Conditions We Treat

Conditions We Treat 2018-12-07T17:50:57+00:00
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Getting to the Root Cause

We use a functional medicine approach when it comes to your health, which begins with examining your symptoms to get to the root cause of your illness. Explore the conditions we commonly treat and discover the services we offer at PALM that can help facilitate your healing.

DEFINITION

Attention Deficit Hyperactivity Disorder (ADHD) is a chronic neurological and behavioral condition often manifesting in childhood that includes difficulty paying attention, restlessness, hyperactivity, impulsivity, fidgeting, excitability, and difficulty concentrating. In the twenty-first century, increasing numbers of children are being diagnosed with ADHD.

HOW WE TREAT IT

At PALM Health, we have several approaches to treat ADHD, including neurofeedback sessions, functional medicine evaluations, and neurology consults. The functional medicine and neurology physicians evaluate each individual and create a personalized treatment plan to help with symptoms. A typical treatment plan may include neurofeedback sessions, which help the individual improve self-regulation to move towards lasting change and growth.

RECOMMENDED SERVICES

Neurofeedback, Biofeedback Rebalance, Neurofeedback Starter Package, Neurofeedback Student Package, Neurology Visits, Functional Medicine Visits

PROVIDERS WHO TREAT THIS CONDITION

Ashley Wiegand, LMFT, BCN / Sita Kedia, MD, MPH, FAHS / Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

From a Western medicine perspective, an allergy is an overreaction of the immune system. An individual can be allergic to anything: foods, drinks, drugs, herbs, vitamins, water, clothing, chemicals, people, plastics, pollen, and grasses, among others. Allergy symptoms can range from mild problems to debilitating reactions to life-threatening illnesses. Medical researchers are still trying to understand the exact cause and nature of allergies.

HOW WE TREAT IT

We recommend a functional medicine consultation to help uncover the root of each individual’s allergies. We often recommend NAET®, supplements, salt room sessions, and dietary changes to restore the body to normal functioning and to help each individual reach optimum health..

RECOMMENDED SERVICES

Functional Medicine Visits, NAET®, Salt Room (Halotherapy), Nutrition Supplement Consult, Acupuncture and Acupressure, PALM Signature Aromatherapy Ritual, Resolve Inflammation Program

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Sarah Bird, DNP / Basima Williams, DO

DEFINITION

Anxiety and depression are conditions that are closely tied. Anxiety is a mental disorder that causes a person to feel overwhelming worry, excessive fear, and irrational dread of everyday situations, while depression is a mental disorder in which a person feels hopeless, discouraged, sad, or disinterested in life. There are many causes of anxiety and depression that lead individuals to become psychologically and emotionally stuck. A common scenario we see at PALM is that people are living under increasing amounts of both physical and psychological stress, leading to a state of constant tension and anxiety about life. Eventually, body and mind suffer, leading to fatigue, ill health, and depression.

HOW WE TREAT IT

At PALM Health, our integrative approach recognizes the need to address all aspects of the being: body, mind, and spirit. Our treatment programs include psychological interventions, diet, exercise, meditation, personal goal setting, and much more. Since much of the food available to us today is lacking in nutrients, even a balanced diet may not be sufficient when an individual is struggling with depression, so we may recommend taking nutritional supplements as well.

RECOMMENDED SERVICES

Stress Management Program, Functional Medicine Visits, Functional Nutrition Assessment, Acupuncture and Acupressure, Meditation, Signature Stress Reduction Massage, Neurofeedback, Cardiac Coherence, Biofeedback Rebalance, Cryotherapy, IV Nutrition, TCI Personality AssessmentKnow Yourself Workshops

PROVIDERS WHO TREAT THIS CONDITION

Nigel Lester, MD / C. Robert Cloninger, MD, PhD / Basima Williams, DO / Varsha Rathod, MD / Sarah Bird, DNP / Julie Geeting, LPC, NCC

DEFINITION

Arthritis is a general term that refers to a condition that causes pain, swelling or inflammation in a single joint or a group of joints in the body. Some common types of arthritis are: osteoarthritis (degenerative joint disease), rheumatoid arthritis (an inflammatory disease in which the body’s immune system attacks healthy tissue), and gout (usually affecting small joints in the hands and feet).

HOW WE TREAT IT

At PALM Health, we take a functional medicine approach to arthritis by examining the core clinical imbalances that underlie these various diseases and conditions. Through a series of tests, we will be able to determine a plan to help each individual heal; we will help eliminate infections, remove heavy metals, replace nutrients, balance hormones, and detoxify the body, and we will teach individuals a lifestyle of proper nutrition and stress management. We also employ additional tools such as cryotherapy and low level laser therapy to heal an inflamed or injured joint. In addition, our chiropractors and personal trainers can help facilitate improved movement and strength in the muscles surrounding the painful joints, thereby improving functional mobility. Often, healing the body in this way can result in either eliminating or decreasing the need for prescription pain medications.

