Integrative Medical Solutions for Pain Relief at Sage Medicine Clinic Edmonds, WA

Integrative Medical Solutions for Pain Relief at Sage Medicine Clinic Edmonds, WA

October 8, 2019 0 By Ewald Bahringer


– Hi, I’m Dr. Angila Jaeggli
with Dr. Anastasia Jones. Welcome to Sage Health TV,
and today we’re gonna be talking about chronic and acute pain and we’re gonna dive into
what is pain in your body, exactly what’s happening. What are the things that
we find are contributors to your pain, and then
you know, what are things that we look at to work on
a very holistic treatment of that pain? – Yeah, I think that’s a great topic. We have a lot of patients that come in very specifically for pain, whether it’s an acute injury that is
not healing and on its way to becoming chronic or
people who have just been dealing with chronic pain for years and often even with patients
who come in for other reasons whether to establish care
or for another reason when we ask about musculoskeletal pain, joint pain, more often than
not people are struggling with some type of chronic
pain whether it’s low-grade or intense and it’s just sort of become part of their life.
– Right. – So, yeah. – Absolutely, and you
know, you’ve mentioned musculoskeletal, you
mentioned, it really can vary. I mean people have
migraines or fibromyalgia, or headaches are coming from their neck or as you mentioned a
knee pain or shoulder pain or multi-joint pain, so really I mean pain can exist in many different forms and of course on many different
levels, right, in severity. So really we wanna get into,
so we’re gonna give you a broad overview of things
that, if you’re in pain and it might include any or
multiple of those things, what are things that you can, or we, we’d love to see you if
you’re dealing with this and you don’t have somebody,
an active holistic team helping you, we would love
to help you with this. What do we start to like, break down to kind of
assess what’s contributing to your pain? – Yeah, and you know,
we wanna be really clear that pain has a purpose often, right? So it’s something is
off, whether something has been damaged,
something’s out of alignment, we get this signal from the,
you know, the area of pain to the brain that tells
us something is awry, but sometimes unfortunately
that signaling itself goes awry and we get
locked into this loop, this pain loop, right,
where even if things have started to resolve
in that localized area or they’re stuck, that’s
when we get that inflammation and chronic pain loop. And so we really like
to look at it not just for like shutting down the
pain or covering the pain up but we wanna talk about
long-term solutions and not just pain management. – Exactly, exactly. So starting out again, does
depend on the type of pain you’re dealing with but
first thing we feel like is really, really important is looking at your structure. So if you for instance have
knee pain and you’re like well, could be from injury but if you’ve had that knee pain for any
significant amount of time, you start changing the way you walk, you know, you shift your
hips in a different, which goes all the way up
your spine into your neck, so we work on, we do things
to help work on structure but we also bring in
other people as a team, you know, we really like
holistic chiropractors, physical therapy, orthopedic docs, so depending on what you’re dealing with. But that structure is key. It has to be realigned. – Absolutely, critical. Then we wanna start looking
at overall inflammation. So if somebody is inflamed and you know, a lot of us are, if
there’s active inflammation happening in the body, if
that is not calmed down basically healing can’t happen. So you can get the structure
aligned, but if inflammation is continuing to run
rampant through the body, you may not feel it in your whole body, but if there’s inflammation,
you will definitely feel it in those areas
where there’s been damage to the structural integrity or you know, you’ll get consolidation in those areas. So we really wanna look
at like what, you know, are you inflamed, we have
lots of ways of checking that and if so, why? – Exactly, and one of those things that’s a piece of that
inflammation, especially I would say probably more unresolved like an acute that turns into chronic or extended chronic pain is dietary. You know, so probably
people get kind of tired of hearing this, but you know, we all have certain foods that our
bodies, our immune system really does not care for, and
there are some common ones like gluten, wheat, soy,
you know, corn, but– – Sugar.
– Sugar. – Sugar’s a huge pro-inflammatory food. – Right. – And we talk about this a lot. – Yes, yes.
