Understanding Bio-Identical Hormone Treatment

Bio-Identical hormone therapy (BHRT) is used by skilled naturopathic physicians to treat peri-menopausal or menopausal symptoms or other hormone imbalances. Bio-identical hormones are typically derived from plant extracts, such as soybeans or Mexican wild yam, extracted and formulated to resemble the hormones naturally produced in the female body. This differs from conventional hormone therapies, which are derived from the estrogen of pregnant horses and progesterone that is synthetically made. 

Bio-Identical hormones treat:

  •  Insomnia

  • Hot flashes 

  • Anxiety

  • Low energy

  • Low libido

  • Cognitive difficulties

 

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Dr. Heather Krebsbach ND has successfully used BHRT for over 10 years here in Portland. She combines a careful understanding of your lab work with other components of your lifestyle that may be affecting your health. Understanding factors such as stress, adrenal fatigue, thyroid status and digestive health helps her create a full diagnosis and treatment plan. 

There are many options for administration of the hormones once the best path forward is determined. Patches, creams, gels, suppositories or sublingual troches are all options based on what fits with your lifestyle. Dr. Krebsbach monitors hormone levels throughout the treatment to insure you’re getting the safest and most effective hormone treatment possible. 

Benefits of HRT

  • Improves brain/cognitive function

  • Relieves hot flashes

  • Decreases vaginal pain and irritation 

  • Slows aging skin

  • Increases libido and “sex life” 

  • Improves bone strength

  • Decreases incontinence and frequent urinary tract infections

  • Decreases Coronary Artery Disease (in women under 60)

 Menopause and peri-menopause can be difficult transitions. There are many questions to answer and treatment options to consider. If you’re considering bio-identical therapy make an appointment with Dr. Heather Krebsbach at our NE Portland location today!

How to start a meditation practice

Picture Courtesy of Pexels

Picture Courtesy of Pexels

Meditation can be a great addition to just about everyone’s life. Many of us like the idea of meditation but don’t know how to get started.  This is a simple guide to help you start a meditation practice. There are many benefits of meditation and just 5-10 minutes daily can help us achieve these benefits.  

Meditation’s benefits:

  • Mental clarity

  • Increased productivity

  • Possibly slows the aging of the brain

  • Decreased stress

  • Improved sleep

What you will need:

Somewhere to sit quietly and something to sit on. 

·      Chair:
A chair is a great way to start if you’re new to meditation, have knee or back pain. Remember to sit upright. It is often best to move forward on the seat and not rest the back on the chair. Maintain a healthy upright posture. 

Picture Courtesy of Pexels

Picture Courtesy of Pexels

·     Cushion:
For the more committed or experience meditator having a dedicated cushion is a great idea. Remember to maintain and upright posture for the health of your back and ease of breathing. 

·     Bench:
For many benches are the most comfortable option. If the cushion bothers your back or knees or for the taller meditator a bench I a great option It will force you to sit upright preventing the slumping that occurs with cushions and chairs.

A Simple timer

Most of us can use our smart phones for this purpose.  In fact, there are several free apps which will track your meditation time and provide information to inspire us and keep us interested.  Insight timer is a great free app that has guided and un guided meditations of varied lengths.  

How to get started:

Try to begin by sitting for 5-10 minutes. 

Remember to sit with your back straight so you can breathe deeply. 

You’ll probably find is easier to concentrate with your eyes closed but you can keep eyes open if falling asleep is an issue.  

What to do

Get comfortable.

Start your timer.

With eyes closed bring your attention to your breath.This is what meditation is all about! Try to focus your mind completely on the breath as is enters and leaves your nose. 

You can focus on how the air feels as it enters and exists your nose, to how the air feels as you inflate and deflate your lungs or how the sensation of air feels passing over your nose.  Don’t force your breathing. Simply observe your breath without thinking too much about it.

Every time your mind wanders off, which will happen often, as soon as you notice bring it back to the sensation of breath. 

Don’t be frustrated if the mind wanders constantly just return to the awareness of breath every time you notice. 

Business people meditating outdoors.

Can Acupuncture help? 

Acupuncture can be a great tool for you to reduce stress and anxiety. Combining a meditation practice with acupuncture can improve results and help you learn to relax more deeply. 

If you’re working on building a meditation routine let us know at your next treatment. We can set up your treatment room to maximize your relaxation. 

