Oblander Chiropractic

The Joys of Swimming for Fun and Fitness

June 2, 2016 oblanderchiropractic

man-swimmming-200-300 With summer weather heating things up across much of the country, swimming is a great way to cool off and have some fun! But did you know that it’s also an excellent way to increase your fitness, help control your weight and improve your overall mood? Plus, swimming is a type of exercise that people of any age and physical ability can enjoy. It’s easy on the musculoskeletal system while at the same time providing a good aerobic workout.

Swim for Fun

Even among avid swimmers, boredom in the pool is one of the common reasons for losing interest in sport. While swimming laps in the pool may not seem like a recipe for fun, here are a few things you can do to add some variety to your in-water workouts.

Plan your in-pool workout ahead of time and vary your activities so that variety is built-in.
Swim with buddies who have the same water fun and fitness goals that you do.
When swimming laps, do things to keep your mind engaged in your activity and help sharpen your technique. Counting how many strokes you need to complete a length of the pool and how quickly you can do it is one way to look for improvements. Experimenting with stroke length is another.
If you have the option, change up the locations of your swimming workouts. A change of scenery—from an indoor pool to an outdoor one, or from a lake to the ocean—can make a big difference in how your workout feels.
Add to your “playbook” of swimming drills. You can reach out to others or go online for suggestions to help mix things up.
Learn some new strokes or make up some of your own. You might look silly doing it, but it adds to the experience!

Swim for Fitness

While swimming may not be as accessible as walking, running or even biking in some communities, it has distinctive health benefits that make it well worth the trip to a local pool. The organization that governs all swimming-related activities in the UK (called the ASA) compiled a report of scientific findings from all over the world about the health benefits of swimming. Some of them are truly striking. For instance, researchers have found that swimming regularly reduces men’s risk of dying early by a staggering 50% relative to those who run, walk or do no physical activity. Experts estimate that just two and a half hours per week of swimming can significantly reduce your risk of chronic disease.

A good all-around exercise, swimming involves both aerobic activity and working against resistance. Unlike most aerobic activities, however, swimming involves little in the way of jarring impact (like the shocks and jolts involved with running) and doesn’t require you to support your full body weight while doing it. When submerged up to your neck in water, your body weight is effectively reduced by 90 percent. As a result, overweight and obese people can get a good workout without placing large amounts of painful stress on the lower body’s muscles and joints. This removes a common deterrent to exercise for a large (and growing) part of the US population and suggests that swimming could be an attractive option for people trying to manage their weight.

Arthritis sufferers or those with musculoskeletal injuries can also benefit from swimming, since studies have shown that it improves range of motion without causing a worsening of symptoms such as pain and stiffness. In fact, according to the UK’s Chief Medical Officer, swimming as a form of exercise (as opposed to running or practicing other impact sports) can reduce your risk of osteoarthritis.

Beyond increasing fitness levels and helping to manage weight, swimming may provide a variety of other health benefits:

Studies performed on people suffering from fibromyalgia have found that exercise performed in a warm pool reduced anxiety and depression and caused an improvement in mood.
For older adults, swimming has been shown to improve quality of life and reduce the risk of osteoporosis. Post-menopausal women in particular are at increased risk of bone loss, and swimming provides a safe and effective form of the resistance exercise that is needed to maintain bone density.
Pregnant women find that swimming strengthens their shoulder and abdominal muscles, which are put under increased stress during pregnancy. Obstetricians recommend swimming as a good form of exercise for most pregnant women, as it provides them with temporary relief from the extra weight they are carrying.

It’s hard to exaggerate the potential fitness benefits of swimming. Swimming helps to build cardiovascular fitness, muscle strength and endurance. It tones your muscles and helps to maintain healthy heart and lung function. It also improves flexibility, reduces blood pressure and alleviates stress. Whether in a community pool, at a nearby lake or in the ocean, swimming offers an ideal way for most people to keep fit that’s also easy on the body’s musculoskeletal system.

So get out there this summer and have some fun in the water!

