Author: Dr. Robert Speirs DC

Ouch! My Back Went Out!

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Your spine consists of 24 individual vertebrae stacked on top of each other. Flexible cushions called “discs” live between each set of vertebrae. A disc is made up of two basic components. The inner disc, called the “nucleus”, is like a ball of jelly about the size of a marble. This jelly is held in place by the outer part of the disc called the “annulus”, which is wrapped around the inner nucleus much like a ribbon wrapping around your finger. The term lumbar disc lesion means that your disc has been damaged.

Disc lesions start when the outer fibers of the disc become strained or frayed. If enough fibers become frayed, this can create a weakness and when the disc is compressed, the outer fibers may “bulge” or “protrude” like a weak spot on an inner tube. If more fibers are damaged, the nucleus of the disc may “herniate” outward. Since the spinal cord and nerve roots live directly behind the disc, bulges that are accompanied by inflammation will likely create lower back pain that radiates into the buttock or the entire lower extremity. This condition is called sciatica. If the disc bulge is significant enough to create a mechanical compression of your nerve, you may also experience loss of your reflexes and weakness. Be sure to let our office know if you notice progressive weakness or numbness, any numbness around your groin, any loss of bowel or bladder control or fever.

Surprisingly, disc bulges are present without any symptoms in about 1/3 of the adult population. Another one third of adults will experience pain from a lumbar disc at some point in their lifetime. The condition is more common in men. Most lumbar disc problems occur at one of the two lowest discs- L5 or L4. Smokers and people who are generally inactive have a higher risk of lumbar disc problems. Certain occupations may place you at a greater risk, especially if you spend extended periods of time sitting or driving. People who are tall or overweight have increased risk of disc problems. The condition is uncommon in children and is most common between the ages of 40 and 60.

Researches have shown that disc bulges and sciatica may be successfully managed with conservative care like the type we will provide.

Your Body On Fast Food By Christy Brisette

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By Christy Brissette

A client recently asked me, “How often can I get away with eating junk food?” She knows that my nutrition philosophy is the “80:20 rule”: Eat healthy foods as often as possible (at least 80 percent of the time), but also enjoy the occasional less healthy food (less than 20 percent of the time), if that’s what you really want.

I’ve seen this approach work well with my clients who were previously chronic dieters yet hadn’t been able to lose weight. Once I give them permission to have “forbidden foods,” those foods lose their power and they’re able to make healthier choices the bulk of the time.

There is some evidence that “cheat meals” (although I hate that term) can help boost fat loss and mental health among dieters. Yet I wanted to give my client a more quantifiable answer. Could a few days of junk food or even a single fast food meal make a difference in your overall health?

Junk food and fast food defined

What is “junk food”? Essentially any food that is highly processed, high in calories and low in nutrients. Junk food is also usually high in added sugars, salt and saturated or trans fats. Some evidence points to junk foods as being as addictive as alcohol and drugs.

“Fast food” is food that is prepared quickly and is eaten quickly or taken out. Although there are a growing number of healthier fast food options, most fast food can still be classified as junk food.

Long-term effects of eating junk food

Eating a poor quality diet high in junk food is linked to a higher risk of obesity, depression, digestive issues, heart disease and stroke, type 2 diabetes, cancer, and early death. And as you might expect, frequency matters when it comes to the impact of junk food on your health.

[If you think grocery stores are playing tricks on you, they really are]

A review of studies on fast food and heart health found having fast food more than once a week was linked to a higher risk of obesity, while eating fast food more than twice a week was associated with a higher risk of metabolic syndrome, type 2 diabetes and death from coronary heart disease.

This is disturbing considering nearly half of American adults eat fast food at least once a week.

Short-term effects of junk food

It’s human nature to think about benefits and risks over the short term rather than considering the impact our choices have over the long term. So how does consumption of junk food affect your body over the short term?

A few days of junk food

Just a few days of junk food could change your metabolism. A small study of 12 healthy young men found eating junk food for just five days led to a reduced ability of their muscles to turn glucose into energy, even though they didn’t eat more calories as part of the study. Over the long term, this change could lead to insulin resistance and eventually type 2 diabetes.

Another effect of just a couple of days of junk food is poor digestion. Because junk food lacks fiber, eating too much of it could lead to constipation.

