What is Ayurvedic & Nutritional Counseling?

Ayurveda is an ancient system of health that begins with an in depth study of your own constitution. To begin, an Ayurvedic practitioner will spend a couple of hours asking a lot of questions, including what vitamins you take, what you eat, childhood illnesses and accidents, your sleep, and your digestion. They really take the time to get clear on how your body works and responds to the world.

This kind of session both identifies your constitution, and gives you the tools to feel secure about what you need to be doing. Ayurveda focuses on one issue at a time, and so the consult will include a plan to address your chief complaint. Because everyone digests things differently, two people with the same complaint but different constitutions will have very different treatments. There is no one pill that fits all.

There are so many factors to consider that it seems very complex, and yet once you know your constitution, it makes things so much easier. It creates a sense of awareness, like falling awake. The different constitutions (doshas) have different innate responses to life and food, and how they respond to imbalance is also very different. Knowing what is normal and what is a sign of imbalance in your constitution helps you know when your body needs support.

What is Integrative Medicine?

HaLe’ offers integrative health care based on a personal relationship. We want to talk with you, hear more about what is going on with your whole person, and address whatever you think needs help or optimization. We build on your strengths to help increase function, reduce stress, manage pain, and improve athletic performance.

Integrative medicine is a form of health care that focuses on the whole person. It uses evidence-based practices, which means your treatments have been proven to help. Taking a “yes, and” approach, all appropriate therapies and disciplines are utilized in order to achieve optimal health and healing.

At HaLe’, our template treatment plan is to begin a self-care practice with our classes, and to support that practice through individualized care to address deeper or acute issues. Our instructors are experts in customizing and modifying classes in order to meet the needs of both new beginner students and experienced students looking to deepen their practice. Our therapists offer manual medicine in the form of  bodywork, massage, mindfulness, and coaching sessions to really address the specific needs of each client.

52% of manual medicine is utilized for medical treatment

19% of manual medicine is for pain relief & pain management

72% of self-care classes are utilized for stress relief

86% of students in self-care classes report high mental clarity

Integrative Medicine is non-invasive with few side effects and little evidence of harm. It is supported by the majority of PCPs and most clients notice their health conditions change for the better, along with improvements in overall health, better habits, improved mood, and body awareness.

What is Fascia?

Fascia is connective tissue made primarily of collagen that connects every part of the body, and often serves as a storage medium for fat and water, and as a passageway for lymph, nerve, and blood vessels. It also surrounds organs, glands, and individual muscles, and suspends the organs within their cavities. It is a complex system that literally connects every part of the body with every other part and can have a profound effect on health.

The full roll of fascia in the body and its relation to health is just now being explored because imaging technology has only recently been able to show us how the living fascia looks and acts. Problems with the fascia happen when it loses its stiffness, becomes too stiff, or isn’t otherwise able to move the way it needs to move. When it is too loose it can lead to organ prolapse, and when it is too tight, it can cause organ dysfunction and muscle pain. Fascia is also probably a crucial part of our ability to sense where our bodies are in space, to sense pain, and to feel internal sensations.

Lengthening and hydrating are the key ways to support the health of our fascia systems. Fascia does not stretch, and so lengthening happens through certain kinds of slow, steady applied pressure. Hydrating is not a matter of drinking liquids, but instead of activating and moving the water and other fluids already stored in the fascia.

At HaLe’, we offer both therapies and classes to support the health of the fascia. Our classes are great generalized treatments, especially our MELT Method and Girls with Balls classes, and so make a wonderful foundation for a strong self-care practice. For more acute or chronic conditions, we offer bodywork and massage to address the fascia in ways only a trained therapist can provide. Our myofascial release and Rolf Therapy offerings work specifically with the fascia to reduce pain and muscular dysfunction, and our Ashiatsu massage therapists use slow, applied foot pressure to very precisely and effectively lengthen and hydrate fascia.

What is Therapeutic Yoga?

by Chelsea Henry

Therapeutic Yoga uses yoga as a specific, individualized treatment that draws on a deep expertise and understanding of the body. All yoga can have therapeutic benefits, bringing healing and balance to the body, mind, and spirit. Therapeutic Yoga, however, is designed specifically around encouraging these therapeutic benefits and comes from a place of expert anatomical and physiological training.

