Acupuncture and Chronic Pain Management by Paresh Shelat Naturopath and Licensed Acupuncturist

Paresh Shelat

Need help for chronic pain in Portland, Oregon? At Pohala Clinic, we offer a variety of natural pain relief options with an emphasis on the pain relief benefits of acupuncture.

Did you know that Acupuncture can help alleviate pain from both acute and chronic conditions? Furthermore, Acupuncture continues to prove beneficial on a multitude of levels from physical ailments such as low back pain, neck pain, arthritis, etc. to mental and emotional ailments, such as anxiety, depression, substance abuse, etc).

Please take a moment to read the PubMed article discussing Acupuncture and Morphine in the management of acute pain in the emergency department.

‘This article provides an update on one of the oldest pain relief techniques (acupuncture) that could find a central place in the management of acute care settings. This should be considered especially in today’s increasingly complicated and polymedicated patients to avoid adverse drug reactions.’

Acupuncture vs intravenous morphine in the management of acute pain in the ED.

If you would like help decreasing acute or chronic pain through natural and lifestyle based approaches, please schedule an appointment with Dr. Paresh Shelat.

Call Pohala Clinic (503) 572-4196

 

Primary Care Provider in Portland, Oregon: Julie Foster, Family Nurse Practitioner is a Primary Care Provider

Why are Primary Care Providers so important?

Here are a few things that set PCP’s apart from other health care providers:

  • Primary Care Provider’s are trained to treat the entire person, physically, mentally and emotionally.
  • PCP’s  provide healthcare for all ages…. from infants to geriatrics.
  • PCP’s get to know their patients and their preferences. We make sure to keep your family situations and job pressures in mind when it comes to providing you well rounded health care.
  • PCPs are trained to build a trusting and lasting relationship with you, and work together with you to meet your goals.

At Pohala we have the best kind of PCP’s medicine offers:
Family Nurse Practitioners and Naturopathic Physicians 💼.

Together we have nearly 70 years of experience to manage all your health care needs.

Schedule with any of us!
Julie Foster FNP
Donna London FNP
Vera Vos FNP
Lisa Del Alba ND
Paresh Shelat ND

Call (503) 572-4196

We want to get to know you!

YOU DO NOT HAVE TO FACE YOUR LIFE CHALLENGES ALONE.

Holistic Primary Care: Why does Chicken Soup heal Us? Malia Susee, Acupuncturist in Portland, Oregon

Have you ever thought why Chicken Soup is helpful during a cold or flu? It is more than an old wives tale.

You’ve already fought the cold…and lost. Why would chicken soup help now?

Traditional Chinese Medicine concepts and Cold/Flus:

Traditional Chinese Medicine sees cold and flu viruses as externally contracted “wind invasions,” fought by our Wei, Qi (our body’s protection and defense). Our immune system often elevates our temperature and create mucous to fight viral infection. Fighting makes us tired. We know rest and sleep help us heal. Chicken soup’s ingredients actually speed the healing process.

Healing Properties of Chicken Soup:

You may ask ‘So, what’s in the pot?’

  1. Chicken: In Traditional Chinese Medicine, chicken tonifies, or strengthens, chi (a.k.a. Qi, our vital energy). We lose Qi while fighting viruses. Chicken builds it back!

2.  Water: We also get dehydrated by fever; soup contains the clear fluids we need to replenish our stores and help our bodies flush out metabolic waste.

3.  Salt: In TCM (Traditional Chinese Medicine) theory, salt “softens masses” and therefore, helps thin phlegm. Salt also helps replenish any electrolytes lost while fighting the initial stages of viral infections. Salt also encourages us to drink more water.

4.  Vegetables: Vegetables such as carrots, celery, and onions, provide nutrients our bodies need in an easy-to-digest manner, as they’re fully cooked in the soup! Vegetable fiber, along with salt, and plenty of water, help our bowels efficiently remove waste. In TCM theory, a well-functioning gut makes the body less hospitable to viral and bacterial infections.

Here are some Super-powered soup additions to tailor your healing process:

 5. Fresh Ginger: Fresh ginger releases the exterior (helps fight in early stages) and: disperses cold, strengthens defensive Qi, alleviates vomiting, stops coughing, and transforms phlegm.

6. Citrus peel: Moves Qi in the digestive tract (helping alleviate gas, bloating, and belching) and transforms phlegm.

7. Cinnamon: Releases the exterior and fights chest congestion and cough.

8. Fresh Scallion: Fights early-stage viruses by inducing sweating. Opens nasal passages blocked by cold.

Knowledge is power. This is primary care. So now that you know this, you and your family can better understand why healing through integrative family medicine, naturopathy, are chinese medicine /acupuncture are just basic common sense.