RECOMMENDED SERVICES

Functional Medicine Visits, Physical Medicine and Rehabilitation Visits, Chiropractic Care Visits, Cryotherapy, Anti-Inflammatory Massage with Castor Oil Pack, Muscle Rescue Massage with Arnica, Nutrition Supplement Consult, SomaTraining, Low Level Laser Therapy, Personal Training

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / David Trybus, BS, DC / Jason Biondo, DC, MS / Cynthia Kardesch, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Asthma is an inflammatory condition in which the airways in the lungs become inflamed and swollen and produce extra mucus. People with asthma experience recurring episodes of coughing, wheezing, chest tightness, and shortness of breath. Exposure to various airborne irritants and substances such as pollen, dust, mold, pet dander, or other particles may trigger an asthma attack.

HOW WE TREAT IT

We recommend a functional medicine consultation to help uncover the root of each individual’s asthma symptoms. We often recommend NAET® , supplements, salt room sessions, and dietary changes to restore the body to normal functioning and to help greatly reduce or completely eliminate asthma attacks.

RECOMMENDED SERVICES

Functional Medicine Visits, NAET®, Salt Room (Halotherapy), Nutrition Supplement Consult, Acupuncture and Acupressure, Biofeedback Rebalance, Meditation, Resolve Inflammation Program, Elimination Diet Group Visits

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Sarah Bird, DNP / Basima Williams, DO

DEFINITION

An autoimmune disease is a condition in which the immune system mistakenly attacks healthy cells in the body. The immune system normally protects the body from disease, infection, bacteria, and viruses. Common autoimmune diseases include rheumatoid arthritis, lupus, celiac disease, multiple sclerosis, psoriasis, and type 1 diabetes, among others.

HOW WE TREAT IT

The treatment for autoimmune diseases often involves medications that suppress the immune system in addition to complementary therapies to reduce inflammation and promote healing. At PALM, individuals with known or suspected autoimmune diseases start with a functional medicine visit or enroll in the Resolve Inflammation Program, which includes functional medicine visits and a plan of treatment. In addition, we often recommend cryotherapy, salt room sessions, making diet or lifestyle modifications, or massage treatments such as our Anti-Inflammatory Massage with Castor Oil Pack.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Cryotherapy, Salt Room (Halotherapy), Anti-Inflammatory Massage with Castor Oil Pack, Resolve Inflammation Program, Elimination Diet Group Visits

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DOSarah Bird, DNP

DEFINITION

Cancer occurs when key systems in the body are out of balance. This can be due to poor nutrition, impaired detoxification, environmental exposure, inflammation, free radical stress, or genetic predisposition. According to the American Cancer Society’s annual report, approximately 1,600 Americans died from cancer each day in 2013. Overall, cancer accounts for nearly 1 in 4 deaths in the United States.

Prevention can be accomplished through maintaining proper nutrition, removing toxins, keeping inflammation in check, balancing hormones, managing sun and UV light exposure, reducing or eliminating tobacco and alcohol use, exercising, maintaining a healthy BMI, learning to simplify daily life, managing stress, and developing a network of people to rely on for friendship and support.

HOW WE TREAT IT

At PALM Health, we support patients who have been diagnosed with cancer by helping them identify key modifiable risk factors and holistically change their lifestyle. We focus on a plant-based, whole food diet with minimal sugar, oil, or salt. Certain supplements may be recommended to minimize healthy cell damage during chemotherapy. We do not offer chemotherapy or radiation at PALM; however, we do offer vitamin C infusion administration in our IV suite to assist the body in the fight against cancer. Some studies have shown that cancer cells take up vitamin C at very high levels, leading to the oxidative damage of tumor cells. This can be a powerful support treatment to chemotherapy or radiation. Guided imagery, visualization, and meditation are additional tools we teach to help patients heal from cancer. We do not currently employ an oncologist. However, patients are encouraged to establish a relationship with an oncologist to maintain a variety of treatment options and to assist in tracking cancer progression and prognosis.

RECOMMENDED SERVICES

Functional Medicine Visits, Cancer Support Group, IV Infusion Consult, IV Nutrition, Acupuncture and Acupressure, Flow Classes, Neuroplasticity Classes, Meditation, PALM Signature Stress Reduction Massage, Biofeedback Rebalance, Cardiac Coherence, Anti-Inflammatory Massage with Castor Oil Pack, Lymphatic Restorative Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Candidiasis is an infection caused by a fungus called candida, which is a form of yeast naturally present in the gut and genital tract that is responsible for the breakdown of complex sugars. An overgrowth of candida can cause symptoms such as fatigue, headaches, muscle aches, abdominal pain, food allergies, brain fog, mood swings, constipation, diarrhea, insomnia, itchy rashes, and cravings for sweets or alcohol. When the body is balanced, the immune system — along with beneficial bacteria — works to keep candida within a healthy range. When this system fails, an overgrowth of candida can occur. According to the Journal of Allergy and Clinical Immunology, yeast allergies are very common and can cause both immediate and delayed reactions. Candidiasis typically appears on the skin or mucous membranes.

Candidiasis often goes untreated because it is not detected during a routine exam or blood work. Patients are sometimes mistakenly diagnosed with depression or other conditions and unnecessarily treated with prescription drugs. The first noticeable symptom of candidiasis often occurs in the gastrointestinal and genital tracts. These symptoms can include but are not limited to vaginal discharge, itching, redness or rash around the genital area, acne, bloating, gas, and rectal itching. Over time, toxins that are byproducts of candida metabolism accumulate and symptoms can worsen, leading to brain fog, headaches, and fatigue.

