While pinpointing the root cause of sciatica can be challenging, the medical research has established the factors that increase the risk of a person developing sciatic nerve pain.
Here are the nine most common risk factors for developing sciatica:
As we get older, we lose flexibility and it takes us longer for our body to heal from injuries. One of the most common types of pain associated with aging is lower back pain, and back pain is very closely linked to sciatica.1,2
Research shows that patients who have problems with low back pain are more likely to eventually develop sciatica. Low back pain can result in a general inflammation in the lumbar spine, and this can start to spread to the sciatic nerve.
It’s no secret that smoking is bad for your health, and it’s also clear that smokers are more likely to suffer from back pain and sciatica.3
Smoking isn’t just bad for your lungs and cardiovascular system; it’s also associated with inflammation, poor circulation, and a weakened immune system. This makes it harder for your body to function properly and makes it more difficult for your body to heal from injuries.
Wellness is about flexibility and movement, and if our general health is poor, it’s difficult to stay active and healthy. Research shows that physical fitness is a great way to prevent and treat back pain.4
In addition, poor cardiovascular health is closely associated with a general inflammatory response in the body, which also increases the chances of musculoskeletal pain and sciatica.5
Being overweight is one of the strongest predictors of back pain and other musculoskeletal problems, including sciatica.
Research shows that adipose tissue actually creates inflammatory markers which can affect our whole body, including our cardiovascular and nervous system. Remember: all sciatica pain is caused by inflammation of the sciatic nerve, and sciatica is more likely if your whole body is in an inflammatory state.
Repetitive movements or being too sedentary are detrimental to your musculoskeletal health, and this holds true for sciatica, as well.
Studies show that work-related activities can lead to sciatic nerve pain. Here are a few of the work conditions that have been associated with sciatica in the medical literature:
If your work includes any of these activities, it’s critical to take breaks frequently, rest, and stretch a bit to prevent muscle injury and pain.
Research shows that poor sleep quality is associated with back pain and sciatica. This is a difficult issue, as poor sleep is also associated with other health issues, such as poor general health, obesity, and chronic pain. Sleep dysfunction is also associated with generalized inflammation, which is also linked to chronic pain.
Less frequently, sciatica can be caused by an injury to the hip or buttocks, resulting in pain. One example of this would be sitting on a bulky wallet, which puts pressure on the nerve directly.
Low back pain and sciatica are linked to stress, as well. Monotonous or unsatisfying work and general stress can lead to chronic musculoskeletal pain.
As you can see, many different factors play a role in the development of sciatica. Typically, it’s not just a single issue that results in pain, but a combination of factors. That’s why the most effective treatment and prevention of future episodes require a whole-body approach that looks at the root cause of your pain.
Zinc is one of the most important minerals for fertility and general reproductive health. It is necessary for proper levels of testosterone in men and the maintenance of a healthy libido. The mineral also plays a key role in the healthy development of sperm, and abundant levels of zinc have been shown to be protective of the prostate, reducing the risk of prostate cancer. The belief that oysters have aphrodisiac properties actually does have some basis in truth. Oysters have one of the highest concentrations of zinc of any food. In women it regulates estrogen and progesterone and supports the proper maturation of the egg in preparation for fertilization.
Ensuring you have an adequate level of zinc can help reduce your risk of insulin sensitivity, one of the precursors to diabetes. It supports T-cell function, which boosts the immune system when the body is under attack by bacteria and viruses.
Zinc deficiency is not common in the developed world, but those with anorexia, alcoholics, the elderly and anyone with a malabsorption syndrome such as celiac disease or Crohn’s disease is at higher risk. Zinc deficiency symptoms include frequent colds, poor wound healing, poor growth, loss of appetite, weight loss, dermatitis, psoriasis, hair loss, white spots on the nails, night blindness and depression.
Following is the recommended daily intake of zinc for different age groups:
Infants birth – 6 months: 2 mg/day
Infants 7 – 12 months: 3 mg/day
Children 1 – 3 years: 3 mg/day
Children 4 – 8 years: 5 mg/day
Children 9 – 13 years: 8 mg/day
Adolescent boys 14 – 18 years: 11 mg/day
Adolescent girls 14 – 18 years: 9 mg/day
Men 19 years and older: 11 mg/day
Women 19 years and older: 8 mg/day
Pregnant women 14 – 18 years: 12 mg/day
Pregnant women 19 years and older: 11 mg/day
Breastfeeding women 14 – 18 years: 13 mg/day
Breastfeeding women over 18 years: 12 mg/day
Children should never be given zinc supplements without first consulting with a pediatrician. If supplements are necessary, a copper supplement should be taken as well, as a high intake of zinc can deplete levels of copper.
