be here. Dr Jones: So, for our listeners who are new to Continuum, Continuum is a journal dedicated to helping clinicians deliver the highest possible quality neurologic care to their patients, and we do so with high quality and current clinical reviews. Dr. Nahas, your article is a perfect example of that - it's full of really helpful (and I think clinically relevant) recommendations for neurologists who take care of patients with cranial neuralgias. And now that at this moment (during this podcast interview), you have the attention of a huge audience of neurologists - what's the one most important practice change that you would like to see in the care of these patients? Dr Nahas: I would like to see the recognition of these cranial neuralgias and related syndromes as distinct and overlapping with other primary headaches much more often. I think far too often, clinicians will try to pigeonhole these headache and facial pain diagnoses and try to make just one diagnosis the main one, and any other symptomatology that comes along with it – “Oh, that's just a weird part of your primary syndrome, right?” I know I've fallen into this trap a number of times, because mostly what we see in a headache clinic is going to be migraine, so we kind of have a laser focus towards migraine-type symptoms (and we know migraine can do just about anything). So then when we hear a little bit about a facial pain, a little bit about some sort of neuralgia, we just try to wrap it up into migraine - but that's not always necessarily the case. You know, we know that any person on the planet can have as many diseases as they darn well please, so why not ascribe two diagnoses when it's appropriate? That can lead to better treatment outcomes, in fact. If you are focusing your treatment on two distinct, but overlapping, entities, you tend to get better results, because the treatments may not be identical (and they rarely are). Dr Jones: And that's a great example of it's Occam's razor on one side (there's one problem) versus - what is it, Hickam's Dictum? Dr Nahas: Something like that. Dr Jones: - where you can have as many problems as the patient wants to have, so I think that's a great example of that. And, earlier, in the same issue on headache, we do have a wonderful article by Dr. Deb Friedman, who walks through that really important history component of trying to, you know, determine which headache syndrome the patient is dealing with (which is obviously a prerequisite for the diagnosis and management) - so that's a great point. So that's the one takeaway - recognition of cranial neuralgias as a distinct entity. Keep it in mind – otherwise, we'll miss it. Is that right? Dr Nahas: You got it. Dr Jones: Okay, good. If we learn nothing else, we'll take that away. So, speaking of the history, Dr. Nahas, for many pain syndromes (including these), the history is really paramount in establishing the diagnosis for patients, specifically with trigeminal neuralgia. How do they usually describe that pain to you? Dr Nahas: The whole spectrum of descriptors for trigeminal neuralgia-form pain is, actually, maybe broader than you would think, and I actually find that, sometimes, patients have a real hard time verbalizing and describing the way it feels, because it's so unusual - it doesn't remind them of anything they've necessarily felt before. Sometimes, it can. For example, a patient who's no stranger to having lots of dental work - that pain that when they drill in or if they hit an irritated part of the tooth or the gums, that's usually kind of neuralgia form-like. But at the same time, patients will say, “It's still not quite like that. You know, it's really hard for me to explain. It's sharp and it's terrible like that, but it has a different quality.” And I think they just don't necessarily have the terminology, but I encourage them to try to be creative. You know, some of my patients will personify the pain - they'll describe as if there's some little creature in there that's clawing, or scraping, or pulling, or stabbing. Or they might use other descriptors, such as burning like a fire (like a blow torch is there). Or they may even use colors. You know, some of my patients are really creative, and I don't know if they actually have synesthesia or they're just bordering on that, but they'll describe different colors for the qualities of pain. (“Is it more red? Is it more like icy blue? Is it black or white?”) I don't hear that too often, but I do like to just open the door and let my patients describe for themselves in their own words - and if they can't have any words, I give them some examples and that usually gets the ball rolling. Dr Jones: So, a combination (like we usually do) with some open-ended questions, and then some directed ones to kind of clarify. That's really interesting, and it gives you some immediate empathy and sympathy for the discomfort these patients have to deal with, right (as when they describe it in those burning, clawing kind of terms)? Dr Nahas: Exactly, and they'll also put it into context for you - so not just describing what the quality of the pain is like, but they'll give you good examples of when they feel these symptoms, what brings them on, what alleviates them, how the symptoms may change from day to day depending on the situation or circumstance. And again, it just gives them an open door to express themselves, and it really does help to strengthen that alliance you're trying to create and maintain with your patient. You do get useful and valuable information when you just let them go on and describe things. Dr Jones: So, there are, I think, misconceptions in the popular world and also in the clinical side of care that, you know, folks will have a perception of a disorder that maybe doesn't really match reality. What do you think is a