Summer Water Safety for Kids

May 26, 2016 oblanderchiropractic

For lots of kids, there aren’t many activities in the summer that are more fun than swimming, whether it’s in a pool, lake, or ocean. And while it’s great exercise for your children to be spending a lot of time in and around the water, there are (of course) dangers that they should be aware of. As a parent, you undoubtedly want to keep your child safe in the water this summer, so here are a handful of simple precautions to take and instructions to give your children before they put a toe in the water.

Explain to your children the importance of water safety. Make sure they know and understand the following:

That they must always stay in the line of vision of a supervisor, be it you, a caretaker, or a lifeguard.
That they must obey all rules of the place they are swimming—for example, if a public pool says “No Diving,” then your kids should absolutely not dive. Remind them to respect the regulations laid down by lifeguards or other authority figures.
That they should never, ever swim unattended until they have proven they thoroughly understand the rules and dangers of the water. This rule applies only to older children, and swimming in the ocean alone is not acceptable, no matter how careful your child is—there are too many variables and dangers that even the most cautious swimmer cannot avoid, such as riptides and undertows.

It’s a good idea for your child to take a water safety course with a certified water safety instructor. Check your local YMCA if you don’t know where to start.

If you have a residential pool, there are some essential safety precautions that you and your children must take.

When the pool is not in active use and there are no adults present to supervise, it is important that you set up a barrier so that young children do not fall in or use the pool without permission. A gate with a lock around the entirety of the pool is one way to accomplish this. The Red Cross recommends that you “Ensure that pool barriers enclose the entire pool area, are at least 4-feet high with gates that are self-closing, self-latching and open outward, and away from the pool. The latch should be high enough to be out of a small child’s reach.”
You should teach your child to always, always ask permission to use the pool. This can cut way down on unauthorized use of the pool, and thus cut way down on the risks involved with having a pool with children in the house.
For younger children who don’t quite have the hang of swimming on their own, water wings or a life jacket are a must, even if an adult is supervising.
When you are supervising, pay close attention. org advises: “Put the cell phone away, forget about all the other things you have to do and give young children 100% of your attention when they are near or around water.”
Learn CPR. This is something every parent should do regardless of whether their kids swim or not; it’s simply a responsible thing to learn, and it could save your child or someone else’s life—and that makes learning it worth more than gold.

Summertime Grilling and Your Health

May 24, 2016 oblanderchiropractic

summertime-grilling-200-300 For many people, summertime just isn’t summertime without a barbecue! It’s a generations-old cultural phenomenon that combines three things American families love—food, family and fun!

Unfortunately, though, there are also some potential downsides to grilling when it comes to your health. This article presents a quick overview of the risks and offers some advice to help make grilling a little bit safer for you and your family this summer.

What’s unhealthy about grilling?

The first issue has to do with HOW the food is actually cooked. Grilling meat or fish over high heat produces carcinogens known as heterocyclic amines (HCAs), which have been linked to increased risk of various cancers. The second issue has to do with WHAT KINDS of food many people choose to grill. Many of the most popular foods for grilling can be high in fat and sodium and have little other nutritional value. With these two issues in mind, here are some tips on how you can enjoy healthier grilling all summer long.

Clean the grill. You don’t want to incorporate rancid grease and the charred buildup from previous barbecues into your meat before you’ve even begun cooking it. Use a sturdy wire scrub brush and warm soapy water to scrape any residue from the grill’s surface, both before and after you grill. This will also greatly improve the flavor of your food!

Use a low flame and cook briefly. When direct flames touch the meat it can add to the HCAs produced. To reduce these HCAs, keep the gas flame low or, if you’re using charcoal, wait until the coals have been reduced to glowing embers. The heat will still be sufficient, but will not be as likely to char the meat. Try not to overcook your food, as overdone meat has more HCAs. Discard any charred parts.

Flip burgers often. To reduce the chances of E. coli contamination in your ground beef, be sure to flip your burgers every 30 seconds or so. The USDA advises that you cook burgers to an internal temperature of at least 160°F to kill any possible bacteria. However, if you are someone who thinks that a burger cooked beyond medium-rare is a travesty, buy a cut of beef and grind it yourself and form your patties just before grilling. Or, if it is commercially prepared, be sure to flip your burgers often. A study found that when two burgers were cooked to the same temperature, the one flipped more often had a fifth of the E. coli.