One great benefit of Therapeutic Yoga is that it opens up yoga practice to a much larger population than would otherwise try yoga. An important goal of classes is that students leave feeling better than when they came in, and that they feel successful at having done yoga, regardless of the injury, disease, or illness they might be working with.

A Therapeutic Yoga class meets the students where they are, so that they are not struggling and can really find inner rest. It is not just a gentle approach, but also very precisely meets their body with support at the exact right angle for their needs, using blankets and other props as well as hands-on adjustments.

As an example, in our Neck and Back Care Yoga class, blanket support and other adjustments are used to really specialize and create the right angle to access the spine specifically. Every pose begins with pranayama breathing practice, and then the sequences begin by opening up the tailbone, and then the sacrum area, lumbar spine, and ribcage. People often come in with neck and shoulder issues and find that just the breathing itself begins to open up their range of motion, changing the neck by opening the spine, and then they feel an improvement in their neck and shoulders.

Therapeutic Yoga is a powerful healing method, accessible to every body. Students don’t have to be advanced practitioners, or even flexible. This is a reasonable self-care tool that meets students exactly where they are, at the intersection of their mind and their body. It is like finding a sliding door, rather than pushing or pulling the door to get in, and it accesses the amazing healing power of our bodies.

Ryoko Suzuki contributed to this article.

Integrative Medicine & the Growing Edge of Health Care

Integrative medicine is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person’s health. Employing a personalized strategy that considers the patient’s unique conditions, needs and circumstances, it uses the most appropriate interventions from an array of scientific disciplines to heal illness and disease and help people regain and maintain optimum health.   Duke Integrative Medicine

Integrative medicine is patient-centered health care that takes the whole person into account. It is not alternative care, which is used in place of western medicine, and it is not complementary care, which is used to supplement western medicine. Instead, Integrative Medicine begins with the health of the patient and partners with them to address all the causes of an illness, not just the treatment of symptoms. There is a complex interplay between the biological, behavioral, psychosocial, and environmental influences on health, and so it is necessary to engage with the full range of these influences.

In order to take this full spectrum approach to health, Integrative Medicine uses all available healing sciences to best treat the patient’s unique circumstances. Through a willingness to use the healing modalities that will be the most effective and least invasive options, and to combine these treatments into personalized care, Integrative Medicine

neither rejects conventional medicine nor uncritically embraces alternative therapies; rather, integrative medicine can be described as a practice that “cherry picks” the best and scientifically supported therapies of both systems. The ultimate goal: to get the patient better, through the use of safe, effective, less-invasive interventions whenever possible.   UCLA, Explore Integrative Medicine

Integrative Medicine also focuses on prevention and the development of effective self-care for patients. According to the CDC, 70% of all deaths are due to chronic disease, and the cost of chronic care accounts for 75% of all medical expenses. Yet we spend very little on prevention and health promotion, which has been proven to dramatically reduce the burden of chronic disease. Our conventional medical system has a bias toward high-tech and invasive crisis intervention, which contributes to the dysfunction in our health care system. Integrative Medicine is a growing solution to these issues as it invests in the whole body health of patients and partners with them on their healing journey in order to empower their physical, mental, and spiritual health.

HaLe’ is Integrative Health Care. We use techniques with proven effectiveness to treat each patient under their own unique circumstances, and we partner with and empower the health of all our clients. Our offerings are rich with opportunities and support for continued health and healing.

 

The Magic Muscle: the Psoas

from Kaaren Engel

The psoas (pronounced so-az) is the one muscle that attaches the upper body to the lower body. It allows locomotion by allowing you to lift your legs to actually walk. It is the filet mignon of the body, the tenderloin, and is actually very delicate. It needs to be treated with sensitivity, so that it becomes juicy and full and soft. When it is juicy, you walk like a dancer, with legs that just swing from your body.

