Weekly Health Update

Courtesy of:
Advanced Wellness
www.newjerseypainmanagement.net
www.advanced-wellness.net
(732) 719-8148

Mental Attitude: Social Class And Depression Treatment.  Current treatments for depression don't help working-class and poor patients as much as they help middle-class patients improve their ability to function at work. Depression has a profound impact on an individual's productivity. That's particularly true for those in lower social classes and with low levels of education.
Psychiatric Services, Nov 2010

Health Alert: Kicking It All!  The American Cancer Society's annual Great American Smokeout took place on November 18. Cigarette sales have declined for decades, but smokeless tobacco sales have grown 7% annually over the last four years. Using smokeless tobacco products is not a safe way to quit or safer than smoking. The use of these products just shifts the risk of cancer to the mouth, head, and neck. Use of cigarettes and smokeless tobacco is the leading cause of cancers of the head and neck, which can result in partial or full removal of the lip, tongue, cheek, and portions of the throat, including the voice box. Smokeless tobacco users run the same risks of heart disease, high blood pressure, and addiction as cigarette users, but an even greater risk of oral cancer.
American Academy of Otolaryngology - Head and Neck Surgery, November 2010

Diet: Red Meat And Cancer Risk.  A possible link between red meat and esophageal cancer; and a link between DiMelQx and cancer in the stomach close to the esophageal opening was found. DiMelQx is a compound, a type of heterocyclic amine (HCA) found in red meat after it is cooked at high temperature. Those who eat red and processed meats have a 79% higher risk of developing esophageal cancer.
American Journal of Gastroenterology, October 2010

Exercise: Flat Abs?  Here are a few exercises and tips to help flatten your abs. Improve Your Posture. Slouch and your stomach pooches. For better posture while standing, align your ears over your shoulders, shoulders over hips, hips over knees, and knees over ankles. Keep the fronts of the shoulders open like a shirt on a hanger, instead of a shirt on a peg and draw your navel to your spine. Try the Canoe Twist. Sit upright, interlace your fingers over your stomach to create a solid grip. Exhale, and sweep the interlocked hands, arms, shoulders, and chest to the left, as if "rowing a canoe." Inhale and return to the starting position. Exhale and perform the movement to the right. Alternate for 20 repetitions.
WebMD Feature: Tips for Flat Abs

Chiropractic: Happy Backs!  This is a satisfaction survey of chiropractic care within a military hospital, from a Canadian Armed Forces Pilot Project. Chronic low back pain accounted for most presentations to the chiropractic clinic. The majority of military personnel (94.2%) and referring physicians (80.0%) expressed satisfaction with chiropractic services.
Military Medicine, June 2006

Wellness/Prevention: Tea And Your Heart. Drinking three cups of tea per day was associated with a decrease of 11% in the incidence of myocardial infarction, or heart attack.
American Journal of Epidemiology, 2001

"I can accept failure, but I can't accept not trying."

~ Michael Jordan

Health Update: Fibromyalgia

Fibromyalgia: How Do I know I Have It?

“I wake up every morning with this stiff, sore lower back pain. When I roll over to get out of bed, I feel like a log and almost have to fall out of bed. When I finally get to my feet, I’m all bent over and can’t stand upright for what seems like forever! It takes a couple of hours before it gradually loosens up enough so I don’t have to shuffle with each step. I was told by a friend that I might have something called fibromyalgia and should ask my chiropractor. What do you think?”

