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Fear or Phobia: What’s the Difference?

Fear or Phobia: What’s the Difference?

frightened-woman

It’s normal to have fears. Fear is a useful emotion that keeps us from doing things that may be harmful or dangerous. Our species continues to exist today because our earlier ancestors had a healthy fear of certain types of predators, environments and situations. In the modern world, many of those primal fears have become much less relevant. Nevertheless, quite a few of us still have a lingering apprehension of spiders, snakes, darkness, heights or other things that we perceive to be dangerous. For most people, this instinctive fear is just quirky or uncomfortable—something we can usually avoid or overcome without too much effort. But what if this apprehension becomes all-encompassing and interferes with daily life? When this happens, you may be dealing with a phobia.

Psychologists define a fear as being “an emotional response to a real or perceived threat,” whereas, according to the Oxford English Dictionary, a phobia is “an extreme or irrational fear of or aversion to something.” Note the words extreme and irrational. A phobia keeps you from living your life as you normally would if the feared situation were not present. For example, you may become nervous or agitated in small or confined spaces and generally avoid taking the elevator. But if that fear is severe enough that it keeps you from taking your dream job because you’d need to use an elevator every day to get to your office, then you likely have a phobia (“claustrophobia”).

Symptoms of a phobia can be both mental and physical. In some cases, just thinking about the thing you fear can bring on the fight-or-flight response. Phobia symptoms often include general anxiety, trembling and feelings of nausea. Your heart may begin pounding and you may start sweating, feeling lightheaded, and breathing so quickly that you begin to hyperventilate. You may also feel an intense need to escape, feel like you are going to die, or fear losing control. Even though you may understand that your phobia is irrational, you still have no ability to stop it.

Not all phobias interfere with the everyday lives of people who have them. A phobia of snakes (called “ophidiophobia”), for example, probably won’t matter much to a city dweller unless he or she visits the reptile house at the zoo. However, a phobia of crowds (“enochlophobia,” “demophobia” or “ochlophobia”) could be a big problem on city streets or in the subway.  Other phobias can have a significant impact on anyone who has them. For about 3% of the population, their fear of doctors (“iatrophobia”) is so great that they avoid any form of healthcare whatsoever, including preventive care. Obviously, this can put their health and even their lives at risk.

If a phobia is affecting your day-to-day activities, then it may be time to seek professional help. Therapy for phobias has been shown to be remarkably effective, and you may also be able to use some self-help strategies on your own to combat the problem.

One of the best ways to begin conquering a phobia is to expose yourself to the thing you fear in a gradual, controlled manner. For example, if you have a phobia of spiders (“arachnophobia”), first look at a few pictures of spiders. Then watch a short video featuring spiders. When you are comfortable with that, perhaps visit a zoo and look at them through the glass. Relaxation techniques such as slow, deep breathing and meditation can help when you are confronting your fears. The more frequently you are exposed to the thing you fear without actually being harmed, the more quickly your phobia is likely to disappear. This doesn’t necessarily mean that you are going to become a fan of spiders, but at least you will have conquered the irrational part of your fear that gets in the way of you living your life.

 

Most Effective “Low Impact” Cardio Exercises

Most Effective “Low Impact” Cardio Exercises

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

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

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

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

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

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

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

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

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

 

How Much Screen Time Should Kids Get?

How Much Screen Time Should Kids Get?

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

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

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

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

Under 2 years—No screen time

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

5–8 years—One hour

Over 8 years—Two hours

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

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

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

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

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

 

How to Make New Habits “Stick”

How to Make New Habits “Stick”

Forming new habits can be just as difficult as breaking old ones. But when you stop to think about it for a moment, it is clear that all of our habits, both positive and negative, had a beginning—a time BEFORE the behavior became a clear, recognizable pattern. In other words, there was a time when your current habits weren’t yet habits at all!

So how do new habits actually form? And is there a way for us to develop POSITIVE new habits in a focused, deliberate way? We call this “making new habits ‘stick’”.

Like anything we learn, our first attempts at any new skill are usually halting and inconsistent. But slowly it becomes second nature until we can’t remember a time when we found the behavior unusual, uncomfortable or challenging. Once we’ve learned how to do something and turned that something into a recurring pattern of behavior, it’s “like riding a bicycle,” as the saying goes…

New York Times investigative reporter Charles Duhigg became something of an expert on the science of habit formation and change. He read hundreds of studies and interviewed the scientists who conducted them to discover the mechanisms behind habit formation, and wrote a book on the subject, “The Power of Habit: Why We Do What We Do in Life and Business.”

