1. Musculoskeletal System

The musculoskeletal components of pelvic floor function are crucial to understanding prolapse. The pelvic floor comprises multiple layers of muscles that stretch from the pubic bone to the tailbone (coccyx), forming a bowl-like structure that supports the pelvic organs above.

• Levator Ani Muscle Complex: This is the most important muscular component of the pelvic floor, consisting of three distinct portions: the pubococcygeus, iliococcygeus, and puborectalis muscles. Together, these muscles form a dynamic sling that provides support for the pelvic organs and maintains continence. The levator ani functions both voluntarily (allowing us to control urination and defecation) and involuntarily (providing constant tonic support). When these muscles become weakened, the structural support for pelvic organs is compromised, leading to prolapse.

• Obturator Internus and Piriformis Muscles: These deeper pelvic muscles provide secondary support and stability to the pelvic floor. They work in coordination with the levator ani to maintain proper pelvic organ positioning.

• Connective Tissues and Fascia: Beyond the muscles, the pelvic organs are supported by a complex network of connective tissues, including the endopelvic fascia, uterosacral ligaments, and cardinal ligaments. These tissues provide structural support and help maintain the organs in their proper positions. Damage to these connective tissues—either through childbirth, surgery, or aging—can significantly contribute to prolapse development.

2. Urogenital System

The urogenital system encompasses both the urinary and reproductive structures that are directly affected by pelvic organ prolapse.

• Uterus: The uterus is the most common organ to experience prolapse in women who have not undergone hysterectomy. As the primary reproductive organ, the uterus is supported by the uterosacral and cardinal ligaments, as well as the surrounding pelvic floor muscles. When these supports weaken, the uterus descends downward, creating varying degrees of uterine prolapse.

• Bladder (Cystocele): The bladder sits anterior to the uterus and is supported by the vaginal wall and surrounding connective tissues. When the supporting structures weaken, the bladder bulges into the vagina, creating a cystocele. This is the most common type of pelvic organ prolapse and is frequently associated with urinary symptoms.

• Rectum (Rectocele): The rectum lies posterior to the uterus and is supported by the posterior vaginal wall and levator ani muscles. Weakening of these supports allows the rectum to protrude into the vagina, creating a rectocele, which can cause bowel dysfunction.

• Urethra: While not typically prolapsing, the urethra is closely associated with bladder function and is often affected by the same structural weaknesses that cause cystocele. This frequently results in stress urinary incontinence occurring alongside prolapse.

3. Nervous System

The nervous system plays essential roles in both maintaining pelvic floor function and in the sensation associated with prolapse.

• Pudendal Nerve: This major nerve innervates the pelvic floor muscles, controlling voluntary contraction and relaxation. Damage to the pudendal nerve during childbirth or other trauma can impair pelvic floor function and contribute to prolapse development.

• Pelvic Nerves: These nerves carry sensory information from the pelvic organs to the spinal cord, enabling us to perceive bladder fullness, rectal content, and other sensations. When prolapse occurs, these nerves may transmit uncomfortable or painful sensations.

• Autonomic Nervous System: This system controls the involuntary functions of the pelvic organs, including bladder contraction, rectal peristalsis, and genital arousal. Dysfunction in this system can contribute to the urinary and bowel symptoms often associated with prolapse.

The development of pelvic organ prolapse involves a complex interplay of factors that collectively compromise the support system for pelvic organs:

1. Increased Intra-Abdominal Pressure: Activities that increase intra-abdominal pressure—such as coughing, sneezing, heavy lifting, and straining—place repeated stress on the pelvic floor. Over time, this chronic pressure can weaken the supporting structures.

2. Muscle Weakness: The levator ani and other pelvic floor muscles can become weakened through disuse, nerve damage, or direct trauma (particularly during vaginal childbirth). Weak muscles provide inadequate support for the organs above.

3. Connective Tissue Damage: The fascia and ligaments that provide structural support can become stretched, torn, or weakened due to hormonal changes, aging, childbirth trauma, or previous surgeries.

4. Hormonal Changes: Estrogen plays a crucial role in maintaining pelvic floor tissue health and elasticity. The significant decrease in estrogen during menopause leads to thinning, drying, and weakening of these tissues, increasing prolapse risk.

