1. Regular Chiropractic Care - The Master Control System of your body is your Nervous System. Chiropractic care eliminates interference in the nervous system. Similar to regular dental check-ups to avoid tooth decay, regular nervous system check-ups will help you avoid spinal decay and nervous system damage, as well as providing for enhanced function of your nervous system. Enhanced nervous system function provides enhanced immune system function, improved digestion and flexibility (greatly improves your golf game), and will enhance the quality of your life. Get your nervous system check today.
2. Acupuncture - this is a wonderful way of supporting your body's energies, providing for improved health.
3. Eat Right & Drink Water - make sure to eat fresh vegetables and fruit every day and reduce the simple carbohydrates, white sugars and junk food. Drink water! Drink approximately 50% of your body weight in ounces per day.
4. Exercise - get off your couch, away from your TV and computer and get moving. Movement is what keeps your body working. Remember if you don't use it, you loose it.
5. Manage your Stress - stress is as damaging to your body as an automobile accident. Chiropractic care, good food, water, exercise and meditation are just a few of the ways in which you can manage your stress. Make this a priority.
Wednesday, February 24, 2010
Effects of Isolated Hip Abductor Fatigue on Frontal Plane Knee Mechanics
This study demonstrates that simulated hip abductor weakness causes small alterations of frontal plane knee mechanics. Although some of these alterations occurred in directions associated with increased risk of knee injury, changes were small in magnitude, and the effect of these small changes on knee injury risk is unknown.
Tuesday, February 23, 2010
Easing Arthritis Pain: Think Natural
Arthritis actually refers to more than 100 different diseases affecting areas in and around the joints, but regardless of which type you have, two things are fairly certain: Pain is an ongoing problem and drugs are an all-too-common treatment option. Why settle for drugs that come with potential side effects and adverse reactions when there are natural, nontoxic approaches to ease your arthritis pain? Here are a few simple suggestions to consider.
Moderate Activity: Regular exercise helps strengthen the muscles around your joints, increases flexibility and combats fatigue. Any movement can help, but range-of-motion exercises in particular seem to reduce joint stiffness and pain. The type of arthritis and the involved joints will determine which exercises are ideal and which may actually increase your pain.
Good Food: What you eat may play a role in reducing arthritis pain or doing just the opposite making the pain even worse. Some arthritis patients seem to experience relief when eating a nutritious, well-balanced diet (oily fish, fruits, vegetables and whole grains) and a flare-up when eating simple carbohydrates and fatty foods. Bananas, sweet peppers and soy products also may help.
Proper Body Mechanics: Body positioning during everyday movements can have a profound effect on joint stress and resulting pain. To minimize the stress on your joints throughout the day, maintain good posture, bend at the knees when picking things up, and ensure your work space provides adequate support for your neck, back, forearms and upper legs.
For more information about how to prevent and treat arthritis naturally, talk to your doctor and visit www.arthritis.org.
Moderate Activity: Regular exercise helps strengthen the muscles around your joints, increases flexibility and combats fatigue. Any movement can help, but range-of-motion exercises in particular seem to reduce joint stiffness and pain. The type of arthritis and the involved joints will determine which exercises are ideal and which may actually increase your pain.
Good Food: What you eat may play a role in reducing arthritis pain or doing just the opposite making the pain even worse. Some arthritis patients seem to experience relief when eating a nutritious, well-balanced diet (oily fish, fruits, vegetables and whole grains) and a flare-up when eating simple carbohydrates and fatty foods. Bananas, sweet peppers and soy products also may help.
Proper Body Mechanics: Body positioning during everyday movements can have a profound effect on joint stress and resulting pain. To minimize the stress on your joints throughout the day, maintain good posture, bend at the knees when picking things up, and ensure your work space provides adequate support for your neck, back, forearms and upper legs.
For more information about how to prevent and treat arthritis naturally, talk to your doctor and visit www.arthritis.org.
NFL Legend Jerry Rice Gives Credit to Chiropractic
Jerry Rice played in the National Football League for 20 years , which is an accomplishment in and of itself, considering the average NFL career spans only 3.5 years. Widely touted as the best receiver to ever play the game, his spectacular career included 16 seasons and three Super Bowl wins as a member of the San Francisco 49ers, followed by three seasons with the Oakland Raiders. (He was on the roster of the Seattle Seahawks when he retired in 2005). Rice was named to the Pro Bowl 13 times, winning the Pro Bowl MVP award in 1995, and received the Super Bowl MVP award in 1988. He held an amazing 38 NFL records at the time of his retirement.
Not one to rest on his laurels after retirement, Rice signed on with the hit TV show "Dancing With the Stars" for the 2005-2006 season. Paired with dancer Anna Trebunskaya, Rice finished second in the grueling competition, losing to Drew Lachey (who, along with brother Nick, sang in the pop group 98 Degrees) and dance partner Cheryl Burke. If you think the show was all smoke and mirrors, consider that participants, many of whom had little or no dance experience, formal or otherwise, had approximately six days to learn a new dance routine before each week's competition. According to reports, that sometimes meant practicing for up to five hours a day.
As much attention as Jerry Rice has received for his dazzling catches and amazing abilities, on and off the field, he has an important message to share about how to maximize health and wellness, regardless of whether you're an elite athlete, a weekend warrior or anywhere in between. Rice believes chiropractic has helped him tremendously over the years and wants others to experience the same results. Obviously, going to the chiropractor may not make you the world's best receiver (or dancer), but it can certainly help you live a happier, healthier life free from pain.
"Chiropractic care has been instrumental in my life, both on and off the field, and I am excited to share this with the American public," says Rice. "I have been blessed with a long and healthy career as a professional athlete, and as I move forward into the next stage of my life, chiropractic care will continue to be an important part of my game plan."
Rice credits chiropractic care in terms of his achievements on the gridiron, the dance floor and life in general. "Optimal health has been a key to the success of my athletic career, my dancing experience and my ability to enjoy my life to the fullest. Chiropractic care is an important part of my game plan for healthy living."
Jerry Rice is such a big supporter of chiropractic care that he recently became the official spokesperson for the Foundation for Chiropractic Progress (FCP), a nonprofit organization dedicated to promoting the value of chiropractic care to the public. The foundation is using Rice's image and message about the value of chiropractic care in various ways, including a full-page advertisement you may have seen recently in print. The ad already has appeared in the Dec. 15, 2008 issue of ESPN The Magazine, the January 2009 issue of Sports Illustrated, the Jan. 16/17 issue of USA Today, the February 2009 issue of Men's Fitness and the January/February 2009 issue of Women's Health.
Not one to rest on his laurels after retirement, Rice signed on with the hit TV show "Dancing With the Stars" for the 2005-2006 season. Paired with dancer Anna Trebunskaya, Rice finished second in the grueling competition, losing to Drew Lachey (who, along with brother Nick, sang in the pop group 98 Degrees) and dance partner Cheryl Burke. If you think the show was all smoke and mirrors, consider that participants, many of whom had little or no dance experience, formal or otherwise, had approximately six days to learn a new dance routine before each week's competition. According to reports, that sometimes meant practicing for up to five hours a day.
As much attention as Jerry Rice has received for his dazzling catches and amazing abilities, on and off the field, he has an important message to share about how to maximize health and wellness, regardless of whether you're an elite athlete, a weekend warrior or anywhere in between. Rice believes chiropractic has helped him tremendously over the years and wants others to experience the same results. Obviously, going to the chiropractor may not make you the world's best receiver (or dancer), but it can certainly help you live a happier, healthier life free from pain.
"Chiropractic care has been instrumental in my life, both on and off the field, and I am excited to share this with the American public," says Rice. "I have been blessed with a long and healthy career as a professional athlete, and as I move forward into the next stage of my life, chiropractic care will continue to be an important part of my game plan."
Rice credits chiropractic care in terms of his achievements on the gridiron, the dance floor and life in general. "Optimal health has been a key to the success of my athletic career, my dancing experience and my ability to enjoy my life to the fullest. Chiropractic care is an important part of my game plan for healthy living."
Jerry Rice is such a big supporter of chiropractic care that he recently became the official spokesperson for the Foundation for Chiropractic Progress (FCP), a nonprofit organization dedicated to promoting the value of chiropractic care to the public. The foundation is using Rice's image and message about the value of chiropractic care in various ways, including a full-page advertisement you may have seen recently in print. The ad already has appeared in the Dec. 15, 2008 issue of ESPN The Magazine, the January 2009 issue of Sports Illustrated, the Jan. 16/17 issue of USA Today, the February 2009 issue of Men's Fitness and the January/February 2009 issue of Women's Health.
Winter Skin
The skin is the body's first barrier of defense against millions of bacteria, viruses, mold and fungi. Think of your skin as the walls of a fortress that protect the interior from invading armies. In short, our skin is vital to our overall health. That being the case, why do we treat it so poorly? Especially during these winter months, it's important to take care of your skin so it can help take care of you.
Let's first look at why the skin becomes dryer in the winter months. Low humidity is the main cause. The air around us is more dry, so the moisture is wicked out of our body and we receive virtually no moisture from our environment. Other factors contribute to dry skin, but dry air will exacerbate an existing problem.
When dealing with dry skin, you should have two objectives in mind: first, getting moisture into the cells, and second, keeping it there. One thing you can do is to work with the air around you. Add some moisture to it. When I was a kid, I remember my mom putting containers of water on the vents in the floor. She was adding moisture back into the air. That was our humidifier. Grandma always had a cast-iron tea kettle simmering on her wood stove. Again, a way to put moisture back into the air. And in addition to keeping our skin moist and cutting down on static electricity, moist air retains heat better.
Now let's look at topical applications. These are moisturizers, with hand and body lotions being the most commonly used products. There are three types of basic moisturizers. One puts moisture in, one prevents moisture from escaping and one makes the skin feel smoother. Individual skin varies, so trial and error may be necessary to find the right combination. It's chemistry that makes these work, so I'll give you ingredients to look for. There are many substances in each category, but these most often appear in over-the-counter lotions:
Humectants. This is a classification of moisturizer that penetrates the stratum corneum, the top layer of skin, and helps the skin absorb moisture. Humectants are popular in anti-aging products, since skin dries out more as we age. Common substances in this category include glycerin, hyaluronic acid, panthenol, propylene glycol and sorbital.
Occlusives. This category of moisturizer works by coating the top layer of the skin to decrease evaporation. Common substances with occlusive properties include lanolin, stearic acid, cetyl alcohol, caprylic/capric triglyceride, mineral oil and petrolatum.
Emollients. Emollients soften and smooth skin texture. Common substances that possess emollient properties include cyclomethicone, dimethicone, isopropyl myristate, octyl extenuate, isopropyl palmitate, isopropyl isostearate and jojoba oil.
Exfoliators. A lotion or moisturizer works more effectively when the skin is free from dead surface cells. To achieve the best results in the winter, use a good nonabrasive exfoliate that contains its own moisturizing properties. A salt scrub may help, but can also be drying to winter skin.
But there is still more that can be done. The skin has a layer of lipids that is vital to healthy skin. This natural lipid component can be stripped away with soaps, harsh cleansers and even hot water. At the very least, try using warm rather than hot water for showering. After showering, pat dry and while the skin is moist, but not wet, apply your lotion; especially a moisturizer or lotion with humectant properties. This can actually draw the moisture from the surface into the skin.
In short, skin care problems should be viewed as any other acute or chronic health issue and be addressed accordingly. Talk to your doctor for more information.
Let's first look at why the skin becomes dryer in the winter months. Low humidity is the main cause. The air around us is more dry, so the moisture is wicked out of our body and we receive virtually no moisture from our environment. Other factors contribute to dry skin, but dry air will exacerbate an existing problem.
When dealing with dry skin, you should have two objectives in mind: first, getting moisture into the cells, and second, keeping it there. One thing you can do is to work with the air around you. Add some moisture to it. When I was a kid, I remember my mom putting containers of water on the vents in the floor. She was adding moisture back into the air. That was our humidifier. Grandma always had a cast-iron tea kettle simmering on her wood stove. Again, a way to put moisture back into the air. And in addition to keeping our skin moist and cutting down on static electricity, moist air retains heat better.
Now let's look at topical applications. These are moisturizers, with hand and body lotions being the most commonly used products. There are three types of basic moisturizers. One puts moisture in, one prevents moisture from escaping and one makes the skin feel smoother. Individual skin varies, so trial and error may be necessary to find the right combination. It's chemistry that makes these work, so I'll give you ingredients to look for. There are many substances in each category, but these most often appear in over-the-counter lotions:
Humectants. This is a classification of moisturizer that penetrates the stratum corneum, the top layer of skin, and helps the skin absorb moisture. Humectants are popular in anti-aging products, since skin dries out more as we age. Common substances in this category include glycerin, hyaluronic acid, panthenol, propylene glycol and sorbital.
