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Falls Among Seniors: What You Should Know

Falls Among Seniors: What You Should Know

— seen against the afternoon sun

According to the U.S. Centers for Disease Control and Prevention (CDC), one in three adults over the age of 65 has a fall in any given year. Falls are the leading cause of injury-related death for adults in this age range, as well as the most common cause of trauma-related hospital admissions. More than 1.6 million older adults go to the emergency room for fall-related injuries each year in the United States. Whether you are above the age of 65, or you care for someone who is, knowing how to prevent a fall could help you save a life.

There are several risk factors that you can address to help prevent a fall. The first factor is a lack of physical activity. As adults grow older it becomes difficult to exercise on a regular basis. This leads to a decrease in strength and a loss of bone flexibility and mass. All of these factors can make falls more likely and injuries more severe.

Fortunately, there are ways for older adults to stay active. Regular exercise is the best place to start. Fifteen minutes of an exercise designed to increase bone and muscle strength should be done every other day. This can be as simple as taking a walk or going for a swim a few times a week.

The risk of falls increases when seniors do not take adequate time to carry out daily activities. It is important to stay safe and to take your time when bending over and when lifting things. Be sure to recover your balance first before taking a step when getting out of bed or a chair.

Seniors on medications may find that their balance is impaired and their mental alertness is reduced. Some medications can cause a drop in blood pressure while you are standing up, throwing you off balance. Be sure to understand all of the side effects of your medications, and be clear with your doctor about any fears you have about your balance. He or she may be able to reduce your dosage to help keep the side effects under control.

Environmental hazards are one of the biggest risk factors for senior falls. These hazards can include items on the floor that are easy to trip on, loose rugs, unsteady furniture, and poor lighting.

To reduce the risk of environmental factors causing a fall, take time to walk through the house to locate any potential hazards. Rugs can be secured with nonskid tape and throw rugs can be removed altogether. Furniture should be kept in good repair and clutter should be kept to a minimum. Finally, consider having grab bars installed to help you get up and down securely.

Falls among seniors can be frightening, but there are steps that you can take to help prevent them. By being cautious and staying in good health, seniors can increase their chances of avoiding harmful falls.

How Chiropractic Care Has Helped Me: Introducing Mark Teixeira

How Chiropractic Care Has Helped Me: Introducing Mark Teixeira

Mark Teixeira has been the New York Yankees’ first baseman since 2009. At 32 years old, Teixeira’s physical condition is very important to him, which is why he uses the regular services of his chiropractor, Gil Chimes, who is one of the Yankees’ team chiropractors and who is the clinical director of a thriving practice, Greenwich Sports Medicine, in Greenwich, CT. Teixeira visits Chimes once a week for a two-hour session.

Teixeira says, “Some people would call it anal, but I like things done a certain way.” Like any high-performance instrument, such as a Lamborghini or a Stradivarius, Teixeira believes the body of an athlete needs top care. He says, “You need to continue to tune it to make sure it’s perfect for every show or game or however you want to put it.”

And Teixeira is adamant about treating his body holistically by eating right (he prefers fish, vegetables, raw juices and smoothies to steak and potatoes) and taking advantage of drug-free therapies. This includes therapies such as chiropractic adjustments, acupuncture, Active Release Technique (ART) and the Graston Technique. “When you think about all the anti-inflammatory drugs that are pumped into athletes’ bodies, it’s really sad,” Teixeira says.

Muscular imbalances and repetitive stress can create scar tissue in the muscles and fascia that support them, which can entrap nerves and reduce range of motion. Top athletes such as baseball players are particularly prone to this type of problem, and it can impact their performance. Chimes uses ART regularly on Teixeira. He locates the area of contracted muscle and presses down firmly at precise spots with his thumbs. This makes the knotted muscle or scar tissue relax and release any trapped nerves, relieving pain and restoring range of motion.

Similar to ART, Chimes uses the Graston technique on Teixeira to further release tension and repair damage to the soft tissue. For this, a small metal bar is used to break down the scar tissue that has built up over time.

Teixeira says of Chimes, “If I had my way Gil would be with me every single day of the year. He didn’t travel with the team last year, but if he had, I wouldn’t have had that calf injury, or at least it wouldn’t have been as bad.”