 

Great Job!!! 

 

How Chiropractic Benefits Athletes

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Active athletes put extra strain and pressure on their bodies. Whether they compete professionally, play with friends or run long miles by themselves all athlete’s bodies need extra support.  Depending on which sport they do, how hard they train, and their age each will require different types of support to keep performing optimally. Many athletes look to nutrition, improved training techniques, and better equipment as ways to improve and stay healthy.  Many athletes employ natural medicine techniques like chiropractic, massage and acupuncture to stay healthy and optimize their performance

Enhanced Performance

Regular care from our sports medicine clinicians can improve overall performance.  By balancing muscles, leveling pelvises, reducing inflammation and keeping the spine properly aligned our team helps athletes minimize their risk of injury and less injury time means more playing time. 

With improved muscle balance, stability, flexibility and range of motion athletes will experience improved performance. For athletes that play through longer seasons or play year-round, the improvement will be noticed as other competitors show signs of fatigue or become prone to injuries. Staying strong throughout the season provides a great advantage.

Improved Injury Recovery

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Unfortunately, injuries are part of the game, and recovering from injuries quickly and completely is important. Here in Portland our team of acupuncturists and our chiropractor have all done advanced training in sports injuries. Chiropractic care helps athletes recover from injuries the same way it helps auto accident victims recover from injuries. Spinal adjustments align your vertebrae so that your tendons and muscles heal correctly. Acupuncture helps reduce pain, improve blood circulation and promotes tissue healing.  

How Chiropractic Helps

Dr. Jerrod Puckett’s treatments are designed to relieve pressure on nerves in the spinal column. He has a Masters of Science in Sports Medicine, which gives him the knowledge and tools to improve healing and athletic performance. When the spinal vertebrae are out of proper alignment the nerve impulses sent from the brain to the muscles will be impaired. This leads directly to impaired performance and possibly injury. The same is true from sensory impulses traveling from the body back to the brain. Proper body mechanics leads directly to improved performance and reduced risk of injury. 

Call today to make an appointment with Jerrod Puckett DC to take your game to the next level!

5 Ways Acupuncture Promotes Wellness

By Guest Blogger
Laurie Larson

Acupuncture treatment to male back

The practice of acupuncture has been around for 3,000 years as a natural method of healing. Acupuncture uses fine, sterile needles applied to acupuncture points in the body, where pressure, heat, or electrical stimulation can be applied for an enhanced effect. 

According to traditional Chinese medicine, yin and yang are two opposing universal forces present in our bodies, which must be in balance for each of us to be healthy. Acupuncture has been shown in clinical studies to alleviate a number of conditions ranging from musculoskeletal problems to mental health issues. There is a long  list of diseases, symptoms, and conditions that are shown through case-controlled clinical studies to be effectively managed by acupuncture. 

Clearly there is compelling evidence that acupuncture promotes wellness. The following five benefits of acupuncture demonstrate acupuncture’s efficacy and success at promoting good health and balance in our lives.

1. Reduces Stress

Essentially, acupuncture functions as physical therapy for the nervous system, as it retrains the nervous system and brain to react and behave as desired. Stress can be so detrimental to our health, and a vast number of people suffer from chronic stress that impacts multiple areas of their lives. The philosophy behind acupuncture is that mind and body are inextricably connected, where thoughts and emotions drive physiological responses. Accordingly, stress impacts thoughts and feelings, which in turn impact our emotional health and our physical health.

Acupuncture focuses on heart rate variability, or HRV, in order to help our bodies manage and reduce stress. Decreased HRV leads to tension, anger, anxiety, and depression, whereas healthy HRV is associated with emotional balance, reduced stress, better management of stressful situations, and overall better functioning. HRV in turn positively influences our Central Autonomic Network (CAN), which is related to executive functioning. CAN relates to our working memory ability and gathering and organizing information from the mind and body in order to respond and engage with the present. In short, stress interferes with the body’s flow of energy, causing blockages that acupuncture releases.

2.  Relieves Pain

The practice of relieving pain through acupuncture is an ancient one and now is used in the United States as well. It can be used for low back pain, menstrual cramps, nerve pain, headaches, fibromyalgia, and more. It is thought that the use of needles on acupoints relieves pain by releasing endorphins, as well as impacting mood by the release of serotonin. People are in fact starting to choose acupuncture over opioids in the United States, particularly given the opioid crisis. Currently acupuncture is being used particularly for back and neck pain, osteoarthritis pain, and headaches. It is said that acupuncture stimulates the vagus nerve, which may reduce inflammation throughout the body.