Occlusives. This category of moisturizer works by coating the top layer of the skin to decrease evaporation. Common substances with occlusive properties include lanolin, stearic acid, cetyl alcohol, caprylic/capric triglyceride, mineral oil and petrolatum.
Emollients. Emollients soften and smooth skin texture. Common substances that possess emollient properties include cyclomethicone, dimethicone, isopropyl myristate, octyl extenuate, isopropyl palmitate, isopropyl isostearate and jojoba oil.
Exfoliators. A lotion or moisturizer works more effectively when the skin is free from dead surface cells. To achieve the best results in the winter, use a good nonabrasive exfoliate that contains its own moisturizing properties. A salt scrub may help, but can also be drying to winter skin.
But there is still more that can be done. The skin has a layer of lipids that is vital to healthy skin. This natural lipid component can be stripped away with soaps, harsh cleansers and even hot water. At the very least, try using warm rather than hot water for showering. After showering, pat dry and while the skin is moist, but not wet, apply your lotion; especially a moisturizer or lotion with humectant properties. This can actually draw the moisture from the surface into the skin.
In short, skin care problems should be viewed as any other acute or chronic health issue and be addressed accordingly. Talk to your doctor for more information.
Good Oils, Bad Oils: Do You Know the Difference?
Ever downed a cheesy slice of pizza, dipped a piece of bread in olive oil or enjoyed a vinaigrette dressing drizzled over a salad? Chances you've eaten at least one (if not all) of the above, which means you know oil makes food taste better. And better yet, we need it! The fat found in oil is broken down by our body for energy and a host of vital processes. But with that said, we have to monitor our oil intake carefully, because consuming too much or the wrong kind can lead to serious health problems. Here are three rules to follow when choosing which kinds and how much oil to include in your diet:
1. Avoid oils that are high in trans fats. Stay away from food or cooking oils that contain trans fats. Avoiding trans fats should be easier now that they must be listed on labels, but beware: "0 trans fats" means there could be up to .5 g in each serving. Since the American Heart Association suggests you get less than 1 percent of your calories from trans fats, for a 2,000-calorie diet that would be about 2 grams (18 calories). So, after four servings of a zero-trans-fat food, you could theoretically hit your limit.
2. Limit saturated fat in all forms. Since our body makes saturated fats, we don't necessarily need to eat them. Most of these fats are found in meat and whole-fat dairy products like milk, cheese, yogurt, and ice cream; however, some oils, like coconut, are particularly high in saturated fat. Saturated fats have been linked to elevated LDL and cardiovascular disease.
3. Stick to the serving size. For cooking oil, one serving is a tablespoon, not a sweeping flourish or a "glug-glug-glug" into the pan. In that tablespoon are 14 grams of fat, or 126 calories. That's as many calories from fat as a large slice of pizza, or to put it another way, 15 minutes of moderate running (more or less, depending on your weight; but you get the picture, right?).
For adults, the Food and Drug Administration recommends between 5 (about 1 ½ tablespoons or 21 g) and 7 teaspoons (just over 2 tablespoons or roughly 28 g) of oil a day depending on age and gender. This includes oil from all sources (food, cooking oil, and condiments). For fat in general, the American Heart Association suggests you should get no more than 25-35 percent of your total calories from all types of fat. For a 2,000 calorie diet, that breaks down to less than 16 g of saturated fat, less than 2 g of trans fat, and between 50 and 70 g of total fat each day. Talk to your doctor for more information.
1. Avoid oils that are high in trans fats. Stay away from food or cooking oils that contain trans fats. Avoiding trans fats should be easier now that they must be listed on labels, but beware: "0 trans fats" means there could be up to .5 g in each serving. Since the American Heart Association suggests you get less than 1 percent of your calories from trans fats, for a 2,000-calorie diet that would be about 2 grams (18 calories). So, after four servings of a zero-trans-fat food, you could theoretically hit your limit.
2. Limit saturated fat in all forms. Since our body makes saturated fats, we don't necessarily need to eat them. Most of these fats are found in meat and whole-fat dairy products like milk, cheese, yogurt, and ice cream; however, some oils, like coconut, are particularly high in saturated fat. Saturated fats have been linked to elevated LDL and cardiovascular disease.
3. Stick to the serving size. For cooking oil, one serving is a tablespoon, not a sweeping flourish or a "glug-glug-glug" into the pan. In that tablespoon are 14 grams of fat, or 126 calories. That's as many calories from fat as a large slice of pizza, or to put it another way, 15 minutes of moderate running (more or less, depending on your weight; but you get the picture, right?).
For adults, the Food and Drug Administration recommends between 5 (about 1 ½ tablespoons or 21 g) and 7 teaspoons (just over 2 tablespoons or roughly 28 g) of oil a day depending on age and gender. This includes oil from all sources (food, cooking oil, and condiments). For fat in general, the American Heart Association suggests you should get no more than 25-35 percent of your total calories from all types of fat. For a 2,000 calorie diet, that breaks down to less than 16 g of saturated fat, less than 2 g of trans fat, and between 50 and 70 g of total fat each day. Talk to your doctor for more information.
Headache Hassles, and How to Deal With Them Naturally
Most people with headaches treat themselves with over-the-counter (OTC) pain medications such as aspirin, ibuprofen (Motrin, Advil), acetaminophen (Tylenol) and naproxen (Aleve). If these fail to provide more than short-term relief (which they often do), other supportive treatments are available. It is important to remember that OTC medications may have side effects and potential interactions with prescription medications. This can lead to a whole host of problems and emphasizes the value of alternatives to drugs. Here are some of the most important (and effective) nonpharmaceutical options for dealing with headaches:
Chiropractic: I have never seen a headache patient who did not have some type of misalignment of the bones of the neck (cervical spine). It is amazing how much muscle spasm and tension can be caused by misaligned bones. When bones are even slightly out of alignment, the muscles attached to them become stressed, so they become tight. Tight muscles restrict the flow of information through the nerves and circulation through the blood vessels. This can contribute to all sorts of problems, including headaches and neck pain.
Having your chiropractor adjust those spinal bones back into their normal alignment will reset your system. The joints will have better movement, the muscles can begin to relax on their own and the circulation and nervous systems can start to flow again. The spine and the bones of the extremities really do hold the key to feeling good for the long term.
Massage Therapy: A good therapeutic massage by a certified massage therapist can relax muscle tissue, improve circulation, and clear out the toxins that are trying to drain (lymphatic system). It is astonishing how much muscle tension accompanies any type of headache in the body. The muscles of the neck and upper back are among the most powerful in the body. After all, they have to hold up the head, which can weigh as much as a bowling ball.
When chiropractic and massage work together, patients will respond especially well to care. Consider having chiropractic and massage treatments within 36 hours of each other. This way, the adjustments and the muscle relaxation can work together.
Acupuncture: Acupuncture and Oriental medicine, including natural herbs, are other powerful methods to help manage headaches. Acupuncture works with the body's natural energy or chi as it flows through all of the organs and parts of the body. When energy becomes trapped or blocked, it can contribute to a whole host of painful conditions or situations in the body, including headaches. An acupuncturist can expertly insert thin needles into specific spots of your body to release the trapped energy, allow it to flow better and contribute further to relaxing muscle, which will improve circulation and nervous system flow.
Ergonomics: Daily habits and body positions are extremely important when it comes to preventing headaches. For example, for many people, headaches start with something as simple as their pillow. In general, sleeping on your back is best with a pillow under your neck and head. If you are going to sleep on your side, the pillow needs to be wide enough to span the distance between your shoulders and neck. Custom-made pillows are now available to help give you the proper support you need. Ask your chiropractor for guidance in this area to help ensure you get the pillow that's best for you.
Your computer desk or workstation and telephone setup also need to be examined. Improper keyboard and monitor placement can cause eye strain and make you crane your neck for hours on end. A chair that is not adjusted properly or fit to your body type can stress the entire body, including the neck. All of these factors can contribute to headaches.
Exercise: Performed correctly, specific exercises can help strengthen upper back and neck muscles and improve posture, which will reduce the risk of muscle tension and poor-posture-related dysfunction that can contribute to headaches. Exercise also reduces emotional stress, which often goes hand in hand with a headache. Remember, make sure that the exercises you are performing do not strain any of your neck and upper back muscles. Consult with your doctor about the exercises you are doing to make sure they are not stressing your body too much and creating further problems.
Chiropractic: I have never seen a headache patient who did not have some type of misalignment of the bones of the neck (cervical spine). It is amazing how much muscle spasm and tension can be caused by misaligned bones. When bones are even slightly out of alignment, the muscles attached to them become stressed, so they become tight. Tight muscles restrict the flow of information through the nerves and circulation through the blood vessels. This can contribute to all sorts of problems, including headaches and neck pain.
Having your chiropractor adjust those spinal bones back into their normal alignment will reset your system. The joints will have better movement, the muscles can begin to relax on their own and the circulation and nervous systems can start to flow again. The spine and the bones of the extremities really do hold the key to feeling good for the long term.
Massage Therapy: A good therapeutic massage by a certified massage therapist can relax muscle tissue, improve circulation, and clear out the toxins that are trying to drain (lymphatic system). It is astonishing how much muscle tension accompanies any type of headache in the body. The muscles of the neck and upper back are among the most powerful in the body. After all, they have to hold up the head, which can weigh as much as a bowling ball.
When chiropractic and massage work together, patients will respond especially well to care. Consider having chiropractic and massage treatments within 36 hours of each other. This way, the adjustments and the muscle relaxation can work together.
Acupuncture: Acupuncture and Oriental medicine, including natural herbs, are other powerful methods to help manage headaches. Acupuncture works with the body's natural energy or chi as it flows through all of the organs and parts of the body. When energy becomes trapped or blocked, it can contribute to a whole host of painful conditions or situations in the body, including headaches. An acupuncturist can expertly insert thin needles into specific spots of your body to release the trapped energy, allow it to flow better and contribute further to relaxing muscle, which will improve circulation and nervous system flow.
Ergonomics: Daily habits and body positions are extremely important when it comes to preventing headaches. For example, for many people, headaches start with something as simple as their pillow. In general, sleeping on your back is best with a pillow under your neck and head. If you are going to sleep on your side, the pillow needs to be wide enough to span the distance between your shoulders and neck. Custom-made pillows are now available to help give you the proper support you need. Ask your chiropractor for guidance in this area to help ensure you get the pillow that's best for you.
Your computer desk or workstation and telephone setup also need to be examined. Improper keyboard and monitor placement can cause eye strain and make you crane your neck for hours on end. A chair that is not adjusted properly or fit to your body type can stress the entire body, including the neck. All of these factors can contribute to headaches.
Exercise: Performed correctly, specific exercises can help strengthen upper back and neck muscles and improve posture, which will reduce the risk of muscle tension and poor-posture-related dysfunction that can contribute to headaches. Exercise also reduces emotional stress, which often goes hand in hand with a headache. Remember, make sure that the exercises you are performing do not strain any of your neck and upper back muscles. Consult with your doctor about the exercises you are doing to make sure they are not stressing your body too much and creating further problems.
Functional Integrity of the Pelvis & Hips: Gluteal Activation Enhances Athleticism and Injury Prevention
For most athletes, success is largely dependent on optimal functioning of the gluteal muscles (gluteus maximus, medius and minimus), and functional integrity of the hips and pelvis. Unfortunately, functional training and evaluation is not well-understood by many practitioners and athletes. Appropriate gluteal activation and pelvic-hip control is not only important to the rising number of cross-fitness devotees for generating maximal athletic power; it is also important to virtually every chiropractic patient. In addition to generating athletic power, proper hip function is valuable in the prevention of injuries to the knees, hips, pelvis and lower back. The cross-fitness activities of squatting, cleans, kettlebell swings, tire flipping, medicine ball tossing, and sprinting are all multi-joint movements that require hip involvement. Let's discuss methods to maximize proper hip motion and form during these activities.
Many in modern society have what Stuart McGill, PhD, calls "gluteal amnesia."1 Dr. McGill has identified that when athletes [or any of us] lose the ability to engage our hips during athletic activities or exercises (such as cross-fitness programs), this adversely affects performance and increases the likelihood of injury. What Dr. McGill calls "gluteal amnesia," we might identify as loss of functional hip integrity: essentially the loss of the normal volitional ability to move one's hips through their range of motion with appropriate muscle activation.
In addition to muscular inhibitions, other factors that may contribute to motion dysfunctions are soft-tissue contractures or restrictions and articular fixations. While chiropractic adjustments may directly affect these restrictive lesions, knowledge of gluteal activation is also required to teach patients how to properly activate these muscles.