That single fast food meal can narrow your arteries, leading to an increase in blood pressure.

And the quick spike in your blood sugar from eating junk foods high in refined carbohydrates and added sugars can cause a surge in insulin, leading to a quick drop in blood sugar. That leaves you feeling tired, cranky and hungry for more.

Just one serving of junk food can increase inflammation throughout your body. Further, an Australian study suggests that in people with asthma, a fast food meal high in saturated fat can increase inflammation in the airway, potentially making an asthma attack more likely. . So it seems the quick hit of junk food, while fleetingly rewarding, does carry short-term risks.

The good news: Every healthy meal helps

The amount of inflammation and oxidative stress your body will experience after eating occasional junk food seems to be a function of the “big picture” of your choices over time.

If you want to enjoy junk food once in a while but are concerned about the impact on your health, take a look at your overall health habits. Do you smoke or overdo it on alcohol? Are you exercising regularly and eating plenty of nutritious foods such as vegetables, fruit, legumes, fish, nuts and seeds, and whole grains? When it comes to your health, it seems you can “get away with” the occasional junk food more easily when you follow a healthy lifestyle most of the time. So think about your ratio of healthy to less healthy foods. Are you achieving 80:20 or is there room for some improvement?

When you’re making the choice between a healthier option and junk food, consider that just one healthy meal a day worked into the typical American diet could reduce overall stress and inflammation in your body. Every meal is an opportunity to positively impact your health.

Based on the current research, my advice to my client essentially remains the same: Once you’re aware of all of the short-term and long-term impacts of junk food and you still really want some, have it less than once a week and really savor it. Then get right back to enjoying nourishing, nutritious foods.

Christy Brissette is a dietitian, foodie and president of 80TwentyNutrition.com. Follow her on Twitter @80twentyrule.

Mobility Myth #2

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what-is-mobility-mobility-myths-foam-rolling

Myth: You can get rid of knots or scar tissue with foam rolling or massage.

Truth: “You probably hear of ‘breaking up fascia’ and ‘breaking up scar tissue,’ but the reality is that it literally takes 200 tons to deform scar tissue or cause mechanic changes to the fascia,” says Los Angeles–based physical therapist Jen Esquer, D.P.T., creator of the Mobility Method program. So whenever you’ve been told that someone is “massaging out a knot” in your back, or that foam rolling is “realigning your muscle fibers,” it’s a load of B.S. (You’ve probably also heard that foam rolling can get rid of cellulite.)

“Think: If you bump into something super hard, yeah, you might bruise, but you’re not actually breaking something in your body or tearing tissue,” says Esquer. “So why would we think that lying or rolling around on a foam roller for a while would have that extreme effect?”

You might be thinking, “But it totally helps!” You’re not wrong—it does. It just helps for a different reason: “Really, foam rolling and massage work by bombarding the brain with safe, feel-good information, convincing the muscle to relax and let go,” says Ardoin. That calming of the nervous system results in the release of tension and tightness that you feel.

And since it’s all about relaxation, you should never be trying to create pain in the body, says Esquer: “You don’t want to fire anything back up and make it potentially worse. It always comes back to relaxation.”

Healthy Lifestyle Tip

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Salt

Studies show that too much salt in your diet will pose a risk to your blood pressure and

heart. Even if you aren’t adding salt to your foods, you may still be eating too much

simply because of the excessive amounts that are found in the foods we buy.

Cereals, canned soups, bread, sauces, and prepackaged snacks are common grocery items that contain a lot of sodium. Make sure you are reading food labels to help you cut back.

 

Adults should avoid consuming more than 2,300 mg of sodium each day.

What is scoliosis?

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Your spine is made up of 24 bones that stack on top of each other- normally in a straight line. “Scoliosis” means that your spine is curving from side to side, rather than being straight. Scoliosis affects between 1-3% of the population. Scoliosis may begin at any time between birth and adulthood but is most common during times that your skeleton is growing rapidly. Most cases of scoliosis begin between the ages of 13 and 18. Researchers are not completely certain why some people develop scoliosis, but they have found that the problem tends to run in families.