It is also the emotional core of the body, holding massive amounts of emotional information. It is where we hold birth and childhood trauma, or any other trauma, because it is directly a part of our flight or fight response. This makes sense because you are either running or curling into a ball, which are both primarily psoas reactions. When you’ve been traumatized and just want to curl up, that is the psoas acting as a protector, and when you release that, you can stand up straight, face the world, and approach it with ease.  It can also hold good stuff if you create that. A relaxed and juicy psoas leads to full body orgasms that flow through your whole body.

One of the best things you can do for your psoas is Constructive Rest Pose, where you lie on your back with your knees bent and feet parallel to each other at the width of your hip sockets, about 12-16″ away from your buttocks. You can also put your feet up on a chair. This pose allows the psoas to drop and lengthen. A fetal curl also allows it to soften and relax. These simple relaxations are so important. They not only change the body physically, but you can feel yourself moving more deeply into the floor. Your sympathetic nervous system gets a break and the body gets soft, bringing us a treasure trove for the body, mind, and spirit.

You can also work with balls to soften and hydrate the feet, standing up and pressing and releasing the foot onto a ball. This hydrates the tissues all the way up to the psoas, which is why we do a lot of it in class.

The psoas is fascinating because everything lands there, all your emotional issues, everything, and it works best when it is soft and relaxed. We can play with it, approaching it with a childlike curiosity of how things move. And when the psoas is juicy, we will all walk like dancers, with an easy flow.

Now about those needles…

by Katherine Casey, LAc

If you have never had any experience with acupuncture before, you are probably concerned about the needles. This is understandable, because the only needles we are familiar with are hypodermic needles, which are hollow-bodied, and designed to either take something out of us (blood), or put something in us (medication). Neither experience is ever very pleasant!

Acupuncture needles are completely different from hypodermic needles. They are very thin, solid body (meaning, they aren’t hollow like hypodermic needles are), and they serve the purpose of delivering a message. They direct qi (that animating force that keeps us alive, pronounced “chi”) to do something, like “go over here and nourish the lungs because this body has a bad cold.”

Another concern people often have about acupuncture needles is whether or not they are reused. And the answer to this is an unequivocal and emphatic NO. Acupuncture needles arrive from the supplier in sterile packaging, and they are single use only, just like hypodermic needles. They are disposed of in a sharps container just like the ones found in doctors’ offices and hospitals. Acupuncture needles are never, ever reused.

What is Cupping Therapy?

by Katherine Casey, LAc

The history of cupping is documented in the medical histories of many parts of the world, including countries of Africa, Europe, the Middle East, as well as Asian countries. Cupping is the practice of applying specially designed cups to the skin using suction for the purpose of relieving muscle pain, reducing swelling, and increasing the circulation of blood and qi to an injured area. It can be used to assist in lymphatic drainage and in reducing cellulite. Cupping can also aid in alleviating digestive issues, such as constipation. Facial cupping can aid in the reduction of fine lines and facial puffiness.

Historically all kinds of items were used for cupping– animal horns, bamboo, stone, and sea shells are some of the materials used for cupping. Nowadays, in the modern clinic setting specially designed glass cups are used, as well as cups made of polycarbonate plastic or silicone, all of which can be easily cleaned after use.

How does it work? In order to answer this question let’s compare massage therapy and cupping. Massage therapy creates “positive pressure” by compressing tissue to relieve muscle tension. In constrast, cupping uses suction to create “negative pressure.” The suction action of cupping expands and opens up the layers of body tissue, allowing better circulation of blood and qi.

Cupping will often leave round marks, commonly referred to as bruises, though the marks are not true bruises, like those that occur from a compression injury. The marks gradually disappear a few days after treatment.

Behavioral Health for Mind, Body, and Spirit Care

from Janice Glasscock, LCSW

Behavioral health care and mental health care focus on thought processes and emotions, on personal narrative, and helping the mind communicate with the brain. This allows us to better understand our own stories and feelings so that we can make better decisions and act towards healing.

Behavioral and mental health care is especially useful for people in situations that feel stuck, full of loss or fear, and/or during large transitions. These situations can include an unhealthy pattern in a relationship, moving into new parenthood, and launching children from home. They can also be about dealing with a life threatening health condition or diagnosis, stage of life transitions like aging or health concerns, work place or work relationship concerns, or the loss of a significant relationship.