Function of the Gluteus Maximus
The gluteus maximus (GM) is the largest muscle of the body, and it is the major driver in lifting, throwing, swinging, pushing and running (particularly when sprinting and running hills). The GM originates at the crest of the pelvis, the dorsal sacral ligament, along with some fibers that originate from the thoracodorsal fascia. The [distal] insertions attach to the femur and to the iliotibial band. The GM helps stabilize the sacroiliac (SI) joints by causing force closure, essentially forming a self-bracing, protective compressive force to maintain the alignment and reduce shear forces on the SI joint. The GM attachment to the sacral ligaments may aid in pelvic stability due to active ligament tightening by gluteal contraction.2
The late professor Vladimir Janda associated decreased GM control in his theory of lower cross syndrome.3-4 This muscle imbalance is associated with the pelvic posture variation called anterior pelvic tilt. Observing anterior pelvic tilt during a postural examination of a patient should provoke you to further screen for gluteal dysfunction.
The gluteal muscles are the primary extensors of the hip, but hip extension is only part of their role in true athletic function. The muscle fibers of the GM are oriented diagonally, sloping laterally and caudally from their origin. With this orientation, the GM muscles contribute to external rotation and abduction of the thigh. Both hip extension and thigh external rotation are the "concentric" motions of the GM muscle.
It is important to remember that muscles have two contractile functions: concentric contractions (muscle shortening) and eccentric contractions (muscle lengthening). Eccentric muscle contraction is actually more powerful and more efficient than concentric contractions. The eccentric function of the GM muscle will limit and control hip flexion and thigh internal rotation.
Because of its fiber orientation, the GM serves as a primary muscular shock absorber for the hip and knee joint. Just as the hydraulic shock compresses and dampens the load in a car, the GM dissipates the forces in the athletic movements of jumping, landing, and lateral agility motions by eccentrically absorbing forces and limiting movements endangering joints of the lower extremities.5 The link between GM dysfunction and uncontrolled valgus and internal rotation motions of the knee has particular clinical significance and will be discussed in greater detail in an upcoming article.
Tremendous loads can be transmitted through the acetabulofemoral joint if the force is not dampened by the adjacent muscles. This shock absorption function is important to understand in a culture in which so many degenerative hip disorders occur. As many desk-bound workers with inadequate GM control participate in cross-fitness programs, they are unknowingly placing themselves at greater risk for osteoarthritis in their hips.
Figure 1: Squat Functional Screen: Passing. Normal lumbar lordosis, posterior travel of hips, varus knee position, and limited anterior travel of knees. Initiating Movement at the Hip and GM Activation
Elite power-lifters are able to squat more than 1,000 lbs injury-free through very purposeful activation of the GM and maximizing hip motion with the hip hinge.6 The term hip hinge refers to truncal motion in which the lumbar spine is fixed in a neutral lordosis and all motion occurs at the acetabular joint, not the spine.
An ideal squat begins by securing the toes and heels firmly on the floor. The lumbar spine should be fixed or "locked" into a neutral lordosis throughout the squatting motion. While descending, the buttocks should travel back and down; using a stool, gym ball, or chair as a target may be beneficial in learning this motion pattern. A wide stance is preferred, and the participant should be mindful not to allow the knees to travel forward.
Purposely engage the GM throughout the squatting motion both during decent and ascent; the use of an elastic exercise band around the thighs will help the patient to consciously engage the GM. The ascent phase of a squat reverses the motion groove of the descent phase. It should also be noted that the patient needs to stiffen the core during hip hinges and squatting
The Squat as a Functional Screen for Gluteal Activation
Inspecting a patient's ability to squat is a practical method for clinical screening of the lumbo-pelvic-femur chain. While the patient performs repetitive squatting motions, analyze the three main components of gluteal involvement: hip extension, flexion and external rotation.
Figure 2: Squat Functional Screen - Failures. Anterior knee travel, valgus knee position, and loss of lumbar lordosis.
A key point in assessment is the initiation of hip movement before knee flexion or ankle dorsiflexion. The knee should remain in a varus position throughout the squatting motion. The lumbar lordosis should remain unchanged during the entire squat. (Figure 1) Early anterior knee translation (Figure 2a), a valgus knee angle (Figure 2b), and a flexed lumbar spine (Figure 2c) are failures for the squat functional screen.
Figure 3: Squat Functional Screen - Palpation. The clinician provides challenge by applying medially directed pressure on the knees while the patient performs a squat. The examiner should palpate the GM for activation throughout the movement of both ascending and descending phases of the squat. In addition to palpating the GM, activation of the gluteus maximus can be tested by applying medial pressure to the knees. If the GM is engaged the examiner will note springy, firm resistance. With proper GM function, it should be difficult for the examiner to push the squatter's knee into a valgus position. (Figure 3) With practice and patience, you will be able to identify motion defects and provide precise recommendations for improving motion patterns.
Athletes performing cross-fitness feats of strength, agility, and endurance with functional impairments can expect to have reduced levels of performance and increased occurrences of injury and infirmity. Gluteal activation and properly functioning hip mechanics are fundamental components of proper motion and maximized athletic performance. Cross-fitness devotees with impaired gluteal/hip function can expect diminished performances and increased risk of injury. An astute clinician should be able to observe a cross-fitness athlete's squat and discern gluteal function and activity, correcting those at risk before injury occurs.
References
McGill S. Low Lack Disorders: Evidence-Based Prevention and Rehabilitation, 2nd Edition. Champaign: Human Kinetics, 2007:110-112.
Wilson J, et al. A structured review of the role of gluteus maximus in rehabilitation. New Zealand Journal of Physiotherapy, 2005;33(3):95-100.
Bullock-Saxton JE, Janda V, Bullock MI. Reflex activation of gluteal muscles in walking. Spine, 1993;18(6):704-8.
Morris CE, Chaitow L, Janda V. Functional Examination for Low Back Syndromes. In: Morris C. Low Back Syndromes: Integrated Clinical Management. McGraw-Hill, 2006:347.
Boling MC, Padua DA, Creighton RA. Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain. Journal of Athletic Training, 2009;44(1):7-13.
Liebenson C. The hip hinge. Journal of Bodywork and Movement Therapies, 2003;7:151-152.
Many in modern society have what Stuart McGill, PhD, calls "gluteal amnesia."1 Dr. McGill has identified that when athletes [or any of us] lose the ability to engage our hips during athletic activities or exercises (such as cross-fitness programs), this adversely affects performance and increases the likelihood of injury. What Dr. McGill calls "gluteal amnesia," we might identify as loss of functional hip integrity: essentially the loss of the normal volitional ability to move one's hips through their range of motion with appropriate muscle activation.
In addition to muscular inhibitions, other factors that may contribute to motion dysfunctions are soft-tissue contractures or restrictions and articular fixations. While chiropractic adjustments may directly affect these restrictive lesions, knowledge of gluteal activation is also required to teach patients how to properly activate these muscles.
Function of the Gluteus Maximus
The gluteus maximus (GM) is the largest muscle of the body, and it is the major driver in lifting, throwing, swinging, pushing and running (particularly when sprinting and running hills). The GM originates at the crest of the pelvis, the dorsal sacral ligament, along with some fibers that originate from the thoracodorsal fascia. The [distal] insertions attach to the femur and to the iliotibial band. The GM helps stabilize the sacroiliac (SI) joints by causing force closure, essentially forming a self-bracing, protective compressive force to maintain the alignment and reduce shear forces on the SI joint. The GM attachment to the sacral ligaments may aid in pelvic stability due to active ligament tightening by gluteal contraction.2
The late professor Vladimir Janda associated decreased GM control in his theory of lower cross syndrome.3-4 This muscle imbalance is associated with the pelvic posture variation called anterior pelvic tilt. Observing anterior pelvic tilt during a postural examination of a patient should provoke you to further screen for gluteal dysfunction.
The gluteal muscles are the primary extensors of the hip, but hip extension is only part of their role in true athletic function. The muscle fibers of the GM are oriented diagonally, sloping laterally and caudally from their origin. With this orientation, the GM muscles contribute to external rotation and abduction of the thigh. Both hip extension and thigh external rotation are the "concentric" motions of the GM muscle.
It is important to remember that muscles have two contractile functions: concentric contractions (muscle shortening) and eccentric contractions (muscle lengthening). Eccentric muscle contraction is actually more powerful and more efficient than concentric contractions. The eccentric function of the GM muscle will limit and control hip flexion and thigh internal rotation.
Because of its fiber orientation, the GM serves as a primary muscular shock absorber for the hip and knee joint. Just as the hydraulic shock compresses and dampens the load in a car, the GM dissipates the forces in the athletic movements of jumping, landing, and lateral agility motions by eccentrically absorbing forces and limiting movements endangering joints of the lower extremities.5 The link between GM dysfunction and uncontrolled valgus and internal rotation motions of the knee has particular clinical significance and will be discussed in greater detail in an upcoming article.
Tremendous loads can be transmitted through the acetabulofemoral joint if the force is not dampened by the adjacent muscles. This shock absorption function is important to understand in a culture in which so many degenerative hip disorders occur. As many desk-bound workers with inadequate GM control participate in cross-fitness programs, they are unknowingly placing themselves at greater risk for osteoarthritis in their hips.
Figure 1: Squat Functional Screen: Passing. Normal lumbar lordosis, posterior travel of hips, varus knee position, and limited anterior travel of knees. Initiating Movement at the Hip and GM Activation
Elite power-lifters are able to squat more than 1,000 lbs injury-free through very purposeful activation of the GM and maximizing hip motion with the hip hinge.6 The term hip hinge refers to truncal motion in which the lumbar spine is fixed in a neutral lordosis and all motion occurs at the acetabular joint, not the spine.
An ideal squat begins by securing the toes and heels firmly on the floor. The lumbar spine should be fixed or "locked" into a neutral lordosis throughout the squatting motion. While descending, the buttocks should travel back and down; using a stool, gym ball, or chair as a target may be beneficial in learning this motion pattern. A wide stance is preferred, and the participant should be mindful not to allow the knees to travel forward.
Purposely engage the GM throughout the squatting motion both during decent and ascent; the use of an elastic exercise band around the thighs will help the patient to consciously engage the GM. The ascent phase of a squat reverses the motion groove of the descent phase. It should also be noted that the patient needs to stiffen the core during hip hinges and squatting
The Squat as a Functional Screen for Gluteal Activation
Inspecting a patient's ability to squat is a practical method for clinical screening of the lumbo-pelvic-femur chain. While the patient performs repetitive squatting motions, analyze the three main components of gluteal involvement: hip extension, flexion and external rotation.
Figure 2: Squat Functional Screen - Failures. Anterior knee travel, valgus knee position, and loss of lumbar lordosis.
A key point in assessment is the initiation of hip movement before knee flexion or ankle dorsiflexion. The knee should remain in a varus position throughout the squatting motion. The lumbar lordosis should remain unchanged during the entire squat. (Figure 1) Early anterior knee translation (Figure 2a), a valgus knee angle (Figure 2b), and a flexed lumbar spine (Figure 2c) are failures for the squat functional screen.
Figure 3: Squat Functional Screen - Palpation. The clinician provides challenge by applying medially directed pressure on the knees while the patient performs a squat. The examiner should palpate the GM for activation throughout the movement of both ascending and descending phases of the squat. In addition to palpating the GM, activation of the gluteus maximus can be tested by applying medial pressure to the knees. If the GM is engaged the examiner will note springy, firm resistance. With proper GM function, it should be difficult for the examiner to push the squatter's knee into a valgus position. (Figure 3) With practice and patience, you will be able to identify motion defects and provide precise recommendations for improving motion patterns.
Athletes performing cross-fitness feats of strength, agility, and endurance with functional impairments can expect to have reduced levels of performance and increased occurrences of injury and infirmity. Gluteal activation and properly functioning hip mechanics are fundamental components of proper motion and maximized athletic performance. Cross-fitness devotees with impaired gluteal/hip function can expect diminished performances and increased risk of injury. An astute clinician should be able to observe a cross-fitness athlete's squat and discern gluteal function and activity, correcting those at risk before injury occurs.
References
McGill S. Low Lack Disorders: Evidence-Based Prevention and Rehabilitation, 2nd Edition. Champaign: Human Kinetics, 2007:110-112.
Wilson J, et al. A structured review of the role of gluteus maximus in rehabilitation. New Zealand Journal of Physiotherapy, 2005;33(3):95-100.
Bullock-Saxton JE, Janda V, Bullock MI. Reflex activation of gluteal muscles in walking. Spine, 1993;18(6):704-8.
Morris CE, Chaitow L, Janda V. Functional Examination for Low Back Syndromes. In: Morris C. Low Back Syndromes: Integrated Clinical Management. McGraw-Hill, 2006:347.