Candidiasis can be triggered by the frequent use of antibiotics, oral contraceptives, and steroids, as well as by smoking, multiple pregnancies, thyroid or adrenal gland dysfunction, diabetes, inadequate immune system function, or poor nutrition, including a diet high in refined sugar.

HOW WE TREAT IT

At PALM Health, we order specialized tests to detect the presence of candida antibodies and stool PCR analysis for yeast forms when candidiasis is suspected. Based on these test results and a physical exam, the doctor and patient work together to develop a health plan to rebalance the body. Treatment plans include dietary changes and, if appropriate, specific supplements or medications for a short period of time.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Nutritional Counseling, Anti-Inflammatory Massage with Castor Oil Pack, Resolve Inflammation Program, Elimination Diet Group Visits

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Chemotherapy is a widely used cancer treatment that inhibits the ability of cancer cells to divide and reproduce, thereby eliminating the cancer cells altogether, lessening the chance they will return, or stopping and slowing their growth. The type of chemotherapy that patients receive depends on the type of cancer and how advanced it is, the purpose of the chemotherapy treatment, and whether the patient has other health problems, among other factors.

Many patients experience serious adverse side effects when receiving chemotherapy because the treatment also kills and slows the growth of healthy cells in the body. Such side effects include fatigue, mouth sores, nausea, hair loss, anemia, constipation, diarrhea, bruising and bleeding, mood changes, weight changes, numbness and tingling, difficulty concentrating, and more. Side effects often get better or resolve themselves after chemotherapy treatment has stopped.

HOW WE TREAT IT

We support patients who are receiving chemotherapy treatment by offering services that may help lessen the severity of the side effects. We do not offer chemotherapy or radiation at PALM; however, we do offer vitamin C infusion administration in our IV suite to assist the body in the fight against cancer. Some studies have shown that cancer cells take up vitamin C at very high levels, leading to the oxidative damage of tumor cells. This can be a powerful support treatment to chemotherapy or radiation. Certain supplements may also be recommended to minimize healthy cell damage during chemotherapy.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Meditation, Lymphatic Restorative Massage with Castor Oil Pack, Biofeedback Rebalance, Salt Room (Halotherapy), Nutrition Supplement Consult

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Chronic pain is persistent pain that lasts weeks, months, or years. It can feel like a dull ache or sharp pangs, and it can occur anywhere in the body. It may come and go throughout the day or week, or it may occur steadily. Common types of chronic pain include arthritis pain, lower back pain, headache, pain due to nerve damage, or pain due to psychological factors. With chronic pain, the pain signals in the body keep firing in the nervous system and do not subside for weeks, months, or years.

HOW WE TREAT IT

We assess the possible origin of the pain in order to figure out which steps we can take to resolve it or greatly reduce it. Sometimes an initial incident is the cause, such as a sprained back, an infection, or a pulled muscle. Sometimes chronic pain may be the result of an ongoing condition such as arthritis, cancer, lupus, fibromyalgia, chronic fatigue syndrome, or multiple sclerosis, among others. At PALM, we recommend lifestyle remedies such as incorporating stretching, yoga, massage, or meditation into a daily routine. We may also recommend acupuncture, chiropractic care, or wellness therapies such as cryotherapy or low level laser therapy.

RECOMMENDED SERVICES

Functional Medicine Visits, Chiropractic Care Visits, Physical Medicine and Rehabilitation Visits, Cryotherapy, Functional Nutrition Assessment, Graston Technique, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Lymphatic Restorative Massage with Castor Oil Pack, Biofeedback Rebalance, SomaTraining

PROVIDERS WHO TREAT THIS CONDITION

Cynthia Kardesch, MD / Sita Kedia, MD, MPH, FAHS / Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP / David Trybus, BS, DC / Jason Biondo, DC, MS / Liam Springer, CPT, CES, NASM

DEFINITION

A concussion is a type of brain injury that temporarily impairs normal brain functioning. Concussions occur with a blow to the head or with a violent shaking of the body that causes the brain to move rapidly back and forth inside the head. Symptoms may include headache, neck pain, confusion, loss of consciousness, memory loss, nausea, vomiting, dizziness, lack of coordination, drowsiness, and excessive fatigue.

HOW WE TREAT IT

For persistent concussion symptoms, we recommend enrolling in our Concussion Recovery Program, which includes physical medicine and rehabilitation visits, neurology visits, and twelve weeks of integrative treatment with nutrition planning, fitness training, neurotherapy sessions, and acupuncture, among other activities. Our physical medicine and rehabilitation physician, after evaluating the severity of the concussion, may recommend taking supplements to help alleviate headaches or reduce recovery time.

RECOMMENDED SERVICES

Neurology Visits, Physical Medicine and Rehabilitation Visits, Functional Medicine Visits, Neurofeedback, Functional Nutrition Assessment, Biofeedback Rebalance, Salt Room (Halotherapy), Concussion Recovery Program

PROVIDERS WHO TREAT THIS CONDITION

Cynthia Kardesch, MD / Sita Kedia, MD, MPH, FAHS / Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Diabetes mellitus is a chronic, lifelong disease in which the body’s ability to produce or use insulin is impaired. Insulin is a hormone that helps the body’s cells take in glucose, which is the fuel that the body uses for energy. Excess glucose in the bloodstream can damage the kidneys, heart, eyes, and nervous system and can eventually lead to kidney disease, heart disease, blindness, or nerve damage if left untreated. Type 1 diabetes is an autoimmune disease in which the body’s antibodies attack the pancreas so that it cannot produce insulin. In type 2 diabetes, usually found in overweight or obese individuals, the pancreas usually produces a small amount of insulin, but the body’s cells cannot take it in. Type 2 diabetes can be controlled with weight management, nutrition, and exercise.