common misconception you've encountered in taking care of patients with cranial neuralgias? Dr Nahas: The patients that I see tend not to have the clear-cut textbook descriptions (like it's almost as if they're reading the criteria when they tell you your symptomatology) - because those cases are a little bit easier, they get identified more readily, they get appropriate treatment sooner, their disease doesn't necessarily progress and become complicated by, you know, any number of things that can happen with unmanaged neuralgia-form craniofacial pain. The ones that I see - they've been around the block several times, because maybe their syndrome isn't quite so typical. Maybe they didn't really have the terminology to be able to describe their symptoms. Maybe nobody really opened that door for them and invited them to just talk about what it is. Perhaps they, or whoever they were seeing, were more focused on diagnostic testing, and so their focus is more on, “Why is my MRI not showing anything? Why is my x-ray completely normal? You know, I have these symptoms. There must be an explanation.” Because that's what patients want - they want solutions. They have a problem, they want to know why they have it, and they want a solution to it. And they can get too focused on the hard data and ignore that it's a subjective experience that really guides us to help treat their symptoms, especially when we don't have necessarily an anatomic target to go after. (When we do, that's great.) But again, these straightforward cases tend not to come to me, because they're easier to take care of. Dr Jones: Still, just as legitimate a diagnosis, even with a normal MRI, right? I do find it's sometimes hard to kind of get around that with a patient, isn't it? Dr Nahas: Absolutely, it is. You know, they're both relieved and disappointed. I often find if we order imaging for an unusual syndrome (or even a typical syndrome) and they see that, “Well, there's nothing on this report to go for. What does that mean? Does that mean that I'm crazy? Does it mean that this is all in my head, that I'm imagining it, that I'm amplifying my symptoms somehow? Is this my fault?” You know, all this self-doubt comes in, and you have to reassure these patients that, “Yes, your symptoms are real. They are in your head, because your brain is in your head, and your brain is the source of your perception and your experience. So, let's take your symptoms at face value and let's give you treatments that are directed at those symptoms.” Dr Jones: Well said, and that's where we like to keep it, the brain inside the head. I think that was day one of neuroanatomy. I know that the treatment for many of these cranial neuralgias overlaps, right? There's some common approaches to several of these. There are some things that we put in our academic writing, but there are some things that we just kind of learn from experience. Do you have any tips or tricks that you would like to share with our listeners about the management of the cranial neuralgias? Dr Nahas: First and foremost (and I think this kind of goes for any of the disorders in the spectrum of headache and facial pain) is you need to be patient, and you need to set up appropriate expectations that, by and large, this is a trial-and-error process where we need to introduce a therapeutic intervention gradually and titrate the dose gently to effect while following for clinical response, but also keeping an eye on what our guardrails are. What do I mean by that? Let's say, for example, we're using oxcarbazepine for some sort of neuralgia-form disorder (I mean, take your pick for any of them – it's fair game for most of these as a good initial trial). Dr Jones: Sure. Yeah. Dr Nahas: So, you want to start it at a low dose, start building it up slowly, and in addition to following for their clinical response - which I counsel them it may take a while (even once we hit a target dose, it may take several more weeks, we've got to give it time) - you can monitor a serum level of oxcarbazepine and certain other antiseizure medicines for that matter. So, that can help guide you to know how high you can go. This is a little bit different from the situation with epilepsy, where you're checking levels to ensure that it's in a therapeutic range to make sure that it's not toxic - maybe to assess for adherence - but here, we're using it as a guide to know how much farther can we push the dose on this drug. And, of course, also, you want to be monitoring for any adverse events that can occur with that drug (such as hyponatremia, or changes in the CBC, et cetera) - so I do monitor these folks a little bit more closely than I otherwise ordinarily would, especially when I have a therapeutic intervention where I can actually monitor the drug level of it and be very, very precise in trying to maximize and optimize their treatment. Dr Jones: Got it. So, patience with each trial, and then patience that there might be (and I mean patience with a ‘c' that there might be) multiple trials – I think that's a good takeaway for all of these cranial neuralgias with pretty much all of the medication treatments, right? Dr Nahas: Yes, and I do find that in some cases, one treatment is not quite enough. Because most of the treatments we draw from our antiseizure medication category, it can get complex trying to balance two, or even three, antiseizure medicines and finding the optimal dose for each. Do we push all of them to the max? Do we say this one is the undercurrent (we just want to keep it at a low level) and these other two are going to be doing the lion's share of the work? It becomes kind of fun if you like uncertainty and if you like to be creative. If you're the type of person who likes checkboxes and checklists and cut and dried results, you know this is not the game that