Duhigg has described a self-reinforcing process he calls the “Habit Loop”. Based on his interpretation of neurological studies, Duhigg believes that every habit has three components: “a cue—a trigger for a particular behavior; a routine, which is the behavior itself; and a reward, which is how your brain decides whether to remember a habit for the future.” For example, let’s say you want to stop being admonished by your dentist for not flossing regularly. First you put the dental floss right next to the toothpaste, so you can’t miss it (the cue). Then every time you go to brush your teeth (the routine) you floss because it’s right there in front of you. Finally, when you go to the dentist, he or she praises you for flossing regularly (the reward).

Establishing a new habit takes most people about 30 days, although it can frequently take twice that. You can improve your chances of success if you’re able to do a little advance planning. For instance, imagine you want to develop a habit of going to the gym every day. First, start small. For the first month, plan on going to the gym three days a week for 30 minutes each. Plan your workouts for days and times that are least likely to have things such as work or childcare interfere with your gym schedule. It can also help to enlist a buddy who has similar goals to join you so you can reinforce each other’s commitment. Then figure out a reward to give yourself for each completed workout, such as going out for a drink afterward with your workout buddy or enjoying a little Ben and Jerry’s, guilt-free. You can also give yourself some long-term rewards to envision, such as looking good in a bikini on the Caribbean beach you plan to visit next summer. If you can stick with it regularly for a month, there’s a good chance it will become part of your weekly ritual and you will soon crave your workouts. You can then gradually build up to more days. In three months, you may find that if you have to skip a workout you actually MISS it! Something’s just not right…

Duhigg says “If you can identify the right cue and reward—and if you can create a sense of craving—you can establish almost any habit.”

What Are “Manual Therapies” and How Are They Used?

What Are “Manual Therapies” and How Are They Used?

Manual therapies have been used to treat musculoskeletal disorders for thousands of years. Practitioners around the world—in countries with many different cultural influences and diverse medical traditions—have used their hands to manipulate various parts of the body to stimulate healing. “Manual” literally means “by hand.” Thus, manual therapies consist of healing techniques that use the hands. There are more than two dozen techniques used worldwide. Among the most commonly known are acupressure, chiropractic, massage therapy, physiotherapy, reflexology, Rolfing and shiatsu.

There are also dozens of other, lesser-known manual therapies, including the Bowen technique, cranio-sacral therapy, the Dorn method, manual lymphatic drainage, muscle energy technique, myofascial release, myotherapy, naprapathy and zero balancing. We examine the most common therapies here:

Acupressure

Using the hand, the elbow or various devices, an acupressure practitioner applies a light force on various parts of the body following the patterns found in traditional Chinese medicine and acupuncture. More than half of the scientific studies on acupressure showed that this technique was effective, but some critics have claimed “a significant likelihood of bias.”

Chiropractic

Most chiropractic work involves manipulation of the spine to achieve better vertebral alignment. Lower back pain is perhaps the primary complaint which leads patients to a chiropractor. Chiropractors are expert at treating musculoskeletal conditions without the use of drugs or surgery. Among others, many top athletes swear by their chiropractor’s hands to keep them performing at their best and help them avoid injuries.

Massage Therapy

This is perhaps the oldest of the manual therapies. Massage was (and still is) used in ancient Egypt, China, Mesopotamia, and other parts of the world that gave rise to early civilizations. Massage practitioners chiefly use their hands, but also other parts of their body to apply pressure, rolling motions and other techniques to muscles and joints, to stimulate circulation and relax the patient. In today’s high-stress world, massage is proving ever more popular.

Physiotherapy

Physiotherapy has been used for years as standard treatment for patients suffering from musculoskeletal conditions. A physical therapist uses a variety of techniques to help their patients regain function—particularly mobility. Repetitive, assisted motion can help the patient strengthen muscles that have been damaged through injury or disease. Assisting the patient in the performance of targeted exercises can help a patient regain greater range of motion.

Reflexology

A trained reflexologist applies pressure to various parts of the feet, hands or ears to stimulate organs within the body associated with the part to which pressure is being applied. It is a Chinese therapy with a philosophy that is similar to acupuncture—using points on the body to restore energy flow. Although there is not yet much scientific evidence to support its effectiveness, anecdotal evidence shows that patients are happier and more relaxed after treatment.

