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Gibsons Chiropractic Blog

May 28, 2010

To Your Health Newsletter 05-27-2010

By Dr. Stacey

Brought to You by Gibsons Chiropractic

Avoiding High-Risk Moments for Your Low Back

When it comes to your lower back and injury risk, there are two critical times when you need to be especially careful. One is first thing in the morning. Your back is actually swollen at that time. You are substantially taller, and the discs have extra fluid in them. A careless forward bend or twist first thing in the morning can do substantial damage to your discs or other back structures. It doesn’t seem fair that such a simple thing, bending and twisting, something you have done thousands of times before, can suddenly cause big problems.

The other critical time is after you have been sitting. Long car drives or airplane trips are especially challenging. In this case, the culprit is something called “creep.” This means that your ligaments and tendons lengthen into the position that you have been in. Think of sitting as a bent-forward position, as your legs are forward. The ligaments and tendons do not provide protection properly when they have been lengthened by creep. When you first get up from sitting, you are at risk. The longer you have been sitting, the higher the risk. If you sit more upright, with good lumbar support, you will have somewhat less risk.

Common Events That Can Cause Back Pain

Scenario #1: You didn’t sleep well last night, perhaps from sleeping in an unfamiliar bed after travel, after sitting too long. You get up, feel stiff, but ignore it. You sit down in a soft chair to enjoy your morning hot drink. You get up and get a sudden sharp stab in the back.
Scenario #2: You get up from sleeping, and sit at your laptop, and get entranced by a video or article. You end up sitting far longer than you planned. You get up, and can’t completely straighten up.
Scenario #3: You get up from sleeping, drink your morning coffee, which wakes up your gut, and you go to bathroom to empty your bowel. You are a bit constipated, and have to strain. When you get up from the toilet, your back spasms.
  Overnight sleeping, even a good sleep on your favorite bed, leaves your back somewhat swollen. Swollen may be an exaggeration, but the reality is that there is extra fluid in all of your joints.

Two Ways to Minimize Injury/Pain Risk

1. Don’t bend over immediately after sitting. Sitting, even in good posture, puts you at risk. The longer you sit and the worse the seat, the more at risk you are. Airlines are very risky; it’s hard to get up and move around because of the tight quarters, and the minute the plane stops, you bend over and get stuff from under the seat, or reach up, and twist and lift to get your bag from the overhead compartment. After a long sit, give yourself at least a few seconds of backward bending and/or moving around to reset your spine. Then you can carefully, using your hips rather than your back, bend over to pick up something.
2. When you sit, don’t slump. Slumping reinforces the risks, makes it more likely for something bad to happen to your discs or joints or muscles. So, sit up straight, and keep your back in neutral. Neutral means that you keep a bit of a lordosis in your lower back, keep the lumbar spine from slumping forward, stay more upright. This simple action can make a huge difference. Like any habit, this will require you to “Just Do It” for a few weeks.

Talk to your doctor about these and other high-risk moments for your lower back and what you can do to relieve low back pain or avoid the pain altogether.

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Exercises to Ensure You’re Swimsuit Ready

The dreaded swimsuit season is upon us. It’s time to see just how much our bodies have changed over the course of a long winter, which can be an eye-opening experience. The fitness industry knows how traumatic this can be for you; that’s why every year there are countless new books, diets, videos, and magazines dispensing advice on how to get in shape for summer. Unfortunately, most of these “great” ideas involve quick-fix starvation diets and equipment-intensive workouts that are often difficult to follow. Inevitably, the weight comes back (with a few extra pounds added) because these quick-fix programs lower your metabolic set point, making your body more prone to storing body fat. And that’s the last thing you want to do!

