Browsed by
Category: Caring For Yourself

Neck Pain Causes

Neck Pain Causes

By John H. Shim, MD, FACS

In order to effectively treat neck pain, it’s important to understand the underlying medical condition that’s causing the pain. This is especially true if the pain has lasted 4 or more weeks.

Cervical spine disorders.
Most Common Neck Pain Causes: Strains and Sprains

The most common causes of neck pain—strains and sprains—heal within a few days or weeks. A strain is when a muscle or tendon has been irritated by overuse or overextension. Similarly, a sprain is when a ligament has been irritated by overuse or overextension.

Common causes of neck strains and sprains include:

    • Sleeping in wrong position. Often referred to as a “crick” in the neck, a person might wake up in the morning with neck pain due to sleeping in an awkward or atypical position that overextended the neck.
    • Sports injury. A person could move the neck suddenly and/or in an unusual way in a new sport, or a player could have a collision or fall. A common sports collision injury is a stinger, which happens when nerves in the neck/shoulder are impacted and pain, numbness, and weakness can radiate down the shoulder, arm, and hand.
    • Poor posture. Whether it’s at work, home, and/or commuting, poor posture can lead to neck problems. If a person’s head is often tilted forward for long periods of time, then the neck’s muscles, tendons, and ligaments need to work harder. Poor posture can be problematic during any number of activities, including working at a computer, watching TV, riding the train, reading a book, gardening, and more. Text neck, for example, is an increasingly common problem that develops in anyone who spends hours looking down at the phone while texting.
    • Repetitive motions. Turning the head in a repetitive manner, such as side to side while dancing or swimming, may lead to overuse of the neck’s muscles, tendons, and ligaments.
    • Holding the head in unusual position. Anything that requires holding the head in an unusual way for long periods of time could cause neck strains and sprains. Some examples include having a long conversation while cradling a phone between the head and shoulder, or spending an afternoon looking up at an air show.
    • Whiplash. In a whiplash injury, the head and neck are forced suddenly backward and immediately forward with a great deal of force. The soft tissues along and near the cervical spine can be torn or ruptured as a result. This type of injury commonly occurs in an auto accident that involves a rear-end collision.

Causes of Chronic Neck Pain

Neck pain is considered chronic when it persists for more than 3 months. These conditions tend to stem from problems in the cervical spine either with a facet joint or disc. Common causes include:

  • Cervical degenerative disc disease.
    Everyone experiences wear and tear on the cervical spine over time. It’s natural for the discs to gradually lose hydration and the ability to cushion the spine’s vertebrae. If a disc degenerates enough, it can lead to painful irritation of a cervical nerve in various ways, such as a herniated disc, pinched nerve, or changes in the facet joints that can cause arthritis.
  • Cervical herniated disc A cervical disc is herniated when its jelly-like inner layer, the nucleus pulposus, leaks out through a tear in the disc’s protective outer layer. This could result from an injury or aging. A herniated disc may press against or pinch a cervical nerve, or the inflammatory proteins of the nucleus pulposus may come close enough to a nerve to cause irritation.
  • Cervical osteoarthritis
    When the cartilage in a cervical facet joint wears down enough, it can lead to cervical osteoarthritis, also known as cervical spondylosis. Rather than having the facet joints move smoothly along cartilage as intended, they might grind bone on bone. The joint could become enlarged from inflammation and bone spur growth, causing a nearby nerve to become pinched or pressed
  • Cervical spinal stenosis with myelopathy Spinal stenosis occurs when the spine’s degeneration leads to a narrowing of the spinal canal, such as from a herniated disc that pushes into the spinal canal or bone spurs that grow into the canal. When the spinal canal narrows enough to compress the spinal cord—a large bundle of nerves that runs inside the spinal canal—myelopathy can result. Myelopathy is when compression of the spinal cord starts causing symptoms, such as weakness or problems with coordination in the arms, hands, legs, or feet.
  • Cervical foraminal stenosis This condition occurs when the foramina—the holes in the vertebral construct through which nerve roots that branch off from the spinal cord can exit the spinal canal—become narrowed. This narrowing of the hole can cause irritation for the nerve root that runs through it. Foraminal stenosis is associated with radiating pains in a pattern specific to the nerve that is pinched by the narrowing. In some situations, there is a combination of the cervical stenosis causing myelopathy, as well as the specific nerve pattern associated with a cervical foramen being narrowed.

