Women's Health

A Supplement of The Maui News | Friday,August 16, 2013

WO M E N â&#x20AC;&#x2122; S H E A LT H >>> Sho pping!<< <

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FLUIDS as

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New migraine research Bowenwork explained Fitness workshops & classes

New research provides hope for migraine sufferers (JVSR), 101 patients with chronic headaches were evaluated for misalignments in their upper neck vertebrae. In all subjects, cervical misalignments were discovered and then treated. In 85 cases, chronic headaches ceased. Twelve cases experienced fewer and less severe

By ERIN ELSTER, D.C.

new treatment focusing upon cervical A (neck) injuries shows promise for patients with chronic headaches.

According to a study published in the Journal of Vertebral Subluxation Research

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headaches. Four cases showed no response.

Because migraine is a brain disorder that has been frequently linked to head trauma, it was theorized that correction of traumainduced cervical Erin Elster, D.C. misalignments may positively impact migraine.

According to the Migraine Research Foundation, nearly 30 million people, or 10 percent of the U.S. population, suffer from migraine — 75 percent of them women. About half of affected women have more than one attack each month, and a quarter experience four or more severe attacks per month. In addition to suffering through the attacks, many of those afflicted with migraine live in constant fear of the next attack, which could come at any time to disrupt work, school, family time, and social activities.

Half of all migraine sufferers experience

their first attack before the age of 12. In fact, about 10 percent of school-age children suffer from migraine. These children are absent from school twice as often as children without migraine.

Migraine also takes a toll in the work place. According to the Migraine Research Foundation, American employers lose $13 billion each year as a result of 113 million lost work days.

This devastating impact upon adults, children, work and family life warrants migraine’s ranking in the top 20 of the world’s most disabling illnesses.

Migraine is a complex neurological disorder, which occurs in attacks, similar to seizure. Symptoms include intense, throbbing pain on one or both sides of the head accompanied by nausea, vomiting, dizziness, visual disturbances, and sensitivity to light and sound. Attacks range between 4 and 72 hours during which many migraine sufferers sequester themselves in a quiet, dark room until the attack passes. The large majority of migraine sufferers are unable to work, attend school, or function normally See MIGRAINES on Page 6

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A Supplement of THE MAUI NEWS – Friday, August 16, 2013 – Page T2

JUICY NEWS

Joy White (left) and Tyua Sereda of Joy’s Place LIVE! show off some of their healthy juices.

Joy’s Place LIVE! is offering a three-day cleanse program

Photo courtesy Joy’s Place LIVE!

BY LEHIA APANA Special Sections Editor or some, the words “juice cleanse” is synonymous with celebrities like Gwyneth Paltrow and Salma Hayek. For others, it prompts images of lemon, maple syrup and cayenne pepper concoctions meant to shed pounds and detoxify one’s system. For Tyua Sereda, recipe developer and marketing representative at health food restaurant Joy’s Place in Kihei, a juice cleanse is a way to help people eat smarter.

Unlike more extreme programs like the well-known Master Cleanse or apple cider vinegar detox, Sereda has created a gentle three-day cleanse that includes a range of organic produce and superfoods — from locally-sourced coconut water and kale juice to vegetable miso soup and goji chia elixir. The program, dubbed “Clean! 3 Day Cleanses,” is being offered through Joy’s Place LIVE!, and is designed to provide a healthy, safe and guided way to refresh your system.

“It’s not a radical cleanse,” says Sereda. “By that I mean that a lot of cleanses are liquid only, and they tend to be longer. Our cleanse is liquid, but they’re hardy liquids, so it’s almost like you’re eating.”

Here’s how it works: everything needed for the cleanse is included, simply pick up the fresh juice each day from Joy’s Place Pukalani kitchen. According to Sereda, the program includes enough food for a person to consume something every two hours during the day. Participants will also receive a welcome

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See CLEANSE on the next page

Upper Cervical Chiropractic Care is Now Available on Maui •

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Published Research by Dr. Erin Elster, D.C.: Migraine, Cluster & Tension Headaches Dizziness, Vertigo, Meniere’s, Disembarkment, Labyrinthitis Chronic Neck & Spinal Pain Whiplash, Post-Concussion Syndrome & Head Trauma

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808-866-6551 | Erin@ErinElster.com | 296 Alamaha St., Kahului A Supplement of THE MAUI NEWS – Friday, August 16, 2013 – Page T3

feel just fine,â&#x20AC;? explains Sereda, who adds that, â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s pretty common to feel detoxing symptoms, especially if itâ&#x20AC;&#x2122;s a radical change from what you normally eat. A Continued from Page 3 lot of it depends on where you are when you start.â&#x20AC;?