you want to play - but that's one of the reasons that I enjoy doing this, because I have so much freedom to be creative and really finely tailor and tune the treatment specifically to the individual patient's needs. Dr Jones: That's fantastic, and in a minute, I think we can come back to maybe what drew you to this - I'm curious to hear that. But before we get to that, you know, when we think about the medications that are available (and again, your article does a phenomenal job summarizing the therapeutic approaches to the cranial neuralgias) - what do you see on the horizon, Dr. Nahas, for the care of these patients? Dr Nahas: I want to see a lot more research being done in this population of patients and across this spectrum of disorders. What makes it so hard is because they are somewhat rare, and because they very often co-occur with another primary headache disorder - so that makes it extraordinarily difficult to create a research study on a population that's so heterogeneous, right? That's, I think, the biggest challenge - is that we have so little to guide us other than our own clinical experience. There are not a ton of clinical trials for any of these disorders. I think one in particular that can be both underdiagnosed and overdiagnosed is occipital neuralgia - and I mentioned before that I, myself, have found myself falling into this trap of once I see a signal for migraine, I just call everything migraine, right? And, sure, with migraine, there can be allodynia in the scalp, and oh, sure, we all hear that if you push on something sore, you can have some lancinating pain. Oh, that occipital neuralgia that somebody told you about? No, no, that's just part of your migraine. You don't actually have occipital neuralgia. Well, you know, if you look at clinic-based studies (there's one in particular that I cited), most of the presentations of occipital neuralgia actually co-occurred with another headache diagnosis (either primary or secondary), and very commonly, it was migraine or probable migraine or chronic migraine. And why this is important is because you need to validate for these patients that they do have more than just migraine. They have a separate problem that, yes, it's interrelated, it's interconnected, they can influence each other - but we might have to treat them both differently. So, you have your suite of migraine treatments which might not include an antiseizure medication. Then, for the occipital neuralgia, maybe you are pulling in an antiseizure medication, or maybe you're focusing more on peripheral nerve blockade or physical therapy - or even considering a surgical referral, because as surgical treatments for nerve decompression or ablation or other interventional procedures also continue to evolve, that helps to give us some more hope in giving these patients more relief with fewer complications. I'd also like to see some more creative solutions, not just more antiseizure medicines, not just more targeted anatomic interventions. But, hey, is there a role for some other peptides or neurotransmitters that we just haven't identified yet? Might some novel treatment approaches actually be useful for some of these patients? And, you know, again, how do we get at those answers? It's going to be challenging, because the patients - while they're out there, they're not really a homogeneous group, and the results from a particular study might not be so generalizable. Dr Jones: And we've seen such great success in the world of migraine, right (looking for novel targets) And so it would be nice to transport that over to the cranial neuralgias, right? Dr Nahas: Yes, absolutely. Dr Jones: Yeah. We should always be mindful of disparities in care of patients who have neurological problems. Are you aware of any literature around the care of these patients related to health care disparities that our listeners should be aware of? Dr Nahas: Nothing focused specifically on disparities in this population or subpopulations within this population (based, for example, on ethnicity, or race, or socioeconomic status). You're looking for subpopulations within a huge population, almost like a needle in a haystack - not quite that difficult, but again, it takes a lot of effort and diligence to try to find these individuals and then to get them to agree to enroll in some sort of research study, even if it's just a survey study or doing interviews with them trying to understand their symptomatology better. It can be quite challenging. And then again, let alone designing a rigorous clinical trial for these folks - who, again, such a heterogeneous presentation - and the willingness to participate in a placebo-controlled trial for pain that can be so heinous can be very, very challenging. You know, we've seen this as a challenge with cluster headache, too - not just because of the nature of the disease (when the cycles come and go somewhat unpredictably). But these folks aren't necessarily willing to forgo treatment for the purposes of a clinical trial - I mean, many are, and I thank them - this is another one of the reasons that research is really lacking in some of these rarer syndromes. Dr Jones: So, another part of the rationale for more investigation for these uncommon and probably underserved disorders. So, Dr Nahas, I know caring for patients with craniofacial pain, I imagine it can be challenging. I can imagine it's also pretty rewarding as well. What drew you to this work, and what do you find most exciting about it? Dr Nahas: Well, what brought me to headache to begin with was kind of random chance, and really, it revolves around mentorship. When I very first started as a neurology resident, Dr. Silberstein took me under his wing and wanted to turn me into a headache specialist (that was one of his goals). And, thankfully, he was