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Think Twice about Back Surgery

Think Twice about Back Surgery

seductive blond and wall
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Back pain is incredibly common—in fact, just about every adult in the United States has experienced back pain in some form or another, and it is one of the top complaints heard in doctors’ offices and hospitals around the country. Yet the cause of any one type of back pain is one of the most difficult things to diagnose. There are many treatments for back pain, such as chiropractic, physical therapy, acupuncture, surgery, saline injections, and steroid injections, all with varying degrees of risk. According to experts, you should treat back pain conservatively—that is, you should opt for the least risky, minimally invasive treatment option first before considering treatments such as spinal surgery.

Of course, there is risk with any surgery, but failed back surgeries can be calamitous—so much so that there is a condition called “failed back surgery syndrome,” also commonly referred to as failed back syndrome. According to the University Hospital of Columbia and Cornell, New York-Presbyterian Hospital, “Failed back syndrome is a general term that refers to chronic severe pain experienced after unsuccessful surgery for back pain. Surgery for back pain is conducted when there is an identifiable source of pain—usually to decompress a pinched nerve root or to stabilize a painful joint. However, back pain can have a number of causes and accurate identification of a source of pain is complicated; often symptoms do not correlate well with x-rays or magnetic resonance imaging scans. As a result, diagnosis and patient selection for surgery are essential.”

Failed back syndrome has a large array of causes. For example, the original source of the pain can return or complications may arise during surgery. The nerve root triggering the pain may be ineffectively decompressed, joints or nerves may become irritated during the surgical procedure, or scar tissue may compress or bind nerve roots. Additionally, nerve damage sustained during the surgery can add to already existing pain. In some cases, nerves may rejuvenate to a degree, but even this can result in pain if the regeneration is abnormal.

Numerous factors can add to the onset or advancement of failed back syndrome. Contributing causes include residual or recurrent disc herniation, persistent post-operative pressure on a spinal nerve, altered joint mobility, joint hypermobility with instability, scar tissue (fibrosis), depression, anxiety, sleeplessness, and spinal muscular deconditioning. Insufficient or unfinished rehabilitation and physical therapy, particularly in patients whose back muscles are out of shape, can cause chronic pain as well. A patient can also be susceptible to the advancement of failed back syndrome due to systemic conditions such as diabetes, autoimmune disease, and peripheral blood vessels (vascular) disease.

There are other risks of surgery as well—contamination can occur when a surgeon’s gloves have bacteria present on them, passing them to the patient and causing infections that range from mild to very severe.

As an alternative to surgery, there are steroid injections for back pain—but they aren’t always successful. Lumbar epidural steroid injections, as they are called, can help relieve pain, but they carry with them their own hazards. As Spine-Health.com puts it, “In addition to risks from the injection, there are also potential side effects from the steroid medication itself. These tend to be rare and much less prevalent than the side effects from oral steroids. Nonetheless, reported side effects from epidural steroid injections include: Localized increase in pain, non-positional headaches resolving within 24 hours, facial flushing, anxiety, sleeplessness, fever the night of injection, high blood sugar, a transient decrease in immunity because of the suppressive effect of the steroid, stomach ulcers, severe arthritis of the hips, and cataracts.”

To reduce the risk of these side effects of invasive back pain treatments, it is wise to pursue conservative therapies first. When looking at back pain treatment options, always be sure to get a second—and maybe even a third—opinion on how your back pain should be handled. If you’re looking for a drug-free, non-invasive alternative, consider chiropractic care. In addition to treating your back pain directly, your chiropractor can also act as your back-pain quarterback to coordinate care across multiple treatment methods.

 

Getting to Know Your Vitamin A

Getting to Know Your Vitamin A

carrots-200-300Can eating lots of carrots really improve your eyesight? Not exactly, but carrots do contain something called provitamin A carotenoids. These are pigments found in some plants that can be converted by the body into vitamin A. And vitamin A actually is important to your vision.

