Is Peanut Butter a Health Food?

15 May

Peanut butter is the creamy and ground form of dry roasted peanuts that’s enjoyed by millions of people around the world. Because peanut butter is typically 90% peanuts—the rest is a combination of additives to improve flavor, shelf life, and consistency—and peanuts are considered a healthy food, do those benefits extend to peanut butter, and should we be eating it?

One serving (one tablespoon) of peanut butter contains 95 total calories and includes 8 grams of fat (mostly unsaturated fat), 4 grams of carbohydrates, and 3.5 grams of protein. Because of its high-protein content (20% of total calories come from protein), eating peanut butter can also increase satiety, which may help reduce total calories consumed in a meal and reduce snacking between meals—both of which may aid in weight loss. 

Each serving of peanut butter also includes about 7% of one’s daily fiber requirement, which benefits bowel health. Peanut butter also contains zinc, which provides anti-aging and immune system-boosting benefits. The phosphorus contained in peanut butter also promotes healthy nerve conduction, manages energy and storage, facilitates muscle contraction, and keeps bones healthy.

Natural or organic peanut butters contain fewer—if any—additives, but their natural oils separate over time and float to the surface, requiring a good stir before use. Conventional peanut butter usually contains additives to enhance taste, as well as oils that are heated and exposed to hydrogen to solidify them at room temperature. This gives a smooth, creamy texture and prolongs shelf life. No-stir peanut butter or peanut butter spread contains palm oil, which has become increasingly less describable to many health-conscious consumers due to its trans-fat content. 

A 2021 study found that increasing daily nut intake (which includes peanuts and peanut butter even though peanuts are actually a legume and not a tree nut) by five grams may lower the overall risk for cancer by 3% and for pancreatic and colon cancers specifically by 6% and 25%, respectively. Additionally, the same 5 gram per day increase in nut intake can lower the risk for cancer mortality by 4%. 

It’s clear that peanut butter offers a great way to include healthy nutrients and minerals in an individual’s diet. However, there are other nuts, such as walnuts, that may confer even greater health benefits. So eat a variety of nuts when you can and unless you have a nut allergy, consider eating peanut butter (preferably the organic or natural variety) in moderation as part of a healthy lifestyle.

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org 

Tags:

Conservative Chiropractic Care for Carpal Tunnel Syndrome

10 May

Carpal tunnel syndrome (CTS) is a condition the occurs when mobility of the median nerve is restricted as it passes through the wrist, resulting in symptoms that extend into parts of the hand including pain, numbness, tingling, and weakness. Generally, symptoms come on gradually but worsen and become more frequent over time. While most often associated with computer work, CTS can affect anyone whose work involves repetitive hand movements—especially when combined with non-neutral wrist postures or vibration exposure—or who is affected by conditions that create swelling or inflammation in the wrist tissues, such as pregnancy, obesity, diabetes, rheumatoid arthritis, and more. There are many treatment options available to the CTS patient, of which chiropractic care is highly favored both by patients and the clinical treatment guidelines.

When the CTS patient first presents for chiropractic treatment, they will complete a patient history that describes both their current symptoms as well as any other health conditions they’ve had in the past or are currently experiencing. In addition to letting the doctor of chiropractic know if there are health conditions that may contribute to CTS and may require co-treatment to achieve a successful resolution, the history will also indicate the potential for conditions that can co-occur with CTS or be mistaken for it, such as median nerve compression elsewhere along the course of the median nerve or compression of another nerve that innervates other parts of the hand, such as the ulnar nerve. With this information, the chiropractor will conduct an examination to better understand the patient’s unique situation, which may include diagnostic imaging, such as X-ray. At this point, they can confirm a diagnosis and decide upon a treatment approach.

Treatment will typically include a combination of in-office therapies and at-home instruction. In-office treatment will primarily involve manual therapies, such as manipulation, mobilization, and soft tissue work, to increase mobility of the median nerve as it passes through the wrist as well as elsewhere along the course of the nerve’s course if multiple entrapments are present. In-office treatment may also include modalities such as cold laser, e-stim, pulsed electromagnetic field, and more. 

Between visits, patients may be advised to wear a wrist splint at night or during some activities, though not all the time, to help keep the wrist in a neutral position that takes pressure off the median nerve. They may also be instructed on exercises or stretches they can perform several times a day and/or receive instruction to take supplements or modify their diet to reduce inflammation. 