Pre-treat your meat. To allow you to cook your meat for a shorter time while still retaining flavor and tenderness, consider marinating it first. A marinade will tenderize the meat, and by using some flavorful spices in the marinade or in a dry rub, you can add a host of antioxidants to your meal that will reduce the production of HCAs. Researchers from Kansas State University found that marinating meat reduced carcinogens by 57 to 88 percent. Red wine, ginger, turmeric, rosemary and garlic are among the great-tasting, cancer-fighting ingredients you can include in a marinade. And by combining two parts onion, two parts garlic and one part lemon juice in your marinade, you can reduce HCAs by 70%, as some researchers in Germany have found.

Choose healthier meat. Grass-fed organic meat is a far healthier choice than conventionally raised meat. Compared with conventionally raised meat, organic grass-fed beef and chicken are lower in saturated fat and cholesterol and higher in omega-3 and CLA (conjugated linoleic acid), which has been shown to reduce cholesterol and abdominal fat. It is also free from hormones and antibiotics.

Go veggie. Though meat is certainly tasty, grilled vegetables are delicious too, and vegetarian versions of burgers and hot dogs have come a long way from their early roots, when they had all the flavor of foam peanuts or confetti. Fortunately, there are now a host of excellent veggie “meats” on the market that don’t force you to sacrifice good taste for good health. And there’s nothing quite like grilled red peppers, tomatoes, asparagus, mushrooms, zucchini and onions. A good way to grill veggies is to cut them up into small chunks and put them on skewers. You’ll get a healthy serving of vitamins, minerals and antioxidants in each bite. And topping your burger with some slices of avocado will give it a nutrition boost as well as a taste boost. Its mono and polyunsaturated fats have been shown to reduce cholesterol and can be a good substitute for mayonnaise.

Spring is Here and Summer is Coming! Ease into Your Warm-Weather Exercise Routine to Avoid Injury

May 17, 2016 oblanderchiropractic

Woman is trained on a riverside — woman-stretching-legs

The prospect of warmer weather just around the corner, especially after a winter like this one, is already inspiring many people to “get back in shape.” It’s like a second chance at that New Years’ resolution you made back in January and never followed up on because it was freezing outside.

We all know that exercise is good for us. But no one likes having to put on ten layers of clothing to run outside or having to drive 20 minutes to the gym for a one-hour workout during the winter months. At around this same time every year, spring weather makes it easier for many people to “reboot” their exercise goals and to increase their level of physical activity. However, it’s important to use some common sense when jump-starting your warm-weather exercise program.

There are at least two big reasons why. First, statistics tell us that over half the people who start a new exercise program quit within six months. “Easing into it” and taking things slowly at first can help to prevent this. Second, starting to exercise again after a period of inactivity can lead to a number of injuries that can easily be avoided by taking a more realistic approach to exercising again. For example, if you’re a runner, don’t start out by trying to run a marathon. Ease into a new running routine by starting with short runs and extending the distance you run each time you go out. Also, try to remember the following general guidelines about exercise in general and exercising in warm weather.