Vitamin A helps the eye convert light into a signal that can be transmitted to the brain, allowing people to see in low-light environments. In addition, the cornea (the clear front of the eye) can literally disappear if the body does not get enough vitamin A. However, binging on carrots is unlikely to improve most people’s vision. In part, this is because your body will stop converting provitamin A carotenoids (particularly beta carotene) into vitamin A as soon as there is enough in your system. But all this doesn’t mean that vitamin A doesn’t have lots of other uses. Vitamin A is also helpful to bone growth and to your immune system.

As with other vitamins, there are different forms of vitamin A. One of the forms that is most usable to the body is called retinol, which is found in liver, eggs, and milk. One of the most common provitamin A carotenoids that the body converts easily to retinol is beta carotene. Beta carotene is found in yellow and orange fruits and vegetables including carrots, sweet potatoes, spinach, and cantaloupe. Vitamin A is also one of the vitamins often used to fortify breakfast cereals.

Vitamin A is fat soluble, which means that the body stores it, mostly in the liver. That also means that it is possible to build up toxic levels of Vitamin A. This rarely happens from food sources because (as noted above) the body will slow down the conversion of beta carotene as it builds up supplies of vitamin A. When people do get vitamin A toxicity, it is usually from taking too much in supplement form. Toxic levels of vitamin A can cause liver problems, central nervous system problems, reduced bone density and birth defects.

True vitamin A deficiency is rare in the US, but common in countries where malnourishment is widespread. When it occurs, the consequences can be quite severe. This is because the body uses vitamin A to make various internal tissues, such as those lining the eye, lungs, and intestinal tract. When these linings are weakened by vitamin A deficiency, it is easier for harmful bacteria to penetrate them and thus, people with vitamin A deficiency are more prone to infections, illness, blindness, and respiratory problems.

Aside from those who are malnourished, other people who may be prone to vitamin A deficiency include those who consume large amounts of alcohol and those with certain metabolic disorders that affect how fat and other nutrients are absorbed by the body.

As of this writing, the Recommended Daily Intake for Vitamin A is 2,310 IU for females and 3,000 IU for males.

It goes without saying that good nutrition is critical to your overall health and well-being. At the same time, it can be difficult to keep up with the latest research and guidance. If you have questions or concerns about your diet or about supplements, please call or visit our office today. We’re here to help!

 

 

Who is Most at Risk for Whiplash Injuries?

Who is Most at Risk for Whiplash Injuries?

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whiplash-x-ray

Whiplash is a type of injury that occurs when the neck is forcefully moved back and forth. It is most commonly a result of rear-end auto accidents, and it causes a number of painful symptoms, including headaches as well as discomfort and stiffness in the neck. While whiplash injuries can happen to anyone, some people are more at risk than others.

Who is most at risk for whiplash injuries?

Generally speaking, the better your body is at stabilizing itself, the less likely you are to suffer whiplash. Therefore, you are more at risk for whiplash if your physical condition is poor, if you are unaware of an incoming impact, if you are over the age of 65, or if you are female.

While you may not realize it, your body has an automatic stabilization system that responds very, very quickly as soon as you become aware that you’re about to experience an impact. The muscles in your neck will quickly contract in order to protect your discs and ligaments from the impact. Drivers who can see a vehicle coming up behind them in the rear view mirror are more likely to be protected by this stabilization process, making passengers who can’t see the approaching vehicle more at risk for neck injuries.

This stabilization process is also more effective if your overall physical condition is high. Having a larger frame, stronger musculature and a well-functioning nervous system helps to ensure your body responds appropriately to an incoming collision. This can help explain why women are naturally more susceptible to whiplash than men. Because they tend to have less muscle mass in their necks, there is less protection, making injuries more likely. The same is true of people over the age of 65.

What can be done to recover from a whiplash injury?

Unfortunately, whiplash injuries are very common among drivers in the United States. More than 1 million drivers are affected by whiplash every year, and most injuries take place at speeds below 12 mph. Even seemingly mild impacts can result in chronic pain that can interfere with your ability to live your life. While in many cases there isn’t much to be done to prevent a whiplash injury, there are many options to address it. Chiropractic care is one such option.