You should be able to get adequate zinc from eating a healthy, balanced diet rich in whole foods. The body absorbs between 20% and 40% of the zinc present in food. The best sources of zinc are oysters, red meat, poultry, fish, shellfish, cheese, legumes (such as soybeans, black-eyed peas, and peanuts), cooked greens and seeds (such as pumpkin and sunflower).
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One of the great challenges faced by many people who live in four-season climates is how to stay active and get enough exercise once the temperatures start dropping. When it’s cold and wet outside, few of us have the “Just Do It” mentality of Olympic marathoner Joan Benoit. She’s inspired a well-known Nike commercial that showcases her commitment. Joan (bless her) takes one look out the door of her Maine cottage at 5:25 in the morning, sees a raging snowstorm, and goes out for her morning run anyway. That’s why Joan is an Olympian.
But no matter how important we know it is to remain active during the cold months, most of us still need a little inspiration—and a plan. To help out, we’ve compiled a list of tips to help you get your winter exercise this season.
Outdoor Fitness Tips
Indoor Fitness Tips
Remember—every season offers its own unique opportunities to get healthy and stay fit. During the winter months, all it takes is a little creativity and a willingness to adapt. The change of pace can do you good!
If you haven’t been physically active in a while and you’re kick-starting a new fitness routine, we encourage you to check with your doctor first. This is particularly true if you have known health conditions or are prone to injury. We can be a great resource when it comes to designing structured exercise programs that help you meet your goals. Call or visit our office today!
]]>The Freshman 15 By the Numbers
Like many common catchphrases, the Freshman 15 is shorthand for a combination of fact and fiction. First of all, it IS true that many students gain weight during the first two years at college, and that most of the weight gain tends to occur in the first semester of the freshman year. BUT the effect is usually closer to the “Freshman 3 to 10” than the “Freshman 15.” A study conducted by researchers Jay Zagorsky at Ohio State University and Patricia Smith from the University of Michigan, Dearborn took a close look at the numbers. The investigators analyzed data from 7,418 teenagers who took part in the National Longitudinal Survey of Youth 1997 and were followed up on each year thereafter. They found that the average amount of weight gain during the freshman year in college was actually 2.5 pounds for women and 3.5 pounds for men. In addition, 25% of college freshmen actually lost weight during that year. Only 5% to 10% of freshmen really gained 15 pounds.
It’s Just as Much About Time of Life as it is Environment
Researchers Zagorsky and Smith discovered that young adults gained about a pound and a half per year, whether they were in college or not. This suggests that weight gain may be part of a broader lifestyle shift that comes with new independence. So what difference does the college environment itself actually make? According to an Auburn University study, the average student gained 11.7 pounds over the course of four years. Even with dorm living that allows constant access to snacks, fast food, and the all-you-can-eat college cafeteria, it did not make a large amount of difference in how much weight students gained. Those who gained the most weight were those who drank large amounts of alcohol.
Zagorsky noted, “College students don’t face an elevated risk of obesity because they gain a large amount of weight during their freshman year. Instead, they have moderate but steady weight gain throughout early adulthood. Anyone who gains 1.5 pounds every year will become obese over time, no matter their initial weight.” This is a very important observation because young adults who gradually put on pounds—whether or not they’re attending college—are establishing a pattern of weight gain that will almost certainly cause health problems if it continues.
What Incoming Freshman Should Know
For those going off to college, the important things to keep in mind in order to avoid gaining weight are basic rules that apply to everyone:
By keeping this handful of healthy eating and exercise principles in mind, freshmen can get a positive start on their college years and create lifestyle habits that will serve them well throughout their lifetimes.
]]>If your answer is “No” you’re not alone. 24 million older Americans have trouble walking that far, and 13 million more can’t walk a quarter-mile at all. According to a new article published in the Journal of the American Medical Association (JAMA), this puts these people at a huge risk of becoming disabled and losing their independence.
