Oblander Chiropractic

Chiropractic Care and Postpartum Depression

March 19, 2014 oblanderchiropractic

Many research studies have confirmed the benefits of chiropractic care during pregnancy. The postural and hormonal changes a woman goes through during pregnancy are potentially debilitating, and chiropractic adjustments have been shown to alleviate many of the most common problems. Studies have indicated that regular chiropractic care during pregnancy helps to prevent breech deliveries, permits more unobstructed fetal development, and reduces birth trauma in the infant. For the mother, chiropractic adjustments often relieve back pain during pregnancy, reduce labor time and make delivery easier.

But several of the important benefits of chiropractic care only become apparent after the birth. The hormonal and postural changes of pregnancy, combined with the stress of delivery itself, often cause severe symptoms of postpartum depression after the baby is born. Chiropractic adjustments during this recovery period can help to reduce the likelihood of postpartum depression, quicken recovery time, and help new mothers to re-normalize their pelvic and spinal structures.

At least one 1975 study published in the Journal of the American Osteopathic Association indicates that “post-partum depression is a rarity in patients receiving…manipulative [adjustment] therapy.” And the first-hand reports from the new mothers seem to reflect this same finding—many cite regular post-delivery chiropractic care as being as important to their overall mental health as it was to their physical health during the pregnancy itself. Intuitively, you can easily understand why this would be the case. Not only is the new mother’s body trying to return to some semblance of “normalcy” after nine months of pregnancy and the stress of delivery, it’s doing so during a period when they are “new mothers.” They aren’t getting enough sleep, they are so busy taking care of their new babies that they often don’t have the time to eat properly themselves or get enough exercise, and their hormones are still going crazy.

Doctors of chiropractic can offer a great deal of support during this critical period, ranging from “hands on” adjustments, relaxation therapies, and massage treatments to nutritional, exercise, and lifestyle advice that help new mothers’ bodies grow stronger. And, of course, chiropractic does this the same way it addresses other problems – in a holistic manner, without drugs and without surgery, aiming at helping the body heal itself.

From a biomechanical point of view, your “post-partum” period lasts for a full year after giving birth. It takes that long for the hormone relaxin– so essential in facilitating the bone and connective tissue changes necessary to give birth – to leave the body. During this time, the hormone continues to affect your ligaments, spine, and pelvis. It can produce pain and feelings of instability that make it difficult to stand and walk normally. These physical changes are magnified emotionally, as your hormone levels change and you deal with the pressures of being a new parent.

So even if you didn’t take advantage of chiropractic care during your pregnancy, consider using it during this period after the baby has been born. It can help in many ways, and anything that helps to re-establish your normal sense of health and well-being is good for your baby, too.

Structured Versus Unstructured Play: What’s the Difference, and Does it Matter?

March 5, 2014 oblanderchiropractic

We’ve all heard about parents like this. They have every moment of their child’s day scheduled with some activity or another. First it’s soccer, then off to violin lessons, after which they meet up with their scouting group. With the increase in urbanization and concerns for child safety, it’s becoming more and more unusual to see children just out playing in the street or in a neighbor’s back yard. Many parents have embraced the idea of “structured play” because they believe it helps their children develop specific skills they will need to succeed in the world. It also allows parents more predictability and control over their own schedules. On the other hand, many of these same parents view unstructured play (which many grew up with themselves) as a waste of time that could be better used for managed activities. But studies have shown that there are very real advantages to unstructured play, and that the skills it develops are just as important as the ones that can be taught in structured environments.

Structured play consists of activities with externally-imposed organization that generally involve rules and an objective of some sort. Things such as video games, team sports, board games and building model airplanes, for example, are all structured activities. At the other end of the spectrum are unstructured activities like inventing and running games, building with blocks, having a catch, writing a play, looking for bugs in the woods, and drawing and painting. These activities are self-organizing and open-ended. Many times, they have no particular goal. In unstructured play, children make up their own rules as they go along and establish their own limits.

Nearly every modern parent has heard his or her child whine or moan the dreaded words “I’m bored.” By most accounts, the “I’m bored” syndrome has actually become more common as the nature of play has shifted and parental engagement has changed. Sometime around the mid-20th century, children’s play began to be centered on the toy rather than on the activity. And as today’s “interactive” toys have evolved to actually direct and drive the activity (think about Wii, PlayStations, iPads, etc.), children themselves have become more passive in the process. The result is that many of them are less able to entertain themselves through their own creativity. This inability becomes very apparent whenever the novelty of a new game wears out and the kids reach out to their parents to provide the same level of structure and ongoing entertainment that the game had been providing. This places growing demands on parents, who may then begin to look for other outside sources of focused, constructive stimulation. Of course, the problem with this type of response is that it simply substitutes one form of externally-driven activity for another. What happens to a child who never learns to direct his or her own energy or to organize his or her own activity? There is a very good chance that the child who never learns to do these things will be unable to do them well as an adult.

