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The Opioid Crisis’ Latest Victims: Addicted Babies

The Opioid Crisis’ Latest Victims: Addicted Babies

(NU) – And now the nation’s opioid crisis is putting newborn babies at risk.
The use of prescription painkillers like OxyContin by women during pregnancy has resulted in what’s being called “an explosion” of infants as addicted to the drugs as their mothers. Newly published data in JAMA Pediatrics shows the number of cases of neonatal abstinence syndrome (NAS) has risen five-fold in the U.S. from 2000 to 2012 – that’s nearly 22,000 affected inf ants in that last year alone – and the reality behind those stats is heart-wrenching. “The babies, they really suffer,
just like adults do when they withdraw from narcotics,” Dr. Terrie Inder, chair of pediatric new born medicine at Boston’s Brigham and Women’s Hospital, told CBS News. “The babies are very irritable and sometimes have high heart rates, sweating, flushing, diarrhea. They cry a lot.”

Heightening experts’ concern: The crucial early “bonding” between mother and child is disrupted, given the babies’ average hospital stay of 24 days. The mothers, often unaware of the potential collateral damage from the painkillers they’ve been taking, experience what Inder calls “anxiety and guilt.”

Back and neck discomfort is especially common during pregnancy since women’s postural changes can result in spine and pelvic pain.

The open question is whether this latest development, combined with the Centers for Disease Control and Prevention’s call last year for physicians to dramatically curtail prescribing opioids will encourage more women to seek alternatives like drug-free chiropractic care. “All chiropractors are trained to work with women who are pregnant,”, The American Pregnancy Association says, lauding their expertise in “establishing pelvic balance and alignment.”

If you are expecting a baby or know someone who is, Dr. Oblander is well-trained in taking care of women during their pregnancies. Be sure to take good care of yourself and give our office a call if you experience back or hip pain during your pregnancy!

(Article shared from News USA)

I Trust Chiropractic Care

I Trust Chiropractic Care

Clinton Romesha

“When I first consulted a doctor of chiropractic for back pain, it was discovered that my pelvis was imbalanced – little surprise after many years of carrying military gear in all kinds of terrain. Aligning my hips and lower back, along with stretching and healthy living advice, made all the difference for me. Chiropractic is a natural alternative, and I am grateful for this car that has kept me away from having to mask my pain with addictive painkillers and their harmful side-effects. I encourage my brother and sister Veterans to consider chiropractic for healthier living.”   –  Clinton Romesha

 

In a 2013 ceremony, U.S.Army Staff sergeant Clinton Romesha received the Medal of Honor for acts of gallantry on 10/3/2009, during Operation Enduring Freedom in Afghanistan.

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Neck Pain Causes

Neck Pain Causes

By John H. Shim, MD, FACS

In order to effectively treat neck pain, it’s important to understand the underlying medical condition that’s causing the pain. This is especially true if the pain has lasted 4 or more weeks.

Cervical spine disorders.
Most Common Neck Pain Causes: Strains and Sprains

The most common causes of neck pain—strains and sprains—heal within a few days or weeks. A strain is when a muscle or tendon has been irritated by overuse or overextension. Similarly, a sprain is when a ligament has been irritated by overuse or overextension.

Common causes of neck strains and sprains include:

    • Sleeping in wrong position. Often referred to as a “crick” in the neck, a person might wake up in the morning with neck pain due to sleeping in an awkward or atypical position that overextended the neck.
    • Sports injury. A person could move the neck suddenly and/or in an unusual way in a new sport, or a player could have a collision or fall. A common sports collision injury is a stinger, which happens when nerves in the neck/shoulder are impacted and pain, numbness, and weakness can radiate down the shoulder, arm, and hand.
    • Poor posture. Whether it’s at work, home, and/or commuting, poor posture can lead to neck problems. If a person’s head is often tilted forward for long periods of time, then the neck’s muscles, tendons, and ligaments need to work harder. Poor posture can be problematic during any number of activities, including working at a computer, watching TV, riding the train, reading a book, gardening, and more. Text neck, for example, is an increasingly common problem that develops in anyone who spends hours looking down at the phone while texting.
    • Repetitive motions. Turning the head in a repetitive manner, such as side to side while dancing or swimming, may lead to overuse of the neck’s muscles, tendons, and ligaments.
    • Holding the head in unusual position. Anything that requires holding the head in an unusual way for long periods of time could cause neck strains and sprains. Some examples include having a long conversation while cradling a phone between the head and shoulder, or spending an afternoon looking up at an air show.
    • Whiplash. In a whiplash injury, the head and neck are forced suddenly backward and immediately forward with a great deal of force. The soft tissues along and near the cervical spine can be torn or ruptured as a result. This type of injury commonly occurs in an auto accident that involves a rear-end collision.

