By Dr Khong Lamvichit on 31 July 2017 

Cannabidiol (CBD) is a natural cannabinoid compound found in cannabis.  CBD is non-intoxicating and won't bring you to La La land like it's counterpart Tetrahydrocannabinol (THC); however it might urge you to go watch the movie La La Land which would potentially make it enjoyable by 10 fold.  
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Read more on the CBD article here

I feel the need to include this author has not watched La La Land with or without taking THC.  ​

​In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, most recently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 
​
​​​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. Write something about yourself. No need to be fancy, just an overview.

What does Hemp and Marijuana have in common?!  Well keep reading and you'll find out.  

If you didn't already know, Hemp and Marijuana both contain a cannabinoid known as Tetrahydrocannabiniol (THC).  This active compound is most well known for carrying psychoactive effects and getting you "high" when ingested or inhaled.  I must include quantities are very little in hemp and the majority in Cannabis.  The other cannabinoid this article is based on is the modern day rockstar, Cannabidiol, also known as CBD.  This compound is a naturally occurring compound without the psychoactive effects like its THC counterpart.  CBD has been widely used for it's vast medicinal properties throughout the world.  

History of Cannabis
Cannabis (species: Cannabis sativa) is widely used as a recreational drug, with an estimated worldwide annual prevalence (defined as use at least once per year) of 160 million (7).  Cannabis preparations have also been used medicinally for thousands of years. Dating back to 4000 BC, Cannabis sativa has a long history of medicinal use for the treatment of a variety of disorders such as rheumatism, chronic inflammation and pain management, in addition to control of convulsions (12).  In the past 40 years the active ingredients of cannabis, Δ-9-tetrahydrocannabinol and cannabidiol, and other derivatives (termed “cannabinoids”) have been identified and characterized,(5) and it is becoming clear that cannabinoids have considerable therapeutic potential (6).

Consumption
​To experience the full beneficial properties one can inhale, ingest, or apply.  Inhalation is the most common; however ingestible oils and  topical analgesics for pain have also been on the rise in recent months.  
CBD via inhalation termed an "old-style method" is still not obsolete.  Inhalation of CBD can be consumed through Cannabis or vape pens.   Typically these methods are for convenience.
Ingestible CBD oils from Cannabis have won the hearts of many; however, is important to note ingestible oils contain a higher concentration of CBD and THC.  Oils are normally taken as capsules on their own to aid with ingestion; although oils are also infused in edibles which make for a potent treat!  Try Cannabis infused granola or quinoa salad or make your very own Cannabis butter!  
Notably due to the difficulty of proper dosing of oils, consumers may sometimes overestimate the doses.
​​Application use of topicals are another effective method available to allow the healing benefits of CBD into your body.  CBD clinic infuses the "Charlotte's Web" strain into their analgesic ointments.  "Charlotte's Web" is a high cannabidiol, low tetrahydrocannabinol Cannabis extract developed by the Stanley brothers in Colorado.

​Endocannabinoid system
CBD affects the endocannabinoid system (ECS).  The ECS is a group of endogenous cannabinoid receptors located in the mammalian brain and throughout the central and peripheral nervous systems, consisting of neuromodulatory lipids and their receptors known as "the body’s cannabinoid system" (10).  The ECS is involved in a variety of physiological processes including appetite, pain-sensation, mood, and memory, and in mediating the psychoactive effects of cannabis (11).  

​
Treatment for Medical conditions
​Multiple Disorders
CBD acts in some experimental models as an anti-inflammatory, anti-convulsant, anti-oxidant, anti-emetic, anxi-olytic, Alzheimers, and anti-psychotic agent, and is therefore a potential medicine for the treatment of neuroinflammation, epilepsy, oxidative injury, vomiting and nausea, anxiety and schizophrenia, respectively (9).  Cannabidiol inhibits hyperphosphorylation of tau protein in Abeta-stimulated PC12 neuronal cells, which is one of the most representative hallmarks in Alzheimer's Disease (14).

Inflammation
These results suggest that the activated A(2A)AR in the retinal microglial cells plays a major anti-inflammatory role in the retina and that CBD's anti-inflammatory effects are linked to the inhibition of adenosine uptake (8).