The first priority after an accident should be to address any serious or life-threatening injuries, such as trauma to the head, significant blood loss, damage to internal organs, bone fractures, etc. If these injuries are not an issue, it is a good idea to get a thorough evaluation from your chiropractor so that he or she can assess the health of your musculoskeletal system. He or she will ask you to describe the accident in detail, perform a complete physical examination, and do any diagnostic imaging necessary to fully understand your condition. Depending on the results, your chiropractor will then work with you to build a treatment plan. This plan might include adjustments to help correct any alignment issues, massage and soft-tissue manipulation, laser pain relief therapy and other treatments designed to relieve pain and restore function. The goal is always to help you heal more completely and more quickly.

Whiplash injuries are common, but there is no need for them to rob you of your ability to live a pain-free life. Contact our office today to learn more about how we can help eliminate your neck pain.

How Chiropractic Care Keeps a Body in Motion

How Chiropractic Care Keeps a Body in Motion

bartlett-joshua-palmer-200-300.jpgMost of us are probably aware that staying in good physical condition is essential to maintaining an active lifestyle, especially as we get older. And some of us may even be aware of the links between mobility and independence and social and psychological well-being. Unfortunately, as we age, many of us are challenged to remain active because of disease, pain, stiffness or chronic or acute injuries. These problems are affecting larger numbers of people as we are living longer lifespans.

Now, a very interesting study from the University of Iowa suggests that older people who receive chiropractic care may benefit from a “protective effect” with respect to their overall health and physical capabilities. The research team came to its conclusions by comparing the experience of a group of Medicare recipients who received chiropractic care to the experience of a group of Medicare recipients who did not receive it.

Chiropractic Care vs. Standard Medical Care

The study, which was published recently in the Journal of Manipulative and Physiological Therapeutics, examined the medical records of over 1,000 senior citizens (minimum age 70) who had a back-related condition such as a musculoskeletal disease, sprain or strain, or dislocation that led to a Medicare claim. The researchers compared the experience of those who received 12 chiropractic care visits over several weeks for their condition with the experience of those who received standard medical care, which was comprised of 1-2 visits with a medical doctor over the same time period. The aim was to determine whether there was a difference in health outcomes, physical limitations and the ability to carry out daily activities between the two groups. The researchers obtained the data from the Medicare Current Beneficiary Survey (MCBS) and looked at specific variables such as patients’ ability to eat, dress and bathe, sit in or get up from a chair, reach, stoop, or walk across a room. They also considered depressive symptoms and overall self-reports of satisfaction with their care based on the treatment and its cost.

Conclusions: Chiropractic Care is Protective for the Senior Population

The researchers concluded that those senior citizens at least 70 years of age who had chiropractic care had less physical deterioration and reported better overall health. Specifically, they had less difficulty with daily activities such as walking and lifting, and fewer doctor visits and hospitalizations. They were also generally more satisfied with their care and its cost, both during and after the treatment. What’s more, the patients who had chiropractic care exercised more and even reported fewer depressive symptoms. The authors concluded that chiropractic care had a protective effect on this group of patients—making it less likely that they would experience declines in overall health and physical activity levels, thus promoting a higher quality of life.

This research demonstrates that chiropractic care can provide benefits for seniors that go far beyond just relieving back pain. It can have a profound impact on all dimensions of life, from the physical to the psychological, just when we need it most.

Health Benefits of Breathing Deeply

Health Benefits of Breathing Deeply

woman-deep-breathing-200-300“Take a deep breath.” It’s something we say to each other—and even to ourselves—when the going gets rough and we need to get our emotions under control. But it turns out that this bit of advice isn’t only useful in helping us recover our composure. When practiced on a regular basis, deep breathing can have real physical and mental health benefits.