Causes of Chronic Neck Pain

Neck pain is considered chronic when it persists for more than 3 months. These conditions tend to stem from problems in the cervical spine either with a facet joint or disc. Common causes include:

  • Cervical degenerative disc disease.
    Everyone experiences wear and tear on the cervical spine over time. It’s natural for the discs to gradually lose hydration and the ability to cushion the spine’s vertebrae. If a disc degenerates enough, it can lead to painful irritation of a cervical nerve in various ways, such as a herniated disc, pinched nerve, or changes in the facet joints that can cause arthritis.
  • Cervical herniated disc A cervical disc is herniated when its jelly-like inner layer, the nucleus pulposus, leaks out through a tear in the disc’s protective outer layer. This could result from an injury or aging. A herniated disc may press against or pinch a cervical nerve, or the inflammatory proteins of the nucleus pulposus may come close enough to a nerve to cause irritation.
  • Cervical osteoarthritis
    When the cartilage in a cervical facet joint wears down enough, it can lead to cervical osteoarthritis, also known as cervical spondylosis. Rather than having the facet joints move smoothly along cartilage as intended, they might grind bone on bone. The joint could become enlarged from inflammation and bone spur growth, causing a nearby nerve to become pinched or pressed
  • Cervical spinal stenosis with myelopathy Spinal stenosis occurs when the spine’s degeneration leads to a narrowing of the spinal canal, such as from a herniated disc that pushes into the spinal canal or bone spurs that grow into the canal. When the spinal canal narrows enough to compress the spinal cord—a large bundle of nerves that runs inside the spinal canal—myelopathy can result. Myelopathy is when compression of the spinal cord starts causing symptoms, such as weakness or problems with coordination in the arms, hands, legs, or feet.
  • Cervical foraminal stenosis This condition occurs when the foramina—the holes in the vertebral construct through which nerve roots that branch off from the spinal cord can exit the spinal canal—become narrowed. This narrowing of the hole can cause irritation for the nerve root that runs through it. Foraminal stenosis is associated with radiating pains in a pattern specific to the nerve that is pinched by the narrowing. In some situations, there is a combination of the cervical stenosis causing myelopathy, as well as the specific nerve pattern associated with a cervical foramen being narrowed.

Other Causes of Neck Pain

While not the most common causes of acute or chronic neck pain, other causes of neck pain could include:

    • Emotional stress. Sometimes muscles in the neck can tighten up and ache in response to stress, anxiety, or depression.
    • Infection. If part of the cervical spine becomes infected, then inflammation could cause neck pain. One example would be meningitis.
    • Myofascial pain. This chronic condition has trigger points, which result from achy muscles and surrounding connective tissues, typically in the upper back or neck. Trigger points can be chronically painful or only painful to the touch. The pain might stay in one spot or it can be referred pain that spreads to/from another area in the body.
    • Fibromyalgia. Fibromyalgia is hard to diagnose, but it typically involves pain in the muscles, tendons, and ligaments in several areas of the body, including in the neck.
    • Spinal tumor. A tumor, such as from cancer, could develop in the cervical spine and press against a nerve. These types of tumors more commonly occur as cancer that has started in another part of the body metastasizes.
    • Spondylolisthesis. This condition occurs when one vertebra slips over the one below it. It can be due to a tiny fracture in the vertebra, or possibly from advanced disc degeneration, or ligament laxity.
    • Ankylosing spondylitis. This progressive arthritis of the spine and pelvis can cause widespread inflammation, pain and stiffness throughout the spine, including the neck.