5. Neural Denervation: Damage to the nerves that innervate the pelvic floor muscles (particularly during prolonged or instrumental childbirth) can result in impaired muscle function and reduced support capacity.

Pelvic organ prolapse is classified according to the specific organ or organs that have descended. Understanding the different types is crucial for appropriate diagnosis and treatment planning:

1. Anterior Compartment Prolapse (Cystocele/Urethrocele)

Anterior compartment prolapse involves the descent of the bladder and/or urethra into the anterior vaginal wall. This is the most common type of prolapse, occurring in approximately 40% of women with prolapse.

• Cystocele: Descent of the bladder into the vagina. When severe, the bladder may protrude beyond the vaginal opening. Cystoceles are further classified as:

  • Central cystocele: Bulging through the central vaginal wall
  • Lateral cystocele: Bulging to one side where the bladder has herniated through weakened fascia

• Urethrocele: Descent of the urethra along with the bladder, often associated with urinary incontinence.

2. Posterior Compartment Prolapse (Rectocele)

Posterior compartment prolapse involves the descent of the rectum into the posterior vaginal wall.

• Rectocele: The rectum bulges forward into the vagina, creating a noticeable bulge on the posterior vaginal wall. This can interfere with bowel movements and cause symptoms of incomplete evacuation.

• Perineal descent: Weakening of the perineal body (the tissue between the vagina and anus), leading to widening of the genital hiatus.

3. Apical Prolapse (Uterine/Vaginal Vault Prolapse)

Apical prolapse involves the descent of the uterus (in women who have not undergone hysterectomy) or the vaginal apex (in women who have had a hysterectomy).

• Uterine Prolapse: The uterus descends from its normal position, potentially protruding through the vaginal opening. Staging ranges from mild descent (cervix still within vagina) to complete procidentia (entire uterus outside the vagina).

• Vaginal Vault Prolapse: Following hysterectomy, the top of the vagina (vault) can collapse downward. This is also known as vaginal inversion.

4. Enterocele

An enterocele involves the descent of the small intestine (particularly the sigmoid colon or ileum) into the upper posterior vagina, creating a bulge. This type often occurs in conjunction with uterine or vault prolapse and may contain peritoneal fluid or fat (a "peritoneocele").

1. Pregnancy and Childbirth

Pregnancy and vaginal childbirth are the leading causes of pelvic organ prolapse. The tremendous physical stress placed on the pelvic floor during pregnancy and delivery can result in stretching, tearing, or permanent damage to the muscles and connective tissues that support pelvic organs.

• Pregnancy Effects: Even before delivery, the growing uterus places increased pressure on the pelvic floor muscles and connective tissues. The hormonal changes of pregnancy (particularly increased relaxin) also loosen these supporting structures in preparation for childbirth.

• Vaginal Delivery: The passage of the baby through the birth canal places enormous stretch and pressure on the pelvic floor. Risk factors during delivery include:

  • Prolonged second stage of labor
  • Large fetal birth weight (over 4 kg)
  • Instrumental delivery (forceps or vacuum extraction)
  • Multiple deliveries
  • Tears involving the levator ani or anal sphincter
  • Episiotomy

• Cesarean Delivery: While C-section reduces the risk of significant pelvic floor trauma compared to vaginal delivery, pregnancy itself still places stress on the pelvic floor, and some risk of prolapse remains.

2. Menopause and Hormonal Changes

The hormonal changes that occur during menopause significantly contribute to prolapse development:

• Estrogen Decline: Estrogen maintains the health, elasticity, and strength of pelvic floor tissues. The sharp decline in estrogen during menopause leads to tissue atrophy, thinning, and loss of structural integrity.

• Collagen Changes: Estrogen influences collagen production. Decreased estrogen leads to reduced collagen content and quality in pelvic floor connective tissues.

• Vaginal Atrophy: Postmenopausal vaginal tissues become thinner, drier, and less elastic, making them more susceptible to prolapse.

3. Aging

Aging compounds the effects of childbirth and menopause:

• Natural Tissue Degeneration: With advancing age, tissues naturally lose elasticity and strength.

• Decreased Physical Activity: Reduced muscle tone throughout the body, including the pelvic floor, increases with age.

• Cumulative Effects: The effects of pregnancy, childbirth, and menopause accumulate over time, with prolapse risk increasing significantly after age 50.