  
​Cancer Proliferation
In Canada, 4 cannabinoid products are currently available for medical use, more than in any other country worldwide(1).  In Canada, dronabinol and nabilone are indicated for chemotherapy-induced nausea and vomiting, dronabinol is approved for HIV-associated anorexia, and oromucosal Δ-9-tetrahydrocannabinol–cannabidiol is conditionally approved for neuropathic pain in multiple sclerosis and cancer pain (1).  Cannabinoids have been shown to specifically inhibit glioma growth as well as neutralize oncogenic processes such as angiogenesis (4).  

Chronic Pain
Numerous randomized clinical trials have demonstrated safety and efficacy for Sativex in central and peripheral neuropathic pain, rheumatoid arthritis and cancer pain (3).  Combinations of CBD and morphine produced synergistic effects in reversing acetic acid-stimulated stretching behavior in rodents (14).
​
PTSD
Repeated administration of CBD prevented long-lasting anxiogenic effects promoted by a single predator exposure in mice (2). 

Multiple Sclerosis
The journal of European Neurology published an article concluding THC:CBD oromucosal spray provided symptomatic relief of MSS and related troublesome symptoms (15).  A Pain medicine study suggest that Sativex may be effective in improving MS-related neuropathic pain, maybe through its action on specific cortical pathways (16).  CBD administration at the time of viral infection exerts long-lasting effects, ameliorating motor deficits in the chronic phase of the disease in conjunction with reduced microglial activation and pro-inflammatory cytokine production.   The findings highlighted the anti-inflammatory effects of CBD in the viral model of MS and demonstrate the significant therapeutic potential of this compound for the treatment of pathologies with an inflammatory component according to multiple authors of the Neurobiology Disease Journal (17).

Below are links for tinctures to begin your #CBDmovement and to your new road to recovery!

.Below are links to Amazon for hemp capsules, essential oils, and tinctures.

Below are topical analgesics with the infused Cannabis "Charlotte's Web" strain to help regain range of motion in the areas necessary for top level sport performance and Flexibility. A perfect pre- and post-workout solution for hours of relief. Helps to speed recovery for fatigued and painful joints and muscles. Ask your doctor or purchase these ointments at Midwest Sport and Spine. 

