Tag Archives: Whole Body Health

Benefits of a Daily Multivitamin

29 Jun

Many adults and children take a daily multivitamin as part of their overall health
strategy. However, decades of research have produced mixed findings on whether
multivitamins reduce the risk of major health outcomes. As a result, some experts assert that
water-soluble vitamins produce little more than expensive, neon-colored urine.
More recent studies—particularly those using improved research designs—are
beginning to challenge this notion. While multivitamins are not a cure-all, they may offer
subtle but measurable benefits, especially in certain populations.

  • In a 2026 study analyzing data from the COSMOS trial involving 958 older adults,
    researchers found that participants who took a daily multivitamin for two years
    experienced slower biological aging—by about four months—compared to those
    taking a placebo. The multivitamin group also had lower levels of inflammatory
    markers and performed better on cognitive assessments, suggesting potential benefits
    for both physical and brain health.
  • An August 2020 study of 42 middle-aged and older adults found that those taking a
    daily multivitamin experienced less severe illness symptoms and shorter illness
    duration than those given a placebo. Many nutrients commonly found in
    multivitamins—such as vitamins C, vitamin D, and zinc—are known to support
    immune function.
  • In a group of 1,708 heart attack survivors, researchers observed that those given a
    high-dose multivitamin had a 54% lower risk of adverse cardiovascular outcomes
    compared to those given a placebo.
  • An analysis of nearly 100,000 women found that multivitamin use during pregnancy
    was associated with reduced risks of several birth defects, including neural tube,
    cardiovascular, urinary tract, and limb abnormalities.
    A more modern perspective is that multivitamins may not be universally necessary—
    especially for individuals who consume a well-balanced, nutrient-dense diet rich in fruits,
    vegetables, whole grains, lean proteins, and healthy fats. For these individuals, additional
    supplementation may offer little added benefit. However, for older adults, individuals with
    dietary restrictions, chronic conditions, or increased nutritional demands, a daily
    multivitamin may serve as a practical and low-risk way to help close nutritional gaps.
    As research continues to evolve, the most balanced conclusion may be that
    multivitamins are neither a miracle solution nor a waste, but rather a tool that can be useful in
    the right context.

Brent Binder, D.C.

4909 Louise Dr. Suite 102

Mechanicsburg, PA 17055 (717) 697-1888

Frailty Management Strategies

29 May

Frailty is defined as a clinical state in which the body has diminished strength, endurance,
and resilience, making a person more vulnerable to stressors such as injury and illness. It’s estimated
that 7–12% of Americans age 65 and older are frail. Because it is associated with an elevated risk of
falls, hospitalization, disability, and complications from illness and surgery, frailty can significantly
impact an individual’s ability to remain independent and maintain quality of life. Common
characteristics of frailty include unintentional weight loss, weakness, fatigue, slow walking speed,
and low physical activity. The presence of three or more of these features meets the diagnostic
criteria for frailty, as described by the Fried’s Frailty Phenotype model.
Current research suggests that frailty is associated with chronic inflammation and oxidative
stress, often influenced by lifestyle and metabolic health factors. Fortunately, frailty can often be
improved—and sometimes partially reversed—especially when identified early. The key is consistent
engagement in behaviors that help restore strength, function, and overall metabolic health:

  • Resistance training is essential for increasing muscle mass and overall physical function.
  • Balance-based exercises, such as yoga, can improve lower body strength, stability, and
    walking speed.
  • Aerobic exercise can improve walking speed, reduce fatigue, and support cardiovascular
    health.
  • An anti-inflammatory diet, such as the Mediterranean diet, may help reduce systemic
    inflammation. Nutrients like flavanols can help counter oxidative stress, while dietary fiber
    supports a healthy gut microbiome, which influences overall health and immune function.
    Increasing protein intake is also important for maintaining muscle mass.
  • Low or deficient vitamin D levels are common in frail individuals. Improving vitamin D
    status through diet, supplementation, and/or sun exposure may support muscle function,
    neuromuscular control, and bone health, while also helping to reduce inflammation.
  • Maintaining social connections—such as sharing meals, participating in group activities, or
    volunteering—supports mental health and overall well-being.
  • Seniors taking five or more medications are at increased risk for drug interactions and side
    effects. Reviewing medications with a healthcare provider can help determine if adjustments,
    dose reductions, or safer alternatives are appropriate.
    Lastly, several studies have linked chronic pain—including musculoskeletal conditions such
    as chronic low back pain—with an increased risk of frailty. This may be due to reductions in physical
    activity and increased sedentary behavior, often driven by fear of worsening pain. Over time, this can
    lead to muscle deconditioning, reduced proprioception, and diminished functional capacity.
    Addressing musculoskeletal pain through conservative care, including chiropractic treatment, may
    help individuals stay active and improve their resilience, reducing the impact of frailty.

Brent Binder, D.C.

4909 Louise Dr. Suite 102

Mechanicsburg, PA 17055 (717) 697-1888

How Much Screen Time Is Too Much for Teens?