Risk Factors for Developing Neck Pain

Some research indicates that getting unhealthy amounts of sleep, being inactive, and smoking can all raise the risk of developing neck pain.2 In addition, working longer hours or being in a labor-intensive occupation, such as the military, health care support, or installation and maintenance, may increase the risk for neck pain.3

References

  1. Croft PR, Lewis M, Papageorgiou AC, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001; 93(3):317-25.
  2. Yang, Haiou PhD; Haldeman, Scott DC, MD, PhD; Nakata, Akinori PhD; Choi, BongKyoo ScD, MPH; Delp, Linda PhD, MPH; Baker, Dean MD, MPH. Work-related risk factors for neck pain in the US working population. Spine. 2015. 40(3):184-192.
Neck Cracking and Grinding: What Does It Mean?

Neck Cracking and Grinding: What Does It Mean?

Most people at some point have heard cracking or grinding noises in their neck upon movement. These sounds, also called crepitus, are usually painless and typically do not represent anything serious.

However, if the neck cracking noise is accompanied by pain, swelling, or some other concerning symptoms, then it may represent a problem that should be checked by a qualified health professional.

Possible Causes of Neck Cracking

Crepitus, sometimes called crepitation or cavitation, refers to any type of noise or sensation such as a cracking, popping, snapping, or grinding sound that is heard during neck movement. For example, feeling a cracking sensation in the neck when turning the head to back up the car.

Crepitus can occur in any moveable joint in the body, and there are many moveable joints in the neck. The neck joints are bathed in an oily-like substance call synovial fluid, which allows motion to freely occur in between the bones.

The underlying cause of crepitus in the neck is still not yet fully understood.

Some likely causes of the neck cracking sound include:

Synovial joint fluid pressure changes
Various studies have been performed purposely cracking the synovial joints of the fingers, but the conclusions in medical literature as to what is actually making the noise have been mixed. In particular, a study published in 1971 indicated that the cracking sound of a joint was caused by the bursting of a gaseous bubble in the joint’s synovial fluid.1 However, a study published in 2015 reported that the cracking sound was actually from the bubble being created.2

Ligament or tendon moving around bone
Another possible factor in neck cracking could be the snapping sound of ligaments and/or tendons as they move over bones or other muscles or tendons located in the neck region.

Bone on bone grinding
While an uncommon cause of neck cracking, it’s possible for bone to grind against bone if the cartilage has worn down. This condition is called osteoarthritis. It occurs gradually with the normal aging process, or it can be accelerated if there has been a traumatic injury such as whiplash or a sports-related injury

This type of crepitation is typically accompanied by pain, limited neck motion, and the cracking sound is usually repeated over and over with each movement. This experience is in contrast to the typical gas bubble formation crack, where it typically takes about 20 minutes before cavitation, or the cracking, can again occur.

Can You Really “Bank” Sleep?

Can You Really “Bank” Sleep?

striped-cat-sleeping-on-chair

Banking sleep to save energy for later? To most people, this idea probably sounds too good to be true. At the very least, it probably seems to defy common sense and or runs counter to the way we think our bodies work. However, it actually turns out that banking sleep is possible—within limits.

A great deal of research has been conducted on this subject.  In one particular study, American scientists invited a number of volunteers to adjust their sleep patterns so that researchers could observe the effects. For a week, half of the volunteers were permitted to sleep more than usual, and the remaining volunteers were made to sleep according to their usual pattern.

“After this week of either extended or habitual sleep per night, all the volunteers came to the lab and they were given three hours of sleep, per night, for a week,” says Tracy Rupp of the Walter Reed Army Institute of Research. The volunteers were then assigned tasks of varying difficulty, and those who had banked their sleep were more unaffected throughout the sleep restriction.

Rupp elaborates: “They showed less performance deterioration with regards to reaction time and alertness than the group that had been given the habitual prior sleep.”

The study also revealed that a week after the experiment, the banked sleepers were recuperating faster from deficiency of sleep than the others were. Rupp again: “What we’re basically saying is if you fill up your reserves and pay back your sleep debt ahead of time, you’re better equipped to deal with the sleep loss challenge.”

While these results may sound great, there are limits to what banking sleep can do for you. “It’s a strategy that’s only partially successful,” explains Michael J. Breus, Ph.D., in the November 2013 issue of Psychology Today. “New research indicates that although some of the negative effects of a week of insufficient sleep can be remedied with extra sleep on the weekend, others cannot. Researchers at Penn State University College of Medicine studied the effects of weekend recovery sleep after a week of mild sleep deprivation. They found that make-up sleep on the weekends erased only some of the deficits associated with not sleeping enough the previous week.”

