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Sleep Is Essential for Good Health

22 Dec

Sleep is a fundamental biological necessity that supports vital processes such as brain waste
clearance, immune regulation, and nutrient metabolism. While the body can recover from an occasional
night of poor rest, frequent sleep disruption can set the stage for chronic disease. Experts estimate that
about ten percent of adults meet the criteria for insomnia, while another twenty percent experience
occasional insomnia symptoms, highlighting just how widespread sleep problems are.
There are three key ingredients for healthy sleep: quantity, quality, and consistency. Adults
generally need seven to nine hours of rest each night, with the required amount gradually decreasing with
age. If you find yourself sleeping in on weekends or relying on naps to catch up, that’s a clear sign you’re
not getting enough sleep during the week. But the number of hours alone doesn’t tell the whole story. The
body cycles through several stages of sleep—from light to deep to rapid eye movement—and waking
repeatedly during the night can interrupt these cycles, leaving you feeling tired even after spending
sufficient time in bed. Equally important is maintaining a regular sleep schedule. Going to bed and
waking up at the same time each day, even on weekends, helps regulate the body’s circadian rhythm, the
internal clock that governs hormone release, body temperature, and alertness. When this rhythm is stable,
it becomes easier to fall asleep, stay asleep, and wake feeling refreshed.
And no, that morning cup of coffee can’t make up for poor sleep. In fact, an analysis of data
concerning more than 88,000 adults in the UK Biobank study found that inadequate or irregular sleep is
associated with 172 diseases, including dementia, Parkinson’s disease, and diabetes. For 42 of these
conditions—among them liver cirrhosis, fibrosis, and age-related frailty—poor sleep more than doubles
disease risk. Remarkably, the researchers estimate that insufficient or irregular sleep accounts for roughly
20% of the overall risk profile in 92 of these conditions, suggesting that sleep regularity may play an even
greater role in long-term health than sleep duration alone.
To set the stage for better sleep, experts emphasize lifestyle and environmental factors that
support the body’s natural rhythms. A nutrient-rich diet, regular physical activity, limited alcohol and
caffeine intake, and effective stress management all contribute to more restful sleep. Exposure to natural
light during the day and minimizing blue light from screens in the evening help reinforce the body’s
natural light–dark cycle. Keeping the bedroom dark, quiet, and cool promotes deeper rest, while
maintaining a consistent bedtime strengthens the brain’s expectation of when to release sleep-related
hormones. If snoring, gasping, or frequent awakenings are a problem, a sleep specialist can evaluate for
conditions such as sleep apnea.
Finally, when pain interferes with sleep, addressing the source is essential. Research shows a
bidirectional relationship between poor sleep and musculoskeletal pain—particularly low back pain—
meaning that inadequate rest can worsen discomfort, and discomfort can further erode sleep quality. In
such cases, consulting a doctor of chiropractic can be an important step toward breaking this cycle and
restoring both comfort and healthy sleep.
Pain Relief Chiropractic

4909 Louise Dr. Suite 102 Mechanicsburg, PA 17055 (717) 697-1888

Move More for a Longer, Healthier Life

20 Nov

As we age, we often shift our focus toward healthy lifestyle habits not just to extend life, but to preserve independence and remain free of chronic disease and disability well into later years. While maintaining a healthy weight, eating a nutritious diet, and tracking lab values are all important, a study published in October 2024 suggests that physical activity—specifically how much we move throughout the day—may be the single best predictor of longevity.

One practical way to stay active is by using an activity tracker, whether it’s a traditional pedometer or one of the newer smart watches and rings that have become popular. There is an old business adage that what gets measured gets improved, and recent studies suggest that this applies to physical activity as well. In March 2023, researchers reported that sedentary adults who wore activity trackers and received reminders about their daily steps increased their step count by an average of 5,000 per day within three months. A similar effect has been seen in children, who boosted their activity by roughly 1,500 steps a day when given a tracker of their own.