A 2005 study published in the Archives of Pediatrics & Adolescent Medicine found that children’s unstructured play time had dropped by 25% between 1981 and 1997. This is a worrisome trend since unstructured play is necessary in order for children to improve social skills, develop healthy coping mechanisms for stress and boost cognitive skills, especially those involved in problem solving. Through unstructured play, children enhance their own creativity, become more self-confident and learn to empathize with others. It develops neural areas in the brain that are concerned with emotional reactions and social understanding.

There is no doubt that structured play is important in teaching multitasking, developing specialized skills and exposing children to a wide range of ideas and experiences. Just be sure that your children are given equal amounts of unstructured time in which to explore their own interests, develop their creativity, solve problems and work on their interpersonal skills.

The Benefits of Magnesium

February 26, 2014 oblanderchiropractic

While it may not be as well-known as other mineral nutrients, Magnesium is involved in a variety of the human body’s processes, ranging from maintaining bone density to keeping our heart rhythm steady. Without the proper levels of magnesium, we’d suffer from fragile bones, high blood pressure, weak muscles and heart problems, among other health problems.

Most people know that calcium is important in maintaining strong bones. However, many are unaware that without adequate magnesium, the bones cannot absorb that calcium, making it worse than useless. If calcium supplements are taken without corresponding amounts of magnesium (in a proportion of 2 parts calcium to 1 part magnesium), the calcium will tend to build up in the soft tissues and the joints, contributing to osteoarthritis, while at the same time failing to protect against osteoporosis.

There are over 300 different enzymes in the body that require magnesium in order to work. Magnesium helps to lower blood pressure by keeping the muscles of the heart and blood vessels relaxed. It can reduce headaches (including migraines), alleviate symptoms of PMS, and reduce your risk of diabetes. It is also helpful in the treatment of kidney stones, constipation, muscle cramps, depression and anxiety, and reduces inflammation.

The NHANES study (National Health and Nutrition Examination Survey) of 1999-2000 found that 68% of Americans do not get their recommended daily allowance (RDA) of magnesium. Adults who consume less than the RDA of magnesium are one and a half times more likely to have elevated markers for inflammation than those who get the recommended amount. Increased inflammatory markers indicate a higher risk of diseases such as cancer, heart disease and diabetes.

The recommended daily intake of magnesium is as follows:

Children 1-3 years: 80 mg/day
Children 4-8 years: 130 mg/day
Children 9-13 years: 240 mg/day

Girls 14-18 years: 360 mg/day
Women 19-30 years: 310 mg/day
Women 31 years and over: 320 mg/day

Pregnant women under 19 years: 400 mg/day
Pregnant women 19 to 30 years: 350 mg/day
Pregnant Women 31 years and up: 360 mg/day

Breastfeeding Women under 19 years: 360 mg/day
Breastfeeding Women 19 to 30 years: 310 mg/day
Breastfeeding Women 31 years and up: 320 mg/day

Boys 14-18 years: 410 mg/day
Men 19-30 years: 400 mg/day
Men 31 years and up: 420 mg/day

Although magnesium is found in a number of common foods, it is easily depleted by cooking and processing. There are also certain conditions that put you at risk of magnesium deficiency, including intestinal viruses that cause vomiting and diarrhea, hyperthyroidism, diabetes, kidney disease, pancreatitis and taking diuretics.

Signs of magnesium deficiency include muscle spasms or weakness, abnormal blood pressure, heart arrhythmia, sleep disorders, nausea and vomiting, anxiety, irritability and restless leg syndrome.

Good food sources of magnesium include green leafy vegetables (spinach, Swiss chard, kale, collard greens), seeds (sunflower, sesame, pumpkin, and flaxseed), nuts (almonds, cashews, and walnuts), baked potatoes and chocolate.

Chiropractic Care and the 2014 Winter Olympics

February 21, 2014 oblanderchiropractic

The 2014 Winter Olympics are underway! There have already been some amazing spectacles, and we’re all hoping for the games to continue without any serious injuries or disruptions. It’s a great opportunity for us to admire what the world’s finest athletes can accomplish. At the same time, it’s also a great opportunity for us to get more insight into how these athletes prepare themselves and to recognize the teams of professionals that help them achieve their dreams.