​References:
1. Wang, T., Collet, J., Shapiro, S., & Ware, M. A. (2008). Adverse effects of medical cannabinoids: a systematic review. Canadian Medical Association Journal,178(13), 1669-1678. doi:10.1503/cmaj.071178
2. Campos, A. C., Ferreira, F. R., & Guimarães, F. S. (2012). Cannabidiol blocks long-lasting behavioral consequences of predator threat stress: Possible involvement of 5HT1A receptors. Journal of Psychiatric Research,46(11), 1501-1510. doi:10.1016/j.jpsychires.2012.08.012
​3.  Russo, E. (2008). Cannabinoids in the management of difficult to treat pain. Therapeutics and Clinical Risk Management,Volume 4, 245-259. doi:10.2147/tcrm.s1928
​4. Scott, K. A., Dalgleish, A. G., & Liu, W. M. (2014). The Combination of Cannabidiol and  9-Tetrahydrocannabinol Enhances the Anticancer Effects of Radiation in an Orthotopic Murine Glioma Model. Molecular Cancer Therapeutics,13(12), 2955-2967. doi:10.1158/1535-7163.mct-14-0402
5. Mechoulam R. The pharmacohistory of Cannabis sativa. In: Mechoulam R, editor. Cannabinoids as therapeutic agents. Boca Raton (FL): CRC Press; 1986. p. 1-19.
6.  Beaulieu P, Ware M. Reassessment of the role of cannabinoids in the management of pain. Curr Opin Anaesthesiol 2007;20:473-7.
7.  World drug report. New York: United Nations, Office on Drugs and Crime; 2007.
​8.  Liou, G. I., Auchampach, J. A., Hillard, C. J., Zhu, G., Yousufzai, B., Mian, S., . . . Khalifa, Y. (2008). Mediation of Cannabidiol Anti-inflammation in the Retina by Equilibrative Nucleoside Transporter and A2AAdenosine Receptor. Investigative Opthalmology & Visual Science,49(12), 5526. doi:10.1167/iovs.08-2196
​9.  Fernández-Ruiz, J., Sagredo, O., Pazos, M. R., García, C., Pertwee, R., Mechoulam, R., & Martínez-Orgado, J. (2013). Cannabidiol for neurodegenerative disorders: important new clinical applications for this phytocannabinoid? British Journal of Clinical Pharmacology,75(2), 323-333. doi:10.1111/j.1365-2125.2012.04341.x
10. Grotenhermen, Franjo (23 Jul 2012). "The Therapeutic Potential of Cannabis and Cannabinoids". Dtsch Arztebl Int. 109 (PMC3442177): 495–501. doi:10.3238/arztebl.2012.0495. PMC 3442177
​11. Aizpurua-Olaizola, Oier; Elezgarai, Izaskun; Rico-Barrio, Irantzu; Zarandona, Iratxe; Etxebarria, Nestor; Usobiaga, Aresatz (2016). "Targeting the endocannabinoid system: future therapeutic strategies". Drug Discovery Today. doi:10.1016/j.drudis.2016.08.005. PMID 27554802.
12. Li, H.L. An archaeological and historical account of cannabis in China. Economic Botany. 1974; 28: 437–448
13. Iuvone, T., Esposito, G., Esposito, R., Santamaria, R., Rosa, M. D., & Izzo, A. A. (2004). Neuroprotective effect of cannabidiol, a non-psychoactive component from Cannabis sativa, on beta-amyloid-induced toxicity in PC12 cells. Journal of Neurochemistry,89(1), 134-141. doi:10.1111/j.1471-4159.2003.02327.x
14. Neelakantan, H., Tallarida, R. J., Tuma, R., Sara, J. W., & Walker, E. A. (2013). E.11 - Distinct Interactions Of Cannabidiol And Morphine In Three Nociceptive Behavioral Models In Mice. Behavioural Pharmacology,24. doi:10.1097/01.fbp.0000434830.93009.d7
15. Vermersch, P., & Trojano, M. (2016). Tetrahydrocannabinol:Cannabidiol Oromucosal Spray for Multiple Sclerosis-Related Resistant Spasticity in Daily Practice. European Neurology,76(5-6), 216-226. doi:10.1159/000449413
16. Russo, M., Naro, A., Leo, A., Sessa, E., D’Aleo, G., Bramanti, P., & Calabrò, R. S. (2016). Evaluating Sativex®in Neuropathic Pain Management: A Clinical and Neurophysiological Assessment in Multiple Sclerosis. Pain Medicine. doi:10.1093/pm/pnv080
​17. Mecha, M., Feliú, A., Iñigo, P., Mestre, L., Carrillo-Salinas, F., & Guaza, C. (2013). Cannabidiol provides long-lasting protection against the deleterious effects of inflammation in a viral model of multiple sclerosis: A role for A2A receptors. Neurobiology of Disease,59, 141-150. doi:10.1016/j.nbd.2013.06.016

In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, most recently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 
​
​​​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

​By Dr Khong Lamvichit on 27 April 2017

This my friends is when I speak these very words "if you only knew"; however you might already know as I squint my eyelids eagerly awaiting your response, but how much do you REALLY know about the miracles of Tumeric and Curcumin?  Let's get the scoop on the 4-1-1. 

​Tumeric is a spice stemming from the curcuma longa plant and part of the ginger family Zingiberaceae, native to tropical South Asia (6).  All across Asia, this "miracle plant" was used for a plethora of health conditions and ailments.  For generations, natives uses this as an anti-inflammatory topical and internally for pain management, gastrointestinal conditions, lowering cholesterol, and a steroid in some cases to treat a variety of health issues (6).  Don't forget, common headaches and "heartburn" were also added to the mix (6).

Tumeric is known as a potent spice normally added to curries and mustard due to its distinct flavor and color.  You might already add this to your morning smoothies you brave soul; however curcumin has been used in western and eastern medicine for ages and is hailed for its health boosting properties.  Let's get you started on the potential powers that be.

