In my continuing education courses for physical therapists and physical therapy assistants, I teach a comprehensive, detailed and holistic hands-on exam to screen for all possible causes of dizziness, vertigo and imbalance.

During my PT CEU courses, those in attendance not only have a chance to learn the techniques but they also act as a model patient for their colleagues to practice their new exam skills.

In the Vital Sign lab and Oculomotor lab practice sessions, I often hear people exclaiming: “Does Everyone Have Adrenal Fatigue?”

The majority of my colleagues who are enrolled in my continuing education courses screen positive for adrenal fatigue or adrenal weakness. My response is that all those who show signs of adrenal fatigue need to take a vacation!

They need to relax more often, laugh more deeply, enjoy time with loved ones and take better care of themselves. I also usually recommend an evaluation by a medical professional who specializes in hormone and endocrine balancing, like a naturopathic doctor or integrative medicine physician.

I educate my students about how our autonomic nervous system is either in a sympathetic state of “fight or flight” OR in a parasympathetic state of “rest and digest.” It is impossible for both states to co-exist in our body – it is either one or the other at any given time.

Due to the constant demands of work, family life, and increasing volumes of communication from email, texting and social media, many people simply never take the time to unplug or unwind. Their nervous system is always “on.”

In medicine, we call this a “chronic sympathetic state” and it implies a constant effort of pushing oneself to “go, go, go.”

Over time, this chronic sympathetic state can lead to adrenal fatigue or adrenal weakness, which I teach my colleagues to identify upon their hands-on clinical exam. We can identify the patients who are chronically stressed out and unable to fully relax.

It is important for people to relax and stabilize their autonomic nervous system for optimal outcomes because nervous tension interferes with the body’s natural healing processes.

Add relaxation to your busy schedule for 20 minutes twice a day to remain calm.

For integrative and holistic medical evaluation of adrenal fatigue, I often refer my patients to Dr. Roopa Chari, Internal Medicine M.D. at the Chari Center of Health in Encinitas, California. I work with an entire team of world-class medical professionals that I can refer my patients to depending on their unique needs and geographical location.

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