So, what’s the answer? Well, it’s really quite simple and boils down to one simple word: MOVEMENT! Here are some of the best exercises to ensure you’re swimsuit ready this summer – and every month thereafter. It’s a sample program that’s quick, easy and positively invigorating

3-5 minutes of brisk walking
30 seconds of bear walks, 20 seconds of push-ups (repeat)
30 seconds of spiderman walks, 20 seconds of squats (repeat)
30 seconds of crab walks, 20 seconds of crunches (repeat) 30 seconds of duck walks, 20 seconds of push-ups (repeat)
3-5 minutes of slow walking

Push-Ups: Perform a standard push-up. If too difficult to perform, put your knees on the ground or change your angle by leaning against a wall.

Abdominal Crunches: Lie on your back and raise your legs off the ground. Grasp hands behind the head to cradle the neck, but do not pull the neck. Curl up, bringing the knees toward the chest and contracting your stomach.

Squats: Stand shoulder-width apart with arms extended in front of the body. Bend your knees, going parallel to the ground like you are sitting in a chair. Hold position for one second and return to starting position, being careful not to lock out your knees.

“Animal Movements”: Each animal walk below works different muscles and helps with balance, circulation, cardiovascular health, flexibility, and body toning. Make sure you breathe normally during this and all animal walks.

Spiderman walks: These are great for the hips, legs, back and arms. Start in a crouch position with your feet and your hands on the ground. Bring your right hand forward. Lift up your right leg and bring it up to meet your right hand. Make sure you keep your buttocks down; don’t lift them up too much. Now bring your left hand forward. Lift up your left leg and bring it up to meet your right hand. Repeat sequence.

Crab walks. These will work your arms, back, and lower body. Begin by sitting on the ground. Put your arms on the ground behind you and lift up your hips. Walk forward on your hands and heels, trying to keep your hips as high as possible. Repeat.

Duck walks. These will work your lower body like you have never felt. Get into a squatting position with your hands at your sides. Step forward with your left foot, then with your right foot. Keep walking like this until you can’t go any farther. Breathe naturally.

Bear walks. Bear walks will work your arms, back, chest and lower body. These will also get you out of breath really quickly! Find a large area to do this exercise. Put all your weight on your hands and feet. Bring your right hand and left foot forward. Then your left hand and right foot. Keep going.

This is a fun, effective workout that will enhance your physique and get you swimsuit ready. With additional movement comes greater flexibility, a leaner physique and more muscle tone. Summer shape-up can finally be an enjoyable time for physical fitness. (Note: It is highly recommended that you get full medical clearance for intense physical activity from your doctor prior to beginning any exercise program.) Move smarter. Move better. Look better. Sounds like the perfect combination. See you at the beach.

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The ABCs of BPA – What You Should Know

Bisphenol A, otherwise known as BPA, is a chemical that has been linked to the development of cardiovascular disease and diabetes. For example, a recent study, results of which were published in the Journal of the American Medical Association, found that higher urinary BPA concentrations were associated with elevated rates of both conditions.

That’s important to know because it’s been estimated that up to 90 percent of U.S. adults have some level of BPA in their body (as seen from urine samples), which makes sense (unfortunately) if you consider that BPA has been used since the 1960s in many hard plastic bottles and to line food and beverage containers.

According to the National Institute of Environmental Health Sciences, there are certain precautions that can be taken to protect adults, children and infants from the potential hazards of BPA, including the following:

Don’t microwave polycarbonate plastic food containers. Polycarbonate is strong and durable, but over time it may break down from overuse at high temperatures.
Polycarbonate containers that contain bisphenol A usually have a #7 on the bottom of the container.
Reduce your use of canned foods.
Whenever possible, opt for glass, porcelain or stainless-steel containers, particularly for hot food or liquids.
Always use baby bottles that are BPA free.

For more information about BPA, visit www.niehs.nih.gov/news/media and click on “Since You Asked – Bisphenol A” on the left-hand toolbar. Your doctor can also provide information on the dangers of BPA and suggest safer alternatives.