"anti" POWERs of Tumeric:

• Anti-inflammatory
• Anti-fungal
• Anti-oxidants
• Anti-arthritic 
• Anti-microbial
• Anti-cancer

"protective" POWER BONUS:

• hepatoprotective
• radioprotective
• digestive activities

The "anti" POWERs of Tumeric:

• Anti-inflammatory

In Pakistan, it is used as an anti-inflammatory agent, and as a remedy for gastrointestinal discomfort associated with irritable bowel syndrome and other digestive disorders (6).  As my former professor Dr. David Seaman would say "Deflame!", just thinking about those crazy eyes staring into my soul keeps anyone awake at night.

• Anti-fungal

​Tests using the agar disc diffusion method for detecting antifungal activity showed that a crude ethanolic extract of turmeric killed all 29 tested clinical strains of dermatophytes. This extract exhibited an inhibition zone range of 6.1–26.0 mm (11).

• Anti-oxidant

Studies indicate that sufficient levels of turmeric may be consumed from curries in vivo to ensure adequate antioxidant protection (7). As an antioxidant, turmeric extracts can scavenge free radicals, increase antioxidant enzymes, and inhibit lipid peroxidation. Turmeric (100 μg/mL) inhibits lipid peroxidation in renal cells against hydrogen peroxide-induced injury when incubated with cells for 3 hours (9).

• Anti-arthritic 

One study from the Journal Pharm Pharmacology conducted an investigative study suggesting tumeric combined with low doses of Prednisolone may find therapeutic use in arthritis in mice (4). ​Turmeric extract, when given intraperitoneally, was found to be more active than hydrocortisone (16).

• Anti-microbial

Turmeric has strong antimicrobial properties. The growth of histamine-producing bacteria (Vibrio parahaemolyticus, Bacillus cereus, Pseudomonas aeruginosa, and Proteus mirabilis) was inhibited by garlic and turmeric extracts at a 5% concentration (10). 

• Anti-cancer

The anticancer activities of turmeric include inhibiting cell proliferation and inducing apoptosis of cancer cells. Ar-turmerone, which is isolated from turmeric, induced apoptosis in human leukemia Molt 4B and HL-60 cells by fragmenting DNA to oligonucleosome-sized fragments, a known step in the process of apoptosis (8).  Turmeric has been reported to exhibit activity against the development of skin cancer (12), breast cancer (13), oral cancer (14), and stomach cancer (15).

​The "protective" POWERs:

• HepatoProtective (Liver stuff)

Diets containing turmeric extract suppressed increases in lactate dehydrogenase (LDH), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) levels caused by D-galactosamine-induced liver injury in rats (19).

• RadioProtective (Radiation stuff)

Turmeric is currently used in the formulation of several sunscreens for bride and grooms in parts of India, Bangladesh, and Pakistan. Several multinational companies haved used tumeric as a base for facial creams.

• Digestive Activities (Gut stuff)

Turmeric mixed with other spices such as coriander, red chili, black pepper, and cumin brought about a pronounced stimulation of bile flow and bile acid secretion (17) (18).

These activities of turmeric include antiinflammatory, antifungal, antioxidant, antiarthritic, antibacterial, antitumor, hepatoprotective, radioprotective, and for digestive activities. Phytochemical analysis of turmeric has revealed a large number of compounds, including curcumin, volatile oil, and curcuminoids, which have been found to have potent pharmacological properties (6).  Now go forth and get yourself a heaping bowl of this miraculous spice.
​

My e-store is currently under construction, but here are  links to Amazon products to make Life Good:  
​

For your Slurping Pleasure.  Below is a link to one delicious Golden Milk Chai Latte Elixir and a Chocolate Elixir for chocalate fans.  Do yourself a favor and enjoy this Delicious Superfood Beverage, cheers!

As an added Drinker's Bonus.  Click on this site from AKR photo's recipe on how to make your very own Golden Milk recipe, Slurp Slurp.