Chiropractic physicians are onsite in Sochi to help competitors perform at their best and to help them avoid and recover from injuries. Chiropractors have actually been involved in the training of Olympic athletes since the late 1960s, when doctors of chiropractic joined the medical specialists treating and supporting various national teams. Chiropractic became an official part of the Olympic training sports medicine program in 1980. It was offered onsite to athletes for the first time as one of the core services at the Polyclinic during the London Olympic Games in 2012.

As a healthcare discipline, chiropractic is a perfect “match” for the rigors of Olympic training and competition. These athletes train hard and place demands on their bodies that most of us never imagine. The intense levels of competition place unusual amounts of strain on the musculoskeletal systems of the athletes’ bodies. Many become injured during training, and need periods of recovery and rehabilitation before they can return to training, or to the Games themselves.

Before chiropractic care became an integral part of Olympic training (and the Olympic Games themselves), athletes often had to rely on pain-killing drugs and potentially invasive medical procedures to treat their injuries. With chiropractic care now available, they have a much wider range of options to choose from. Doctors of chiropractic (DCs) are able to bring injured athletes back to health—and to help keep them healthy—during training and competition with using drugs or surgery.

Michael Reed, a chiropractor and the Team USA Medical Director for the 2012 Games, said about inclusion of chiropractic services at the Polyclinic in London, “This is an historic event not only for the chiropractic profession, but also the athletes who will now have access to the care that will help them prepare their bodies for competition. These athletes train hard and endure significant physical demands. Sports-focused DCs, along with other members of the sports medicine team, are specially skilled to assist them in reaching peak performance.”

The staff of the Sochi Polyclinic (a huge complex that provides 24-hour medical services to the athletes) similarly contains a number of DCs, who will be working alongside medical doctors, sports medicine specialists, and therapists to keep the athletes of all participating countries healthy… and participating. As William Moreau, DC, Managing Director of Sports Medicine for the U.S. Olympic Committee says, “The athletes who comprise Team USA are the hardest-working, hardest-training and most amazing people I’ve ever treated. The athletes we see are akin to BMW racing machines; their joints and muscles are so finely tuned that small differences make notable changes.”

Dr. Moreau will be onsite at the Sochi Games supervising a staff of 28 physicians, 6 of whom are doctors of chiropractic. Of course, chiropractors will also be present on the national medical teams supporting other countries’ athletes. It’s nice to know that all the athletes participating in Sochi will be in very good hands!

Top 5 Exercises for Increasing Range of Motion in Your Neck

February 12, 2014 oblanderchiropractic

Pain and stiffness can significantly reduce your neck’s range of motion. Although a decreased range of motion in your neck may not seem like a major problem, it can actually contribute to a number of unpleasant conditions, including headache, fatigue, irritability and sleep loss. Like any other part of the body, our neck can become stronger and more flexible through exercise. Following are some useful exercises that can help to increase the range of motion in your neck.

All these exercises should be done while sitting comfortably in a chair with your feet flat on the floor and your neck in a neutral position. Your neck should be positioned right above your spine (in other words, be sure your head is not jutting forward or back), and you should be looking straight ahead. If you feel pain (rather than just discomfort) while doing any of these exercises, stop immediately and do not resume them until you have consulted with your chiropractor.

1) Neck rotations – Keeping your head level, gradually turn your head to the right as far as you comfortably can, looking over your right shoulder, and hold for 10 seconds. Then slowly turn your head to the left, looking over your left shoulder, and hold for another 10 seconds. Repeat 5 times.

2) Neck tilts – Tilt your head to the right, bringing your right ear as close to your shoulder as possible, and hold for 10 seconds. Do the same on the other side, tilting your head to the left, again holding for 10 seconds. Repeat 5 times.

3) Neck flexion and extension – This is simply bending your head forward and back. Beginning in a neutral position, gradually bend your head forward, letting it hang with your chin close to your chest, and hold for 10 seconds. Then slowly bring your head up and back so that you are looking at the ceiling. Repeat 5 times.

4) Half circles – Start by tilting your head toward your right shoulder as far as possible, then slowly swing it to the left in a fluid half-circle, moving your head forward and down until your chin is close to your chest, continuing until your head is tilted to the left with your left ear above your left shoulder. Then repeat the movement in the other direction.

5) Levator scapulae stretch – Tilting your head to the right over your shoulder, turn and drop your head slightly so that your nose is pointed toward your elbow, and hold for 10 seconds. You should feel the stretch in the muscle connecting the back of the left lower neck to your shoulder blade. Repeat on the other side.

How Flexible Should You Be?