Many health researchers and clinicians recommend controlling your breath as an easy way to improve your health. The benefits of slow, deep breathing include decreasing inflammation, reducing anxiety, improving heart health, reducing pain, and boosting your immune system. In addition, people with migraines and irritable bowel syndrome may also experience benefits from deep, consistent breathing.

How does it work?

Deep and slow breathing stimulates the vagus nerve. This nerve connects the brain stem with the abdomen, and it is part of the parasympathetic nervous system. This system is responsible for so-called “rest and digest” activities. For example, it causes the heart rate to decline when we exhale. The sympathetic nervous system, on the other hand, controls our “fight or flight” responses.

The vagus nerve is activated when we slow our breathing to around 5 to 7 breaths per minute (our usual pace is around 12 to 18 per minute). In addition to slowing our heart rate, the vagus nerve controls the release of various neurotransmitters, such as acetylcholine. Acetylcholine slows both our heart rate and digestion and has anti-inflammatory properties. In fact, for people with severe conditions such as epilepsy, there are devices available that can stimulate the vagus nerve.

How can we learn to breathe more deeply?

Deep breathing is often taught in meditation and yoga classes. Experts say it is important to breathe in through the nose and exhale through the mouth, ensuring that the exhale is longer than the inhale. Breathing should focus on the abdomen, particularly on the inhale, rather than the chest and shoulders.

To help people become more aware of their own breathing patterns, a San Francisco startup company has developed a wearable device called Spire, which helps users track their breathing and know when to slow down and take a deep breath. The basic idea is that you don’t have to stop what you are doing in order to shift into a calmer, more healthful breathing state. This device may be particularly useful for some computer users, whose breathing seems to change significantly while they’re doing their work. At one end of the spectrum, some individuals tend to hold their breath—a condition known as “screen apnea”. At the other end of the spectrum are the rapid breathers. A small study by Neema Moraveji, co-founder of Spire and director of the Calming Technology Lab at Stanford University, showed that people working on a computer took an average of 16.7 breaths per minute, versus 9.3 breaths a minute when relaxed.

However we choose to approach our own breathing, whether through meditation, yoga, or wearable devices, there’s growing evidence that becoming more mindful—and taking greater control—has real health benefits. So take a deep breath and get started!

Why See a Chiropractor After Symptoms are Gone?

Why See a Chiropractor After Symptoms are Gone?

Chiropractor - Gentle Neck Adjustment
Chiropractor – Gentle Neck Adjustment

At some point in your life, you’ve probably heard an acquaintance, friend or family member say something like this: “Once you start going to a chiropractor, you’ll have to keep going back forever.” Most of the time, this is meant as a caution—a warning that chiropractic care is somehow addictive, cultish or (at worst) ineffective.

As chiropractic physicians, we believe that it’s very important for our patients to understand the nature of what we do and the kind of relationship we work to build with them. We also think it’s important to explain the phenomenon that these acquaintances, friends or family members are referring to.

There are indeed many people who return to our office even after their initial symptoms have disappeared. But they don’t return because they “have to”. They return because they CHOOSE to. And patients make this choice for a variety of different reasons. Sometime the reason has to do with a chronic or recurring condition that requires ongoing or periodic attention. Sometimes it has to do with a different health issue altogether. And still other times it has to do with their overall wellness. But in every case, they return to chiropractic because it helps them feel better than they feel without it.

Whether or not you choose to return to your chiropractor for regular treatment will depend on your own physical condition as well as your broader health and wellness goals. We understand that every patient is different, and we will do our best to work with you to design a treatment plan that meets your specific needs. This is true whether your priority is short-term pain relief, physical rehabilitation or general health and wellness. Our goal is always to provide the right combination of in-office care, exercise and stretching recommendations and lifestyle counseling to help you achieve your objectives.

Of course, you don’t have to keep going back to the chiropractor after your symptoms have been resolved. But the simple truth is that those symptoms are likely to reappear at some point if you don’t address the underlying source of the problem. Over time, pain, poor joint function and other signs of bodily wear can begin to creep up again without regular maintenance.