– For everyone. – Every single person, unfortunately. But then we all have individual things like unfortunately mine
is coffee and almonds which is horrible, horrible, yeah. But then we get into
you know, just general like again, there are
reasons why the foods that are inflammatory are inflammatory, like for instance gluten
being high-lectin, and there are also other seemingly great healthy foods like tomatoes and cucumbers that are also high-lectin. – The nightshades, yeah. So once again it really
depends on the person and we don’t say there’s
not a one-size-fits-all for everyone, it’s really
about looking at what might be doing that to you. That brings us directly
into gut health, right? So everything is really
mediated through our gut and inflammation is primarily mediated through our gut as well, so
if we have a damaged gut, and the integrity is not really intact from whatever reasons, I’m
not gonna go down the list that creates that damage, we
do not have a healthy gut, that’s able to assimilate our nutrients and also keep inflammation
down in the body, – Right. – There’ll be more inflammation. – Yeah. – So that’s a really also
critical piece of the puzzle. – Yeah, just think, miles
long of tissue, you know, that’s inflamed, which brings me to the relationship between the
gut and nutrient deficiency. So there are a couple things that create nutrient deficiencies
in pain, so sometimes it’s the actual medications
that you’re taking to treat the pain that
your liver and kidneys have to work overtime to metabolize those, so they’re pulling on your vitamins. Sometimes just the act, literally the act of creating, having inflammatory markers. It is actually pulling on your nutrients, and then say, we add on that
layer of maybe leaky gut or gut dysfunction, and
you’re not absorbing the nutrients that you’re
getting very well anyway, right? Which is a recipe kind
of for nutrient disaster that we need to correct. – And then there’s several other factors that play into pain, we’re
not gonna get into them all today, we wanna talk a
little bit about testing. There’s so many things
we can test to help you narrow down and identify. On routine blood work, we
look at the routine stuff but we go a step further
on a lot of the blood work that can still be covered,
done through normal labs, but we really look at those
markers of inflammation, the CRP and the
homocystine and the fibrin, all these things that we know you’ve got a high number there, we
wanna work on helping you to bring that number
down by removing things, adding in other things,
so we have, you know, we don’t just once again just
give everybody the same plan to bring down inflammation, we have things we can look at. We can do GI testing, stool testing, food allergy panels, yeah. – Yeah, that’s really, I mean, so again, individualized but you
know, each of those things are gonna show up
differently for every person. So which brings us to kind
of what are our treatments? You know, what do we
tend to kind of pull in to our treatment wheelhouse to help you get to the place where you need
to be, which is out of pain? And one of the first ones
I would say it’s probably one of our favorite
therapies, and goes in line with having, identifying
nutrient deficiencies is IV nutrient therapy
or IV vitamin therapy, which also has minerals,
sometimes amino acids in there which are little proteins. So all of those have
been researched around a blend of nutrients that has been found to reduce inflammation, to address pain, to reduce muscle spasm. – Increase healing of connective tissue and once again it’s really
important to say two things, one, people will say
well I’m taking a multi or I take this and that.
– Yeah. – You may not be absorbing it well because of gut issues
and also, what is needed for healing is very different than what is needed preventatively
or for maintenance. So we’re talking about
therapeutic doses of nutrients, of vitamin C and magnesium,
things that are gonna really bypass the gut, get into your body, get into the tissues and
get the healing process sped up versus how much
you can just get orally. – Exactly, yeah. So again bypassing any gut dysfunction which is really one of the
beautiful things about it and why we see that it works so well, really, really well. And of course nothing
works 100% for everybody, I should say that– – It’s an important piece of
the puzzle for some people. – Yes.