HOW WE TREAT IT

We treat type 2 diabetes most commonly in our patients by beginning with a functional medicine visit and assessing the patient’s current lifestyle habits. With this type of diabetes, many times blood sugar can be controlled with a healthy diet and exercise. We may recommend our Weight Management Program if the patient would benefit from weight loss or if the patient would like to learn more about maintaining a healthy weight. In addition, we regularly screen for any complications associated with diabetes.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Meditation, Weight Management Program, PALM Signature Stress Reduction Massage, Nutritional Counseling, Personal Training

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP / Katheryn Scauzzo, RD, LD, CPT / Victoria Nieveen, RD, LDN

DEFINITION

Common digestive disorders include irritable bowel syndrome (IBS), heartburn or gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), celiac disease, Crohn’s disease, ulcerative colitis, gallstones, diverticulitis, and hemorrhoids, among others. Digestive disorders comprise any health issues that occur in the digestive tract, whether mild or severe. Common symptoms of these conditions include bloating, constipation, diarrhea, gas, heartburn, incontinence, bleeding, nausea, abdominal pain, and abdominal cramps.

HOW WE TREAT IT

Any individual with digestive disorders should start with a functional medicine consultation. Some digestive disorders require lab testing to diagnose. Many can be resolved with lifestyle changes: for example, removing gluten from the diet in patients with celiac disease can significantly improve their symptoms. Other disorders may require patients to increase their fiber intake by eating more fruits and vegetables. Still others require a treatment plan that includes medication.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Resolve Inflammation Program, Elimination Diet Group VisitsMeditation, Lymphatic Restorative Massage with Castor Oil Pack, Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DOSarah Bird, DNP

DEFINITION

Dizziness is often described as feeling woozy, faint, weak, or unsteady. It is not a disease in itself, but is rather a symptom of other conditions. Dizziness includes feeling a false sense of motion or spinning, lightheadedness, feeling faint, unsteadiness, loss of balance, or feeling woozy. Common causes of dizziness are migraines, medications, alcohol, low blood sugar, anemia, dehydration, motion sickness, ear infection, or other problems with the inner ear.

HOW WE TREAT IT

With dizziness, we start with a thorough evaluation to determine the root cause, which can be accomplished through a functional medicine consultation. Afterwards, the individual may need to see our cardiologist or neurologist, if the functional medicine physician deems it necessary. The treatment will depend entirely on the cause of the dizziness but may include acupuncture, chiropractic care, or biofeedback rebalance sessions.

RECOMMENDED SERVICES

Functional Medicine Visits, Neurology Visits, Preventive and Rehabilitative Cardiology Visits, Physical Medicine and Rehabilitation Visits, Chiropractic Care Visits, Biofeedback Rebalance, Acupuncture and Acupressure

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Sita Kedia, MD, MPH, FAHS / Cynthia Kardesch, MD / David Trybus, BS, DC / Jason Biondo, DC, MS / Sarah Bird, DNP / Lily Liu, OMD, PhD, LAc

DEFINITION

Eczema is a skin condition caused by inflammation that results in itchy, red, and dry skin. It commonly appears on the arms and inside the bend of the elbows and knees, but it can appear anywhere on the body. During flare-ups, eczema symptoms can range from mild to severe and can include dry skin, red and inflamed skin, severe itching, scaly patches of skin, oozing or crusting skin, bumpy skin, and areas of swelling. Eczema is not contagious.

HOW WE TREAT IT

Eczema can often be treated with skin creams and by establishing a good skin care routine. Keeping the skin healthy and moisturized can often prevent certain types of eczema. To prevent flare-ups, we may also recommend avoiding skin irritants such as specific soaps, fabrics, and lotions, as well as avoiding allergens such as specific foods, pollen, and animals. Dietary changes, NAET® treatment, and salt room sessions may also help with eczema.

RECOMMENDED SERVICES

Functional Medicine Visits, Resolve Inflammation Program, Elimination Diet Group VisitsFunctional Nutrition Assessment, Salt Room (Halotherapy), Remineralizing Body Ritual, NAET®, Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Fatigue is a common symptom of many conditions and includes feeling tired, lethargic, excessively sleepy, or weak. It can be described as feeling a lack of physical energy or mental motivation. Most often, fatigue is a direct result of lifestyle habits such as lack of exercise, unhealthy eating habits, medications, lack of sleep, or alcohol use. Chronic fatigue may be a sign of a more serious underlying condition, such as depression, stress, sleep apnea, diabetes, anxiety, anemia, heart disease, fibromyalgia, and hyperthyroidism, among others.