Banking sleep isn’t limited to sleeping longer nights. Naps can be extremely effective as well—within limits, of course. According to Science Focus, “A 1991 study at Wright State University in Dayton, Ohio found that after an ordinary night’s sleep, subjects could take an extra nap in the afternoon and then work through the night with greater alertness that a control group who didn’t nap. The study also found that performance is proportional to the length of the nap—but the effect doesn’t last.

After a second consecutive night without sleep, all of the subjects performed equally badly, regardless of how much sleep they had initially. It may be that all of us are normally slightly sleep-deprived and one really good night’s sleep will bring us back up to 100%, but that the ‘tank’ isn’t big enough to buffer us against more than one all-nighter.”

The practical uses of banking sleep go beyond needing to pull an all-nighter before finals or a big presentation at work. Dr. Winter, a member of the American Academy of Sleep Medicine, puts it thusly: “If you knew you were going to give birth on a particular day, for example, you could sleep for 10 hours a day for multiple days before the event, and be fine.”

Lastly, it is important to consider the host of negative effects of sleep deprivation. Memory loss, obesity, and even early death comprise some of these consequences. The moral of the story here is that banking sleep in advance may actually be a reasonable short-term strategy for coping with an isolated event (like giving birth). However, the best long-term strategy for staying healthy and performing well is to get a good night’s sleep as consistently as possible.

 

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

Chiropractic Care and Professional Baseball: The Philadelphia Phillies and Dr. Michael Tancredi

When it comes to helping elite athletes prevent and recover from injuries—as well as achieve peak performance—chiropractic care can offer many advantages. That’s why large numbers of professional and college sports teams throughout the U.S. have turned to chiropractors over the past decade. The Philadelphia Phillies is one such team, and Dr. Michael Tancredi is one such chiropractor. As a Doctor of Chiropractic, a Certified Chiropractic Sports Physician, an Active Release Technique Instructor and Practitioner, and a certified athletic trainer, Dr. Tancredi clearly understands the valuable role that chiropractic care can play in keeping teams healthy and performing at their best.

By almost any measure, Dr. Tancredi has had a long and successful career in sports medicine. He has worked extensively with the Philadelphia Eagles, Philadelphia Phillies, and Villanova University. While Dr. Tancredi has accomplished a great deal in his professional life (and he continues to work with patients through his practice in Broomall, Pennsylvania), he is perhaps best known as the chiropractor who went all the way to the 2008 World Series as a consultant with the Philadelphia Phillies. From 2008 through 2010, he was a chiropractor and Active Release Technique provider for the team.

Cole Hamels, a member of the 2008 Phillies team, has been very vocal about the difference chiropractic care has made for him. “Being introduced to chiropractic care has definitely helped my game. When you add it with a lot of the physical therapy exercises and the in-game exercises, I think it just prevents a lot of injury. I went through a lot of injury in my career, and the first time I actually was introduced to chiropractic care, it pretty much kept me on the field. It’s something that helps me feel much better when I’m on the field and off the field.”

As a pitcher, Hamels is particularly aware of the complex biomechanics involved in throwing a baseball, and recognizes how the larger muscle groups—not just the shoulder and elbow—must work together to perform well. “Your body starts from the ground up, and in order to pitch, you have to use everything. You have to have a good back in order to get the good torque. Most of your power comes from your core.”

It’s a challenge staying healthy through a 162-game regular season, and players at the elite major-league level do what they can to avoid injuries. Hamels recalls how chiropractic care became popular among his teammates and coaches. “It’s another way to help us get out on the field… We’ve seen more and more players start to go in to get adjustments, to get the ART. And I think that’s good for our whole team because you want them to be able to go out on the field every day because we’re very good at what we do, but you’re not going to help the team out when you’re not playing.”

In a brief interview published in ACA Today, Dr. Tancredi described his own experience with the Phillies and explained why chiropractic care is such a good fit for professional baseball. “It was a dream job and a dream season. The whole sports medicine staff was phenomenal. They were all really open to the benefits of chiropractic care. Athletes at this level rarely have an acute injury. However, a little hamstring pull can turn into a major problem when they have no time off. Baseball’s schedule is grueling in that the players are on the field 28 out of 30 days a month, so we have to do what we can to help them heal while keeping in mind the long-term consequences. Chiropractic has cut the injury rate; the players love it, the athletic trainers see how effective it is and the orthopedic surgeon is totally open to my suggestions—it’s a win-win situation.”