Teixeira has spent the early part of the 2013 season recovering from a tendon injury in his wrist that he acquired during spring training, but his rehabilitation has been going well and he expects to be back in the game any day now.

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky Halstead

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky Halstead

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky HalsteadRetired Brigadier General Becky Halstead is no stranger to pain. She spent her entire adult life in the military, and was the first female graduate from West Point to become a general officer. She has seen battle all over the world, including in Iraq. But she has also fought her own personal battle—with fibromyalgia.

Fibromyalgia is a condition that is still not fully understood, but it involves symptoms that include headaches, fatigue, muscle pain, anxiety and depression. “It’s as if your whole body is a bruise … You hurt everywhere,” Halstead says. Even something as simple as showering was painful. “The water hitting your skin, it would feel like it was tearing.”

The conventional treatment for fibromyalgia involves pharmaceuticals, which Halstead took for a number of years. However, the drugs have only limited effectiveness, and she did not want them to affect her job. She said “I knew it wasn’t going to kill me—I was just in pain, so I took myself off all prescription drugs when I went into combat. I was in charge of 20,000 soldiers. That’s a huge command, a huge responsibility. I wasn’t going to have someone doubt or wonder whether the prescriptions influenced me or my decisions.”

However, it became impossible to continue in the military while dealing with debilitating pain, so she retired from the army in 2008. It was then that she began semi-monthly visits to a chiropractor, and that’s when her health began to turn around. Within a year of beginning chiropractic treatment, she was able to discontinue taking pharmaceuticals entirely by combining regular chiropractic spinal adjustments with nutritional supplements.

Halstead says of chiropractic care and how it has helped her, “It’s not like you’re cured, but you feel so much better. They set me on a path of getting well. I’m the healthiest I’ve been in 10 years. I was taking eight or 10 prescription drugs in 2008. The more I went to the chiropractor, the less prescriptions I needed.” She continued, “When I retired, my pain was easily a 9 or 10 (on a 10-point scale) every single day. My pain now is a 2 or 3, and maybe even sometimes a 1. I don’t think I’ve hit a 10 since I started regularly seeing a chiropractor.”

“If I had known how much chiropractic care would help me when I was a commander in Iraq and in the United States, I could have taken better care of my soldiers.” Although chiropractic care for military personnel was approved by congress, there are still many treatment facilities that do not have a chiropractor on staff, which Halstead would like to see changed.

“Until we’ve done that we have not fulfilled our leadership responsibility,” Halstead said. “If you want to help them, see a congressman and ask ‘aren’t our men and women getting these benefits?’ I’m not a chiropractor I’m a satisfied patient, a beneficiary of their talented hands, minds, and hearts. Go find yourself a chiropractor and change your life!”

As a side note: Dr. Oblander sees many veterans in his practice. However, it can be difficult for veterans to get coverage for chiropractic care.  If you want to help veterans and/or you willing to champion chiropractic coverage for all of our military – please let our congressional representatives know that you support chiropractic care for our veterans and military personnel!

http://www.omaha.com/article/20130316/LIVEWELL01/703179900

http://www.youtube.com/watch?v=t22AVZ44z3A (first of a 4-part series)

 

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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The Most Dangerous Jobs: A Chiropractic Perspective

The Most Dangerous Jobs: A Chiropractic Perspective

It’s no secret that some jobs are just more physically demanding and more dangerous than others. Some of the most challenging ones are obvious—combat roles in the military, fire and rescue, heavy construction and deep sea fishing are just a few that come to mind. However, when it comes to non-fatal musculoskeletal injuries, the statistics tell a very different story about occupational health and safety and about who’s most likely to get hurt on the job.

Because chiropractic physicians are experts in treating conditions that involve the musculoskeletal and nervous systems (including many common workplace injuries), we have a unique perspective on why they happen, how they can  be prevented and the best ways to treat them.

Musculoskeletal Disorders by the Numbers

Let’s start with a long-term trend that’s good news for the nation’s workers but that doesn’t get much media attention. The number of reportable occupational injuries and illnesses has declined steadily across the past decade from 50 cases per 1,000 full-time workers in 2003 to 33 cases in 2013. So progress is clearly being made, even if it doesn’t grab the headlines.

