chiropractic – Page 21

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

June 9, 2016 oblanderchiropractic

chiro_counseling-whiteboard-200-300 According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.” What beliefs is Dr. Wilkes referring to? He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated. One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest? And why are so many patients inclined to comply? Simple—pain avoidance. Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.” Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body. However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy. Restricted movement can result in lost strength and can make it harder for the spine to recover. When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain. Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain. And the results aren’t limited to inappropriate guidance about bed rest. They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain. Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find. Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck. Chiropractic treatment has been shown in studies to be both safe and effective. Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available. Remember—you have options! We encourage you to call or visit our office today!

Summer SAD Explained

June 7, 2016 oblanderchiropractic

sad woman near window Seasonal Affective Disorder (SAD) in winter is a widely-known phenomenon. There is less sunlight during winter days, which affects the serotonin (“happy” hormones) produced in response to light striking our pineal gland, causing depression and listlessness. But not many people are aware that SAD has a summer equivalent as well. Studies performed on people in countries near the equator have found that their populations often suffer from SAD in the summer months. But what can be its cause?

For some people, the seasonal change to summer can cause depression, agitation and irritability. Although it is thought to affect only 1% of the population, it is a real phenomenon nevertheless. Not everyone is happy with hot temperatures, and many people suffer through the increased heat and humidity. It becomes more difficult to sleep, many suffer a loss of appetite and/or just don’t want to cook in hot, steamy weather. They may exercise less because of the heat and spend hours in an air-conditioned living room watching TV because it’s too hot to do anything else.

We are also very much creatures of habit, and any change to our daily routine and circadian rhythms (which are responsible for the sleep-wake cycle) can upset our balance. In summer the kids are home, families often go to sleep and wake up at different times and have a whole new daily routine. In the midst of all that, many Americans and Europeans choose to take their annual vacation during these months, which further upsets their regular schedules (as pleasant as that interruption usually is). Your habits of sleep, work and meals can change radically in the summer months.

Then there’s the issue of body image. In the cooler months, those of us who do not still maintain the body of an active 20-year-old can cover up our various bumps and bulges in loose sweaters. Not so in the summer. Even a modest bathing suit at the beach reveals more than many of us would like. And many people starve themselves in an effort to get their “bikini body” back for their two-week holiday by the sea, adding to the stress their body must endure.

Finally, the financial strain that a summer vacation puts on the budget can also take its toll. In addition, many working parents have to pay for childcare in the summer, or have to fork out a significant sum for camp, so summer is not always the best time for a family financially, increasing stress and rates of summer depression. And for families who can’t afford either childcare option, three solid months of having the kids at home all day can drive even the most patient parent up a wall.

To combat summer depression, there are a number of things you can do. First, be sure you give yourself sufficient sleep and exercise. It’s tempting to stay up later than usual in the summer months, but remember that 7 to 8 hours of sleep a night are necessary in order to function at your best. If it’s too hot to exercise, try exercising late at night or early in the morning before things heat up. You can also join an air-conditioned gym for a couple of months until things cool down.

Eat a sensible, balanced diet high in fruits and vegetables, which help to keep you hydrated while providing important nutrients. Don’t try to lose a bunch of weight all at once. Planning ahead is your best option, as you can put away a little money every month toward your summer holiday and can also gradually lose any excess weight before beach season without putting stress on your body. Finally, plan to do something fun. Call a friend to come over and join you to share a movie in your air-conditioned house or go out for exotic cocktails with your partner. The good news is that summer depression can be prevented or managed with a just little advance planning.

Those who suffer from summer SAD often find that the symptoms disappear with the return of fall and a more “normal” lifestyle rhythm. However, if you find that your depression continues well after the seasons begins to turn, it may be a good idea to consult your physician.

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!

Seven Deadly Health Sins

May 31, 2016 oblanderchiropractic

jolly-roger-200-300 Behind many of the debates about healthcare in the US—its availability and cost as well as its effectiveness—is an important phenomenon. The demands being placed on healthcare providers are growing and changing (at least in large part) because of the way we live our lives. Day-to-day choices we all make are contributing to a wide variety chronic health conditions that are sometimes referred to as “lifestyle diseases.” And while our healthcare system is very good at treating acute medical problems, it is not very good at preventing or treating chronic ones.