Boling MC, Padua DA, Creighton RA. Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain. Journal of Athletic Training, 2009;44(1):7-13.
Liebenson C. The hip hinge. Journal of Bodywork and Movement Therapies, 2003;7:151-152.
Chiropractic at the Winter Olympics
The 2010 U.S. Olympic Medical Team, 47 members strong, features five doctors of chiropractic. The U.S. Olympic Medical Team serving in Canada consists of medical doctors, chiropractors, physical therapists, massage therapists and athletic trainers. While these five DCs are not the first to be selected to a U.S. medical team, it is always an honor to recognize the profession when it is included in the most prestigious international athletic competition in the world.
Thursday, February 18, 2010
Group urges recall of drug for fibromyalgia
A consumer advocacy group is asking government regulators to recall a drug they approved last year for a little-understood pain ailment, saying the pill can lead to dangerously high blood pressure.
A letter Wednesday from Public Citizen calls on the Food and Drug Administration to pull Savella off the market, almost exactly a year after it was cleared to treat fibromylagia.
The drug is co-marketed by Forest Laboratories Inc. and Cypress Bioscience Inc.
Fibromyalgia is characterized by a wide range of pain-related symptoms, including muscle soreness, headache, fatigue and depression. Last summer European regulators rejected the drug due to lack of effectiveness data and side effects. Public Citizen argues the FDA should have reached the same conclusion.
"FDA should never have approved Savella for fibromyalgia, and should now immediately undo its error by removing it from the market," states the petition from Dr. Sidney Wolfe, director of Public Citizen's Health Research Group.
Company studies of the drug showed 20 percent of patients taking Savella had hypertension, or high blood pressure, compared with 7 percent of those taking a dummy pill. Savella, known generically as milnacipran, is part of an antidepressant class of drugs that have been associated with increased blood pressure.
Public Citizen also points out that the original study of Savella failed to meet the companies' own study goals for effectiveness. Company scientists reanalyzed the study, with a larger population and a shorter timespan and recorded relatively meager benefit: 9 percent of patients on Savella significantly reduced their pain, compared with 7 percent of those taking placebo.
Public Citizen cites complaints from FDA's own statistical reviewer, who wrote: "there is no evidence ... that milnacipran is associated with improvements in pain or improvements in function at three months of therapy."
Since the FDA approved Savella last January, doctors have written more than 250,000 prescriptions for the drug, according to data from IMS Health.
A Forest Laboratories spokesman handling Savella did not immediately return calls for comment Wednesday morning.
FDA has cleared two other treatments for fibromyalgia: Eli Lilly's antidepressant Cymbalta and Pfizer's anti-seizure treatment Lyrica. Both drugs were cleared based on their ability to decrease fibromylagia pain, though it's not clear how.
The cause of fibromyalgia is not known, though some researchers point to abnormalities in how patients with the disorder process pain nerve signals.
A letter Wednesday from Public Citizen calls on the Food and Drug Administration to pull Savella off the market, almost exactly a year after it was cleared to treat fibromylagia.
The drug is co-marketed by Forest Laboratories Inc. and Cypress Bioscience Inc.
Fibromyalgia is characterized by a wide range of pain-related symptoms, including muscle soreness, headache, fatigue and depression. Last summer European regulators rejected the drug due to lack of effectiveness data and side effects. Public Citizen argues the FDA should have reached the same conclusion.
"FDA should never have approved Savella for fibromyalgia, and should now immediately undo its error by removing it from the market," states the petition from Dr. Sidney Wolfe, director of Public Citizen's Health Research Group.
Company studies of the drug showed 20 percent of patients taking Savella had hypertension, or high blood pressure, compared with 7 percent of those taking a dummy pill. Savella, known generically as milnacipran, is part of an antidepressant class of drugs that have been associated with increased blood pressure.
Public Citizen also points out that the original study of Savella failed to meet the companies' own study goals for effectiveness. Company scientists reanalyzed the study, with a larger population and a shorter timespan and recorded relatively meager benefit: 9 percent of patients on Savella significantly reduced their pain, compared with 7 percent of those taking placebo.
Public Citizen cites complaints from FDA's own statistical reviewer, who wrote: "there is no evidence ... that milnacipran is associated with improvements in pain or improvements in function at three months of therapy."
Since the FDA approved Savella last January, doctors have written more than 250,000 prescriptions for the drug, according to data from IMS Health.
A Forest Laboratories spokesman handling Savella did not immediately return calls for comment Wednesday morning.
FDA has cleared two other treatments for fibromyalgia: Eli Lilly's antidepressant Cymbalta and Pfizer's anti-seizure treatment Lyrica. Both drugs were cleared based on their ability to decrease fibromylagia pain, though it's not clear how.
The cause of fibromyalgia is not known, though some researchers point to abnormalities in how patients with the disorder process pain nerve signals.
Don’t Let Arthritis Put the Kibosh on All Exercise (It Hurts More When You Stop)
Achy knees and joints caused by arthritis are not reasons to stop exercising.
Regular, modest exercise improves joint stability and strengthens muscles, according to the December issue of Mayo Clinic Women’s HealthSource. Exercise also improves mood, sleep, energy levels and day-to-day functioning. Best of all, people with arthritis who exercise regularly report less pain.
When a person avoids exercise, joints become less mobile and the surrounding muscles shrink, causing increased fatigue and pain.
A physical therapist or personal trainer can tailor exercise programs to health conditions and fitness levels. The key is to choose safe, appropriate activities and to take it slowly at first. A variety of activities can be safe and helpful for people with arthritis, including:
-- Range-of-motion and flexibility exercises: Activities such as yoga and tai chi increase joint mobility. Doing range-of-motion exercises in the evening can reduce joint stiffness the next morning.
-- Low-impact aerobics: Aerobic exercise improves overall fitness and endurance as well as muscle function and joint stability. Low-impact options include water aerobics, swimming, bicycling, walking or using equipment such as treadmills and elliptical trainers.
-- Strengthening: Strength training builds the muscles around the joints to provide better support. These exercises may be done with one’s own body weight for resistance, with hand-held weights, resistance bands or weight machines.
-- Lifestyle: Many everyday activities -- gardening and housework -- provide the health benefits of moderate physical activities.
For those with joint damage, some high-impact activities can make arthritis pain worse. It’s wise to consult with a physician before starting a new exercise regimen. Exercising should be stopped when it increases pain or swelling; causes joint popping, locking or giving way; leads to abdominal, groin or chest pain; or results in moderate-to-intense shortness of breath.
Regular, modest exercise improves joint stability and strengthens muscles, according to the December issue of Mayo Clinic Women’s HealthSource. Exercise also improves mood, sleep, energy levels and day-to-day functioning. Best of all, people with arthritis who exercise regularly report less pain.
When a person avoids exercise, joints become less mobile and the surrounding muscles shrink, causing increased fatigue and pain.
A physical therapist or personal trainer can tailor exercise programs to health conditions and fitness levels. The key is to choose safe, appropriate activities and to take it slowly at first. A variety of activities can be safe and helpful for people with arthritis, including:
-- Range-of-motion and flexibility exercises: Activities such as yoga and tai chi increase joint mobility. Doing range-of-motion exercises in the evening can reduce joint stiffness the next morning.
-- Low-impact aerobics: Aerobic exercise improves overall fitness and endurance as well as muscle function and joint stability. Low-impact options include water aerobics, swimming, bicycling, walking or using equipment such as treadmills and elliptical trainers.
-- Strengthening: Strength training builds the muscles around the joints to provide better support. These exercises may be done with one’s own body weight for resistance, with hand-held weights, resistance bands or weight machines.
-- Lifestyle: Many everyday activities -- gardening and housework -- provide the health benefits of moderate physical activities.
For those with joint damage, some high-impact activities can make arthritis pain worse. It’s wise to consult with a physician before starting a new exercise regimen. Exercising should be stopped when it increases pain or swelling; causes joint popping, locking or giving way; leads to abdominal, groin or chest pain; or results in moderate-to-intense shortness of breath.
Latissimus dorsi transfer for treatment of irreparable rotator cuff tears
Latissimus dorsi transfer for the treatment of irreparable massive rotator cuff tears leads to a substantial clinical improvement. An intact subscapularis tendon is mandatory.
Wednesday, February 17, 2010
Efficacy of a progressive walking program and glucosamine sulphate supplementation on osteoarthritic symptoms of the hip and knee
In people with hip or knee OA, walking a minimum of 3000 steps (~30 minutes), at least 3 days/week, in combination with glucosamine sulphate, may reduce OA symptoms. A more robust study with a larger sample is needed to support these preliminary findings.
Preventing Golf Injuries
Let's analyze the golf swing for a minute. There are actually three phases to the golf swing, each of which can cause injury if executed incorrectly. Additionally, there are specific exercises you can perform to help reduce your risk of hurting yourself during that particular swing phase.
Phase 1: Take-Away. The take-away consists of the set-up movement to the top of the back swing. During this phase, the most common potential injuries involve the thumb and wrist, particularly on the lead hand. Here is an effective workout for the muscles of the wrist, hand and forearm. To begin, stand with your feet shoulder-width apart holding a 5-pound dumbbell in your right hand. Keeping your arm to your side and using only your wrist, raise the dumbbell as high as you can and lower it as far as you can. Do two sets of 25 reps. Next, do another two sets of 25 reps, but while moving your wrist from side to side as far as you can. Repeat this entire workout with the dumbbell in your left hand.
An advanced workout for your wrists would be to take a barbell/dumbbells with a weight you can handle, anywhere from 10-45 pounds, and do three exercises back to back to back without rest. Start with your feet shoulder width apart and grab the weight with your hands facing down, shoulder-width apart, held which each thumb. Reverse-curl the weight up toward your body, flexing the forearm as you finish the movement at the top. Do 10 reps.
Phase 2: Impact. The next phase of the swing is the impact, which consists of the downswing and impact with the ball. The most common injuries during this phase are attributable to stress on the back knee and compression forces acting on both wrists. Additionally, the lead elbow and hand/wrist are often hurt during impact.
In terms of exercises that can help prevent these injuries, leg extensions/leg curls and abduction/adduction exercises (almost all fitness clubs have equipment for these types of exercises), along with regular stretching and massage, are extremely effective for the legs. Triceps pushdowns using a reverse grip with the hands facing up is an excellent exercise for the triceps and will help to prevent injury to the elbows. High-intensity training (one set to muscle exhaustion for each exercise, using slow, deliberate movements) works well and is a safe method of training for all the exercises above. For the legs, do 15-20 reps; for the triceps/elbows, do 8-12 reps.
Phase 3: Follow-Through. Finally, there is the follow-through after impact. During this phase there is abdominal torque and risk of spinal injury. I recommend training the oblique muscles (essentially the sides of the abdomen) using a trunk rotation machine, twisting slowly in a circular fashion for 20-25 reps, and a lower back extension machine for 15-20 reps. Do not use heavy weights for these exercises and make sure to do them slowly and eliminate momentum. These exercises will help strengthen the core muscles and help prevent back injuries.
Phase 1: Take-Away. The take-away consists of the set-up movement to the top of the back swing. During this phase, the most common potential injuries involve the thumb and wrist, particularly on the lead hand. Here is an effective workout for the muscles of the wrist, hand and forearm. To begin, stand with your feet shoulder-width apart holding a 5-pound dumbbell in your right hand. Keeping your arm to your side and using only your wrist, raise the dumbbell as high as you can and lower it as far as you can. Do two sets of 25 reps. Next, do another two sets of 25 reps, but while moving your wrist from side to side as far as you can. Repeat this entire workout with the dumbbell in your left hand.
An advanced workout for your wrists would be to take a barbell/dumbbells with a weight you can handle, anywhere from 10-45 pounds, and do three exercises back to back to back without rest. Start with your feet shoulder width apart and grab the weight with your hands facing down, shoulder-width apart, held which each thumb. Reverse-curl the weight up toward your body, flexing the forearm as you finish the movement at the top. Do 10 reps.
Phase 2: Impact. The next phase of the swing is the impact, which consists of the downswing and impact with the ball. The most common injuries during this phase are attributable to stress on the back knee and compression forces acting on both wrists. Additionally, the lead elbow and hand/wrist are often hurt during impact.
In terms of exercises that can help prevent these injuries, leg extensions/leg curls and abduction/adduction exercises (almost all fitness clubs have equipment for these types of exercises), along with regular stretching and massage, are extremely effective for the legs. Triceps pushdowns using a reverse grip with the hands facing up is an excellent exercise for the triceps and will help to prevent injury to the elbows. High-intensity training (one set to muscle exhaustion for each exercise, using slow, deliberate movements) works well and is a safe method of training for all the exercises above. For the legs, do 15-20 reps; for the triceps/elbows, do 8-12 reps.