References:
1. Aggarwal, B. B. (2008). Potential Therapeutic Effects of Curcumin, the Anti-inflammatory Agent, Against Neurodegenerative, Cardiovascular, Pulmonary, Metabolic, Autoimmune and Neoplastic Diseases. Int J Biochem Cell Biol, 40(1). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637808/.
2. Sahebkar A.  Are curcuminoids effective C-reactive protein-lowering agents in clinical practice? Evidence from a meta-analysis. Phytotherapy Research 2014; 28(5): 633-642.
​3. Banafshe, H. R., Hamidi, G. A., Noureddini, M., Mirhashemi, S. M., Mokhtari, R., & Shoferpour, M. (2014). Effect of curcumin on diabetic peripheral neuropathic pain: Possible involvement of opioid system. European Journal of Pharmacology,723, 202-206. doi:10.1016/j.ejphar.2013.11.033
4. Kuncha, M., Naidu, V. G., Sahu, B. D., Gadepalli, S. G., & Sistla, R. (2013). Curcumin potentiates the anti-arthritic effect of prednisolone in Freund's complete adjuvant-induced arthritic rats. Journal of Pharmacy and Pharmacology,66(1), 133-144. doi:10.1111/jphp.12156
5. Banji, D., Pinnapureddy, J., Banji, O. J., Saidulu, A., & Hayath, M. S. (2011). Synergistic activity of curcumin with methotrexate in ameliorating Freund's Complete Adjuvant induced arthritis with reduced hepatotoxicity in experimental animals. European Journal of Pharmacology,668(1-2), 293-298. doi:10.1016/j.ejphar.2011.06.006
6. Benzie, I. F., & Wachtel-Galor, S. (2011). Herbal medicine: biomolecular and clinical aspects(2nd ed.). Boca Raton: CRC Press.
7. Tilak J. C, Banerjee M, Mohan H, Devasagayam T. P. Antioxidant availability of turmeric in relation to its medicinal and culinary uses. Phytother Res. 2004;18:798–804.
8. Aratanechemuge Y, Komiya T, Moteki H, Katsuzaki H, Imai K, Hibasami H. Selective induction of apoptosis by ar-turmerone isolated from turmeric (Curcuma longa L.) in two human leukemia cell lines, but not in human stomach cancer cell line. Int J Mol Med. 2002;9:481–4
9. Cohly H. H, Taylor A, Angel M. F, Salahudeen A. K. Effect of turmeric, turmerin and curcumin on H2O2-induced renal epithelial (LLC-PK1) cell injury. Free Radic Biol Med. 1998;24:49–54.
10. Paramasivam S, Thangaradjou T, Kannan L. Effect of natural preservatives on the growth of histamine-producing bacteria. J Environ Biol. 2007;28:271–4.
11. Wuthi-udomlert M, Grisanapan W, Luanratana O, Caichompoo W. Antifungal activity of Curcuma longa grown in Thailand. Southeast Asian J Trop Med Public Health. 2000;31:178–82.
12. Villaseñor I. M, Simon M. K, Villanueva A. M. Comparative potencies of nutraceuticals in chemically induced skin tumor prevention. Nutr Cancer. 2002;44:66–70.
13. Deshpande S. S, Ingle A. D, Maru G. B. Chemopreventive efficacy of curcumin-free aqueous turmeric extract in 7,12-dimethylbenz[a]anthracene-induced rat mammary tumorigenesis. Cancer Lett. 1998a;123:35–40.
14. Azuine M. A, Bhide S. V. Protective single/combined treatment with betel leaf and turmeric against methyl (acetoxymethyl) nitrosamine-induced hamster oral carcinogenesis. Int J Cancer. 1992a;51:412–5.
15. Azuine M. A, Bhide S. V. Chemopreventive effect of turmeric against stomach and skin tumors induced by chemical carcinogens in Swiss mice. Nutr Cancer. 1992b;17:77–83.
​16. Ghatak N, Basu N. Sodium curcuminate as an effective anti-inflammatoryagent. Indian J Exp Biol. 1972;10:235–6.
17. Platel K, Rao A, Saraswathi G, Srinivasan K. Digestive stimulant action of three Indian spice mixes in experimental rats. Nahrung. 2002;46:394–8.
18. Mukerji B, Zaidi S. H, Singh G. B. Spice and gastric function: Part I-effect of Curcuma longa in the gastric secretion in rabbits. Lucknow, India: Central Drug Research Institute. J Sci Indstr Res. 1961;20C:25–8.
19. Miyakoshi M, Yamaguchi Y, Takagaki R. et al. Hepatoprotective effect of sesquiterpenes in turmeric. Biofactors. 2004;21:167–70. 

