Information about our new location since July 2014 and services offered at

Nearing Total Health!

http://www.nearingtotalhealth.com

Jessie Nearing is a Licensed Massage Practitioner (LMP) and Certified Practitioner of Nutrition, and has been working in the Olympia/Lacey, WA area for the last 11 years.  During that time she had an amazing vision for an integrative detox spa and wellness center, and I have decided to embark on this journey with her.  We are located in the brand new facility called Nearing Total Health, which is a full service health and detox spa featuring:

Practitioners:

• Massage Therapist - Jessie Nearing LMP and Certified Practitioner of Nutrition, Owner of Nearing Total Health
• Massage Therapist - James Dinsmoore LMP
• Massage Therapist - Shuna Morelli LMP
• Massage Therapist- Lori Drayson LMP
• Licensed Acupuncturist - Jonah Joldersma EAMP
  
• Licensed Naturopathic Physician - Dr. Lori Wieser N.D. Owner of Natural Healing Family Medicine
• Hyperbaric Oxygen Treatment - Michael Pfeifer RRT, CRTT
• Certified Rolfer- Felisa Holmberg Certified Rolfer, LMP, LAMP, NCBTMB

Detox Amenities:

• 3 Detox Soaking Tubs - Featuring a magnesium bath and a clay bath
• Infrared Sauna

Yoga Studio Instructors:

• Yoga Instructor & Nordic Walking  - Debbie Chalfant
• Yoga Instructor-Amanda Ruston
• Reiki Instructor - James Dinsmoore LMP

Front Office Staff:

• Erik Johnson LMP - Office Manager for Natural Healing Family Medicine
• Shamileon Jackson- Office Assistant for Natural Healing Family Medicine
  
• Madison Barnard - Office Assistant for Nearing Total Health

Scheduling:

Schedule with Dr. Wieser:

You can currently schedule at the new location with Dr. Wieser through our current contact number (360) 584-9182. 

Schedule with Nearing Total Health:

 The phone number to schedule for Nearing Total Health is (360) 972-2524.

http://www.nearingtotalhealth.com

New Mailing Contact Information:

My new P.O. Box address is:

Natural Healing Family Medicine

P.O. Box 15089

Tumwater, WA 98511

Why I changed my location, and the new vision:

When I first met Jessie Nearing I saw an opportunity to work with like minded individuals who are striving to achieve similar goals with their patients to achieve optimal wellness.  Now that her plans are coming to fruition, and she has graciously invited me along for the ride, my patients will have access to acupuncture, oriental medicine, mild hyperbaric oxygen therapy, massage, detoxification, and my current treatment modalities as a Naturopathic Physician.  Additionally, there will be access to  classes such as Yoga and MIXXEDFIT.  Yoga techniques facilitate balance and health, and unfold our dormant potential. Yoga allows us to be more aware of ourselves and feel connected.  As such, yoga is a process of self-discovery.  MIXXEDFIT is people-inspired dance fitness program that is a mix of explosive dancing and bootcamp toning. Not only is there opportunity for overall detoxification, but a major focus on acute and chronic pain treatment with all of our practitioners in our facility.  Most of all, patients will have access to integration of some the best natural therapies for a comprehensive health care program.  Additionally, I love the new location nestled in the trees right off the Chehalis Western Trail.  

Since incorporating natural pain treatment with the Regenerative Injection Treatments, known as Prolotherapy, coupled with Trigger Point Injections focusing on Myofascial Trigger Points (MFTPs), and complimented with Therapeutic Ultrasound, I have had great success with pain reduction, increased stabilization of joints, improvements in joint mobility, initiation of exercise, and increased quality of life.  In turn, we are becoming more aware of the demand for making this a larger aspect of my practice.  Since incorporating these techniques I have also received training in Kinesio Taping, which is showing great results in relieving pain and promoting healing, especially when used in conjunction with my current pain treatments.  As a future option at the new location I am planning to start treatment with PRP (Platelet Rich Plasma), which is another modality of Prolotherapy injections used to treat acute and chronic pain, and I will keep you updated on the progress.

