AMA Discourages Opioids

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“A study published in the Journal of the American Medical Association evaluated the

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appropriateness of prescribing opioid medications for the treatment of hip, knee, or low

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back pain concluded:

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“Treatment with opioids was not superior to treatment with non-opioid medications.

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Results do not support initiation of opioid therapy for moderate to severe chronic back pain or hip or knee osteoarthritis pain.”

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Problems associated with trigger points

Trigger Points in muscle and other soft tissue are one of the most common causes of a wide variety of pain and dysfunction, including (but not limited to):

• Achy persistent pain
• Severe local pain
• Arm / leg pain
• Back pain
• Radiating pain
• Weakness
• Stiffness

• Pain resulting from a medical condition, such as
– Migraines
– Sciatica
– TMJ dysfunctions
– Arthritis
– Fibromyalgia
– Carpal tunnel syndrome
– Soft tissue injuries
– And more…

Shoulder Internal Rotation- Towel

Shoulder Internal Rotation- Towel

  • While standing, place your involved arm behind your back at waist level.
  • Place your uninvolved hand behind your head and grasp a towel between your hands.
  • Leading with your top arm, pull the towel up until you feel a stretch in your involved shoulder.

Gradually increase the stretch over the period of one minute. Perform this stretch twice per day.

 

*This stretch may alternately be performed as a contract/relax stretch by gently pulling downward on the towel with your involved arm against the steady resistance of your other arm for seven seconds. Relax and gently pull the towel upward with your top arm to increase the stretch in your shoulder. “Lock in” to each new position and repeat three contract/relax cycles twice per day or as directed.

Healthy lifestyles – (Try Avocado Oil)

 

“One of the lesser known “good” fats we recommend adding to your diet is avocado oil. Like olive oil, it is primarily an Omega 9 oil and is an exceptional health choice with numerous health benefits including anti-inflammatory properties and reduction of harmful free radicals. But, as a bonus, Avocado oil has higher smoke/flash points than olive oil – making it a better alternative for searing or frying.”

Condition of the Month – (Sacroiliac Joint Dysfunction )

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Sacroiliac Joint Dysfunction occurs when one or both of the sacroiliac joints loses normal motion. Learn more about this condition on the blog.

Your sacroiliac joint is the mechanical link on each side of your hip that connects your legs to the rest of your body. The joint has a limited but very important degree of mobility. Symptoms develop when one or both of the joints loses normal motion. When a joint becomes “restricted”, a self-perpetuating cycle of discomfort follows. Restriction causes the muscles to become overworked, leading to tightness, compression, inflammation, pain and more restriction.

Sacroiliac problems can happen as a result of repetitive strenuous activity or trauma- like a fall onto the buttocks. Other causes of sacroiliac joint problems include, poor posture, having one leg slightly longer than another, having an altered gait, having flat feet or scoliosis, or having pain somewhere else in your legs. Pregnancy is a common trigger for sacroiliac joint problems due to weight gain, gait changes and postural stress.

Sacroiliac joint problems often begin as a focal discomfort in your back just below the belt line, slightly to one side of center. Your pain can travel into your buttock or thigh. Symptoms are often worse by standing on the affected side. The pain may become more apparent when you change positions- like exiting a chair, car or bed, or during long car rides. The pain is often relieved by lying down.

To assist with your recovery, you should avoid any activity that provokes pain, like standing on the affected leg or prolonged sitting. Our office may suggest a sacroiliac support belt to help stabilize your joint.

If you are experiencing any of these symptoms, be sure to call us for an evaluation.

4 Reasons To Never Skip Your Cool Down.

From: https://www.shape.com/fitness/tips/post-workout-cool-down-benefits-dynamic-stretches

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One of the biggest culprits for skipping your workout? Not having enough time. That not only translates to missed classes and training sessions, but it usually means that when you do manage to get to the gym, you’re more inclined to cut corners (like reps, sets, stretches, warm-ups, and cooldowns) to save some precious time.