While several studies support these conservative treatment approaches for managing CTS, it’s important to note they work best early in the course of the disease. The longer a patient waits to seek care, the more time it may take to achieve a satisfactory outcome. In severe cases, the only option may be surgical intervention. If you’re currently dealing with bothersome symptoms in the hand and wrist, don’t just shake your hand and carry on. Contact your doctor of chiropractic and schedule an evaluation. 

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org 

Tags:

Cervical Spondylosis, Neck Stiffness, and Neck Pain

5 May

As we age, the shock-absorbing disks that sit between the spinal vertebrae in the neck can become dehydrated, leading to a condition known as cervical spondylosis (CS). Due to the thinning and reduced flexibility of the disks in the neck, the patient will experience a limited range of motion which they may describe as stiffness. In fact, the Mayo Clinic reports this is very common and affects about 85% of older adults. While a stiff neck can interfere with some daily activities, it’s when CS leads to neck pain that such a patient is most likely to visit their doctor of chiropractic. Why does neck pain affect CS patients when it does?

The first explanation is that CS compromises the disk’s ability to absorb energy and to flex and extend in response to external forces. Just picture how an old rubber ball that’s been left in the sun not only has less bounce but can break if it hits the ground hard enough. Likewise, a simple fall that may not have any effect on a young neck may be much more traumatic to that of an older person. Even something as mundane as sleeping in an awkward position can leave the CS patient with a sore neck. 

Another pain generator is the result of bone spurs that form in response to the vertebrae being pulled closer to one another. This bone growth can narrow the spaces in the vertebrae the spinal nerves pass through leading to both local pain and pain referred down into the upper extremities—a conditional known as cervical myelopathy. 

Currently, about 13% of adults in their third decade of life show signs of CS on X-ray. Unfortunately, with forward head posture from excessive device use that places added strain on the neck becoming more common, as well as increased obesity rates and sedentary lifestyles, there’s a great potential CS will start to become common at earlier ages. This highlights the importance of maintaining a healthy lifestyle.

When a CS patient seeks chiropractic care, their doctor of chiropractic will use information from the patient’s history, physical examination, and sometimes x-rays or other imaging tests to establish an accurate diagnosis and decide on a treatment approach. Care will typically include the application of manual therapies with at-home exercises to try and restore as much movement to the neck as possible. In more challenging cases, they may work in coordination with the patient’s medical doctor or a specialist or other healthcare provider.

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org

Tags:

Chiropractic Care for Lateral Ankle Sprains

30 Apr

Most people have rolled an ankle in their lifetime.  Usually, an ankle sprain heals without any consequence, but that isn’t always the case. According to the current research, a third or more of lateral ankle sprain patients may experience long-term problems like ankle instability that necessitates splinting or taping the ankle before engaging in sports or other weight-bearing physical activities. Can chiropractic care help reduce the risk of ankle instability and other chronic issues that can arise from a lateral ankle sprain?

In 2022, researchers conducted a systematic review and meta-analysis of data from three studies that included 180 patients to assess the effectiveness of manual therapy and/or exercise in the management of lateral ankle sprains. The type of manual therapies used in the three studies included non-thrust mobilization, thrust manipulation, and myofascial release methods—all techniques utilized by chiropractors on a daily basis. The exercises focused on proprioception (balance oriented), stretching, and strengthening. 

The research team observed that the combination of manual therapy and exercise is more effective than exercise alone in improving ankle ranges of motion, lower limb function, and pain, leading them to conclude that the addition of manual therapy to lateral ankle sprain treatment will improve clinical outcomes. In addition to reducing the risk for ankle instability, lateral ankle sprain patients who receive manual therapy may also have a lower risk for reduced thickness of the plantar fascia, reduced cross section size (atrophy) of the peroneus brevis muscle, and altered activation patterns of select lower limb muscles, which may significantly reduce their risk for reinjury. This can be very important for rugby, tennis, football, volleyball, and basketball athletes as ankle-related issues affect roughly half of participants in these sports.

Chiropractic colleges educate students on the application of manual therapies to the upper and lower extremities. Additionally, many post-graduate programs offer continuing education courses on the same topic. The next time you, a family member, or friend suffers an ankle sprain, be sure to consider chiropractic care. 