Other Causes of Neck Pain

While not the most common causes of acute or chronic neck pain, other causes of neck pain could include:

    • Emotional stress. Sometimes muscles in the neck can tighten up and ache in response to stress, anxiety, or depression.
    • Infection. If part of the cervical spine becomes infected, then inflammation could cause neck pain. One example would be meningitis.
    • Myofascial pain. This chronic condition has trigger points, which result from achy muscles and surrounding connective tissues, typically in the upper back or neck. Trigger points can be chronically painful or only painful to the touch. The pain might stay in one spot or it can be referred pain that spreads to/from another area in the body.
    • Fibromyalgia. Fibromyalgia is hard to diagnose, but it typically involves pain in the muscles, tendons, and ligaments in several areas of the body, including in the neck.
    • Spinal tumor. A tumor, such as from cancer, could develop in the cervical spine and press against a nerve. These types of tumors more commonly occur as cancer that has started in another part of the body metastasizes.
    • Spondylolisthesis. This condition occurs when one vertebra slips over the one below it. It can be due to a tiny fracture in the vertebra, or possibly from advanced disc degeneration, or ligament laxity.
    • Ankylosing spondylitis. This progressive arthritis of the spine and pelvis can cause widespread inflammation, pain and stiffness throughout the spine, including the neck.

Risk Factors for Developing Neck Pain

Some research indicates that getting unhealthy amounts of sleep, being inactive, and smoking can all raise the risk of developing neck pain.2 In addition, working longer hours or being in a labor-intensive occupation, such as the military, health care support, or installation and maintenance, may increase the risk for neck pain.3

References

  1. Croft PR, Lewis M, Papageorgiou AC, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001; 93(3):317-25.
  2. Yang, Haiou PhD; Haldeman, Scott DC, MD, PhD; Nakata, Akinori PhD; Choi, BongKyoo ScD, MPH; Delp, Linda PhD, MPH; Baker, Dean MD, MPH. Work-related risk factors for neck pain in the US working population. Spine. 2015. 40(3):184-192.
Can You Really “Bank” Sleep?

Can You Really “Bank” Sleep?

striped-cat-sleeping-on-chair

Banking sleep to save energy for later? To most people, this idea probably sounds too good to be true. At the very least, it probably seems to defy common sense and or runs counter to the way we think our bodies work. However, it actually turns out that banking sleep is possible—within limits.

A great deal of research has been conducted on this subject.  In one particular study, American scientists invited a number of volunteers to adjust their sleep patterns so that researchers could observe the effects. For a week, half of the volunteers were permitted to sleep more than usual, and the remaining volunteers were made to sleep according to their usual pattern.

“After this week of either extended or habitual sleep per night, all the volunteers came to the lab and they were given three hours of sleep, per night, for a week,” says Tracy Rupp of the Walter Reed Army Institute of Research. The volunteers were then assigned tasks of varying difficulty, and those who had banked their sleep were more unaffected throughout the sleep restriction.

Rupp elaborates: “They showed less performance deterioration with regards to reaction time and alertness than the group that had been given the habitual prior sleep.”

The study also revealed that a week after the experiment, the banked sleepers were recuperating faster from deficiency of sleep than the others were. Rupp again: “What we’re basically saying is if you fill up your reserves and pay back your sleep debt ahead of time, you’re better equipped to deal with the sleep loss challenge.”

While these results may sound great, there are limits to what banking sleep can do for you. “It’s a strategy that’s only partially successful,” explains Michael J. Breus, Ph.D., in the November 2013 issue of Psychology Today. “New research indicates that although some of the negative effects of a week of insufficient sleep can be remedied with extra sleep on the weekend, others cannot. Researchers at Penn State University College of Medicine studied the effects of weekend recovery sleep after a week of mild sleep deprivation. They found that make-up sleep on the weekends erased only some of the deficits associated with not sleeping enough the previous week.”

Banking sleep isn’t limited to sleeping longer nights. Naps can be extremely effective as well—within limits, of course. According to Science Focus, “A 1991 study at Wright State University in Dayton, Ohio found that after an ordinary night’s sleep, subjects could take an extra nap in the afternoon and then work through the night with greater alertness that a control group who didn’t nap. The study also found that performance is proportional to the length of the nap—but the effect doesn’t last.

After a second consecutive night without sleep, all of the subjects performed equally badly, regardless of how much sleep they had initially. It may be that all of us are normally slightly sleep-deprived and one really good night’s sleep will bring us back up to 100%, but that the ‘tank’ isn’t big enough to buffer us against more than one all-nighter.”