But when it comes to your post-workout cooldown, you’re really doing your body a disservice by bypassing it. Coming down from, say, a run or a Tabata circuit by slowing your movements and slowly bringing down your heart rate can help you recover more easily, and increase heart health over time, according to a research published in the Journal of Exercise Physiology Online.

Read on to learn about a few more reasons why you shouldn’t skip your post-workout cooldown.

It controls your post-workout blood flow.

Exercise helps get your blood flowing, so abruptly stopping can actually cause your blood pressure to drop rapidly. When blood pressure drops too quickly, it can cause you to feel light-headed, which is why Heather Henri, M.D., an associate professor of medicine at Stanford University, recommends cooling down for about six minutes after you’ve completed a workout. Fainting is also a risk, as this impact on blood flow could cause blood to pool in your lower extremities, which delays its return to your heart and brain, according to research done by the American Council on Exercise. Cooldowns also reduce the concentration of lactic acid. Using active recovery (here are some active recovery exercise examples) to slowly reduce effort, you can actually increase power and endurance during your next round, too. This is exactly why you shouldn’t totally rest between sets during your workout.

It safely slows down your heart rate.

Your internal body temperature rises during a workout, which means your blood vessels are dilated and your heart is beating faster than normal. It’s important to gradually, and safely bring your heart rate back down after a workout, says Dr. Henri. Skipping the cooldown and dropping the heart rate suddenly can put added stress on your heart, according to research published in the journal Frontiers of Medical and Biological Engineering. Try slowing down your movements from, for example, a faster dance cardio flow to a slower one, a run to a walk, or a plyometric exercise to a movement with both feet on the ground, suggests Deborah Yates, a certified group fitness director for the Bay Club in Silicon Valley.

It prevents injury.

Incorporating a cooldown after your workout can help prevent injuries, and that goes for fitness rookies and seasoned athletes alike. Sprains, strains, and tears in the lower back, hip flexors, knees, hamstrings, and quadriceps are some of the most commonly injuries, says Yates. So, you’ll want to focus on elongating your muscle fibers, which have been under tension during your workout, to achieve your full range of motion. This can be done through hip, lower-back, and spine stretches such as a runner’s lunge or side bend, as well as core-balancing poses such as a standing half lotus and standing bow pose, says Yates.

It increases your flexibility.

The best time to work on your flexibility is when your body is fully warm and you’re breaking a sweat. But instead of hopping off the treadmill and going directly into a toe touch, experts suggest doing some dynamic stretches first. This can decrease your risk of injury, relieve back pain, and improve athletic performance, said Tanja Djelevic, Crunch fitness trainer, in “6 Active Stretches You Should Be Doing.” Taking time for this kind of cooldown can also increase your flexibility and mobility over time, which is thought to help avoid muscle tears, back pain, and joint issues. (Still wondering which is more important, mobility or flexibility? Find out. The answer might surprise you.)

Consider Chiropractic for Neck Pain Treatment

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“Chiropractic is a proven, viable treatment for neck pain. A recent study concluded ‘Mobilization, (Cervical and Thoracic) Manipulation, and Clinical Massage are effective interventions for the management of neck pain.’

If you’re experiencing neck pain, consider an effective, conservative method of treatment, such as chiropractic.”

Reference:

Wong JJ, et al. Are manual therapies, passive physical modalities, or acupuncture e_ective for the management of patients with whiplash associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration. Spine J. 2016 Dec;16(12):1598-1630

Healthy lifestyles (Avoid the Detriments of Sugar)

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“Routinely eating products that contain sugar leads to a vicious sugar-craving cycle.

First, sugars are absorbed into our blood and travel to the brain. Then, the sugar in the brain releases a chemical called serotonin that produces a sense of happiness and well- being. Next, as our sugar blood levels fall due to insulin production and sugar absorption, we move from a hyperactive state to more of a tired, irritable and weak state.

This causes concentration levels to fall, and our cells begin to become acidic. Our brain then once again sends a message that we need more sugar, and the cycle repeats itself. Cutting refined sugars out of your diet, or at least decreasing them, will help you avoid this cycle and feeling your best.”