Health Update: Low Back Pain
"Doc, I try to do my exercises but I have to hit the ground running in the morning....to get the kids ready for the school bus....I have morning meetings....I'm not a morning person....I'm pulled in 100 directions during the day....I forget about them until I'm in bed....I exercise on my job and that's enough...."
I'm sure we've all rationalized our inability to keep up with exercises, especially after our episode of low back pain (LBP) subsides. In fact, only about 4% of LBP patients continue doing their exercises after their pain subsides. That means 96% of us with chronic, recurring low back pain DO NOT exercise even though we know we should. We feel bad, even guilty for not exercising. So, what can we do to "trick" ourselves into being more compliant with our low back exercises?
First, let's accept the fact that most of us cannot consistently "fit in" exercise into our busy schedules. With that said, the TIMING of when to do the exercise may be more important than even doing them at the same time every day. In other words, do a few exercises when you need them the most. For example, if you're working at a computer for more than 1 hour, and you start to feel back pain from the prolonged sitting - especially if your work station set up is less than ideal - do one or two sitting exercises right at your work station, BEFORE your back pain gets any worse. If you wait too long, the exercises may not be of much benefit. Setting a timer next to your screen that beeps every hour is a good reminder to do one or two simple exercises and only takes a minute or two. Many inexpensive digital watches can be set to beep on the hour/every hour or, you can set a "timer" to beep after 60 minutes as a "gentle" reminder. Some cell phones also have a timer feature. Here are three sit down low back exercise options (try them all and decide which one(s) feel most productive/helpful):
"Crossed Knee Stretch": Cross your legs; pull the crossed knee towards your opposite shoulder (feel the pull in your buttocks); arch your low back and at the same time, twist or rotate to the side of the crossed knee. Hold for 5-10 seconds and repeat up to 3 times. Repeat this on the opposite side.
"Sit Twists": Reach across with your right hand and grasp your left leg at mid-thigh. Twist/rotate your back to the left and pull with your arm. Hold 5-10 seconds / repeat 3 times. Repeat this on the opposite side.
"Sit Floor Touches": Bend over as if to touch the floor or tie a shoe. Hold 5-10 seconds. If you do the math, it would take a minute for #1 and #2, 30 seconds for #3 (total 2.5 min.). If that's too long, hold for 5 seconds. If that's too long, do 1 rep, not 3. You get the idea.....MAKE IT WORK! Modify the dose to fit your schedule or ability to stretch. If you do this AT THE TIME you start to feel tight or sore, you can PREVENT a LBP episode!
We realize you have a choice in where you choose your healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.
Monday, September 13, 2010
Thursday, August 19, 2010
Tip of the Month
World's Oldest Person Alive At 130?
Do you take good enough care of your body for it to last that long?
"If I knew I was going to live this long, I would've taken better care of myself."
Those words by Eubie Blake couldn't possibly have any more meaning than they do for Antisa Khvichava. Authorities from the former Soviet Republic of Georgia claim this remote villager recently turned 130, making her the oldest person on earth. She retired from picking tea and corn in 1965, when she was 85. She said she has always been healthy and worked her whole life.
It is difficult to verify her age due to wars and the collapse of the Russian empire, but she has two soviet-era documents that attest to her age. For all accounts, her mind is as sharp as ever, but her body has all but quit on her. Her fingers are so deformed she can no longer knit, and she struggles to walk. But, she refuses any help to get around when she has to.
While her mind-set and determination are admirable - but also realize how important it is to take care of the one body you are given. You never know how long you will need it. One has to wonder if she ate low-carbs or low-fat? :-)
Do you take good enough care of your body for it to last that long?
"If I knew I was going to live this long, I would've taken better care of myself."
Those words by Eubie Blake couldn't possibly have any more meaning than they do for Antisa Khvichava. Authorities from the former Soviet Republic of Georgia claim this remote villager recently turned 130, making her the oldest person on earth. She retired from picking tea and corn in 1965, when she was 85. She said she has always been healthy and worked her whole life.
It is difficult to verify her age due to wars and the collapse of the Russian empire, but she has two soviet-era documents that attest to her age. For all accounts, her mind is as sharp as ever, but her body has all but quit on her. Her fingers are so deformed she can no longer knit, and she struggles to walk. But, she refuses any help to get around when she has to.