Always warm up before exercise and stretch/cool down afterwards. The warm-up period is far more critical if you haven’t exercised for a while, because you need to get your body used to increased activity before you put demands on it. So do your jumping jacks or other gentle exercises to raise your heart rate and get your circulation going before you start your sports or exercise routine, and then do some stretching afterwards during a “cool down” period to allow things to settle down again.
Start slow, and don’t overdo it. If you’ve been inactive for some months, start with a couple of weeks of vigorous walking before you ease back into running. Also, if you’re an outdoor runner, be sure to pace yourself when picking routes, remembering that you have to run just as far to get back home.
Set goals, measure your progress, and try to keep to them. If possible, work with a trained sports/exercise counselor at your gym to set realistic exercise goals for yourself. Then carefully monitor your progress, making note of exactly how far you run or how much weight you lift in each session. Doing this will help you actually see your own progress and provide additional motivation when you run into problems or your performance plateaus.
Hydrate, hydrate, hydrate. We can’t say this enough—hydrate. Drink lots of water before, during, and after exercising, especially as the temperature and humidity rises. The amount of water you need to consume depends to some extent on your weight and how long you exercise, but as you make progress and your workouts get longer, remember to consume a sports drink beforehand to replenish your electrolytes. This becomes more important as temperature and humidity rises, and you begin to sweat more.
Cross-train. If possible, try to vary your workouts, even as you’re easing back into them. Try running one day, lifting weights the next, and swimming the next, etc. This will develop different muscle groups more evenly and help you avoid injuries caused by repeatedly using the same ones.
Listen to your body and be aware of your limitations. If your arthritis has been acting up all winter, naturally don’t start with exercises that put a lot of pressure on your knees and joints. As a general rule, avoid believing in the “no pain, no gain” meme. That’s for committed athletes, and until you’ve been back in the swing of your exercise routine for six months or more, you’re not one. Don’t push yourself to the point of pain, and if you feel weak or in pain after a particular workout, rest for a day or more before exercising again.
Dress right. Yes, the temperatures are warmer, but be sure to wear proper clothing and foot gear for the sport or exercise you are performing. A remarkable number of injuries are caused each year by things as simple as running while wearing improper shoes.
If you become injured, remember R.I.C.E. This acronym stands for Rest (take off for a few days to rest the injured area), Ice (apply ice or cold packs to reduce swelling and inflammation), Compress (wrap swollen areas in a compression bandage), and Elevate (raise the injured limb). Avoid activities that use the injured area for a few days—you can still remain active, but don’t rush back into the same activities that caused the injury in the first place. For example, if you sprain your ankle, spend the next week exercising your arms and upper body.

If you are overweight or have known health problems, consult a doctor first. Don’t be macho—discuss your plans to get back in shape with your physician, and follow his or her advice.

10 Great Reasons to Stay Hydrated

May 12, 2016 oblanderchiropractic

Water is essential to life. Our bodies are already 60%-70% water, and those reserves need to be replenished on a daily basis to keep us healthy. Add either extreme heat or extreme cold (both of which dehydrate us), and drinking enough water becomes even more critical.

Exactly how much water we should drink each day is an open question. As reported by the Mayo Clinic, the Institute of Medicine has determined that adequate water intake per day is roughly 3 liters (about 13 cups) for men and 2.2 liters (about 9 cups) for women. Some sources recommend more, some less, but there seems to be no question within the healthcare community that many of us should be drinking more water than we are. Here are a few reasons why:

Water curbs your appetite, and contains zero calories. Both of these reasons should have some appeal to you whether you’re actively trying to lose a few pounds or just trying to maintain a healthy weight. Studies have shown that often when people think they’re hungry, they’re really thirsty.
Water increases your energy levels. Studies have indicated that a cup of water can be more effective at boosting your energy levels than a cup of coffee. One suspected reason for this is that our perception of fatigue is often caused more by dehydration than actually being tired.
Water is good for your skin. Rather than investing in expensive creams and lotions, why not invest in a few more glasses of water per day? They will help to keep your skin healthy, radiant, and glowing. And it’s a lot less expensive than anything you could buy at the cosmetics counter.
Water increases your brain power. According to a study in Frontiers in Human Neuroscience, subjects who drank a glass of water before performing a series of cognitive tasks reacted faster and thought more clearly than subjects who did not.
Water helps maintain the balance of your other bodily fluids. You lose moisture daily via sweat and other excretions. Similarly, your blood, lymph, and intestinal fluids become depleted, and must be replenished with a proper intake of water.
Water improves your moods. Although there are many causes of depression, headaches, irritability, and fatigue, one of the most common is dehydration. When your body becomes low on water, your blood vessels dilate, causing all of these symptoms. Increasing your daily intake of water can counter and reverse them.
Water lowers your risk of heart attack. When your arteries and veins become clogged with plaque, you increase your likelihood of heart disease—one of the most effective ways of preventing this buildup of plaque is to remain properly hydrated. A study in the American Journal of Epidemiology found that drinking more water was positively associated with a decrease in the risk of coronary heart disease. Drinking liquids other than water increased this risk, according to the same study.
Water can keep your joints lubricated, too. The synovial fluid that keeps your joints functioning properly and that keeps your bones from rubbing against each other becomes depleted when you are dehydrated. Drinking more water prevents this.
Water improves your digestion. Your ability to digest your food depends on the proper functioning of a series of enzymes in your intestinal tract. The “delivery mechanism” for these enzymes is water—don’t get enough of it, and your ability to digest and assimilate nutrients in your food breaks down.