That said, musculoskeletal injuries continue to be among the most common on-the-job injuries, and they can require significant recuperation time. The Bureau of Labor Statistics (BLS) says that musculoskeletal disorders (MSD) “are injuries or illnesses affecting the connective tissues of the body such as muscles, nerves, tendons, joints, cartilage, or spinal disks.”

A very high percentage—about one-third—of 2013 workplace injury and illness cases that required days off from work involved the musculoskeletal system.  Plus, workers who sustained musculoskeletal injuries required more time to recover before returning to work—a median of 11 days to recuperate compared with 8 days for all types of workplace injury and illness cases. In 2011:

  • The back was the primary site of MSD injuries in 42% of all cases across all occupations, requiring a median time off of 7 days to recuperate.
  • Although it accounts for only 13% of all MSDs, the shoulder was the area with the most severe injuries, requiring a median of 21 days off of work to recuperate.
  • Injuries and illnesses due to repetitive motion involving “micro-tasks” (such as typing) accounted for only 3% of all occupational injury and illness cases. However, those workers with this kind of injury required nearly 3 times as many days away from work to recover as those with all other types of injuries and illnesses—a median of 23 days.

 

As we mentioned earlier, though, MSDs are not distributed evenly across all industries and occupations.

  • In 2013, the highest MSD incident rates were found in transportation and warehousing (80.3 cases per 10,000 full-time workers), healthcare and social assistance (50.2 cases per 10,000 full-time workers), arts, entertainment and recreation (46.5 cases per 10,000 full-time workers) and construction (41.9 cases per 10,000 full-time workers).
  • In 2011, six occupations accounted for 26% of all MSD cases: nursing assistants, laborers, janitors and cleaners, heavy and tractor-trailer truck drivers, registered nurses and stock clerks.
  • In 2011, those with the greatest number of median days spent off from work in order to recuperate from an MSD were heavy and tractor-trailer truck drivers (21 days).

So it’s clear from the numbers that the dangerous jobs featured on reality TV shows (think about Deadliest Catch and Ice Road Truckers) aren’t necessarily the ones that result in the most MSD-related visits to the chiropractor or general practitioner.

The Role of Chiropractic Care in Prevention and Treatment

Over the past several years, companies of all sizes have become increasingly interested in occupational health and wellness programs. Chiropractic physicians have a special interest in working with employees and business managers alike to help prevent job-related injuries and to encourage a healthy, productive work environment. If you’d like to learn more, we encourage you to call or visit our office today.

Chiropractic care can be one of the most effective ways to treat musculoskeletal pain and accelerate recovery.  Dr. Oblander has the training and experience necessary to successfully diagnose and treat a wide range of workplace injuries, and he’ll be happy to answer any questions you may have! So if you or someone you care about has recently been hurt on the job, please give us a call at 406-652-3553 or stop by either of our Billings chiropractic offices. We have an office located at 3307 Grand Avenue and an office at 410 Wicks Lane in the Heights  and we’re here to help!

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Being a Great Fitness Buddy

Being a Great Fitness Buddy

Studies have shown that one of the best ways to stick to your fitness regime is to have a reliable fitness partner. Being a fitness buddy means that someone else is counting on you to make them accountable for their workout, keep them inspired and ensure that they are not alone in their quest for fitness. To be a great fitness buddy you just need to keep a few basic guidelines in mind:

You should both have similar goals ­– If you are training for a place on the Olympic team and your fitness buddy just wants the occasional weekend workout, neither of you is likely to meet your goal. This does not mean that you have to share the same goal, but they should be relatively comparable. That way, you can encourage your partner to meet their goal while not losing sight of your own.

Find someone at a similar fitness level – Your fitness partner does not want to feel like they are being left behind if you are at a much higher level than they are. Similarly, choosing someone at a higher level may make them feel like they have to hold back. Having the same starting point is more motivating for you both.

Be reliable – Always show up when you say you are going to. Your fitness buddy will be more motivated knowing that he or she can count on you to be there for a scheduled workout. You should ideally have similar schedules so that your partner does not have to work around your previous commitments.