The widely quoted goal of 10,000 steps a day may have started in the 1960s as a marketing slogan for a Japanese pedometer, yet modern research suggests it is not far off as a benchmark for health. A large analysis of 57 studies led by researchers at the University of Sydney found that averaging about 7,000 steps a day was associated with a 47% reduction in the risk of premature death, along with lower risks of dementia, depression, and cardiovascular disease. Other work suggests that the longevity benefits of walking may level off at around 16,000 steps a day. For those who are sedentary, goals like 5,000, 8,000, or 10,000 daily steps may seem daunting at first, but the most important point to remember is that some movement is always better than none, and with time and consistency, more is always possible.

Daily step counts capture overall movement, but higher-intensity activity remains essential for building stronger muscles and bones, improving balance, and unlocking health benefits that everyday walking alone cannot provide. Current guidelines recommend at least 150 minutes of moderate-to-vigorous exercise each week, along with resistance training twice a week. Participating in sports or recreational activities is a particularly effective way to meet these goals, as they not only challenge the heart, lungs, and muscles, but also engage the mind and senses and provide valuable opportunities for social connection.

Before beginning any new fitness routine, it is important to check with your healthcare provider to ensure the activities are safe for your individual health profile. And if pain or stiffness begins to interfere with your ability to move more, a doctor of chiropractic may be able to help restore comfortable movement and reduce limitations, allowing you to progress to an active lifestyle that supports long-term health and independence.

Pain Relief Chiropractic

4909 Louise Drive Suite 102

Mechanicsburg, PA 17055

Limiting Bisphenol A Exposure

23 Oct

Bisphenol A (BPA) is a synthetic industrial chemical used in producing plastics and resins to make them strong, durable, heat-resistant, transparent, and lightweight. As such, BPA is found in many everyday products including reusable plastic tableware, water bottles, sports equipment, physical discs (like DVDs), soda cans, water pipes, flooring, adhesives, and thermal paper receipts. While we rarely think twice about interacting with these items, health experts caution that BPA exposure may carry risks.

On a molecular level, BPA closely resembles the hormone estrogen. Inside the body, it can bind to estrogen receptors and interfere with normal hormonal signaling, potentially disrupting developmental and reproductive processes. Research links BPA exposure to reduced fertility, elevated risks of breast and prostate cancer, metabolic disorders, cardiovascular disease, thyroid dysfunction, early puberty, immune system changes, and certain neurological effects.

How does BPA enter the body? Pathways include ingestion from food and drinks stored in containers lined with BPA or heated in plastic, inhalation of microplastic particles containing BPA, and skin absorption from handling thermal paper receipts.

Due to growing awareness and regulatory pressure, many manufacturers now market “BPA-free” products. However, these are often made with Bisphenol S (BPS), a chemical less studied but showing similar hormonal activity and potential health risks. Instead, it may be prudent to choose non-plastic alternatives—such as glass or stainless steel containers—which are more reliably free of hormone-disrupting bisphenols.

To reduce exposure, experts recommend limiting canned food and drink consumption, using glass or stainless steel containers, avoiding microwaving plastic, opting for electronic receipts or declining paper ones, not applying hand sanitizer immediately after handling receipts, wearing nitrile gloves if receipts are handled regularly for work, washing hands often (especially before eating), and cleaning floors and dusting regularly to minimize bisphenol residues in indoor dust.

Pain Relief Chiropractic

4909 Louise Drive Suite 102

Mechanicsburg, PA 17055

Monthly update on Lower Back Pain

14 Jul

Chiropractic Treatment for Lumbar Spinal Stenosis

            Lumbar spinal stenosis is a condition caused by the narrowing of spaces within the lower spine, which can compress either the spinal cord or nerve roots. This pressure can lead to pain, numbness, or weakness—either locally or radiating down the legs—especially during activities that involve spinal extension (e.g., bending backward or prolonged standing) or compressive loading. While stenosis may result from trauma, congenital anomalies, or systemic diseases, approximately 80% of lumbar spinal stenosis cases are degenerative in origin. Common degenerative contributors include intervertebral disk bulging or herniation, facet joint hypertrophy (arthritis), ligamentum flavum thickening, spondylolisthesis (vertebral slippage), and osteophyte (bone spur) formation. How might chiropractic care help a lumbar spinal stenosis patient both avoid surgical intervention and return to their normal activities to as high a degree as possible?