Rolfing Structural Integration

Rolfing specifically targets the body’s connective tissue to release tension, realign and balance the body. Rolfing techniques involve deep-tissue massage to achieve therapeutic benefits such as better posture and greater freedom of movement, including reducing stress and relieving pain.

Shiatsu

A traditional Japanese therapy, the term Shiatsu means “finger pressure,” but can include palm pressure and other approaches to massage. A Shiatsu practitioner uses touch, comfortable pressure and manipulative techniques on specific points of the body (similar to the meridians of Traditional Chinese Medicine) to adjust the body’s physical structure and balance its energy flow. Anecdotal evidence shows it to relieve patients of stress, nausea, muscle pain, depression and anxiety.

 

What’s Inside the Average American Medicine Cabinet? And What Should Be.

What’s Inside the Average American Medicine Cabinet? And What Should Be.

What’s Inside the Average American Medicine Cabinet? And What Should Be.Take a look inside the average American’s medicine cabinet and you are likely to find out-of-date prescription medications, half-used bottles of lotion, some painkillers and a box of Band-Aids. Some of these are useful, and some should have been disposed of long ago. Along with the annual maintenance that you perform on your smoke detector, your medicine cabinet should have a thorough evaluation and clean-out once a year as well.

Many minor health issues can be treated at home, saving you and your doctor unnecessary time and expense. The key is to be sure that what you have on hand is effective for treating your problem. Medicines lose their effectiveness over time, so any medicine that is beyond its expiration date should be discarded. Do not flush medicines down the toilet or dispose of them in the trash, as they can make their way into the water system, which is becoming an increasing problem for water treatment facilities. Instead, drop off expired medicines at your local pharmacy, where they will dispose of them safely.

Experts advise that the following items should be staples in any medicine cabinet:

Painkillers – It is useful to have a few different types on hand, to treat different types of pain. Aspirin is best for general pain relief and to reduce fever, acetaminophen is easier on the stomach and good for children (who should not take aspirin due to the danger of Reye’s syndrome), and ibuprofen is an anti-inflammatory useful for treating muscle cramps, sprains and arthritis pain. None of these should be taken in large amounts, as they can harm the liver.

Antihistamine/Decongestant – For itching, sneezing and congestion due to colds and allergies.

Cold and flu remedies – To reduce the aches, pain and fever of a cold or flu.

Cough medicine – Can be either a suppressant (to reduce coughing) or an expectorant (to loosen phlegm and make coughing more productive). However, FDA pediatricians warn that cough medicine should not be given to children under 6 years of age because of the potential for severe harmful side effects. Studies have found that honey is actually more effective than most cough medicines in reducing coughing. Honey, however, should not be given to children under one year of age because of the risk of infant botulism.

Gastrointestinal remedies – To treat indigestion, heartburn, diarrhea and nausea. Pepto-Bismol and some type of antacid are useful items to have on hand.

First aid kit – To treat minor injuries, a basic first aid kit should contain Band-Aids, sterile dressing, medical tape, tweezers, eyewash, antiseptic cream, an ace bandage and a thermometer.

Your bathroom is not the best place to keep medications, as the heat and moisture from the shower can speed their deterioration. A better choice is to keep them in a cool, dark, dry place such as in a linen closet. By keeping your medicine cabinet well-stocked and up-to-date, you may be able to save yourself a trip to the doctor.

Remember, that in addition to basic medical supplies, one of the best ways to stay healthy is to get a regular adjustment from Dr. Oblander!

Car Accidents and Delayed Symptoms: What You Need to Know

Car Accidents and Delayed Symptoms: What You Need to Know

Even if your recent fender bender didn’t seem too serious, there’s still a very real chance that you or your passengers may have been hurt. That’s because even the most minor car accidents can cause hidden injuries and delayed symptoms. And while damage to your car is likely obvious and easy to assess, evaluating damage to your body may be far more difficult. In fact, it’s not unusual for a driver or passenger to walk away from a collision with potentially serious musculoskeletal injuries (such as a concussion or whiplash), without knowing it.

Because of the stress response, right after an accident the body’s defenses are on high alert. Any pain may be masked by endorphins produced by the body during and shortly after this kind of traumatic event. Endorphins help the body manage pain and stress and can create a temporary euphoria or “high” feeling. When the threat of the accident is gone, endorphin production slowly disappears, allowing you to feel pain that may have remained hidden earlier.