Why Regular Chiropractic Care is Important

Going to your chiropractor for a regular checkup and any necessary treatment is really no different from visiting your dentist or eye doctor. It’s fundamentally about prevention and early detection. The wear-and-tear of everyday living (not to mention the special demands of athletics or certain professions and workplaces) can take a serious toll on your musculoskeletal system in general. And it can be especially hard on your back and neck if your general posture is compromised. Unfortunately, it can take time for the cumulative effects to become obvious and for to you to begin experiencing pain and reduced function. And by the time you do experience these, whatever problems you have may be more difficult to treat.

The keys to good musculoskeletal health (especially spinal health) are:

  • Regular exercise that maintains or improves your posture, balance, flexibility, strength and stamina. Your chiropractor can recommend a specific program that accomplishes just that.
  • A healthy diet that provides the right nutrients for growth and recovery of bones, muscles and joints.
  • A weight loss or weight management approach that reduces (or prevents) unnecessary stress and strain on your joints.
  • Good ergonomics at work and play.
  • Avoidance of unhealthy habits that have been associated with musculoskeletal problems, including excessive sitting, alcohol and smoking.
  • Regular chiropractic check-ups and treatment.

For many of our patients, chiropractic care has become an important part of their overall wellness lifestyle. It’s simply something they do for themselves and their families to protect their overall health and help them feel (and perform) at their best. If you’re interested in learning more about how we can help you, please call or visit our office today!

Ever Wonder Who’s Really Responsible for Your Healthcare? You Are!

Ever Wonder Who’s Really Responsible for Your Healthcare? You Are!

 

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It’s hardly surprising that people take different approaches to healthcare depending on their situation. After all, being in an auto accident creates a different set of priorities than expecting a first child. And discovering that you have a chronic medical condition is different from recovering from a fall down the stairs. However, the themes of prevention and early intervention are becoming more and more important as society addresses the healthcare costs associated with longer lifespans and so-called “lifestyle diseases”.

Need evidence? At the level of national healthcare policy, the Affordable Care Act places a new emphasis on preventive care by requiring that certain services be covered. Many private insurers and healthcare systems are taking an even more active role in advising their subscribers about what types of tests they should get at various ages and how to manage medications for the best results. Even employers are introducing or expanding workplace wellness programs aimed at preventing common health problems.

With all of these public- and private-sector organizations involved in healthcare with a capital “H”, it’s tempting to view health and wellness as an institutional challenge—a problem for someone else to solve. But this misses a very, very important point. No one has a greater stake in your own health and wellness than YOU do! This means that no one has a stronger interest in prevention and early detection.

Reasons Your Musculoskeletal Health May Need More Attention than You Think

A variety of injuries and health conditions can compromise your musculoskeletal system, resulting in pain and reduced function of bones, muscles and joints. And the regular wear and tear we associate with aging can also reduce our strength, stamina, balance, flexibility and coordination over time. For this reason, many people simply accept the onset of back, neck and joint pain as an inevitable result of getting older. But the truth is that we do have some control over how well our musculoskeletal system ages. By adopting healthy lifestyle habits related to nutrition, exercise, sleep and regular chiropractic care, we can avoid or delay certain types of common health problems.

How Doctors of Chiropractic Help Reduce Back Pain and Restore Mobility

The spine is a complex structure that is made up of bones, joints and the surrounding musculature. Doctors of chiropractic use specialized manipulation and mobilization techniques (often referred to as “adjustments”) to restore proper spinal alignment, thereby reducing pain and restoring mobility.

Taking a Holistic View of Health and Embracing Prevention

Although your immediate motivation in visiting a chiropractor may be to get pain relief without the risks of drugs or surgery, chiropractic treatment can also improve your overall health and longer-term quality of life. Chiropractic physicians are trained to take a holistic view of health and place a very high value on prevention. In part, this is because we recognize that our patients’ day-to-day decisions and behaviors have a cumulative effect on their musculoskeletal health as well as their general well-being. Prevention is something you can do for yourself!