30 Apr

Adolescence is a period of rapid development, and behaviors established during this time can
influence emotional, mental, and physical health well into adulthood. Over the past two decades, the
proliferation of smartphones, handheld devices, and social media has dramatically reshaped daily
life—including for teenagers. Numerous studies have linked excessive screen time to poor posture,
physical inactivity, adverse metabolic outcomes, neck pain, behavioral concerns, lower academic
performance, and mood disorders. But how much screen time is too much?
According to a January 2026 article published in the Journal of the American Medical
Association, teens aged 13 to 18 average more than 8.5 hours per day on screen-based
entertainment—including more than an hour during school hours. The data suggest that the most
frequently used app categories among teenagers include social media, video streaming, gaming,
communication, and general entertainment.
In another study, researchers found that adolescents’ risk of adverse outcomes—including
elevated stress, depression, suicidal ideation, and substance use—increased noticeably after four
hours of daily screen use. These findings suggest that limiting total recreational screen time to under
four hours per day may be a reasonable goal for many teens. When examining social media use
specifically, assessments completed by more than 100,000 Australian youths found that spending
more than two hours per day on social platforms was associated with lower scores for happiness, life
satisfaction, and emotional regulation. Interestingly, the same study found that complete avoidance of
social media was also associated with poorer wellbeing, suggesting that some degree of online social
interaction may be beneficial for adolescents.
So how can parents help their children better regulate screen time? For starters, research
suggests that giving children their own smartphone before age 12 is associated with higher rates of
depression, obesity, and insufficient sleep, so delaying a child’s first phone until later adolescence
may be wise. It’s also recommended to establish screen-free times during the day—such as during
meals or in the hour before bedtime—as well as screen-free zones like bedrooms or dining areas.
Many mobile service providers offer family plans with parental controls that allow parents to set app
restrictions and built-in time limits. Perhaps most importantly, parents should model healthy
technology habits themselves. If children see adults constantly on their phones, they are likely to
imitate that behavior—consciously or not.
Of course, if excessive screen time has contributed to poor posture or musculoskeletal
discomfort in either parent or child, consider scheduling an appointment with your chiropractor. In
addition to hands-on care aimed at restoring movement to stiff joints, they can recommend simple
exercises to perform throughout the day to reduce strain and help prevent future episodes.

Brent Binder, D.C.

4909 Louise Dr. Suite 102

Mechanicsburg, PA 17055 (717) 697-1888

Royal Jelly and Stronger Bones

31 Oct

Royal jelly is a milk–like secretion of honeybees that is used to feed the larvae in the honeycomb to facilitate development into drones (males), worker bees (infertile females), and queens (fertile females).  The National Institutes of Health notes that royal jelly consists of water, proteins, amino acids, fatty acids, simple carbohydrates, vitamins, and minerals and the active ingredient that stimulates and modulates larval development is believed to be a series of major royal jelly proteins (MRJP). The substance is harvested from the individual queen bee cells from beehives and is made into topical creams as well as dietary supplements. 

Many people believe royal jelly offers several health-enhancing benefits from slowing the aging process to enhancing the immune system to improving conditions such as diabetes, high cholesterol, asthma, fatigue, hay fever, kidney disease, pancreatitis, PMS, and more. Such claims are not sufficiently substantiated in the literature for firm recommendations to be made. However, as more research is conducted, royal jelly may begin to be recommended in a healthcare setting for one or more conditions. One area that looks promising is the effect royal jelly may have on bone health. 

Osteoporosis is characterized by the depletion of bone mineral mass combined with bone micro-architecture deterioration that results in greater bone fragility leading to increased fracture risk. It’s reported that just a 10% reduction in vertebral bone density can double the risk for fracture. It’s estimated that 10 million adults in the United States have osteoporosis and another 44 million are at serious risk for the condition, thus the importance of identifying strategies to preserve bone mass as people age. 

In a 2021 study, researchers studied the effects of royal jelly protein supplementation on female rats at risk for osteoporosis. After eight weeks, the equivalent of roughly five years of human life, the rats given a royal jelly protein supplement had greater lumbar spine, tibia, and femur bone mineral density and strength than subjects not given the supplement. The authors of the study note that further research is needed to understand the physiological mechanisms behind bone loss suppression associated with royal jelly protein intake. 

If future research supports the benefits of royal jelly protein for preserving bone mass in humans, we may find it being added to lifestyle recommendations for aging adults at risk for osteoporosis such as maintaining a healthy vitamin D status, taking a calcium supplement, eating a healthy diet pattern (like the Mediterranean diet), and engaging in regular weight-bearing exercise.  

Pain Relief Chiropractic

4909 Louise Dr 

Mechanicsburg, PA 17055 

(717) 697-1888

Member of Chiro-Trust.org 

Pickleball-Related Injuries

30 Sep

Pickleball is a recreational sport growing in popularity in the United States. In fact, it’s become one of the fastest growing sports in America, and in the past three years, the player number has soared from 3.5 to 8.9 million! It’s easy to learn, promotes competitiveness and socialization, and is an excellent form of low-impact exercise. Unfortunately, pickleball is not without risk, and a game can result in an injury.