In many cases, it’s fair to say that the health we get in the future is a result of the lifestyle decisions we make in the present. With this idea in mind, it’s also fair to ask whether it makes good sense to ask our healthcare system to single-handedly save us from the effects of our own unhealthy habits. This is why, as chiropractic physicians, we work closely with our patients to help them be more active in their own health by taking more responsibility for their own lifestyle choices.

So which lifestyle choices are causing the most trouble? While we could obviously point out harmful behaviors like smoking, drinking too much alcohol or using harmful drugs, the behaviors that really need more attention from most people are much more fundamental. We call these the “Seven Deadly Health Sins” that compromise longevity and quality of life.

Sitting Too Much. According to the Mayo Clinic, those who have a sedentary lifestyle are in danger of things like “obesity and metabolic syndrome — a cluster of conditions that includes increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels.” A recent study showed that those who spend a large amount of time in front of a television or other forms of screen entertainment had a roughly 50% greater risk of death from any source.

Eating Too Much Fat, Sugar and Salt. The typical American diet not only contains too many calories, it’s also too high in fat, salt and sugar. In excess, these ingredients (all too common in processed foods) trigger a wide range of complex, self-inflicted health problems.

Sleeping Too Little. According to a recent poll by the National Sleep Foundation, a combination of daily stress and lifestyle choices (including nighttime activities as well as eating and exercise habits) is causing more than a third of the U.S. population to get fewer hours of sleep than they need.

Drinking Too Little Water. Most of us would be much better off if we drank lots more water and fewer sugary drinks. While there’s no real evidence that Americans are chronically dehydrated (despite all the hard work of bottled water companies), there is plenty of evidence that the things we are drinking aren’t particularly good for us from a nutritional point of view.

Mismanaging Stress. Our relationship with stress is a complicated one. The simple truth is that stress itself isn’t inherently positive or negative for our health. The thing we actually have to pay attention to is how we respond to it. While the physiological stress response we’ve inherited through evolution is designed to help us confront immediate physical dangers, most of today’s threats aren’t immediate or physical. The result of this mismatch is that our “fight or flight” response may stay switched on for much longer periods than nature intended. This in turn can cause a variety of health problems. Since stress is an inevitable part of modern life, it’s important for us to embrace the positive view of stress that helps us grow and develop while also learning how to turn off the harmful effects.

Ignoring Posture Problems. The way we carry ourselves while sitting or standing can have lasting implications for our musculoskeletal health. The bad news is that poor posture can reduce our strength, flexibility, and balance and—at the extreme—can cause pain and even compromise organ function. The good news is that posture problems can be corrected once they’ve been recognized. Even better, it’s possible to prevent them by developing good habits in the first place.

Putting Off Preventive Healthcare. The best time to pay attention to your health is while you still have it. Unfortunately, many Americans still cling to the reactive “sickness care” model and don’t take full advantage of the expanded preventive care options that have been made available to them as a result of the Affordable Care Act (ACA). The US Department of Health and Human Services estimates the ACA made 76 million Americans “newly eligible” for free preventive care. But a Kaiser Health Tracking Poll in March 2014 revealed that only 43% of the population was aware of the change, meaning that many people are probably foregoing preventive care out of cost concerns. Remember—it’s always better to recognize and treat a health problem early before it grows worse and becomes more difficult to address!

By avoiding these Seven Deadly Health Sins, you can also avoid many chronic health conditions. If you or someone you care about has health questions or concerns, we encourage you to call or visit our office today. We’re here to help!

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.

What Parents Need to Know About E-Cigarettes

May 19, 2016 oblanderchiropractic

With the possible exception of vaccinations, there are few more polarizing health issues confronting the general public right now than the use of electronic cigarettes.

At the heart of the public health issue are two very simple facts. First, e-cigarettes are relatively new. And second, their use has grown far faster than our understanding of how they affect the health of “vapers” and those around them.