Water even prevents fluid retention. This sounds counter-intuitive, but it’s true. Dehydration causes the body to retain water, because it thinks there is a critical lack of it. Drinking more water actually causes your body to stop retaining it.

What You Should Know About Recovering from Auto Injuries

May 10, 2016 oblanderchiropractic

ambulance-200-300 America’s roads have become far safer across the past three decades. By just about any measure, travelers are much less likely to be injured or killed in a motor vehicle accident than they were in the late 1980s and early 1990s. And this is true even though we’re driving more miles each year!

However, automobile accidents are still notoriously hard on the musculoskeletal system, and there is still a very real risk of back and neck injuries—even when drivers and passengers are protected by the latest safety equipment. In fact, recent research suggests that some types of injuries—particularly to the thoracic and lumbar regions of the back—may actually be more likely when safety belts are used. There is also some evidence that airbags may contribute to more severe neck injuries when they deploy.

At the same time, other developments are also changing the nature of auto injuries. For instance:

Smaller, more fuel-efficient vehicles are good for the environment, but they pose additional risks to their passengers when they collide with larger cars, SUVs and trucks.
Lifestyle and demographic trends are resulting in greater numbers of overweight and obese people on the roads as well as larger numbers of seniors, who tend to have frames that are smaller and more fragile.

So even though the overall fatality rate and the rate of serious injuries should continue to fall as safety systems continue to improve, minor to moderate injuries from auto accidents will continue to be a fact of life for the foreseeable future.

What You Need to Know

Even in cases where drivers and passengers walk away from a wreck believing they’re “uninjured”, accidents can have profound, long-lasting health consequences for those involved. It’s not uncommon for some types of symptoms to appear only gradually days or weeks after the event itself, delaying effective diagnosis and treatment. Symptoms may also come and go intermittently, making it more difficult to associate them with the accident.

Fortunately, there are things you can do to safeguard your health and improve your chances of a more rapid, complete recovery following an auto accident. Clinical studies have demonstrated that chiropractic care can shorten recovery time and decrease the amount of permanent physical damage sustained in a collision.

Take care of first things first. Always address any life-threatening injuries first. If you experience (or have reason to suspect) significant bleeding or bruising, broken bones, internal pain, difficulty breathing, loss of consciousness, or shock, you should seek immediate help from healthcare professionals who specialize in treating trauma injuries.
Visit your chiropractor as soon as possible after an accident. Do this even if you don’t think you’ve been hurt very badly. Research has shown that early intervention in the form of chiropractic adjustment, massage, laser therapy and supervised exercise and stretching programs can make a big difference in longer-term function.
Stay as active as you can throughout your recovery. Activity encourages blood flow to the injured area and promotes healing. It also helps prevent or reduce scar tissue formation and maintain range of motion.
Strengthen the affected area(s) as directed. Exercise and stretching programs are designed to help prevent future injuries and are an important part of a balanced treatment plan.
Recognize that you may be at increased risk of developing chronic problems. Be sure to tell your doctor if any of the following warning signs apply:
A prior history of back, neck or shoulder problems (including previous injury).
Distinct numbness, tingling or pain immediately following an accident.
Increased muscle tension or reduced range of motion after the crash.
You were involved in a rear-end collision.
Your head was turned at the moment of impact.
You have symptoms that don’t resolve or that become generalized.
Do your best to avoid becoming frustrated with the pace of recovery. Setbacks are common and it is not unusual for some symptoms to come and go.

An auto accident can affect your health (and your lifestyle) for years if you don’t receive the proper treatment. So if you or someone you care about has been injured in a collision, please call our office and make an appointment today. Chiropractic care can help put your recovery in high gear!

