WEEKLY HEALTH UPDATE

Courtesy of:
Advanced Wellness in Marlboro, New Jersey
(732)984-9597



Mental Attitude: Too much stress may lead to major depression! Chronic stress leads to elevated hormones such as cortisol, the "stress hormone," and reduced serotonin and dopamine levels. At proper levels, these hormones regulate sleep, appetite, energy and sex drive, and allow expression of normal moods and emotions. When the stress response fails to shut off and bring these hormones to normal levels, it can lead to depression in susceptible people.
Karen Bruno, June 2010


Health Alert: Alarming Hours For Physicians! Resident physicians averaging five or fewer hours of sleep per night were 1.5 times more likely to commit errors. Hours for resident physicians must be limited to 16 consecutive hours and 80 hours per week, with at least one 24-hour off-duty period per 7-day period, without averaging. Everyone becomes impaired after sufficient lack of sleep. Sleep loss impairs brain function, concentration and coordination, and increases the risk of error. 24 hours without sleep slows average reaction time 100%, leading to impairment similar to alcohol intoxication.
American Academy of Sleep Medicine, June 2010

Diet: Brown Rice vs. White Rice. 70% of rice eaten in the US is white. Two or more servings of brown rice weekly lowers the risk of type 2 diabetes by 11%. Five or more servings of white rice weekly increases the risk by 17%. Replacing white rice with brown rice lowers the risk by 16% overall. Replacing white rice with whole grains (barley and wheat) reduces the risk by 36%.
Archives of Internal Medicine, June 2010

Exercise: Stretching Exercises At Your Desk For Your Upper Body. Sit up tall in your chair, or stand up. Stretch your arms overhead and interlock your fingers. Turn the palms to the ceiling as you lift your chin up, tilt your head back and gaze up at the ceiling, too. Inhale, exhale, release.

Chiropractic: Revitalize With Chiropractic. Chiropractic allows for proper blood flow throughout your body, which in turn delivers nutrients to all your cells. As cells slough off and die (think skin cells), new ones constantly replace them. This is good news as 10-50 trillion cells are replaced in your body every day.
Gray’s Anatomy

Wellness/Prevention: Good News For Tea Drinkers! Consumption of the equivalent of 2.5 cups (or more) of tea per day was associated with a 60% drop in rectal cancer risk, as compared to women who drank less than 1.2 cups of tea per day. Women who drank 1.2-2.5 cups of tea per day had a 52% reduction in the risk of rectal cancer.
Epidemiology, July 2003


Quote: “I am always doing what I can’t do, in order that I may learn how to do it.” ~ Pablo Picasso

Health Update: Headaches

Headaches: Causes and Treatment

       Few conditions leave their victims as miserable and agitated as headaches.  There are many causes of headaches including stress, odors, bright lights, noise, fatigue, certain foods, hormonal shifts, allergies, as well as genetic predisposition.  With all the possible causes of headaches, it’s not surprising many people seek help from many different approaches such as conventional medical therapies like pharmaceuticals and injections.  Others prefer a non-drug treatment approach such as chiropractic, massage therapy, acupuncture, and nutritional counseling.

Usually, there is not one specific cause of headaches so treatment can focus on various areas.  For example, muscles that attach to the base of the skull in the neck and upper back are often very short and tight, resulting in pressure or a squeezing effect on the surrounding nerves and blood vessels -- resulting in headaches.  Chiropractic treatment includes methods aimed at reducing the tightness found in the joints and muscles. One of these approaches is called spinal manipulation or “adjustments” where the joints in the neck are moved to restore motion and reduce joint fixations. By relaxing the muscles and tension between the joints, the nerves in the neck are less pressured which, in turn, can reduce headaches.  The top three nerves that exit the upper neck travel into the head and are often the culprit behind the onset of headaches.  The second nerve from the top is the one responsible for causing radiating pain over the top of the skull which communicates with other nerves sometimes causing the pain behind the eye.