HOW WE TREAT IT

As with all conditions we treat, our physicians search for the root cause in patients who experience fatigue. Most often, fatigue can be resolved by adjusting certain lifestyle behaviors, such as regulating circadian rhythms, setting a consistent bedtime, getting enough physical activity, eating a healthy diet, and decreasing alcohol consumption. Other times, treatment may require lab testing to determine if the patient has an underlying condition such as adrenal fatigue or thyroid abnormalities.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Salt Room (Halotherapy)Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Fibromyalgia is a condition that affects the musculoskeletal system and causes widespread pain throughout the body, especially in “tender points” on the neck, shoulders, back, hips, arms, and legs that hurt when pressure is applied. General fatigue, trouble sleeping, headaches, depression, and anxiety are also symptoms associated with fibromyalgia.

HOW WE TREAT IT

At PALM, we focus on understanding underlying triggers, reducing pain, and improving quality of life for those with fibromyalgia. We recommend starting with a functional medicine consultation in order for a functional medicine physician to complete a comprehensive evaluation of the individual’s symptoms and develop a treatment plan. We may recommend working with a personal trainer to increase muscle strength, taking restorative yoga classes to improve flexibility, or scheduling regular massage treatments to relax and relieve muscles. In addition, optimizing diet and maintaining a balance of exercise and rest can greatly improve symptoms.

RECOMMENDED SERVICES

Functional Medicine Visits, Chiropractic Care Visits, Physical Medicine and Rehabilitation Visits, Cryotherapy, Functional Nutrition Assessment, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Anti-Inflammatory Massage with Castor Oil PackBiofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNPDavid Trybus, BS, DC / Jason Biondo, DC, MS

DEFINITION

Migraines and tension headaches are some of the most painful types of headaches individuals can experience. They may cause disabling pain and include symptoms of head throbbing, nausea, vomiting, and sensitivity to light and sound. Migraine pain can be severe and can last anywhere from four hours to three days. Individuals with migraines may experience them several times a week or only once or twice a year.

HOW WE TREAT IT

When it comes to headaches and migraines, we emphasize prevention and understanding underlying factors that exacerbate headaches. We focus on managing stress, improving sleep, exercising regularly, and avoiding migraine triggers, which may include specific foods, alcohol, or poor sleep. We recommend that individuals begin with functional medicine and headache visits to evaluate their symptoms and develop a comprehensive treatment plan.

RECOMMENDED SERVICES

Functional Medicine Visits, Headache Medicine Visits, Resolve Inflammation Program, Elimination Diet Group VisitsCryotherapy, Functional Nutrition Assessment, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Biofeedback Rebalance, Chiropractic Care, Acupuncture and Acupressure, Cardiac Coherence, SomaTraining, Neurofeedback

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Sita Kedia, MD, MPH, FAHS / Basima Williams, DO / Sarah Bird, DNP / David Trybus, BS, DC / Jason Biondo, DC, MS / Lily Liu, OMD, PhD, LAc

DEFINITION

Heart disease, also known as cardiovascular disease, refers to conditions in which the blood vessels are narrowed, blocked, or damaged, leading to heart attack or stroke. One of the most common types of heart disease is coronary artery disease (CAD), in which decreased blood flow to the heart can cause a myocardial infarction, or heart attack. Heart disease also includes other conditions such as congestive heart failure, cardiomyopathy, atrial fibrillation, congenital heart defects, peripheral arterial disease, and atherosclerosis, among others.

HOW WE TREAT IT

Individuals seeking to prevent heart disease or treat existing heart disease should start with a functional medicine consultation. We may recommend specialty lab testing, such as the Boston Heart Diagnostics Panel, to better understand an individual’s cardiovascular status and risk factors. We emphasize making sustainable lifestyle changes, such as incorporating more fruits and vegetables into the diet and limiting meat and full fat dairy, while encouraging patients to adopt a regular exercise regimen under the supervision of a personal trainer. If weight loss is a priority for the patient, we may recommend our Weight Management Program.

RECOMMENDED SERVICES

Functional Medicine Visits, Preventive and Rehabilitative Cardiology Visits, Chelation for Heart Health, Functional Nutrition Assessment, Nutritional Counseling, Weight Management Program, Personal Training, Personalized Exercise Plan, PALM Signature Stress Reduction Massage

PROVIDERS WHO TREAT THIS CONDITION

Lauren Munsch Dal Farra, MD / Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

High blood pressure, also known as hypertension, is a condition in which the blood flows through the blood vessels with a force that is higher than normal. There are no symptoms of high blood pressure, but if left untreated, it could cause long-term health problems such as stroke, vision loss, kidney failure, heart attack, or heart failure.

HOW WE TREAT IT

We check for hypertension during medical visits to monitor the patients’ blood pressure and make sure everything is normal. If patients have high blood pressure, we may recommend reducing salt intake, limiting alcohol intake, managing stress, quitting smoking, and establishing a healthy exercise regimen. Prevention is the best way to reduce the risk of developing complications from high blood pressure down the road, and making healthy lifestyle choices is an important place to start.

RECOMMENDED SERVICES

Functional Medicine Visits, Preventive and Rehabilitative Cardiology Visits, Functional Nutrition Assessment, Weight Management Program, Personal Training, Infrared Sauna, PALM Signature Stress Reduction Massage, Lymphatic Restorative Massage with Castor Oil Pack, Cardiac Coherence

PROVIDERS WHO TREAT THIS CONDITION

Lauren Munsch Dal Farra, MDVarsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

High cholesterol occurs when fat deposits build up in the blood vessels, limiting blood flow and increasing the risk of heart disease. There are no symptoms of high cholesterol, but it may lead to long-term health problems. High cholesterol can often be the result of a poor diet and lack of exercise. Eating high-fat foods and foods that are high in cholesterol, such as red meat and full-fat dairy products, increase the risk of developing high cholesterol.