For more help in kicking the cold and flu, schedule an appointment with Malia Susee, L.Ac.. Call (503) 572-4196 today!

What is Greenwashing? from Vera Vos Family Nurse Practitioner in Portland, Oregon

At Pohala we pride ourselves in helping our patients be savvy consumers for their health.

We all know what brainwashing is, right? But have you ever heard of greenwashing?

Greenwashing is a deceptive marketing technique used to make consumers think a product is healthy, environmentally friendly and sustainable.

Regarding nutrition, companies have figured out that healthy food is good for business. Unfortunately, they have also learned that greenwashing, making consumers think it’s healthy is just as beneficial for the bottom line.

The article from The Food Revolution Network explains how to avoid being scammed by “greenwashing”.

Schedule an appointment with Vera Vos FNP to learn more about choosing healthy options for your lifestyle and nutrition.

Call (503) 572-4196

Nutritional Cleanse with Nurse Practitioners, Vera Vos and Julie Foster in Portland, Oregon

 

Would you like to get in sync with your body’s natural rhythms?

All the way back to ancient times whether by circumstance or choice it is intuitively right for us to cleanse twice a year, Spring or Fall.

Cleansing will increase your energy, reduce inflammation and improve your overall health? Join us on March 13th 2019 and learn more about using a whole foods cleanse to increase vitality and help the body naturally heal. Cleanses help us with countless health complaints such as high blood pressure, high cholesterol, anxiety and brain fog.

Join Pohala’s Integrative Nurse Practitioners, Julie Foster NP and Vera Vos NP to discover how a nutritional cleanse program can help you get back on a path to health. They will discuss the benefits of a whole foods cleanse, explain the process and answer your questions.

Is a Cleanse Right for You?

If you want more energy, would like to improve your blood sugar, reduce belly fat, reduce the need for cholesterol and blood pressure medications or simply want to see how a change in diet can benefit your life, a cleanse is a good place to start.

Common benefits/side effects of our cleanse programs include:

– Weight loss
– Improved elimination and sleep
– Improved blood work (especially lipid profiles and blood pressure)
– Decreased aches, pains, and inflammation
– Healthier and better looking skin
– More energy

Julie & Vera can also answer your questions on how a whole foods cleanse compares to Whole 30, Paleo, a ketogenic diet, intermittent fasting and plant based diets.

When: Wednesday, March 13th, 2019
Time: 6-7p
Location: Pohala Clinic/Portland, Oregon
Cost: Free and registration is required as space is limited.
503-572-4196

We hope you can join us and start the journey towards a healthy and energetic body in 2019 and beyond.

Julie and Vera combine many years of experience of Nutrition and Lifestyle education. Come hear their personal stories of nutritional cleansing applying safe, natural methods to increase health and vitality. Our methods are non surgical and are drug free.

Please email aleena@pohalaclinic.com or call Pohala (503) 572-4196 today to reserve a space for yourself. Feel free to bring a friend.

Mahalo,

Pohala- A Place of Healing

Donna London Family Nurse Practitioner in Portland, Oregon

 

Donna London MSN, FNP-BC is a Board-Certified Family Nurse Practitioner originally from the Midwest where she obtained her undergraduate degrees in nursing and healthcare administration (1988 and 1998 respectively).

Her desire to become an advanced practice nurse developed as a result of her growing knowledge that there were thousands of Americans who didn’t have access to basic healthcare services, due to a shortage of primary care providers. It was at that time that she felt a deep responsibility to be part of the solution to fill the gap in underserved areas and for those patients who lack access to quality health care. 

Donna later attended Oregon Health and Science University’s RN to BS nursing program where she graduated summa cum laude. She continued on to get her master’s degree in Maryville University’s Family Nurse Practitioner program. 

Donna enjoys partnering with patients to meet their wellness goals including preventive care, managing chronic diseases, women’s health, men’s health and well child checks and sports physicals.

While she enjoys working with a variety of patients and health care issues, she especially enjoys working with perimenopause and menopausal women, successfully assisting them as they begin to transition from one stage of life to another one. She believes this can be a transformative and exciting period in the lives of women…if an individualized approach to managing their physical and psychological needs are addressed.   

Donna provides an integrative approach to patient care, combining traditional/conventional and alternative/complementary as appropriate. Following a patient centered care model, she is committed to providing care that is respectful of individual patient preferences, needs and values.

She has a passion for helping her patients achieve their wellness goals and believes a life well lived involves developing and maintaining a healthy mind, body and soul…regardless of the state of health or “illness” a patient is in. 

In her spare time, Donna enjoys traveling, singing jazz, home decorating and spending time with loved ones. 

 

Please contact Pohala Clinic to visit Donna London.

How is Acupuncture Used for Health in China

We recently asked Pohala Clinic acupuncturist Malia Susee to talk about the uses of Acupuncture in China. 