Short on Time During Your Workout? Don’t Skip the Stretching!

May 5, 2016 oblanderchiropractic

Why is stretching the part of our workout regimen that so many of us tend to skip? We might tell ourselves it’s because we’re sort on time, that we’re impatient or that (deep down) we believe stretching is really pointless. But however we rationalize it, skipping the stretching is a BAD idea!

It’s probably obvious that our joints were designed to be able to move in various directions with a certain degree of freedom. But as our bodies age, we become stiffer and lose the flexibility we had when we were young. In fact, chances are (unless you happen to be a dancer or gymnast), that process will start even before you reach your 20^th birthday. However, it’s never too late to regain some of that youthful flexibility by becoming more serious about stretching. Combined with strength training, proper stretching can help prolong our mobility and independence—allowing us to perform basic day-to-day tasks well into our senior years. Reaching that high shelf, bending to pick up a dropped object, and accessing that hidden switch behind an awkward kitchen cabinet are all great examples.

One reason it’s really important to stretch before working out is that we are likely to use muscles and connective tissues that are normally inactive. Without flexibility, the risk of getting hurt goes up. However, stretching can help prevent (or even treat) some common types of musculoskeletal injuries if it’s done correctly. Plus, it can feel good! Stretching can be a great way to start the day or to wind down after work.

Preparing the body for exercise by warming up the muscles (increasing blood flow) and stretching is easy and need not take up much of your time. Simply begin moving the various muscle groups in a deliberate way, with slow stretches of the joints towards the end of their range of motion. As you do this, you should notice a gentle “pulling” sensation and hold the position for up to half a minute. Then stretch the alternate side or move on to other muscle groups. Not only does stretching prevent injury, but it also improves the mechanical efficiency of your body. Stretching prior to exercise means muscles and joints are able to move through their full range of motion with less effort when exercising , improving performance.

Other benefits of stretching include improved circulation, less pain and faster recoveries following workouts, and better posture. If you find yourself arriving home stiff and achy from sitting at a desk all day and then commuting—try stretching. You might find that you’ll feel better almost instantly!

Remember—good health is the result of lots of little day-to-day things, including your nutrition, exercise and sleep habits, as well as your healthcare choices. As chiropractic physicians, we’re experts in diagnosing and treating disorders of the musculoskeletal and nervous systems. We’re also experts in prevention and performance. If you’re interested in any of these things, we encourage you to call or visit our office today!

Trampoline Safety: What Parents Should Know

May 3, 2016 oblanderchiropractic

From a health and safety point of view, the best advice we could give parents who are considering letting their kids use trampolines at home is to don’t do it unless you are willing to supervise and attend your children while they play on a trampoline.

Since 1977, the American Academy of Pediatrics (AAP) has strongly recommended against the use of home trampolines by children. In 2009, the last year for which complete data is available, nearly 100,000 people suffered injuries from trampoline use that required a visit to the Emergency Room.

The most compelling reason for not allowing trampoline use in your home is the risk of permanent neurological damage. One study found that 1 out of every 200 trampoline mishaps resulted in this type of injury. While the overall odds of this happening are small, the effect on a child’s life is potentially devastating.

According to the National Electronic Injury Surveillance System (NEISS), 75% of all trampoline injuries occurred when there were two or more people on the trampoline at one time. NEISS data also show that 29% of trampoline injuries in kids 6–17 were dislocations or fractures. This percentage jumps to 48% in kids 5 and under. What this tells us is that the smaller kids are the most vulnerable.

If you do decide to allow your children to use a home trampoline, there are a few things you (and they) can do to help prevent some types of injuries.