The practical uses of banking sleep go beyond needing to pull an all-nighter before finals or a big presentation at work. Dr. Winter, a member of the American Academy of Sleep Medicine, puts it thusly: “If you knew you were going to give birth on a particular day, for example, you could sleep for 10 hours a day for multiple days before the event, and be fine.”

Lastly, it is important to consider the host of negative effects of sleep deprivation. Memory loss, obesity, and even early death comprise some of these consequences. The moral of the story here is that banking sleep in advance may actually be a reasonable short-term strategy for coping with an isolated event (like giving birth). However, the best long-term strategy for staying healthy and performing well is to get a good night’s sleep as consistently as possible.

 

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

When it comes to helping elite athletes prevent and recover from injuries—as well as achieve peak performance—chiropractic care can offer many advantages. That’s why large numbers of professional and college sports teams throughout the U.S. have turned to chiropractors over the past decade. The Philadelphia Phillies is one such team, and Dr. Michael Tancredi is one such chiropractor. As a Doctor of Chiropractic, a Certified Chiropractic Sports Physician, an Active Release Technique Instructor and Practitioner, and a certified athletic trainer, Dr. Tancredi clearly understands the valuable role that chiropractic care can play in keeping teams healthy and performing at their best.

By almost any measure, Dr. Tancredi has had a long and successful career in sports medicine. He has worked extensively with the Philadelphia Eagles, Philadelphia Phillies, and Villanova University. While Dr. Tancredi has accomplished a great deal in his professional life (and he continues to work with patients through his practice in Broomall, Pennsylvania), he is perhaps best known as the chiropractor who went all the way to the 2008 World Series as a consultant with the Philadelphia Phillies. From 2008 through 2010, he was a chiropractor and Active Release Technique provider for the team.

Cole Hamels, a member of the 2008 Phillies team, has been very vocal about the difference chiropractic care has made for him. “Being introduced to chiropractic care has definitely helped my game. When you add it with a lot of the physical therapy exercises and the in-game exercises, I think it just prevents a lot of injury. I went through a lot of injury in my career, and the first time I actually was introduced to chiropractic care, it pretty much kept me on the field. It’s something that helps me feel much better when I’m on the field and off the field.”

As a pitcher, Hamels is particularly aware of the complex biomechanics involved in throwing a baseball, and recognizes how the larger muscle groups—not just the shoulder and elbow—must work together to perform well. “Your body starts from the ground up, and in order to pitch, you have to use everything. You have to have a good back in order to get the good torque. Most of your power comes from your core.”

It’s a challenge staying healthy through a 162-game regular season, and players at the elite major-league level do what they can to avoid injuries. Hamels recalls how chiropractic care became popular among his teammates and coaches. “It’s another way to help us get out on the field… We’ve seen more and more players start to go in to get adjustments, to get the ART. And I think that’s good for our whole team because you want them to be able to go out on the field every day because we’re very good at what we do, but you’re not going to help the team out when you’re not playing.”

In a brief interview published in ACA Today, Dr. Tancredi described his own experience with the Phillies and explained why chiropractic care is such a good fit for professional baseball. “It was a dream job and a dream season. The whole sports medicine staff was phenomenal. They were all really open to the benefits of chiropractic care. Athletes at this level rarely have an acute injury. However, a little hamstring pull can turn into a major problem when they have no time off. Baseball’s schedule is grueling in that the players are on the field 28 out of 30 days a month, so we have to do what we can to help them heal while keeping in mind the long-term consequences. Chiropractic has cut the injury rate; the players love it, the athletic trainers see how effective it is and the orthopedic surgeon is totally open to my suggestions—it’s a win-win situation.”

Whether you’re playing professionally or at an amateur level, baseball puts unique demands on the body’s musculoskeletal system, from asymmetrical movements (throwing and hitting) and extreme acceleration and deceleration to sudden impacts. Take it from the Phillies and Dr. Michael Tancredi, chiropractic care can help players stay healthy and perform at their best.

If you need to make chiropractic a part of your success protocol, be sure to give our office a call at 406-652-3553 to schedule your appointment with Dr. Oblander!

 

The Positive Effects of Chiropractic Care!

The Positive Effects of Chiropractic Care!

We know that our patients who get adjusted regularly see the wonderful side effects! Their backs are not the only beneficiary of their adjustments! Here is a study that confirms that keeping the spine adjusted has more positive effects than just your back or neck feeling better!:

A retrospective study conducted in Sweden [1] has determined that about one in four chiropractic patients experiences some form of “positive nonmusculoskeletal side effect” after spinal manipulative therapy (SMT).