successful, although he didn't really have an easy job of it, because back then, I didn't really see or understand how studying headache and facial pain could really satisfy that hunger that I have to understand the brain and the nervous system. I mean, that's why I became a neurologist in the first place, right? (I think that's why most of us did.) You know, not only are we drawn to medicine to help people and be altruistic and to study a fascinating topic, but particularly with the brain and the nervous system - I mean, this is what makes us human. This is what's so fascinating to me. And until I started to learn more about headache, I thought the best way to really learn about brain function is through disease (such as stroke or epilepsy, or movement disorders, cognitive disorders, degenerative disorders). This is how we learn, right? This is what I was taught, at least in college and med school. And then you get to the real world of actually practicing medicine or being in training. You start talking with these folks, and you hear their stories and how distinct they are from the textbooks. And again, when you invite them to really describe their experience, you see the human side of it, and you listen to them describe their symptoms - and you start to imagine yourself, what's really going on in their brain and their nervous system for them to experience that? So you start reading a lot of the literature about cortical spreading depolarization and how that can activate the trigeminal system and sensitize it - how that might be linked to the expression of aura (for example) - then, you can actually really parse out the anatomy and understand why somebody experiences those symptoms when you understand the anatomy. And there are just countless examples of this - about how studying the symptoms and what brings them about, what the pathophysiology is, and then what the treatment is, how that really informs our understanding of how the brain functions - that's really what's kept me excited about this. That, and again, forming relationships with patients and sometimes being the first person who ever just sat down and listened to them and let them talk, and they really feel like they're cared about and like they're important - because they are. I think far too often, patients with headache and facial pain disorders are stigmatized, and they're left feeling like it's not worth it trying to get better, that there is no solution. Society has beat them down, the medical system has let them down, and they just want to give up. Then, when we can finally sit and listen and give them some hope, and they see some improvement - the transformation that occurs right before your eyes is extraordinarily gratifying. Dr Jones: So, it's fascinating, and you can help people - and I can't think of a better advertisement for headache fellowship for all those neurology trainees out there. Well said, Dr Nahas. So I've got one more question for you before we close. And I know that the headache community, including yourself, are very strong advocates for your patients and for more research (as we've talked about today) into headache disorders, understanding the pathophysiology, developing better treatments. What is it about purple hair? I've seen several headache specialists (and maybe someone on this call) post online some purple hair. What's the story behind that? Dr Nahas: A number of years ago, as part of advocacy efforts, we recognized there's got to be a way to really improve the awareness of such a common condition, of headache in general. It affects so many people, it almost becomes, again, brushed off. We say headache, it's just a nuisance. Well, no it's not. It's actually fascinating as part of the human condition. One of the things we needed was a color - our signature color - and we chose purple. We know that we share this color with other advocacy groups, but it's a great color, it's eye-catching, and you can utilize it in a number of different ways. One of the early ways was people dressing up in all kinds of purple garb - putting purple makeup on, purple sunglasses, purple tutus, purple T-shirts, and even purple wigs. A lot of us have been donning purple wigs for advocacy and for awareness efforts, particularly for events (such as Miles for Migraine, for example) - but some of us have been so bold as to not just put on a purple wig, but to actually go to a salon, bleach the hair, and dye it bright purple. I have at least one male colleague who also did this to his beard. Last year, we did it together at the same salon, took a bunch of pictures to post about. It really created a big splash online and for our social media efforts and outreach, and it caught on. Lots more people now are thinking about dying their hair purple. One of our current fellows actually did it this year. At our center, we have about 30 different purple wigs that we bought with some funds that we procured, and on the Shades for Migraine Day (June 21), we all went out parading around Center City, Philadelphia wearing our purple T-shirts and our purple wigs, and handing out flyers trying to raise awareness. We got a lot of strange looks, but we also got a lot of good feedback. And I think we actually reached some people who didn't realize that there's such a thing as a headache center that they could actually come and see us and get relief for this problem they thought was just a part of everyday life. That was kind of a long-winded answer, but - Dr Jones: No, that's great, and it worked. It got me to ask you about it, right? And I will say I admire your commitment and dedication. The best I could do today, Dr Nahas, was wear a purple tie, but I'm sure your patients appreciate that level of investment, too. It's really, really cool. Really impressive. Dr Nahas: Yeah. A lot of them this past year