3.  Improves Sleep Quality 

Pain can also impact sleep in several ways, where acupuncture addresses both. Acupuncture can even help cure insomnia. Acupuncture is different than medicine or other remedies, as it targets the roots of the problem, helping regulate your body’s physiology, including certain neurotransmitters that may be keeping you awake.  Acupuncture works to restore systematic balance where sleeping health is restored through reduced stress and a sense of calm and wellbeing.

4.  Boosts Your Immune System

Acupuncture helps boost the immune system through influencing and manipulating the energies in your body, where movement of energy and the reduction of blockages is key. If your energy channels are blocked are broken, you are more susceptible to illness like viruses. Acupuncture even is thought to promote the production of T cells in the brain, where the needles are perceived as a threat when they enter the body, which increases your white blood cell count. Essentially, acupuncture stimulates and balances the immune system.

5. Helps Prevent Future Injuries

Acupuncture is an effective method for both treating physical injuries and preventing them. Having started as quick healing for the martial arts, acupuncture is now used by professional sports teams in the United States. Acupuncture treats the deeper muscle tissues through the needles inserted into the skin, where these muscle tissues are the source of injury-related pain. Preventative therapy is used on the back, hips, and legs through making them more flexible and causing less joint stress.

Overall, this non-invasive procedure is truly taking off as a viable alternative medicine in the United States. Its benefits are many and far outweigh any risks involved. Whether you are a young adult or senior, you can successfully integrate acupuncture into your long-term wellness plan.

 

 

Chiropractic Care Improves Joint Range of motion.

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Maintaining healthy range motion is an important part of a healthy life style. When we’re young moment is typically very easy and free. But as we age we often lose range of motion and flexibility. Sometimes our lifestyles don’t require certain moments and the ability to use these movements lessens. What were once simple movements become more challenging, and we are prone to tightness and injury. Dr. Jerrod Puckett DC use his chiropractic skills to help patients with range of motion issues on a daily basis.

Daily Activities Require Healthy Range of Motion

Normal daily activities such as brushing your hair, washing yourself or looking over your shoulder while driving all require good joint range of motion. It is important that our joints move freely in order to complete basic daily activities. Ankles, knees, elbows, shoulders and necks all need to be mobilized regularly to maintain our health and to allow us to continue functioning normally. When things are working well we don’t notice our joints. However, if we have an injury or a degenerative condition in any one of these joints, we’ll often feel it daily and it may limit us from performing some normal daily activities.

Photo Courtesy Pexels

Photo Courtesy Pexels

The Spine is Essential to Healthy Movement

The spine is one of the primary areas of treatment for chiropractic doctors. Here at Inner gate in Portland Dr. Puckett uses spinal manipulation to restore normal range of motion in the spine. If our spinal range of motion is unhealthy it will affect many areas of our lives. Unhealthy spines contribute to many conditions including carpal tunnel syndrome, headaches, sciatica, and chronic ankle sprains.  Having our spine in proper alignment is essential for pain free living and healthy movement. Seeing an experienced chiropractor is a great way to maintain spinal health.

Chiropractic Medicine

Dr. Jerrod Puckett uses his knowledge of sports medicine, movement theory and his chiropractic skills to assess and treat many conditions. He can work wonders when it comes to increasing range of motion in the spine and other areas of our bodies. If you’re interested in restoring lost range of motion, decreasing pain and determining if some chronic condition that hinders your life can be treated with chiropractic medicine come in for an appointment with Dr. Puckett.

Photo Courtesy of Pexels

Photo Courtesy of Pexels

Dr. Puckett often gives specific stretches or exercises to strengthen supporting muscles and lengthen tendons and ligaments in the affected areas. These exercises support the chiropractic adjustments and help you return to normal activities without any pain or restriction.

At Inner Gate our team is here to help answer your questions.  Please feel free to contact us today.

Dr. Puckett accepts these insurances:
BCBS, ASHN, Providence, Auto Accidents First Choice Health, MODA, Health Net, and Workmans compensation.

Chance Henritzy LMT joins Inner Gate Acupuncture

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Schedule a 60-minute massage appointment with Chance starting May 24th through the end of June for just $55!! 