The curve of your scoliosis may be measured with an x-ray. Although some curves get worse, most do not. In fact, only ¼ of all adolescent idiopathic scoliosis curves will progress. Small curves in mature patients have a low risk of progression (2%), while large curves in younger patients progress more frequently. (70%) Curve progression is more common in girls, especially those with larger curves (greater than 20 degrees). Your doctor may need to monitor your scoliosis for progression by performing x-rays every 6-18 months.

Scoliosis may cause your shoulders, hips, or waist to be unlevel. Most curves are classified as “right thoracic”, which means that the peak of your curve protrudes toward the right. This is often accompanied by a forward rotation of your right shoulder and “winging” of your right shoulder blade. Many patients have a secondary curve in their lower spine that helps to balance their body. The majority of patients with mild to moderate scoliosis have no symptoms, but approximately ¼ report back pain. Unfortunately, scoliosis increases your risk of developing back pain later in life.

The primary goal of treatment is to stop curve progression. While many cases can be slowed or even reversed through appropriate management, it is important to recognize that others may progress in spite of the best care. Conservative care, including spinal manipulation (like the type provided in our office) has been shown to help some patients with scoliosis. Exercise is another effective treatment for scoliosis. It is important that you clearly understand your home exercise program and that you perform it consistently.

Patients with larger curves (30-40 degrees), or those who are at high risk for progression may benefit from wearing a brace. Braces have been shown to decrease the need for surgery in about three out of four patients. Fortunately, less than 0.3% of all scoliosis cases will ever require surgery.

You should avoid carrying heavy back packs and consider switching to a wheeled version, if necessary. Sports and exercise will not worsen most cases of scoliosis, and you should continue to participate in the things you enjoy unless directed otherwise by your doctor. The diagnosis of scoliosis is always discouraging, but you must focus on what it is really most important. Be confident in who you are! Don’t let something like a curved spine (or any other medical condition) define you as a person.

Put the shovel down and read this!

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Your low back consists of 5 individual vertebrae stacked on top of each other. Flexible cushions called “discs” live between each set of vertebrae. A disc is made up of two basic components. The inner disc, called the “nucleus”, is like a ball of jelly about the size of a marble. This jelly is held in place by the outer part of the disc called the “annulus”, which is a tough ligament that wraps around the inner nucleus much like a ribbon wrapping around your finger.
Your low back relies on discs and other ligaments for support. “Discogenic Low Back Pain” develops when these tissues are placed under excessive stress, much like a rope that frays when it is stretched beyond its normal capacity. Most commonly, disc pain is not the result of any single event, but rather from repeated overloading. Your lumbar discs generally manage small isolated stressors quite well, but repetitive challenges lead to injury in much the same way that constantly bending a piece of copper wire will cause it to break. Examples of these stressors include: bad postures, sedentary lifestyles, poor fitting workstations, repetitive movements, improper lifting, or being overweight.

Approximately one third of adults will experience pain from a lumbar disc at some point in their lifetime. The condition is more common in men. Most lumbar disc problems occur at one of the two lowest discs- L5 or L4. Smokers and people who are generally inactive have a higher risk of lumbar disc problems. Certain occupations may place you at a greater risk, especially if you spend extended periods of time sitting or driving. People who are tall or overweight have increased risk of disc problems.

Symptoms from disc pain may begin abruptly but more commonly develop gradually. Symptoms may range from dull discomfort to surprisingly debilitating pain that becomes sharper when you move. Rest may relieve your symptoms but often leads to stiffness. The pain is generally centered in your lower back but can spread towards your hips or thighs. Be sure to tell your doctor if your pain extends beyond your knee, or if you have weakness in your lower extremities or a fever.

Repeated injuries cause your normal healthy elastic tissue to be replaced with less elastic “scar tissue.” Over time, discs may dehydrate and thin. This process can lead to ongoing pain and even arthritis. Patients who elect to forego treatment and “just deal with it” develop chronic low back pain more than 60% of the time. Seeking early and appropriate treatment like the type provided in our office is critical.

Depending on the severity of your injury, you may need to limit your activity for a while, especially bending, twisting, and lifting, or movements that cause pain. Bed rest is not in your best interest. You should remain active and return to normal activities as your symptoms allow. Light aerobic exercise (i.e. walking, swimming, etc) has been shown to help back pain sufferers. The short-term use of a lumbar support belt may be helpful. Sitting makes your back temporarily more vulnerable to sprains and strains from sudden or unexpected movements. Be sure to take “micro breaks” from workstations for 10 seconds every 20 minutes.