January 30, 2014 oblanderchiropractic

Watching a dancer put her leg to her nose is an impressive sight, and many of us can perform similar feats when we’re children. But we begin to lose flexibility as we age if we do not make a conscious effort to remain limber. Inactivity causes muscles to shorten and stiffen, and muscle mass is lost with increasing years as well. However, maintaining flexibility as we get older is of great importance, since it allows us to retain our mobility and reduces the likelihood of aches, sprains and falls as we age.

Optimal flexibility means the ability of each of your joints to move fully through their natural range of motion. Simple activities such as walking or bending over to tie your shoes can become major difficulties if your flexibility is limited. Unfortunately, sitting for hours at a desk, as so many are forced to do on a daily basis, eventually leads to a reduction in flexibility as the muscles shorten and tighten.

There are a number of different tests used to measure flexibility, but the one test that has been used as a standard for years is the sit and reach test. It measures the flexibility of your hamstrings and lower back. The simple home version of the test requires only a step (or a small box) and a ruler.

Before the test, warm up for about 10 minutes with some light aerobic activity and do a few stretches. Then place the ruler on the step, letting the end of it extend out a few inches over your toes, and note where the edge of the step comes to on the ruler. Sit on the floor with your feet extended in front of you, flat against the bottom step (or box). With your arms extended straight out in front of you and one hand on top of the other, gradually bend forward from the hips, keeping your back straight. (Rounding the back will give you a false result). Measure where your fingertips come to on the ruler. They should ideally be able to reach at least as far as the front of the step. Any measurement past the edge of the step is a bonus. No matter how far you can reach on the first measurement, do the test periodically and try to improve your score every few weeks.

If you find that you are less flexible than you should be, some regular stretching exercises combined with visits to your chiropractor can help to restore flexibility and improve range of motion, helping to ensure that you remain limber into older age.

Rediscovering Exercise After Years of Being Inactive? Take the SMART Approach

January 9, 2014 oblanderchiropractic

Artists who work with glass or metal know that you should not try to bend or shape the material while it remains cold and brittle. Glass will shatter. Metal will break or quickly show signs of fatigue and damage. Our bodies also need to be warmed up to change. They need the tender, loving care of an artist to reshape them. You are that artist. And sculpting your new body takes time, patience and persistence. And yes, it takes hard work.

You can’t expect your body to react well at the beginning if you ask it to do too much after years of inactivity. Using the following SMART approach to exercise will help you get back into an exercise routine and allow you to reach your goals:

Specific—It’s most effective set exercise goals that are well-defined rather than vague. Say you want to be a trim, 165 pounds of muscle and vibrant energy. This approach to defining your goal not only gives you a specific weight to shoot for, but also describes the feeling you want to go with it.

Measurable—This makes your goal even more concrete and will help you see the progress you’re making in an objective way. Not every approach to measurement uses numbers, but numerical criteria are usually the easiest to work with. This goes for measuring activity as well as measuring the results. For example, a 30-minute, brisk walk is measurable. If you’ve only walked 25 minutes, you know you’re not done. Keeping a journal helps you compare these details later.

Action-oriented—You have to put your dreams into action, and exercise is all about physical movement. But don’t let repetitive exercise become boring. Add different kinds of action. In fact, sports medicine doctors recommend varying the activity between stretching, light endurance, vigorous strength and other types of exercise. This helps to prevent heart attacks, sprains and other maladies from pushing too hard, too fast. It also helps to keep things more interesting.

Realistic—Never let anyone tell you that something cannot be done. By the same token, it never makes sense to ignore reality. If you are not realistic in your goals, you are setting yourself up for failure. Set a few attainable short-term goals when you are starting out in a new exercise program so you are more likely to stick with it as time goes on. It will help give you more confidence and you will be more motivated to set your goals a little higher each time.

Time-related—Set deadlines. This helps to keep you challenged so you keep moving forward. Naturally, any deadline needs to be realistic (see above). You should not expect to be running marathons in one month after a couple of decades of desk work, in-car commutes and armchair quarterbacking.

Benefits of Zinc

December 24, 2013 oblanderchiropractic

Zinc is the second-most common mineral in the human body (after iron) and is found in every one of our cells. It plays a vital role in many of the body’s functions, so ensuring that you get enough zinc in your diet is important. It is essential for helping the body to heal and for the maintenance of a healthy immune system. It is also important is supporting the senses (taste, sight and smell), blood clotting and healthy thyroid function.