While her mind-set and determination are admirable - but also realize how important it is to take care of the one body you are given. You never know how long you will need it. One has to wonder if she ate low-carbs or low-fat? :-)
Did You Know?
A human can live without food for almost a month but survive no longer than a week without water. The UN estimates a person needs a minimum of 50 liters of water a day for drinking, washing, cooking and sanitation. However, over a billion people do not have access to this minimum amount.
According to UNESCO, the world's population is appropriating 54% of all the accessible freshwater contained in rivers, lakes and underground aquifers. If per capita consumption of water resources continues to rise at its current rate, humankind could be using over 90% of all available freshwater within 25 years, leaving just 10% for all other living beings.
Freshwater lakes and swamps account for a mere 0.29% of the earth's freshwater. 20% of all surface freshwater is in one lake, Lake Baikal in Asia. Another 20% is stored in the Great Lakes. Rivers hold only about 0.006% of total freshwater reserves.
Mankind uses only a drop in the bucket of the total available water supply.
So where is all the water?
Antarctica is thought to hold about 75% of the world's fresh water (and 90% of the world's ice). In fact, almost 10 percent of the world's land mass is currently covered with glaciers, mostly in Antarctica and Greenland. But it will take more than a Zippo lighter to melt it for daily use.
For the United States, one crucial source is the huge underground reservoir which stretches from Texas to South Dakota, the 800-mile Ogallala aquifer. It provides an estimated third of all US irrigation water. In fact, 95% of the United States' fresh water is underground.
In Libya, the Great Man Made River Project, as it's called, is pumping some 6 million cubic meters of water a day from aquifers in the desert, providing irrigation for 150,000 hectares of land. Many countries have turned to aquifers to quench peoples' thirst.
Aquifers form over thousands of years, but many had been cut off from their original natural sources and are being steadily depleted. In some areas, like Mexico City, aquifer levels dropped by 3 - 5 feet a year, essentially sinking whole areas.
According to UNESCO, the world's population is appropriating 54% of all the accessible freshwater contained in rivers, lakes and underground aquifers. If per capita consumption of water resources continues to rise at its current rate, humankind could be using over 90% of all available freshwater within 25 years, leaving just 10% for all other living beings.
Freshwater lakes and swamps account for a mere 0.29% of the earth's freshwater. 20% of all surface freshwater is in one lake, Lake Baikal in Asia. Another 20% is stored in the Great Lakes. Rivers hold only about 0.006% of total freshwater reserves.
Mankind uses only a drop in the bucket of the total available water supply.
So where is all the water?
Antarctica is thought to hold about 75% of the world's fresh water (and 90% of the world's ice). In fact, almost 10 percent of the world's land mass is currently covered with glaciers, mostly in Antarctica and Greenland. But it will take more than a Zippo lighter to melt it for daily use.
For the United States, one crucial source is the huge underground reservoir which stretches from Texas to South Dakota, the 800-mile Ogallala aquifer. It provides an estimated third of all US irrigation water. In fact, 95% of the United States' fresh water is underground.
In Libya, the Great Man Made River Project, as it's called, is pumping some 6 million cubic meters of water a day from aquifers in the desert, providing irrigation for 150,000 hectares of land. Many countries have turned to aquifers to quench peoples' thirst.
Aquifers form over thousands of years, but many had been cut off from their original natural sources and are being steadily depleted. In some areas, like Mexico City, aquifer levels dropped by 3 - 5 feet a year, essentially sinking whole areas.
New Research: Cutting Carbs Better Than Low-Fat?
Eating fat is bad. No... wait... it's carbohydrates that are evil. One expert says one thing and then, another Doctor says something else. Back and forth... back and forth. Maybe that new infomercial selling the latest miracle weight loss product is the way to go? Who knows? In the meantime, you're confused and not losing any weight. Well, get ready for some possible answers... and a few more questions...
