Biotin Deficiency

Biotin is one of those nutrients that are not commonly known any longer as a vitamin. In the so-called “normal” healthy population, real deficiencies are rare because our normal intestinal bacteria can manufacture large amounts of this nutrient. There are, however, some things it has in common with other vitamins.

Biotin is another of those vitamins commonly added to cosmetics in products for hair, nails and skin. Unfortunately, the real hard evidence supporting such usage appears to be relatively slim.

Primarily, biotin deficiency, like other B-vitamin deficiencies, tends to show as a skin rash, as well as fatigue and depression. This deficiency can affect hair and skin health; such is the rationale for adding it to personal care products. This may be more severe in diabetics and alcoholics.

In diabetes, it may actually be that the need for biotin is greater than average. We also know that when diabetic patients are given this supplementation, along with the other B-vitamins, blood lipid and sugar profiles can improve.

It is largely available in a wide variety of foods. But unlike some other nutrients we have recently discussed, it is present only in very small amounts.

Follow our advice with regard to frequent leafy green and other vegetable consumption.

There are, of course, exceptions. If you have been on long-term antibiotics, which can kill normal intestinal bacteria, you could be at risk for a biotin deficiency.

Some genetic disorders means certain patients need higher amounts of biotin than others.

Lastly, intestinal surgery and gastric bypass procedures affect absorption of many vitamins. This is no exception.

Eggs and swiss are said to contain the highest amount of biotin foods. Raw eggs are not a good food source; cooked ones actually contains fair amounts of available biotin. Because of the danger of salmonella, we don’t recommend raw egg consumption anyway.

So you can see again that, like in so much of good nutrition, a wide variety of foods are really key to helping prevent deficiencies, low intakes, and the health problems they can cause.

Please call us to schedule a visit at 781-659-7989 today

General Health: Getting Healthy Again!

One of the biggest things we see in our work with our chronically ill patients is that once their symptoms start to subside, they are gradually able to resume more activity. In some patients, this can be an incredible challenge after years of illness, stress, and sometimes the other side effects of treatments.

But, There is good news! By applying specific timed steps, many patients do far better than they ever imagined.

Here’s 3 simple tips to make it go easier.

Start easy! We always teach our patients the importance of pacing, doing less than you think you actually can. Take extra special care of rest needs. Its’ OK, and even advisable, to rest during the day, even if you don’t nap. Trying to take on too much too soon can cause frustrating setbacks in your recovery process. Baby steps are key in this phase of your recovery.

Watch what you put into your head! Shut off the TV. Grab a good book instead, or simply meditate in a comfortable spot. Focus on health generating thoughts and mind pictures. Stress can be a hindrance to recovery, so try to find ways to reduce the stress in your life, at least for the immediate future.

Finally, enlist the help of your coaches, doctors and friends along your journey back to health. ASK for help and guidance. You don’t need to do this alone, and shouldn’t. A good support group goes a long way towards helping you on the road to recovery.

CALL US at 781-754-0599 if you need help.

Functional Health: Chronic Pain Morning Game Plan

A winning morning routine for many chronic pain patients

If you or someone you love suffers the misery of chronic pain, you know how these can seemingly run your life.

Daily routines can make for a happier days.

And in times of acute illness or injury, they must!  But when conditions like shingles, fibromyalgia, and back pain linger, a real strategy is needed to best get control of your life.

Experience in the clinic for over 30 years tells me repeatedly that those patents with routines do far better, suffer less pain and life disruption, including depression.

So what does this Daily plan look like?

Something like this:

Get up at a set time every day. Be sure to stay well dressed and completely warm and comfortable year round. Next drink a warm beverage like coffee or tea. Use stevia instead of sugar or artificial sweeteners. Ideally, you’ll be sipping during quiet prayer or meditation, even if just for a little while. (There’s nothing wrong with longer periods either!).

Within 30 minutes of arising, eat a high protein meal. Could be a couple omega 3 eggs, or a protein shake. No bagels, toast or English muffins allowed this early!

Next, some light activity like a walk, gentle bike ride, and some stretching. It’s crucial that you stay well fed and warm to get the most pain reduction and healing benefits.

After a shower or bath, get yourself to therapy if it’s a treatment day.

If not, engage in some good self-treatment! Typically my patents use a home care kit of some type. Along with medications, this may include dietary supplements, heat packs, topical and often an electric neurostimulator. This could take up to an hour.