In addition, the percentage of patients who experience positive side effects increases with the number of spinal regions adjusted. The Swedish researchers asked all members of the Swedish Chiropractors Association (SCA) to participate in the study. Eighty-one percent of the SCA membership complied. Each doctor of chiropractic gathered data from 20 patients over a three-week period for a total of 1,504 valid patient questionnaires. Patients were included if they had been previously adjusted within the last two weeks for musculoskeletal complaints. The patients were asked if after their previous visit they ìexperienced any positive changes that do not seem to have anything to do with your back problem?

At least one positive side effect or reaction was reported by 23 percent of the respondents. The more spinal areas that were adjusted, the better their chances of experiencing at least one positive reaction:

The positive, nonmusculoskeletal reactions appear to cluster into a number of system/organ-related classifications. Of those patients who experienced them, here is the breakdown by percentage:

 

  • Respiratory System: 26%

  • Digestive System: 25%

  • Circulatory System/Heart: 14%

 

  • Eyes/Vision: 14%

The benefits experienced can also be broken down into subcategories:

 

  • Easier to Breathe: 21%

  • Improved Digestive Function: 20%

  • Clearer/Better/Sharper Vision: 11%

  • Better Circulation: 7%

  • Changes in Heart Rhythm/Blood Pressure: 5%

 

  • Less Ringing in the Ears/Improved Hearing: 4%


The authors, as is typical in research papers, are careful to point out the limitations of extrapolating the findings. They note that the study does not demonstrate whether the statistical link between treatment and reaction is causal. They assert that ìthe absence of an untreated control group makes it impossible to say whether these reactions are treatment-specific, or if they simply represent normal fluctuations of common symptoms of physiologic function. While these results are very exciting, it is clear that additional research is needed.

Reference:

The Types of Improved Nonmusculoskeletal Symptoms Reported After Chiropractic Spinal Manipulative Therapy
J Manipulative Physiol Ther 1999 (Nov);   22 (9):   559–564

The Abstract

OBJECTIVE:   To investigate the frequency and types of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.

DESIGN:   Retrospective information obtained by chiropractors through standardized interview of patients on return visit within 2 weeks of previous treatment.

SETTING:   The private practice of 87 Swedish chiropractors (response rate 81%).

SUBJECTS:   Twenty consecutive (presumably naive) patients per chiropractor (1504 valid questionnaires returned, 86% of optimal number of replies).

INTERVENTION:   Spinal manipulation with or without additional therapy provided by chiropractors.

MAIN OUTCOME MEASURES:   Self-reported improved nonmusculoskeletal symptoms (reactions).

RESULTS:   At least I reaction was reported after the previous treatment in 21% to 25% of cases. Of these responses, 26% were related to the airway passages (usually reported as “easier to breathe”), 25% were related to the digestive system (mostly reported as “improved function”), 14% were classified under eyes/vision (usually reported as “improved vision”), and 14% under heart/ circulation (about half of these reported as “improved circulation”). The number of spinal areas treated was positively associated with the number of reactions.

CONCLUSION:   A minority of chiropractic patients report having positive nonmusculoskeletal reactions after spinal manipulative therapy but such reports cluster predominantly around specific symptoms. It would be interesting to find out if these can be verified objectively and, if so, to investigate if they are caused by the treatment or if they are signs of natural variations in human physiology.

 

Top 5 Workouts for Increasing Range of Motion in Your Back

Top 5 Workouts for Increasing Range of Motion in Your Back

man-jumping-on-balcony

Back pain can have a truly negative effect on your professional life as well as your lifestyle. It can be difficult to get out of bed and make the morning commute.  Then—depending on what you do for a living—pain and limited mobility can take a huge toll on your productivity while you’re at work. And when you return home, you may also find that you’re not able to do the active things you enjoy with your family and friends.  It’s no wonder that chronic back pain can lead to depression.

If you or someone you care about is suffering from back pain, the good news is that there are things that can be done about it. First of all, it’s essential that you get proper medical attention so that your condition can be diagnosed and an appropriate treatment plan can be put in place. Dr. Oblander and other chiropractic physicians are experts at diagnosing and treating musculoskeletal problems as well as problems with the nervous system. Depending on your specific situation, he or she may recommend a variety of in-office treatment options to help relieve pain and restore function.  Your doctor may also prescribe a series of at-home exercises or stretches designed to increase the range of motion in your back.

Range of motion is the movement of a joint from full flexion (flexed) to full extension. Certain back problems, ranging from spinal misalignment and muscle imbalances to sprains, strains and pinched nerves (just to name a few), can significantly limit how much you can move. Here are workouts that can help improve your back’s mobility. Remember—use these only after consulting with your chiropractor!