  • Eat a healthy diet.
  • Keep moving and live an active lifestyle.
  • Lose weight if needed.
  • Maintain proper posture while sitting and standing.
  • Avoid high-heeled shoes, heavy backpacks and purses.
  • Lift correctly, using your legs instead of your back. Never lift anything that is heavier than 25% of your body weight and do not twist while lifting.
  • Get enough sleep.
  • Don’t use tobacco.
  • Moderate your use of alcohol.
  • Be proactive in obtaining chiropractic care for your back and overall health

Taking responsibility for your own health—and healthcare—means learning everything you can about your options and taking action. Call or visit our office today. We can help!

Understanding Inflammation

Understanding Inflammation

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woman-holding-head-in-pain

Your body employs a number of powerful biological responses to keep you alive and healthy. Some of these responses can be triggered without much notice, but others are difficult to ignore. One of these more obvious responses is inflammation. Inflammation has an important role to play in the body’s ability to heal, but in some situations it can become problematic. Read on to understand more about this important function.

What is Inflammation?

When your body undergoes an injury or encounters an infection or irritant, it uses inflammation to aid in the healing process. The body releases chemical substances into the tissue around the injury or infection, which allows blood more access to the problematic area. The skin around the inflamed area often grows red and might feel warm to the touch. Inflammation can also cause pain as the released chemicals stimulate nerve endings and make the area more sensitive. This sensitivity prompts you to give the injured area plenty of rest, helping to improve the body’s ability to heal.

Inflammation Gone Awry

In the short term, inflammation provides a valuable service. However, inflammation can become chronic, meaning that it can last for months or even years. Chronic inflammation can occur if the body’s natural systems fail to address the root cause of the inflammatory response, or if the immune response mistakenly starts to attack healthy tissue. This type of inflammation plays a role in a variety of chronic conditions, such as asthma, rheumatoid arthritis, and ulcerative colitis. Inflammation can also interfere with your life by causing congestion, fatigue, high blood pressure, allergies, and weight gain.

While everyone experiences inflammation from time to time in response to injury or irritation, some lifestyle factors can make you more prone to unnecessary inflammation. A study conducted by the Emory University School of Medicine in Atlanta, Georgia found that sleep deprivation raises the body’s levels of inflammatory markers, substances in the blood that show that inflammation is present. People who are overweight and obese also tend to show higher levels of these markers. However, a study from the Fred Hutchinson Cancer Research Center in Seattle, Washington, found that postmenopausal women who were overweight or obese showed a measurable decrease in inflammation markers when they lost 5% of their body weight.

Keeping Inflammation Under Control

If you believe you are suffering from uncontrolled inflammation, check in with your primary care provider to rule out any life-threatening conditions. Then, schedule a time to talk with your chiropractor. A 2010 study by the University of Quebec at Montreal found evidence that chiropractic manipulation can cause inflammation markers to normalize. A chiropractor can also make lifestyle suggestions to help make sure your diet, exercise and sleep levels support a healthy inflammation response.

Inflammation is a very good thing in the right circumstances, but it can cause many problems in the wrong ones. There are solutions, however, so there is no need to keep living with painful chronic inflammation.

A Day in the Life of a Crash Test Dummy

A Day in the Life of a Crash Test Dummy

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dot-crash-test-dummy

Crash test dummies. You probably don’t think about them very much (if at all), but you may owe them much more than you realize when it comes to your health and safety on the nation’s roads. Automobile makers use crash test dummies—that is, inanimate, human-like mannequins—to simulate the type and scale of injury that may occur in an automobile accident. Car and truck manufacturers go to great lengths to design and build safe vehicles, and these “full-scale anthropomorphic test devices” or “ADTs” take a real beating day after day as they provide data regarding velocity of impact, crushing force, bending, folding, or torque of the body, as well as deceleration rates during test collisions.