Stay Active During Your Vacation!

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Active Travel

Stay Active During Your Spring and Summer Travels

For most people, traveling for work or going on a vacation means there will be a lot of sitting – Sitting at the airport, sitting on a plane, sitting in cars, sitting on the beach, etc. Excessive sitting causes a plethora of different health problems, So as health professionals, we always encourage our patients to fit in some daily exercise and movement, even while on vacation. You may not have as much time as you do at home for your regular workouts while traveling, but doing something is always a whole lot better than doing nothing at all. Here are our tips to keep you moving during any upcoming travels.

PREPARE BEFORE YOUR TRIP

– Book a hotel that has a small fitness center/gym. This is probably the most convenient way to stay active on your trip. Get a quick workout done in the morning before you head out for the day.

– If you can’t get a hotel with a gym, consider one that is within walking distance to shops, restaurants, or trails, so that you can travel everywhere on foot. If the city is bike-friendly, arrange to rent a bicycle for transportation. 

– Pack a few supplies to help you workout right in your hotel room. Resistance bands, workout or yoga videos, and a jump rope are all easy to pack.

– Use a pedometer to track your steps. If you don’t normally wear one, try doing a “test” day before you leave so you can define a baseline of how many steps you take on an average day. Then, on your trip, you’ll know if you’re being more or less active. Maybe it will motivate you to get moving!

STAY ACTIVE AT THE AIRPORT

– Walk the halls of the airport instead of sitting around at the gate.

– Find a vacant area to do some stretching during your layovers. Long flights will have your legs feeling stiff.

– A lot of airports now have counter-height charging stations. Consider standing to use your laptop, tablet, or phone in between flights.

STAY ACTIVE DURING YOUR TRIP

– Go sight-seeing on foot. Stay out of a car as much as you can.

– Take the stairs when possible.

– Opt to stand on a train, subway, or bus. Offer your seat to someone who really needs it.

– Schedule some fun activities that won’t even feel like you’re exercising, such as hiking, cycling, or dancing.

– Create a standing desk in your room. Place your laptop on a tall dresser, or use objects (maybe an ice bucket) to boost your computer up to eye level while you stand and work.

No matter if the purpose of your trip is for business or for pleasure, the most important tip we can give is to enjoy yourself. Embrace your ability to move your body and the opportunity you have to travel and experience other parts of the world!

I smoke and I sit; does that matter?

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Your thoracic spine is made up of 12 individual vertebrae stacked on top of each other. To allow for flexibility and movement, there is a cushion or “disc” in between each level. As we age, these discs can wear and become thinner over time. This leads to additional changes, including bone spurs and narrowing of the opening where your nerves exit your spine. This process is called “thoracic spondylosis”, or simply, “arthritis”.

How quickly you develop back arthritis is largely a trait you inherited from your parents. Other factors may play a role, including a history of trauma, smoking, operating motorized vehicles, being overweight and/ or performing repetitive movements (i.e. lifting, twisting, bending or sitting). Men seem to be affected slightly more often than women.

Symptoms often begin as back pain that gradually worsens over time. Stiffness may be present upon arising in the morning. Pain is relieved by rest or light activity and aggravated by strenuous work. Sometimes your nerves can become “pinched” in narrowed openings where they exit your spine. This can cause pain, numbness, or tingling radiating around your trunk along the path of the irritated nerve. Be sure to tell your doctor if you notice any weakness or if you have a rash (running along your rib), fever, abdominal pain, change in bowel or bladder function, or pain in your groin crease.

Arthritic changes can be seen on x-rays, but interestingly, the amount of wearing does not seem to correlate directly with the severity of your symptoms. People with the same degree of arthritis may have symptoms ranging from none to severe. Most researchers believe that the symptoms of osteoarthritis are not the direct result of the disease, but rather, from the conditions that preceded the disease and those that develop after it, like joint restrictions and muscle tightness. Fortunately, those conditions are treatable and our office has a variety of tools to help relieve your pain.

In general, you should avoid repeated lifting and twisting and take frequent breaks from prolonged sitting, especially in motorized vehicles. Avoid any position that causes an increase in radiating pain. Light exercise, like walking, stationary cycling, water aerobics, and yoga may be helpful. Smokers should find a program to help them quit and overweight patients will benefit from a diet and exercise program.