And then, get on to your day! Remember, a gluten and dairy free diet high in vegetables and lean protein works best for most chronic pain patients. Low carbohydrate, high quality snacks like nuts and small amounts of fruit should be consumed so your are never going more than 3 hours without refueling. Keep your life as simple and free of distraction as possible.

At the end of your day, repeat the all the great self care and stick to the diet plan above!

This has proven to be a winning morning routine for many chronic pain patients, and I hope for you too!

Please call us to schedule a visit at 781-659-7989 today!

Functional Health: Beating Fibromyalgia

If you suffer from pain, chances are good you’ve heard of fibromyalgia.  Nearly 4% of people suffer from fibromyalgia, making it one of the most common pain syndromes in the world!  Although women are 70% more likely to suffer from fibromyalgia than men, the condition hits everyone.  Fibromyalgia can profoundly impact your quality of life, from mobility and strength to living with chronic pain.  If you believe you may have fibromyalgia it is important to see your practitioner before your symptoms get worse!


The most common indicator of fibromyalgia is pain and sensitivity to pressure on the skin.  Most sufferers describe the pain as stabbing and shooting, and it can occur all over the body.  Fibromyalgia pain is often worse in the mornings, and can vary based on restlessness and even temperature/humidity.

Neuropathic symptoms very frequently accompany fibromyalgia.  If you suffer from the condition, you may also be experiencing tingling in your extremities, numbness, the sensation of clothing running over your skin when none is there, and difficulty determining hot and cold in addition to the telltale pressure-sensitivity.  Of course, these symptoms can themselves contribute to other problems, such as sleep disturbance, disruption of appetite, and bladder-control problems.


The true cause of fibromyalgia is a point of some debate, and has never been decisively established; some researchers even point to the lack of physical abnormalities as evidence that it’s a distinct condition.  There are commonly-held theories, though, which include:

  • Dopamine dysfunction
  • Stress
  • Genetic predisposition
  • Physical trauma


Fibromyalgia is traditionally treated with a variety of medications ranging from simple pain relievers, antidepressants, anti-seizure medications, and even dopamine agonists.  Since the root cause of fibromyalgia is not entirely understood, treatment with pharmaceuticals is a game of trial and error at best.  Understandably, this has led many doctors and researchers over the past decade to advocate alternative, non-pharmaceutical treatments.

Some of the more modern methods for fibromyalgia treatment include exercise, cognitive behavior therapy, adjustments to diet and lifestyle, electrotherapy, and even massage therapy.  Extensive research over the past few years even points to chiropractic and other manual therapies and acupuncture as potential routes for effective treatment.

Our clinic promotes newer methodologies for treatment, and discourages medications that could be ineffective, temporary fixes, or even lead to additional complications.

Our clinicians are experts in the latest methods of treating the symptoms of your fibromyalgia in ways that are both more effective and more affordable than dated pharmaceutical techniques.

Because everyone who has fibromyalgia experiences different symptoms, it’s very important to have a one-on-one evaluation with someone who really knows the condition.  If you’re not seeing a practitioner, contact us!  We can put you in touch with an expert who can help you find the ideal treatment for your specific case.

Please call us to schedule a visit at 781-659-7989 today!



Functional Health: Healthy Recovery From Injury (Exercise Myths and Truths)

After sustaining an injury, many people have common misconceptions about exercise during the recovery period. The goal of this newsletter is to help dispel some of the most commonly-held myths about exercise after injury.

Myth #1: You should avoid exercise altogether after an injury.

Fact: The right workout plan can help you keep your muscles strong and limber to help you avoid further injury. Avoiding exercise can leave you weak and unbalanced and more prone to injury than not exercising at all.

Myth #2: If you worked out regularly before your injury, you should jump back into your regular routine as soon as possible.

Fact: While it is important to keep yourself moving, you also need to be careful about the type of exercises you do. Even if you were in tip-top shape before your injury, your body still needs time to recuperate. You should start off slowly and ease into a regular exercise regime that incorporates safe exercises and plenty of rest on your off days.

Myth #3: If you’re not getting quick results, you should just give up.