Another chiropractic approach in the management of headaches includes soft tissue therapy where trigger points found in tight muscles are addressed through various forms of massage and mobilization methods.  Manual traction of the head and neck can also be highly effective in reducing the tension found in headache sufferers.  Exercises are often taught to the headache patient with significant benefits reported.  Some of these, such as range of motion exercises with and without resistance (example: pushing your head into your hand during neck movements) and posture re-training (chin tucks – reducing the forward head position), help address the limited motion problems of the neck. Cervical (neck) traction performed by placing a rolled up towel placed behind the neck while lying on the back so that the head can hang off the side of the bed can also be very helpful.  Another neck traction approach is the use of a unit that hangs off a door where water is placed in a plastic bag calibrated for weight for 15 minutes at a maximum tolerated weight. This can be of great benefit as it can be performed at home at your convenience multiple times a day or, as needed.

Other treatment approaches that chiropractic utilizes include stress management (such as biofeedback, relaxation instructions, meditation, visualization and others), diet modifications (as certain foods can trigger headaches), nutritional supplementation (such as fish oil, Vit. D, feverfew and others), and sleep restoration.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.  We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR HEADACHES!
FOR A FREE NO-OBLIGATION CONSULTATION CALL (732)984-9597

WEEKLY HEALTH UPDATE

Courtesy of:
Advanced Wellness in Marlboro, New Jersey
(732)984-9597

Mental Attitude: Exercise May Ward Off Anger. Before and after 30 minutes of moderate-intensity cycling, male participants viewed a slideshow known to evoke anger mixed with images designed to induce fear, pleasantness or no emotions. After exercising, watching the pictures didn't make the men more angry, while after rest, the pictures did so. An exercise class or weight lifting can take your mind off things. The distraction offered by exercise can have a calming effect, as well.
Michael R. Bracko, EdD

Health Alert: Are School Wellness Policies Implemented? The Child Nutrition and WIC Reauthorization Act of 2004 requires all school districts have a Wellness Policy if they participate in federally funded school meal programs. Part of the Wellness Policy should include nutrition education activities. 58% of the teachers thought they did not have adequate classroom time to include nutrition competencies. 64% thought they had the skills to incorporate the wellness policy, but only 30% are including nutrition competencies into their lesson plans.
Journal of Nutrition Education and Behavior, July/August 2010

Diet: Special Delivery. Eating high-fiber foods ensures timely digestion and elimination of wastes (whereas overconsumption of animal fats and low-fiber foods leads to colonic inactivity and constipation). Foods high in saturated fat also can contribute to plaque buildup in the arteries, reducing the ability of blood to move through the body and potentially causing a blockage - leading to a heart attack or stroke.
Peter W. Crownfield, To Your Health

Exercise:  Stretching Exercises At Your Desk For Your Back And Shoulders (The "Leg Hug"). Sit on the edge of your chair. Put your feet together, flat on the floor. Lean over, chest to knees, letting your arms dangle loosely to the floor. Release your neck. Now bring your hands behind your legs, right hand grasping left wrist, forearm, left hand grasping the right. Feel the stretch in your back, shoulders and neck. Hold. Release your hands to the floor again. Repeat three times or as often as it feels good.

Chiropractic:  Brain Energy Output. 90% of the energy output of the brain is used in relating the physical body to gravity. Only 10% has to do with thinking, metabolism and healing, so when you have forward head posture your brain will rob energy from your thinking, metabolism and immune function to deal with abnormal gravity/posture relationships and processing.
Dr. Roger Sperry (Nobel Prize, Brain Research, 1981)

Wellness/Prevention: Keep Breathing! How important is oxygen and lung capacity? The surface area of a human lung is equal to a tennis court. Unfortunately, without exercising your lungs (slow deep breathing -- 5 to 10 deep breaths every hour and exercise), your lung capacity will shrink as you age.

Quote: “Oh, the powers of nature! She knows what we need.” ~ Benvenuto Cellini

Health Update: Low Back Pain

What Can I Do To Reduce My Risk For Low Back Pain?

Low back pain (LBP) can have many causes such as genetics, acquired abuses, body type (especially obesity – body mass index or BMI greater than 30), gender, as well as cultural aspects that predispose one to acquire low back trouble.  So, the question remains, “what can I do to reduce my risk for developing low back pain?”