In the medical model, initial treatment may include physical therapy and/or medications. If those fail to provide relief, a common next step is epidural steroid injections (ESIs), which aim to reduce nerve inflammation and provide temporary symptom relief. A 2025 systematic review of 90 randomized controlled trials found that ESIs can offer short-term improvement in pain and disability but do not result in long-term symptom resolution. If a patient experiences minimal relief after one to two injections, if relief lasts less than one month, or if neurological symptoms progress, further injections are generally not recommended. Clinical guidelines typically limit ESIs to a maximum of three per year, and suggest limiting repeated use to no more than two to three consecutive years due to risks such as bone loss, adrenal suppression, and soft tissue damage.

If the patient pursues chiropractic care, the aim of treatment would be to reduce neural compression by improving lumbar spine mobility and joint spacing. For lumbar spinal stenosis, current guidelines discourage high-velocity, low-amplitude (HVLA) spinal manipulation. Instead, they support gentler techniques such as flexion-distraction, mobilization, and instrument-assisted soft tissue therapies. Chiropractic care may also include targeted exercise, posture training, and neuromuscular re-education to support spinal health and nerve mobility.

Just as critical as in-office treatment is the home management component. Patients are encouraged to perform flexion-based and low-impact exercises—such as stationary biking, inclined treadmill walking, wall sits, and knee-to-chest stretches—which can reduce pressure on lumbar nerves. Core stabilization improves spine support, while posture training and ergonomic adjustments (e.g., lumbar support, avoiding prolonged standing, sleeping with knees elevated) help maintain relief. Lifestyle modifications such as weight loss, an anti-inflammatory diet (rich in omega-3s, vegetables, and whole foods), hydration, and use of ice, heat, or TENS units for pain control can further support long-term improvement.

The good news: with consistent effort, as many as 70% of patients with lumbar spinal stenosis can improve or maintain stable symptoms without ever needing surgery. Only about 30% of patients progress to requiring surgical intervention—typically when pain is disabling, function is severely limited, or neurologic decline occurs.

Watching your back,

Dr. Binder

Member of Chiro-Trust.org

This information should not be substituted for medical or chiropractic advice. Any and all healthcare concerns, decisions, and actions must be done through the advice and counsel of a healthcare professional who is familiar with your updated medical history.

Decision-Making Factors for Carpal Tunnel Syndrome Care

17 Apr

While carpal tunnel syndrome (CTS) is a very common condition, controversy still exists among researchers and healthcare professionals regarding best practices for managing the condition. Most studies on musculoskeletal disorders, including CTS, focus on identifying treatments that provide symptom relief rather than exploring the factors influencing patients’ decisions, particularly when choosing between surgical and non-surgical options.

A December 2024 meta-analysis reviewed six studies that examined CTS treatment from the patient’s perspective, revealing four key decision-making themes:

  • Return to Normalcy – Does this treatment effectively relieve symptoms and restore quality of life, allowing for uninterrupted sleep and daily activities?
  • Patient-Centered Care – Is treatment information clear, specific, and accessible? Are patients given options, or are they simply told what their treatment will be?
  • Work Considerations – Will treatment require time off work or job modifications? Will the doctor provide necessary documentation for the employer? Will the patient be able to return to their usual job, or must they consider a career change?
  • Expectations – How quickly will relief occur? What is the likelihood of full recovery? If this treatment fails, what are the next steps?