The resulting uncertainty means that reasonable people have very different opinions about the risks—and opportunities—electronic cigarettes might present for public health. For the sake of discussion, we’ll summarize the positions taken by three different groups based on their starting premise and priorities.

Group 1: “Nicotine addiction is bad, and e-cigarettes are just another way to deliver nicotine. So why encourage it?”

Group 2: “E-cigarettes are certainly safer than traditional cigarettes and may help smokers quit. So why not back an alternative to tobacco?”

Group 3: “We don’t know what the health effects of e-cigarettes actually are, but we’d rather be safe than sorry. So why not regulate them tightly until we know more?”

First, some facts about traditional cigarettes.

Just to remind parents of the danger that smoking tobacco cigarettes poses to health, here are some excerpts from a January, 2013 study published in the prestigious New England Journal of Medicine, based on a U.S. National Health survey of 202,248 Americans:

“For participants who were 25 to 79 years of age, the rate of death from any cause among current smokers was about three times that among those who had never smoked.”
“The probability of surviving from 25 to 79 years of age was about twice as great in those who had never smoked as in current smokers.”
“Life expectancy was shortened by more than 10 years among the current smokers, as compared with those who had never smoked.”
“Cessation before the age of 40 years reduces the risk of death associated with continued smoking by about 90%.”

These figures support previous research that indicates that few things in modern life are as harmful to health as smoking tobacco cigarettes.

Second, some facts about electronic cigarettes.

E-cigarettes are not tobacco products and don’t produce smoke. Instead, they heat liquids to produce a vapor. This is why smoking e-cigarettes is sometimes referred to as “vaping.”
E-cigarettes may or may not contain nicotine, though many or most do. Unlike traditional cigarettes, they come in a wide variety of flavors.
The liquids used in e-cigarettes can vary a great deal in terms of both ingredients and consistency. There have been concerns that some liquids may contain harmful chemicals, either as a result of the “recipe” used in manufacturing or because of problems in quality control.
Some tobacco smokers have reported that e-cigarettes have helped them quit.

So what about e-cigarettes and your teenager?

The use of e-cigarettes among middle and high school students exploded between 2013 and 2014. In 2013, 4.5% of high school students reported vaping at least once in the prior 30 days. In 2014, 13.4% did. Comparable statistics for middle school students were 1.1% in 2013 and 3.9% in 2014. According to the 2014 National Youth Tobacco Survey, e-cigarette use has now surpassed current use of every other tobacco product overall, including traditional cigarettes. This means that if you have a child who is between the ages of 13 and 18, it is very likely that they know someone who vapes.

Some of the worry among public health officials and regulators stems from the idea that e-cigarettes may act as a “gateway drug” to real cigarettes or to something worse. They are also worried that traditional cigarette companies could accelerate the current trend by directing their marketing expertise at young people. The overarching concern is that this segment is both particularly attractive and particularly vulnerable.

Over the past few years, researchers have gained a better understanding of how the adolescent brain develops and how it responds to certain substances. One of the things they’ve learned is that teens’ ability to weigh risks and longer-term consequences is still forming. They have also discovered that even casual drug use can cause structural changes in a teenager’s rapidly developing brain that reduce cognitive ability in measurable ways. Of course, this is a nightmare scenario for most parents, who would prefer that their children not abuse any substance with the potential to cause harm or dependency.

Other parents, however, see e-cigarettes as simply the lesser of two evils. If they start with the presumption that their son or daughter is going to try a cigarette anyway, they would rather it be an e-cig than traditional tobacco, with its 79 carcinogens and all the negative second- and third-hand health effects.

As healthcare professionals, we encourage parents to help their children build good lifestyle habits that will serve them well as adults. While we recognize that parents have less and less direct control over teens’ choices as they grow and become more independent, we believe that it is very important to point them in the right direction and set a good example. Given that we don’t know everything we need to know about the health risks of e-cigarettes, parents should be very cautious about letting teenagers pick up this type of habit.

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!

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