Phase 3: Follow-Through. Finally, there is the follow-through after impact. During this phase there is abdominal torque and risk of spinal injury. I recommend training the oblique muscles (essentially the sides of the abdomen) using a trunk rotation machine, twisting slowly in a circular fashion for 20-25 reps, and a lower back extension machine for 15-20 reps. Do not use heavy weights for these exercises and make sure to do them slowly and eliminate momentum. These exercises will help strengthen the core muscles and help prevent back injuries.
Debug Yourself Naturally
With the flu season upon us and a new flu strain (H1N1) on everyone's minds, there's no better time to discuss the importance of taking simple steps to protect your health and the health of your family. Take these seven suggestions to heart:
1. Frequent hand-washing with regular soap or, even better, a hand cleanser with manuka honey (a type of honey produced by bees that harvest nectar from the flowers of the manuka bush, native to New Zealand). Make it a ritual habit. This is most important if you are already sick.
2. Do not touch your face or nose if you can help it. This will reduce the likelihood that the virus will enter the body if it has been passed to you via a handshake or other hand-to-hand scenario.
3. Gargle twice a day with warm salt water, or 1 tablespoon of manuka honey and 1 teaspoon apple cider vinegar in 1/4 to 1/2 cup of water; or even antiseptic mouthwash. H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't underestimate this simple, inexpensive and powerful preventative method.
4. Clean your nostrils at least once every day with warm salt water using a spray/ syringe applicator, or Neti pot, or even by "snorting" a palm full of salt water. Blowing the nose hard once a day and /or swabbing just the first 1/4 inch of your internal nostrils with Q-tips dipped in warm salt water are also effective in bringing down viral population.
5. Boost your natural immunity with fresh fruits and vegetables that are rich in vitamin C. You may also supplement with 500 mg vitamin C tablets, preferably in lozenge form.
6. Drink as much warm liquids as you can, especially green tea. Drinking warm liquids has the same effect as gargling, but in the reverse direction. It helps wash off proliferating viruses from the throat into the stomach, where they cannot survive, proliferate or do any harm.
7. Weather permitting, get some fall / winter midday sun and fresh air with a brisk 15-minute walk. Getting out of confined spaces where germs can spread easily is key to preventing transmission of H1N1 and other flu strains.
As a closing thought, consider the following quote from Ronald Goldman, MD, co-founder of the American Academy of Anti-Aging Medicine: "Chronic infection is a vastly underestimated cause of disease and disability. The public needs to be mindful that low-grade infections are estimated to potentially reduce the healthy human lifespan by up to 20 years, robbing them of a lifetime of bountiful energy, productivity, and happiness. Bacteria, fungi, viruses, and parasites may well be the single most important yet undiscovered cause of premature aging and the chronic degenerative disorders of aging that now plague Americans."
Protect yourself from the flu virus and countless other "bugs" out there by taking natural, common-sense steps such as those outlined above.
1. Frequent hand-washing with regular soap or, even better, a hand cleanser with manuka honey (a type of honey produced by bees that harvest nectar from the flowers of the manuka bush, native to New Zealand). Make it a ritual habit. This is most important if you are already sick.
2. Do not touch your face or nose if you can help it. This will reduce the likelihood that the virus will enter the body if it has been passed to you via a handshake or other hand-to-hand scenario.
3. Gargle twice a day with warm salt water, or 1 tablespoon of manuka honey and 1 teaspoon apple cider vinegar in 1/4 to 1/2 cup of water; or even antiseptic mouthwash. H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't underestimate this simple, inexpensive and powerful preventative method.
4. Clean your nostrils at least once every day with warm salt water using a spray/ syringe applicator, or Neti pot, or even by "snorting" a palm full of salt water. Blowing the nose hard once a day and /or swabbing just the first 1/4 inch of your internal nostrils with Q-tips dipped in warm salt water are also effective in bringing down viral population.
5. Boost your natural immunity with fresh fruits and vegetables that are rich in vitamin C. You may also supplement with 500 mg vitamin C tablets, preferably in lozenge form.
6. Drink as much warm liquids as you can, especially green tea. Drinking warm liquids has the same effect as gargling, but in the reverse direction. It helps wash off proliferating viruses from the throat into the stomach, where they cannot survive, proliferate or do any harm.
7. Weather permitting, get some fall / winter midday sun and fresh air with a brisk 15-minute walk. Getting out of confined spaces where germs can spread easily is key to preventing transmission of H1N1 and other flu strains.
As a closing thought, consider the following quote from Ronald Goldman, MD, co-founder of the American Academy of Anti-Aging Medicine: "Chronic infection is a vastly underestimated cause of disease and disability. The public needs to be mindful that low-grade infections are estimated to potentially reduce the healthy human lifespan by up to 20 years, robbing them of a lifetime of bountiful energy, productivity, and happiness. Bacteria, fungi, viruses, and parasites may well be the single most important yet undiscovered cause of premature aging and the chronic degenerative disorders of aging that now plague Americans."
Protect yourself from the flu virus and countless other "bugs" out there by taking natural, common-sense steps such as those outlined above.
Bone Up on Bone Health
The importance of good bone health can best be demonstrated by realizing the consequences of poor bone health. Over time, bone disease can lead to a steady decrease in the ability to perform everyday normal functions such as walking, standing, or dressing. Bone disease can also lead to hip fractures, which - depending on your age and overall health - can be debilitating and even deadly.
What can you do to ensure bone health as you age? Here are a few suggestions:
Exercise Regularly; Especially the Weight-Bearing Variety. In the past few decades, mounting evidence suggests that most people do not participate in enough physical exercise to support strong skeletal growth. A research review published in Sports Health emphasizes that weight-bearing exercises, especially those that include higher levels of strain such as running or jumping, can be effective in enhancing bone health and preventing future diseases and injury.
Eat Right and Take Bone-Building Supplements. Due to the mass consumption of processed, overcooked and nutrient-depleted foods, most people absorb and utilize too little calcium and vitamin D for good bone health - even if they're eating foods that are high in both. However, eating a diet that consists primarily of fresh organic fruits and vegetables will do the trick, since most contain healthy levels of calcium, vitamin D and many other beneficial vitamins and minerals readily absorbed by the body.
That said, for most individuals, dedicating oneself to getting enough calcium and vitamin D through an organic diet can be challenging, so supplementation becomes necessary. Remember that it's important to get adequate amounts of calcium and vitamin D, since the latter improves absorption of the former.
What About Dairy Products? Contrary to popular belief and advertising, dairy products, including cow's milk, while containing high levels of calcium, are in a form that is not compatible with human digestion, assimilation and absorption. Typically, they also are high in saturated fat, can have high levels of pesticides, antibiotics and hormones, and if pasteurized, contain deactivated enzymes caused by high heat. Dairy products contain lactose, which many people have difficulty absorbing due to the lack of the digestive enzyme lactase.
Many bone diseases such as osteoporosis and osteopenia are preventable and treatable. Since there are no obvious warning signs for many bone ailments, it is important to be aware of the risks and be proactive in being responsible for one's own health primarily through diet, supplementation and resistance exercise. Talk to your doctor for more information.
What can you do to ensure bone health as you age? Here are a few suggestions:
Exercise Regularly; Especially the Weight-Bearing Variety. In the past few decades, mounting evidence suggests that most people do not participate in enough physical exercise to support strong skeletal growth. A research review published in Sports Health emphasizes that weight-bearing exercises, especially those that include higher levels of strain such as running or jumping, can be effective in enhancing bone health and preventing future diseases and injury.
Eat Right and Take Bone-Building Supplements. Due to the mass consumption of processed, overcooked and nutrient-depleted foods, most people absorb and utilize too little calcium and vitamin D for good bone health - even if they're eating foods that are high in both. However, eating a diet that consists primarily of fresh organic fruits and vegetables will do the trick, since most contain healthy levels of calcium, vitamin D and many other beneficial vitamins and minerals readily absorbed by the body.
That said, for most individuals, dedicating oneself to getting enough calcium and vitamin D through an organic diet can be challenging, so supplementation becomes necessary. Remember that it's important to get adequate amounts of calcium and vitamin D, since the latter improves absorption of the former.
What About Dairy Products? Contrary to popular belief and advertising, dairy products, including cow's milk, while containing high levels of calcium, are in a form that is not compatible with human digestion, assimilation and absorption. Typically, they also are high in saturated fat, can have high levels of pesticides, antibiotics and hormones, and if pasteurized, contain deactivated enzymes caused by high heat. Dairy products contain lactose, which many people have difficulty absorbing due to the lack of the digestive enzyme lactase.
Many bone diseases such as osteoporosis and osteopenia are preventable and treatable. Since there are no obvious warning signs for many bone ailments, it is important to be aware of the risks and be proactive in being responsible for one's own health primarily through diet, supplementation and resistance exercise. Talk to your doctor for more information.
Friday, February 12, 2010
Muscle Activation and Perceived Loading During Rehabilitation Exercises: Comparison of Dumbbells and Elastic Resistance
Comparably high levels of muscle activation were obtained during resistance exercises with dumbbells and elastic tubing, indicating that therapists can choose either type in clinical practice. The Borg CR10 can be a useful aid in estimating intensity of individual rehabilitation protocols.
Validity of the Nike+Device During Walking and Running
The Nike+ in–shoe device provided reasonable estimates of speed and distance during level running at the three speeds tested in this study. However, it overestimated EE during level walking and it did not detect the increased cost of inclined locomotion.
Thursday, February 11, 2010
Serum Basal Hormone Concentrations, Nutrition and Physical Fitness During Strength and/or Endurance Training in 39-64-Year-Old Women, International Journal of Sports Medicine, 02/11/10
In women combined training led to marked improvements in physical fitness and body composition. Energy and protein intake was sufficient to ensure training–induced adaptations in muscle mass and physical fitness in response to both endurance and strength training, even though the energy balance was slightly negative in the endurance–trained groups.
Post-Eccentric Exercise Blunted hGH Response
Findings suggest that a previous concentric exercise bout may blunt the anabolic response expected after an eccentric exercise bout.
Two-Leg Squat Jumps in Water: An Effective Alternative to Dry Land Jumps
The results indicate that water provides an ideal environment for carrying out jumps, as the variables associated with the exercise intensity are boosted, while those related to the impact force are reduced and this fact could be less harmful.
Tuesday, February 9, 2010
Low Back Pain and Best Practice Care
Although guidelines discourage the use of imaging, over one–quarter of patients were referred for imaging. Guidelines recommend that initial care should focus on advice and simple analgesics, yet only 20.5% and 17.7% of patients received these treatments, respectively. Instead, the analgesics provided were typically nonsteroidal anti–inflammatory drugs (37.4%) and opioids (19.6%). This pattern of care was the same in the periods before and after the release of the local guideline. The usual care provided by GPs for LBP does not match the care endorsed in international evidence–based guidelines and may not provide the best outcomes for patients. This situation has not improved over time. The unendorsed care may contribute to the high costs of managing LBP, and some aspects of the care provided carry a higher risk of adverse effects.
Perhaps its time that the AMA change its guidelines and add Chiropractic care into them.
Perhaps its time that the AMA change its guidelines and add Chiropractic care into them.
Monday, February 8, 2010
Breastfeeding and the prevention of allergy
The most important modifiable risk factors for allergy are maternal smoking behaviour and the type of feeding. A smoke–free environment for the child (to be), exclusive breastfeeding for 4–6 months and the postponement of supplementary feeding (solids) until 4 months of age are the main measures considered effective. There is no place for restricted diets during pregnancy or lactation. Although meta–analyses suggest that hypoallergenic formula after weaning from breastfeeding grants protection against the development of allergic disease, the evidence is limited and weak. Moreover, all current feeding measures aiming at allergy prevention fail to show effects on allergic manifestations later in life, such as asthma. In conclusion, the allergy preventive effect of dietary interventions in infancy is limited. Counselling of future parents on allergy prevention should pay attention to these limitations.
The long-term effects of naprapathic (chiropractic) manual therapy on back and neck pain
Combined manual therapy, like naprapathy - a system or method of treating disease that employs no medications but uses manipulation of muscles, joints, ligaments, etc., to stimulate the natural healing process., is effective in the short and in the long term, and might be considered for patients with non–specific back and/or neck pain. We call it CHIROPRACTIC!
Friday, February 5, 2010
Chief complaint: Intense left shoulder pain
Parsonage–Turner syndrome (PTS), or neuralgia amyotrophy, is a rare condition that affects mainly the lower motor neurons of the brachial plexus or individual nerves or nerve branches. The cause is unknown. The typical presentation is sudden, often excruciating neck and arm pain followed by marked muscle weakness and wasting of the shoulder girdle and upper arm. In this article, the authors describe the case of a 38–year–old white woman who presented with a complaint of acute left shoulder and neck pain.