The answer, like the cause is – you guessed it – multifactorial.  Since we can’t change our genetics, we’ll have to accept that one.  But, we can change our BMI by keeping our weight to a reasonable amount.  In an April 2010 study from Norway, 60,000 men and women provided BMI information and 20.9% of the men and 26.3% of the women indicated they had chronic low back pain. The authors found a direct relationship to a high BMI and an increased prevalence of LBP.  Similar results attributing obesity to LBP were also reported in a meta-analysis published in January 2010 in the American Journal of Epidemiology (2010; 171(2):135-154).

So, what is, “…a reasonable amount of weight?”  When using the BMI, a BMI of 18.5 to 25 is considered “normal,” while 25-30 is described as overweight and greater than 30 represents obesity.  We should also mention anything LESS than 18.5 is considered underweight and that’s not good either as many nutritional needs of the body are compromised and too little weight can negatively affect bone health leading to osteoporosis and a myriad of other problematic health issues.

You may be wondering what a body mass index or BMI is, as its quite important and is quickly gaining respect in the medical world.  In fact, it has been suggested to include the BMI along with the other “vital signs” pairing it up with blood pressure (BP), pulse, breathing rate, height, weight, and temperature.  The BMI is a formula of height and weight and it’s a rough calculation of our total body fat, which is related to the risk of disease and death.  However, according to the National Heart, Lung and Blood Institute (NHLBI) it’s a little more complicated than that as people with greater muscle mass (such as a body builder) will have a higher BMI, suggesting they are overweight. At the other end of the spectrum, older individuals who have lost muscle mass may be still be overweight but their BMI will not reflect that.

The NHLBI reports 3 factors of importance when defining obesity and its many negative health effects, including the increased prevalence of LBP.  The 3 factors are: 1) The BMI; 2) The waist measurement; 3) The presence of other negative health factors including: high BP, high LDL-cholesterol, low HDL-cholesterol, high triglycerides, high blood sugar, a family history of heart disease, physical inactivity and smoking cigarettes.  If you have a waist size greater than 35” for woman, greater than 40” for men, AND 2 or more risk factors, simply put, you MUST lose weight!  Even a small weight loss of 10% (such as 30# if you’re 300#), will help lower your risk of developing diseases associated with obesity such as heart disease, high cholesterol related diseases, stroke, certain types of cancers and type 2 diabetes.

We also realize you have a choice in who you choose for your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.                            
                                                                              
YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR LOW BACK PAIN!  FOR A FREE NO-OBLIGATION CONSULTATION CALL 732-984-9597

Today's Health Issues

Mental Attitude: Brain Scans Of Healthy Women Reveal Fear Of Getting Fat. Using MRI technology on healthy women, researchers observed viewing images of overweight females activates an area in the female brain that processes identity and self-reflection. "These women have no history of eating disorders and project an attitude that they don't care about body image," said Mark Allen, a BYU neuroscientist. "Yet under the surface is an anxiety about getting fat and the centrality of body image to self."
Personality and Individual Differences, May 2010

Health Alert: Lawsuit Fears, Peer Pressure Drives Higher Costs, More Tests! 25% of heart doctors order more tests than necessary, driving up costs. However, most report the extra tests are not for their own financial gain or to meet patient's expectations. 24% said they recommended a test because they were worried about malpractice lawsuits. 27% said they did it because they thought their colleagues would.
Circulation: Cardiovascular Quality and Outcomes, April 2010


Diet: Diet Alone Unlikely To Lead To Significant Weight Loss. Reducing caloric intake is not enough to promote significant weight loss. This is due to a natural compensatory mechanism that reduces a person's metabolism in response to a reduction in calories. Diet and exercise must be combined to achieve this goal. American Journal of Physiology, April 2010

Exercise: Back Stretching Exercises at Your Desk. Stretch your back with a "big hug". Hug your body, placing the right hand on your left shoulder and the left hand on your right shoulder. Breathe in and out, releasing the area between your shoulder blades. Do this several times during your day. Angela Smith, MD

Chiropractic: It is about your nervous system? There are more nerve cells in the human brain than there are stars in the Milky Way Galaxy. Chiropractic adjustments have been shown to increase nerve flow to vital organs.