Fact: Recovery from any injury takes time, so you shouldn’t get discouraged if you can’t pick up where you left off. You will likely need to build up your strength again, which can be frustrating, and it’s possible that your injury will prevent you from reaching your previous level of exercise intensity. That doesn’t mean that you can’t enjoy physical activity again, however. It just means that you may need to switch up your exercise routine. Which leads us to our next myth…

Myth #4: Now is not the time to try new things.

Fact: On the contrary, an injury is the perfect excuse to make changes to your exercise regime. If you were a seasoned runner who experienced a leg injury and find running difficult now, you may want to consider low-impact activities such as Pilates or water aerobics.

Myth #5: I should keep my eye on the prize (i.e. ultimate recovery).

Fact: You’d do better to set attainable short-term goals for yourself. Ask us to help you choose goals that will push you just enough to keep you moving toward recovery without straining your injury too much. Also, try to keep a positive mindset; instead of thinking about all the things you can’t do now that you used to be able to do, think about all the things that you can do now that you couldn’t right after your injury.

Water fitness programs are safe and beneficial for most exercisers.

Research has shown that water exercise can be effective for improving overall fitness as well as losing weight. Many people already know that water exercise is good for older people and those that are injured, but they aren’t the only ones who can benefit from aquatic exercise. In fact, some top athletes religiously implement a water fitness program in their exercise routines. The best part is that water workouts are easy on the joints, so chances of injury are slim. If you’re already suffering an injury that makes exercise difficult, aquatic workout is a great way to keep yourself fit without aggravating your injury.

Practice safe exercise techniques to reduce the risk of injury.

Whenever you work out, you need to make sure that you’re using the right techniques for each exercise, or you risk hurting yourself.

When in doubt, our staff can offer supervised exercise sessions, in addition to providing pointers for safe exercise.

And remember we can work with you or your loved ones to determine the best treatment plans for your health and fitness issues.

Please call us to schedule a visit at 781-659-7989 today!

Functional Health: Coping With Chronic Pain

If you’re experiencing chronic pain, you’re not alone; over 86 million Americans are afflicted by this debilitating condition, according to

Basically, there are two types of pain: acute and chronic. Acute pain is short-lasting, typically going away as soon as your body heals itself. Chronic pain, on the other hand, lasts for upwards of 6 months after the injury has healed.

John J. Bonica, an anesthesiologist who is known as the founding father of the pain field, describes chronic pain as “a pathological process that causes continuous pain” or pain that recurs at regular intervals for several months or even years.

To make matters worse, sometimes chronic pain sufferers have no idea what is causing their pain. This situation is compounded in situations where we unable to diagnose the problem correctly, leaving the patient and loved ones often wondering if it’s all in their heads. Because of this, low self-esteem, anger and depression often coincide with physical discomfort in a combination that can severely inhibit your daily activities.

Fibromyalgia is a common chronic pain condition that includes pain in your muscles, ligaments and tendons, fatigue and tender joints that experience pain upon even slight pressure. Fibromyalgia isn’t life-threatening, and your symptoms will often vary, often getting worse after strenuous activity, stress, and weather changes, among other factors. Unfortunately, though, the symptoms associated with fibromyalgia probably won’t ever disappear completely.

  • Other chronic pain conditions include carpal tunnel syndrome, chronic fatigue syndrome, and arthritis.
  • As many sufferers know, chronic pain is often resistant to medical treatments.
  • The key to relief is in effective pain management.

Get support and Explore Treatment Options

Chronic pain sufferers who are surrounded by healthy loved ones may start to feel resentful in their loneliness, but joining a support group filled with other chronic pain sufferers is a powerful coping mechanism.

You’ll feel less alone and will most likely benefit from hearing how others have learned to cope with chronic pain, maybe even picking up a few helpful tips. You might also gain a few lifelong friends. At the very least, regular support group meetings will give you something to look forward to (remember the distractions mentioned above?).

You should also be aware, we have made great strides in our office in chronic pain management.

Nutrition and lifestyle interventions as well as new treatment modalities are allowing our patients to minimize drug use and live happier, more fulfilled lives!

Consider manual therapy as a treatment option.

Quite simply, manual therapy is a treatment that is performed manually by your chiropractor, not by a machine or other device.

