Dr. Paul Hrkal

Intravenous Vitamin Therapy For Health

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

Vitamins and minerals are the raw materials that allow our cells to function properly. Without them cells would not be able to produce enough energy for normal processes, repair damage and replicate DNA. Ideally we can get these essential nutrients through our diet but often, despite our best efforts we often don’t get adequate levels absorbed and delivered to our cells. Sometimes even a great diet may not translate to proper nutrition at the cellular level. There can be many causes of this, which may include: poor digestion, food sensitivities, chronic inflammation, poor immune function, chronic stress, toxicity or any disease or sickness. A vicious cycle ensues – our cells are not healthy and they need nutrients to heal but can’t get them delivered because of poor absorption. However, the nutrients are not available because our cells are too weak to transport the vitamins and minerals to where they are needed. This scenario describes a typical situation in which intravenous vitamin (I.V.) therapy would be indicated. I.V. therapy involves the administration of nutrients in high concentrations to rapidly aid cellular healing. The advantage of intravenous administration is that the nutrients bypass the stomach and intestines and get directly to the bloodstream where they are needed. This will allow the cells to rapidly repair and regain strength. Once this happens, the cells will be able to function normally again and begin to repair the disease process.

I.V. therapy can be effective in many situations. Typically it is used in situations were, as discussed, digestive function is compromised and/or there is urgent need to “kick-start” the healing process that would otherwise take much longer though diet and other supplementation or ultra high doses of vitamins are required to combat a certain disease process. A very common and effective use of I.V. therapy is using high doses of vitamin C in integrated cancer care. This has been shown to be preferentially cytotoxic to tumour cells, maximize tissue healing and minimize the side effects of chemotherapy. Such high doses can only be achieved through I.V. therapy that is supervised by a qualified Naturopathic doctor (ND).

A knowledgeable ND can tailor the I.V. protocol by varying the type and amounts of nutrients. When this is done, IV therapy can also be beneficial for: migraines, fibromyalgia and chronic fatigue syndrome, detoxification, allergies, asthma, Parkinson’s disease, macular degeneration, depression, chronic diseases, and malnutrition. It can even be used periodically in healthy people to enhance overall well-being, prepare for surgery (to enhance recovery and healing) or as an extremely effective therapy to combat colds and flus.

I.V. vitamin therapy has been used for over 25 years to help people boost or regain health. It is an aggressive treatment, so the patient must be informed of all treatment details before commencing such a protocol. Nevertheless, when done by knowledgeable practitioner, I.V. therapy can provide very safe and effective results that may not be found in other therapies. When our cells are given the nutrients they need, they will be able to function properly and thus allow the restoration of our body’s inherent healing mechanisms.

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Is Vitamin D The Missing Link In Chronic Pain?

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

Chronic pain is one of the most common health concern for which people seek medical treatment. Research suggests that up to 50% of the population may be suffering from some kind of chronic pain, with back pain being the most common.1 There are number of possible causes such as diet, posture, age and injury that contribute to chronic pain but vitamin D is one factor that is now being added to the list. Vitamin D deficiency is a very common occurrence, especially in people living in colder climates. It has been linked to numerous health conditions, one of which being musculoskeletal (MSK) pain.2

A study published in November 2012 found that MSK pain is related to vitamin D deficiency, and replacement of vitamin D improved pain. The researchers found that 95.4 percent of the subjects were vitamin D deficient, and 85.5 percent of the subjects had improvement in pain with vitamin D supplementation.2 Of the subjects that responded to the treatment, post-treatment serum vitamin D levels were significantly higher than in the subjects who did not respond to vitamin D supplementation. The study concluded, “Treatment with vitamin D can relieve the pain in majority of the patients with vitamin D deficiency. Lack of response can be due to insufficient increase in serum vitamin D concentration.”2 This study confirms the results of a number of other studies that have found the same results.3,4,5 The studies found that vitamin D deficiency may be responsible for generalized, non-specific pain especially if it is resistant to manual and conventional treatments. 

Due to the large proportion of the population that experience both chronic pain and vitamin deficiency it would be prudent that both doctors and patients consider vitamin D levels a possible key-contributing factor. The most recent data suggests that less than 50 nmol/L of serum vitamin D is a deficient state. The optimal levels are 100-160nmol/L. The most effective and accurate way to determine what dosage is required to reach optimal levels is to have your serum 25-hydroxyvitamin D assessed. Most health agencies agree that 500-2000IU daily are effective to maintain adequate levels but its not enough if you are deficient. 