Don’t hesitate to push your partner – It’s natural to want to do as little work as possible to reach our goals. But encouraging your fitness buddy to push themselves a little farther than they might on their own can help them to reach their goals a little faster. Never push them beyond what they can safely do, but there is no harm in encouraging your partner to push beyond what they perceive are their limits, and they will be pleasantly surprised at how much they can accomplish that they never thought they could.

Keep focused – Help your partner to keep focused on his or her workout by ensuring that your mind does not wander off or become distracted by the cute guy or girl walking by in the gym.

Provide useful criticism ­– Do not hesitate to correct your workout partner if you feel he or she is using bad form or doing something unsafe. Part of the responsibility of being a great fitness buddy is ensuring that your fitness partner does not become injured during their workout and that they perform to the best of their ability.

 

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Beating the Odds: How Some People Stick with Diet and Exercise Plans

Beating the Odds: How Some People Stick with Diet and Exercise Plans

Billings Chiropractic Diet Services
balance-scales

How long did your last diet or exercise plan last? If you’re like many people, your answer is “not that long.” In fact, one UK survey found that the average length of time a person stays on a nutrition plan is 19 days. A slightly more positive poll found that women tended to quit their diets after five weeks and two days. If these statistics sound distressingly familiar, it might be time to reassess how you approach your own diet plan.

How Do People Stick with Their Diet and Exercise Plans?

If you want to make sure your diet and exercise plan doesn’t become just another statistic, a change in attitude can make all the difference. In order to create a diet plan you can stick with, it’s important to be honest with yourself about what types of changes will fit into your lifestyle. Diet plans with long lists of “bad” foods might help you cut back on calories in the short term, but do you really plan to go the rest of your life without cake? People who stick with their diet plans take a more moderate approach, making small changes that they can live with in the long term.

Exercise plans can be just as difficult to carry out. People who stick with their exercise plans view physical activity as a regular part of life, not something they do only when they have the time, energy, and motivation. Of course, sticking with physical activity is much easier when it’s enjoyable. Rather than slogging it out on the treadmill, try yoga, martial arts, or another exercise program that stimulates your mind as well as your body. And variety helps too!

You Don’t Have to Go It Alone

Whether you’re building a diet plan or an exercise program (or are making changes in both areas), the people around you can make a huge difference in your level of success. If your spouse, children, or friends tend to turn to food in celebration or out of boredom, it’s easy to forget about your diet goals. Getting enough exercise is a lot more difficult if the people around you would rather watch TV than go on a walk.

Fortunately, when it comes to sticking with your diet and exercise plan, the people around you can also be a huge help. Making dietary changes as a family can help everyone involved lose weight and improve their health, while exercising with a friend can make the time go by much more quickly and pleasantly.

Having the support of a chiropractor who really understands the power (and challenges) of making healthy lifestyle changes (think nutrition, exercise, sleep and stress management, for example) is another way to help you meet your goals. The staff here in Billings at Oblander Chiropractic can work with you to make targeted, realistic adjustments that you’ll be able to stick with in the long term. Sticking with a diet and exercise program isn’t always easy, but you might be surprised by just how easy it is to make the changes you’re looking for with the right type of advice and support!

Staying Healthy at the Office

Staying Healthy at the Office

Staying Healthy at the Office
Staying Healthy at the Office

When you work in an office job—even one that’s otherwise rewarding—it’s easy to feel trapped in a day-to-day pattern that doesn’t seem to leave much room for physical exercise or healthy eating. And this is true even though more and more Americans are becoming aware that sitting for long periods of time, often without a break, is hazardous to your health.

The simple truth is that they’re right to be concerned. One study conducted in 2010 indicated that “men who reported more than 23 hours a week of sedentary activity had a 64 percent greater risk of dying from heart disease than those who reported fewer than 11 hours a week of sedentary activity.” And yet the nature of office work is essentially sedentary. So what can you do to change that fact and improve your health? This article lists a number of suggestions that may help.