First, The Results Of A New Study
The June 19th, 2010 edition of The Endocrine Society reports, "[According to a new study ,] Obese women with insulin resistance lose more weight after three months on a lower-carbohydrate diet than on a traditional low-fat diet with the same number of calories..." The study's lead author, Raymond Plodkowski, MD, Chief of Endocrinology, Nutrition and Metabolism at the University of Nevada School of Medicine, Reno wrote, "The typical diet that physicians recommend for weight loss is a low-fat diet... However, as this study shows, not all people have the same response to diets." According to the researchers, for this group of women, the lower carbohydrate diet is more effective, at least in the short term. The study lasted 12 weeks and was funded by Jenny Craig. It found the insulin resistant women on the lowest-carb diet lost 3.4 pounds more than those on the low-fat diet. Total calories for all groups were the same. The low-fat diet included 60% of its calories from carbs, 20% from fat, and 20% from protein. The low-carb diet included 45% of its calories from carbs, 35% from primary unsaturated fats, and 20% from protein. Both diets included a minimum of 2 fruits and 3 vegetable servings a day. The use of prepared meals made the structured diets easier and more palatable for the dieter. "These data have potential widespread applications for clinicians when counseling people with insulin resistance to help improve weight loss as part of a calorie-restricted diet," Plodkowski said. "They should at least initially lower their carbohydrate intake."
What Is Insulin Resistance?
Since the women in the above-mentioned study were all insulin resistant - you might be wondering, "what is insulin resistance?" Insulin resistance is a condition where the body produces insulin but does not use it properly. Insulin is a hormone made by the pancreas to break down glucose in the blood so it can be used for energy. Glucose is a form of sugar and is the body's #1 source of energy. After your digestive system breaks food down into glucose, glucose is then transported to different parts of your body via the bloodstream. Glucose in the blood stream is called "blood glucose" or "blood sugar." After you eat, blood glucose levels rise and your pancreas secretes insulin to allow cells to absorb and use the glucose. When people are insulin resistant, they do not respond properly to insulin. In other words, even though the pancreas secretes insulin, it is not effective in getting the glucose from the blood into the cells. More insulin is needed so the pancreas works harder and secretes more. Eventually, the pancreas cannot keep up with the increased demand and glucose builds up in the blood. This is the beginning of diabetes. It is common for diabetics to have high levels of both glucose and insulin circulating in the bloodstream. Insulin resistance not only sets the stage for developing Type 2 Diabetes, it increases the odds of the number one killer in America: heart disease. According to the American Diabetes Association: "People with diabetes have a higher-than-average risk of having a heart attack or stroke. These strike people with diabetes more than twice as often as people without diabetes."
What Causes Insulin Resistance?
Very good question. There seem to be several contributing factors. The first factor may be genetic. Some scientists think specific genes make certain people more susceptible to insulin resistance. But, genes aren't everything. Weight and lack of physical activity also seem to play a major role. Then, there are the types of food you eat... The more junk sugars (ice cream, candy bars, etc.) you eat, the more your little pancreas has to work to keep up with all the sugar that has been dumped into the bloodstream. Just like everything else, there is only so much work your pancreas can do. If the pace is too high for too long, it will basically burn out and quit. It is important to stop this process before it gets too far. Exercise, weight loss and proper diet can reverse many cases of insulin resistance and pre-diabetes. According to the National Diabetes Information Clearinghouse, "The Diabetes Prevention Program (DPP) and other large studies have shown that people with pre-diabetes can often prevent or delay diabetes if they lose a modest amount of weight by cutting fat and calorie intake and increasing physical activity; for example, walking 30 minutes a day 5 days a week. Losing just 5 to 7 percent of body weight prevents or delays diabetes by nearly 60 percent. In the DPP, people aged 60 or older who made lifestyle changes lowered their chances of developing diabetes by 70 percent." With all of this information, the most important message to take away is this: Lifestyle has a major impact on your health. Different people react to different foods and diets in different ways, and it is important to pay attention to what you eat and figure out what is best for you. But no matter what, regular exercise and staying away from junk food loaded with bad fats and sugar is a very good idea. Research may not have all the answers yet, but to our knowledge, there is no study that says sitting on the couch stuffing your face with candy bars and ice cream is good for your health.
