Fibromyalgia and Sleep.

2 Jan

Last month, we focused on how important sleep is in the management of the fibromyalgia (FM) and the relationship between sleep dysfunction and Restless Leg Syndrome. Now that it’s clear that the sleep and FM pairing is so important, how can we improve sleep quality? As stated last month, FM and sleep dysfunction go hand in hand and is a consistent complaint of the FM patient. The need to establish better “sleep hygiene” has been found to be one of the most important treatment strategies for those suffering from FM. This can help decrease pain, fatigue, and the “fibro fog” that is often described that impairs the ability to concentrate and work efficiently.  Listed below are some sleep strategies that work very well, all you have to do is try them!

SLEEP QUANTITY: The advice is to only sleep as much as is needed to feel refreshed and alert the following day. Getting too much sleep does not equate to good quality sleep. In fact, reducing the time in bed seems to improve the quality of sleep, as excessively long periods of time in bed result in fragmented, superficial or shallow sleep and doesn’t allow one to enter the deeper, restoring stages of sleep.

KEEP A SLEEP LOG: Document the amount you sleep each night and pay attention to things that may have interfered with that night’s sleep. You will find that reviewing these notes over several weeks will give you strong clues as to the triggers that interfere with your ability to sleep so you can develop strategies to deal effectively with these sleep barriers.

BE CONSISTENT: Establishing a regular time to wake up each morning as a consistent routine will help establish and strengthen your circadian rhythms, and a regular arousal time puts you on a consistent sleep cycle and leads to a regular time of sleep onset at night.

USE RELAXATION TECHNIQUES: The use of relaxation therapies such as visualization, deep breathing, a gentle massage, and southing background music or sounds are all great ways to boost restful sleep.

EXERCISE REGULARLY: This sounds counterintuitive but REALLY WORKS well! The KEY to exercise is to do this at least 3 hours prior to going to bed. Exercise not only “clears your head” but it provides a great way to reduce the accumulation of stress and exerts beneficial effects by promoting better, deeper sleep. Start slowly and gradually increase the duration and intensity of a form of exercise that you enjoy and look forward to doing. Pilates, Yoga, Ti Chi, Qui Gong, water aerobics, walking in the woods, or working out at your favorite gym or health club with some pals are some options.

BACKGROUND NOISE: Some FM sufferers really benefit from background “white” noise. Sound machines offer a variety of sounds that can help immensely! Avoiding sudden loud noises like low flying air craft or the slamming of a door or cupboard can disturb sleep quality even if we cannot remember the event the next morning.

NO NAPS PLEASE: Avoid a daytime nap; however, if you have to “recharge,” keep the time short  (no more than a 15-30 min. “power nap”). Long naps interfere with nighttime sleep.

TEMPERATURE: Keep your bedroom cool; warm temperatures interfere with sleep.

APPETITE: Consider a light snack rich in carbohydrates if hunger interferes with sleep.

NO CAFFEINE: Avoid caffeine or alcohol in the evenings as they both can interfere with sleep quality and the ability to get to sleep.

If you, a friend or family member requires care for FM, we sincerely appreciate the trust and confidence shown by choosing our services!

Do Chiropractors Help Patients With Headaches?

2 Jan

This seems like an easy question to answer, doesn’t it? The answer of course being, YES!!! However, there are many people who suffer with headaches who have never been to a chiropractor or have not even ever considered it as a “good option.”

So, rather than having me “reassure you” that chiropractic works GREAT for headache management, let’s look at the scientific literature to see if “they” (the scientific community) agree or not.

In a 2011 meta-analysis, researchers reviewed journals published through 2009 and found 21 articles that met their inclusion criteria and used the results to develop treatment recommendations. Researchers discovered there is literature support utilizing Chiropractic care for the treatment of migraine headaches of either episodic or chronic migraine. Similarly, support for the Chiropractic treatment of cervicogenic headaches, or headaches arising from the neck region (see last month’s Health Update), was reported. In addition, joint mobilization (the “non-cracking” type of neck treatment such as figure 8 stretching and manual traction) or strengthening of the deep neck flexor muscles may improve symptoms in those suffering from cervicogenic headaches as well. The literature review also found low load craniocervical mobilization may be helpful for longer term management of patients with episodic or chronic tension-type headaches where manipulation was found to be less effective.

Okay, we realize this is all fairly technical, so sorry about that. But, it is important to “hear” this so when people ask you why are going to a chiropractor for your headaches, you can say that not only that it helps a lot, but there are a lot of scientific studies that support it too!