The authors emphasized the importance of healthcare providers considering multiple decision-making factors and prioritizing clear communication and shared decision-making in CTS care. This approach enhances patient satisfaction and may lead to better treatment outcomes.

Chiropractic care provides CTS patients with a non-surgical treatment option that incorporates manual therapies to restore mobility to the median nerve, not only at the wrist but along its entire course from the neck to the hands. In addition, chiropractors may use complementary approaches such as night splinting, exercise training, physical therapy modalities, ergonomic assessment and modifications, and anti-inflammatory strategies. If necessary, care may be co-managed with other healthcare professionals who provide services beyond a doctor of chiropractic’s scope of practice.

Pain Relief Chiropractic

Painreliefcare.net

Mechanicsburg, PA

 (717) 697-1888

Member of Chiro-Trust.org

This information should not be substituted for medical or chiropractic advice. Any and all healthcare concerns, decisions, and actions must be done through the advice and counsel of a healthcare professional who is familiar with your updated medical history.

Low Back Pain and The Importance of Sleep

27 Feb

Monthly Health Update: Whole Body

Low back pain is the leading cause of disability worldwide, and it’s estimated 619 million people suffer an episode each year. By 2050, it’s expected this total will jump to 843 million! In addition to the direct and indirect effects low back pain can have on the individual patient, the overall healthcare costs and productivity losses associated with this musculoskeletal disorder add up to more than $230 billion dollars each year in just the United States! This in mind, identifying and mitigating risk factors for low back pain by even a small amount can result in large societal gains. One risk factor for low back pain that isn’t typically imagined is sleep.

Sleep is considered essential for survival. Many vital functions occur during slumber including tissue growth and repair, cytokines production to bolster the immune system, heart rate and blood pressure regulation, memory consolidation, and brain detoxification, just to name a few. If an individual suffers from insomnia, obstructive sleep apnea, circadian rhythm sleep-wake disorders, or sleep bruxism, these critical processes are impeded, which can make the body more susceptible to developing musculoskeletal pain, including low back pain.

In one study, researchers looked at health data concerning 6,285 older adults and found that an individual’s risk for low back pain increases by 13.6% for each hour less than seven hours of sleep he or she averages a night. However, any additional sleep beyond seven hours does not confer additional low back pain reduction benefits. Interestingly, this finding held true even after adjusting for age, gender, income level, education level, and occupation.

Not only can poor sleep increase the risk for low back pain, but it can stimulate changes in how pain is perceived, leading to greater pain sensitivity, which in turn results in increased disability and avoidance behaviors. One study, published in December 2020, found that older adults with moderate-to-severe sleep disturbances will likely accumulate chronic neuropsychiatric and musculoskeletal conditions at a faster rate than seniors with good sleep hygiene. To complicate matters, the American Academy of Sleep Medicine reports that 80% of American adults experience daytime sleepiness, meaning they either aren’t sleeping enough each night or the quality of their sleep is poor. So what can be done to improve sleep hygiene?

The Centers for Disease Control and Prevention (CDC) offers the following tips for better sleep: be consistent with bed times; make sure your bedroom is quiet, dark, relaxing, and kept at a comfortable temperature; remove electronic devices from the bedroom; avoid large meals, caffeine, and alcohol before going to bed; and get some exercise during the day. If low back pain is keeping you up at night, be sure to let your doctor of chiropractic know. They may be able to recommend additional strategies to improve your sleep and if necessary, co-manage your case with an allied healthcare provider.

If you are struggling with sleep, come on in for a visit!

Watching your back,

Dr. B

Pain Relief Chiropractic

4909 Louise Drive, Suite 102

Mechanicsburg, PA 17055

 717-697-1888

Painreliefcare.net

Member of Chiro-Trust.org

This information should not be substituted for medical or chiropractic advice. Any and all healthcare concerns, decisions, and actions must be done through the advice and counsel of a healthcare professional who is familiar with your updated medical history.