Whether you’re playing professionally or at an amateur level, baseball puts unique demands on the body’s musculoskeletal system, from asymmetrical movements (throwing and hitting) and extreme acceleration and deceleration to sudden impacts. Take it from the Phillies and Dr. Michael Tancredi, chiropractic care can help players stay healthy and perform at their best.

If you need to make chiropractic a part of your success protocol, be sure to give our office a call at 406-652-3553 to schedule your appointment with Dr. Oblander!

 

The Positive Effects of Chiropractic Care!

The Positive Effects of Chiropractic Care!

We know that our patients who get adjusted regularly see the wonderful side effects! Their backs are not the only beneficiary of their adjustments! Here is a study that confirms that keeping the spine adjusted has more positive effects than just your back or neck feeling better!:

A retrospective study conducted in Sweden [1] has determined that about one in four chiropractic patients experiences some form of “positive nonmusculoskeletal side effect” after spinal manipulative therapy (SMT).

In addition, the percentage of patients who experience positive side effects increases with the number of spinal regions adjusted. The Swedish researchers asked all members of the Swedish Chiropractors Association (SCA) to participate in the study. Eighty-one percent of the SCA membership complied. Each doctor of chiropractic gathered data from 20 patients over a three-week period for a total of 1,504 valid patient questionnaires. Patients were included if they had been previously adjusted within the last two weeks for musculoskeletal complaints. The patients were asked if after their previous visit they ìexperienced any positive changes that do not seem to have anything to do with your back problem?

At least one positive side effect or reaction was reported by 23 percent of the respondents. The more spinal areas that were adjusted, the better their chances of experiencing at least one positive reaction:

The positive, nonmusculoskeletal reactions appear to cluster into a number of system/organ-related classifications. Of those patients who experienced them, here is the breakdown by percentage:

 

  • Respiratory System: 26%

  • Digestive System: 25%

  • Circulatory System/Heart: 14%

 

  • Eyes/Vision: 14%

The benefits experienced can also be broken down into subcategories:

 

  • Easier to Breathe: 21%

  • Improved Digestive Function: 20%

  • Clearer/Better/Sharper Vision: 11%

  • Better Circulation: 7%

  • Changes in Heart Rhythm/Blood Pressure: 5%

 

  • Less Ringing in the Ears/Improved Hearing: 4%


The authors, as is typical in research papers, are careful to point out the limitations of extrapolating the findings. They note that the study does not demonstrate whether the statistical link between treatment and reaction is causal. They assert that ìthe absence of an untreated control group makes it impossible to say whether these reactions are treatment-specific, or if they simply represent normal fluctuations of common symptoms of physiologic function. While these results are very exciting, it is clear that additional research is needed.

Reference:

The Types of Improved Nonmusculoskeletal Symptoms Reported After Chiropractic Spinal Manipulative Therapy
J Manipulative Physiol Ther 1999 (Nov);   22 (9):   559–564

The Abstract

OBJECTIVE:   To investigate the frequency and types of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.

DESIGN:   Retrospective information obtained by chiropractors through standardized interview of patients on return visit within 2 weeks of previous treatment.

SETTING:   The private practice of 87 Swedish chiropractors (response rate 81%).

SUBJECTS:   Twenty consecutive (presumably naive) patients per chiropractor (1504 valid questionnaires returned, 86% of optimal number of replies).

INTERVENTION:   Spinal manipulation with or without additional therapy provided by chiropractors.

MAIN OUTCOME MEASURES:   Self-reported improved nonmusculoskeletal symptoms (reactions).

RESULTS:   At least I reaction was reported after the previous treatment in 21% to 25% of cases. Of these responses, 26% were related to the airway passages (usually reported as “easier to breathe”), 25% were related to the digestive system (mostly reported as “improved function”), 14% were classified under eyes/vision (usually reported as “improved vision”), and 14% under heart/ circulation (about half of these reported as “improved circulation”). The number of spinal areas treated was positively associated with the number of reactions.

CONCLUSION:   A minority of chiropractic patients report having positive nonmusculoskeletal reactions after spinal manipulative therapy but such reports cluster predominantly around specific symptoms. It would be interesting to find out if these can be verified objectively and, if so, to investigate if they are caused by the treatment or if they are signs of natural variations in human physiology.