Wellness/Prevention: Smoking Bans Reduce Heart Attacks. According to the World Health Organization, tobacco smoke is responsible for one in ten adult deaths. Many countries have introduced policies restricting where people can smoke, leading to fewer hospital admissions for cardiac events.
The Cochrane Library, April 2010

Quote: "It is true that I am carrying out various methods of treatment recommended by doctors and dentists in the hope of dying in the remote future in perfect health." ~ George Santayana

Health Update: Fibromyalgia – What Exercises Should You Do?

Fibromyalgia – What Exercises Should You Do?

Fibromyalgia (FM) is a chronic condition that gradually interferes with many aspects of one’s life. The challenge of treating FM is finding the right combination of approaches that positively impacts the structural, emotional, and chemical aspects of the body in such a way the FM patient can function “normally” in day to day activities. Exercise is one of the most important methods patients can use to successfully reach these goals.

First, because FM is a condition that is currently thought to affect the central nervous system where the threshold of reaching pain levels is lower than normal, pain is perceived when is shouldn’t normally be noticed. Therefore, the KEY to exercise integration is to start out SLOWLY and CONSISTENTLY. It is more important to work out in a way that muscles and joints can gradually accommodate to the new activity or movement. Many patients with FM are afraid to exercise for fear of hurting worse than they already do. In fact, many will report that, “…every time I exercise, I feel worse so I just don’t do it.” When asked what types of exercises they’ve tried, it becomes clear it wasn’t the exercise but rather the dose or amount of exercise they engaged in (often overdoing it) that made the next 48-72 hours quite uncomfortable with post-exercise soreness.

Second, is to choose a type of exercise you enjoy so it's more likely you'll stick with it. Popular exercise options include yoga, Pilates, biking, swimming, and walking. These exercises can also be combined. For example, one might perform 15 minutes of yoga, followed by a 15 minute walk on a daily, consistent basis. The use of an exercise bike and/or a treadmill, stepper, or elliptical type of exercise equipment allows you to monitor heart rate, speed, and other data that allows you to compare yourself between sessions. One of the new "kids on the block" exercise options includes the Wii-Fit which offers a scoring system with various types of exercise. This type of biofeedback can be educational, rewarding, and motivating as it helps you appreciate the benefits and improvements you've made over time. Pick a time of day when you can be consistent with the exercises so you’re not “fitting it in” your busy daily schedule – make it part of your daily routine, similar to brushing your teeth or taking a shower. The morning or evening may work best but many find a noon hour break a good time to exercise, as well.

Third, as you start to feel more in shape, gradually increase the intensity of the exercises. You may exercise for the same amount of time, say 30 minutes, but you’ll do a more intense work out such as walking faster, farther, or increasing the pace of the yoga, Pilates, swimming, etc. Try not to be too intense (over aggressive) or do too little (under aggressive). You know your personality better than anyone else – hold yourself back if you tend to be overly aggressive or, push yourself if you tend to be overly cautious. Expect the first 3-5 times you exercise to be challenging with associated post-exercise soreness but know you will adapt to the process.

The benefits of adding a well designed, graduated exercise program include: 1) strengthening ligaments, muscles, tendons and improving muscle tone; 2) increasing flexibility; 3) increasing blood flow to the muscle tissue; 4) increase endorphins-a morphine-like substance that has a natural pain relieving and sleep deepening effect that can help curb anxiety, depression as well as pain associated with FM; 5) reduces the risk of high blood pressure, high cholesterol, diabetes heart disease and stroke; and 6) promotes weight loss/control which in turn, reduces stress on your muscles and joints.

We recognize the importance of including chiropractic in your treatment of FM and realize you have a choice of providers. We would be honored to be part of your management team.

Health Update: Headache – What Can You Do?

Headache – What Can YOU Do?