To prepare for the change in diet, Sereda recomemail and daily tips and instructions to guide them mends that people pre- and post-cleanse by eating along the way. lightly at least one day before and after the three-day Joyâ&#x20AC;&#x2122;s Place LIVE!, which began offering its threeday cleanse this past February, will hold its next cleans- program. This will help prepare your body for a healthier routine. ing program from Aug. 20 to 22. Additional sessions â&#x20AC;&#x153;We also encourage people that if they are not ready are being planned for the following months. to consume only what is on the cleanse, that they can But be warned that juice cleanses arenâ&#x20AC;&#x2122;t for everyone, especially pregnant or nursing women, those with supplement the program with salads or other kinds of light foods,â&#x20AC;? Sereda says. major health issues or anyone who requires a lot of While some people may experience weight loss durcalories â&#x20AC;&#x201D; like say, someone training for a marathon ing the cleanse, Sereda points out that one of the greator triathlon. est benefits of the program is a push in a healthy direcâ&#x20AC;&#x153;The detoxing really varies from individual to indition. The gentle cleanse is a way to jump start your vidual, so some people might feel lightheaded or kind mind and body into adopting a healthy lifestyle. of spacey, some people experience hunger, and others â&#x20AC;&#x153;People are finding they have more energy, and theyâ&#x20AC;&#x2122;re more motivated to stick with the diet or exercise plan that they havenâ&#x20AC;&#x2122;t been able to quite latch onto,â&#x20AC;? reports Sereda. â&#x20AC;&#x153;Some people find that they have improved concentration or sleep, and others find that they just feel better after doing the cleanse. It really just sort of helps people get going down the path of

Cleanse

making good choices.â&#x20AC;?

Cost for first-time cleansers is $149, and $169 for returning cleansers (plus $5 for the reusable cooler bag that the food comes in). To register for the cleanse, call 385-7779 or email info@joysplacemaui.com. For more information, visit www.joysplacemaui.com.

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ABOVE: Cleanse participants will receive their daily fuel in reusable cooler bags.

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LEFT: The program includes three days of sipping on hearty, organic fruits and veggies.

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SHOPPING

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Doc Martin’s of Maui Sunscreen Nothing wreaks havoc on skin quite like the sun, so keep yourself healthy with a sunscreen that goes the distance. Designed by Maui dermatologist Dr. George Martin, this is the go-to product for sweat-soaked athletes and water enthusiasts who need to remain protected all day long. In fact, one application of this heavyduty sunscreen, and you’re set for the day. It even holds an SPF of 20 after six hours in the water. $15.50 for 2 oz., available at www.docmartinsmaui.com.

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Staying healthy means having the right products and gear. To help steer you in the right direction, we’ve compiled a shopping guide that features some of our favorite women’s health finds from around Maui.

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Scientific Organics Kombucha Cleanser That’s right ladies, kombucha isn’t just for sipping.

Now, the health benefits of kombucha are packed into emerginC’s all-natural facial cleanser. Remove makeup, excess oil and environmental pollutants from your skin, while adding a host of healthy ingredients. Organic grapeseed, plus white and green tea extracts pack a dose of age-defying antioxidants that neutralize free radicals to promote a more youthful look. $36 for 4 oz., available at Colours Salon Maui in Kahului. 8711002; www.colourssalonmaui.com.

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Roxy Wave Ready Swim Top Calling all water women! This performance top is made of neoprene fabric and features wide crossover straps that will keep you looking good and feeling comfy in the water. Whether you’re hitting the waves or paddling the channel, this feminine top is the perfect blend of fashion and function ($42). Pair it with Hurley’s Printed Beachrider Womens Boardshort, and you’re ready for some ocean action ($30). Available at Hi-Tech Surf Sports in Kahului. 877-2111; www.surfmaui.com.

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Lavender Eye Mask by Ali‘i Kula Lavender Chronic sleep loss can lead to everything from weight gain to high blood pressure. Catch some shuteye with the help from this fragrant Lavender Eye Mask, which includes 100 percent lavender buds wrapped in soothing satin. It’s like cuddling up with Ali‘i Kula Lavender goodness every night! $30; 8783004; www.aliikulalavender.com.