  • Aquatic exercise. Perfect as a low-impact exercise that’s gentle on your joints and muscles, swimming and other water exercises are a great way to ease your back into working out. It is especially beneficial when the water is warm—say, between 83 and 88 degrees Fahrenheit. If you don’t have access to a heated pool, check out the gyms in your town. Many of the big-name gyms feature not only heated swimming pools, but also hot tubs and steam rooms, which can help relax your joints and muscles, giving them a much-needed break.
  • As simple as it sounds, walking is a great way to get simple, accessible exercise. It also strengthens your heart, lungs and overall endurance. Make sure you wear appropriate footwear and take it easy—there’s no need to start out walking miles a day unless you’re up to it. Again, ask your chiropractor for his or her advice.
  • Strength and resistance training. According to Harvard Medical School, not only is resistance training good for increasing range of motion, but it also strengthens your heart, lungs, and overall endurance.
  • Tai chi. An ancient form of Chinese exercise, tai chi is practiced through a series of slow moving poses that can be very effective at extending your range of motion. In addition to increasing flexibility, it is also purported to strengthen muscles, and develop balance and coordination.
  • Like tai chi, yoga is another very old form of exercise. Developed in India over a great many years, yoga eases stiffness in muscles and encourages greater range of motion. Just be careful not to overdo it—it could be detrimental to your condition.

If you need help with addressing your back pain, be sure to give our office a call at 406-652-3553 to schedule an appointment with Dr. Oblander!

 

What Is Immunotherapy and How Can It Help with Food Allergies?

What Is Immunotherapy and How Can It Help with Food Allergies?

young-parents-feeding-child

Food allergies affect over 15 million Americans, including 1 in every 13 children under the age of 18. The symptoms of these allergic reactions can range from minor (e.g., itching, swelling of the lips, intestinal cramps, diarrhea, and vomiting) to major or even life-threatening (e.g., development of hives and rashes, tightening of the throat to the point of being unable to breathe, significant drops in blood pressure).

Having such an allergy—or being the parent of a child with such an allergy—can impose unwelcome lifestyle limitations and cause a great deal of anxiety. At present, there is no known cure for serious food allergies that works for everyone. This means that the best approach for the time being is to completely avoid the food product to which you or your child has an allergic reaction. However, this is not always practical or possible to do. That’s why the majority of “treatments” currently available focus on managing the symptoms after an attack has taken place. For instance, individuals with serious food allergies may carry an auto-injector filled with epinephrine (adrenaline) with them at all times, just in case.

Naturally, because of the seriousness and the prevalence of food allergies, a great deal of research is being conducted on treatments to desensitize individuals to the foods they are allergic to. This may effectively “cure” the allergy for some sufferers. One of the fields that shows promise is the study of immunotherapy (more precisely, low-dose immunotherapy), in which extremely small amounts of the allergen are administered to allergy sufferers over time. The basic idea behind the experimental treatment is that the body will develop a tolerance to these low doses and that the allergic reaction will gradually cease.

The first work in immunotherapy was undertaken in the 1960s in England by Dr. S. Popper, who was trying to cure allergic reactions to pollen by injecting patients with low doses of the allergen in combination with the enzyme beta-glucuronidase in an approach called “enzyme potentiated desensitization” (EPD). While the then-experimental treatment showed early success, its use in the U.S. was suspended by the FDA for administrative reasons in 2001. However, follow-up work continued and an enhanced American version of the EPD injection called Low Dose Allergens (LDA) was later introduced.

The obvious drawback of this type of therapy is that the doses have to be injected by a physician. It is also necessary for patients to avoid outside exposure to larger doses of the allergens and to many medications while the treatment is underway. However, other researchers have continued to study desensitization via immunotherapy with the goal of finding other mechanisms of administering the low-dose allergens, such as oral medications, sublingual (under the tongue) medications, and others.

Some of the most promising work in this field is being performed at Stanford University School of Medicine by Kari Nadeau, Associate Professor of Allergies and Immunology. Nadeau is working with children afflicted with peanut allergies. Her approach is to give them minute doses of the peanut allergen and gradually escalate the doses over a period of months in the hope of them eventually developing immunity. Up to this point, Nadeau’s technique has produced positive results for many patients, but it does appear to have limitations. First, the therapy doesn’t seem to offer a permanent “cure”. Patients must continue to take low doses of the peanut allergens or risk losing their immunity. If they stop for more than a few days, the allergies can come back. Second, the treatment itself is time-consuming and often expensive.