Common manual therapy options include:

  • Massage, which can relax stiff muscles, improve poor circulation, and ease soft tissue pain often experienced by chronic pain sufferers.
  • Mobilization, a technique that twists, pulls, or pushes joints into position through the use of slow, measured movements. This technique helps with flexibility and alignment, in addition to easing pain by loosening tight tissues around sore joints.
  • Manipulation uses more rapid movements to move the bones and joints into their rightful positions.

The treatments above are just a sampling of the techniques we can use to help ease your pain.

Please, Call us today @781-659-7989 to learn more treatment options that might be right for you, a friend or loved one!

You’ll be glad you did!

Functional Health: Chronic Pain and Dehydration

If you already suffer from chronic pain becoming even slightly dehydrated make you feel a whole lot worse.

Almost invariably when we see a new chronic pain patients in our practice when we discuss health habits, we find more often than not, failure to drink adequate amount of water is almost universal.

Why would not drinking enough water tend to cause more widespread and pains? There are several reasons and the answers are not complicated.

You see the vast majority of our body is made of water. Blood and all the critical fluids, keep us functioning like well-oiled machines.

Our kidneys and brain and all our vital organs use these fluids to communicate and also perform daily purification’s.

But yet most of us don’t pay nearly enough attention to this key fact.

So rather than going through our days drinking fluids, most especially water that will keep our blood and fluid volumes high, we tend to over consume caffeine and worse yet soft drinks and perhaps even alcohol which depletes our water reserves even further.

If we don’t drink enough water we can suffer an impaired ability of our vital organs like kidneys and liver to help our bodies rid ourselves of toxic wastes.

Our toxic wastes can make us stiff sore and uncomfortable.

If you already suffer from chronic pain becoming even slightly dehydrated make you feel a whole lot worse.

So how much water do to drink? In the absence of kidney or heart disease the proverbial eight glasses a day is about right.

A more accurate consumption is approximately half your body weight in ounces in a 24-hour period. This is not 100 percent accurate but it’s a darn good approximation.

There are others of course factors, which may require more or less water consumption.

This of course includes how much you perspire, the outside air temperature, and yes even the humidity.

So for example, if you weigh 200 pounds you’d be consuming approximately 100 ounces of water during the course of the daily 24-hour periods.

That may sound like a lot, but it’s under a gallon in 24 hours.

As always you need to work with your doctors on your own personal medical issues you have questions or concerns about.

You may want to ask for the simple blood tests, which measure your electrolytes and relative hydration.

Working together maintaining adequate hydration can help you suffer less chronic pain!

Please call us to schedule a visit at 781-659-7989 today or simply leave your info HERE and we’ll call you ASAP!

Chiropractic Treatment for Arachnoditis

Arachnoiditis is very much a growing problem, but awareness of arachnoiditis treatment is another problem.

This is one condition in which there is no one single good treatment, there is not a pill you could take to simply make the problem just go away. Unfortunately, it’s much more complicated.

However, these are also the types of problems that good clinicians who are experienced with the treatment approaches that we teach and advocate, will tackle and work diligently with! Meanwhile we are researching options of care, which potentially hold the most promise. Arachnoiditis treatment includes laser and applications of neurostim applied with oral and topical (skin cream) nutrients and anti-inflammatory compounds.

This does follow exactly the same pathway that Neuropathy treatment was in, 10 years ago. Now with the combination of the NDGen, various laser, light therapies, and good physical therapy, a combination of these procedures are able to get patients better results more than ever before.

Admittedly, the applications of these similar procedures for arachnoiditis patients, is in its infancy. We feel strongly however that there is good potential for better life quality and pain reduction without more drugs, injections, or invasive procedures. Time of course, coupled with good studies will tell.

But here’s what you can do now to start, talk to one of our clinicians’ who has experience with our systems and also works with me personally.

Every patient is different so unfortunately some will not be candidates for care.

But by working together we can develop more effective care plans for this unfortunately growing family of patients.

Understand that we will do our very best to help you!

Please call us to schedule a visit at 781-659-7989 today!

Functional Health: Boron, Vanadium, and Other Ultra Trace Elements

We spoke before about the role of trace elements in health and nutrition.

By definition, trace elements are those necessary for life and growth however, only in the tiniest amounts.

Vanadium and Boron are two more ultra trace elements we should talk about.

In some studies the element Boron has been found to help reduce the loss of calcium in our bodies. Therefore, it may actually have a positive and protective role in bone density maintenance.