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See SHOPPING on the next page

been a longtime patient of Dr. Mirzai, I know that they are Our happy patients say it best … Having always the first to bring in new technology and procedures to the Islands. Therefore I was thrilled but not surprised when Dr. Mirzai told me about two new procedures being exclusively offered by Hawaii Plastic Surgery Associates. The first a new treatment for frown lines that lasts months longer than Botox! And does not involve injecting toxins!

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The second a revolutionary facelift without the surgery, anesthesia, or downtime of a traditional facelift. The procedure is called Thermi-lift, is minimally invasive and takes about sixty to ninety minutes. I decided to have it done right away and am so pleased with the results! I look better, feel better and did not have to take any time off work! Thank you Dr. Mirzai, Dr. Phan, and the staff of Hawaii Plastic Surgery Associates. ~Deb

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A Supplement of THE MAUI NEWS – Friday, August 16, 2013 – Page T5

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Shopping

Migraines

Continued from Page 5

Continued from Page 2

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WeMoon Tea Women looking to nourish their body and cycles can sip on this organic and caffeine-free herbal blend, which helps tone the reproductive organs and is a good source of nutrients and minerals.

Created by Cheshire’s Herbals of Maui, it contains red raspberry leaf, nettles, chamomile, rose hips, peppermint, spearmint, and dandelion leaf. $6.25 for 2 oz. pack or $3.60 per oz. in bulk, available at The Dragon’ s Den Herb Shop in Makawao.

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Salty Coconuts Zig Zag sports bra This Salty Coconuts sports bra is sure to inject a healthy dose of fun into any training session.

Created by Maui resident Jodi Ottman — who has competed in multiple Ironman events, including the Ironman World Championship in Kona — these playful designs and vibrant colors aren’t just for looks. The supportive design and adjustable straps ensure you’ll feel secure, while its quick dry material will keep sweat at bay. $34; www.saltycoconuts. com.

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during their attacks.

Various migraine risk factors have been named including heredity, chemical exposure, and hormone imbalances, to name a few. Another causal factor — head trauma — which is beginning to appear more frequently in medical research, was the basis for the JVSR study.

Of the 101 patients in the JVSR study, 87 recalled at least one traumatic event prior to his or her headache onset. The most common traumas included whiplash and/or concussion sustained as a result of auto accidents and through sports such as skiing, cycling, horseback riding, football, gymnastics, snowboarding, and skateboarding. In pediatric cases, parents recalled difficult births and/or falls early in their child’s life that preceded headache onset.

One patient in the study, for exam-

ple, was a professional ice skater. She had never experienced headaches until sustaining a concussion at the age of 23 from a head-first fall on the ice.

Subsequent to the concussion, she began suffering from debilitating migraine headaches for 12 years, until undergoing the study treatment; whereby, the headaches ceased.

Even in cases where the study subjects did not recall incidences of head trauma prior to their headache onset, upper cervical misalignments were found. In fact, all 101 cases showed evidence of cervical trauma when two diagnostic tests — thermal imaging and cervical x-ray — were performed.

The evaluation and treatment protocol administered in the study was a form of chiropractic care, known as Upper Cervical Chiropractic. After determining a diagnosis of cervical injury, each patient’s injured neck was corrected by administering a precise adjustment by hand on a specially-designed table.

Of the study subjects, most adult

patients’ headaches were resolved within four months of care. All pediatric cases were resolved within two months. Most of the study subjects had suffered with headaches for years and had attempted numerous treatments including but not limited to pain medications (prescription and over-the-counter,) massage, rolfing, acupuncture, herbs, cervical manipulation, Chinese medicine, biofeedback, hormone pills, etc.

Migraine is a debilitating disorder which affects the quality of life of millions of adults and children. The relationship between head trauma, migraine onset, and upper cervical treatment provides hope for these headache sufferers.

The headache research discussed above was performed by Upper Cervical Chiropractor, Erin Elster, D.C., and is available on her website, www.erinelster.com. For more information, contact Dr. Elster at 8666551 or erin@erinelster.com.

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Kidney donor Kats Anderson helped bring H.O.T. (Hawaii Organ Transplant support group) to Maui. Its focus is to help those with chronic kidney disease, on dialysis or going through a kidney transplant, and their family members.

H.O.T.