 

Top 5 Workouts for Increasing Range of Motion in Your Back

Top 5 Workouts for Increasing Range of Motion in Your Back

man-jumping-on-balcony

Back pain can have a truly negative effect on your professional life as well as your lifestyle. It can be difficult to get out of bed and make the morning commute.  Then—depending on what you do for a living—pain and limited mobility can take a huge toll on your productivity while you’re at work. And when you return home, you may also find that you’re not able to do the active things you enjoy with your family and friends.  It’s no wonder that chronic back pain can lead to depression.

If you or someone you care about is suffering from back pain, the good news is that there are things that can be done about it. First of all, it’s essential that you get proper medical attention so that your condition can be diagnosed and an appropriate treatment plan can be put in place. Dr. Oblander and other chiropractic physicians are experts at diagnosing and treating musculoskeletal problems as well as problems with the nervous system. Depending on your specific situation, he or she may recommend a variety of in-office treatment options to help relieve pain and restore function.  Your doctor may also prescribe a series of at-home exercises or stretches designed to increase the range of motion in your back.

Range of motion is the movement of a joint from full flexion (flexed) to full extension. Certain back problems, ranging from spinal misalignment and muscle imbalances to sprains, strains and pinched nerves (just to name a few), can significantly limit how much you can move. Here are workouts that can help improve your back’s mobility. Remember—use these only after consulting with your chiropractor!

  • Aquatic exercise. Perfect as a low-impact exercise that’s gentle on your joints and muscles, swimming and other water exercises are a great way to ease your back into working out. It is especially beneficial when the water is warm—say, between 83 and 88 degrees Fahrenheit. If you don’t have access to a heated pool, check out the gyms in your town. Many of the big-name gyms feature not only heated swimming pools, but also hot tubs and steam rooms, which can help relax your joints and muscles, giving them a much-needed break.
  • As simple as it sounds, walking is a great way to get simple, accessible exercise. It also strengthens your heart, lungs and overall endurance. Make sure you wear appropriate footwear and take it easy—there’s no need to start out walking miles a day unless you’re up to it. Again, ask your chiropractor for his or her advice.
  • Strength and resistance training. According to Harvard Medical School, not only is resistance training good for increasing range of motion, but it also strengthens your heart, lungs, and overall endurance.
  • Tai chi. An ancient form of Chinese exercise, tai chi is practiced through a series of slow moving poses that can be very effective at extending your range of motion. In addition to increasing flexibility, it is also purported to strengthen muscles, and develop balance and coordination.
  • Like tai chi, yoga is another very old form of exercise. Developed in India over a great many years, yoga eases stiffness in muscles and encourages greater range of motion. Just be careful not to overdo it—it could be detrimental to your condition.

If you need help with addressing your back pain, be sure to give our office a call at 406-652-3553 to schedule an appointment with Dr. Oblander!

 

Second Impact Syndrome Explained

Second Impact Syndrome Explained

The Mayo Clinic describes second impact syndrome (SIS) as a complication arising from a concussion. It occurs when someone experiences a second concussion prior to fully recovering from the initial one. With SIS, “typically fatal brain swelling” occurs. R.C. Schneider first described this condition in 1973, but it wasn’t until 1984 that someone gave it the name, “second impact syndrome”. The condition is rare enough that only 21 cases had been cited in the literature up until 2003.

When a concussion takes place, the levels of various chemicals in the brain are changed. This altered state is believed to contribute to a person’s susceptibility to second impact syndrome. Because it normally takes approximately one week for the chemical levels in the brain to return to normal after a concussion, the patient should wait at least this long before returning to any activity that might result in another concussion. But one week is a minimum. The time it takes to recovery fully from a concussion is highly variable and depends on both the nature of the injury and the patient involved. For this reason, it is vitally important that athletes not return to sports while symptoms of a concussion persist and that they receive clearance from an appropriately trained healthcare professional before resuming any sort of risky activity.

NHL star Sidney Crosby learned a lot about concussions first-hand. While playing with the Pittsburgh Penguins in January 2011, he received a concussion. He suffered from a second one only four days later. It took him 11 months to fully recover. Crosby said, “With concussions there is not generally a time frame or a span where you’re feeling better. You feel like you’re getting better and it can be one day and you’re back to where you started. It’s a frustrating injury.” It wasn’t until he was treated by chiropractic clinical neurologist, Ted Carrick, DC, that Crosby recovered from all his symptoms.