Safety Net—Ensure that your trampoline includes a safety net. The AAP has stated that safety nets have not improved injury statistics, but this could be because such netting is rarely installed or used properly.
Ground Level—If at all possible, install your trampoline at ground level. This will require digging a hole in which to set up the trampoline. This way, if the safety netting slips or fails, the person using the trampoline won’t have as far to fall.
One at a Time—Never let more than one person on the trampoline at a time. Allowing multiple users only magnifies the risk and the energy with which users are catapulted upward.
Store—When the trampoline is not in use, disassemble it and place it in storage.
Repair—Never use a trampoline that is ripped or damaged.
Padding—Make sure the trampoline is properly padded, covering the springs and other hardware with a different color.
Center—Always jump in the center of the trampoline for greatest control.
Simple Jumps—Never attempt somersaults or other complex maneuvers. Such moves should only be attempted under the strict supervision of trained professionals and/or with special safety equipment to ensure maximum protection.
Supervision—Children should be actively supervised by an adult at all times. This means that the adult responsible should not be distracted or doing something else. The trampoline user should have their entire attention and the adult should be able to control the user. In other words, if the user does not obey the commands of the adult, the trampoline session should end immediately.

As healthcare professionals, our primary message here is a very simple one—and it bears repeating. When it comes to home trampoline use, the best thing you can do for your child’s safety is to wait until they are older before allowing it. The risks far outweigh the benefits.

Kids and Sports: The New Youth Athletics Landscape

April 28, 2016 oblanderchiropractic

Over the last twenty years, the landscape of youth sports has changed dramatically. It used to be that children would gather after school and choose (or invent) an activity or game to play until dinnertime. In this world of “free play,” the kids set the rules and managed themselves more or less independently. These days, though, it’s much more common for kids’ sports to be highly organized and stratified, with adults more heavily involved than they were even a generation ago.

The downsides of adult-led, year-round structure

Kids can sometimes be rough-and-tumble, and they can also be cruel. This means that free play can have its share of problems when seen through the eyes of adults who are most concerned about limiting safety and social risks. From their point of view, there are clear advantages to having a neutral adult coach providing instruction and “managing” play. Parents who view free play as an unstructured waste of time may also be drawn to what they see as the more targeted developmental benefits of organized sports, though for slightly different reasons.

It’s important to understand that this shift has come with a cost. Many child development experts now believe that adult-led, year-round structure has deprived children of important opportunities to practice innovation, independence and self-management—including social skills like cooperation and dispute resolution. They also believe it has deprived them of opportunities to learn where the boundary is between good-natured (even competitive) physical play and play that is rough enough to cause real harm. Learning where this boundary is requires live experimentation that entails some risk. This is how children learn how to read and respond to others and to different kinds of situations appropriately.

The up-or-out world of youth athletics

The shift to adult-led, year-round structure has also changed the nature of youth athletics, creating a two-tier system of “recreational” and “competitive” sports where recreation often gets short shrift. This can produce a high-pressure environment for many children, who automatically begin associating athletics with expectations of performance. This sort of environment has the potential to change the relationship between kids and sports in a few different ways. In some cases, it may encourage youngsters of 8 or 9 years (or their parents) to choose a single sport early in their “careers” and to commit to it for the entire year. Children who do not make this early all-or-nothing commitment (even very athletic ones) may find that their playing opportunities dwindle and that they’re stuck in the middle—somewhere between a competitive tier that may demand too much and a recreational one that may offer too little. In other cases, it may discourage children with less obvious talent or less drive to abandon sports altogether.

The impact on health and wellness

This isn’t about nostalgia. It’s about long-term musculoskeletal health and fitness. For earlier generations, sports were more seasonal and it was common for kids to play several different sports throughout the year. Since they didn’t specialize until later (if at all), they tended to become more well-rounded athletes and their physical development tended to be more balanced. And to the extent that different sports require different types of movement and emphasize different muscle groups, it was less likely for a young athlete to suffer overuse injuries. Today, physicians say they are seeing more juvenile athletes come in with repetitive stress injuries. For example, a recent study from the journal Radiology revealed that young baseball pitchers are at risk of an overuse injury of the shoulder known as acromial apophysiolysis, which can lead to long-term and even irreversible consequences as kids grow.

And what about children who opt-out of sports early because of performance pressure or burnout, or because they can’t “keep up” with peers who are developing before them? It may take these children years to rediscover sports. And they may miss out on exactly the types of physical activity that keep them fit and healthy unless they find some other alternatives.