Osteoarthritis treatment update: Are NSAIDs still in the picture?
Although NSAIDs are the most effective treatment for persons who experience the pain of osteoarthritis (OA), the risk of adverse effects with NSAIDs may outweigh the benefits in many older patients. The GI risk is well known; increased attention has been paid recently to the cardiovascular risk. The goals of OA management are pain reduction and improvement or preservation of mobility. A multidisciplinary approach to treatment is recommended. There often is a poor correlation between symptoms and radiological findings. Evidence suggests that NSAIDs are slightly more efficacious than acetaminophen, but acetaminophen has a more favorable adverse effects profile. Recommendations for NSAIDs include using the lowest effective dose for the shortest possible period.
Nonpharmacological treatment for low back pain
A serious underlying condition rarely is present in patients with low back pain (LBP), but the pain can be intense and severely limit home and work activities. For most patients with LBP, the cause is a nonspecific mechanical process; for those with acute symptoms, the course is self–limited. Initial treatments include activity modification, nonnarcotic analgesic agents, and patient education. For patients whose symptoms are not improving, referral for physical treatments is appropriate. For patients with subacute and chronic LBP, behavioral treatments, exercise programs, spinal manipulation, and multidisciplinary rehabilitation can help. For patients with chronic LBP, a variety of other therapeutic options (eg, acupuncture) also are effective. Primary care physicians may help patients by providing unbiased information and redirecting care for those who are not improving.
The Journal of Musculoskeletal Medicine, 02/05/10
The Journal of Musculoskeletal Medicine, 02/05/10
Evidence-based review of steroid therapy for back pain
There are differences in the effectiveness, level of evidence and grade of recommendation for steroid use, associated or not with local anesthetics, according to the technique performed. Medial branch injection is more effective than facet joint injection. Epidural steroid injection is effective in back pain due to the different routes of access (interlaminar, transforaminal and caudal) when appropriately indicated and administered in well–selected patients. The most effective technique among those reviewed was intradiscal steroid injection. The authors recommend steroid administration as close as possible to the site of the lesion and the use of radiological vision to perform the distinct techniques, including epidural procedures.
Iontophoresis in the approach to patients with chronic pain
Iontophoresis seems to be an appropriate and highly safe technique for the treatment of chronic pain in diseases such as osteoarthritis and carpel tunnel syndrome.
Anaerobic Work Capacity Derived from Isokinetic and Isoinertial Cycling
AWC measures obtained during 30–s all–out tests performed on an isoinertial or an isokinetic bicycle ergometer are not necessarily similar and cannot be used interchangeably.
Thursday, February 4, 2010
Injuries in Youth Soccer
Injury rates in youth soccer, known as football outside the United States, are higher than in many other contact/collision sports and have greater relative numbers in younger, preadolescent players. With regard to musculoskeletal injuries, young females tend to suffer more knee injuries, and young males suffer more ankle injuries. Concussions are fairly prevalent in soccer as a result of contact/collision rather than purposeful attempts at heading the ball. Appropriate rule enforcement and emphasis on safe play can reduce the risk of soccer–related injuries. This report serves as a basis for encouraging safe participation in soccer for children and adolescents.
Comparison of oxidative stress and antioxidant capacity before and after running exercises in both sexes
Changes in lipid hydroperoxide (LPO), superoxide dismutase (SOD), and catalase (CAT) activities at different running distances were not different between men and women over time because of a nonsignificant gender–time interaction. With regard to changes in oxidative stress, men and women had similar responses to exercise at the same absolute workload, despite significant differences in physical characteristics.
Competitive Female Runners With a History of Iliotibial Band Syndrome Demonstrate Atypical Hip and Knee Kinematics
Females with a previous history of ITBS demonstrate a kinematic profile that is suggestive of increased stress on the iliotibial band. These results were generally similar to those reported for a prospective study conducted within the same laboratory environment.
Distinct Hip and Rearfoot Kinematics in Female Runners With a History of Tibial Stress Fracture
Runners with a previous tibial stress fracture exhibited greater peak hip adduction and rearfoot eversion angles during the stance phase of running compared to healthy controls. A consequence of these mechanics may be altered load distribution within the lower extremity, predisposing individuals to stress fracture.
Wednesday, February 3, 2010
The Backpack Dilemma: Function vs. Fashion
Chiropractors, pediatricians and orthopedic surgeons alike agree that backpacks are a problem for a child's spine. While a backpack alone may not cause major problems, overloading and improper carrying of a backpack can lead to headaches, neck, shoulder, and lower back pain.
According to an article published in Spine, "Of the 1,122 backpack users, 74% were classified as having back pain, validated by significantly poorer general health, more limited physical function, and more bodily pain."
How Heavy Is Too Heavy?
While health care professionals do not agree on the exact weight, the consensus is that a child burdened with more than 10 percent of his or her body weight risks back and neck pain; and the majority of health care professionals agree that a child carrying more than 15 percent or more of his or her body weight can suffer from severe back, neck and shoulder pain, headaches and other spinal discomfort; not to mention aggravate pre-existing spinal conditions such as scoliosis.
How heavy is too heavy? Do your parent patients know that their 60-pound child should be limited to carrying no more then 9 pounds; the 80 pound child, 12 pounds; and the 100 pound pre-adolescent, no more than 15 pounds?
How Can Parents Lighten the Load?
It's important to have parents weigh their child's backpack at least once a week. If it exceeds the "15 percent" rule of their child's weight, the parents should be encouraged to work with their child to evaluate his or her backpack and determine how to "lighten the load." A backpack stuffed with that "extra" book, binder, electronic device or water bottle can easily add up to an unnecessary 10 pounds.
Proper Loading and Carrying
Parents need to show their children the importance of loading and carrying their backpacks appropriately. The heaviest items should rest against the back, which means loading them first and attempting to distribute the weight evenly.
While the child may think nothing of carrying his or her backpack slung over one shoulder, the truth is that this fashion statement is damaging to the developing spine. When carrying a pack on one side only, one shoulder is required to carry a burden that both shoulders and the back should be sharing equally. The only proper way to carry a backpack is with both straps over the shoulders and the backpack resting against the lower back.
Function vs. Fashion
Parents need to be educated that the first priority in purchasing a backpack is to select function over fashion. This request may be easier said than done. Our role as the family chiropractor is to inform parents that years of wearing a backpack in the 'fashionable' way can only lead to improper spinal alignment, poor posture, and eventually pain, for their child.
Encourage parents to meet a few criteria when choosing a better functional backpack: first, that the backpack fit properly (not too long or too short); and second, that it have wide, padded, adjustable straps (for proper positioning on the back).
A third option is to look for a backpack with a hip strap or lumbar pillow. The hip strap, when used, can distribute a portion of the weight to the hips, easing the load on the spine and shoulders. The use of a lumbar pillow will provide the necessary back support to the lumbar region, where the greatest portion of weight is being carried. When shopping, parents should consider that the more support features on the backpack they buy, the less spinal stress their child will carry.
Are roller bags the solution? Although one might think that the roller bag would be the answer to the problem - by taking weight off the child's spine and shoulders - it should be noted that an empty roller bag may weigh up to 80 percent more than an empty backpack. Furthermore, these bags run larger, inviting the owner to overload the extra space as much as 50 pounds. Although these bags will be rolled, don't forget that the student (and his or her developing spine) is still at risk when lifting the bag up or down stairs, stairs, or retrieving it from the back seat of the car.
So, as your parent patients are preparing their children to return to school, take a brief moment and educate the entire family about "function first."
According to an article published in Spine, "Of the 1,122 backpack users, 74% were classified as having back pain, validated by significantly poorer general health, more limited physical function, and more bodily pain."
How Heavy Is Too Heavy?
While health care professionals do not agree on the exact weight, the consensus is that a child burdened with more than 10 percent of his or her body weight risks back and neck pain; and the majority of health care professionals agree that a child carrying more than 15 percent or more of his or her body weight can suffer from severe back, neck and shoulder pain, headaches and other spinal discomfort; not to mention aggravate pre-existing spinal conditions such as scoliosis.
How heavy is too heavy? Do your parent patients know that their 60-pound child should be limited to carrying no more then 9 pounds; the 80 pound child, 12 pounds; and the 100 pound pre-adolescent, no more than 15 pounds?
How Can Parents Lighten the Load?
It's important to have parents weigh their child's backpack at least once a week. If it exceeds the "15 percent" rule of their child's weight, the parents should be encouraged to work with their child to evaluate his or her backpack and determine how to "lighten the load." A backpack stuffed with that "extra" book, binder, electronic device or water bottle can easily add up to an unnecessary 10 pounds.
Proper Loading and Carrying
Parents need to show their children the importance of loading and carrying their backpacks appropriately. The heaviest items should rest against the back, which means loading them first and attempting to distribute the weight evenly.
While the child may think nothing of carrying his or her backpack slung over one shoulder, the truth is that this fashion statement is damaging to the developing spine. When carrying a pack on one side only, one shoulder is required to carry a burden that both shoulders and the back should be sharing equally. The only proper way to carry a backpack is with both straps over the shoulders and the backpack resting against the lower back.
Function vs. Fashion
Parents need to be educated that the first priority in purchasing a backpack is to select function over fashion. This request may be easier said than done. Our role as the family chiropractor is to inform parents that years of wearing a backpack in the 'fashionable' way can only lead to improper spinal alignment, poor posture, and eventually pain, for their child.
Encourage parents to meet a few criteria when choosing a better functional backpack: first, that the backpack fit properly (not too long or too short); and second, that it have wide, padded, adjustable straps (for proper positioning on the back).
A third option is to look for a backpack with a hip strap or lumbar pillow. The hip strap, when used, can distribute a portion of the weight to the hips, easing the load on the spine and shoulders. The use of a lumbar pillow will provide the necessary back support to the lumbar region, where the greatest portion of weight is being carried. When shopping, parents should consider that the more support features on the backpack they buy, the less spinal stress their child will carry.
Are roller bags the solution? Although one might think that the roller bag would be the answer to the problem - by taking weight off the child's spine and shoulders - it should be noted that an empty roller bag may weigh up to 80 percent more than an empty backpack. Furthermore, these bags run larger, inviting the owner to overload the extra space as much as 50 pounds. Although these bags will be rolled, don't forget that the student (and his or her developing spine) is still at risk when lifting the bag up or down stairs, stairs, or retrieving it from the back seat of the car.
So, as your parent patients are preparing their children to return to school, take a brief moment and educate the entire family about "function first."
What Are My Choices: Orthotics, Orthopedic Products, Heel Lifts, Pillows, Mattresses, etc.
Amfit Int'l: Amfit, Inc., founded by Tony Tadin, is based in Vancouver, Washington. The company completed development of an automated machine for duplicating the contours of the underside of a foot. Amfit has been producing high-quality custom foot orthotics differently than traditional labs for over 25 years. The company offers a full complement of EVA semi-rigid orthotics and functional rigid orthotics, utilizing advanced carbon graphite compositions. Phone: 800-356-3668; Web: www.amfit.com.
Beech Sandal Co.: We are the inventors of Yoga Sandals. These sandals stretch the toes in an easy, comfortable way that improves balance and body alignment. Yoga sandals have improved many foot ailments, such as osteoarthritis, hammertoe, and balance loss, and have prevented foot surgery. Recommended by yoga instructors and doctors of osteopathy. View the video online to understand the health benefits of these sandals. Call or e-mail for wholesale pricing. Phone: 866-964-2726; E-mail: beachsandals@mailcity.com ; Web: www.yogasandals.com.
Core Products, Intl: Whether it's nagging neck pain, chronic backaches, sore wrists or lingering effects from knee injury, Core can help. Our therapeutic products are soothing to wear and medically effective, providing support and tension where you need it most. And because we offer a variety of products, including pillows and positioning products, braces and supports, and hot and cold therapy, you can find relief for just about every part of your body. Phone: 800-365-3047; E-mail: info@coreproducts.com ; Web: www.coreproducts.com.
C.P.R. Ltd.: Distributor of pillows manufactured by Carpenter Company. Some pillows are physician-designed for comfortable neck support. The Structure line products are made of viscoelastic foam. This unique material responds to body heat and pressure, molding to every curve for personalized comfort. Some products include: Dream Coil pillow, Structure pillow (available in 3 sizes), Sensafoam pillow, mattress pads, and re-introducing the Pro Pillow. Phone: 877-668-7299.
Foot Levelers Inc.: Over 50 years ago, Dr. Monte Greenawalt invented a technology to balance the body by balancing the feet - thereby enhancing his patients' structural integrity. The custom orthotics, Spinal Pelvic Stabilizers®, provided structural support, yet allowed the foot to retain a full range of motion. Through independent research and real-world testimonials, the orthotics have proved themselves again. Foot Levelers is now the leading provider of custom-made orthotics and other health care products. Phone: 800-553-4860; Web: www.footlevelers.com.