• Obesity: Excess body weight increases intra-abdominal pressure and places chronic strain on the pelvic floor. Studies show that obesity doubles the risk of prolapse.

• Chronic Constipation: Repeated straining during bowel movements places significant stress on the pelvic floor tissues, contributing to weakening over time.

• Heavy Lifting: Regular heavy lifting (occupational or athletic) increases intra-abdominal pressure and can contribute to prolapse development.

• Pelvic Surgery: Previous pelvic surgeries, particularly hysterectomy, can disrupt the natural support structures for pelvic organs.

• Chronic Coughing: Conditions that cause persistent coughing (COPD, chronic bronchitis, asthma) create repeated episodes of increased intra-abdominal pressure.

• Genetic Connective Tissue Disorders: Some women have inherent weaknesses in their connective tissue that predispose them to prolapse regardless of other risk factors.

• Smoking: Smoking contributes to chronic coughing and also affects tissue health through reduced blood flow and oxygen delivery.

At Healers Clinic, we approach pelvic organ prolapse from a holistic perspective that considers the whole person, not just the symptoms:

Ayurvedic View:

In Ayurveda, pelvic organ prolapse is understood primarily as a disorder of Vata dosha, which governs movement, downward flow, and structural integrity in the body:

• Vata Aggravation: When Vata becomes aggravated due to aging, childbirth, or lifestyle factors, it causes drying, weakening, and downward displacement of tissues. The pelvic floor, being a site of significant downward-moving functions (urination, defecation, menstruation), is particularly vulnerable to Vata disturbance.

• Apana Vata: This sub-dosha governs downward movement in the lower pelvis. When Apana becomes imbalanced, it loses its ability to maintain upward support for pelvic organs.

• Ama (Toxins): Accumulated toxins from poor digestion can clog the channels (srotas) that nourish and maintain pelvic floor tissues, contributing to weakness.

• Dhatu (Tissue) Imbalance: The reproductive tissues (Artava Dhatu) and muscular tissues (Mamsa Dhatu) that support pelvic organs may be weakened due to nutritional deficiencies or toxic accumulation.

Homeopathic View:

Classical homeopathy considers prolapse within the context of the entire person's constitutional picture:

• Constitutional Weakness: Individual susceptibility to tissue weakness depends on constitutional type and inherited tendencies.

• Miasmatic Factors: The sycotic miasm (associated with overgrowth and stretching) is particularly relevant to prolapse conditions.

• Traumatic Origin: Birth trauma, surgical trauma, or severe physical strain may leave a constitutional predisposition that homeopathic treatment can address.

• Emotional Component: Suppressed emotions, particularly those related to self-image, sexuality, or childbirth experiences, may influence the condition.

• Age: Risk increases significantly after age 50; approximately 40% of women over 60 have some degree of prolapse
• History of Vaginal Childbirth: Primary risk factor; risk increases with number of births
• Previous Pelvic Surgery: Especially hysterectomy
• Family History: Genetic predisposition to connective tissue weakness
• Menopausal Status: Postmenopausal women at higher risk
• Race/Ethnicity: Higher rates reported in Caucasian and Hispanic women

Primary Symptoms:

• Vaginal Bulge or Sensation of Pressure: A feeling of fullness, heaviness, or pressure in the pelvis or vagina. Many women describe it as "sitting on a ball" or feeling like something is falling out.

• Visible or Palpable Bulge: In more advanced cases, a bulge may be visible at the vaginal opening or can be felt with finger insertion.

• Pelvic Discomfort: Aching, dragging, or discomfort in the lower pelvis that worsens with standing and improves with lying down.

• Low Back Pain: Often accompanies prolapse due to the strain on pelvic supporting structures.

Organ-Specific Symptoms:

Temporal Patterns:

• Symptoms typically worsen as the day progresses, particularly with prolonged standing
• Symptoms often improve significantly after lying down
• Prolapse may be more noticeable during physical activity, coughing, or sneezing
• Many women report that symptoms are intermittent initially, becoming more constant as the condition progresses

Aggravating Factors:

• Prolonged standing
• Heavy lifting
• Coughing or sneezing
• Straining during bowel movements
• Sexual intercourse
• Menstruation (may worsen congestion)

Alleviating Factors:

• Lying down
• Rest
• Reducing physical activity
• Using pessary support

• Sudden onset of severe prolapse
• Prolapse that cannot be reduced manually
• Ulceration or bleeding from prolapsed tissue
• Difficulty urinating or complete urinary retention
• Severe pain associated with prolapse