Vitamin D can be a simple yet very effective therapy for chronic, non-specific pain if you are deficient. To determine if is may be contributing to your pain, have a qualified healthcare practitioner assess your serum levels and supplement appropriately to restore your optimal levels. Consider liquid, oil based formulations to increase the ease of achieving higher dosages. In medicine, sometimes the simplest piece is often the most important. Vitamin D once again forces us to go back to the basics in the quest to achieve pain free function.  

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References: 

1) Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993;9(3):174-82

2) Abbasi M, et al. Is vitamin D deficiency associated with non specific musculoskeletal pain? Glob J Health Sci. 2012;1:107-11.

3) Plotnikoff GA, Quigley JM. Prevalence of severe hypovitaminosis D in patients with persistent, nonspecific musculoskeletal pain.

Mayo Clin Proc. 2003 Dec;78(12):1463-70.

4) Al Faraj S, Al Mutairi K. Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine (Phila Pa 1976). 2003 Jan 15;28(2):177-9.

5) Holick MF. Vitamin D deficiency: what a pain it is. Mayo Clin Proc. 2003 Dec;78(12):1457-9.

Nutrients: When Is Diet Not Enough

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

We live in a world of calorie dense but nutrient poor foods. Do to over farming and poor agricultural practices many vegetables, fruits and grains have lower amounts of minerals and vitamins then they had in the past. While the trend is moving toward organic and whole food options the question is can a healthy diet still provide enough nutrients and vitamins to meet our daily needs? Most experts agree that a well rounded, plant based, whole foods diet is more then adequate to meet the needs of most healthy people but what about if you are deficient in a particular nutrient? Is diet enough to correct it? What’s the difference between measurable and functional (the optimum a your body needs to function) deficiency? Clinical experience among integrative doctors suggests for people with deficiencies extra supplements are needed to restore adequate levels. A good way to look at this is while a balanced diet is great for maintenance of nutrient status but if you have a health condition you are in a “health rut” and you need a little extra help to get out. This is where extra minerals and vitamins can be very useful. 

The following are a few conditions or situations where deficiencies of minerals or vitamins can play a role in the disease process. Adequately replacing these essential nutrients may help reverse the following conditions:

High blood pressure: Magnesium plays a key role in blood vessel relaxation. Low levels lead to constricted blood vessels and increased pressure. Chronic magnesium deficiency also allows calcium to build up in the lining of the vessels creating constriction and hardening. 

Depression: Zinc, magnesium, vitamin B6 and B3 are all essential for the formation of the “feel good” neurotransmitter serotonin. Deficiencies in the above nutrients can lead to poor production of serotonin and melatonin decreasing mood and impairing sleep. Unfortunately, anti-depressant drugs don’t address this root cause since they don’t increase production of serotonin but only keep it in the brain longer. 

Hypothyroidism: Most people have heard of iodine being essential to thyroid hormone production but selenium and zinc are also required in this process. Selenium is especially important since it is required for the conversion of T4 to T3 (the active form of thyroid hormone) in the liver and peripheral tissues. Additionally it also reduces autoimmunity against the thyroid gland (Hashimoto’s thyroiditis).   

Acne: Zinc plays an essential anti-inflammatory role by stabilizing the immune system. When levels are low people may be predisposed to more acne outbreaks and increased severity. It’s important to note that copper should always be supplemented along with zinc since long-term zinc use can lead to a copper deficiency. 

Fibromyalgia and muscle pain: Magnesium is a key factor in muscle function and some research shows that people with fibromyalgia have low intracellular magnesium levels despite blood levels being normal. The combination of magnesium and malic acid has been shown to have a positive effect on symptoms.   

Restless legs syndrome (RLS): Iron is an often-overlooked mineral in RLS. It is required for the formation of dopamine in the brain, which regulates muscle movement. Before supplementing be sure to get your ferritin levels checked to see if you are iron deficient. 

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References

Altura et al. Magnesium deficiency upregulates sphingomyelinases in cardiovascular tissues and cells: cross-talk among proto-oncogenes, Mg(2+), NF-κB and ceramide and their potential relationships to resistant hypertension, atherogenesis and cardiac failure. Int J Clin Exp Med. 2013 Oct 25;6(10):861-79. 