We have enjoyed doing business with everyone in my home town Elma, in Grays Harbor County and beyond, and I appreciate all of your support.  I have enjoyed watching so many of you take control of your health care and increase your quality of life through education, detoxification, life style changes, exercise, increasing your intake of more nutrient dense food, and herbal support.  I feel at this new location even the healthiest person has so much to explore to help maintain optimal wellness, with an expansion of their heart and soul.  I can’t wait to share this new space of healing and relaxation with you, and we hope you will get acquainted with our new location soon.

Dr. Lori Wieser N.D. and Staff



Chronic and Acute Pain Treatment Options!

PAIN TREATMENT:

1.)  Prolotherapy Injections

2.)  Trigger Point Injections

2.)  Therapeutic Ultrasound

3.)  Prologel

4.)  Kinesio Taping

See descriptions below:

Regenerative Joint Therapy (Prolotherapy) and Pain Management-  If you have chronic pain resulting from sports injuries or arthritis, prolotherapy is an effective alternative to surgery, cortisone shots, and drugs. Prolotherapy, a regenerative injection therapy, works by stimulating the body to repair the painful injured area(s) by stimulating your body’s natural healing response, inflammation, at a much stronger and more focused effort than when the injury first occurred.  Prolotherapy allows the body to re-open the healing window of injuries that are even over a decade old, essentially allowing for the injured joint to heal in a more complete way.  These injections cause inflammation in

these weakened areas which increases the blood supply,

bringing in stem cells, growth factors,  and a flow of nutrients

to this area allowing for tissue growth and the strengthening

of the ligaments and tendons by creating new collagen and cartilage.

Prolotherapy, latest in pain management, involves 3-10 rounds of injections, every 3 to 5 weeks, to the area of chronic pain or a damaged joint.  The injections consist of a 100% natural substance that facilitates growth and repair of ligaments, tendons, and connective tissue.  The treatment works to strengthen the damaged tissue immediately, allowing you to continue your daily activities without any downtime and minimal discomfort.

​

Conditions helped by prolotherapy:
• Arthritis
• Sciatica
• Sprains
• Torn ligaments
• Chronic joint pain
• Degenerative Disks
• Cartilage injuries
• Over-use injuries
• Tendonitis
• Migraines
• Whip lash
• Sports injuries

Current areas I will be injecting with prolotherapy: Shoulder, clavical, elbow, wrist, fingers, knee, ankle, toes, low back, sacrum, pubis, hip and specific areas on cervical and thoracic spine.

FYI: The amount of areas that will be injected in a visit will be limited to 1 to 3 areas depending on time needed for assessment, extent of injury, and pain threshold since goal is to create inflammation to trigger a natural healing response.

Most common injuries that benefit from prolotherapy:

Shoulder:

Bicep Tendonitis, Rotator cuff Sprains, Shoulder/clavicle instability, Frozen shoulder/adhesive capsulitis,  DJD/OA shoulder, SLAP/superior Glenoid labrum lesion.

Elbow:

Tennis elbow/Lateralepicondylitis, Golfers elbow/medial epicondylitis,

LittleLeaguer’s elbow/ medial apophysitis, Ulnar collateral ligament sprain,

 Nurse Maids elbow/radial head subluxation.

Wrist:

Wrist/Hand Osteoarthritis(OA), Carpal Tunnel Syndrome, Sprain wrist,

Sprain MCP joint (Skier’s Thumb), Sprain or complete tear of DIP and PIP,

 DeQuervain's (Radial Styloid) Tenosynovitis, Cartilage d/o of

forearm/TFCC tear, ECU tendonitis or tendonitis of wrist and hand,

Scapho-Lunate and Luno-Triquetral sprain.