Even the mildest of concussions can lead to second impact syndrome, because it’s not the strength of the impact that is the greatest danger. An impact of any force while the brain is still recovering can result in the catastrophic swelling attributed to the syndrome.

Most cases attributed to SIS occur in those who are not yet fully grown. Children and adolescents are thought to be the most susceptible with adolescent athletes at greatest risk for second impact syndrome.

Some researchers have recently raised questions about whether or not SIS actually exists. In their own analysis, they concluded that a majority of cases they examined did not actually meet the diagnostic criteria for SIS. They also found that in some cases the reports of first impact were incorrect or unreliable. While their findings have led to some controversy in the medical community, it should be pointed out that no one has disproven the existence of the syndrome.

Whatever the controversy, it’s difficult to argue against prevention and an abundance of caution given the potential dangers associated with concussions (and multiple concussions). If you’re an athlete, the first step is to wear appropriate safety equipment for the sport you’re playing. For certain activities (such as football, baseball and cycling), a helmet is essential. On-field awareness and proper technique can also go a long way toward preventing head injuries. However, it’s important for players, parents and coaches to recognize that even helmets, good supervision and expert training are no guarantee against initial concussions. They are a risk that can be managed but never wholly eliminated.

When it comes to preventing subsequent concussions, though, there are three additional steps many communities have taken to protect young athletes:

  • Requiring responsible adults to receive concussion-awareness training so that they can recognize the signs of a potential concussion.
  • Requiring officials, coaches and managers to remove injured players from the field when a concussion is suspected.
  • Requiring the approval of an appropriately trained healthcare professional before allowing any athlete with a suspected/actual concussion to return to sports-related activities.
Healthy Feet: Why They Matter for the Rest of Your Body

Healthy Feet: Why They Matter for the Rest of Your Body

Did you know that fully a quarter of your body’s bones are in your feet? These complex marvels of engineering by Mother Nature provide your body with a firm foundation, and are constantly in demand to help move the body from one place to another. With 19 muscles and 26 bones each, your feet are important for the balance and health of the entire body.

Dr. Brian Jensen, a chiropractor, offers this perspective: “By age 20, an estimated 80 percent of people develop some type of foot imbalance. By age 40, foot imbalances plague virtually everyone.” If the foundation is out of balance, then the rest of the structure (the body) is thrown out of balance. Invariably, this means the ankles, knees, hips and spine are adversely affected. A misaligned spine can cause chronic pain and can increase the risk of other musculoskeletal problems.

One key way the feet can cause spinal problems is by causing an imbalance in your gait—the way you walk. If your stride is off a little, it can eventually cause the supporting structures of your spine to be subject to stress in the wrong places, eventually pulling your spine out of alignment. According to Dr. Jenson, collapsed arches (“over-pronation”) are the most common source of problems with the feet, causing them to roll inward as an individual walks. Excessive supination (“under-pronation” or the foot rolling to the outside) is the opposite problem.

Both over-pronation and under-pronation often leave telltale signs in the uneven way a person’s shoes wear over time. Typically, a shoe’s heel or sole will become noticeably more worn on either the inside or outside edge. Some pronation is normal, but when both feet pronate too much and for too long a period, then your musculoskeletal health is at risk.

The U.S. Centers for Disease Control and Prevention (CDC) warns of two other health problems involving the feet—obesity and diabetes. Carrying lots of extra weight obviously increases the wear and tear on your body’s joints and is particularly hard on the feet. Diabetes can affect circulation as well as the peripheral nervous system—especially in the extremities—making it more difficult to walk and more difficult to heal after injuries. Both of these conditions set up a vicious cycle where pain and dysfunction often lead to reduced mobility, which in turn often leads to additional weight gain and diabetic symptoms.

Depending on your particular situation, your chiropractor can assist you in finding the proper orthotics for your feet to help correct these kinds of mechanical issues and increase the amount of healthy cushion for absorbing the shock of walking.

And remember—the condition of each foot can change over time, so visit your chiropractor regularly to see if you need special insoles to protect your feet, ankles, knees, hips and spine.