Abstract This educational post explores the multifaceted approach to diagnosing and managing occipital neuralgia , a debilitating condition characterized by severe headaches originating from the base of the skull. As a practitioner with dual credentials in chiropractic (DC) and advanced practice nursing (FNP-BC), I offer a unique perspective that merges structural care with targeted medical interventions. We will walk through the diagnostic process, from palpation to pinpointing nerve irritation, and explore a specific therapeutic procedure: a targeted injection combining a corticosteroid and a local anesthetic. This post aims to provide a clear, evidence-based understanding of the physiological mechanisms behind occipital neuralgia, the rationale for our integrative treatment protocols, and how we combine chiropractic, functional medicine, and internal medicine expertise to achieve strong patient outcomes. We will highlight our clinic's collaborative framework, where Dr. Maria Gua...
Subcutaneous Testosterone Injections for Women: Hormone, Muscle, and Integrative Chiropractic Health
Abstract Testosterone is often called a "male hormone," but women naturally produce testosterone throughout life. It plays an important role in sexual function and also interacts with bone, muscle, mood, energy regulation, and overall physiology. In selected women, testosterone therapy may be considered when symptoms and a complete clinical evaluation support treatment. The strongest medical evidence is for postmenopausal women with hypoactive sexual desire disorder (HSDD), not simply for a low testosterone number on a blood test (Davis et al., 2019; Parish et al., 2021). Subcutaneous testosterone injections place a small amount of medication into fatty tissue beneath the skin, where it can be gradually absorbed. However, injectable testosterone therapy for women remains off-label in the United States, and the strongest randomized evidence still supports transdermal treatment. An integrative approach can combine appropriate medical oversight with chiropractic care, functional...