Moorkens et al. Magnesium deficit in a sample of the Belgian population presenting with chronic fatigue. Magnes Res. 1997 Dec;10(4):329-37.

Magnesium: Are You Deficient in This Essential, Pain Fighting Mineral?

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

Magnesium is a supplement that is very well known for its benefits through out the natural health community. It is involved in over 300 biochemical processes in the body. One of its most important functions is that it plays a key role in producing energy. This makes it vitality important for all cellular functions and processes. It helps maintain normal muscle and nerve function, keeps heart rhythm regular, supports a healthy immune system, and keeps bones strong. Its wide range of health benefits and biological activity make it effective in addressing a number of common diseases and conditions including fibromyalgia, chronic pain, diabetes, osteoporosis, cardiovascular disease and headaches. Numerous studies have demonstrated that magnesium supplementation and correction of deficiency has improved the aforementioned conditions.1 Specifically in chronic pain magnesium can be helpful for offsetting the effects of calcium, which relaxes muscles and nerves. Magnesium acts like a plug in nerve receptors that are over-stimulated. 

The problem with this essential mineral is that most people do not have sufficient levels for optimal health. A gradual depletion of nutrients from our soils has left many vegetables with lower levels of magnesium. Another factor that contributes to magnesium deficiency is that is often is depleted by various common conditions (i.e. IBS, crohns disease) and medications (i.e. proton pump inhibitors, diuretics). Its difficult to accurately assess your magnesium levels by lab testing since they don’t reflect actually tissue stores. Most integrative doctors just assume their patients are not getting enough and are deficient. 

How can you get more magnesium? 

Unfortunately most foods have a relatively low level of magnesium those at the top of the list are nuts and seeds (almonds, sunflower and pumpkin seeds) and dark green leafy veggies (kale swiss chard and spinach). As a supplement, magnesium is most commonly found in small amounts in multivitamins and in certain over the counter laxatives. Minerals such as magnesium or calcium are combined with another molecule to stabilize the compound. Each combination, referred to as a chelate, (such as magnesium citrate) has different absorption, bioavailability and therapeutic value. These additional molecules can really impact the medicinal value of the magnesium and some even have beneficial effects in their own right. The most common forms and their benefits are listed below. 

Magnesium oxide is often used in milk of magnesia products since this form has a strong laxative effect. Even though this combination contains a large proportion of magnesium compare to the oxide molecule it has poor bioavailability and readily causes loose stools therefore it is considered the least optimal form to use as a supplement. 

Magnesium sulfate is most commonly found in Epsom bath salts. 

Magnesium citrate is a commonly used form that has a good bioavailability compared to oxide. It is also very rapidly absorbed in the digestive tract but it does have a stool loosening effect2. This form is found in many supplements and remains a solid option for delivering magnesium into the body.

Magnesium glycinate: Glycine is well known calming amino acid. This combination has good bioavailability and it does not have a laxative effect since glycine is actively transported through the intestinal wall. Due to the calming and relaxing effect of both glycine and magnesium this combination has been used successfully for chronic pain and muscle hyper tonicity.3 

Magnesium Malate: The little known combination has been studied for use in fibromyalgia. Since malate is a substrate in the cellular energy cycle, it can help improve ATP production and there is some preliminary evidence that it may reduce muscle pain and tender points in fibromyalgia patients.4 

The nice thing is that there really isn’t any side effects other then loose stools when taking to much magnesium unless you have a kidney disorder or are taking certain blood pressure medications. Your body just eliminates the magnesium it doesn’t use. Due to its broad ranging beneficial effects, magnesium has really emerged as a quintessential health supplement with an excellent safety profile. Various forms of magnesium can be employed for specific health concerns especially chronic pain. Ask your health care practitioner which form is best for you. 

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References

  1. Fawcett, W. J., Haxby, E. J. & Male, D. A. Magnesium: physiology and pharmacology. Br. J. Anaesth. 83, 302–320 (1999).
  2. Coudray C, Rambeau M, Feillet-Coudray C, Gueux E, Tressol JC, Mazur A, Rayssiguier Y: Study of magnesium bioavailability from ten organic and inorganic Mg salts in Mg- depleted rats using a stable isotope approach. Magnes Res 2005;18:215–223.
  3. Lamontagne C, Sewell JA, Vaillancourt R, Kuhzarani C, (2012) Rapid Resolution of Chronic Back Pain with Magnesium Glycinate in a Pediatric Patient. J Pain Relief 1:101
  4. Abraham GE, Flechas JD. Management of Fibromyalgia: Rationale for the Use of Magnesium and Malic Acid. Journal of Nutritional Medicine (1992) 3, 49-59.