To answer this inquiry, let’s first define fibromyalgia (FM) so that we can compare the two properly. FM is a condition that is diagnosed basically by eliminating all other possible causes, including inflammatory joint conditions, by running various blood tests such as an arthritic profile. This usually includes tests for rheumatoid arthritis, gout, lupus, and infection. A Lymes disease test is often included as that condition can often manifest as a chronic back condition from any cause. There are essentially no blood tests, x-ray or other imaging tests, or neurological tests that can specifically diagnose FM. It is when all these tests come back negative, that the diagnosis of FM is then entertained. The history is probably the most important aspect of the clinical encounter that helps in the diagnosis of FM. Most of these patients will report that the onset is gradual, often present for years. There is usually no specific cause though there are specific conditions (such as irritable bowel syndrome, trauma, rheumatoid arthritis and others) that can result in “secondary fibromyalgia” where the cause is well known. The big differentiating historical feature is the presence of widespread, whole body pain – NOT just low back pain, as reported in the first paragraph above. In FM, there is often pain in the legs, arms, torso, back, neck and these people basically, “…hurt all over.” Typically there is no radiating pain down the leg or arm that follows a specific nerve pathway and no exam findings of neurological deficits. Another unique feature of FM includes sleep dysfunction. In many cases, sleep interruptions occur 2, 3 or more times a night, often with difficulty in returning back to sleep. The quality of pain is often described as numbness, tingling, burning, achy, deep, boring, and most importantly generalized in location (all over the body). The intensity is usually reported as high (>6/10 pain scale scores). The past history usually includes multiple visits to many different types of doctors and many attempts at different medications is common – most of which do not help significantly.

Even with these unique historical features that are consistent with the diagnosis of FM, it is still necessary to “rule out” other conditions by running tests as previously described. This is especially important when FM is secondary to other conditions as FM can get “lost” in the shuffle, overshadowed by the other condition.

Treatment for FM includes many of the same methods for treating other musculoskeletal conditions. Spinal manipulation, soft tissue release techniques (massage therapy, trigger point therapy, myofascial release), and various forms of physical therapy (low level laser therapy – LLLT, ultrasound, interferential electrical current – IFC, and pulsed magnetic therapy can also improve function, reduce pain, and reduce the need for medications. Cognitive therapy, addressing psychosocial issues, can also be very effective. One of the most important treatment approaches is exercise. This has been consistently described as being an important form of care for the FM patient. In addition, dietary management using an anti-inflammatory diet (gluten free diet) and supplementation (a multiple vitamin, calcium/magnesium, omega 3 fatty acids, Vit. D, and CoQ10) can also be very effective.

We recognize the importance of including chiropractic in your treatment and realize you have a choice of providers. If you, a friend or family member requires care for FM, 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.

WEEKLY HEALTH UPDATE

Courtesy of:
Advanced Wellness Marlboro, New Jersey
Free Consultations:  (732) 719-8148


Mental Attitude: Ways To Reduce The Risk Of Depression - Part II! 3. Yoga, meditation, prayer, psychotherapy: Studies show these practices can reduce stress, 4. Reduce alcohol consumption. People who feel stressed may drink too much; alcohol is a known mood suppressor.  
Karen Bruno

Health Alert: Traffic-Related Air Pollution Affects Heart Rate Variability! Patients with pre-existing heart or lung disease who are exposed to high levels of traffic-related air pollutants have reduced heart rate variability (a risk factor for sudden cardiac death).
Journal of Occupational and Environmental Medicine, July 2010

Diet: Worst Foods In Your Freezer - Gourmet Ice Cream. Even if you stick to the modest 1/2 cup serving size suggested, eating gourmet ice cream can send your daily totals of saturated fat, total fat and calories into overload. A one-half cup serving of Ben & Jerry's Chocolate Chip Cookie Dough has 260 calories, 14 grams of fat, 9 grams saturated fat, 65 milligrams cholesterol and 23 grams sugar. A more typical serving for most of us is one cup, which doubles the totals for fat, calories, cholesterol and sugar. Instead, try lower-fat, lower-sugar and lower-calorie ice cream.
Elaine Magee, MPH, RD

Exercise: Toning Shoes? Can a pair of shoes help you burn more calories, tone your bottom and curb joint pain? These shoes have an unstable, strongly curved sole. Walking in them is like exercising on a balance or wobble board in the gym. Advocates say the instability forces you to use muscles you otherwise would not use (namely those is your feet, legs, butt, and abs), possibly resulting in weight loss. The shoes can also change your posture and gait and take pressure off of achy, overused joints.
Denise Mann

Chiropractic: Ligaments! Try this: Bend your finger off to the side and then let go. Does it staymisaligned? Of course not! How come? The answer is ligaments. It simply takes time for joints to berealigned due to the special elastic properties of ligaments. This is why it can take several adjustmentsover time to correct a misaligned spine or create stability and normal range of motion.