U.S., car accidents kill more than 30,000 people each year and injure many more. However, manufacturers work continually to make cars safer and accidents more survivable through crash-testing programs. According to the National Highway Traffic Safety Administration, from 1994 to 2009, the fatality rate decreased from 23 to 16 fatalities per 100,000 licensed drivers. Crash test dummies have played an important part in that achievement as a result of their role in car testing and design. They’ve also played an important part in reducing the severity of auto accident injuries.

In order to survive a car accident and walk away with minimal injuries, drivers and passengers must be able to withstand the changes in kinetic energy that occur when bodies in motion suddenly come to a stop or when bodies at rest are suddenly accelerated. A car’s safety features, including seat belts and air bags, are made to help mitigate the damage that these abrupt changes can cause to the human body. Crash test dummies allow safety engineers to identify how the changes in kinetic energy caused by car crashes affect the human body and its musculoskeletal system. Researchers use this data to identify areas where changes could improve a car’s safety rating. Additionally, the data is useful to gauge the effectiveness of these improvements once they have been made.

Anthropomorphic test devices, or ATDs, have become enormously sophisticated since the first crash test dummy was created. Dubbed Sierra Sam, the first ATD was made in 1949 to test how ejection seats in aircraft affected people. Today’s crash test dummies are designed to simulate human anatomy in great detail, and to respond as the human body would respond to the forces and impacts generated by auto accidents. Using a wide variety of advanced materials and sensor technologies, they can tell a researcher what types of injuries would likely have been sustained by vehicle occupants in a crash—anything from surface skin abrasions and contusions to soft tissue damage, broken bones and life-threatening internal injuries.

Combined with sensors in the test car itself and an array of slow-motion video cameras, ATDs have helped designers and engineers understand better than ever before exactly what happens in different kinds of accidents so that they can protect vehicle drivers and passengers. And there’s no doubt they’re very valuable members of the safety team—they can cost anywhere from $100,000 to $400,000!

ATDs are built in a variety of shapes and sizes to mimic human differences. However, they’re also used in ways that allow carefully controlled testing from crash scenario to crash scenario and from vehicle to vehicle. Before each test, engineers paint different parts of the crash test dummy’s body with different colors, allowing them to identify how each part of the body impacts parts of the vehicle’s interior.

Car accidents can be particularly hard on the musculoskeletal system—injuries to the back, neck, and extremities are common. Unfortunately, many of these injuries may go undetected immediately after a collision, when adrenalin is flowing and participants are generally eager to leave the scene and move on with their lives. Symptoms may appear days, weeks or even months afterward. Plus the injuries sustained in a car crash may cause a host of ongoing health complications, such as recurring headaches, neck stiffness, TMJ, dizziness and chronic back pain as well as reduced mobility.

Chiropractic physicians are specially trained to diagnose and treat the types of musculoskeletal injuries that many people suffer as a result of care accidents. If you or someone you care about has been involved in a car accident, it’s very important that they receive a prompt medical evaluation from a qualitied healthcare professional—even if they feel fine or are only experiencing minor symptoms. Detecting injuries as soon as possible often allows auto accident victims to recover more quickly and more completely, with less pain and less disability.

Why Better Nutrition Alone Won’t Stop the Obesity Epidemic

Why Better Nutrition Alone Won’t Stop the Obesity Epidemic

Girl on the couch
Girl on the couch

It’s no secret that many Americans’ eating habits have taken a turn for the worse over the past 20 years in terms of the quantity, quality and combination of foods we eat. A number of diet-related trends have converged to help create a perfect storm of expanding waistlines:

  • Beginning in the mid-1970s, government nutritional guidance (backed by the limited scientific data that was available at the time) triggered a nationwide shift away from foods with saturated fat (such as milk, eggs and meat). However, it also inadvertently ushered in the age of “fat-free” marketing that gradually drove Americans toward a diet high in complex carbohydrates.
  • The rise of convenience-oriented packaged foods made home cooking seem unnecessary. As a result, a generation (or maybe two) grew up without planning meals, shopping for ingredients or preparing food. While it’s easy to focus on the loss of these basic skills, something else was lost, too—control over the contents of the food itself. In adopting diets built on ready-made meals, American ouseholds left decisions about fat, sugar and salt as well as chemical additives to the chefs in corporate kitchens.
  • A new culture of snacking evolved that made eating a sort of parallel pastime—something that was done almost without thinking alongside other day-to-day activities. Plus, grab-and-go packaged food meant that the dining room was now anywhere you happened to be.
  • Supersize portions, value meals and double desserts slowly changed Americans’ ideas about how much food should be eaten at a single sitting. For much of the population, the new normal included many more calories than would have been common in the 1970s or 1980s.

But for all the evidence that the American diet has played a prominent role in the current obesity epidemic, there is also evidence that another factor may be even more important.

On average, Americans are LESS PHYSICALLY ACTIVE THAN AT ANY OTHER TIME in our history. Sweeping changes in the kinds of work we do and the way we do it, along with changes in how we get from place to place and how we spend our leisure time have meant that much of the population just doesn’t move around very much. We increasingly lead very sedentary lives.

A recent study published in the American Journal of Medicine drives home this point. According to researchers at Stanford University who analyzed 20 years of data from the National Health and Nutrition Examination Survey, a very sharp drop in leisure-time physical activity may be responsible for the general upward trend in obesity rates.

Dr. Uri Ladabaum, Associate Professor of Medicine at Stanford University School of Medicine and lead investigator, noted that total daily calorie, fat, carbohydrate and protein consumption hasn’t actually changed much over the past 20 years but that the general level of physical activity has. “At the population level, we found a significant association between the level of leisure-time physical activity, but not daily caloric intake, and the increases in both BMI and waist circumference.”

The fall-off in physical activity over the past two decades is truly striking:

  • During the 1988-1994 period, the number of female American adults reporting no physical activity was 19.1%. During the 2009-2010 period, it was 51.7%.
  • The percentage of American men reporting no physical activity grew from 11.4% in the 1988-1994 period to 43.5% in the 2009-2010 period.

Over the same time frame, the incidence of obesity across the country has grown. While the average BMI has increased across the board, the most dramatic change has been among woman between the ages of 18 and 39.

An earlier study reported in the December 2013 Mayo Clinic Proceedings painted a similarly grim picture. Based on two years’ worth of data collected from sensors attached to 2,600 people, investigators concluded:

  • Men and women of normal weight exercised vigorously (think jogging or a brisk uphill hike) for less than two minutes a day. They engaged in moderate exercise (yoga or golf, for instance) about 2.5 to 4 hours per week.
  • By contrast, the average obese American man gets only 3.6 hours of vigorous exercise per YEAR, and the average obese American woman gets only ONE hour of vigorous exercise in the same period of time.

What’s happening here?

According to Edward C. Archer, a researcher at the University of Alabama at Birmingham, “We’ve engineered physical activity out of our daily lives and that’s causing the health disparities that we have in this country.”

There is a very clear relationship between physical activity and your health—including your musculoskeletal health. But it’s also true that there’s a link between your musculoskeletal health and your ability to lead an active lifestyle. If you’re suffering from back, neck or joint pain, it can be very difficult to exercise. This in turn raises your risk of weight gain as well as your risk of other health problems.

We can help relieve musculoskeletal pain and restore your mobility. Just call or visit our office today!

 
Additional Resources

Lack of exercise, not diet, linked to rise in obesity, Stanford research shows. http://med.stanford.edu/news/all-news/2014/07/lack-of-exercise–not-diet–linked-to-rise-in-obesity–stanford-.html

U.S. mothers, 1965 to 2010: More TV, less housework leading to a more obese population. http://www.sph.sc.edu/news/mothers_inactive.html

‘Get Up!’ or lose hours of your life every day, scientist says. http://www.latimes.com/science/sciencenow/la-sci-sn-get-up-20140731-story.html