Addressing The Metabolic Aspects of Concussions With Nutrition And Natural Compounds

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

Traumatic brain injuries (TBI) and concussions are generating greater medical and research interest as public awareness grows, especially in the impact on younger and more vulnerable populations. An explosion of recent research has uncovered some of the underlying pathways involved in TBI and concussions. While one complete theory has yet to be confirmed, there is emerging science that brain trauma causes neurotransmitter and calcium release which initiates a viscous cycle of excitotoxin production, impaired energy production, neuro-inflammation and immune activation. 

People that have a concussion undergo a very brief period (minutes to hours) of increased energy production as brain cells try to restore balance followed by a period of reduced brain function, as the ability of brain cells to produce energy is greatly impaired. This state can last 7 days or longer (30 days in severe cases) depending on the severity of the injury. While in this “impaired” state, the risk of a concussion appears to increase when the brain has suffered a prior concussive injury and has not yet fully healed. 

Unfortunately, at this time there are no neuro-protective treatment options that exist to improve symptoms after a TBI or post concussive syndrome. Drug and pharmaceutical approaches have shown limited benefits and currently are not recommended as a treatment. Now many scientists are starting to study a wide range of natural compounds and vitamins that have promising broad-spectrum, neuroprotective and anti-inflammatory activity. Curcumin, green tea, essential fatty acids, resveratrol, and vitamin E are some of the compounds with potential therapeutic benefit. 

Considering the large number of changes that occur after a brain injury a potential solution also needs be able to have a broad spectrum of therapeutic action. Unfortunately drugs can be very effective but are inadequate in TBI since they usually address one very specific factor. This is where nutrition and natural substances can be a very powerful tool to speed up injury recovery and promote healing. The foods that you eat can powerfully reduce the amount of overall inflammation in you have in your body. Specific evidence based natural supplements can also address a wide range of targets including mitochondrial function and neuro-inflammation. Additionally this approach can also improve the ability of your brain to heal during and after a concussion if employed as a preventative strategy. If you are looking to improve your overall brain resilience or want address the chronic effects of a brain injury consider enhancing your brain metabolism with nutrition and natural supplementation. 

Key definitions:

Neurotransmitter: A signaling molecule found in the brain (i.e glutamate)

Mitochondria: The part of each cell that is responsible for energy production. They are essential in order for a cell to survive.  

Calcium release: Calcium is a mineral that plays a key role in nerve function. Excessive calcium release after a concussion can damage the ability of a nerve cell to produce energy. 

Excitotoxin production: excitotoxins are signaling molecules produced in the brain after trauma. They disrupt normal brain function by excessively stimulating nerve activity. 

Impaired energy production: Excessive calcium and excitotoxin production damage the mitochondria in brain cells which in turn impairs their ability to produce energy. Without energy brain cell function slows and eventually can stop. This the mechanism behind many post-concussion related symptoms. 

Neuro-inflammation: inflammation is produced to stimulate healing in the short term but can be very damaging when it continually in produced without being resolved. 

Immune activation: Specialized immune cells in the brain called microglia are turned on after a brain injury. Once fully activated they can produce inflammation. 

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References

Giza CC, Difiori JP. Pathophysiology of sports-related concussion: an update on basic science and translational research. Sports Health. 2011 Jan;3(1):46-51

Maroon JC, Lepere DB, Blaylock RL, Bost JW. Postconcussion syndrome: a review of pathophysiology and potential nonpharmacological approaches to treatment. Phys Sportsmed. 2012 Nov;40(4):73-87

10 Things You May Not Have Known About Naturopathic Doctors

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

1) Even though a visit with a ND is not covered by OHIP most extended health plans now cover Naturopathic visits. Check yours to see if you are covered. This is actually a big advantage since ND's are not restricted by OHIP regulations (paid by the number of patients you see etc) and can take enough time to treat each patient thoroughly.  