Knee:

Any of the collateral ligament sprain, strain, or rupture of ACL, PCL, MCL, or LCL, Meniscus tears/ strains, Knee cap/patellar tendonitis, Chondromalacia patella, Pre-patellar bursitis, 

Ankle/Toe foot:

Bunion, Flat feet, Ankle Sprain medial(deltoid ligments) or lateral calcaneofibular, tibofibular ligaments, Morton's Neuroma, Turf Toe, Plantar Fasciitis, Achilies Tendonitis.

Low Back/ Lumbar/ Sacrum/Pubis:

Sciatica, Lumbosacral sprain/strain, Sacroiliac Sprain/Strain, Spondylithesis, Facet OA, Spinal Stenosis, Post surgery back pain, symphysis pubis sprains.

Neck(Cervical), Thoracic(Mid Back):

Whiplash, Sprain/Strain, and Degenerative Joint Disease.

Hip:

Hip OA, Acetabular Labral Tear, Trochantric Hip Bursitis, Athletic Publalgia (Groin Strain), ITB Friction Syndrome, Hamstring, Adductor, or Abdominal Strain.

​See "services" link on top right of this home page under "Treatments" for prolotherapy references.

What is injected?
The agents that are typically used have FDA approval for injections, for other uses than prolotherapy. Which medication used would depend on the desired effect and would have to be to individually determined, depending on the case and what we are treating, (ligament, tendon, muscle or joint).

The ingredients:

Extra-articular injection (outside the joint) - Dextrose solution, Lidocaine , Sodium Bicarbonate

Intra-articular injection (inside the joint) - Dextrose, Lidocaine

Neural Therapy and Trigger Point Injections:

Neural Therapy and Trigger Point Injections are injection techniques frequently used to help patients with long-standing pain.  These techniques require the injection of local anesthetics (Procaine or Lidocaine), B12, and occasionally homeopathic compounds are injected at the same time.  The injections are done into myofacial pain areas and both old and new scars. 

Ultrasound:  Ultrasound is a physiotherapy treatment applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves. Therapeutic ultrasound in physical therapy is alternating compression and rarefaction rarefaction of sound waves with a frequency of >20,000 cycles/second. Therapeutic ultrasound frequency used is 0.7 to 3.3 MHz. Maximum energy absorption in soft tissue occurs from 2 to 5 cm. Intensity decreases as the waves penetrate deeper. They are absorbed primarily by connective tissue: ligaments, tendons, and fascia (and also by scar tissue).

 There are three primary benefits to ultrasound:

1.) Acceleration of the healing process from the increase in blood flow in the treated area.

2.) The decrease in pain from the reduction of swelling and edema. 

3.) The gentle massage of muscles tendons and/ or ligaments in the treated area because no strain is added and any scar tissue is softened.

These three benefits are achieved by two main effects of therapeutic ultrasound. The two types of effects are: thermal and non thermal effects. Thermal effects are due to the absorption of the sound waves. Non thermal effects are from cavitation, microstreaming and acoustic streaming.

Conditions which ultrasound may be used for treatment include the follow examples:  Ligament Sprains, Muscle Strains, Tendonitis, Joint Inflammation, Plantar fasciitis, Metatarsalgia, Facet Irritation, Impingement syndrome, Bursitis, Rheumatoid arthritis, Osteoarthritis, and Scar Tissue Adhesion.

What does Ultrasound feel like?  It has a nice deep warming

sensation, most patients describe it as very relaxing and

soothing.

See a reference on therapeutic ultrasound treatment for Subacromial Impingement Syndrome in pubmed:

http://www.ncbi.nlm.nih.gov/pubmed/24259934?dopt=Abstract

Prologel:  Prologel is an advanced medical cream which has been giving people fantastic pain relief. Prologel is a proprietary formula which contains a special formulation of lecithin to help carry in the other ingredients in Prologel. Cetyl myristoleateis one of the other ingredients. Cetyl myristoleate has been discovered to be reason why mice do not get arthritis. Aloe Vera and MSM are known pain relievers and both are in Prologel. Prologel is non-greasy, has almost no odor and will NOT stain your clothes.

This will be used as the gel when giving Ultrasound

treatments for extra healing benefit and transducer gel will

be applied after the prologel is absorbed during treatment to

prevent friction.