In China, acupuncture’s highest purpose is to promote longevity and vitality. People use acupuncture to prevent disease and to thrive throughout their lives. That said, the acupuncture wing I interned for in Nanjing, China treated many people for respiratory infections such as cough, asthma, sinus congestion and digestive complaints including diarrhea, gas, bloating and indigestion.

I also saw acupuncture used for post-operative pain, epilepsy, Cerebral Palsy, and post-stroke symptoms including paralysis, slurred speech, motor, sensory, and cognitive difficulties.  This happened in Chinese hospitals where acupuncture was a main form of treatment.

Weight loss treatment was also up-and-coming and popular with the arrival and spread of American fast food companies in big cities!

***

If you would like to work with Malia Susee, please visit our Pohala Clinic contact page to make an appointment.

 

Can Acupuncture Help with Pain? Ask the Dr. with Paresh Shelat of Pohala Clinic in Portland, Oregon

By Dr. Paresh H. Shelat, Naturopathic Physician and Licensed Acupuncturist at Pohala Clinic in Portland, OR. 

In my clinical opinion, absolutely.  Both acute and chronic pain account for a billion dollar industry. With many different therapeutic modalities and approaches to reduce pain, and subsequent disability resulting from pain, what are patients left to do? Ideally, INQUIRE and be CURIOUS. After all, it’s the job of any healthcare provider to inform patients of their treatment options and to educate them about pain and what it means to have pain so that we can come up with a healthy plan that reduces pain without adding the complications of medication side effects. In doing so, both the provider and patient can formulate a healthy plan that reduces pain without adding the potential complications of medication side effects.

The most common pain-related conditions I see in practice include:

    1. Low Back Pain: A majority of people have low back pain at some point in their life.  It’s also the most common musculoskeletal pain.
    2. Neck Pain / Mid-Back Pain.
    3. Shoulder Pain / Rotator Cuff Injuries.
    4. Knee Pain: Resulting from both acute injury or more systematic / degenerative problems such as osteoarthritis or autoimmune disease.
    5. Muscle Strains / Muscle Cramps.

What are the most common treatment options or treatment recommendations I typically see primary care providers use? Please note that there is nothing inherently wrong with the treatments in the list below. This is simply what I normally see in general health care and there is no question that they have their place in a pain management plan. My goal is to show a client all of his or her options.

    1. Pharmacologic Medications: NSAIDS, Muscle Relaxers, Opioids etc.
    2. Physical Therapy.
    3. Osteopathic / Chiropractic Care.
    4. Massage Therapy.

Why I add acupuncture to my list:

Acupuncture is the least invasive process I have found to help with acute and chronic pain.  Patients often don’t know to ask for acupuncture and are often surprised that insurance can cover the treatment depending on a person’s plan.

Acupuncture helps to reduce or minimize medications altogether as well as enhance other manual based therapeutic modalities such as physical therapy and massage. Why not try acupuncture first? It makes sense for anyone who wants a cost effective, natural treatment for pain. 

How Does Acupuncture Help Reduce Pain? 

Pain is multifactorial and spans across all aspects of healthcare: spiritual health, emotional health, mental health, physical health, and perhaps most importantly, our cognitive understanding of pain ( what it means to have pain.)  Additionally, lifestyle factors greatly impact pain and include: diet, self-care measures, cultural values, family, and external stressors of all kinds (e.g. relationships, finances, home, etc). 

Let me expand on this by briefly discussing my views on the western and eastern philosophy of acupuncture.

    • The Western Paradigm / Model: By introducing a novel stimulus (e.g. acupuncture) to the site of injury, we can impart change on the autonomic nervous system.  More precisely, we are able to provide the brain with information that is non-harmful and non-threatening. This in turn will change, and hopefully decrease, the output of pain by the brain.
    • The Eastern Paradigm / Model: Our body’s are made up of energy channels (e.g. meridians) that run up and down our body. These energy channels correspond to organs and organs systems (e.g stomach channel).  Acupuncture allows us to engage these energetic streams by needling (applying a very thin needle) specific locations to unblock and/or correct disrupted flow that may lead to pain syndromes. Furthermore, acupuncture provides us the opportunity to correct multiple imbalances at once while simultaneously supporting health on a multitude of levels as mentioned above.

Is Acupuncture Right For You?

There are times when more interventional based treatments are required (e.g. surgery) due to the extent of tissue injury.  The importance of proper evaluation (history and physical exam) cannot be over-emphasized.  By combining appropriate evaluation with physician-patient dialogue (e.g. education), often times, many patients can reduce recovery times of acute injuries, avoid unnecessary imaging, as well as reduce and significantly improve chronic pain syndromes. 

I would recommend each and every single patient to talk to a healthcare practitioner knowledgable about Chinese Medicine and how it can be integrated into your standard healthcare regimen. 