Bottom line is that it DOES REALLY HELP and maybe, most importantly, it helps WITHOUT drugs and their related side effects. Just ask someone who has taken some of the headache medications what their side-effects were and you’ll soon realize a non-drug approach should at least be tried first since it carries few to no side effects.

We realize that you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for headaches, 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.

 

Whiplash Avoidance.

2 Jan

Whiplash, or more properly stated, Whiplash Associated Disorders (WAD), is usually associated with car accidents, slip and falls and sports injuries. It is a very common injury affecting millions of people around the world, and costing health care systems billions of dollars. The question of the month is, what can we do to AVOID or prevent whiplash?

STEP 1. SHOP FOR A SAFER CAR. There are many resources that you can review such as the “Insurance Institute for Highway Safety” that have published ratings for the safest seats, head restraints, and include many makes and models of cars, SUV’s and trucks. For example, Volvo and Saab have recently designed car seats where the seat back collapses backwards upon impact so as to minimize the rebound response in a rear-end collision, thus minimizing the head and neck from whipping back and forth. Therefore, before YOU purchase your next car, compare the vehicle’s structural design, its size and weight, the restraint systems, the airbags, the head rests, as well as crash avoidance features. Remember, in general, small cars put you at greater risk simply due to the small mass equaling less protection.

STEP 2. POSITION THE HEAD RESTRAINTS PROPERLY. This means put them in their “up” position. The most common problem with head restraints is that they are placed too low and offer little to no protection if and when you are struck from behind. In fact, 80% of cars have the head restraint in the low or “down” position, which (surprisingly) is WORSE than having no head restraint at all! This is because when the head restraint is too low, it acts like a fulcrum, hitting the middle of the neck promoting MORE hyperextension when compared to having no head restraint whatsoever. Remember, head restraints are designed to fit an “average man,” making it challenging for a tall or short person to obtain a good “fit.” A good position for a head restraint is within 1 inch of the back of the head and 1-2 inches above the mid-portion of the head as “ramping” often occurs especially if the seat back is reclined backwards, and the whole body slides up and over the head restraint.

STEP 3. PREPARE FOR THE CRASH. This actually may NOT be possible since the “whipping” action happens within 500 milliseconds and voluntary muscle contraction is about twice as slow, not to mention that the crash can occur at lightning fast speeds leaving you with little time to prepare. However, if you do have time to prepare, do the following: 1. Put your head and neck all the way back into the seat back and a properly adjusted head restraint so that there is firm contact. 2. Extend the elbows and straighten the arms gripping firmly onto the steering wheel in preparation to brace yourself. 3. Place your foot on the brake as firmly as possible (assuming that you are stopped in traffic). 4. Look straight ahead avoiding neck or head rotation. 5. Tilt your head back slightly so that your eyes are pointed toward the top of the windshield. 6. Prior to impact, shrug your shoulders upwards toward the ears and brace yourself firmly.

STEP 4. SEEK IMMEDIATE TREATMENT. It is critical to obtain treatment as quickly as possible as there is a tremendous advantage to start treatment especially with the first 2 weeks post-collision to avoid the likelihood of a chronic potentially disabling condition.

We realize you have a choice in where you choose your healthcare services.  If you, a friend or family member requires care for whiplash, 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.

 

Research: Does Green Tea Decrease Risk Of Cancer?

1 Jan

“Indolence is a delightful but distressing state; we must be doing something to be happy.” ~ Mahatma Gandhi

A study recently published in The American Journal of Clinical Nutrition investigated the association of regular tea intake (greater than 3 times per week for greater than 6 months) with risk of digestive system cancers.

The study was based on middle-aged and older Chinese women.

Results: Women who consumed ≥150g tea/mo (2–3 cups/day) had a 21% reduced risk of digestive system cancers.  The association was found primarily for colorectal and stomach/esophageal cancers.

Want To Add 4.5 Years To Your Life?

A recent study published in the medical journal PLoS One pooled self-reported data on leisure time physical activities and Body Mass Index (BMI) scores from nearly 650,000 individuals over 40 years old. Their goal was to calculate the gain in life expectancy associated with specific levels of physical activity.

A physical activity level equivalent to brisk walking for up to 75 minutes per week was associated with a gain of 1.8 years in life expectancy relative to no leisure time activity.

Even better, having a physical activity level at or above 150 minutes of brisk walking per week was associated with an overall gain of life expectancy of 3.4 – 4.5 years.

In another study, 150 minutes/week of moderate intensity leisure-time physical activity led to a 14% lower coronary heart disease risk compared with those reporting no leisure-time physical activity. Those engaging in the equivalent of 300 minutes per week of moderate-intensity leisure-time physical activity had a 20% lower risk.