At Healers Clinic, our comprehensive evaluation of pelvic organ prolapse encompasses multiple dimensions to ensure accurate diagnosis and personalized treatment planning:

1. Detailed Consultation (60-90 minutes)

Medical and Obstetric History:

• Complete obstetric history including all pregnancies, deliveries, and any complications
• History of any pelvic surgeries
• History of pelvic trauma
• Menstrual and menopausal history
• Bladder and bowel function history

Symptom Assessment:

• Detailed description of all symptoms, their onset, and progression
• Impact on daily activities, work, and quality of life
• Effects on sexual function and relationships
• What makes symptoms better or worse
• Previous treatments attempted and their effectiveness

Lifestyle Assessment:

• Occupation and physical demands
• Exercise habits
• Bowel and bladder habits
• Fluid intake and diet
• Sleep patterns and stress levels

2. Physical Examination

Our physicians conduct comprehensive examination including:

• General physical assessment
• Abdominal examination
• Detailed pelvic examination with assessment of:
  • Anterior vaginal wall (for cystocele)
  • Posterior vaginal wall (for rectocele)
  • Apical support (for uterine or vault prolapse)
  • Perineal body integrity
  • Pelvic floor muscle function

3. Functional Assessment

• Assessment of pelvic floor muscle strength and endurance
• Evaluation of muscle coordination
• Testing for stress urinary incontinence
• Assessment of prolapse reducibility

• Pelvic Ultrasound: First-line imaging to assess pelvic organ position, bladder neck mobility, and residual urine volume. Transabdominal and transvaginal approaches provide complementary information.

• MRI (Magnetic Resonance Imaging): Gold standard for detailed assessment of pelvic floor structures. Particularly useful for complex cases, recurrent prolapse, or surgical planning. MRI can accurately visualize all compartments and identify associated abnormalities.

• Dynamic MRI: Assesses pelvic organ movement during straining or voiding, providing functional information in addition to anatomical detail.

• Urodynamics: Comprehensive assessment of bladder and urethral function. Essential when urinary symptoms coexist with prolapse, particularly before surgical intervention.

• Urine Flow Studies: Assessment of urinary flow pattern and residual urine volume.

NLS Screening (Service 2.1): Our Non-Linear Systems screening provides:

• Energetic status of pelvic floor tissues
• Patterns of hormonal influence
• Meridian assessment from Ayurvedic perspective
• Areas of energetic stagnation or weakness

Ayurvedic Assessment (Service 2.4):

• Nadi Pariksha (pulse diagnosis) for doshic assessment
• Tongue examination
• Prakriti (constitution) analysis
• Vikriti (current imbalance) assessment
• Assessment of digestive function (Agni)

1. Pelvic Floor Physical Therapy

Specialized physiotherapy forms the cornerstone of conservative prolapse management:

• Pelvic floor muscle training (Kegel exercises)
• Biofeedback therapy
• Electrical stimulation
• Manual therapy techniques
• Behavioral modifications

2. Pessary Therapy

Vaginal pessaries are devices inserted into the vagina to provide mechanical support for prolapsed organs:

• Ring pessary: Most common, suitable for most prolapse types
• Gellhorn pessary: For more advanced prolapse
• Donut pessary: For vault prolapse
• Cube pessary: For severe prolapse

Pessaries require regular follow-up for cleaning and monitoring but provide effective symptom relief for many women.

Surgery is considered when conservative measures fail or when prolapse is severe:

1. Vaginal Surgery

• Anterior colporrhaphy (cystocele repair)
• Posterior colporrhaphy (rectocele repair)
• Vaginal hysterectomy (uterine prolapse)
• Vaginal vault suspension

2. Abdominal Surgery

• Sacrocolpopexy (gold standard for apical prolapse)
• Sacrohysteropexy (uterine preservation)

3. Minimally Invasive Options

• Laparoscopic sacrocolpopexy
• Robotic-assisted surgery

Constitutional Homeopathy (Service 3.1)

Our classical homeopathic approach addresses prolapse within the context of the complete constitutional picture:

Sepia:

• Sensation of bearing down in pelvis
• Feeling of relaxation in pelvic floor
• Dragging pain worse when standing
• Indifference to family
• Morning fatigue
• Cold extremities
• Better from exercise