HOW WE TREAT IT

High cholesterol is often preventable and treatable. Maintaining a healthy weight, eating a low-salt diet with plenty of vegetables, fruits, and whole grains, exercising regularly, and limiting consumption of high-fat foods may help to lower cholesterol levels without the use of medication. We may recommend specialty lab testing such as the Boston Heart Diagnostics Panel to better understand an individual’s cholesterol levels and risk for heart disease.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Weight Management Program, Nutritional Counseling, Personal Training, Body Composition Analysis

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Hormones naturally fluctuate during different periods of life, such as puberty, menstruation, pregnancy, or menopause. Hormonal imbalances, however, are irregular fluctuations that occur when there is too much or too little of a hormone in the bloodstream. Symptoms include excessive sweating, difficulty sleeping, dry skin, changes in heart rate or blood pressure, excessive thirst, unrelenting fatigue, anxiety, irritability, infertility, irregular periods, bloating, depression, headaches, changes in appetite, and blurred vision, among others.

HOW WE TREAT IT

Depending on the underlying cause of the hormonal imbalance, our treatment recommendations may range from making healthy lifestyle changes to bioidentical hormone replacement therapy. Some hormonal imbalances can be influenced by stress or poor nutrition. Learning ways to manage stress and improve the diet are excellent ways to correct some hormonal imbalances.

RECOMMENDED SERVICES

Functional Medicine Visits, Acupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, PALM Personalized Massage

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Inflammation is the immune system’s response to harmful or irritating stimuli. It indicates that the body is trying to heal itself. When the body sustains a wound or physical injury, such as a deep cut or a sprained ankle, the body presents signs of acute inflammation on the skin, such as swelling around the area, redness and heat, pain, and inability to move muscles or limbs in the affected area. Many people are familiar with this type of short-term inflammation. Chronic inflammation, however, presents different symptoms, which can include fever, rash, joint pain, fatigue, mouth sores, chest pain, or abdominal pain. Long-term inflammation can last several months or even years, and is a component of many conditions including rheumatoid arthritis, Crohn’s disease, sinusitis, asthma, hepatitis, and periodontitis, among others.

HOW WE TREAT IT

A major part of treating inflammation is discovering the root cause of what is causing the inflammation, such as poor diet, leaky gut syndrome, autoimmune disease, or stress, and eliminate it. We may prescribe supplements to help reduce inflammation and take a look at the patient’s diet to eliminate any food substances that may be an issue. Our Resolve Inflammation Program helps determine dietary triggers for inflammation and encourages patients to avoid fried foods, refined carbohydrates, sugary drinks, red meat, and animal products. We may also recommend sessions in the cryosauna, salt room, or infrared sauna, or we may suggest scheduling regular massage treatments.

RECOMMENDED SERVICES

Functional Medicine Visits, Acupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, Cryotherapy, Infrared Sauna, Salt Room (Halotherapy), Resolve Inflammation Program, Elimination Diet Group VisitsAnti-Inflammatory Massage with Castor Oil Pack, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Detoxifying Body Ritual

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Sports injuries commonly refer to knee injuries, shin splints, achilles tendon injuries, hip flexor strains, ACL tears, hamstring strains, dislocated shoulders, tennis or golf elbow, and other muscle sprains and strains. Concussions and head injuries are also considered sports injuries. Lack of warming up, insufficient stretching, lack of conditioning, and poor training methods are often causes of these types of injuries.

HOW WE TREAT IT

Most individuals will begin with either our physical medicine and rehabilitation physician or chiropractors to start the process of recovery by diagnosing the injury, reducing pain, and promoting healing as much as possible. Rehabilitation is a long process, but with guidance from a doctor and the use of complementary therapies such as cryotherapy or low level laser therapy, the recovery process can proceed more quickly. The ultimate goal when treating physical injuries is to restore strength to the area and prevent repeat injuries in the future.

RECOMMENDED SERVICES

Physical Medicine and Rehabilitation Visits, Chiropractic Care Visits, SomaTraining, IV Nutrition – Vita R for Sports Recovery, Corrective Movement, Kinesio Tape Application, Functional Nutrition Consult, Low Level Laser Therapy, Cryotherapy

PROVIDERS WHO TREAT THIS CONDITION

Cynthia Kardesch, MD / Sarah Bird, DNP / David Trybus, BS, DC / Jason Biondo, DC, MS

DEFINITION

Insomnia is a persistent inability to fall asleep or stay asleep. Individuals with insomnia often do not feel well-rested. In addition to the quantity of sleep, the quality of sleep may also be deficient. Often, insomnia can be traced to poor sleeping habits, anxiety, lack of exercise, chronic conditions, or depression.

HOW WE TREAT IT

Treatment for severe insomnia starts with a functional medicine consultation. We emphasize eliminating blue light exposure before bedtime, setting a regular bedtime, staying hydrated during the day, avoiding wearing electronic devices on the body, and getting exposure to natural daylight first thing in the morning. We also recommend limiting naps, eliminating caffeine, and waking up at the same time each day. Treating underlying conditions such as depression or anxiety and getting enough exercise during the day are also important in restoring healthy sleep. Complementary services that may help include acupuncture, biofeedback rebalance, cryotherapy, sessions in our salt room and infrared sauna, and stress reduction treatments.