While the jury is still out on immunotherapy, the concept shows promise. However, progressing from concept to proven treatment is clearly going to take much more work. As it stands today, some immunotherapy approaches work for some patients but don’t work for others. Plus, there are questions about how long immunity actually lasts and whether it must be maintained or periodically boosted. This is clearly a very important consideration since patients could run the risk of unknowingly losing immunity and coming into contact with the allergen, allowing it to trigger an unexpected—and potentially serious—attack.

So if you suffer from food allergies and are looking for a way to diminish them, the best advice we can offer at this time is to continue following the research and to consult with your own healthcare providers about the potential benefits and risks in your own case. If you do decide to pursue immunotherapy, be sure that it is being administered and overseen by well-trained medical professionals who can monitor progress and watch for side effects.

 

Healthy Lifestyle Choices Are a Team Effort for Couples

Healthy Lifestyle Choices Are a Team Effort for Couples

couple-playing

These days, with divorce statistics skyrocketing, it’s easy to focus on the “for worse” part of the traditional marriage vow. But the simple fact remains that a good marriage—or a healthy long-term relationship of any kind—brings lots of benefits to both partners. So we thought it would be a good idea to remind our readers about the “for better” aspects of marriage—particularly as they related to health and well-being.

As sociologist Linda Waite puts it, “Marriage is sort of like a life preserver or a seat belt. We can put it in exactly the same category as eating a good diet, getting exercise, and not smoking.” Your relationship can provide an opportunity for partnership in more areas than sharing finances and raising children. You and your partner can work together to improve each other’s health and state of well-being. Here are a few tips from health experts to help you do this.

  • Exercise together. When couples meet, chances are each of them has his or her own regular exercise regimen. And chances are they involve different forms of exercise. Just as an example, she may prefer aerobics or running, while he prefers sports like golf and tennis. Well, here is an opportunity to “cross-pollinate” and for couples to try each other’s exercise regimens from time to time. Naturally, working out together also tends to keep both parties exercising regularly, because you’re doing it as a team, not on your own. If it’s looking a little chilly outside, you might be tempted to skip your evening run if it’s just you, but if you know that your partner is counting on going with you, you might just go anyway.
  • Learn from each other’s food preferences. Some studies have shown that in traditional marriages, men tend to eat better after marriage than before. This may be due to the fact that men typically haven’t been taught to cook in the home as young boys in the same way that girls traditionally have (though there are abundant signs that girls and young women now share men’s unfamiliarity with the kitchen). So eating—whether at home or at a restaurant—can become an exercise in learning from your partner’s tastes, and possibly expanding your own. Think you hate broccoli? Well, that was before you tasted your spouse’s recipe for it, right? Eat too many salty or sugary snacks while watching TV? That was before your partner shared their recipe for veggie snacks with the cucumber-coriander dip. As a general tip, health experts say you should look carefully at your partner’s food choices and follow the lead of the person with the healthier diet.
  • Lose weight together. Just as your relationship provides an opportunity to inspire each other when it comes to exercise, it can also be a godsend when one or both of you needs to drop a few pounds. Agree on your mutual weight loss goals, and then go shopping together, and stock your kitchen only with foods that support those goals. Whether you’re trying to cut down on sugar, fat, salt, or other foods that help to keep weight on, working together to stick to a healthier diet can be a lot easier than doing it on your own.
  • Don’t forget the V word. Vacations. Many men—and increasing numbers of women—find themselves in the work rut and fail to find time on the calendar for vacations. Then they wonder why they get sick or find themselves depressed. Planning a vacation together gives both parties the opportunity to figure out just which destinations and activities best suit their preferences and their health goals. Going on these vacations works magic; in one study of 12,000 men, those who took yearly vacations had a significantly lower risk of death than those who did not.
  • Learn things together. Many studies are proving the wisdom of “use it or lose it” with regard to brain health. And one of the proven ways of “using” your brain and thus keeping it free from cognitive degeneration and Alzheimer’s is to keep learning. Again, this is easier as a team than on one’s own. We all know how easy it is to veg out in front of a TV alone, but if you’ve signed up for a language course or have joined the same weekly book club as your partner, you’re more likely to actually keep learning.
  • Go to bed together. No, we don’t necessarily mean “go to bed and have sex” together, although that’s good for your mutual health, too. Instead, studies have shown that couples who have similar sleep schedules are healthier and have fewer incidences of common diseases. Chronic sleep deprivation is becoming a national public health issue, so if you can work out compatible sleep schedules with your partner, chances are it’ll make both of you healthier.
  • Laugh a lot. Let’s face it…how many of us laugh out loud when we’re alone? Do it too much, and people might even begin to think you’re weird. But if you’re like most people, one of the reasons you chose your partner is because he or she makes you laugh. There have been numerous studies that have shown that the more genuine laughs you have per day, the healthier your probably are. So keep amusing each other, and keep laughing at each other’s jokes. It might just provide the mechanism for laughing together for the next fifty or more years, and what’s not to like about that?
Most Effective “Low Impact” Cardio Exercises