Hawaii Organ Transplant New support group helps those dealing with a kidney transplant ere’s news that may surprise you: nearly six out of 10 Americans will develop kidney disease in their lifetime, according to a new analysis published in the American Journal of Kidney Disease. In comparison, lifetime risk of diabetes, heart attack and invasive cancer is approximately four in 10.

The good news is that there’s a community of people who are here to help those dealing with this disease. Recently, the Hawaii Organ Transplant Support Group (HOT) was formed and endorsed by the National Kidney Foundation of Hawaii. The focus of the new support group on Maui is to help those with chronic kidney disease, those on dialysis, those going through a kidney transplant and their family members. Organ transplantation recipients and donors have already stepped forward to push the group’s momentum forward.

Maui residents Kats Anderson and Lianne Suzuki are two women who have experienced the ups and downs of undergoing a kidney transplant.

Here are their stories.

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>>> Kats Anderson <<<

Reiki Natural Healing

I am a prayer intercessor at my church on Maui and received an email from an affiliate church requesting prayer for a woman named Suzy Crowell, who lives in California. As I read the email request, I was so moved by Suzy and all that she has done with her life — how she has given back through her missions and has served our Lord. I felt as though God put it on my heart to donate my kidney. So I immediately answered Him and said “Okay, I will.”

As I continued to read through the email, I discovered that we were the same blood type. I felt as though I just received confirmation that I needed to respond with prayer and put my name on Suzy’s list. I immediately did so. The entire process took about a year and a half and we went

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See H.O.T. on Page 9 x

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A Supplement of THE MAUI NEWS – Friday, August 16, 2013 – Page T7

Veins vital part of health puzzle

Workshops available to help chronic conditions as well as overall health

Better Choices , Better Health ®

ponsored by Maui County Office S on Aging/Aging and Disability Resource Center, Better Choices, Better

Health, is an evidence-based educational Health Aging Program. It is designed to help people manage their chronic conditions, as well as their overall health through achievable action plans for relaxation, nutrition, improved communication skills, medication management, exercise and more. Participants receive a textbook, “Living a Healthy Life With Chronic Conditions.” Cost is $10 for individuals age 60 and older, and for caregivers of any age. Under 60 years?

The cost is $35. Scholarships are available. For more information or to sign up, call Jan at 270-8221.

CHOOSE FROM THREE WORKSHOPS: ■ Six Wednesdays, 1-3:30 p.m. , Aug. 28-Oct. 2, West Maui Senior Center ■ Six Wednesdays, 12:30-3 p.m., Oct. 2-Nov. 13, Kaiser Maui Lani ■ Six Thursdays, 9-11:30 a.m. Nov. 7-Dec. 19, Kaunoa Senior Center

Maui County Office on Aging supports women’s health with Evidence-Based Healthy Aging Programs Better Choices, Better Health® Chronic Disease Self Management workshops countywide

Call 270-8221 to register today!

ealthy veins are not simply a cosmetic issue, but an essential part of your overall well-being. No matter what stage you are at in your life — whether planning a pregnancy or playing with grandchildren — knowing the symptoms and risk factor for vein conditions can help you stay healthy, happy, and on the move for years to come.

Before starting any treatment, it is important to understand a little bit about veins, vein health, risk factors, treatment and prevention. The job of a vein is to return blood back to the heart. Veins are thin and have one-way valves to keep blood flowing toward the heart. Because the blood in veins contains so little oxygen, the vein has a bluish appearance under the skin. An adult has more than 60,000 miles of veins, and more than 60 million Americans suffer from some form of venous disease.

There are a variety of factors that can lead to malfunction. Your best defense is to know the risk factors, to identify symptoms at an early stage, to focus on prevention and management, and to take advantage of all available treatment options.

There are several risk factors in developing vein disease. These include age, gender, lifestyle, and most importantly heredity. As your age increases, so does the likelihood of you having some type of venous problem. Women are 2.5 times more likely to have venous disease over men due to hormone surges throughout life. Venous disease can also be aggravated by lifestyle or occupational risks. Jobs that include standing or sitting for long periods of time in one position are known risk factors. Genetics plays the most important role, however, and 70 to 80 per-

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cent of patients have a strong family history.

Symptoms of vein disease can vary from obvious discolorations on lower extremities to pain, fullness, fatigue, itching, swelling, and even ulcerative lesions.