Perhaps the most common delayed symptom is that of whiplash. Whiplash consists of soft tissue damage in the neck from the sudden acceleration and deceleration of the head, creating hyperflexion and hyperextension of the neck. This can not only cause damage to the muscles, tendons and ligaments of your neck, it can also occasionally fracture or dislocate vertebrae and cause any of the following symptoms to show up later:

  • Headaches
  • Reduced range of motion or difficulty moving
  • Slowed reflexes
  • Vertigo
  • Muscle spasms
  • Localized weakness or numbness
  • Stiffness in shoulders and arms

 

Every bit as serious as any broken bones or lacerations, a concussion can prove to be a grave threat to your health. Quite simply, a concussion is the result of the brain colliding with the inside of the skull from a rapid acceleration or deceleration. Not all concussions occur because of bumping the head. If the head is restrained in any way and the restraint suddenly stops or suddenly jerks into motion, a concussion may occur. Symptoms of concussion include the following:

  • Headaches
  • Bad temper
  • Nausea
  • Spasms
  • Loss of balance
  • Blurred or double vision
  • Disorientation
  • Confusion
  • Amnesia
  • Ringing in the ears
  • Difficulty concentrating or reasoning
  • Anxiety or depression
  • Tiredness, sleeplessness, or other problems with your ability to sleep

 

The key point with any of these symptoms is to know whether or not you had them before the accident. Someone who knows you or lives with you can help identify any changes in your behavior that may indicate a possible concussion. If you didn’t have a symptom that you’re now experiencing, see your doctor right away.

In addition to the health consequences of car accidents with delayed symptoms, there is also the insurance aspect to consider. Because many accident-related injuries don’t show up immediately, you may have to pay out-of-pocket for the medical expenses from any delayed symptoms if you settle with your insurance company right away. Therefore, consider waiting a few days before signing any release of liability so that any delayed symptoms have an opportunity to reveal themselves. Seeing a chiropractor for a medical evaluation as soon as possible after an accident is also a good idea, since he or she can help identify injuries and start treatment promptly. In many cases, seeking appropriate medical care soon after an accident can improve your chances of a more complete and more rapid recovery.

If you have been in an accident, you can call Oblander Chiropractic at 406-652-3553 to schedule an exam with Dr. Oblander.

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What Are the Best Sources of Fiber?

What Are the Best Sources of Fiber?

fruits in supermarket

Getting adequate amounts of fiber in your diet is important for a variety of reasons. The primary ones are that it improves digestion and contributes to lowering your risk of contracting chronic diseases such as diabetes, cancer and heart disease. The FDA recommends that adults get at least 25 to 30 grams in their diet every day. However, our typical western diet, which is high in refined grains and processed food, provides the average person only about 15 grams of fiber per day.

There are two different types of dietary fiber: soluble and insoluble, each of which fulfill an important task. Soluble fiber dissolves in water (and our stomach’s digestive juices), transforming into a gel-like substance that helps to lower levels of “bad” LDL cholesterol and reduce high blood sugar. The primary purpose of insoluble fiber is to work as an indigestible bulking agent to keeps things moving along the digestive tract, which aids elimination and reduces the risk of constipation, hemorrhoids and diverticulosis. Fiber may also help you to lose weight, and is important in maintaining general bowel health.

Among the best sources of both soluble and insoluble fiber are the following:

  • Beans and lentils – Make a three-bean salad, a bean burrito, some chili or soup. Hummus (chick pea puree) is another tasty option.
  • Bran cereal – You don’t have to endure Grape Nuts to meet your daily requirement. Any cereal with 5 or more grams of fiber per serving is considered high in fiber.
  • Whole grains – Chuck the white bread for whole-grain bread and pasta. It tastes better, and it does not make your blood sugar spike so quickly due to its higher fiber content.
  • Brown rice – Has a great, nutty taste and is particularly nice with a little soy sauce added.
  • Vegetables – Broccoli, cabbage, cauliflower, Brussels sprouts and celery are among the vegetables with the highest fiber. Be sure not to overcook them though. They should remain crunchy.
  • Popcorn – A low-calorie snack (if you skip the added butter) and an easy source of fiber.
  • Nuts and seeds – Those highest in fiber are almonds, pecans, walnuts, sunflower seeds and pumpkin seeds.
  • Baked potatoes – Be sure to eat the skin, as it’s the part with the good fiber.
  • Berries – There’s a lot of fiber contained in the seeds and skin of berries.
  • Oatmeal – Steel-cut oats are the best in providing good amounts of cholesterol-lowering fiber. If you’re in a rush, instant oatmeal provides fiber as well, if at a lower amount.