Massage therapy is a hands-on therapy that promotes health and well-being through the use of pressure and movement on the body and muscles. 

Chance is a Portland native. He has great enthusiasm and curiosity and enjoys studying functional movement. His passion is helping others live with less pain and more happiness.

He specializes in targeting specific motions that cause pain, finding the inhibitors, and working deeply in the muscles to help eliminate pain and prevent its return. He is focused, present, and devoted to helping each individual in whatever way he can. 

Chance uses multiple massage techniques including Tui-Na, Thai Massage, Deep Tissue and Structural Bodywork. He believes strongly in sharing knowledge and helping educate his patients. He enjoys working with athletes and is able to use his own athletic background to inform treatments. 

He enjoys staying active and while he's not giving or receiving massage you can find him hiking, lifting, or training jiujitsu. 

Call today for your 60-minute massage with Chance Henritzy LMT 

He is available on Fridays and Saturdays at our SE Ankeny clinic.


May Moon

Photo Courtesy of Pexels

Photo Courtesy of Pexels

In ancient times the moon was an important way people kept track of seasonal changes and important events. People associated the moon with the natural phenomena that occurred throughout the year. 

In our time the solar calendar has become far more important and the lunar calendar. The lunar calendar is typically used only for certain religious festivals. This year the May full moon will occur on the 18thof May. 

This May moon was traditionally associated with the large blooms of wildflowers found throughout the northern hemisphere. Traditional names for the May moon include references to blooming flowers from a variety of peoples. Native American, Angle-Saxon, and Germanic names all associate the moon with the varied blooms. 

In the Pacific Northwest wildflowers are abundant throughout the spring. On hikes here we can see, larkspurs, columbine, Indian paintbrush, twin flower, trillium and many more.  The blooms are also varied in their timing due to the steep slopes and elevation changes found throughout our landscape. 

May is a great time to explore the natural beauty of the Pacific Northwest. If you’re new to hiking check out this site which offers beautiful hikes for all levels of hikers!

https://matadornetwork.com/life/13-of-the-most-mind-blowing-hikes-around-portland/

Get out there and explore. If your knees, ankles, feet or backs need any care before or after your hikes come in for some great acupuncture, chiropractic or massage. And if spring and summer pollens from wildflowers and grasses are aggravating your allergies, acupuncture can help treat allergy symptoms!

Personalized healthcare

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The mapping of the human genome published in February 2001, launched healthcare into a new era of medicine. DNA sequencing paved the road for more individualized medicine and gave birth to the concept of genomic medicine.  Heather Krebsbach ND is able to utilize the growing knowledge and understaning of genetics to inform her naturopathic medicine practice here is Portland, Oregon.

 

The National Human Genome Research Institute defines genomic medicine as "an emerging medical discipline that involves using genomic information about an individual as part of their clinical care (e.g., for diagnostic or therapeutic decision-making).”

 

Genomic medicine has helped to identify: 

·     Targeted medication for individuals to decrease side effects 

·     Medications that are more effective for specific diseases 

·     Examine the relationship our environment has on our genes

·     Ways to change diet and lifestyle to support the genes we were born with 

 

Genomic medicine isn’t confined to cancer research or what medications to use, there are a number of tests that are centered on optimizing health. For instance, we now have a picture of how each individual is detoxifying as well as making neurotransmitters. With this information, supplements, diet and lifestyle recommendations can be personalized. 

 

This technology is going even further by mapping out our intestinal microbiota, or the community of bacteria, yeast and viruses living in each of our digestive tracts. Many of these organisms have a beneficial relationship that keeps us healthy and much research is going into this area to identify the effect specific organisms have on diseases such as diabetes and cardiovascular disease. There are numerous tests on the market, but it’s important to have a conversation with your healthcare provider to determine the “right” test for you.

 

Sport Injury and Sports Recovery Research and Development

The field of naturopathic medicine excels in its ability to individualize health care to combine diet, lifestyle, herbs and nutraceutical supplements. Now genetic testing is taking this quality of care to new heights by enabling naturopathic doctors to identify and treat chronic or underlying conditions in a more holistic way. 