Approximately 67% of people with behavioral or mental health concerns do not receive treatment, and these concerns account for about half of disability days from work. Depression is the #1 condition currently affecting health care costs right now, and it has a global and pervasive impact on health issues and conditions.

We can improve our overall sense of well-being, health, and quality of life by paying attention to our behavioral and mental health as a part of our mind, body, and spirit interplay. This means paying attention to our thinking and cognitive processes, and to our decisions and actions. Strong behavioral and mental health helps with:

  • positive, effective work and personal relationships
  • good life choices and lifestyle development
  • physical health/well-being
  • handling natural ups and downs of life, and coping during life crises
  • self-discovery and personal growth

Psychotherapy as treatment for behavioral and mental health concerns is an evidence-based way to reduce depression and anxiety and more effectively cope and problem solve. It has long-lasting benefits, and helps to address chronic low and high levels of stress that are on-going contributors to compromised health and well-being.

Within a positive, safe, and constructive relationship with a professional, psychotherapy helps identify and better understand cognitive sources of unease, and to change/broaden thinking about both the problems of daily living and the catastrophic, all-consuming psychological and emotional crises from which we need recovery. It is a great modality to help us take action on the paths of healing.

Voice Release Therapy: Be Heard Again

from Adie Grey MacKenzie

Voice Release Therapy is a combination of bodywork and self care techniques that has been seen in many cases to improve vocalization. The specific technique was developed by a physical therapist at Vanderbilt at the request of The Voice Center. It is based on a variety of techniques and uses a lot of myofascial release.

This therapy is helpful for people who feel it takes a lot of effort to produce volume or to be able to get through a performance or lecture. Sometimes teachers can’t project or get volume and end up with very tired voices, and singers can feel like a performance or recording session is too much and they struggle to get through it. Sometimes people have a change in their voice where it doesn’t work as well as it once did. Even abdominal surgery can cause deviations in function that eventually effect the structures that allow the voice to function. Our voices are susceptible to many kinds of emotional and physical changes, even when those changes seem like they should be unrelated, or are on distant parts of the body.

The technical term for these changes is called muscle tension dysphonia, which is a diagnosis only a doctor can make, but what it means is that muscle tension is affecting the function of the voice. This tension can come from postural habits, overuse, and/or emotional stresses, and Voice Release Therapy has been seen to be extremely effective at returning normal or near normal function of the voice; in some people their voice got better than it had ever been!

Treatments work best if people plan to come about once a week consistently for 6-8 weeks. We recommend coming to one session first to see if it is something you want to pursue, and then continuing from there. Each session is 1 hour, and includes hands on work, exercise, and education. We can achieve everything we need to achieve in the visits, whether it takes five or ten or however many your body needs, but there is a tendency for any fascial release to return to a tight state and so maintenance is important. This can happen through self care using exercises you learn and other techniques, or you can come back for regular maintenance sessions with the therapist.

Yoga, especially the kind of yoga taught at HaLe’, is also a great way to maintain results gained in Voice Release Therapy because it works on core stability, anterior stretching, and connecting with the breath in a way that is different from voice lessons. Most of us do so much in our lives that bring our torsos forward into a flexed position, and 99% of the time these vocal problems are caused by postural deviations that end up damaging the capacity of space around the vocal chords. Yoga helps people learn to relax the body into postures that enhance the fascial release done in therapy sessions.

Breathing is also hugely important, since most of us don’t breathe properly. Yoga helps with breath training and reinforces the breath training done in therapy sessions. Some people are good and know how to breathe and that is not the issue, but a lot of people don’t know how to connect to the diaphragm. A lot of us use our neck muscles that attach to the scalenes to breathe, using the neck muscles to lift our upper rib cage. We can learn this through emotional stress, trouble breathing, or any number of places, but when we keep doing it, those neck muscles tighten up drastically which then means the vocal folds (they are more folds than chords) don’t have room to vibrate easily.

Voice Release Therapy is a very effective treatment for many voice issues, and it is also pretty pleasant to receive. It can sometimes get uncomfortable, but most people look forward to their sessions. They find it enjoyable, enlightening, and the results feel good.

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