Wellness/Prevention: An Effect Of Alcohol Consumption. Alcohol calories are empty caloriesbecause the body can't use them as energy. The liver is forced to break alcohol down into fatty acids,which then accumulate in the liver. Liver cells and brain cells actually die from excessive exposure toalcohol.
Elaine Magee, MPH, RD

Quote: “Never let the fear of striking out get in your way.” ~ Babe Ruth

WEEKLY HEALTH UPDATE

Courtesy of:
Advanced Wellness
(732) 719-8148
www.advanced-wellness.net

Follow Dr. Cilea's Blog for Updated Insight on Current Health Issues

Mental Attitude: Massage, Physiological State and Chronic Headaches. Researchers have shown the psychological and physiological state of patients with tension headaches improves within 24 hours after receiving a 30-minute massage on trigger points in the neck.
Journal of Manipulative Physiological and Therapeutics, September 2009

Health Alert: Antifungal Properties Of Vitamin B3! Infections by the yeast Candida albicans represent a public health problem and a common complication in immunodeficient individuals such as AIDS patients, cancer patients undergoing chemotherapy and recipients of organ transplants. C. albicans enzyme, (Hst3), is essential to the growth and survival of the yeast. Nicotinamide, a form of vitamin B3, strongly reduced C. albicans virulence.
Institute for Research in Immunology and Cancer, University of Montreal, July 2010

Diet: Worst Foods in Your Fridge - Hot Dogs and Sausage.  "Processed meats" like hot dogs and sausage are a staple in many homes. Hot dogs and sausage tend to contain lots of sodium (520-680 milligrams per 2-ounce serving) and fat (up to 23 grams total fat and 7 grams saturated fat per serving). According to the Centers for Disease Control (CDC), most Americans take in more than double the recommended amount of sodium. Substitute with lower-fat and lower-sodium meats (roasted poultry, pork tenderloin, roast beef and shrimp) or grilled vegetables (portabella mushrooms, eggplant, or roasted red pepper). Or, try lower-fat options like "light" franks, turkey kielbasa, or soy-based sausage substitutes.
Elaine Magee, MPH, RD

Exercise: Reduce Heart Disease Risk! In the US, 81.1 million adults (one out of every three) have a heart or blood vessel disease. A combination of counseling, extended follow-up with a healthcare provider and self-monitoring of diet and exercise is the most effective way to help embrace lifestyle changes that can lower your risk for heart and cardiovascular diseases.
Circulation: Journal of the American Heart Association, July 2010

Chiropractic: The Amazing Human Body! Your body wards off sickness and heals itself 24 hours a day, 7 days a week. That is why taking good care of it is so important (especially, before you get sick). Periodic chiropractic check-ups and adjustments can keep your body healthy, fit and feeling good.

Wellness/Prevention: Symptoms Are Not An Indicator Of Health. If you are symptom free, are you perfectly healthy? Consider the healthy looking person who suddenly dies of a heart attack. Obviously they were not healthy.

Quote: "It is a terrible thing to see and have no vision." ~ Helen Keller

WEEKLY HEALTH UPDATE

Courtesy of:
Advanced Wellness Marlboro, New Jersey
(732) 719-8148

Mental Attitude: Anxiety Increases Risk Of Complications For Heart Disease Patients. Patients with heart disease who also suffer from an anxiety disorder have a 74% higher risk of having a heart attack, heart failure or stroke.
Archives of General Psychiatry, July 2010.