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To Your Health is brought to you by:

Chiropractic Health & Wellness
Everything you want to know about chiropractic.
http://www.chirofind.com
Filed under: back pain,Chemicals,Exercise,Fitness,Pain — Tags: , , , , , ,

May 18, 2010

To Your Health Newsletter 05-15-2010

By Dr. Stacey

Back Pain: Exercises to Help Healing

When it comes to back pain, your first thoughts may be to take over-the-counter pain medication and rest whenever possible. Two bad options. First, medication is only going to temporarily relieve the pain, if at all, and may be accompanied by various unpleasant side effects attributable to drugs. Second, rest may actually hurt more than help. While you’re seeing your chiropractor, there are a few things you can do at home to help the healing process. Believe it or not, it’s based on the simple principle of movement.

When you stop moving, everything tightens up, circulation slows down, and pain chemicals accumulate in your muscles and joints. It’s like waking up after sleeping in a cold room on a lousy mattress with a draft. You need to move. Here are two simple exercises to get you started (discuss these with your doctor first):

Exercise #1: Backward Bending (extension of the lumbar spine). An exercise called the McKenzie extension is the first thing you should try if you have sciatica (pain running down your leg). If these exercises work, your pain will diminish and may centralize, which is a good thing. Centralize means your pain goes less far down your leg, and you may feel it closer to the spine. Bending backward may not feel good at first, but you should feel better immediately afterward. If you feel worse afterward or the pain goes farther down your leg, stop, as this is not the exercise for you.

How to Do It: Lie face-down on the floor, arms bent at your sides (sort of like a starting push-up posture). Straighten your arms up slowly, lifting your upper body off the floor as you do so. Your legs and feet should stay on the ground. Hold for 3-5 seconds, then slowly lower your upper body back down. Repeat 10 times, as often as once per hour

Exercise #2: Flexion Exercises (bringing the leg toward the chest). People with lower back pain can also feel better with various types of leg flexion, bringing the bent leg toward the chest, or doing contract-relax and then bringing the bent leg toward the chest. These people usually have sacroiliac joint problems. (The SI joints are located on either side of the spine in the lower back.)

How to Do It: Lie on your back with one leg bent and then other flat on the floor. Bring the bent leg up toward the chest. Wrap your arms around the leg and then try to lower it toward the floor for 3-5 seconds, resisting with your arms. Relax, and then pull the bent leg up farther toward the chest. Repeat the entire process three times.

To reduce your risk of injury, consult with your doctor before doing these exercises for the first time, particularly if your pain is new and/or you would like further explanation of how to perform the exercises correctly.

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Break Free of the Disease Diet

The SAD fact is that cultures that eat the reverse of the “Standard American Diet” – low fat, high in complex carbohydrates, fruits, vegetables and fiber, etc. – have a lower incidence of obesity, cancer and coronary artery disease. What’s even more SAD is that countries whose populations can afford to eat the healthiest disease-preventing foods don’t. America spends more money on weight loss than any country in the world, yet the American diet contributes to the very conditions we spend so much money to prevent.

Research conducted at the University of San Francisco Department of Medicine by Drs. Lynda Frassetto and Anthony Sebastian, and subsequently published in the prestigious Journal of Gerontology, clearly demonstrates that as we get older our bodies accumulate acid wastes. They attribute the accumulation of acid and the reduction of the alkaline state as we age to eating the Standard American Diet (SAD), and conclude that the role of age-related metabolic acidosis in the cause of adult degenerative disease warrants consideration.

So, it’s obvious that we must consume more “alkaline” fruits, vegetables and plant foods to fight off disease as we age. Our SAD choices in food must change. Education and the new advances in food technologies are the keys. It’s as simple as replacing the Standard American Diet, which is:

High in animal fats including dairy products
High in unhealthy fats: saturated, hydrogenated
Low in fiber
High in processed foods
Low in complex carbohydrates
Low in fruits, vegetables and other plant-based foods

with a healthier diet that focuses on alkaline fruits, vegetables and plant foods, including the following:

Tomatoes
Carrots
Spinach
Broccoli
Blueberries
Raspberries

Talk to your doctor for more information on how you can break free of the SAD cycle of weight gain and disease and achieve your health goals.