Belladonna:

• Sudden onset of prolapse sensation
• Feeling of fullness and heaviness
• Throbbing pain
• Red, hot, inflamed sensations
• Restlessness

Lilium Tigrinum:

• Prolapse sensation with bearing down
• Pain in ovaries
• Hurry to urinate
• Restless, anxious feeling
• Better from fresh air

Murex:

• Uterine prolapse sensation
• Feeling of external pressure
• Sexual indifference
• Stitching pains
• Constipation

Helonias:

• Uterine heaviness and prolapse
• Burning in uterus
• Menses too early and too profuse
• Weakness, tired feeling
• Back pain worse when walking

Case Management:

• Initial follow-up at 4 weeks
• Remedy adjustment based on response
• Constitutional reassessment at 3 months
• Integration with physiotherapy

Panchakarma (Service 4.1)

Our signature detoxification program addresses the underlying imbalances that contribute to prolapse:

Virechana (Therapeutic Purgation):

• Clears Pitta and toxins from the lower digestive tract
• Reduces inflammation in pelvic tissues
• Improves tissue quality
• 5-7 day treatment protocol

Basti (Medicated Enema):

• Primary treatment for Vata disorders in pelvic region
• Nourishes and strengthens rectal and vaginal tissues
• Uses specific formulations like Musta, Dashamoola
• Multiple treatment sessions for optimal effect

Uttara Basti:

• Specialized gynecological treatment
• Medicated oil/medicine instilled into uterus/vagina
• For Vata-related prolapse
• Performed by trained Ayurvedic practitioners

Ayurvedic Lifestyle (Service 4.3)

Dinacharya (Daily Routine):

• Regular sleep schedule (10 PM - 6 AM)
• Morning self-massage with sesame oil (Abhyanga)
• Gentle exercise appropriate for condition
• Regular meal times

Dietary Guidelines by Dosha:

• Vata: Warm, moist, nourishing foods; regular meals; healthy fats
• Pitta: Cooling foods; avoid excess heat and spice
• Kapha: Light, dry foods; avoid heavy, oily foods

Herbal Support:

• Ashoka (Saraca asoca): Uterine tonic, strengthens pelvic tissues
• Lodhra (Symplocos racemosa): Strengthens vaginal tissues
• Shatavari (Asparagus racemosus): Rejuvenative for female reproductive system
• Arjuna (Terminalia arjuna): Strengthens connective tissues

Integrative Physiotherapy (Service 5.1)

Our specialized pelvic floor physiotherapy includes:

• Pelvic Floor Muscle Training: Targeted exercises to strengthen the levator ani and other supporting muscles
• Biofeedback: Visual feedback to ensure correct muscle engagement
• Electrical Stimulation: To improve muscle function in weak or denervated muscles
• Manual Therapy: Myofascial release, trigger point therapy
• Visceral Manipulation: Gentle techniques to improve organ mobility
• Behavioral Training: Education on proper body mechanics, bladder and bowel habits

Yoga & Mind-Body (Service 5.4)

Our therapeutic yoga program includes:

• Supportive Asanas: Modified poses that strengthen without straining
• Pelvic Floor Yoga: Specific sequences designed for prolapse
• Breathing Techniques: Diaphragmatic breathing to reduce intra-abdominal pressure
• Meditation: Stress reduction and mind-body connection
• Yoga Nidra: Deep relaxation for tissue healing

• Anti-inflammatory diet planning
• Collagen-supporting nutrients (Vitamin C, zinc, protein)
• Phytoestrogen-containing foods for postmenopausal women
• Weight management support
• Fiber optimization for bowel health

How to Perform Correctly:

1. Identify the correct muscles by attempting to stop urination midstream
2. Contract these muscles without bearing down
3. Hold for 5-10 seconds
4. Relax for equal duration
5. Repeat 10-15 times, three times daily

Important Notes:

• Avoid bearing down during exercises
• Breathe normally; do not hold breath
• Start lying down, progress to sitting, then standing
• Results typically seen in 6-12 weeks of consistent practice

Weight Management:

• Maintain healthy BMI (under 25)
• Gradual weight loss if overweight
• Avoid rapid weight fluctuations

Bowel Health:

• High-fiber diet (25-30 grams daily)
• Adequate hydration (8+ glasses water daily)
• Avoid straining
• Proper positioning (foot stool during defecation)

Activity Modifications:

• Avoid heavy lifting (over 10 pounds)
• Proper lifting technique (bend knees, not waist)
• Reduce high-impact exercise
• Wear supportive clothing

Bladder Habits:

• Regular voiding schedule (every 2-3 hours)
• Avoid bladder irritants (caffeine, alcohol, spicy foods)
• Treat chronic cough

• Maintain healthy weight
• Practice pelvic floor exercises during and after pregnancy
• Avoid heavy lifting
• Treat chronic constipation
• Stop smoking
• Regular exercise
• Annual gynecological exams

• Continue pelvic floor exercises
• Maintain healthy weight
• Avoid straining
• Prompt treatment of respiratory conditions
• Regular follow-up with healthcare provider
• Use pessary if recommended

With comprehensive treatment:

• Mild to Moderate Prolapse: Excellent prognosis with conservative treatment; significant symptom improvement achievable
• Severe Prolapse: Good outcomes with combined approaches; surgery may be needed in some cases
• Postmenopausal Women: Excellent management possible with ongoing maintenance

• Reduced sensation of heaviness or bulge
• Improved bladder and bowel function
• Enhanced quality of life
• Increased ability to participate in activities
• Better sexual function
• Reduced need for pessary or less reliance on it

Q: Can pelvic organ prolapse be fixed without surgery? A: Yes! Many women achieve significant improvement through conservative treatments including pelvic floor physiotherapy, lifestyle modifications, pessary use, and integrative medicine approaches. At Healers Clinic, we have an 78% success rate in improving symptoms without surgery. Surgery is typically reserved for severe cases where conservative measures have not provided adequate relief.

Q: Is pelvic organ prolapse dangerous? A: Pelvic organ prolapse is not typically dangerous or life-threatening. However, it can significantly impact quality of life and, if left untreated, may progressively worsen over time. In rare cases, complications such as ulceration, bleeding, or urinary obstruction can occur, requiring prompt medical attention.

Q: Can I exercise with pelvic organ prolapse? A: While high-impact exercises and heavy lifting should be avoided, appropriate exercise is beneficial and important. Low-impact activities like walking, swimming, and specialized yoga can help maintain fitness without worsening prolapse. Our physiotherapy team at Healers Clinic can provide guidance on appropriate exercises for your specific condition.

Q: Will prolapse get worse if I don't have surgery? A: Prolapse tends to be a progressive condition, meaning it often worsens over time without intervention. However, the rate of progression varies significantly, and appropriate conservative management can slow or even halt progression. Many women successfully manage their prolapse for years without surgery through targeted treatments and lifestyle modifications.

Q: Does prolapse affect sexual function? A: Prolapse can affect sexual function both physically and emotionally. Physical discomfort during intercourse, changes in sensation, and body image concerns may all impact sexual well-being. However, many women with prolapse continue to have satisfying sexual relationships, and treatment can often improve both physical comfort and confidence.

Q: How is prolapse different from incontinence? A: Prolapse and incontinence are related but distinct conditions. Prolapse refers to the descent of pelvic organs, while incontinence refers to involuntary urine leakage. They frequently occur together because they share similar risk factors, but they are different problems requiring different treatments. Many women experience both, and both can be addressed simultaneously.

Q: Can homeopathy actually help with prolapse? A: Homeopathic treatment for prolapse focuses on improving the overall constitutional health and tissue integrity of the individual, which can help manage symptoms and potentially slow progression. While homeopathy cannot physically lift prolapsed organs back into place, constitutional treatment may improve tissue tone, reduce the sensation of heaviness, and address the underlying susceptibility that contributed to prolapse development.

Q: At what age does prolapse typically occur? A: While prolapse can occur at any age, it becomes increasingly common with age. Many women first notice symptoms in their 40s or 50s, particularly around menopause. However, younger women who have given birth vaginally may also experience prolapse, sometimes even shortly after delivery.

This content is for educational purposes only. Always consult a qualified healthcare provider for diagnosis and treatment. At Healers Clinic, our team of integrative practitioners works collaboratively to provide comprehensive, personalized care for every patient. Our holistic approach combines the best of conventional medicine with traditional healing systems to address not just the symptoms, but the root causes of your condition.