 

 

Eight Easy Ways Seniors Can Develop and Maintain Healthy Habits

Photo Credit Pexels

Photo Credit Pexels

When it comes to developing healthy habits, it can often feel overwhelming. However, living a healthy lifestyle can make your life much easier and enjoyable, especially during your golden years. Seniors who exercise spend 25 percent less time being injured than those who don’t, so it’s incredibly useful and important to exercise regularly. Here are a few methods to help you improve your physical and mental health in a long-lasting way. 

Start Small with Healthy Habits

After New Year’s, many people set resolutions that they eventually give up on after a month. This can be in part to trying to do too much all at once. Instead, focus on starting small. Try to change one habit instead. For example, if you’re hoping to change your diet, start doing one thing like drinking more water. This can help with skin health and overall energy.

Get to Know Your Medicare Plan

Your Medicare plan is your gateway to helpful resources and tools. Take some time to learn about its benefits, so that you can take full advantage of all that it has to offer. If you need additional coverage, Medicare Advantage has options for you. For example, Medicare Advantage plans through Humana provide supplemental benefits such as the SilverSneakers fitness program, as well as dental and vision coverage.

Create a Healthy Eating Environment

Eating well is about more than just controlling weight. The National Institute on Aging mentions that many older adults suffer from micronutrient or vitamin deficiencies that can be remedied by eating more fruits and vegetables.  

However, you need to eat more fruit and vegetables. It’s all too tempting to give in to the unhealthy snacks when they’re so readily available. Instead, fill your pantry and fridge with healthier snacks and find suitable substitutes, like replacing potato chips with carrot chips.  

Do Exercises You Love Indoors

Making walking part of a healthy daily routine can be extremely beneficial, but finding a way to walk when the weather is too cold or too hot can be difficult. You can still exercise indoors and experience the benefits. Try going for a swim or do some yoga. You can also do some strength training and improve your joint health. There’s always something to do inside. Bad weather doesn’t have to stop you from taking care of yourself.

Take Group Classes

Social isolation affects not only mental health, but it can also have a major impact on physical health. If you’re trying to exercise more regularly, take some group workout classes instead. There are strength training classes, yoga classes, water aerobics, and other classes where you can get active and meet new people. 

Get a Pet

Older adults and pets are a natural pairing, as they can provide tremendous benefits and meaning to each other. After making sure you don’t have allergies, adopt a pet that can keep you company. You’re not just limited to cats or dogs; birds, reptiles, and fish can also make for entertaining and interesting companionship.

Play Fun Brain Games

Keeping your mind sharp is always a healthy thing to do. Games like Sudoku can help to train the brain to focus and strengthen working memory. You can also do crossword puzzles or even read some new books. If you’re really want to try new skills, take a class on something that interests you. Learn to draw realistic faces, start speaking a new language, or try your hand at woodworking. There is always something new to try.

Try Positive Reframing

Having a mindset that focuses on positive aspects of life can be difficult, but doing so can help with aging and overall health. Positive reframing can help you take typically negative situations and help you see the bright side. Instead of focusing on failure, focus on what you can learn. This is vital in helping you create healthy habits, as it can help you start over when you struggle.

Healthy habits are important for all stages of life. Exercising regularly, learning new things, and maintaining social ties are all vital parts of aging well. Start with building these habits one at a time and be patient with yourself. You’ll experience the benefits soon enough and enjoy the confidence that comes with making healthy decisions.

Chiropractic Reduces Joint Inflammation

Conceptual 3D human man anatomy or health design, joint or artic

There are several different types of joints in the human body. Ball and socket joints, gliding joints, hinge joints and saddle joints all allow different types of movements. Every joint is designed slightly differently and we all endure different strains and impacts on our joints based on what types of movements and exercises we do. At Inner Gate Acupuncture our chiropractor Jerrod Puckett has been successfully treating joint inflammation with chiropractic medicine.

What Is Joint Inflammation?

Inflammation is the body’s normal reaction to stress and damage. The process is important for recovery. The process signals the immune system to send needed cells and material to injuries aiding in the repair of the damaged tissue. However, there are times when inflammation becomes chronic and this requires treatment to correct.

Arthritis is the most common form of joint inflammation. There are two types of arthritis; osteoarthritis and rheumatoid arthritis. Osteoarthritis refers to wear and tear in the joints due to injury, overuse or normal aging. Rheumatoid arthritis is an abnormal immune response where the body’s immune system attacks the joints.