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Avoid Common Exercise Mistakes

The most important goal when undertaking any exercise program is not to build muscle, burn fat, increase cardiovascular capacity, or anything else. Those are important, but the number-one priority is to keep from being injured. That’s the only way you’ll have a real chance of reaching your fitness goals. Here are four movements to avoid when exercising, along with a few exercises that are often performed incorrectly:

1. Don’t use jerking motions, especially when lifting. Speed is fine when done appropriately, but you should always have fluid motion and proper form when performing any and all exercises; otherwise you could strain or even tear something.
2. Don’t use body parts not required for the exercise. Have you ever seen people doing biceps curls and rounding their shoulders or arching their backs? Those are just two of the big no-no’s that can lead to injury.
3. Don’t lock out your knees or elbows. Never lock your joints when working out; keep them slightly bent so the weight will not be transferred to the joints.
4. Don’t arch your back. Picture someone on the barbell bench press, lifting a weight that is actually too heavy for them. Chances are that eventually, they will start arching their back. Sooner than later, that back is going to give out and they won’t be able to exercise for days, weeks or even longer.

Push-ups. The wrong way: You should never have a dip or arch in your back or lock your arms. The right way: Arms should be underneath you and not locked, back parallel to the floor. Engage your “core” the entire time (squeeze your glutes and draw in your belly button).

Walking lunges. The wrong way: When performing a lunge, extending the front knee past the front foot will cause injury at some point. The right way: When you are in a split stance, go straight down and do not let your front knee go past your foot.

Squats. The wrong way: Knees coming forward over your toes. The right way: Perform this exercise as if you were sitting back on a chair and putting 80 percent of your weight on your heels. Then lean slightly forward so you won’t fall back.

Chest press. The wrong way: Lifting the weight using your back (high arch). The right way: Keep your back flat and relax your shoulders while lifting the weight.

And let’s not forget about the right and wrong way to exercise in general. Get some expert advice prior to working out. Most gyms have personal trainers who will give you a free consultation and show you some basic machines and correct postures. Your doctor is also a good source of information, particularly if they specialize in exercise and rehab protocols.

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Filed under: back pain,Chiropractic,Exercise,Fitness,Nutrition — Tags: , , , , , , ,

May 10, 2010

Maximize Your Potential Workshop

By Dr. Stacey

You are invited to attend a “Maximum Potential” Evening workshop: Monday, May 17th from 6:00-6:30pm, hosted by Dr. Stacey Rosenberg.

Come and join us and discover simple ways to reclaim you health, keep it once you’ve got it, and maximize your potential!

RSVP: by email chiropractor@dccnet.com or call Donna or Edda 604-886-7080 (so we know how many goodies to have!)

Filed under: Chiropractic,Community,Events,Health,Workshops — Tags: , ,

May 8, 2010

Sacroiliac Joint May Play a Much Greater Role in Low Back Pain

By Dr. Stacey

The article was written by the combined efforts of the ChiroACCESS editorial staff.

From: ChiroACCESS ; Published on April 29, 2010

It is well documented that low back pain is the most common presenting complaint in a chiropractic office.  A growing body of evidence has elevated the importance of the sacroiliac joint in low back pain and suggested a reduction in the role of the lumbar spine as likely the most common cause.  This April 2010 study was supported by the Arthritis Society and conducted at Canadian Memorial Chiropractic College.  Radiographs of 315 patients ages 18-60 with chronic low back pain greater than 3 months duration were included in the study.  Two radiologists read the films and categorized the SI joint as normal, degenerative or inflammatory.  The authors found that “a significantly large proportion of the cohort (23.8%) had degenerative changes in the SI joint.  Degenerative change in the SI joint has received little attention in prior investigations and is clinically under-recognized…it appears unrelated to concurrent OA in the lumbar spine.”

A clinical review was created for ChiroACCESS that provides great detail related to the prevention, diagnosis and management of SI joint conditions.  That review can be found here http://www.chiroaccess.com/Conditions/Biomechanical-Sacroiliac-Joint-Pain.aspx.

Inflammatory and degenerative sacroiliac joint disease in a primary back pain cohort.