2) Did you know that a typical visit your family doctor lasts on average 7 minutes? A first visit with your ND can be anywhere from 60-120 minutes and a follow up is approximately 30 minutes. This allows for enough time to address the root cause of your symptoms. 

3) ND's have eight years of post graduate education; this consists of four years of university undergraduate studies and four years of medical college. This is equivalent to the length of education for medical doctors and chiropractors. Our education includes a residency program, preceptorship and a possibility of specialization. 

4) ND's have are trained and certified in a wide variety of treatment modalities. These include:

  • Nutritional therapy
  • Orthomolecular medicine (vitamins and minerals)
  • Botanical medicine
  • Acupuncture
  • Naturopathic manipulation/hands on therapy
  • Injection therapy
  • Intravenous therapy
  • Homeopathy

5) In Ontario, ND's are now legislated under the Naturopathy Act (which is under the Regulated Healthcare Practitioners Act). This means they are government approved and supported. Full proclamation is slated for 2014. 

6) ND's practicing in British Colombia and some US states are able to prescribe certain pharmaceutical drugs such as antibiotics. This allows them to act as primary care doctors and better help their patients. As part of a ND's education they are required to learn pharmacology and the safety if how natural substances interact with drugs. 

7) Naturopathic medicine is evidence-based. As an example, a recent study (april 2013) published in the prestigious Canadian Medical Association Journal found that Naturopathic medicine reduced the risk of cardiovascular disease. There also is a large body of research supporting each of the therapies that are used by ND's. For example, try typing the word probiotics into pubmed to see how many references you get (hint: it's in the thousands).

8) ND's are the "Sherlock Holmes" of all healthcare practitioners. Many patients visit an ND after no other doctor or health care practitioner was able to help them or get to the bottom of their symptoms. ND's use a comprehensive assessment, physical exam skills and lab testing to assess all aspects of their patients.

9) ND's use both conventional and cutting edge lab testing to assess their patients. For example they look at standard blood values such as iron levels and white blood cells but also are able to use testing from around the world to assess for hidden infections such as Lyme disease or immune activation by food allergies. 

10) Did you know the word "doctor" means "teacher?" Naturopathic doctors take their roles as teachers very seriously. Our goal is to teach our patients how to improve their health through dietary and lifestyle changes so they can have lasting and vibrant health without having to take drugs or supplements forever.

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Simple New Years Resolutions That You Can Actually Keep

Dr. Paul Hrkal, Naturopathic Doctor

Dr. Paul Hrkal, Naturopathic Doctor

It’s halfway through January and I hope your New Years resolutions are in full swing. You may have noticed that the gym is more full and the yoga studio is a tighter squeeze. While I am a big fan of resolving to live a healthier life, I think New Year resolutions usually don’t last, often leaving us frustrated. Because of this,  I wanted to give you some simple some resolutions that you will actually keep and will improve your health on multiple levels. 

The key to successful resolutions is keeping them simple and achievable. This will increase your chance to actually stick with the changes you want to make. Start with small steps before jumping to lofty goals. Also, challenge yourself to be healthier not just in your body but also in your mind and spirit. We need to respect all aspects of who we are and not ignore essential parts of what makes us truly healthy. 

1) Sweat more – This resolution seems simple but it actually covers a lot of key bases. Instead of resolving to exercise more, make a commitment to doing something that gets your sweaty at least once a week. This could be doing a spin class at the gym, going for a run, lifting weights, or doing a yoga class. It can also be something very simple such as climbing a flight of stairs or going for a brisk walk. It will be different for each person but just as powerful. We often are afraid to get sweaty but it’s our body’s way to eliminate toxins and promote circulation. Don’t be afraid to sweat this year!

2) Eat less – I think this is something we have all tried to do to lose a little weight. However, something so simple can be very helpful not just in cutting back on the extra calories but also promoting longevity. Studies have found that organisms that eat less live longer. Recent evidence shows that this approach promotes brain function and improves blood sugar control. Most North Americans over-eat so don’t fall into that trap this year and resolve to cut down your portions by as little as 20%. It doesn’t require calorie counting or weighing your food, just serve less food on your plate then you usually do. 

3) Vent more – We can’t avoid getting irritated or angry. It just happens, especially when we are stressed and tired. The key thing is what we do with that anger when we experience it. A recent study found those people that internalized anxiety ran the risk of an elevated pulse, which increases the risk of high blood pressure, heart disease and other ailments. This year resolve to vent or discharge your frustration or anger in a healthy way. This can be something like conscious deep-breathing exercise or even try martial arts or yoga. 