A healthier, more balanced approach to athletics

Most medical doctors and chiropractic physicians would probably agree about the importance of variety when it comes to children’s musculoskeletal health and development. Even more broadly, variety is the key to achieving balanced physical, social and psychological growth. Plus, varying your activities is a great way to prevent boredom and increase enjoyment. There’s nothing intrinsically wrong with competition or with working hard to excel at something, especially when it comes to sports and if it’s done for the love of the game. However, we adults should remember to let kids be kids, which means trying out different athletic activities, succeeding at some and failing at others, and learning to enjoy the process every step of the way.

What is a “Normal” Pain Tolerance?

April 26, 2016 oblanderchiropractic

Pain is a nearly universal human experience that has several aspects. The first thing we usually think about in relation to pain is its trigger or cause. Perhaps you stub your toe, cut your finger while chopping vegetables, or feel the beginnings of a headache coming on. When this kind of thing happens, your body initiates a physical process driven by your anatomy and physiology. Your senses transmit a message through your nerves to your brain, saying “Something is wrong.” The second aspect of pain, however, is psychological and emotional rather than physical—how do you react to the message that your body is experiencing trouble? Do you ignore the headache and continue with your activities, or do you have to stop what you’re doing and focus on the pain to try to make it go away?

When it comes to our response to pain, two factors are also in operation. These relate to the idea of sensitivity. Pain threshold is the point at which pain first begins to be felt, and pain tolerance is the point at which a person reaches the maximum level of pain they are able to tolerate. When attempting to define what “normal” responses to pain are, both factors must be examined.

“Normal” responses to pain are difficult to determine because they vary so widely.

Some people may react to a bad headache by ignoring it and continuing to work, while others may react to a headache they rate at the same subjective level of pain by becoming completely incapacitated and having to lay down and close their eyes until it goes away. So what factors determine these differences in people’s tolerance of pain, and what can we say about them?

First, there seem to be differences in pain tolerance between men and women, with men exhibiting slightly higher pain tolerance than women. But this generalization can be affected by the oddest things. For example:

Studies of dental patients suggest that redheads have lower pain tolerances than people with other hair colors, and actually need higher doses of anesthesia during oral surgery.
Athletes have been proven to have higher pain tolerances than people who don’t exercise.
People who smoke or are obese are more likely to have low pain tolerances.
People who are depressed or anxious are more sensitive to pain and have lower tolerances.

There are also biological factors such as genetics, previous spinal cord damage, and chronic diseases that cause nerve damage that affect how we perceive, interpret, and manage pain. So the problem of defining what constitutes a “normal” level of pain tolerance becomes very difficult. But we recognize intuitively that we’re beginning to approach our own pain tolerance when two things happen—first, the pain begins to interfere with our ability to function in some way and second, it causes us to seek help.

As healthcare professionals, we generally distinguish between acute pain—the pain that usually results from a specific injury or illness, lasts less than 6 months and goes away as the body heals—and chronic pain, which can persist or progress over longer periods of time and may have no clear cause.

Depending on the situation, help may come in the form of common over-the-counter analgesics like aspirin, acetaminophen, and ibuprofen, or from more powerful drugs like opioids. Sometimes it may come in the form of ice, heat or topical treatments. And other times it may come in the form of hands-on therapies like chiropractic and massage.

Whatever your level of pain tolerance happens to be, you can get better at handling pain.

Because of the many factors that can potentially affect pain tolerance, managing one’s pain can be a challenging process of trial and error. You can’t change your genetic pain receptors and how sensitive they are, and dying your hair another color if you’re a redhead isn’t going to make you less susceptible to pain. But there are coping mechanisms that can influence the brain’s perception of pain and help you manage it, effectively increasing your pain tolerance. Relaxation techniques, biofeedback, chiropractic manipulation, massage, and mindfulness meditation have all shown surprising success at enabling people who suffer from chronic pain to manage it more effectively without the ongoing use of drugs.

So if you are one of the 25% to 30% of adults living with musculoskeletal pain, contact our office and ask for help—it IS available, and doesn’t necessarily have to come in a pill bottle!

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