Health Alert: Chance Of Surviving Once-Deadly Cancers Doubled Since 1970s. People diagnosed with breast, bowel and ovarian cancers, and non-Hodgkin's lymphoma, are twice as likely to survive at least 10 years after diagnosis than people diagnosed in the early 1970s. 77% of women diagnosed with breast cancer are likely to live for at least another 10 years compared with less than 40% in the 1970s; for bowel cancer, the figure has gone from 23% to 50%, and for ovarian cancer it has risen from 18 to 35%. 51% diagnosed today with non-Hodgkin's lymphoma are likely to live at least another 10 years compared to 22% forty years ago; and the 10-year survival rate for Hodgkin's lymphoma is predicted to go up from under 50% to 80%.
Cancer Research UK

Diet: Worst Foods In Your Fridge - Soda and Other Sweet Drinks. Sweetened beverages are simply "empty calories." Soda, sweet tea and fruit drinks contribute no nutrients, but lots of calories. We don't compensate by eating less when we drink sweet drinks, so these are truly "extra" calories. Plain water is best for hydrating and should be your primary beverage. Green and black teas hydrate and contribute healthy antioxidants. Skim or 1% milk also has key nutrients, such as calcium, vitamin D, B-12, potassium and magnesium.
Elaine Magee, MPH, RD

Exercise: Physical Activity Lowers Risk of Dementia, Especially in Men. People who performed moderate to heavy levels of physical activity have about a 40% lower risk of developing any type of dementia. People who reported the lowest levels of physical activity are 45% more likely to develop any type of dementia, compared to those who reported higher levels of activity.
Alzheimer's Association International Conference on Alzheimer's Disease 2010


Chiropractic: Another Analogy! Chiropractors are like orthodontis; correcting subluxations (misaligned or chronically fixed joints of the spine) is similar to straightening teeth. Since both teeth and bones are held in place by strong ligaments, they simply take time to change.

Wellness/Prevention: Don’t Wait Until It’s Too Late! Do you have a plan for health? Often, people wait until they are sick or injured to take care of themselves. A balanced diet, moderate exercise, proper sleep, a positive mental attitude (decreasing stress), and chiropractic care can be part of an excellent plan to increase your chances of staying healthy and decreasing your risk of illness.


Quote: "That we are not much sicker and much madder than we are is due exclusively to that most blessed and blessing of all natural graces, sleep."
~ Aldous Huxley

Health Update: Fibromyalgia

Fibromyalgia Challenges

Fibromyalgia (FM) is a condition that usually affects different organ systems in the body, causing a number of symptoms. Some of these include:

1. The muscles (the musculoskeletal system): tender, achy, stiff, tight muscles, trigger or tender points all over the body
2. The nerves (the nervous system): headaches, light headedness, sleep disruption, depression, anxiety, numbness/tingling (overlaps with the cardiovascular system)
3. The stomach and intestines (the gastrointestinal system): diarrhea, constipation, irritable bowel, leaky gut, heart burn, lack of appetite, abdominal cramping
4. Breathing (the respiratory system): hyperventilation, rapid / shallow breathing patterns; 
5. The heart (the cardiovascular system): racing heart rate – palpitations, feeling cold all the time, numbness/tingling (overlaps with the nervous system)

Because of the multiple systems involved, there are many challenges to managing Fibromyalgia.  Studies suggest a balance between several approaches works best.  Some of these approaches include biomedical treatments, organ-specific treatments, and cognitive interpersonal treatments.  Within these categories, the following can be broken down further:

1. General – those treatments directed at the whole body such as anti-inflammatory measures.  These include (but are not limited to) medications (corticosteroids, NSAID’s – such as Advil, Aleve) and nutrients (ginger, turmeric, boswellia, Vitamin D, and others).  Other anti-inflammatory measures include diet, such as the Paleo Diet or “caveman diet.”  This diet eliminates grains or flour-based products from the diet.  That means no more breads, pastas, crackers, cookies – anything made with flour.  This approach emphasizes consuming fruits, vegetables, grass-fed lean meats and fish.  The main ingredients in grains that are of concern in the Paleo Diet are gluten and lectins
2. Central – those treatments directed at the chemical factors in the brain that control mood, depression, anxiety and so on.  These include (but are not limited to) medications (tricyclic antidepressants, muscle relaxers like Cyclobenzaprine, SSRI, SNRI and Trmadol) and certain nutrients (neurotransmitter support such as 5-HTP – tryptophan, DHEA, phenylalanine, and others).
3. Psychotherapy and active behavioral therapy – treatments that are supportive of nervous system such as cognitive behavior therapy, aerobic exercise, patient education, multidisciplinary therapy, hypnotherapy, biofeedback, and strength training.
4. Passive physical intervention – chiropractic therapy, massage therapy and other forms of manual therapy, and acupuncture.