  • Eat breakfast. Studies have shown that workers who eat breakfast have better concentration than those who only drink coffee in the mornings. In addition, those who eat breakfast tend to eat less during the day than those who do not, and thus more easily avoid gaining weight.
  • Bike or walk to work. If you live close to work, biking or walking can provide much of the exercise you need each week, and you can arrive at work feeling more energized after spending some time in the fresh air. If you take public transportation to work, consider getting off one or two stops earlier and walking the rest of the way.
  • Take frequent short breaks. Even if you take a longer break for lunch or to go to the gym, sitting for long, uninterrupted periods of time can still be hazardous. Studies have shown that taking micro-breaks (getting up from your desk and moving around every 15 minutes or so) can be more valuable than taking a longer break only once a day.
  • Use the stairs. Why ride in a stuffy metal box with 10 other people when you could get a little healthful exercise?
  • Drink lots of water. Experts recommend you drink 4 to 6 glasses a day to keep yourself hydrated and healthy. If you have to get up to refill your glass from the drinking fountain or the refrigerator, that’ll also provide an opportunity for another micro-break.
  • Don’t forget about fresh air. Offices can often be stuffy and under-ventilated.  If possible, open a window near your desk. If not, be sure to take occasional breaks outside the building, even if only for short periods of time.
  • Bring a healthy lunch and snacks from home. Rather than eating in the cafeteria, make a healthy lunch at home and sit outside when eating it. Instead of eating sugary snacks from vending machines, bring fruit and nuts and snack on them.
  • Think ergonomically. Adjust your chair to fit your body and sit with your feet flat on the floor. Position your computer monitor at eye level and your keyboard at elbow level, so that your wrists are straight when you type. Move your whole arm when you use the mouse, not just your wrist.
  • Stretch at your desk. You may not be able to jog or do push-ups at your desk, but you can certainly stretch and release tension from your arms, neck, shoulders, and fingers.
  • Exercise before you go home. After a long day at work, many people get home and just want to sit down on the couch and relax. If you are a member of a gym or jog regularly, doing this directly after work will improve the likelihood that you’ll actually exercise.
What is “Referred Pain”?

What is “Referred Pain”?

Billings Chiropractor“Referred pain” can be a perplexing phenomenon for anyone who experiences it. Referred pain is what happens when you feel pain in an area of your body that is not actually the original source of the pain signals. The most common example of referred pain is when pain is felt in the left arm, neck or jaw of a person suffering a heart attack, while they often have no feelings of pain in the chest area itself.

It’s important to note that referred pain is different from radiating pain, in which the pain felt in one area travels down a nerve, causing pain along the length of the nerve. This is often the case with sciatica, where pain originates in the lower back and radiates down the leg.

Researchers are still not exactly sure what causes referred pain. Some experts believe that it is due to a mix-up in nerve messaging. The central nervous system (CNS) is constantly receiving a barrage of different messages from different parts of the body. These messages may get mixed up somewhere along the path between the place where the irritated nerve is signaling and the spinal cord or brain where pain signals are processed. With an extensive network of interconnected sensory nerves that serve the same region of the body, such as the nerves of the lower back, thighs and hips, it may be more common for signals to get mixed up than you might imagine.

Although referred pain is usually felt as painful, it can also cause feelings of numbness, tingling or the sensation of pins and needles. Another example of referred pain is a tension headache, in which headache pain is due to an irritation of the nerves in the neck.

Referred pain tends not to cross sides of the body. In other words, if the pain signals are originating in the liver or gallbladder (which are on the right side of the body), you may feel pain in your right shoulder. If the signals originate in the pancreas (on the left of the body), you may feel pain in your left shoulder, etc.

Chiropractic adjustments can address the source of the referred pain, leading to long-term pain relief. Nerves in the area of the spinal cord that are irritated due to a spinal misalignment (subluxation) can be a cause of referred pain. When your chiropractor adjusts your spine, he or she removes the source of irritation, thus providing relief. Dr. Oblander is a Billings Chiropractor who is very knowledgeable about which tests can be performed to determine the underlying cause of your pain (whether direct or referred), and can treat it accordingly. If you have questions or want to seek chiropractic treatment, be sure to give us a call at Oblander Chiropractic: 406-652-3553.