So be sure to add more from the above list to your weekly menu and enjoy the many benefits that increased fiber has to offer! If you have questions about your diet choices, always remember that you can call either of our Billings offices and schedule an appointment to meet with Dr. Oblander or a member of our staff!

Massage Therapy: It’s Not Just for Rest and Relaxation!

Massage Therapy: It’s Not Just for Rest and Relaxation!

What do you think about when you hear the word “massage”? If you’re like many people, you associate massage with a day of pampering at an exclusive resort spa in the mountains or at the beach. But if that’s the first picture that comes to mind, you might be missing something very, very important. That something is the therapeutic value of massage—the ways that massage can actually improve your health and well-being.

While it is certainly true that many types of massage do help with relaxation, therapeutic massage also has a variety of important health benefits. For instance, therapeutic massage:

  • Accelerates healing by improving the circulation of blood and lymph to injured areas
  • Promotes flexibility by stretching and loosening muscles and connective tissue
  • Improves muscle tone and helps prevent or delay muscle atrophy cause by prolonged periods of forced inactivity
  • Relieves pain in joints by reducing inflammation and swelling in joints
  • Increases the effectiveness of chiropractic adjustments

Practitioners and patients alike have discussed these types of benefits for many years, but researchers have recently made a great deal of progress collecting and analyzing clinical data to understand the effects of therapeutic massage. Here are some “headlines” from their work as well as a few “notable quotes” from their study findings.

Improved Circulation and Post-Exercise Pain Relief

Investigators at the University of Illinois at Chicago recently conducted a study to determine whether or not massage improves general circulation and relieves soreness after exercise.

  • “Our study validates the value of massage in exercise and injury, which has been previously recognized but based on minimal data,” said Nina Cherie Franklin, UIC postdoctoral fellow in physical therapy and first author of the study. “It also suggests the value of massage outside of the context of exercise.”
  • “We believe that massage is really changing physiology in a positive way,” said Franklin. “This is not just blood flow speeds—this is actually a vascular response.”
  • Because vascular function was changed at a distance from both the site of injury and the massage, the finding suggests a “systemic rather than just a local response,” she said.

Reduced Chronic Low Back Pain and Improved Mobility

There are more than 100 million massage therapy visits in the U.S. each year, and lower back pain accounts for more than one-third of them. Why?  Because massage works!

A study in the Annals of Internal Medicine found that patients receiving massage (whether “structural” massage or “relaxation” massage) had better outcomes than those receiving typical medical care without massage. Measured after 10 weeks and again after 26 weeks, patients who received massage had less pain and better mobility than the control group. At 52 weeks, the results were less clear.

A review in Harvard Health Publications contained some very positive words about the study, which was funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine:

  • “My interpretation of this well-designed study is that massage appears to be at least as effective as standard treatments for chronic low back pain.  It might even be better.  And it’s likely safer than medicine.  Depending on actual costs and insurance coverage, massage may even cost less than usual care.”
  • “In my opinion, it’s time massage became a more standard option for the treatment of chronic low back pain.”

The Chiropractic Care – Massage Therapy Connection

Massage is often recommended as an integral part of a broader chiropractic treatment plan, either in the form of massage to loosen muscle tightness before an adjustment, or after an adjustment to help the muscles adapt to the newly-repaired spinal structures. Many patients report that the combination of these two therapies works better than either therapy alone. In our experience, this is most noticeable with conditions that cause chronic pain—chiropractic manipulation or mobilization techniques work to relieve the structural problems and therapeutic massage works to resolve the soft tissue problems. This is why many chiropractors work closely with massage therapists to find the most effective treatment regimen for each patient—the one that returns them to a feeling of health and well-being as quickly as possible. In our Grand Avenue office, here in Billings, Dr. Oblander often works hand in hand with our massage therapists to work with patients who have been in car accidents, are worker’s compensation patients, or who have other issues which our experience tells us would be addressed by combining massage therapy with chiropractic care

If you’re interested in learning more about what massage and chiropractic care can do for you, please give Oblander Chiropractic a call at 406-652-3553! We’ll be happy to discuss your situation with you and to explain our approach. We’re here to help!

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To Stay Healthy this Fall and Winter? Wash Your Hands! The Simplest Way

To Stay Healthy this Fall and Winter? Wash Your Hands! The Simplest Way

As summer turns to fall, lots of people (children and adults alike) will be spending more time inside and in closer proximity to one-another. Washing your hands is something simple we can all do to keep our schools, workplaces and homes just a little bit healthier. In fact, it’s actually been identified by the US Centers for Disease Control and Prevention (CDC) as the single most effective way to prevent the spread of communicable diseases.