In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, most recently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 
​
​​​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, and currently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 
​​
​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

By Dr Khong Lamvichit on 3 March 2017

 I know what you're thinking, "Fish can't harm you" "Fish is low in cholesterol" "Fish taste so good", well quite to the contrary my good peoples of earth.  If you are eating a variety of animal protein or flesh (sorry but not sorry if the term offends you) "fish flesh" is like anything else of this world depending on their diets.  Below is the link to Dr Axe's list of fishes we humans should avoid eating.  Avoid the inflammation, and get clicking on this article.
​​
Looking for clean supplemental fish oil?  
Here are some Amazon links to purchase your quality Fish Oil supplements.  
For those bothered by the "fish burps", here is a link for Lemon flavored Omega-3.
For those NOT bothered by the "fish burps", this guy is for you Omega-3-6-9 blend. 

​In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, and currently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 
​
​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

Listen to the Full Podcast here:

​By Dr Khong Lamvichit on 30 January 2017

What you should know about your Ultrasound Examination

Your doctor recommended an ultrasound examination of one or more parts of your musculoskeletal system.  You may have heard about diagnostic ultrasound examinations or possibly been examined with ultrasound in the past, but you may still have questions about your examination.  To help answer your questions, the American Institute of Ultrasound in Medicine (AIUM) - an organization of doctors, sonographers, and scientists - has prepared a collection of information answering the  most commonly asked questions.

What is Ultrasound?

Ultrasound is ordinary sound with the exception its frequency or pitch, is higher than people can hear.  When sent into the body from a handheld device called a transducer, ultrasound travels through tissue and is reflected from internal structures.  The reflections, or "echoes," return to the transducer, where they are converted electronically into images.  These continuously changing images are displayed on a monitor and may be recorded on an android tablet or cloud space.

Is Diagnostic Ultrasound Safe?

There are absolutely no known harmful effects associated with the medical use of diagnostic musculoskeletal ultrasound.  Although the possibility exists that biological effects may be identified in the future, current information indicates that the benefits to patients far outweigh any potential risks.

Why Do I need a Diagnostic Musculoskeletal Ultrasound Examination?

Your doctor may recommend a diagnostic musculoskeletal ultrasound examination to look for causes of joint or muscle pain or to evaluate a lump.

Are There Any Special Preparations for the Examination?

There are no special preparations for a musculoskeletal ultrasound examination. 

How is a Diagnostic Musculoskeletal Ultrasound Examination Performed?

The transducer is placed on the skin surface after a gel is applied to provide better contact.  The gel may feel cool and may temporarily stain clothes, so you may want to wear easily washable clothing.  A paper or cloth gown will be provided if necessary.  The room is usually darkened during the examination so the examiner can see the monitor screen.

How Will I feel During the Examination?

There is no pain involved in an diagnostic ultrasound examination unless the area being examined is sensitive.  When discomfort occurs, it is usually very tolerable.

Who Will Perform the Examination?

The examination is usually performed by Dr. Khong Lamvichit, another specially trained health care professional called a sonographer, or other doctors trained in sonography.  The images obtained from the examination will be interpreted by Dr. Khong Lamvichit or another doctor trained in sonography.  This interpretation may not be available immediately after you have your examination.

What are the Limitations of This Examination?

The quality of a diagnostic ultrasound examination depends on the ultrasound equipment used and the experience and knowledge of the examiner and interpreting doctor.  Because bone weakens sound waves, ultrasound is not good for examining bones or deep parts of joints.