In 2021, researchers looked at data from emergency department visits between 2010 and 2019 and identified nearly 29,000 pickleball-related injuries among older adults. The most common diagnoses involved sprain/strains (32.2%), fractures (28.1%), and contusions (10.6%) with older men 3.5 times more likely than older women to suffer a sprain or strain injury and older women 3.7 times more likely than older men to sustain a fracture—including a nine-times greater risk for wrist fracture! These acute traumatic injuries can arise from falls, sudden turning or pivoting movements getting hit by a racket or paddle, getting hit by a ball, sudden bending over or hyperextending the spine, rolling an ankle, and running into the net, a fence, a wall, a chair or bench, a tree, or a fellow player.  

Because the physical motions are similar to tennis, frequent pickleball players may also be at increased risk for lateral epicondylitis, also known as tennis elbow, a painful condition that occurs when tendons that attach to the elbow become overloaded. Pickleball players may also be at risk for other musculoskeletal conditions associated with repetitive movements, including carpal tunnel syndrome. 

As such, doctors of chiropractic may begin to notice an influx of patients with both acute traumatic musculoskeletal injuries and repetitive stress injuries over time. Treatment will typically involve a multimodal approach that utilizes manual therapies, specific exercises, modalities, nutrition recommendations, and activity modifications to restore normal motion to the affected joints, reduce inflammation, and give the injured site the opportunity to heal. 

Of note, the 2021 study found that 1 in 10 emergency room visits that involved pickleball were due to cardiovascular events. This in mind, if you are getting older and haven’t been physically active, talk to your doctor before starting an exercise routine—including pickleball. Additionally, dress appropriately for play, stretch before taking the court, drink plenty of water, and take breaks as needed. Don’t push yourself beyond your limits, pace yourself, and focus on having fun and being social with the other players. 

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

(717) 697-1888

Member of Chiro-Trust.org 

Complementary and Alternative Approaches to Multiple Sclerosis

15 Jun

Multiple sclerosis (MS) is a chronic neurological autoimmune disease that affects an estimated 2.5 million people globally and accounts for about $85 billion a year in both direct and indirect healthcare costs in the United States alone. Typical MS symptoms and clinical presentations can include sensory loss affecting sight (optic nerve), weakness (motor nerves/brain), facial muscle weakness (facial cranial nerve), ataxia (cerebellum, motor cortex, spinal cord), vertigo (inner ear, vestibular branch of the cranial nerve), pain, fatigue, bladder/bowel control, and psychological disorders. Because the condition is not fully understood and has been linked to both genetic and environmental causes, there’s no one-size-fits-all treatment available to MS patients. Conventional pharmaceutical approaches may have a limited effect, and these immunomodulating or immunosuppressing drugs can lead to adverse allergic reactions that affect the skin and other organs. This has led many patients and researchers to explore alternative and complementary treatment approaches to help slow the progression of the disease and improve a patient’s quality of life.

An October 2022 systematic review looked at ten previously published randomized-control trials to investigate the effects of manual therapies in reducing symptoms in MS patients. The authors concluded that Swedish massage, acupressure, and reflexology interventions lasting 10-30 treatments spread over 4-10 weeks were effective for improving fatigue, pain, spasticity, psychological state, and physical function. 

In addition to hands-on treatment, there have been several studies exploring the role of diet and specific nutrients in MS management. Dietary approaches such as the Mediterranean diet, ketogenic diet, and the dietary approaches to stop hypertension (DASH) diet have been linked to better cognitive health and greater preservation of the thalamus (an area of the brain that relays motor and sensory data to the cerebral cortex). In particular, omega-3 fatty acid supplementation may reduce the severity of some MS symptoms and oleic acid—a fatty acid found in cooking oils, meats, cheese, nuts, seeds, eggs, pasta, milk, avocados, and olives—may stimulate the production of the regulatory T cells that help keep the immune system from attacking the central nervous system.

Staying active may also benefit MS patients. One study found that using an activity tracker helped lower the risk for relapsing-remitting MS symptoms and improved the participants’ ability to maintain normal activities, including working. There’s also research to suggest the obesity, depression, and poor sleep can have a detrimental effect on MS patients, so maintaining a healthy weight and good mental health and sleep hygiene are also important. 

As with many health conditions, early detection and treatment is second only to prevention. In the case of MS, a review of medical records of more than 85,000 adults revealed that those who would eventually develop MS were more likely to make doctor visits for issues such as urinary problems, visual disturbances, abnormal skin sensations, impaired movement, and dizziness in the time preceding their diagnosis. Recognizing these clusters of symptoms can help doctors identify patients who may be at increased risk for MS earlier in the course of the disease when treatment may be more effective.

Pain Relief Chiropractic

4909 Louise Dr

Mechanicsburg, PA 17055

(717) 697-1888

Member of Chiro-Trust.org