 Prologel can be used at home without Ultrasound as well for

added benefit and increase the healing response.

More info on prologel and testimonials:

https://prologel.com/

Frequently Asked Questions:

See "Contact Us" from the top right hand side of the home page and scroll to the frequently asked questions PDF and click to download to open and read.

1.) Links for ordering supplements:

Thorne Research

http://www.thorne.com/

We now have an Electronic Medical Records Practice Management!!!

    As of November 5^th 2012 Natural Healing Family Medicine has been using Helios ND, which is a complete practice management/electronic medical record system.  I am excited about Helios ND because they are always looking for way to improve and enhance their system to meet the ever changing IT world of EMR systems, and understanding the necessity of the complexity of programs for the individualization of treatments of Naturopathic Medicine.

Below is a link to learn more about their business and operating system:

http://www.americanmedicalsolutions.com/AMS/HeliosNDEHRPracticemanagement.aspx

New things to come at Natural Healing Family Medicine!

Natural Healing Family Medicine has a Facebook page!

Functional Testing Kits through Genova Diagnostics and Metametrix Clinical Laboratory:

New tests I currently have in my office: (Genova can bill private insurance for these tests).

1.) IgG, IgE Food allergy testing, IgE Mold, Inhalants, and Spices, and Celiac and Gluten Sensitivity.- through their Easy Pay program(see below).

3.) Comprehensive Digestive Stool Analysis 2.0

4.)Nutrient & Toxic Elements - 6-8 Hr Urine-with chelating agent

5.)Nutrient & Toxic Elements - 24 Hr Urine- without chelating agent

Please speak with Dr. Wieser for details and private insurances cover a percentage of these tests. I am not limited to these tests, if you find one that fits your current symptoms on their website, we can discuss it in an appoint and order the appropriate test kit.

See link below for more information on other testing and services they provide:

Genova Diagnostics and Metametrix

Meridian Valley 24 Hour Urine Hormone Testing:

See Link below which is an example of the type of hormones tested.  This test is VERY comprehensive, because it not only tests your common hormones but all the downstream metabolites, which give the "whole" endocrine picture, and helps individualize treatment for each person interested in BHRT or herbal alternatives.

ComprehensivePlus Hormone Profile with hGH

Labrix Clinical Services Expert Salivary Hormone Testing: This company makes it affordable for more frequent testing, which is helpful for closely monitoring treatment progress as well as initial testing for men and women interested in BHRT or herbal alternatives.  Follow the Link below for more info about Labrix and the tests they offer.

What Salivary Hormones are Tested?:  E1 (Estrone), E2 (Estradiol), E3 (Estriol), P (Progesterone), T (Testosterone),  D (DHEA), and Cortisol (AM, NOON, Evening, PM)

More info at the bottom of the page and a link to their website!

 Labrix Saliva Hormone Testing

UPDATES!

INSURANCE CREDENTIALING:

Lori Wieser N.D. is CURRENTLY CREDENTIALED WITH:

*PREMERA

*LIFEWISE

*FIRST CHOICE HEALTH NETWORK

*UNIFORM

*CIGNA

*AETNA

*SHASTA

*L & I - In process to update with L & I.

*GROUP HEALTH OPTIONS

*REGENCE

*UNITED HEALTH CARE (Only Specific Plans)

(Each insurance has different plans, you will need to call your insurance to verify coverage. You can call and speak with my receptionist for more information to aid in this process.)

Mailing Address:

Natural Healing Family Medicine

P.O. Box 15089

Tumwater, WA 98511

What is Naturopathic Medicine?

Naturopathic Medicine is a

system focusing on using

natural methods and

substances to stimulate the

bodies self healing response. 

As a Naturopathic Doctor, my

purpose as a family physician is

to prevent disease, promote

health, and as well as restore

and maintain optimal well

being.  Each treatment is

individualized to treat the

whole person, paying special

attention to the physical,

mental, emotional, and

environmental aspects of

health.