Dr. Khong Lamvichit has implemented the use of diagnostic musculoskeletal ultrasound in his practice to assist with his assessments and to better diagnose sports injuries.  His patients are better served from this method and treatments are more precise for their recovery.  In the end of 2016, Dr. Khong Lamvichit paved the way for chiropractic physicians in Illinois to obtain an ultrasound transducer capable of linking to a mobile android device. and became the first chiropractic physician to own the Philips Lumify L12-4 broadband linear array transducer in Chicago, IL.

Look to visit: http://www.aium.org/aboutUs/aboutUs.aspx for additional information of Musculoskeletal Diagnostic Ultrasound in Chicago, IL.

References:
1. Retrieved January 30, 2017, from http://www.aium.org/
2. https://www.lumify.philips.com/web/products-accessories
​​

​​​
​In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, and currently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 

​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

By Dr Khong Lamvichit 11 January 2017

Wondering when you could lose the added poundage from your bingeful post-holiday eats?  Well here's the magic answer; there is no magic answer.  No diet pill, prayer, or the latest in shake weight technology will flip the added mass you accumulated in a span of 1.5 months, nope but flat out hard work and endurance.  Not even necessarily about hard work, but endurance and here's why:

Short goals 4-6 weeks:
"Revenge Fitness" or should I go with "Extreme Fitness"?  Doesn't matter, all falls under the category of Short Term Fitness goals.  Seeing is believing and I see little gains from the erratic gym goers.  I get it the significant other found someone else, beach-time is a coming, or maybe the combination of both, but no justice will be served if you continue to fickle with fitness time.  Now unless you're already and active avid athlete who's preparing for a specified competition these goals are a myth, a legend, and not in a good way.  

Long goals 12-16 weeks:
Leaves a good time frame for your body to adapt to the exercises and adjust to new movements that was pretty much nonexistent for the last couple of months.  Although I must include factors like: nutrition, workout-intensity, genetics, and your preferred level of activity; however hence why there is a numerical range my friends.  Once your body soon recognizes what you are doing and what it needs to do to keep up with the output, than you my compadre will reap the rewards of the slimmings and trimmings of all your endurance work.  "Revenge fitness" doesn't get better than that.

Thank you to exercise scientist Shawn Arent Ph.D of Rutgers University in the video above as he sheds (pun intended) some light on how long your body will take to lose the extra pounds.  

References:
1. Amirthalingam, T. (2016). Modified German Volume Training Program on Muscular Hypertrophy and Strength. J Strength Cond Res. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/27941492.
​2. Gibala M., "Molecular responses to high-intensity interval exercise." Appl Physiol Nutr Metab. 2009 Jun;34(3):428-32. doi: 10.1139/H09-046.
3. Chilibeck, P. D., & Calder, A. W. (1998). A comparison of strength and muscle mass increases during resistance training in young women. (C. E. Webber, Ed.) [Abstract]. Eur J Appl Physiol Occup Physiol,77(1-2), 170-175. Retrieved January 11, 2017, from https://www.ncbi.nlm.nih.gov/pubmed/9459538.

​​In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, and currently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 

​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois. 

Thank you to Bobby Hasbrook for showing the world on what to do with your old/new flatscreen TV.  He briefly shows us how to create and install twin fins on his newly majestic surfboard.  From start to finish, he paddles into waves performing immaculate turtle rolls, impressive (pseudo) hang-tens, and taking out random longboarders with fist pumps as if he recently scored a hole-in-one.  So yes, if you're expecting a healthy article, you have a healthy smile don't you? As a bonus, you have no excuses for learning how to surf.

​In addition to extensive fitness experience, having trained under reputable sports doctors in his field, Dr. Khong has been a long time Brazilian Jiu Jitsu, Boxing, and Muay Thai practitioner, and currently training independently in gymnastics, yoga, capoeira, and the Ido Portal method. 

​Dr. Khong also works professionally as a presenter and consultant for crossfit and powerlifting gyms throughout the Chicago Land area.  Dr. Khong is originally from St. Petersburg, Florida and is a graduate of the Florida Gulf Coast University and National University of Health Sciences.  Dr. Khong Lamvichit is a nationally board certified Chiropractic physician in Chicago, Illinois.