GW Heel Lift: G&W Heel Lift has been providing high-quality heel lifts to health care professionals and clients since 1967. We manufacture and distribute our own heel lifts and other high-quality shoe lifts and pads from selected manufacturers, and offer hard-to-find professional health care supplies. Our heel lifts are specially designed for maximum comfort in the shoe, with features like extended length, rounded edges on cork lifts, and firm support to avoid heel rubbing. Phone: 800-235-4387; Web: www.gwheellift.com.
Hockert Sales: Hockert Sales is a family-owned business that has been serving health care professionals for over 17 years. You'll love our excellent customer service and superior quality supplies, including: acupuncture supplies, cold & hot packs, electrotherapy supplies, six nutrition lines, orthopedic supports, pillows & cushions, clinic supplies, topical analgesics, lotions & gel and X-ray supplies. Most orders placed by 2 p.m. ship the same day. Phone: 800-451-5739; Web: www.hockertsales.com.
KLM Orthotic Laboratories: KLM Orthotic Laboratories is an industry leader in the manufacture of foot orthotics and insoles. We specialize in custom orthotics, prefabricated orthotics, orthotic insoles, ankle braces and orthotic materials. Phone: 800-556-3668; E-mail: klm@klmlabs.com ; Web: www.klmlabs.com.
Lhasa OMS: Since 1980, Lhasa OMS has been providing the highest quality chiropractic and acupuncture supplies at the lowest possible prices. We carry an entire line of orthopedic supports, pillows and braces. Visit our new and improved website, www.LhasaOMS.com, where online ordering is available 24 hours a day! Order your supplies from the comfort of your own home! Call or e-mail us for our brand-new 2005 catalog today! Phone: 800-722-8775; E-mail: customerservice@lhasaoms.com ; Web: www.LhasaOMS.com.
LSI International, Inc: LSI is one of the country's largest chiropractic suppliers with a vast line of products. Pillows consist of LSI Brand, Therapeutica, Chiroflow, Core, Sleepmatterzz and more. Orthopedic line consists of numerous brands and types of supports. Heel lifts are from GW Heel lifts. LSI also distributes adjusting tables, Biofreeze, electrotherapy equipment, electrodes, hot and cold products, massage therapy products, and much more. Call for information or to request a free catalog. Phone: 800-832-0053; E-mail: lsi@lsiinternational.com ; Web: www.lsiinternational.com (Password: SHOPLSI).
McRoskey Airflex Mattress: For decades, chiropractors have recommended McRoskey Airflex Mattress as their sleep system of choice because the system provides excellent support, maintaining proper spinal alignment and preventing stress at major joints such as the shoulder and hip areas. A mattress that is too firm is not desirable; people need to be able to choose among different types of comfort and support. Unlike other brands, McRoskey allows customers to select from five different comforts. Phone: 800-760-9600; Web: www.mcroskey.com.
Mediflow: Founded in October 1994, Mediflow Inc. quickly gained a reputation in the health care community for having developed an effective pillow for reducing neck pain and improving quality of sleep. The Mediflow® Fiber pillow and the Mediflow Down pillow, with its water layer at the base, provides outstanding comfort and responsive support for the head and neck. Phone: 800-308-3069; E-mail: info@mediflow.com ; Web: www.mediflow.com.
Mother Earth Pillows: Mother Earth Pillows® offer Hot/Cold Herbal Flax Pillows and over 20 designs of Herbal Flax Pillows. Therapeutic pillows professionally designed for prevention and treatment of pain, tension, arthritis, fibromyalgia and other chronic pain. Our pillows are used and endorsed by health professionals for workplace-travel-home. Enhance your services with a warm Mother Earth Pillow® for each client. Also offering Buckwheat Hull Pillows for support and positioning. Designed by an R.N./NCTMB. Phone: 800-344-2072; Web: www.MotherEarthPillows.com.
Neck Orthotic: As the innovative Posture Right™ is becoming commonly used in the chiropractic profession, Neck Orthotic remains committed to helping patients who suffer from the loss of a normal cervical curve, while increasing the awareness of the problematic long-term effects of forward-head posture. The Posture Right is the curve that works, helping correct the loss of cervical curve and forward head posture. It simply works for you and your patients. Phone: 586-727-7557; E-mail: info@neckorthoic.com ; Web: www.neckorthotic.com.
Posture Education: The TruComfort™ Seat and Back Support System is ergonomically designed to relieve discomfort and promote proper sitting habits. Transforms poorly designed seats into healthy, supportive seating in the car, office, airplane or elsewhere. Back provides guidance to align the head, neck and spine. Seat provides firm foundation for pelvic bones. Adjustable-thickness, teardrop shaped lumbar cushion attaches to back at height that corresponds to user's lumbar curve. Phone: 800-392-0363; Web: www.postureeducation.com.
Posture Pro Inc.: It really is that easy to analyze posture with Posture Pro. For the past decade, Posture Pro has been the most popular method to quickly and accurately measure and track a person's posture. We continue to offer the most advanced posture analysis tool available because we listen to our customers' suggestions. Since we don't charge for updates, your Posture Pro will never be out of date. Web: www.posturepro.com.
Practical Things, LLC: Need head support? Originally designed for the special needs market, the Heads Up Flexible Head Support System has practical applications for the chiropractic patient. Compatible with almost any type of chair or seat, the flexible elastic bands are extremely effective in maintaining head support and cervical alignment. The elastic tension adjustability provides for maximum comfort and outstanding control. Make sure to click on "Travel Products" when visiting our website. Phone: 310-291-1034; E-mail: customerservice@head-sup.com ; Web: www.head-sup.com.
Sleepmatterzzz: Our sleep system is a unique combination of air and innersprings that allows us to achieve what every manufacturer has been trying to accomplish for the past 100 years. Our products offer support (posture control), reduces peak pressure points (blood flow), individual comfort for each person, and durability. Phone: 877-452-4991; Web: www.sleepmatterzzz.com.
Sleep Sense-itive: Our pillows may look similar to any other in its class, though in reality, they are different in the way they are designed and constructed. We knew that the only way to design the perfect pillow was to ask chiropractors what they want from a cervical pillow. The response was: proper and corrective neck support, durability, comfort, a variety of sizes, low prices, and the manufacturer understanding individual needs. Phone: 888-4-vedics; Web: www.sleep-sense.com.
Symmetry Arch Support: Emerging as one of the world's leading providers of flexible, custom-fit arch supports, Symmetrys have helped many people live happy, healthier lives one step at a time. Symmetrys are designed from an idealized mold of a normal foot. Available in 22 different size and width combinations, we can help small children to large-footed athletes. Symmetrys begin with an ideal mold, changing the patient's feet to normal, naturally. Phone: 877-918-3338; E-mail: info@symmetryarchsupports.com ; Web: www.symmetryarchsupports.com.
Therapeutic Pillow: Therapeutic Pillow International produces Australia's broadest range of quality therapeutic postural comfort products. Our products are available through health professionals, selected pharmacies, and surgical product outlets. Products are distributed through a national and international network of distributors, including major pharmaceutical wholesalers. Luxurious pillow which features removable foam inserts, giving you as many as 12 simple adjustment options so you can create the pillow to suit your comfort needs. Phone: 800-989-8085; Web: www.completesleeprrr.com.
Beech Sandal Co.: We are the inventors of Yoga Sandals. These sandals stretch the toes in an easy, comfortable way that improves balance and body alignment. Yoga sandals have improved many foot ailments, such as osteoarthritis, hammertoe, and balance loss, and have prevented foot surgery. Recommended by yoga instructors and doctors of osteopathy. View the video online to understand the health benefits of these sandals. Call or e-mail for wholesale pricing. Phone: 866-964-2726; E-mail: beachsandals@mailcity.com ; Web: www.yogasandals.com.
Core Products, Intl: Whether it's nagging neck pain, chronic backaches, sore wrists or lingering effects from knee injury, Core can help. Our therapeutic products are soothing to wear and medically effective, providing support and tension where you need it most. And because we offer a variety of products, including pillows and positioning products, braces and supports, and hot and cold therapy, you can find relief for just about every part of your body. Phone: 800-365-3047; E-mail: info@coreproducts.com ; Web: www.coreproducts.com.
C.P.R. Ltd.: Distributor of pillows manufactured by Carpenter Company. Some pillows are physician-designed for comfortable neck support. The Structure line products are made of viscoelastic foam. This unique material responds to body heat and pressure, molding to every curve for personalized comfort. Some products include: Dream Coil pillow, Structure pillow (available in 3 sizes), Sensafoam pillow, mattress pads, and re-introducing the Pro Pillow. Phone: 877-668-7299.
Foot Levelers Inc.: Over 50 years ago, Dr. Monte Greenawalt invented a technology to balance the body by balancing the feet - thereby enhancing his patients' structural integrity. The custom orthotics, Spinal Pelvic Stabilizers®, provided structural support, yet allowed the foot to retain a full range of motion. Through independent research and real-world testimonials, the orthotics have proved themselves again. Foot Levelers is now the leading provider of custom-made orthotics and other health care products. Phone: 800-553-4860; Web: www.footlevelers.com.
GW Heel Lift: G&W Heel Lift has been providing high-quality heel lifts to health care professionals and clients since 1967. We manufacture and distribute our own heel lifts and other high-quality shoe lifts and pads from selected manufacturers, and offer hard-to-find professional health care supplies. Our heel lifts are specially designed for maximum comfort in the shoe, with features like extended length, rounded edges on cork lifts, and firm support to avoid heel rubbing. Phone: 800-235-4387; Web: www.gwheellift.com.
Hockert Sales: Hockert Sales is a family-owned business that has been serving health care professionals for over 17 years. You'll love our excellent customer service and superior quality supplies, including: acupuncture supplies, cold & hot packs, electrotherapy supplies, six nutrition lines, orthopedic supports, pillows & cushions, clinic supplies, topical analgesics, lotions & gel and X-ray supplies. Most orders placed by 2 p.m. ship the same day. Phone: 800-451-5739; Web: www.hockertsales.com.
KLM Orthotic Laboratories: KLM Orthotic Laboratories is an industry leader in the manufacture of foot orthotics and insoles. We specialize in custom orthotics, prefabricated orthotics, orthotic insoles, ankle braces and orthotic materials. Phone: 800-556-3668; E-mail: klm@klmlabs.com ; Web: www.klmlabs.com.
Lhasa OMS: Since 1980, Lhasa OMS has been providing the highest quality chiropractic and acupuncture supplies at the lowest possible prices. We carry an entire line of orthopedic supports, pillows and braces. Visit our new and improved website, www.LhasaOMS.com, where online ordering is available 24 hours a day! Order your supplies from the comfort of your own home! Call or e-mail us for our brand-new 2005 catalog today! Phone: 800-722-8775; E-mail: customerservice@lhasaoms.com ; Web: www.LhasaOMS.com.
LSI International, Inc: LSI is one of the country's largest chiropractic suppliers with a vast line of products. Pillows consist of LSI Brand, Therapeutica, Chiroflow, Core, Sleepmatterzz and more. Orthopedic line consists of numerous brands and types of supports. Heel lifts are from GW Heel lifts. LSI also distributes adjusting tables, Biofreeze, electrotherapy equipment, electrodes, hot and cold products, massage therapy products, and much more. Call for information or to request a free catalog. Phone: 800-832-0053; E-mail: lsi@lsiinternational.com ; Web: www.lsiinternational.com (Password: SHOPLSI).
McRoskey Airflex Mattress: For decades, chiropractors have recommended McRoskey Airflex Mattress as their sleep system of choice because the system provides excellent support, maintaining proper spinal alignment and preventing stress at major joints such as the shoulder and hip areas. A mattress that is too firm is not desirable; people need to be able to choose among different types of comfort and support. Unlike other brands, McRoskey allows customers to select from five different comforts. Phone: 800-760-9600; Web: www.mcroskey.com.
Mediflow: Founded in October 1994, Mediflow Inc. quickly gained a reputation in the health care community for having developed an effective pillow for reducing neck pain and improving quality of sleep. The Mediflow® Fiber pillow and the Mediflow Down pillow, with its water layer at the base, provides outstanding comfort and responsive support for the head and neck. Phone: 800-308-3069; E-mail: info@mediflow.com ; Web: www.mediflow.com.
Mother Earth Pillows: Mother Earth Pillows® offer Hot/Cold Herbal Flax Pillows and over 20 designs of Herbal Flax Pillows. Therapeutic pillows professionally designed for prevention and treatment of pain, tension, arthritis, fibromyalgia and other chronic pain. Our pillows are used and endorsed by health professionals for workplace-travel-home. Enhance your services with a warm Mother Earth Pillow® for each client. Also offering Buckwheat Hull Pillows for support and positioning. Designed by an R.N./NCTMB. Phone: 800-344-2072; Web: www.MotherEarthPillows.com.