– For sure. – And then we get into structure. I already touched on
this, but really that part is really, really important. Like you know, whether
it’s neck pain or migraines where misalignment of the neck is actually impinging nerves and
contributing to the migraine or whether it’s fibromyalgia. Just because you have
fibromyalgia doesn’t mean you can’t have misalignments
all throughout your spine, hips, that are contributing to that pain. – Yep, yeah, and then you know, with the structural corrections,
things like adjustments and whatnot, those aren’t gonna hold if the soft tissue is not also corrected. So that’s where things
like more physical therapy, massage, and then something we love here called trigger point
therapy comes in, right? So when we’ve got those, if
like there’s a spinal rotation or just something’s out of alignment and the muscles are
spasmed around it, right, and they’re pulling
that out, if you can get those muscles relaxed
and get those to release, you’re gonna hold those
alignments so much better and trigger point therapy
is unbelievable for that. – And we’ve used it
– It’s really incredible. – For a long time and when
you get in and you find those points and you get them released, one, people usually get some
pretty instantaneous benefit but then they also get the
ability for the other treatments to work better. – Right, and whether that’s adjustments or sometimes you know, specific injection into a joint, something like that. And that is a therapy
I like to just mention, it’s a traditional therapy and many times can be covered by insurance as well. So which brings me to the gut. Now the gut really, we
don’t always think of like, well, you know, I’ve got,
both of my knees hurt, I have chronic arthritis, I need to think about my gut, it sometimes
doesn’t seem like it matches but we really, that is a really strong and important piece of your
overall long-term healing because one, some of the
nutrients that we need for joint health, for instance, are large, very large molecules and
they have a difficult time going through your gut
and being absorbed anyway so if you already have inflammation there, it’s not gonna be that
effective, you know. – And one of our patients,
and this is one of my favorite stories because
it’s such a simple one. Everybody’s not this easy
but we have a patient who came in, he had, you know,
he had some different things going on but he had severe
knee pain, both knees. Dr. Jaeggli ran a food
sensitivity panel on him, came back through the roof on eggs, pulled the eggs out, he
was like diligent about it, pulled the eggs out for
three months and by the end of that point, and you know, we were doing some IV therapy and a few other things, but no major things, he was
able to go back to Crossfit, able to exercise, zero knee pain. Most people come and
they go oh, I was a nine and now I’m like a three or
two, he was like nope, none. – Every once in awhile we see that, yeah, it’s very interesting. – That’s probably why he’s our favorite (laughing) but he says that now he’ll eat eggs, he can eat one every once,
and I’m not recommending this but he notices though that
if he has more than one egg or if he eats a few eggs in a week, he’s like oh my god, my knees hurt so bad. So he removed the
inflammatory contributor, let some of the gut heal up, right, and the pain went down
so that’s one of those clear-cut cases of how close– – Yes, yeah. – Gut is to inflammation. – Absolutely, and I’m
seeing that with migraines, I’ve seen that with fibromyalgia, yeah, and joint pain. It’s quite powerful. So then probably moving
on to kind of one of our, another one of our favorite therapies is a type of oxygen therapy
called ozone therapy, and that particular type of oxygen can actually be injected. It’s a blood infusion,
sounds really strange called major auto hemotherapy
but has been around for a long time and studied extensively in many, many clinical trials and goes whole body. So we get a release, a very
powerful release of oxygen which drives healing. – And it’s really a
pretty simple procedure. – Very simple, yeah. – And Dr. Jaeggli if you wanna look on her YouTube channel
and look through some of her other videos. Dr. Jaeggli
has a great full video on ozone therapy to watch–
– Specifically, yeah. – Really explains how it
works and how great it is. – It’s a big driver of healing and again, and it actually is what
we would call in the class of regenerative medicine. Not as strong as say stem cell but I mean way more accessible financially for people and really, we get
really incredible results and we pair that a lot of
times with IV nutrient therapy as well as working on
the gut and doing things to relieve inflammation. – So it’s typically a
series and a combination of treatments but we really, you know, see results that way instead
of just giving people a pain pill,
– Yeah, exactly. – And send them on their way. – Which leads me to our last which is PRP which is a more, it’s platelet-rich plasma and this is a more probably, you know, many times we reach the
PRP stage whenever we have maybe worked on other things first, and it’s an extract of your
own plasma that’s been studied to stimulate stem cell
production in your body and regenerate tissue space. So we can use that
typically mostly we use PRP for working on joints, and
also like chronic tendinitis or muscle strains, things like that. So really powerful, and usually that’s a discussion we have
depending on where you’re at and what your needs are. – So it’s a lot of information, you know, we touched
base on a lot of things that might sound a little overwhelming but once again, everybody’s unique and it’s really often
a combination of things that put us into a place
of pain and a combination of therapies that are gonna
help get us out of that. If this sounds like something
you’re interested in I really recommend that
you find a functional or integrative medicine practitioner who knows how to deal
with pain but also knows how to address the underlying symptoms of gut health and inflammation. – Absolutely, yeah, and
if you happen to be here, we would love to be
that functional medicine and integrative medicine
doctor that helps you, so please reach out to us, we’re available and you can find us at sagemedclinic.com. Thank you so much for joining us today, and we look forward to seeing you soon. – See you soon. (upbeat music)