have asked me, “Where's the purple hair? I thought you were going to do it every year around this time.” And, you know, it is a bit of a commitment. Dr Jones: It's a commitment, yeah. Dr Nahas: And there's some upkeep that is required and you're kind of stuck with it for a while (unless you want to go to the trouble of reversing the process, but that's really just covering it up). I said, "We've moved beyond dying the hair. We're doing wigs, and we're thinking of the next thing.” Dr Jones: Good for you. Dr Nahas, thank you so much for joining us, and thank you for such a thorough and fascinating discussion on symptomatic management of cranial neuralgias and such a wonderful article in the latest issue of Continuum. Really appreciate you being here today. Dr Nahas: I can't thank you enough. It's been my pleasure. Dr Jones: Again, we've been speaking with Dr Stephanie Nahas, author of an article on cranial neuralgias in Continuum's most recent issue on headache. Please check it out, and thank you to our listeners for joining today. Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal which is full of in-depth and clinically relevant information important for neurology practice - and right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024, or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members, go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.
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Dr. Hank Williams shares his journey from being in the Navy to becoming a chiropractor and exploring various modalities of healing. He discusses the importance of addressing structural, chemical, nutritional, emotional, and spiritual aspects of health. Dr. Hank explains his approach to patient care, which includes running wellness panels, using muscle testing and biofeedback techniques, and addressing heavy metal toxicity and gut health. He shares two powerful patient stories where his interventions saved lives and improved emotional well-being. The conversation also touches on the significance of diet variation and rotation for optimal health. In this conversation, Dr. Joel Evan discusses various topics related to health and wellness. He talks about his experience with sleep apnea and how he found alternative treatments that worked for him. He also explains the emotional aspect of physical conditions and how trauma can be stored in the body. Dr. Evan discusses the importance of cranial bone movement and its impact on overall health. He also shares insights on the techniques he uses, such as cranial facial release, quantum neurology, and Neuralink. Additionally, he talks about the biohacking technologies he utilizes in his practice, including the Pulse PEMF, N3 Nano V, and Avacen. Dr. Evan emphasizes the importance of work ethic, shares his inspirations, recommends books, and discusses his personal rituals and practices. Takeaways ✅ Health is a triangle that encompasses structural, chemical, nutritional, emotional, and spiritual aspects. ✅ A comprehensive approach to patient care involves running wellness panels, using muscle testing and biofeedback techniques, and addressing heavy metal toxicity and gut health. ✅ Emotional trauma can be stored in the body and impact overall health. ✅ Cranial bone movement is important for proper brain function and hormone release. ✅ Techniques like cranial facial release, quantum neurology, and Neuralink can help restore nerve function and improve overall health. ✅ Recommended books include 'How to Think and Grow Rich', 'How to Win Friends and Influence People', 'Awaken the Giant Within', and 'Atlas Shrugged'. ✅ Dr. Hank Williams can be found at Williams Wellness Center in Laguna Beach. Chapters 00:00 Dr. Hank's Journey: From Navy to Chiropractic 09:07 Addressing Heavy Metal Toxicity and Kidney Health 39:02 Exploring Cranial Facial Release, Quantum Neurology, and Neuralink 48:23 Utilizing Biohacking Technologies for Health and Wellness 56:11 Inspiration and Recommended Books 01:03:08 Discovering Dr. Hank Williams Wellness Center
Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastHave you ever considered taking your baby to a pediatric chiropractor? Or a feeding therapist? Today Dianne and Abby talk about some other professionals who can help with infant feeding, not just lactation consultants. Check it out! If you are a new listener, we would love to hear from you. Please consider leaving us a review on iTunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com. You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Request from listener [10:02]Infant chiropractic [22:27]Feeding therapy [23:27]Tongue tie release help [23:27]Help with bottle feeds [24:26]Swallowing dysfunction/disorganized [26:17]Cranial sacral therapy [29:31]Less invasive care [33:23] Today's episode is brought to you by Cimilre Breast Pumps! Cimilre breast pumps range in size from ultra tiny pumps as small as a sticky note, to fully adjustable pumps with 85 setting combinations. Use code BADASS for 15% off at www.cimilrebreastpumps.com. Today's episode is sponsored by Mamma's Liquid Love! Mamma's Liquid Love handcrafts breastmilk (or umbilical cord, placenta, hair, ashes) jewelry. They've crafted over 25,000 pieces in 10 years. Use code BADASS for 10% off you order at www.mammasliquidlove.com. Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/breastfeeding-in-public/https://badassbreastfeedingpodcast.com/episode/how-birth-impacts-breastfeeding/ Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/ Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby: AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.com Music we use:Music: "Levels of Greatness" from "We Used to Paint Stars in the Sky (2012)" courtesy of Scott Holmes at freemusicarchive.org/music/Scott Holmes
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