In most situations, boron is relatively nontoxic in the forms most consumed by people. Boric acid for example has long been used as a preparation in health care with very rare adverse incidents.

Vanadium, another ultra trace element seems to have a role in potentiating the activities of insulin and blood sugar control. This of course could possibly be the connection between vanadium, neuropathy, diabetes, fibromyalgia and other forms of chronic pain.

I will caution you however, never to self-treat with vanadium supplements alone. To do so could be very dangerous!

Like everything, however you will find individual supplements and claims made for so many individual nutrients. Boron and vanadium are no exception. Be very careful here.

If you consume a diet that is high in vegetables, seeds nuts and the lean proteins, a deficiency of trace elements is extremely rare. Although, not impossible, there are variations in the quality of food based upon such things as the soils in which they are grown and the regions they come from.

Also, if you are supplementing your diet as we recommend, trace elements in very tiny absorbable forms are included.

Rarely should they be prescribed alone and in our opinion, always under close medical supervision.

Because everybody is different, in rare situations deficiencies of these elements can cause significant health issues. There are different tests available.

This is another reason why it is difficult to diagnose conditions, trace element analysis by hair and urine are often very helpful.

Once again, you can see the need for working with a healthcare professional who is trained in managing your neuropathy and chronic pain.

Look at all possible facets, dig deeper for answers whenever necessary.

That’s why we are here!

Please call us to schedule a visit at 781-659-7989 today and we’ll call you ASAP!

Chiropractic Treatment: Low Back Pain and Spinal Care

A few decades ago, the chiropractic profession practiced in a relative absence of good scientific data concerning its main therapeutic tool, spinal manipulation.

The success of this profession and this treatment with patient care was empirically based. The evidence basis of spinal manipulation, however, has changed dramatically in recent years with a large number of well done clinical trials that have filled the information void.

No other back pain treatment has been subjected to such examination…when numerous clinical trials are considered together, the evidence in favor of chiropractic manipulation is overwhelming.

Analysis of the volume of research available on the topic of spinal manipulation and low back pain can be surprising to many health care providers who do not practice this specialty. The volume of research on spinal manipulation for acute low back pain is greater than for any other single treatment used for this condition. Currently, there are approximately 50 clinical trials of which about 35 are controlled randomized trials examining spinal manipulation for low back pain. This is approximately 4 to 5 times the trials that have examined the validity of NSAIDs (like Motrin, Alieve, etc) for this patient population.

The majority of the clinical trials on spinal manipulation for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

The bottom line is that spinal manipulation words to relieve low back pain!

Manipulation has consistently outperformed any other therapy, compared to ultrasound only, traction only, exercise, bedrest and medications.

In most cases, it has provided benefits with range of motion, cost-effectiveness, decrease in lost productivity, patient satisfaction and pain relief.

Undisputed Benefits of Spinal Manipulation

The evidence basis of spinal manipulation has changed dramatically in recent years with a large number of well done clinical trials filling the information void.

The majority of the clinical trials on spinal manipulation performed by chiropractors for acute low back pain have found this treatment to be beneficial, outperforming the comparative or control treatments which have included virtually all other commonly used therapies.

If you have low back pain, then you should strongly consider spinal manipulation as a form of treatment. It is low risk, and the results are quick and often painless. As licensed chiropractors, we understand the significant value of manipulation, and can assure you of its benefits. (NSAIDS are drugs like Motrin and Alieve, to name just two).

Time to FIX the Pain and Stiff Movement!

If you are looking for pain relief, then look no further. We are here to help you.

In a few sessions, you could be experiencing pain relief, feeling significantly better and moving effortlessly. Imagine the feeling of smooth motion in all your joints, without a single restriction or stumbling block.

That’s exactly what we do for you. As your preferred chiropractor, we make every effort to present you with the fastest solutions to pain relief and improved motion, but remember, spinal manipulation is a significant part of long term supportive chiropractic care.

In fact, patients who participate in long term supportive care when studied take far less medication, do not take ambulance trips to the ER for acute back episodes, and the overall low cost to treat, and the ability to maintain work schedules is an an enormous personal and societal benefit.

Call or email us to schedule an appointment today! We look forward to assisting you with low back pain, and are always here to answer any questions. Thank you for reading, and have a wonderful day!

Please call us to schedule a knee evaluation at 781-659-7989 today!