What does this mean?  Basically, it’s what we have known for quite some time.  Moderate exercise is good and it can, most likely, extend your life.

But, what’s really important is you do not have to go crazy.  Go for a brisk walk several times per week, or every day if you can, and you should see some healthy results.

Obesity Triggers 

Inflammation In Fat Cells

New research says that obesity can trigger inflammation in the fat cells found just under the skin.  This is very bad because inflammation is believed to be linked to both diabetes and heart disease.

In a related study, researchers found no inflammation in the fat of lean individuals while 70% of obese people in the study showed evidence of inflammation-promoting fat and impaired blood vessel function.

No matter what, if you are obese, the odds are against you.  Losing even small amounts of weight can make a big difference in your overall health.

 

Vitamin D.

1 Jan

For most people, Vitamin D levels drop considerably in the winter (or summer if you live in the Southern Hemisphere).  Vitamin D is very important for both muscle tone and health, and recent research suggests it’s important for the immune system.  Obviously, the winter is an important time to keep your immune system as strong as possible so you can fight off the common cold and the dreaded flu.  Now, some new research shows how much Vitamin D the average person needs to maintain optimal levels. According to the recommended levels in this new research, it is believed that 30-50% of Americans and Canadians are deficient.  In order to raise your Vitamin D levels into the optimum range throughout the year, the Endocrine Society has recommended the following daily intake levels of Vitamin D (from all sources):  Children under one years old: 400-1,000 IU/day; Children 1 to 18 years old: 600-1,000 IU/day; Adults: 1,500-2,000 IU/day.

Is All Vitamin D Created Equal?

Research published in the June edition of the American Journal of Clinical Nutrition has shown that Vitamin D3 supplements could provide more benefit than its close relative, Vitamin D2.  This is important because it is difficult for most people to get enough Vitamin D through food and sunshine, especially during the winter months.  Many foods are fortified with Vitamin D, but it is usually in the Vitamin D2 form.  The research shows that Vitamin D3 is better at raising the Vitamin D levels in your blood when given as a supplement. Dr. Laura Tripkovic explains: “We know that Vitamin D is vital in helping to keep us fit and healthy, but what has not been clear is the difference between the two types of Vitamin D. It used to be thought that both were equally beneficial, however our analysis highlights that our bodies may react differently to both types and that Vitamin D3 could actually be better for us.”

To get their results, researchers analyzed the results of 10 studies with a total of over 1,000 people.  They stated, “Vitamin D3 could potentially become the preferred choice for supplementation. However, additional research is required to examine the metabolic pathways involved in oral and intramuscular administration of Vitamin D and the effects across age, sex, and ethnicity, which this review was unable to verify.”

Is Vitamin D Really That Important?

According to the National Institute of Health: “A growing body of research suggests that Vitamin D might play some role in the prevention and treatment of type 1 and type 2 diabetes, hypertension, glucose intolerance, multiple sclerosis, and other medical conditions. Laboratory and animal evidence, as well as epidemiologic data, suggests that Vitamin D status could affect cancer risk. Strong biological and mechanistic bases indicate that Vitamin D plays a role in the prevention of colon, prostate, and breast cancers.”

20 Fun and Amazing Health Facts.

1 Jan

1.) Women have a better sense of smell than men. 2.) When you take a step, you use up to 200 muscles. 3.) Your ears secrete more earwax when you are afraid than when you aren’t. 4.) The human brain has the capacity to store everything you experience. 5.) It takes twice as long to lose new muscle if you stop working out than it did to gain it. 6.) The average person’s skin weighs twice as much as their brain. 7.) Every year your body replaces 98% of your atoms. 8.) On average, there are 100 billion neurons in the human brain. 9.) The lifespan of a taste bud is ten days.  10.) Dentists recommend you keep your toothbrush at least 6 feet away from a toilet to avoid airborne particles caused by flushing.  11.) Your tongue is the only muscle in your body that is attached at only one end. 12.) Your stomach produces a new layer of mucus every two weeks so that it doesn’t digest itself. 13.) It takes about 20 seconds for a red blood cell to circle the whole body. 14.) The pupil of the eye expands as much as 45% when a person looks at something pleasing. 15.) Your heart rate can rise as much as 30% during a yawn. 16.) Your heart pumps about 2,000 gallons of blood each day. 17.) Your heart beats over 100,000 times a day. 18.) Your hair grows faster in the morning than at any other time of day.  19.) Your body is creating and killing 15 million red blood cells per second. 20.) You’re born with 300 bones, but when you reach adulthood, you only have 206!

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