Perhaps, the most important decision you make is whether you allow yourself to be open-minded about the possibility of new ways to reduce pain and improve mobility.  I urge you to ask questions. I implore you to allow yourself the opportunity to become educated about pain. This is the first step to achieving your goals of having NO PAIN. 

In my practice at Pohala Clinic in Portland, OR, and given my background in naturopathic medicine and Chinese Medicine, I use a combination of treatment modalities to help my clients who have pain. These include but are not limited to: acupuncture, botanical medicine, homeopathy, nutraceuticals, naturopathic manipulative techniques, manual therapy, and much more! 

If you would like to learn more about ways in which you can reduce your pain, please schedule a visit at Pohala Clinic in Portland, OR. I look forward to learning more about you.

Chronic Pain Management with Julie Foster Nurse Practitioner in Portland, Oregon

Pohala Clinic Client Julie A. Fast talks about working with Julie Foster for chronic pain management help.

“Managing chronic pain is more than medications. It’s about lifestyle changes and helping a person find natural ways to exercise and work with the pain in order to have a functional life.” 

 

I’ve worked with nurse practitioner Julie Foster as my primary care physician in Portland, Oregon for over ten years. During this time, she has helped me through a variety of sport related injuries that eventually led to a problem with chronic pain.  With her help, I have regular body treatments from various processionals,  have worked on my diet and eventually got my pain under control.  Julie’s advice is always specific. We talk about sleep and natural treatments. We use homeopathic remedies and acupuncture and well.

 

She reminds me that what I put in my body will be reflected in how my body responds to injuries. I know this and am working on it daily.

I want to share my story with others who are looking for help with chronic pain so that they can hopefully work with Julie in finding a plan that works in all areas of life.

Chronic pain is with me daily. I know that without my own way of dealing with the ups and downs of energy I experience depending on my pain levels, I will have a tough time in life.

 

Do You Need Help with Chronic Pain? 

We all need a plan to help us get on with life, even when the pain makes it difficult to get out of bed. I consider myself half way through this journey of getting my body back to where it was before I had my biking accident. This is something I love about working with Julie Foster. She gives me time. There is no judgement when I tell her I’m still having trouble with sugar and there is always a celebration when I am able to better follow her advice. Her patience with me has allowed me to find help for chronic pain that got me out of my special anti gravity chair and back in the world.

 

Julie taught me that chronic pain can have a life of its own. I need to be aware of what is real in my body and what is being created by my overloaded brain.  Julie often says, “The body and mind often trade off. The mind gives us trouble and when we have this figured out, the body then sends us a message that there is still more work to do. Eventually, balance happens when the mind and the body are healthy at the same time.”

 

This is my goal. Julie allows me to be human.  When I am not able to follow the diet in a way that I know will help, she reminds me that the next day is another chance to make better choices. This has allowed me to learn more about what I need. My weight has stabilized and I am now working on finding an eating plan that helps with the pain in general. This includes the following:

 

  1. Night shades such as tomatoes and chili peppers cause an immediate flare in my body. Stopping my favorite Mexican and Thai dishes has not been easy, but for now, I am very conscious of my night shade intake and it is helping greatly.

2. Movement. Chronic pains tells us that we can’t move. This is rarely the case. Even someone like myself with multiple injuries can move.

3.  White sugar.  Julie once said to me, “Julie, the fat that is created on the body from sugar consumption becomes its own organ. It can become yet another source of pain.”  When I am free from white sugar, even for a week, my pain levels go down greatly.

4. Medication pain management.  My goal is to be pain medication free.  To do this, I continue to work with Julie and the other practitioners in my life who are helping me change my diet and work on my specific injuries.

Without Julie, this would be too overwhelming. With her, I am reminded that I can get my body healthy again. It takes a team and Julie is an important part of that team.

 

 

Julie A. Fast

 

To book a time with Julie Foster or one of our Pohala Practitioners, please call the Pohala Clinic and let the receptionist know that Julie A. Fast referred you!

 

How Does Acupuncture Help Knee Pain


Knees are particularly susceptible to pain and injury. They are a joint we often take for granted until they no longer work optimally or feel healthy. Maintaining knee health is essential as we age. Take care of your knees today through acupuncture.

Acupuncture can help ease and eliminate both chronic and acute pain. Acupuncture helps increase circulation and decrease inflammation by stimulating local acupuncture points at the knees. Distal points (other points on the body) can also be used if the knees are inaccessible.

Stimulating distal acupuncture points helps move Qi along the channels involving the knees, keeping it flowing properly through the joint.

Distal points also help address underlying conditions that lead to knee pain.

Maila Susee,
Acupuncturist

Visit our Pohala Clinic contact page to schedule an appointment with Malia