Most Effective “Low Impact” Cardio Exercises

Why “low impact” cardio exercises? Imagine reaching your “golden years” with a buff beach body only to be told that you can’t jog or run anymore because your knee cartilage has been worn thin or you have damaged vertebrae. The last thing you want to do is ruin your body while trying to stay in shape. Here we present some good low impact cardio exercises that can help you maintain a healthy cardiovascular system without causing damage to your musculoskeletal system.

Walking—This simple exercise places far less stress on the knees than jogging, running or pounding the stairs. If this sounds too boring, try changing your route. Explore different streets or roads. Also, you might take this to the next level and include hiking on trails or through the woods. Be sure to follow experts’ recommendations about hiking dos and don’ts. Add extra energy to your routine by swinging or rotating your arms to the sides. Involving your upper body as you walk can get your heart beating more vigorously.

Speed Walking—It’s impossible to do speed walking without involving the upper body. This is low-impact movement on rocket thrusters. The most efficient position is to keep your elbows bent at a 90-degree angle and be sure they remain close to your body. Be sure to stick to flat, smooth surfaces to reduce the chances of injury.

Cycling—For even less impact, take your bicycle out for a spin. If your bicycle is properly adjusted to your size, there should be no strain on your knees. You can cover far more territory, do more sightseeing and get lots of cardiovascular benefit.

Stairs—Walking up stairs is a powerful way to work your body. Don’t become impatient, though. You don’t want the walking to become jogging. That would turn your low impact routine into high impact. Make certain you softly plant each foot in turn on the next step and use the strength in your legs to push you upward.

Swimming—If you’re just starting an exercise program or returning after years of relative inactivity, swimming is an excellent low-impact exercise option. Taking to the pool can build up vast reservoirs of cardiovascular health because swimming can work the entire body, depending on the strokes you use.

Dancing—Take a dance class. Whether you’re into ballroom, tap, ballet or modern dance, you can get a low impact workout while having fun with others.

If you already suffer from thin cartilage, don’t let that stop you from exercising. One study did MRIs on 50–80 year olds, all healthy men. The results showed that more exercise led to thicker knee cartilage. The consensus was that exercise helped to repair cartilage deficiencies. Everything else being equal, the body is amazing in its ability to repair itself. And these low impact exercises can work wonders for your long-term cardiovascular health.

Remember that one of the best things you can do for your health is to also get adjusted regularly!

 

How Much Screen Time Should Kids Get?

How Much Screen Time Should Kids Get?

In life, it’s nearly always possible to have too much of a good thing, and moderation is usually the right common-sense prescription (no matter what the advertisers say). Screen time is no exception. But how much is too much? That’s the question many parents are asking…

There’s no doubt that a little bit of time watching TV, working on a computer, playing video games or using a tablet or smartphone can be useful. However, it’s also become increasingly clear that long, uninterrupted periods of screen time can cause real problems. This can be a result of the screen-watching activity itself as well as what’s NOT happening while an individual is focused on the screen. While there’s growing evidence that both adults and children are at risk, the rest of this article will focus on kids and what their parents need to know.

Most young children aren’t very good at moderating their behavior or setting their own limits. This means that it’s ultimately an adult’s responsibility to do it for them until they can exercise their own good judgment. And this is true EVEN THOUGH IT TAKES TIME AND EFFORT FROM THE ADULT AND IS OFTEN INCONVENIENT. As tempting as it may be to use devices with screens as electronic “babysitters” to free up your own time, being a parent or caregiver means keeping the child’s needs in mind, too.

Following is a brief summary of the most-widely circulated guidelines for children’s screen time (entertainment-oriented use of electronics), based on recommendations made by the American Academy of Pediatrics.