4) Sleep more – Sleep is one of the most important things you can do to maintain good health. Numerous studies have found that sleep improves immunity, increases the ability to cope with stress, and improves weight loss by cutting cravings. I often tell patients that the single, most powerful change you can make to improve your health is to go to bed one hour earlier. There are so many health benefits from making this simple resolution. 

5) Be silent more – Just as you have to exercise regularly to build your muscle you have to also prioritize time to build your mind and spirit. The problem is that we are so use to getting things done by doing more, not slowing down and doing less. Taking the time to meditate, pray or just be silent is one of the most difficult things to do for most people. However, once you make it a habit it becomes the most rewarding. I challenge you to start with just 5 minutes a day to just sit and be still. Don’t do this right before bed or when you are distracted but rather be deliberate with putting aside time in your day. To focus on the right thing try this simple method. Pick one simple shape or image and focus on that thing in your mind. Take a stopwatch or timer (your smart phone has one) and start it. Every time you lose focus on that one image or shape, re-start the timer. You will be surprised how short your focus can be. Challenge yourself to do this daily and work towards getting up to 5 minutes without re-starting. 

Making and keeping New Year’s resolutions does not have to be difficult. Implement these 5 simple changes and maintain them, even if you start by doing each one once a week. Remember, the road to failure is littered with good intentions. Make your 2015 resolutions simple and sustainable. 

Have a healthy and happy New Year and if you'd like to know more or would like to work with me to help you achieve some of your resolutions feel free to call our clinic in Vaughan at any time to book an appointment: 1-800-597-5733

Dr Paul Hrkal

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Meet the Doctor: Dr Paul Hrkal ND

Dr. Paul Hrkal, Naturopathic Doctor   

Dr. Paul Hrkal, Naturopathic Doctor

 

I wanted to briefly introduce myself as a new member of The Pain & Wellness Centre healthcare team. In the spirit of community and relationship that is so central to the mission of the Pain and Wellness Centre, I wanted to share a little bit more about myself and my clinical practice as a Naturopathic doctor. 

I was born in Toronto area spending my childhood years in the Caledon area north of the city. I graduated from McMaster University with a degree in Kinesiology and then went on to complete my medical studies at the Canadian College of Naturopathic Medicine in North York.

During my university years, I was member of the McMaster varsity volleyball team. I had the privilege and opportunity to compete at the national level, traveling throughout North America to play against the top teams from the both Canada and the United states. I have a strong background in sports medicine and work with athletes to allow them to quickly recover from injuries and optimize their performance. 

In addition to my physical and sports medicine background, I actively have an interest in a number of clinical areas. These include, but are not limited to pain management, cancer, and neurological health.  Despite my interest areas, I maintain a broad practice base, applying Naturopathic principles and tools to numerous conditions. 

One of the most exciting areas in natural medicine is the integrative and cooperative style of patient care at the Pain and Wellness Centre. The beauty of naturopathic medicine is that the wisdom of ancient and proven therapies such as acupuncture and botanical medicine are complemented with the latest approaches such as intravenous therapies. Powerful and safe results can be achieved through the synergy of traditional and modern medical approaches.      

I pride myself in taking an active role in the community. One of the key principles of Naturopathic medicine is the doctor as a teacher. In fact, the word doctor actually comes from the latin word docere, which means ‘to teach’. I work with a number of organizations in the GTA area and am an active public speaker, educating patients on the science and application of natural medicine. For my latest public event and speaking event please visit my website (www.paulhrkalnd.com) or stay tuned to my facebook and twitter feeds. 

What excites me the most is seeing the power of patient-centred medicine at work.  So many factors and stresses impact us on a daily basis, pushing us into a state of disharmony which ultimately leads to illness and dysfunction in multiple bodily systems. The strength of naturopathic medicine is to get to the root cause of our disease and restore our health at every level.  Naturopathic medicine is strategically positioned to use tools and strategies to bring about not only symptom relief but disease resolution and a higher state of health. I hope you join me and the members of the Pain and Wellness Centre team to promote optimal wellness and spread the word on how naturopathic medicine can change your life; I know it has changed mine.  

In Health,

Dr Paul Hrkal ND

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