The goal of this article is to look at fibromyalgia from a holistic perspective so that those struggling with FM and similar conditions can better appreciate the concept of multidisciplinary treatment, of which chiropractic care plays a significant role.  Coordination of care and finding the “right” health care providers cannot be over-emphasized.

We recognize the importance of including chiropractic in your treatment planning and realize you have a choice of providers. If you, a friend or family member requires care for FM, 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 FIBROMYALGIA! FOR A FREE NO-OBLIGATION CONSULTATION CALL (732) 719-8148

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

WEEKLY HEALTH UPDATE: Dr. Joseph Cilea

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

Mental Attitude: Alcohol and Depression. One third of people with major depression also have an alcohol problem. In many cases, depression may be the first to occur. Children who are depressed are more prone to develop alcohol problems once they reach adolescence. Teens who've had an episode of major depression are twice as likely start drinking alcohol than those who have not had an episode of major depression. Depression may be a particularly significant trigger for alcohol use in women as women are more than twice as likely to start drinking heavily if they have a history of depression.
National Institute on Alcohol Abuse and Alcoholism

Health Alert: Calcium And Risk Of Osteoporosis And Hypertension In Postmenopausal Women. Postmenopausal women who have a low calcium intake show a higher risk of developing both osteoporosis and hypertension than those who consume higher levels of calcium.
European League Against Rheumatism, June 2010

Diet: Mayonnaise Alternatives. A 1/4 cup serving of Mayonnaise can include up 360 calories and 40 grams of fat. Try using a lower-calorie condiment instead (mustard, BBQ sauce, salsa chili or taco sauce) or switch to a light mayonnaise (35 calories and 3.5 grams of fat per tablespoon) or pare down the portion of real mayonnaise to a couple of teaspoons (60 calories and 6.7 grams of fat). Elaine Magee, MPH, RD Exercise: Ride Your Bike! Exercise is important for older adults. It keeps you strong, burns calories, helps maintain a lower weight, improves flexibility, contributes to balance and maintains bone strength. The best exercise builds lean muscle and promotes endurance, flexibility and maintains stability. Exercise declines with age, yet cyclists show a smaller decline than those involved in gym activities. Cycling is safe, with fewer risks of more strenuous exercises.
To Your Health, July 2009

Chiropractic: Circulate Your Blood! Your body has 60,000 miles of blood vessels! Adjustments help maintain your flexibility and joint mobility, which in turn allows for better blood flow. Blood flow is important as it delivers vital nutrients (oxygen, water and food) to all of your cells.


Wellness/Prevention: Tea's Role In Oral Health. Flavonoids in tea may inhibit the plaque-forming ability of oral bacteria and the fluoride in tea may support healthy tooth enamel. In a study, hamsters were fed water with Black Tea extract developed up to 63.7% fewer dental caries (also known as tooth decay or cavity) than hamsters fed just water.
Journal of Indian Society of Pedodontics and Preventive Dentistry, 2000
International Journal of Food Sciences and Nutrition, 2003

Quote: “Holding on to anger is like holding on to a hot coal with the intent of throwing it at someone else; you are the one who gets burned.” ~ Buddha

WEEKLY HEALTH UPDATE: Dr. Joseph Cilea

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

Mental Attitude: Multivitamins Can Add Sparkle. Non-elderly adults who took multivitamins and minerals had significantly improved mental health, reduced subjective stress and increased 'vigor', with a strong trend towards an overall improvement in mood. According to David Kennedy, PhD of Northumbria University, "There is a wealth of evidence that suggests a relationship between micro-nutrients and psychological functioning. Vitamin C, for example, is the brain's most prevalent antioxidant and is found at its greatest concentrations in neuron-rich areas."
Northumbria University, May 2010