Chiropractic Care for Inflammation

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Dr. Puckett regularly uses chiropractic adjustments to ease inflammation and treat the underlying causes of joint pain. Every patient is an individual, and every situation is different, he is able to customized treatments to each individual to optimize results.

Reducing pressure on your joints by strengthening the involved muscles also helps reduce joint inflammation. Dr. Puckett has done additional sports medicine training enabling him to design movement therapies that both stretch and strengthen muscles to reduce inflammation and improvement movement.

Call today to make an appointment with Dr. Jerrod Puckett at our Halsey street location.

Halsey Clinic
971-279-2294


Optimize Your Thyroid Function

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Dr. Heather Krebsbach is a naturopathic physician seeing patients at Inner Gate Acupuncture’s Halsey street location. She has been practicing naturopathic medicine in Portland Since 2006. She specializes in bio identical hormones and endocrine health. In this post she offers her insights on understanding and optimizing thyroid health.

The thyroid is a little butterfly-shaped gland at the base of the neck responsible for metabolism and other essential bodily functions.

The Thyroid Controls:

  • Digestive function

  • Heart rate

  • Mood

  • Muscle control

  • Menstruation

  • Body temperature

  • And much more!

The body relies on the thyroid to be balanced and secrete appropriate amounts of its hormones. When the thyroid is not in balance, there can either be too much or too little thyroid hormone being secreted, therefore causing hyper or hypothyroidism.

Symptoms of too much thyroid, or hyperthyroidism, is less common then the latter and diagnosis is typically much easier to determine due to the severity of the symptoms. Compared to hypothyroidism, which can create low-grade symptoms or mimic other illnesses.

Common Symptoms of Hyperthyroidism:

  • Heart racing or palpitations

  • Weight loss

  • Insomnia

  • Diarrhea


Common Symptoms of Hypothyroidism:

  • Fatigue

  • Hair loss

  • Weight gain

  • Constipation

  • Cold body temperature

  • Menstrual irregularity

  • Foggy thinking


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Treatment Options:

Treatment considerations for hyperthyroidism are very different from treatments for hypothyroid, it is important to be properly diagnosed for the right treatment focus. When we think about optimizing the thyroid function, we are usually talking about improving a sluggish or hypo-thyroid.

Certain nutrients, such as Selenium, Zinc, Iodine, Vitamins C, A, E and D are needed to help the thyroid function properly and to convert thyroid hormones to active forms that the body can use.


The Thyroid Loves these Foods:

  • Brazil nuts: high in Selenium

  • Pumpkin seeds: rich in Zinc

  • Green leafy veggies (spinach, collard greens and kale): have a bounty of Vitamin C, A and E

  • Fish and Seaweed: contains iodine


Consuming a diet with a bounty of veggies, nuts and seeds along with protein and a small amount of whole grains can be helpful to keep the thyroid functioning optimally.

Dr Krebsbach assesses thyroid function through blood tests as well as symptoms to determine the appropriate thyroid treatment. If lab results are out of normal ranges, medication in addition to diet and supplements may be needed to help support the thyroid and all the body’s essential functions.

Karen Lotts LMT has joined Inner Gate Acupuncture 

For the entire month of April, treat yourself or a loved one to a 1 hour massage with Karen for just $55! 

 

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Massage therapy is a hands-on therapy that promotes health and well-being through the use of pressure and movement on the body and muscles. 

Born and raised in the Midwest, Karen graduated from the University of Iowa in 2005 with a B.A. in journalism and German.  In 2011 she moved to Ashland, Oregon where she attended the Ashland Institute of Massage, graduating in 2013. 

Karen specializes in neck and shoulder, low back, and gluteal work. She has experience with myofascial release, PNF (proprioceptive neuromuscular facilitation), and deep tissue. She works slowly with intention and incorporates light stretching and emotional ease into her sessions. She has experience assisting clients in healing from auto and work accidents, strains from repetitive use, and postural imbalances. 

Karen will be providing medical massage. Medical massage is somewhat different than spa massage. Medical massage focuses on resolving specific muscular and structural problems, while spa massage focuses only on relaxation. Range of motion limitations, muscle spasms, neck, shoulder and back pain are all problems addressed with medical massage.  
 
At Inner Gate Acupuncture we work with you so that you can experience improved health and wellness. We are excited to add Karen to our growing team.
 

Call today for your April massage with Karen Lotts LMT

She is available at our NE Halsey Clinic 971-279-2294