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org 

Tags:

Nerve Injury Often Missed in Whiplash Patients  

25 Apr

While the literature published on the topic of whiplash-associated disorders (WAD) is voluminous, it’s still somewhat of a mystery why some individuals can walk away from a motor vehicle collision without injury and others can experience chronic, persistent, and disabling symptoms. One area in which researchers have focused their efforts in recent years is on the extent that nerve injury occurs during a whiplash event, and when it occurs, whether it’s being detected early in the course of treatment.

Traditionally, WAD patients are classified the following way: WAD I—pain, stiffness, or tenderness of the neck as the only complaint with no physical exam findings (full range of motion and no muscle guarding or tenderness on examination); WAD II—pain, stiffness, or tenderness of the neck with soft tissue injury signs, loss of range of motion (ROM), and/or point tenderness of the neck (e.g., a sprain/strain neck injury); WAD III—pain, stiffness, or tenderness of the neck along with neurological signs sensory deficits, motor weakness, and/or decreased or absent deep tendon reflexes; WAD IV—pain, stiffness, or tenderness of the neck along with dislocation or fracture with or without spinal cord injury.

As you can expect, treatment guidelines can vary based on how WAD is graded. A systematic review of 54 studies that included more than 390,000 WAD patients and 900 individuals without a history of WAD (who served as controls) concluded that this classification system may need updating. The researchers found that about a third of WAD II patients—the most common WAD level—showed signs of neuropathic pain, though they had not been diagnosed as such. 

The authors stress the importance of a careful INITIAL clinical examination as the presence of nerve injury/pathology may alter the treatment recommendations given to the acute WAD patient such as a wait-and-watch method that is commonly recommended after the initial examination. Researchers point out that compared to other chronic pain conditions, people with neuropathic pain experience greater interference with function and activity tolerance as well as worse quality of life and emotional wellbeing assessments—each of which is associated with an increased risk for chronicity.  

Doctors of chiropractic are trained in the diagnosis and management of WAD using a multimodal approach that embraces spinal and extremity manipulation, mobilization, and other manual therapies; exercise training tailored to the individual patient; nutritional counseling for reducing inflammation and promoting healing; various PT modalities including ultrasound, electrical stimulation, laser, and pulsed magnetic field; acupuncture and/or dry needling; and more. In more severe cases, doctors of chiropractic can also co-manage treatment with the patient’s medical physician, specialist, or other healthcare providers.

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org

Tags:

Low Back Pain and the Sacroiliac Joint

20 Apr

The sacroiliac joints (SIJ) sit between the sacrum (tailbone) and ilium (pelvis), which serve to connect the spine and pelvis and facilitate load transfer from the low back to the lower extremities. Generally, when we consider the cause of a patient’s low back pain, the first place investigated is the lumbar spine. But as it turns out, the culprit can often be the SIJ.

Studies in recent years estimate that the SIJ may be the primary or contributing cause of 15-30% of low back pain cases. Not only can sacroiliac joint dysfunction be experienced by the patient as low back pain but it can also cause pain in the groin, and according to a 2017 study, up to 60% of SIJ patients report pain that radiates into the leg! 

The mechanism of SIJ injury is often a combination of axial loading (downward/jamming pressure) and abrupt rotation (twisting). While this can be caused by a sudden fall or collision, repeated strain can also injure these joints.  A 2018 study that included 271 recreational golfers found that 23% had sacroiliac joint dysfunction, presumably from repeatedly swinging a golf club, and nearly all of them (96%!) also had lower back pain. Another study, also published in 2018, found that among a group of 1,500 pregnant women, 80% had sacroiliac dysfunction. The researchers suspect the combination of weight gain and a loosening of ligaments that occurs during pregnancy is the likely cause. 

Researchers have also found that leg length discrepancy (LLD) can place uneven loads on the sacroiliac joints, which can increase the risk for injury. Other causes of SIJ injury can include prior lumbar fusion, joint infection, malignancy, spondyloarthropathies, inflammatory bowel disease, gait abnormalities, scoliosis, and excessive exercise. 

The good news is that doctors of chiropractic are well equipped to not only determine if the SIJ can be a factor in a patient’s low back pain (or leg or groin pain) but also to manage SIJ dysfunction. Studies have shown that a combination of manual therapies (including spinal manipulative therapy) and stabilization exercises is effective for reducing pain and improving function in the SIJ, more so than corticosteroid injections or physiotherapy. While patients may experience immediate improvement after a single treatment, it may take several treatments to achieve a satisfactory and lasting result.

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

 (717) 697-1888

Member of Chiro-Trust.org

Tags:

← Older Entries
Newer Entries →