But researchers at Michigan State University recently found that only about 1 person in 20 actually washes his or her hands properly in even the most obvious hand washing scenario—after using a public restroom. According to a summary by writer Lindsay Abrams of the Atlantic:

“Of 3,749 people observed leaving the bathrooms, 66.9 percent used soap, while 10.3 percent didn’t wash their hands at all. The other 23 percent of people stopped at wetting their hands, in what the researchers, for some reason, call “attempted washing” (as if maybe those people just weren’t sure how to follow through). Although the researchers generously counted the combined time spent washing, rubbing, and rinsing, only 5.3 percent of people spent 15 seconds or longer doing so, thus fulfilling the requirements of proper handwashing. They average time spent was 6 seconds.

Why Hand Washing?

Bacterial and viral infections can be spread when the hands come into contact with infectious respiratory secretions and carry them elsewhere. This happens most often as a result of someone coughing, sneezing, shaking hands, or touching an object that has been in the proximity of a sick person and then touching the face—particularly the nose, mouth or eyes. This is one of the primary ways of transmitting the virus that causes the common cold.

Washing your hands after using the toilet or changing a diaper is of utmost importance, as the ingestion of even the smallest amount of fecal matter can cause serious illness from deadly pathogens such as E. coli, salmonella, giardiasis and hepatitis A, among others. You should also be particularly careful about washing your hands after touching garbage, handling animals or animal waste, visiting or caring for an ill person, or if your hands show visible dirt.

Those who handle food should routinely wash their hands, not only after using the toilet, but also after touching raw meat, fish or poultry, since the microbes present on uncooked food can cause gastrointestinal infections ranging from mild to severe or even life-threatening.

Perhaps those with the greatest need to wash their hands on a regular basis are healthcare workers. Because they’re constantly exposed to sick patients and patients with weakened immune systems, and since they frequently come into contact with contaminated surfaces, these professionals have a special responsibility. Before the importance of hand washing was widely understood within the healthcare community, millions of people became sick or died from infections passed along on the hands of their caregivers. During the 19th century, up to 25% of women died in childbirth from childbed fever (puerperal sepsis), a disease subsequently found to be caused by the bacteria Streptococcus pyogenes. After hand washing was introduced as a standard practice in the delivery room, the rate of death dropped to less than 1%.

It All Begins With Hand Awareness

Here are the “4 Principles of Hand Awareness”:

  1. Wash your hands when they are dirty and BEFORE eating
  2. DO NOT cough into your hands
  3. DO NOT sneeze into your hands
  4. Above all, DO NOT put your fingers into your eyes, nose or mouth

How to Wash Your Hands the Right Way

To wash your hands properly, you need only two things: soap and clean, running water. If these two things are not available, you can use an alcohol-based hand sanitizer that has a minimum 60% alcohol content.

Before washing your hands, remove all rings and other jewelry. Using running water, wet your hands thoroughly, then apply enough soap to work up a nice lather. Keeping your hands out of the water, rub them together, being sure to scrub both the front and backs of your hands, including your wrists, and also washing between the fingers and under the nails. Do this for 20 seconds, then rinse completely under the running water. Be sure to turn off the taps with a paper towel rather than your bare hand. According to the CDC, the whole process should take about as much time as singing “Happy Birthday” twice.

But What About Drying?

The Mayo Clinic recently published its own comprehensive review and analysis of every known hand washing-related study produced since 1970. Interestingly, their researchers found that drying hands was a key part of preventing the spread of bacteria. They also concluded that paper towels are better than blowers for this purpose. Here’s some of their reasoning:

  • Most people prefer paper towels to blowers, so they’re more likely to use them.
  • Blowers take too long, encouraging people to wipe their newly-cleaned hands on dirty pants or to skip the step altogether.
  • It takes less energy to manufacture a paper towel than it does to dry hands with a blower.
  • Blowers dry out the skin on your hands.
  • Blowers scatter bacteria three to six feet from the device.

As chiropractic physicians, we have a special interest in helping our patients (and non-patients, for that matter) avoid illness and injury. This means helping them develop healthy lifestyle habits—like regular hand washing—that prevent disease. We also work closely with them in areas like diet, exercise, sleep and stress management. If you’d like to learn more about what we can do to help you stay healthy and live your life to its fullest, please call or visit our office today!

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