Simple lower extremity exercises, such as walking or jogging, can help the circulatory system and improve the return of venous blood back to the heart. On the other hand, if venous disease is already present, exercise, compression stockings and elevation will decrease symptoms, but will not cure the problem.

Large clusters of varicosities may put you in a higher risk level of developing superficial blood clots or deep venous thrombosis (DVT). Patients who neglect early symptoms of vein disease will likely see a worsening of their symptoms and findings. While vein disease may progress slowly at first, once it reaches a critical point, it may progress at a much more rapid rate.

The healing process begins with you.

With ongoing advancements in medical research and technology, treatment options are well within your reach. State-ofthe-art medical procedures allow varicose and spider veins to be treated more effectively and safely than ever before. It is important to see a phlebologist — a doctor who specializes in the diagnosis and treatment of vein disorders and conditions — for proper care of your venous problems.

All treatments are done in the office with little to no down time. Patients can return to work the same day if needed. Most insurance companies and Medicare cover modern medical vein treatments.

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A Supplement of THE MAUI NEWS – Friday, August 16, 2013 – Page T8

H.O.T.

>>> Lianne Suzuki <<<

Continued from Page 3 through with our “. . . my path to retransplant in April covery was a different 2012. It was a success, and from that one. This time the day on, Suzy and her checkups and medicafamily have kept in contact with me. tions were for anti-reI have been conjection reasons, and stantly praying for Suzy, who has been not for end-stage renal dealing with ongoing failure.” hospital visits. I was so overwhelmed with the things that Suzy must have been feeling, including her feelings of losing hope through all the medical struggles. Although she was very grateful and hopeful, I could still feel her struggles, as she was not out of the woods six months — and now more than one year — after the transplant.

Around the middle of 2012, I discovered that H.O.T. (Hawaii Organ Transplant support group) was forming on Oahu, and decided to get on board to bring this group to Maui. Since then, I have met many transplant patients and have found that a lot of the stories are similar — the story does not end at transplantation. My heart goes out to all who are contemplating the difficult choices of what type of dialysis treatment they will go through due to their kidney failure, kidney disease or course diabetes. I only hope we can bring hope to as many people out there that are willing to receive it.

I was diagnosed with Systemic Lupus Erythematosus (SLE) in my early 20s, which affected my kidneys and eyesight. Eventually, my nephrologist told me I had to start dialysis. Yup, my whole life changed from that point on. I chose to do peritoneal dialysis (PD) on my own.

At that time, the training was done on Oahu, and there were no machines to assist you. With help “Life was rough. I and support from my kept asking myself, family and friends, I was able to endure treatment ‘When will things turn but believe me it wasn’t around for me?’ And I easy. As every day passed, it seemed endless wondered what I did with doctor appointto deserve this . . . I ments, lab tests, changing of medications, and had a kidney transof course the dialysis plant in September three times a day. Life 1997 — and look, I’m was rough. I kept asking myself, ‘When will still alive and working things turn around for full-time!” me?’ And wondered what did I do to deserve this. Fortunately, I had a kidney transplant in September 1997 — and look, I’m still alive and working full-time!

Boy, it was all a whirlwind. Things happened so fast, from the time I received that long-awaited telephone call that they have a kidney waiting for me,

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Lianne Suzuki (right) is pictured here with her sister, Janice Yamane-Hokama. until I finally was able to leave the hospital with a new kidney. I can’t explain what a big change it was.

Now my path to recovery was a different one. This time the checkups and medications were for anti-rejection reasons, and not for end-stage renal failure. It was all worth it. This was a new beginning for me in life. Now it is my turn to give something back and this is part of my new beginning. Let our Hawaii Organ Transplant support team be there for you!

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Tired of body pain?

Bowenwork may be the answer any of us know someone who is convinced they are going to live with pain or a loss of bodily function. These people have given up their favorite hobbies or sports. They have tried what they believe to be all of the options, and are convinced they will suffer a lifetime of pain. Maybe that person is you. The good news is that there’s still hope, according to Jennifer Carey of Bowenwork Maui.

Here, we ask her about this specialized form of bodywork and talk about how it has changed the lives of her clients.

M

Q:What is Bowenwork?