Health Alert: Got Health Insurance? Many non-elderly adults in the US lack health insurance. 20% of men ages 18-64 (21.2 million) are uninsured, compared with 17.2 million women in the same age group. Those most likely to lack health insurance are younger, unmarried men. Men are less likely to have health insurance than women at every age range. Married men lack health insurance in greater numbers than married women before the age of 65, with 18.4% of married men from the age of 26-34 lacking insurance.
Center for Economic and Policy Research, Institute for Women's Policy Research, June 2010

Diet: Cheese Found To Improve The Immune Response Of The Elderly. Cheese can help preserve and enhance the immune system of the elderly persons by acting as a carrier of probiotic bacteria. Daily intake of probiotic cheese can slow the age-related deterioration of the immune system known as immunosenescene. This deterioration means the body is unable to kill tumor cells and reduces the immune response to infections. Infectious diseases, chronic inflammation disorders and cancer are hallmarks of immunosenescene.
FEMS Immunology & Medical Microbiology, May 2010


Exercise: Stretching Exercises At Your Desk For The Shoulders And Upper Back. Extend one arm out straight in front of you. Grab the elbow of the outstretched arm and pull it across your chest, stretching your shoulder and upper back muscles. Hold. Release. Stretch out the other arm in front of you -- repeat.


Chiropractic: How Important Is An Adjustment? “90% of the stimulation and nutrition to the brain is generated by the movement of the spine” 
~ Dr. Roger Sperry (Nobel Prize, Brain Research, 1981)

Wellness/Prevention: The Fear Of Falling. One in four people over age 70 suffer from gait disturbance. Gait disturbance is defined as unsteadiness during walking that is worse than the normal slowing of old age. Fear is often a precipitating or aggravating factor. A vicious cycle often arises in which fear of falling leads to avoidance of movement. This can result in reduced fitness, lower confidence in one's own balance, increased fear, and increased danger of a fall. Depression and a markedly impaired quality of life can result.
Deutsches Aerzteblatt International, May 2010


Quote: "No Illness which can be treated by diet should be treated by any other means."
~ Moses Maimonides (1135-1204)

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

Health Update: Fibromyalgia

Fibromyalgia: The Challenges of Diagnosis

Fibromyalgia (FM) is a chronic condition where there is widespread / whole body pain that is often difficult to diagnose.  Some patients may spend years of going to different doctors, undergoing many tests (of which most, if not all, are “negative”), and they may be diagnosed with different conditions such as rheumatoid arthritis, hypothyroidism, or mononucleosis before a diagnosis of FM is finally given.  Needless to say, this process can be very frustrating!

The reason for this dilemma is that there is no single diagnostic test (blood test, x-ray/image finding, etc.) that verifies the diagnosis of FM, leaving doctors in a position to “rule out” all other possible “diagnose-able” conditions first, before considering FM as “the” diagnosis.  Another challenge is the fact that FM symptoms vary widely from one person to the next and even vary within the same person at different times of the year.  There are a few “guidelines” doctors can use to help secure the diagnosis of FM.

One such guideline is from The American College of Rheumatology (ACR) which requires that “widespread” pain be present throughout the body for at least 3 months (“widespread” is defined as pain on both sides of the body, above and below the waist).  The ACR also has identified 18 points on the body of which at least 11 of the 18 “tender points” must be present to secure the diagnosis of FM.  There is debate as to the accuracy of this rather stringent criteria as FM symptoms can come and go and vary, making the 11 of 18 tender point findings sometimes change between visits.  Hence, widespread pain above/below the waist on both left/right sides of the body for at 3 months has become a more accepted indicator for diagnosing FM.

Yet another challenge in pinning down the diagnosis is that the FM sufferer may experience signs and symptoms seemingly unrelated to FM, such as stomach ache/digestive problems or headaches. This can lead the doctor down other paths before considering FM as a diagnosis.