RECOMMENDED SERVICES

Functional Medicine Visits, Restorative Sleep Consult, Biofeedback Rebalance, Acupuncture and Acupressure, Functional Nutrition Assessment, Salt Room (Halotherapy), Cryotherapy, Calm Immersion Ritual, PALM Signature Stress Reduction Massage, Meditation, Stress Management Program, Well-Being Coaching

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNPDavid Trybus, BS, DC / Lily Liu, OMD, PhD, LAc

DEFINITION

Memory loss and memory issues refer to unusual forgetfulness that affects an individual’s ability to remember past events. Memory issues may include an inability to recall events that happened recently, events that happened a long time ago, or a combination of both. Memory loss is not always indicative of dementia or Alzheimer’s disease; normal aging can cause minor forgetfulness or difficulty recalling memories quickly. Dramatic memory loss can be a sign of a more serious condition.

HOW WE TREAT IT

Our neurologist completes a full neurological evaluation to assess the symptoms the patient is experiencing. Getting a proper diagnosis is key to treating the memory issues and improving them. As with many conditions, prevention goes a long way in helping to improve a patient’s outlook. We may recommend neuroplasticity classes to aid overall brain health, which help activate and stimulate the brain’s natural ability to form new connections. Practicing new hobbies, doing brain exercises, learning a new language, and socializing are all great ways to keep the mind active for aging adults and to prevent decline.

RECOMMENDED SERVICES

Brain Health Program, Neurology Visits, Functional Medicine Visits, Neurofeedback, Cardiac Coherence, Biofeedback Rebalance, Functional Nutrition Assessment, Nutrition Supplement Consult, Neuroplasticity Classes, Body Meditation Classes, PALM Signature Stress Reduction Massage, Detoxifying Body Ritual

PROVIDERS WHO TREAT THIS CONDITION

Sita Kedia, MD, MPH, FAHS / Ashley Wiegand, LMFT, BCN

DEFINITION

Menopause is a natural part of aging in women and occurs when a woman has not menstruated in twelve months. It usually occurs between the ages of 45 and 55 and signals the end of the woman’s natural ability to become pregnant. Female sex hormone levels decrease with age, the ovaries stop releasing eggs, and the woman is no longer able to get pregnant. Symptoms of menopause include hot flashes, night sweats, trouble sleeping, moodiness, weight gain, sweating, irritability, and reduced sex drive, among others.

HOW WE TREAT IT

Individuals who would like to explore a functional medicine approach to menopause should start with a functional medicine consultation. We may discuss hormone replacement with bioidentical hormones or with the Wiley Protocol. Since menopause is a natural process in women, we focus on alleviating symptoms and reducing discomfort. We may recommend yoga or meditation classes to reduce anxiety and moodiness, or we may suggest scheduling regular massage treatments for relaxation and detoxification. Making sure the patient continues to exercise regularly and eat nutritious foods may also help ease some symptoms of menopause.

RECOMMENDED SERVICES

Functional Medicine Visits, Resolve Inflammation Program, Elimination Diet Group VisitsAcupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, Meditation, Cryotherapy, Detoxifying Body Ritual, Infrared Sauna

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Neurological disorders are diseases of the central nervous system, which comprises the brain and spinal cord. Some examples of neurological disorders include Parkinson’s disease, stroke, epilepsy, brain tumors, dementia, Alzheimer’s disease, multiple sclerosis, migraines, peripheral neuropathy, and amyotrophic lateral sclerosis (ALS).

HOW WE TREAT IT

Our treatment depends on the type of neurological disorder that the patient has. We will begin with an initial neurology visit to diagnose and evaluate symptoms, and we will personalize the patient’s treatment based on the type and severity of the condition. Medication may be prescribed, in addition to complementary therapies and sustainable lifestyle changes that may help alleviate symptoms and reduce pain. We may recommend our NeuroMove classes, which are designed for those with balance issues, post-stroke symptoms, multiple sclerosis, ALS, and Parkinson’s disease, and taught by our neurologist and physical medicine and rehabilitation physician. The fitness and movement goals of these classes are strength, balance, posture, and walking.

RECOMMENDED SERVICES

Neurology Visits, Functional Medicine Visits, Physical Medicine and Rehabilitation Visits, Cardiac Coherence, Biofeedback Rebalance, Functional Nutrition Assessment, SomaTraining, Nutrition Supplement Consult, Neuroplasticity Classes, Body Meditation Classes, NeuroMove Classes, Mind-Body Movement, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Brain Health Program

PROVIDERS WHO TREAT THIS CONDITION

Sita Kedia, MD, MPH, FAHS / Ashley Wiegand, LMFT, BCN

DEFINITION

Osteoporosis is a bone disease in which the bones become weak and brittle. It occurs when the body loses too much bone or makes too little bone, making the bones thin and susceptible to breaking. Bone breaks down faster than it builds during the natural aging process, but if it breaks down excessively, osteoporosis results. Fractures related to osteoporosis commonly occur in the hip, wrist, or spine, and can occur with only a minor fall or bump.