First, The Results Of A New Study
The June 19th, 2010 edition of The Endocrine Society reports, "[According to a new study ,] Obese women with insulin resistance lose more weight after three months on a lower-carbohydrate diet than on a traditional low-fat diet with the same number of calories..." The study's lead author, Raymond Plodkowski, MD, Chief of Endocrinology, Nutrition and Metabolism at the University of Nevada School of Medicine, Reno wrote, "The typical diet that physicians recommend for weight loss is a low-fat diet... However, as this study shows, not all people have the same response to diets." According to the researchers, for this group of women, the lower carbohydrate diet is more effective, at least in the short term. The study lasted 12 weeks and was funded by Jenny Craig. It found the insulin resistant women on the lowest-carb diet lost 3.4 pounds more than those on the low-fat diet. Total calories for all groups were the same. The low-fat diet included 60% of its calories from carbs, 20% from fat, and 20% from protein. The low-carb diet included 45% of its calories from carbs, 35% from primary unsaturated fats, and 20% from protein. Both diets included a minimum of 2 fruits and 3 vegetable servings a day. The use of prepared meals made the structured diets easier and more palatable for the dieter. "These data have potential widespread applications for clinicians when counseling people with insulin resistance to help improve weight loss as part of a calorie-restricted diet," Plodkowski said. "They should at least initially lower their carbohydrate intake."
What Is Insulin Resistance?
Since the women in the above-mentioned study were all insulin resistant - you might be wondering, "what is insulin resistance?" Insulin resistance is a condition where the body produces insulin but does not use it properly. Insulin is a hormone made by the pancreas to break down glucose in the blood so it can be used for energy. Glucose is a form of sugar and is the body's #1 source of energy. After your digestive system breaks food down into glucose, glucose is then transported to different parts of your body via the bloodstream. Glucose in the blood stream is called "blood glucose" or "blood sugar." After you eat, blood glucose levels rise and your pancreas secretes insulin to allow cells to absorb and use the glucose. When people are insulin resistant, they do not respond properly to insulin. In other words, even though the pancreas secretes insulin, it is not effective in getting the glucose from the blood into the cells. More insulin is needed so the pancreas works harder and secretes more. Eventually, the pancreas cannot keep up with the increased demand and glucose builds up in the blood. This is the beginning of diabetes. It is common for diabetics to have high levels of both glucose and insulin circulating in the bloodstream. Insulin resistance not only sets the stage for developing Type 2 Diabetes, it increases the odds of the number one killer in America: heart disease. According to the American Diabetes Association: "People with diabetes have a higher-than-average risk of having a heart attack or stroke. These strike people with diabetes more than twice as often as people without diabetes."
What Causes Insulin Resistance?
Very good question. There seem to be several contributing factors. The first factor may be genetic. Some scientists think specific genes make certain people more susceptible to insulin resistance. But, genes aren't everything. Weight and lack of physical activity also seem to play a major role. Then, there are the types of food you eat... The more junk sugars (ice cream, candy bars, etc.) you eat, the more your little pancreas has to work to keep up with all the sugar that has been dumped into the bloodstream. Just like everything else, there is only so much work your pancreas can do. If the pace is too high for too long, it will basically burn out and quit. It is important to stop this process before it gets too far. Exercise, weight loss and proper diet can reverse many cases of insulin resistance and pre-diabetes. According to the National Diabetes Information Clearinghouse, "The Diabetes Prevention Program (DPP) and other large studies have shown that people with pre-diabetes can often prevent or delay diabetes if they lose a modest amount of weight by cutting fat and calorie intake and increasing physical activity; for example, walking 30 minutes a day 5 days a week. Losing just 5 to 7 percent of body weight prevents or delays diabetes by nearly 60 percent. In the DPP, people aged 60 or older who made lifestyle changes lowered their chances of developing diabetes by 70 percent." With all of this information, the most important message to take away is this: Lifestyle has a major impact on your health. Different people react to different foods and diets in different ways, and it is important to pay attention to what you eat and figure out what is best for you. But no matter what, regular exercise and staying away from junk food loaded with bad fats and sugar is a very good idea. Research may not have all the answers yet, but to our knowledge, there is no study that says sitting on the couch stuffing your face with candy bars and ice cream is good for your health.
Tuesday, July 27, 2010
Tip of the Month
Why Children Act Up! And What You Might To Do About It...
Raising children is one of the most challenging things you can ever do. Sometimes, they are your little angels and other times, your little devils.
The most difficult thing may be identifying what causes each behavior. It would make things a lot easier around your house if you knew exactly what to do to raise the perfect child, wouldn't it?