Under 2 years—No screen time

2–5 years—One hour of preschool TV, but no computer time

5–8 years—One hour

Over 8 years—Two hours

The first couple of years are particularly critical for a child. This is the time when a baby’s brain goes through the most rapid growth and development. Children need to explore and to engage with their broader environment. When these opportunities are limited or “crowded out” in favor of engaging with electronic devices, their cognitive and social development may be altered in negative ways we don’t yet understand. At the same time, researchers have not been able to establish that screen time of any sort (regardless of the media) has any real benefit for very young children. This is why the American Academy of Pediatrics believes that infants younger than two years shouldn’t have any screen time. Media companies and advertisers of infant-oriented products may tell you otherwise, but their interests are probably not the same as yours when it comes to the best interests of your child.

Many of your child’s most basic preferences and habits are developing between the ages of 2 and 5. Simply put, the prevailing wisdom is that electronic babysitters offer no substitute for the physical activity and social interaction kids need at this age. In fact, to the extent that they encourage inactive, solitary play, they may actually pose real health risks on several fronts.  For instance, if your child is sedentary, he or she may have an increased risk of obesity, diabetes and heart disease later on, and may be slower to develop physical skills. If he or she doesn’t have regular social interaction with other adults and children, emotional problems and depression may be more likely.

By challenging your young children with a broad range of physical, intellectual and social activities, you offer them a developmental advantage. While media may have a place in the mix, experts agree that it should be a small one. Television specifically geared to preschoolers (think Sesame Street) can help expand your child’s awareness of learning concepts, but it shouldn’t be occupy more than an hour a day.

Between 5 and 8 years old, children can handle a little bit of screen time without it jeopardizing their development. Just be sure to set firm limits and encourage them to spend at least some of their screen time doing things that will enhance learning and hand-eye coordination.

As your children grow older, teaching them to live within certain sensible limits (in this case, by regulating screen time) and explaining why these limits exist can help them begin to look out for their own health and develop their own sense of self-discipline. Life lessons like these have value in and of themselves. So while your kids may not appreciate your efforts to restrict their use of electronic media, there can be very real longer-term benefits for your kids and for your family as a whole. It’s worth the effort!

 

Want Stronger Bones? Weight Training Can Help!

Want Stronger Bones? Weight Training Can Help!

health club: guy in a gym doing weight lifting

As we age, we normally lose a certain amount of bone density. This is a particular problem for postmenopausal women due to the loss of estrogen, which protects against bone loss. Although men are less likely to suffer from osteoporosis (because their bones are generally larger and more dense), they can also be subject to bone loss if they do not get a sufficient amount of exercise. So what can be done to avoid it? Along with a healthy diet, studies have shown that weight-bearing exercise can help to maintain bone density as we age.

Professor of exercise science at California Lutheran University, Dr. Steven Hawkins, says “Exercise stimulates bone formation, because bone put under moderate stress responds by building density, and, depending on your age and workout regimen, it can either increase or maintain bone-mass density.”

Weight training (also referred to as strength training) increases bone mass, particularly that of the spine. A study performed by researchers at McMaster University in Ontario, Canada, showed that postmenopausal women who do not participate in strength training lose bone mass. However, those women who participated in a year-long strength training program increased their spinal bone mass by nine percent.

Strength training does not mean you have to go to the gym every day and train to Olympian standards. It only requires regularly performing a variety of simple, weight-bearing exercises. Much as a muscle becomes larger and stronger the more you use it, bones become stronger and denser the more stress that is placed upon them.

Gary Null, in his book Power Aging notes “Weight lifting, including curls and bench presses, is a beneficial activity.” And for those who’d rather not spend any time around a gym, “Dancing, stair-climbing and brisk walking are all weight-bearing exercises, which promote (good) mechanical stress in the skeletal system, contributing to the placement of calcium in bones.” But what about aerobic exercises? While they are very good for your cardiovascular system, Aerobic exercises such as biking, rowing and swimming do not strengthen the bones” as they do not place enough stress on the skeletal system to stimulate bone growth.

You only need about 15-30 minutes of weight training two or three times a week to help maintain your bone density. You can use weight machines at the gym, or consider attaching some light weights to your arms and legs as you do a regular workout to increase the stress on your skeletal system. Even gardening can be a good way to help preserve bone mass, as it involves such bone-strengthening activities as pulling weeds, pushing a lawnmower or wheelbarrow, turning over soil, etc. Even something as simple as carrying groceries to and from the car can help.

So consider adding a little weight training to your daily routine so you can maintain your bone health and (with a bit of luck) remain fracture-free far into your later years.

If you need more ideas on how to improve your bone health, be sure to schedule an appointment with Dr. Oblander by calling our office at 406-652-3553!