In recent years, inactivity (leading a sedentary lifestyle) has been found to be a major risk factor for serious conditions like cancer, heart disease, diabetes, and stroke. In fact, the U.S. Centers for Disease Control and Prevention released a report suggesting that inactivity is now killing more people every year than smoking. Inactivity is an even larger problem for older people because without exercise they begin to lose muscle mass and their sense of balance deteriorates more quickly. This puts them at increased risk of injury from falls—the leading injury-related cause of death among seniors.
In the JAMA study, researchers in eight states worked with people in their 70s and 80s who reported that they had developed a sedentary, inactive lifestyle. At the beginning of the study, these people were (on average) active less than 20 minutes a week. As a result, they were considered at high risk of becoming disabled due to lack of strength in their legs.
The study participants met twice a week to perform simple exercises to strengthen their legs and walk in a group, and were also asked to walk more at home. The goal for all participants was to engage in 150 minutes of activity each week and to become fit enough to walk a quarter of a mile without any outside assistance (other than using a cane). Interestingly, the quarter-mile distance wasn’t chosen by researchers at random. Rather, this distance is significant because city planners use it as a “livability” reference point. A city is considered “livable” if all the goods and services you need for day-to-day life are attainable within a quarter-mile of the closest public transportation stop. This means that if you can’t easily walk a quarter-mile, you may have effectively lost your ability to lead an independent life.
At the end of the 2.6-year JAMA study, all participants were able to comfortably walk that distance, and all felt that their general health and mobility had improved. Even more important, a significantly smaller percentage of them had become temporarily or permanently disabled, compared to people of the same age who had maintained a sedentary lifestyle.
The clear message from this study is that you can (quite literally) take steps TODAY to improve your own odds of staying healthy, happy, and independent in the future. Developing a new walking habit is a great way to ensure that you’re getting enough exercise while maintaining your mobility. Plus, it doesn’t cost anything and it doesn’t require any equipment more elaborate than a comfortable pair of shoes. And—maybe best of all—walking is an activity that you can do either socially as part of a group or on your own. Many local communities around the country even have seniors clubs that organize walks on a regular basis.
The key to aging well is to stay healthy, stay active and stay engaged. Building good habits now can make all the difference years from now. If you’d like to learn more about how you can keep your musculoskeletal system in good working order, just call or visit our office at Oblander Chiropractic today! Our phone number is 406-652-3553.
]]>This pattern became evident in a study recently published in the Journal of Back and Musculoskeletal Rehabilitation. The researchers wanted to analyze the postures of workers in a high-tech medical laboratory to determine the prevalence of work-related musculoskeletal disorders and to investigate the relationship of these musculoskeletal disorders to workers’ individual factors, their work characteristics, and their working postures.
They gathered data from the medical lab technicians, using the Nordic Musculoskeletal Questionnaire (NMQ, a standardized scale for measuring musculoskeletal disorders and occupational health), the Visual Analogue Scale (VAS, a type of self-reporting measurement), and RULA (Rapid Upper Limb Assessment, a self-reported scale by which workers assess the postures that most accurately reflect their working positions). They then assessed the positions that the technicians’ lab workstations and equipment forced them to adopt for long periods of time each day and compared them with the technicians’ medical problems.
What they found was that poor lab workstation design was causing musculoskeletal problems in 73.3% of the workers. The poorer their posture was on the VAS and RULA scales, the more musculoskeletal problems they had. In addition, there was a significant difference between pre-work and post-shift reports of neck, lower back, and knee pain. In summation, the workplace design was definitely causing the WRMSDs.
There is a very real possibility that your own workplace is just as likely to put you at an increased risk of developing musculoskeletal disorders. Symptoms of WRMSDs are not limited to back and neck pain—they also include joint discomfort, muscle tightening and swelling, stiffness, and feelings of numbness or “pins and needles.”
If you or your fellow workers have noticed such symptoms, you should report them to your employer and expect that they will take steps to correct any problem-causing ergonomics. In the interim, you can take some steps on your own to protect yourself from WRMSDs. You don’t have to sit at a desk that is too high or low or in a chair that puts you in an uncomfortable and unhealthy position. Modern desks and their accompanying desk chairs have controls that can be used to lower or raise them. The same applies to computers or other equipment you use every day—you can put your monitor on top of some books so that it’s more in your line of sight or make other changes to help make your workspace more ergonomic. A good place to start looking for tips on how to improve the ergonomics of your office workspace is the Occupational Safety & Health Administration Computer Workstations guide. OSHA also has similar guides for other types of work environments.
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But what does the science actually say about this? Although there is at least one strong study and a lot of related or anecdotal evidence that suggests that the idea may be sound, more research needs to be done to see if this theory is valid.