Well, while there is no "perfect formula," there are known (and common) reasons why some children misbehave. Just knowing and understanding these reasons can go a long way to creating a well-balanced child... and giving you some sanity!
The first and possibly biggest reason children misbehave is simply because they are trying to figure out the whole new and enormous world around them. The way they do this is to TEST BOUNDARIES. As they develop, they will test or push whatever boundaries and limitations their parents have established. Unfortunately, many times, limitations and boundaries are weak - if existent at all.
Boundaries must be strong and enforced CONSISTANTLY. A lack of consistency leads to a confused (and difficult) child. Since consistency is probably the most important factor, any difference between boundaries you set and your children have at school can cause a problem. Without consistency, children do not feel safe and comfortable. The world around them becomes a very strange and uninviting place. The end result is a greater level of testing of boundaries and increased stress.
This can also occur with separated or divorced parents. Oftentimes a "good cop - bad cop" dynamic takes place. One parent tries to set and enforce the rules, while the other is the "fun" parent who gives the child anything they want in an attempt to win them over. The child usually favors this parent in the short term, but ends up with behavior problems. The best thing to do is talk to your children's teachers and find out what is going on. The same holds true with separated parents. Although easier said than done, children must be put first.
Also, make sure your expectations are within your child's developmental stage. In other words, do not expect a 2 year old to have the attention span of a 5 or 6 year old. Make sure your children understand what is expected of them.
Children are much more likely to act up when they are hungry, tired or bored... so, make sure you have a daily routine that meets all these needs. It is much easier to stay ahead of these basic needs than try to play catch-up once it is too late.
One of the most important things to remember is that children mimic the behavior of their parents. "Do as I say, not as I do" doesn't cut the mustard. If you don't want your kids to yell or swear but you and your spouse yell and swear at each other frequently, then you are in for a long, hard parenting road.
Did You Know?
When most people think of burns, fire and heat usually come to mind. While it is true that heat is the leading cause of tissue damage known as a "burn", a burn can also be caused by radiation (like a sun burn), friction, electricity, and chemicals.
Most burns, other than the most severe, can be safely and effectively treated with natural home remedies.
Burns are characterized by degree, based on the severity of the tissue damage. First-degree burns cause redness and swelling in the epidermis (the outermost layers of skin). Second-degree burns also involve redness and swelling, as well as blistering and the damage may extend beneath the epidermis to the deeper layers of skin (the dermis). Third-degree burns destroy the entire depth of skin and usually result in scarring. The damage may extend to underlying fat, muscle, or bone.
The wonderful Aloe Vera plant is a top choice for healing and soothing burns. Since the active ingredient (acemannen) breaks down quickly, fresh inner leaf fillets are much preferred. Fresh Aloe Vera quickly soothes painful burns and often heals even serious burns with little or no scarring.
Lavender essential oil is a very effective antiseptic that also reduces pain and promotes rapid healing. In addition, lavender reduces scarring. When lavender oil is applied to a burn very quickly, the burn may heal with no scarring at all. For larger burns, pour lavender oil onto gauze or a cloth and apply the gauze to the burn every few hours.
A wonderful and widely available household first aid item for healing and soothing burns is diluted vinegar. Cover the burn area with a cloth soaked in diluted vinegar and refresh the vinegar compress as often as needed, especially if the pain returns.
Another good household item is honey, especially raw honey. Honey has wonderful antiseptic and healing properties. Researchers in India found burns dressed with honey healed faster and with less pain and scarring.
Another age old remedy is potato peels. Potato peels provide moisture and they also have anti-bacterial properties. Doctors have found potato peel bandages work better for minor burns than conventional dressings.
Vitamins A, C, and E aid in the healing process for burns and other wounds.
Zinc can help with healthier skin after the burn, as well as a quicker recovery time. Severe burns often heal with little or no scarring. Note: In the case of any very severe burn, seek professional medical care immediately.
Sunscreen May Cause Cancer?
Most people don't know this, but the sun has three types of "rays," not just two.
The first is UVC. This ray usually does not reach our planet's surface and this is good because it is believed only brief exposure to UVC rays is fatal.