Zinc is one of the most important minerals for fertility and general reproductive health. It is necessary for proper levels of testosterone in men and the maintenance of a healthy libido. The mineral also plays a key role in the healthy development of sperm, and abundant levels of zinc have been shown to be protective of the prostate, reducing the risk of prostate cancer. The belief that oysters have aphrodisiac properties actually does have some basis in truth. Oysters have one of the highest concentrations of zinc of any food. In women it regulates estrogen and progesterone and supports the proper maturation of the egg in preparation for fertilization.

Ensuring you have an adequate level of zinc can help reduce your risk of insulin sensitivity, one of the precursors to diabetes. It supports T-cell function, which boosts the immune system when the body is under attack by bacteria and viruses.

Zinc deficiency is not common in the developed world, but those with anorexia, alcoholics, the elderly and anyone with a malabsorption syndrome such as celiac disease or Crohn’s disease is at higher risk. Zinc deficiency symptoms include frequent colds, poor wound healing, poor growth, loss of appetite, weight loss, dermatitis, psoriasis, hair loss, white spots on the nails, night blindness and depression.

Following is the recommended daily intake of zinc for different age groups:

Infants birth – 6 months: 2 mg/day

Infants 7 – 12 months: 3 mg/day

Children 1 – 3 years: 3 mg/day

Children 4 – 8 years: 5 mg/day

Children 9 – 13 years: 8 mg/day

Adolescent boys 14 – 18 years: 11 mg/day

Adolescent girls 14 – 18 years: 9 mg/day

Men 19 years and older: 11 mg/day

Women 19 years and older: 8 mg/day

Pregnant women 14 – 18 years: 12 mg/day

Pregnant women 19 years and older: 11 mg/day

Breastfeeding women 14 – 18 years: 13 mg/day

Breastfeeding women over 18 years: 12 mg/day

Children should never be given zinc supplements without first consulting with a pediatrician. If supplements are necessary, a copper supplement should be taken as well, as a high intake of zinc can deplete levels of copper.

You should be able to get adequate zinc from eating a healthy, balanced diet rich in whole foods. The body absorbs between 20% and 40% of the zinc present in food. The best sources of zinc are oysters, red meat, poultry, fish, shellfish, cheese, legumes (such as soybeans, black-eyed peas and peanuts), cooked greens and seeds (such as pumpkin and sunflower).

Remember that Zinc is especially important for the winter months!

How Much Screen Time Should Kids Get?

December 20, 2013 oblanderchiropractic

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

What is REM Sleep and Why is it Important?

December 5, 2013 oblanderchiropractic

Our sleep cycle is separated into two main components: rapid eye movement (REM) sleep and non-REM sleep (NREM). We cycle between the two all night, with four stages of NREM sleep preceding one stage of REM sleep. NREM sleep is the stage at which our body repairs itself, energy is replenished and our immune system is boosted. A complete cycle of sleep takes between 90 and 110 minutes in total, with approximately a quarter of that time being spent in REM sleep. It is also the stage during which dreaming almost always takes place. Scientists are still trying to discover the extent to which REM sleep affects our health and mental well-being, but they do know that REM sleep is important for the development of creativity and problem solving ability, and is how we learn to adapt to our world.

REM sleep was first formally observed by the scientists Aserinsky and Kleitman in the 1950s, who noted the rapid, jerky movements of the eyes through closed lids, as if the sleeper were seeing something, and noticed that breathing and heart rate increased. Another feature of REM sleep is that the voluntary muscle groups become temporarily paralyzed by the base of the brain “shutting off” the neurons in our spinal cord so we do not act out the dreams we are experiencing as we sleep. The electroencephalogram (EEG) that was attached to the sleepers showed levels of brain activity nearly identical to those who were awake. Contrary to what was previously believed about sleep as being a state in which the brain slows down, during REM sleep, the brain is actually very active. Why may this be?

According to French scientist Michel Jouvet, REM sleep is also a way of programming our brain to adapt to the world around us. Much as a computer can be reprogrammed when it is off-line, Jouvet believes our brain can take information it has received during the day and program the central nervous system to organize or maintain instinctive behavior.

The percentage of time spent in REM sleep is the greatest among babies and children. Babies can spend as much as 50% of their sleep time in the REM stage. And while it has been thought that the dreams we experience during REM sleep are a consolidation of the memories that we have experienced during the previous day, babies in the womb (who experts believe have few or no real world memories) spend most of their sleep time in a state of REM.

Professor of psychiatry emeritus at Harvard University, J. Allan Hobson, says of the purpose of REM sleep, “It’s a reinforcement of basic knowledge—knowledge that precedes any waking-state learning: how to be a person, how to be an ego, how to exist in a space, how to move in a space, how to feel. It’s not environmental memory; it’s genetic memory.”

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