The “strong study” is from Norway, and was published in the journal Science & Medicine. It’s important to note that the study did not specifically evaluate the immune response of parents and non-parents. Rather, this particular research was aimed at understanding the relationship between parenthood and overall health. The investigators looked into detailed medical records of more than 1.5 million men and women born between 1935 and 1968, and found that there was a strong negative correlation between being a parent and the risk of developing cancer, heart disease, becoming an alcoholic, and even dying in a car crash. The study found that the people most at risk of dying from any of these causes were those who were childless. The researchers theorized that this may be because the individuals felt less of a need to take care of their health.
Fascinatingly, the study also found that the positive health benefits or parenthood seemed to depend on the numberof children. Having only one child or having more than three children actually slightly increased the risk of dying from any of these factors, whereas having two children was “just right.” As researcher Emily Grundy of the London School of Hygiene & Tropical Medicine, says: “Four-plus children might have adverse effects arising from stress, socio-economic disadvantages and lifestyles, off-setting, or even outweighing, social benefits of parenthood.”
In terms of other evidence, the strongest suggestions that having children might strengthen their parent’s immune system come from related studies that have consistently shown that having pets in the home strengthens and builds the children’s immune systems and helps to keep them healthy. For example, a 2012 study from the journal Pediatricsshowed that children who lived with dogs and cats during the first year of life tended to be significantly healthier than those who did not. The researchers theorized that the pets exposed children to a wide variety of “good germs,” some of which are beneficial for developing immunity to the “bad germs.” We may be able to infer that parents might also benefit from being exposed to a variety of germs, both from the pets and from their own children, as children pick them up at school and bring them home.
There is certainly anecdotal evidence of the latter to be found in the “common wisdom” imparted to people becoming new kindergarten and elementary school teachers. When one woman started teaching in California, her school board warned her that she should probably plan her finances for the first year of teaching based on being out sick more than her allotted number of “sick days,” and thus not being paid for them. The woman, who had always been remarkably healthy, laughed at this advice, but then spent 25% of her first year at home sick, because of all the germs she picked up from kids in the classroom.
However, this same schoolteacher rarely ever got sick again. Her exposure to a wide variety of germs transmitted by the kids did seem to boost her immune system over time, and enhanced her ability to be exposed to them in the future without getting sick herself. We can possibly infer that the same thing happens with small children in the home—they pick up germs at school and bring them home where the parents are exposed to them. This exposure then buildsimmunity over time rather than diminishing it. Dr. Jordan S. Orange, chief of immunology, allergy and rheumatology at Texas Children’s Hospital explains the simple mechanics of this “early exposure” process this way: “When you get it [immunity], you have it. So, if you get it earlier, you’re going to be immune earlier.”
Related studies have indicated that many people feel happier when they have kids. If this is actually true, then their positive mental state can also certainly contribute to staying healthy. Besides, as all parents know, there are so many other joys associated with having kids that even if there aren’t a huge number of studies proving that they keep parents healthier, they’ll feel healthier.
]]>After nearly 60 years, the presidential council has expanded its role in a number of directions, including sports, nutrition and—most relevant to this article—adult fitness. The president’s council has had an established standard for nominal health since 2008 and benchmarks have been created for regular, moderate and vigorous activity. In addition, the council has established an online Adult Fitness Test that allows you to compare your scores with those of fellow Americans. The test can be found at http://www.adultfitnesstest.org/dataEntry.aspx.
The areas tested include the following:
These sorts of tests can do a lot to raise public awareness and to help focus people on activities that will make a difference. But they will only be effective is they’re used the right way. And using them the right way starts with understanding what these tests are actually measuring and what the results mean. In some ways, measuring your performance in specific exercises relative to a national average may be less helpful than measuring your improvement over time and setting new goals based on your own progress.
When taking on any exercise program or fitness testing, especially when you have not engaged in rigorous physical activity regularly for several years, you should consult with a doctor or physical trainer. Proper preparation, good technique and consistency are the keys to staying healthy and avoiding injury. Regular chiropractic care can also play an important role in helping to speed recovery, prevent future injuries and improve performance. As musculoskeletal system specialists, chiropractors have unique insight into how patients can safely increase their strength, stamina, flexibility and balance. If you want to learn more, just call or visit our office! You can reach us at Oblander Chiropractic at 406-652-3553.
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