Headaches are one of the most common complaints for which patients seek chiropractic care. Chiropractic is especially helpful in the treatment of headaches because the three nerves that exit the top of the spine (upper neck) are often the cause of or directly related to headaches. These three nerves travel into the head and have to pass through a very thick group of muscles in the upper part of the neck near where these muscles attach to the base of the skull. This is why when you have headaches and rub the back of the neck, the muscles may feel tight and or tender. In fact, if enough pressure is applied over one of these three nerves, pain will radiate into the head following the course of the nerve, sometimes all the way into the eyes. When chiropractic treatment is applied in the upper neck region, a reduction of the headache and neck pain occurs because the muscle tension is decreased and joint motion is restored.


The International Headache Society (IHS) has classified headaches into two main categories, primary and secondary. Primary headaches occur for no known reason and there are four groups of these: 1) migraine, 2) tension-type, 3) cluster, and 4) “other” primary headaches. Secondary headaches are those with a specific cause such as sinus/allergy headaches, those associated with eye strain, a known medical condition or those due to cold or flu. Both migraine and cluster headaches are “vascular” (related to the blood vessels expanding inside the head) resulting in a unique set of symptoms that includes nausea, vomiting, pounding/throbbing and can be quite debilitating.

The most common type is the tension-type of headache. A thorough history is necessary because there is no specific diagnostic test (lab or blood test) for tension-type headaches. Hence, the concept is to make sure the headache is not related to some other condition that is diagnosable by a blood or lab test and if present, having that condition properly managed. So, assuming all the tests come back “normal” and all other causes have been eliminated or “ruled out,” the most common type of tension-type headache is “episodic” or, occurs off and on, lasting minutes to days. The pain is usually described as, “…my whole head hurts.” There is typically tightness or tension (NOT throbbing) described in the neck muscles and the intensity ranges from mild to moderate, not usually severe, where laying down is needed. Physical activity does not usually make it worse and there is no sickness to the stomach (nausea/vomiting), and no intense reaction to bright lights or noise (like there is with migraine & cluster types of headaches). There are sub-types of tension headaches that can occur simultaneous with migraines headaches, but the classic “aura” (a before the headache warning associated with migraine headaches) is usually not present.

Chiropractic treatment typically includes manipulation and mobilization of the neck, muscle release techniques, physical therapy modalities like electric stimulation, ultrasound, and others, exercise, stress and diet/nutritional management.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service. We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

Health Update: Whiplash – Can This Affect My Memory?

Whiplash – Can This Affect My Memory?

"Doctor, is it normal for people after a whiplash injury to notice problems with memory. I can’t seem to remember things I just recently did since my car accident?”

This is a common complaint occurring as a result of a whiplash injury, but it’s not commonly known, leaving those who are suffering wondering, “…what’s wrong with me?” Whiplash is an injury that classically occurs as a result of a car crash at any speed, even at low speed! This is because at low speed, there is little to no damage to the car, and the forces from the crash are not absorbed by the crushing metal. As a result, those forces are transferred to the contents inside the car – that is, the passengers. This sometimes results in a significantly greater injury compared to crashes that occur at twice the speed because the latter results in crushing metal. The actual injury that occurs in whiplash is caused by the sudden, rapid movement of the head resulting in varying degrees of injury to the neck, as well as to the contents inside the skull – that is, the brain. The brain literally “bangs” into the inside walls of the skull when the head is rapidly accelerated during a car crash. The resulting injury is a concussion. What’s interesting is that most patients injured in a car crash often don’t mention a concussion nor is it usually asked about at the doctor’s office as other, more obvious injuries are dwelt with. The condition is usually referred to by one of two names: post-concussive syndrome or mild traumatic brain injury (MTBI).

"Doctor, when I’m reading a book or magazine, sometimes I have to re-read the passage several times before it sinks in. It’s as though I lose my concentration and I can’t focus on what I just read. The other day, I was talking to a group of co-workers and I lost my place in the middle of the discussion and had to ask, ‘…now where was I?’ I notice this is happening a lot since the car accident.”

This can be very embarrassing, frustrating, and scary for patients suffering with MTBI. Other symptoms associated with this include difficulty in focusing (blurred vision), headaches, having difficulty in pronouncing certain words (“tongue twisted”), having difficulty in understanding what was said, difficulty remembering numbers or groups of numbers like phone numbers, addresses, birthdates, and so on. These symptoms can range from mild to severe and can be very disruptive, making work and everyday tasks challenging.