Fibromyalgia can be primary (no other condition caused it) or secondary (other condition(s) lead to the development of FM).  Hence, the diagnosis process focuses on identifying conditions which can be identified through standard diagnostic tests, often overshadowing the diagnosis of FM.  Testing for conditions such as lupus, multiple sclerosis, sleep apnea, diabetes, Crohn’s Disease, and/or others, often makes sense to both you and your doctor, but adds to the delay in diagnosing FM.  Here are some suggestions to help your doctor through this diagnostic maze:

Ask questions:  Ask about what each test is for and what the next plan is if the tests are negative.  By increasing your understanding, this will reduce your frustration in this process.

Keep records:  Obtain a copy of EVERY test you have and share the information with any new doctor or specialist.  This can save time and money!

Find the “right” doctor:  Find a doctor you can trust and “talk to.” Not all doctors “believe” FM exists and some are close minded to considering it.  Try to locate a doctor with a lot of experience with FM cases and is willing to “…work with you.”

Build a good relationship: Be open, honest and avoid anger, skepticism and don’t be confrontational.  Be upfront about what is frustrating you about your symptoms.

Take care of yourself: Ultimately, “success” of treating FM demands a “team” effort between you and your doctor.  Managing stress (eg., deep breathing exercises), obtain care that works (eg., chiropractic, massage), eat a healthy diet (eg., gluten-free), exercise regularly but don’t overdo it, and get plenty of sleep and rest.



If you, a friend or family member requires care for FM, 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 FIBROMYALGIA! FOR A FREE NO-OBLIGATION CONSULTATION CALL (732) 719-8148

Health Update: Low Back Pain

Would Traction Help My Back Pain?

Traction is a common form of treatment for patients with low back pain.  By definition, traction is the “act of pulling a body part.”  That basically means traction can be applied to an arm, leg, finger, toe…..virtually any body part that one can get a hold of.  Here, the focus of traction is being applied to the lower part of the spine and the primary objective is for pain relief and restoring function.  Traction “works” by applying a force that separates and increases the space between joints.  It also stretches the surrounding soft tissues, including ligaments, joint capsules, muscles and tendons.  Spinal traction can be applied manually (with the hands) or by a device with either the use of complicated computerized equipment or, by a gravity assisted means such as using the body’s weight and gravity as the traction force.

Common conditions of the spine for which traction is often utilized include low back sprains and strains, disk herniations (“slipped disks”), and spinal stenosis.  Spinal stenosis occurs when there is a narrowing of the hole or canal through which a nerve root exits the spine or where the spinal cord travels, often caused by arthritic spurs.  Hence, it is most common after the age of 60 years old.  Traction has been shown to improve circulation, reduce inflammation, and by movement of the joints, it may also reduce the nerve’s excitability, resulting in pain reduction.

The “dose” of traction from a clinical experience standpoint, is determined by patient comfort.  It must “feel good” to be safe.  Remember, too much of anything changes it from being beneficial to being potentially harmful.  Therefore, when determining the dose of traction for the first time, we advise the patient to pay careful attention to the way they feel during the time traction is being applied. Often, it feels good at first but may become uncomfortable as time passes. If there is sharp pain, radiating pain (such as down a leg), or, if it is just not comfortable, traction should be discontinued and the recovery time should be reported.

A “typical” dose is 10-15 minutes of time, and the traction force can be continuous or intermittent, kind of like turning on a water faucet and leaving it running vs. turning it on and off.  With intermittent traction, we can vary the time that the force is applied such as 30 seconds on and 10 seconds off.  Generally, the total treatment time can be longer with intermittent traction (such as 15 minutes) compared to continuous traction, where 10 minutes may be utilized.  The traction weight or force can be gradually increased, depending on tolerance and individual patient response to the prior weight.

The Cochrane Report found traction is most effective for cases of sciatica or nerve root pressure creating leg pain. Also, it’s best when used in conjunction with other treatment approaches.  In a chiropractic setting, manual traction (where the doctor uses their hands to apply the force) is often utilized along with side to side or figure-8 movements to achieve better results.  Spinal manipulation, muscles massage, myofascial release techniques, exercise training for both stretch and strengthening purposes and patient education such as teaching proper bend/lift/pull/push techniques are often utilized to achieve the most satisfying results when managing patients with low back pain.

We realize that you have a choice in where you choose for your health care 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