HOW WE TREAT IT

At PALM, we focus on slowing the development of osteoporosis and maintaining healthy bone density. We may prescribe supplements and encourage weight-bearing exercises such as power-walking, climbing stairs, hiking, jogging, or jumping rope, which help slow bone loss and improve overall bone health. We also focus on preventing fractures and practicing safe habits to prevent falls.

RECOMMENDED SERVICES

Functional Medicine Visits, Physical Medicine and Rehabilitation Visits, Functional Nutrition Assessment, Flow, Personal Training, Personalized Exercise Plan, Kinesis Cardio and Strength Interval Training Classes

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Cynthia Kardesch, MDBasima Williams, DO / Sarah Bird, DNP

DEFINITION

Heart palpitations are the feeling of the heart skipping a beat, fluttering, pounding, or beating quickly. Stress, caffeine, dehydration, anxiety, low blood sugar, medications, and exercise are common triggers for palpitations, which are usually self-limited. In rare cases palpitations can signal a more serious heart condition if they occur alongside shortness of breath, dizziness, chest pain, or fainting. Persistent palpitations could be a symptom of a more serious arrhythmia, or irregular heartbeat.

HOW WE TREAT IT

Our physicians will give you a thorough physical examination to determine if there is an underlying cause of the palpitations. Lifestyle changes may be recommended, such as practicing relaxation exercises, taking meditation classes, or reducing alcohol and caffeine intake. If the palpitations indicate an arrhythmia, we may recommend a different course of treatment that focuses on correcting the irregular heartbeat.

RECOMMENDED SERVICES

Functional Medicine Visits, Preventive and Rehabilitative Cardiology Visits, Biofeedback Rebalance, Cardiac Coherence

PROVIDERS WHO TREAT THIS CONDITION

Lauren Munsch Dal Farra, MDVarsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Many patients are anxious before or after surgery and have questions about next steps. Some patients are most concerned about avoiding pain before or after the surgery. The possibility of infection or a long recovery time can also be worrisome. Taking proper steps to prepare the body for surgery and to help it recover afterwards is our main focus with surgery patients.

HOW WE TREAT IT

Making sure that the body is prepared for surgery and that the immune system is functioning at its best is our focus when treating pre-surgery patients. We recommend preparing the body with a healthy diet and dietary supplements, such as our pre-surgical IV nutrition therapy protocol. To optimize wound healing after surgery, we recommend our wound healing IV nutrition therapy protocol and our post-surgical protocol. We may suggest complementary therapies such as low level laser therapy or cryotherapy to be used in combination with other treatments in order to promote healing.

RECOMMENDED SERVICES

Functional Medicine Visits, IV Infusion Consult, Pre-Surgical IV Nutrition, Wound Healing and Post-Surgical IV Nutrition, Acupuncture and Acupressure, Cardiac Coherence, Functional Nutrition Counseling, Low Level Laser Therapy, Cryotherapy, Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Sarah Bird, DNP / Cynthia Kardesch, MD

DEFINITION

When the body does not produce enough thyroid hormone, its normal rate of function slows, causing mental and physical sluggishness. This underproduction is known as hypothyroidism. Symptoms of hypothyroidism are vast and range from fatigue, headaches, depression, anxiety, weight gain, joint pain, infertility, heart disease, irritability, impaired memory, and poor circulation, among others.

HOW WE TREAT IT

We recommend starting with a functional medicine consultation to uncover the root cause of symptoms and determine if the individual has a thyroid disorder. The overall goal of treatment for thyroid disorders is to restore balance to the body’s metabolic function. Assessing the entire picture and taking into consideration both lab values and patient symptoms to customize a treatment plan yields the best results.

RECOMMENDED SERVICES

Functional Medicine Visits, Resolve Inflammation Program, Elimination Diet Group VisitsBiofeedback Rebalance, Functional Nutrition Assessment, Anti-Inflammatory Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

DEFINITION

Weight issues mainly refer to the state of being overweight or obese, which is defined as having excessive body fat. Excess weight results from consuming more calories than the body burns through exercise or daily activities. Individuals are characterized as being obese if they have a body mass index (BMI) greater than or equal to 30. Being overweight can cause a variety of health problems, such as diabetes, high blood pressure, heart disease, gallstones, stroke, and other illnesses.

HOW WE TREAT IT

We have found that taking a balanced approach to weight issues, one that includes diet, exercise, hydration, and stress management, works best. We use advanced technology such as the body composition analyzer to determine a patient’s BMI, and we recommend nutritional counseling as well as dietary supplements to support nutrition. Our approach focuses on customizing a weight loss plan based on an individual patient’s needs and health goals. Our Weight Management Program has been successful for many patients in helping them safely boost their metabolism, lose fat, build lean muscle, and maintain a healthy weight for the long-term.

RECOMMENDED SERVICES

Weight Management Program, Functional Medicine Visits, Functional Fitness Assessment, Resolve Inflammation Program, Elimination Diet Group VisitsBiofeedback Rebalance, Cryotherapy, Infrared Sauna, Personal Training, Performance Metabolism and Fat Burn Method CRA-Test®, Kinesis Cardio and Strength Interval Training Classes, Metabolic Boost Classes, Well-Being Coaching

PROVIDERS WHO TREAT THIS CONDITION

Varsha Rathod, MD / Basima Williams, DO / Sarah Bird, DNP

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