How long does it last? MTBI can completely clear up in 2 to 6 months without problems or, it can hang on for 2 years or longer, and may even become a permanent residual from the car crash. In one study, continued problems after a 2 year time frame were reported in close to 20% of those injured 2 years earlier. This study suggests that about 1 out of 5 may continue to suffer with MTBI and the associated brain-related problems for at least 2 years following a car crash. However, another study reported the long term “higher cognitive function” (such as the ability to communicate through written or spoken language) is usually not affected by whiplash injuries. However, they preface that with by reporting that a more commonly injured group with more mild brain problems was found.

As chiropractors, we are trained to do a thorough history, orthopedic and neurological examination, and ask specific questions about mild traumatic brain injury. It is important to discuss this information with those suffering from whiplash injuries as frequently, MTBI patients think something is “…seriously wrong” and harbor unnecessary anxiety.

We realize that you have a choice in where you choose for your healthcare services. If you, a friend or family member requires care for whiplash, chiropractic care is a logical first choice and we would be honored to offer our services to you.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR WHIPLASH

FOR A FREE NO-OBLIGATION CONSULTATION CALL 732-984-9597

Pediatric Chiropractics

As the weather warms up, it comes time to dust off that catcher’s mitt, clean those soccer cleats and get out the bathing suits. There is a sense of excitement in the air. One that can only be described as Spring and Summer. During this time of year, many families will spend countless hours at the baseball diamond, soccer field, swimming pool and even the playground. But, did you know that this is also a time of the year when many new injuries can occur in your children?

In the United States, about 30 million children and teens participate in some form of organized sports, and about 3 million injuries occur each year, which cause some loss of time and participation. Almost one-third of all injuries incurred in childhood are sports-related injuries. By far, the most common injuries are sprains and strains. Obviously, some sports are more dangerous than others. For example, contact sports such as football can be expected to result in a higher number of injuries than a non-contact sport such as swimming. However, all types of sports have a potential for injury, whether from the trauma of contact with other players or from overuse or misuse of a body part. Did you know that most organized sports-related injuries (about 60 percent) occur during practice and not the actual game? Also, children who are less developed than a more mature child of the same age and weight are more at risk for injury. Hormones even have an affect of injury rate in children. Before puberty, boys and girls carry approximately the risk of sports related injuries. However, during and after puberty, boys are at a greater risk.

In preparation for this exciting time of year, parents must take precautions to reduce the risk of traumatic and overuse injuries in their children. Everyone knows that proper warm ups, stretching and cool downs are essential. But, did you know that dehydration is a major cause of muscle injury. Sports and other vigorous activities can cause excessive fluid loss from perspiration. Sodium depletion has also been associated with muscle injury. Loss of sodium, the most abundant chemical constituent of body fluids outside the cell, is usually a function of dehydration. To reduce the risk of injury due to dehydration, follow these simple rules.

1)No soda! Sugar will increase the rate of dehydration.
2)Drink 4-6 8oz glasses of water per day minimum.
3)Mix your favorite sports drink 50/50 with water to replace electrolytes including sodium.

Another simple step that you can take to help reduce the risk of injury is to have your child check by a qualified pediatric chiropractor. Probably more than any other health profession, chiropractic’s approach to health closely relates to the needs of the athlete. Most sports involve body contact, fast starts and stops and positioning that places an unusual amount of strain on the structural system. Pediatric chiropractors give special attention to the spine, joints, muscles, tendons, ligaments and nerves. Chiropractic is a natural health care method that stresses the importance of keeping all the systems of the body functioning efficiently so the player enjoys peak performance, minimum risk of injury and fast recovery. Many world class and Olympic athletes, as well as most professional sports teams, have retained sports chiropractors to provide care to enhance their performance.

Call our office today to set up a consultation with Dr. Beck to assess and correct the possible risk of injuries that your children may face this sports season. Dr. Beck is a board certified diplomat in clinical chiropractic pediatrics.