Neck Orthotic: As the innovative Posture Right™ is becoming commonly used in the chiropractic profession, Neck Orthotic remains committed to helping patients who suffer from the loss of a normal cervical curve, while increasing the awareness of the problematic long-term effects of forward-head posture. The Posture Right is the curve that works, helping correct the loss of cervical curve and forward head posture. It simply works for you and your patients. Phone: 586-727-7557; E-mail: info@neckorthoic.com ; Web: www.neckorthotic.com.
Posture Education: The TruComfort™ Seat and Back Support System is ergonomically designed to relieve discomfort and promote proper sitting habits. Transforms poorly designed seats into healthy, supportive seating in the car, office, airplane or elsewhere. Back provides guidance to align the head, neck and spine. Seat provides firm foundation for pelvic bones. Adjustable-thickness, teardrop shaped lumbar cushion attaches to back at height that corresponds to user's lumbar curve. Phone: 800-392-0363; Web: www.postureeducation.com.
Posture Pro Inc.: It really is that easy to analyze posture with Posture Pro. For the past decade, Posture Pro has been the most popular method to quickly and accurately measure and track a person's posture. We continue to offer the most advanced posture analysis tool available because we listen to our customers' suggestions. Since we don't charge for updates, your Posture Pro will never be out of date. Web: www.posturepro.com.
Practical Things, LLC: Need head support? Originally designed for the special needs market, the Heads Up Flexible Head Support System has practical applications for the chiropractic patient. Compatible with almost any type of chair or seat, the flexible elastic bands are extremely effective in maintaining head support and cervical alignment. The elastic tension adjustability provides for maximum comfort and outstanding control. Make sure to click on "Travel Products" when visiting our website. Phone: 310-291-1034; E-mail: customerservice@head-sup.com ; Web: www.head-sup.com.
Sleepmatterzzz: Our sleep system is a unique combination of air and innersprings that allows us to achieve what every manufacturer has been trying to accomplish for the past 100 years. Our products offer support (posture control), reduces peak pressure points (blood flow), individual comfort for each person, and durability. Phone: 877-452-4991; Web: www.sleepmatterzzz.com.
Sleep Sense-itive: Our pillows may look similar to any other in its class, though in reality, they are different in the way they are designed and constructed. We knew that the only way to design the perfect pillow was to ask chiropractors what they want from a cervical pillow. The response was: proper and corrective neck support, durability, comfort, a variety of sizes, low prices, and the manufacturer understanding individual needs. Phone: 888-4-vedics; Web: www.sleep-sense.com.
Symmetry Arch Support: Emerging as one of the world's leading providers of flexible, custom-fit arch supports, Symmetrys have helped many people live happy, healthier lives one step at a time. Symmetrys are designed from an idealized mold of a normal foot. Available in 22 different size and width combinations, we can help small children to large-footed athletes. Symmetrys begin with an ideal mold, changing the patient's feet to normal, naturally. Phone: 877-918-3338; E-mail: info@symmetryarchsupports.com ; Web: www.symmetryarchsupports.com.
Therapeutic Pillow: Therapeutic Pillow International produces Australia's broadest range of quality therapeutic postural comfort products. Our products are available through health professionals, selected pharmacies, and surgical product outlets. Products are distributed through a national and international network of distributors, including major pharmaceutical wholesalers. Luxurious pillow which features removable foam inserts, giving you as many as 12 simple adjustment options so you can create the pillow to suit your comfort needs. Phone: 800-989-8085; Web: www.completesleeprrr.com.
Laser Therapy Effective for Reducing Neck Pain
Reduces acute pain immediately, chronic pain up to 22 weeks following treatment, concludes literature review.
After analyzing the 16 studies, the reviewers determined that in the two acute-pain studies, subjects receiving low-level laser therapy "had a significant RR [relative risk] of 1.69 ... for improvement immediately after treatment versus placebo." For the 14 studies investigating chronic neck pain, reviewers determined that relative risk for pain improvement with low-level laser therapy was 4.05 compared to placebo by the end of the treatment period. Moreover, seven studies providing follow-up data 1-22 weeks following the conclusion of treatment showed that "the pain-relieving effect in the short term (<1 month) persisted into the medium term (up to six months)" and that for chronic pain, there was an "average reduction in visual analogue scale [scores] of 19.86 mm, which is a clinically important change." Compared with placebo, adverse effects seen in the treatment groups were similar and mild for all studies reviewed.
"Whatever the mechanism of action, clinical benefits of LLLT occur both when LLLT is used as monotherapy and in the context of a regular exercise and stretching programme," the reviewers conclude. "In clinical settings, combination with an exercise programme is probably preferable. The results of LLLT in this review compare favourably with other widely used therapies, and especially with pharmacological interventions, for which evidence is sparse and side-effects are common."
After analyzing the 16 studies, the reviewers determined that in the two acute-pain studies, subjects receiving low-level laser therapy "had a significant RR [relative risk] of 1.69 ... for improvement immediately after treatment versus placebo." For the 14 studies investigating chronic neck pain, reviewers determined that relative risk for pain improvement with low-level laser therapy was 4.05 compared to placebo by the end of the treatment period. Moreover, seven studies providing follow-up data 1-22 weeks following the conclusion of treatment showed that "the pain-relieving effect in the short term (<1 month) persisted into the medium term (up to six months)" and that for chronic pain, there was an "average reduction in visual analogue scale [scores] of 19.86 mm, which is a clinically important change." Compared with placebo, adverse effects seen in the treatment groups were similar and mild for all studies reviewed.
"Whatever the mechanism of action, clinical benefits of LLLT occur both when LLLT is used as monotherapy and in the context of a regular exercise and stretching programme," the reviewers conclude. "In clinical settings, combination with an exercise programme is probably preferable. The results of LLLT in this review compare favourably with other widely used therapies, and especially with pharmacological interventions, for which evidence is sparse and side-effects are common."
Sports knee injuries
When a patient presents with a sporting knee injury, a detailed history can help narrow down the nature of the injury. Examination can be difficult in the acute setting and may need to be repeated 3 or more days after the injury. Fractures can usually be excluded with plain X–rays; where indicated MRI or CT scan will usually confirm the diagnosis. Management aims are to manage pain, minimise knee swelling, maintain range of movement and quadriceps activation, and arrange appropriate referral. Medial collateral ligament, posterior cruciate ligament and some small meniscal injuries can usually be managed conservatively. Most meniscal injuries, anterior cruciate ligament and lateral collateral ligament injuries require surgical management. Physiotherapy is an integral part of the management of knee injuries in both the conservative and surgical settings.
Tuesday, February 2, 2010
Take it to the Next Level Circuit Training:
Incorporate circuit training into your fitness routine for a surefire way to reach the next level of endurance, strength and weight loss. Instead of spending 30-60 minutes doing aerobics and another 30-60 minutes doing strength training, combine the two for a more robust workout. Take the boredom out of your routine by spending five minutes on aerobics (standard machines such as treadmill, stair stepper, stair climber, bicycle, elliptical trainer, cross trainer) then alternate with five minutes of strength training (free weights, weight machines, rubber bands.)
How Can You Support Your Health?
1. Regular Chiropractic Care - The Master Control System of your body is your Nervous System. Chiropractic care eliminates interference in the nervous system. Similar to regular dental check-ups to avoid tooth decay, regular nervous system check-ups will help you avoid spinal decay and nervous system damage, as well as providing for enhanced function of your nervous system. Enhanced nervous system function provides enhanced immune system function, improved digestion and flexibility (greatly improves your golf game), and will enhance the quality of your life. Get your nervous system check today.
2. Acupuncture - this is a wonderful way of supporting your body's energies, providing for improved health.
3. Eat Right & Drink Water - make sure to eat fresh vegetables and fruit every day and reduce the simple carbohydrates, white sugars and junk food. Drink water! Drink approximately 50% of your body weight in ounces per day.
4. Exercise - get off your couch, away from your TV and computer and get moving. Movement is what keeps your body working. Remember if you don't use it, you loose it.
5. Manage your Stress - stress is as damaging to your body as an automobile accident. Chiropractic care, good food, water, exercise and meditation are just a few of the ways in which you can manage your stress. Make this a priority.
2. Acupuncture - this is a wonderful way of supporting your body's energies, providing for improved health.
3. Eat Right & Drink Water - make sure to eat fresh vegetables and fruit every day and reduce the simple carbohydrates, white sugars and junk food. Drink water! Drink approximately 50% of your body weight in ounces per day.
4. Exercise - get off your couch, away from your TV and computer and get moving. Movement is what keeps your body working. Remember if you don't use it, you loose it.
5. Manage your Stress - stress is as damaging to your body as an automobile accident. Chiropractic care, good food, water, exercise and meditation are just a few of the ways in which you can manage your stress. Make this a priority.
Healing The Body
You are in control of and have total responsibility for your own health. The things you do, the things you eat, the drugs you take, the amount of exercise you get and the way you manage (or don't manage) your stress all affect your health. You may not have control over everything, but it is your choice whether you enhance your body's ability to be healthy or hinder it. The human body is a magnificent self-healing and regulating organism! This concept is unquestionably true but has been pushed aside by the thousands of messages you receive each day via the television, newspaper and magazines professing that your body needs drugs to help it heal. DON'T LISTEN TO THIS PROPAGANDA.
There are always going to be times when medications are going to help your body heal or function, but the key word is help. Please understand that your body heals from the inside out, not the outside in. This means that your body has an Innate (inborn) Intelligence that tells it how many breaths you need to take each minute, how many times your heart should pump, how your body should process nutrients, how to fight off bacteria and viruses and how to heal damaged cells, just to name a few. This innate intelligence or 'wisdom of the body' is what directs the healing. The healthy choices you make, including getting regular chiropractic care, eating right, exercising & all contribute to providing enough resources for your body to heal itself. On the other hand, being under high levels of stress, ingesting toxins (drugs and other toxic chemicals), having poor sleep, nutrition and exercise habits inhibit your body's ability to heal.
Your health is a gift that is to be cherished and maintained. It is not something to be taken for granted. There are no 'magic pills' and 'quick fixes'. Don't focus on 'Outside In' healing. It is short term and the side effects are terrible. Concentrate on 'Inside Out' healing. Enhance your body's natural healing abilities. Support your body's healing efforts and the results will be long-lasting. Health is defined as 'Optimal physical, mental and social wellbeing, not merely the absence of disease or infirmity.' Good health is a lifestyle. It requires effort but the rewards derived are priceless and include: living longer, living more comfortably with the ability to do all the things you love and want to do; having enhanced energy; having enhanced mental focus and having a greater self-image. Chiropractic personifies the healthy lifestyle.
There are always going to be times when medications are going to help your body heal or function, but the key word is help. Please understand that your body heals from the inside out, not the outside in. This means that your body has an Innate (inborn) Intelligence that tells it how many breaths you need to take each minute, how many times your heart should pump, how your body should process nutrients, how to fight off bacteria and viruses and how to heal damaged cells, just to name a few. This innate intelligence or 'wisdom of the body' is what directs the healing. The healthy choices you make, including getting regular chiropractic care, eating right, exercising & all contribute to providing enough resources for your body to heal itself. On the other hand, being under high levels of stress, ingesting toxins (drugs and other toxic chemicals), having poor sleep, nutrition and exercise habits inhibit your body's ability to heal.
Your health is a gift that is to be cherished and maintained. It is not something to be taken for granted. There are no 'magic pills' and 'quick fixes'. Don't focus on 'Outside In' healing. It is short term and the side effects are terrible. Concentrate on 'Inside Out' healing. Enhance your body's natural healing abilities. Support your body's healing efforts and the results will be long-lasting. Health is defined as 'Optimal physical, mental and social wellbeing, not merely the absence of disease or infirmity.' Good health is a lifestyle. It requires effort but the rewards derived are priceless and include: living longer, living more comfortably with the ability to do all the things you love and want to do; having enhanced energy; having enhanced mental focus and having a greater self-image. Chiropractic personifies the healthy lifestyle.
Economic impact of improving outcomes of lumbar discectomy
Substantial cost associated with poor discectomy outcomes is often overlooked or underappreciated. Surgical technologies that can improve outcomes of discectomy by 50% to 70% thus improving patient quality of life can be overall cost–neutral between $971 and $1,655 additionally per patient.
An alternative treatment of hyperlipidemia with red yeast rice: a case report
A 64–year–old Asian man was diagnosed with hyperlipidemia despite a healthy lifestyle. In addition to diet changes, the patient used red yeast rice and succeeded in lowering his level of serum lipids.
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