Mobility Myth #1

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what-is-mobility-mobility-myths-foam-rolling

Great stuff from our friends at Shape.com:

Myth: Stretching and foam rolling will address all of my mobility problems.

Truth: Stretching and soft tissue work (like foam rolling and massage) may seem like the bread and butter of mobility, but there’s more to know. “If you have a true mechanical mobility problem, soft tissue work and different stretching techniques are definitely great options,” says Ardoin. But you might experience tightness or a loss of motion that doesn’t have anything to do with tissue restrictions like tight muscles or joint stiffness.

“In these particular people, they actually have the mobility needed, but their brain doesn’t know how to access it,” says Ardoin. This sort of muscle-brain disconnect could be because of current pain, previous injuries, or, “sometimes people just forget how to move,” he says.

In this case, your muscles are working against each other instead of synergistically—and it’s not something stretching or foam rolling will fix. The good news is that there’s not actually anything physically wrong. The bad news: This is tough to diagnose on your own. “If you have a loss of motion while you perform the motion yourself but have full ROM when performed passively, then it’s safe to assume that you have the ROM available but your brain doesn’t know how to access it,” says Ardoin.

For example, let’s say you have a “tight” shoulder. Make a large, slow circle with your right arm. Then totally relax your arm while someone else rotates your arm in a circle for you. Did it go farther while you let the motion happen passively? Ding, ding! Could be a brain problem, not a muscle problem. Think this might be you? Seeing a trainer or physical therapist to confirm it (and help you work on the issue) can’t hurt.

5 Tips for healthy living

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https://www.ndtv.com/food/5-tips-and-hacks-to-lead-a-healthy-life-1807791

Keeping fit and health is not a one-day job, but it’s rather a lifestyle and gradually needs to be developed into a habit. There’s no magic key to a healthy lifestyle, but one must beware of hit and trial methods too, as these can be detrimental to the overall health, as well as mental state. With so much being said and heard about how to develop a healthy lifestyle, it’s confusing to decide what’s good and bad for one’s health. As work schedules all over the world become crazier by the day, there’s a general concern about and increase in unhealthy life choices.

However, there are certain universally accepted ways of leading a healthy life. These are some things that you should never compromise on, if you want to be happy and healthy:

1. Don’t Compromise On Sleep

Although more and more people nowadays call themselves fashionably insomniac, sleep deprivation is ruinous for health. You may not know it, but a lot is riding on whether or not you get a good night’s sleep. It’s crucial to understand sleep cycle and dedicate a fixed time period to sound sleep in your everyday schedule.

2. Drink Enough Water

It’s not just about the amount of water you drink, but also the timings of drinking water that can make or break your health. Water has numerous benefits. Besides regulating your body environment and ensuring optimum rate of body processes, water can rev up your metabolism and even fight food cravings, helping you stay in shape. It’s commonly recommended that all human adults drink from 1.5 to 2 liters of water every day.

3. Balanced Diet

A well-balanced diet is one that meets the right amount of daily nutrient requirements of a person. Bodies of males and females require different kinds and quantities of nutrients like the various vitamins, minerals, dietary fiber and roughage, etc. An excess of any one nutrient or a deficiency might lead to diseases.

4. Take Care Of Your Mental Well-Being

Nowadays, there’s a lot of awareness regarding the need to maintain the sanctity of a calm and peaceful mind. However, a lot still needs to be talked about, as in a lot of countries, including India, mental health problems and seeking therapy remains a taboo. Your mental ailments can affect your body and have an indirect and harmful impact on your lifestyle. Taking care of your mental well-being is essential for leading a healthy life.

5. Eat Clean

A lot of emphasis is being laid on the need to eat simple and clean meals, devoid of excess grease. In fact, some of the hottest food trends for 2018 revolve around natural plant proteins and use of herbs for preparation of meals. Eating clean means eliminating processed foods with excess salt and sugar from your diet and relying heavily on what you get fresh.

Apart from this, eating small meals at frequent intervals help your body sustain optimum energy levels for longer. Including raw fruits, vegetables and nuts in your daily diet is also important. Don’t eat too much in any meal and remember the simple philosophy of ‘eating to live instead of living to eat.’