Next, are UVB rays. These have long been considered the "tanning rays." They are strongest during the summer months when the Earth's orbit is closest to the Sun. UVB rays are what produce a "sun tan."
For many years, sunblocks and sunscreens only attempted to block UVB because science was unaware of the effects of UVA rays (the third type of sun ray) on the body.
UVA was believed to be the safe ray in the 1980s, which spawned the growth and popularity of the artificial sun bed industry - some dermatologists even backed this artificial tanning! But, science now believes UVA rays actually do more damage than UVB rays! UVA rays are not dependant on how far the Earth is from the Sun - so the effects are the same all year round.
What's more, UVA penetrates light clothing and car windshields... even many hats. Over-exposure to the sun has been linked to premature aging and even deadly skin cancer...
Which Brings Us To The Second "Truth"
Limit exposure to the harmful rays of the sun by using high SPF sunscreens and sunblocks. For years, the sunblock industry has been booming with the promise their products protect you from the sun's aging and cancerous rays.
But, research now says these "truths" are not so "true."
For example, there is no consensus whether sunscreens prevent skin cancer. According to the Environmental Working Groups' (ewg.org) finding, "The Food and Drug Administration's 2007 draft sunscreen safety regulations say: FDA is not aware of data demonstrating that sunscreen use alone helps prevent skin cancer."(FDA 2007).
The International Agency for Research on Cancer agrees. IARC recommends clothing, hats and shade as primary barriers to UV radiation and writes "sunscreens should not be the first choice for skin cancer prevention and should not be used as the sole agent for protection against the sun"(IARC 2001a). Even worse, there is evidence emerging that sunscreen may actually INCREASE THE RISK OF SKIN CANCER!
Researches speculate the cause(s) may be lack of UVA protection by most sunscreen for over 30 years, improper usage, staying in the sun longer with sunscreens and some of the ingredients. One big problem is the SPF (sun protection factor) myth.
In 2007, the FDA published draft regulations that would prohibit manufacturers from labeling sunscreens over 50 SPF. The FDA stated that anything over 50 SPF was "inherently misleading." Even an SPF of 50 can be misleading because of the way most people use sunscreen. In the real world, tests show people apply only one-half to one-fifth of the amount used when testing the sunscreen. A person using one-fourth the amount of sunscreen with an SPF of 30 only actually gets an SPF of 2.3. The same person using a sunscreen with SPF 100 ends up with only SPF 3.2. (The math is exponential, that's why there are such drastic reductions in SPF.)
Then, there are the potential problems with the ingredients found in sunscreens. For example, oxybenzone, a common ingredient, is a known hormone disruptor. Retinyl palmitate (a form of Vitamin A also commonly used in sunscreens) may increase the risk of skin cancer.
According to Environmental Working Groups, "The publicly available data from FDA's new study suggest that when used in sun-exposed skin care products, retinyl palmitate and related chemicals may increase skin damage and elevate skin cancer risk instead of protecting the skin."Also, according to Environmental Working Groups, 41% of all sunscreens contain retinyl palmitate.
All of this may be surprising but what's even more shocking is that the FDA first issued draft sunscreen regulations in 1978 and last updated the draft in 2007. The regulations are still not final, despite multiple announcements of impending completion. Until the agency formally issues its rules, companies are not required to verify their sunscreens work, including testing for SPF levels, checking waterproof claims or providing UVA protection. Nearly one in eight sunscreens do not block UVA rays. Many carry the seal of "The Skin Cancer Foundation." According to the Environmental Working Groups, "The Skin Cancer Foundation (SCF) lends its logo to hundreds of sun protection products. SCF approval is easy, just document that your product has an SPF of at least 15 and provide results of basic tests (for SPF, skin reactions and water and sweat resistance, if such claims are made). SCF also requires that companies pay a $10,000 donation to join the Foundation's 'Corporate Council' in order to have their products approved."
Confused? If you are, then you are not alone. Here's something that will make the most of the confusion disappear... Since sunscreens are probably not as safe as once thought, the best thing to do is stay out of the sun during its peak hours (10:00am - 2:00pm) and whenever possible, wear protective clothing instead of chemicals. Don't forget, some sun is absolutely necessary for Vitamin D production and proper health. The amount of sun you should get depends on your skin type but you should NEVER burn.
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