Arthritis Care Res (Hoboken). 2010 Apr;62(4):447-54.

O’Shea FD, Boyle E, Salonen DC, Ammendolia C, Peterson C, Hsu W, Inman RD.
Toronto Western Hospital, Toronto, Ontario, Canada.

OBJECTIVE: The prevalence of sacroiliac (SI) joint abnormalities in a primary low back pain population remains unresolved. The aims of our study were to define the prevalence of SI joint disease in this cohort, and to identify clinical features that might accurately predict radiographic changes in the SI joint and spine.

METHODS: Lumbar spine and anteroposterior pelvis radiographs taken over a 3-year period for the evaluation of back pain at a major chiropractic college were scored for the presence of inflammatory or degenerative features. Data were subsequently extracted by means of a predetermined template from the clinical notes. The outcomes were correlated using Spearman’s correlation coefficients.

RESULTS: We identified 315 patients (173 men, 142 women), ages 18-60 years. Of these, 100 patients (31.7%) demonstrated SI joint abnormalities: 75 (23.8%) degenerative, 25 (7.9%) inflammatory. Sex was strongly associated with type of SI joint pathology; degenerative disease was predominantly found in women (68%), whereas inflammatory disease was predominantly found in men (63%). In women there was no correlation between degenerative SI joint abnormalities and degenerative changes in the lumbar spine. Of the clinical descriptors evaluated, none were associated with the radiographic findings with the exception of buttock pain, which was associated with inflammatory sacroiliitis. Neither being overweight nor pregnancy history was associated with degenerative changes in the SI joint.

CONCLUSION: In a primary back pain cohort, degenerative SI joint disease may be an under-recognized clinical entity. It is strongly influenced by sex but is unrelated to degenerative changes in the lumbar spine. Currently proposed clinical discriminators performed poorly in correlating with radiographic changes in the SI joint.

* * *

Dr. Stacey: This study proves what I’ve been finding clinically and saying for years – the SI joint is just as, if not more important than the lumbar spine in cases of lower back pain and sciatica! Hence why I utilize the technique that I do!

Filed under: back pain,Chiropractic,Chiropractic Research,Degeneration,Pain — Tags: , , , ,

May 3, 2010

Chiropractic Improves Brain Function

By Dr. Stacey

I thought this was a pretty cool article so thought I would re-post it here….

 

www.yourspine.com
Chiropractic Adjustments Improve Brain Function. Approximately 100 volunteers were examined with an electroencephalogram (EEG) before and after chiropractic adjustments.
A study presented at the International Research And Philosophy Symposium held at Sherman College of Straight Chiropractic finds that Chiropractic adjustments have a positive effect on the Central Nervous System (CNS), specifically on the four primary frequencies of brain function.

Brain function is measured on four primary frequencies: Beta, Alpha, Theta and Delta. Alpha waves reflect the meditative, relaxing healing mode. Beta waves represent the active, busy brain. Theta waves reflect light sleep, relaxation and conceptual development. Delta waves represent the brain activity during deep sleep, repair mode and energy storage.

The study was conducted over a three year period. Approximately 100 volunteers were examined with an electroencephalogram (EEG) before and after chiropractic adjustments.

The EEG scans were examined to check the right/left balance, the amount of total activity, the primary regions of activity and the effect of the adjustment.

After receiving a chiropractic adjustment, post EEG scans revealed improvement in all areas of the volunteer’s brain function. Particularly, the researchers noticed an increase in the meditative Alpha brainwave patterns that are associated with a greater degree of relaxation, health and healing.

The researchers noted that some of the volunteers already had balanced and active brain scans and the adjustments had little effect on their post scans. They felt this was a good indicator that the adjustments had no negative effects on brain activity.

Commentary: The implications of this study are profound indeed. Over and over research is proving that chiropractic care has the ability to positively affect body function on a far greater level than simple pain relief.

Filed under: Adjustments,Brain Function,Chiropractic,Nervous System,Research — Tags: , , , ,