Jennifer Carey: The muscles and connective tissue (tendons, ligaments

and fascia) contain specialized cells that communicate with our central nervous system (the brain and spinal cord). They send information about the length of our muscles and the tone or tension in the tendons, ligaments and joints. The gentle, handson Bowenwork procedures use these mechanisms to normalize tension levels and create balance in the length of the muscles. The result is a reduction or elimination of pain, as well an increase in the range of motion around the joints and a return to normal function. The goal of this therapy is not to get you to return for more treatments, but rather to permit the body to correct the dysfunction itself so that there is no need to return Q:Who is eligible for

this type of therapy?

JC: My clients range from newborn babies with colic, to people of all ages who have been in auto accidents or work accidents.

It has brought relief to seniors with arthritis and to high-level athletes with injuries that would have kept them out of the game.

Most often, people come in when they have tried everything else and they have not improved. Often, they have lived with the problem for months or years. It is an option to try before resorting to surgery or medications.

Q: How many visits do people undergo before feeling results?

JC: Clients usually report feeling results within the first day or two of their treatment. Often, large changes happen within three to five days. The body integrates the work hour by hour, day by day. I typically see clients 2 to 4 times, depending on the problem. Chronic situations or longstanding issues can require more visits.

Q:Why did you decide to study Bowenwork?

JC: I was injured in an auto accident several years

1

2 1. The is procedure addresses restrictions, dysfunction and pain in the shoulder. It is effective for clients who are unable to lift or move their arm freely or who have pain in their shoulder, neck, arm or hand.

2. Helps to normalize tissue of the lower back and relax the client. ago. I had severe whiplash and had been unable to eliminate the pain and regain strength in my upper back and neck. I had been to a chiropractor multiple times per week for over two years, yet had only been able to achieve minimal results from therapy.

A friend suggested I try Bowenwork; it had helped her get rid of her back pain. I did some research and decided I had nothing

to lose, so I gave it a try.

After a couple of treatments, the pain was nearly gone and my range of motion was returning. I resumed physical therapy and regained my strength and got back to living.

Q:What is your response to people who might be skeptical See BOWENWORK on the next page

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to research the technique on reputable sites Continued from Page 10 (www.bowtech.com, www.bowenworkmaui. about this procedure? com) and make sure you JC: I completely unare looking into the origiderstand it — I was a nal Bowen technique skeptic at first as well. I (Bowtech or Bowenrolled my eyes through the entire first treatment. I work). Feel free to call me with any questions or to often joke about this with request references. my clients the first time they are in. Bottom line is Q: Is there anything this: it’s okay to roll your clients should do after eyes. I know it works, and the procedure?

I know it works well. In a JC: Allow your body to few hours or days, they will too. The work speaks rest the same day of your appointment; avoid heavy for itself. exertion and strenuous exercise the same day as Q: Is there anything your session. You can reclients should do beturn to all normal activity forehand to prepare? on the next day. Also be JC: It’s preferable to not have any other manip- sure to drink plenty of water. The input to the nervulations to your body the ous system is very subtle, few days prior to your treatment. Please feel free and the body responds

Bowenwork

3

4 3. This procedure addresses tension, dysfunction and pain in the upper back, shoulder, arm and hand.

It is particulary effective for golfers, tennis players, pitchers, etc.

4. Addresses pain and restriction in the upper and middle of the back as well as down the arm. It is also helpful for numbness in the hand and fingers.

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over time. For that reason, it is best to avoid other manipulative therapies for 7 to 10 days after a Bowenwork session so that they do not interfere with the body’s response to the Bowenwork. Exercise, sports and physical therapy are fine.

Q: How do your clients hear about you?

JC: At least 95 percent is by referral from clients who have gotten results and tell their friends and family. Others see me doing presentations at the senior center, health fairs and local sports clubs.

Q: What are your qualifications?

JC: I hold a Bachelors of Science in Biolo-

gy/Anatomy and Physiology from California State University Sacramento. I also trained with the Bowen Therapy Academy of Australia — the only institution training in the original Bowen technique.

I am trained and certified in all Masters Level Bowen procedures. In addition, I am certified in CPR and First Aid, as well as fully licensed and insured.

Jennifer Carey of Bowenwork Maui has offices in Kahului and Lahaina; visits are by appointment only. For more information, call 2693498, email jcarey@ bowenworkmaui.com or visit www.bowenwork maui.com.

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EnhanceFitness is an evidence-based fitness program for older adults and adults of any age with disabilities that improves strength, flexibility and balance.

Maui: Kahului Union Church, Kalama Heights, Kaunoa Senior Center, Roselani Place, and the West Maui Adult Day Care Center, with plans to add Makawao Hongwanji

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