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Case Reports

Melatonin for the Treatment of Gastroesophageal Reflux Disease: A Case Report

Melvyn R. Werbach, MD

Abstract
The enterochromaffin cells of the gastrointestinal (GI) tract secrete 400 times as much melatonin as the pineal gland; therefore, it is not surprising that research is finding that this indole plays an important role in GI functioning. In animal studies, it protects against GI ulcerations, and randomized clinical trials suggest its efficacy in treating functional dyspepsia and irritable bowel syndrome. Melatonin administration has been shown to protect against esophageal lesions in animals. Moreover, in a randomized, single-blind clinical trial of subjects with gastroesophageal reflux disease (GERD), the combination of melatonin with other natural supplements was read more…

Chiropractic Treatment of Temporomandibular Disorders: A Case Report

Sivarama Prasad Vinjamury, MD (Ayurveda), MAOM; Betsy B. Singh, PhD; Raheleh Khorsan, MA; Rocky Comberiati, DC; Melany Meier, DC; Susan Holm, MS, DC

Abstract
Temporomandibular disorders (TMD), or craniomandibular disorders (CMD), is a collective term used to describe a group of cranio-oro-facial conditions that are differentiated as pain or noise in the mastication muscles or temporomandibular joints (TMJ) and limited mandibular function.1 TMD pain can simulate atypical facial pain (AFP) with characteristics of pain ranging from unilateral, bilateral, or migratory.2-6 More than 10 million people in the United States suffer from TMD.2,3 The average age of onset is between 18 read more…

A Case of Hepatitis Associated With Long-Term Use of Cimicifuga Racemosa: A Case Report

Alfredo Vannacci, MD, PhD; Francesco Lapi, PharmD, PhD; Eugenia Gallo, MS; Michele Vietri, MS, PhD; Mario Toti, MD;
Francesca Menniti-Ippolito, MS, PhD; Roberto Raschetti, MD; Fabio Firenzuoli, MD; Alessandro Mugelli, MS, MD

Abstract
A survey of 107 patients continuously treated for more than 12 months with a Cimicifuga racemosa rhizome (black cohosh) herbal extract was recently conducted by Firenzuoli et al to verify its possible hepatotoxic effects.1 The paper concluded that, despite the alert released on July 2006 by the European Medicines Agency (EMEA) and the Committee on Herbal Medicinal Products (HMPC), C racemosa rhizome herbal extract should be considered read more…

Use of Homeopathic Injection Therapy in Treatment of Morton’s Neuroma a Case Report

Angela L. Drury, DPM, FACFAS

Abstract
Patients suffering from neuroma pain describe their pain as intense, usually 8 to 10 out of 10 on a numerical pain-rating scale. Neuroma pain debilitates a patient’s activity level. It is difficult for patients to wear closed-toe shoes, and most often patients cannot stay active in a healthy exercise program due to the pain. This is a common foot complaint of patients presenting to a podiatrist’s office.

Clinical Observation
A 70-year-old female presented to the clinic with a possible neuroma. Her constant pain was 8 to 10 on the pain scale; her pain was read more…

Chronic Wound Treatment With Topical Tea Tree Oil

Patricia Culliton, MA, LAc; Linda L. Halcón, PhD, MPH, RN

Abstract
The following case study presents one patient’s experience with treatment of a chronic lower-extremity wound using a tea tree oil (Melaleuca alternifolia) mixture applied topically. JC is an 85-year-old man with a history of more than 70 years smoking cigarettes. Prior to 2006, he had no cardiology issues and no diabetes but did have a mild case of chronic obstructive pulmonary disease. He had osteoarthritis in both knees and had difficulty walking but enjoyed using his walking lawn mower, which provided some aerobic exercise. He mowed his own and read more…

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