Running Shoes: Feet are important. By the time the typical American reaches the age of 50, they will have walked 75,000 miles.
Runners put even more miles on their feet, and stress. Your feet are your foundation. A problem with your feet can throw your entire body out of balance. That is why when it comes to running shoes, it is important to find the right type. This guide will help you find the running shoes that are right for you.
Running Shoes
Before You Shop
Know the type of runner you are.
Different types of running require different features in shoes.
Some questions to consider:
Do you run or jog?
What surface do you run on � asphalt, treadmill, or trails?
A larger person will not move and run the same way a thin, wiry person does. An overweight person will put more stress on their feet � and shoes.
Know your running style.
The way you run, the motion of your stride and how your foot strikes the ground has great bearing on the type of running shoe you need. When your foot comes in contact with the ground, what hits first? Does the inside of your forefoot hit first? The center of your heel? The outside of your heel? Where your foot first hits is where you really want the cushion.
Know what injuries you may have sustained from running.
Plantar fasciitis, shin splints, tendonitis, and blisters are a few common injuries can be reversed or improved when you wear running shoes that fit properly.
Know the type of arch you have.
Whether you supinate (foot rolls to the outside) or pronate (foot rolls to the inside) is determined, at least in part, by the shape of your arch. While supinators are rare, quite a few people over pronate. This can be the source of injuries due to overuse.
When You Shop
Give it the 360-degree test.
When people try on shoes they typically check for fit in the toe box, but look no further than that. When you try on running shoes, you do need to make sure you have adequate space in the toe box, but you also need to check that your entire foot fits on the shoe�s platform.
Give your foot enough space.
The upper should have enough room but should not be loose. It shouldn�t squeeze your foot either though. It should fit well with no pinching or binding.
Shop later in the day.
Throughout the day your feet swell. When you run they also swell so when you shop for shoes, going when your feet are the largest will help ensure that you get the most accurate and more comfortable fit possible.
Bring your old running shoes along when you shop.
Having your old shoes with you when you shop will help the sales person determine what kind of running shoe you need. They can look at the wear on the shoe to see your running patterns and help you find a shoe that works best for you.
Get your foot measured.
As you age your feet actually change; they can expand or flatten. Don�t every assume your shoe size, get your foot measured every time. A comfortable fit is dependent upon wearing the right size shoe. You also need to keep in mind that shoe sizes may differ from brand to brand.
Dress for the run.
When you are shopping for a new pair of running shoes, dress as you would when you run. Don�t show up wearing flip flops or when you are dressed for the office. Definitely don�t show up without socks.
Forget the latest trend or what�s fashionable; think functionality.
There are plenty of sharp looking shoes, but that doesn�t mean they are the right running shoe for you. Go for fit and functionality first and fashion second.
Take them for a test drive.
Once you have settled on a pair or two, try them both on and try them out. Many stores that specialize in running shoes have a treadmill or area where runners can try their shoes. That is the only way you can tell for shoe if the shoe is right for you.
Truide Torres primero fue a ver al Dr.. Alex Jim�nez cuando comenz� a experimentar dolor de espalda durante su embarazo. A medida que progres� su embarazo, sus s�ntomas empeoraron y su calidad de vida se volvi� tremendamente limitada. Truide Torres estaba involucrada en muchas actividades f�sicas, sin embargo, debido a su dolor de espalda, tuvo que dejar de hacer ejercicio por completo. Fue entonces cuando decidi� buscar atenci�n quiropr�ctica con el Dr. Alex Jim�nez por su dolor de espalda. Aunque no estaba segura de que si deber�a recibir este tipo de tratamiento durante el embarazo, Truide Torres supo r�pidamente por el Dr. Alex Jim�nez que la atenci�n quiropr�ctica es un enfoque de tratamiento natural, seguro y eficaz que puede utilizarse para ayudar a tratar el dolor de espalda durante el embarazo. Truide Torres recomienda altamente el cuidado quiropr�ctico para cualquier persona que experimente dolor de espalda.
El Paso, TX Quiropr�ctico
La atenci�n quiropr�ctica es un enfoque de tratamiento alternativo de la columna vertebral y los discos, as� como la geometr�a �sea y nerviosa relacionada sin el uso de o cirug�a. Implica la ciencia y el arte de reparar las articulaciones desalineadas del cuerpo, particularmente de la columna vertebral, lo que reduce el estr�s del nervio espinal y, por lo tanto, promueve la salud y el bienestar en todo el cuerpo. No se conocen contraindicaciones para el cuidado quiropr�ctico que se usa durante el embarazo. Todos los quiropr�cticos est�n capacitados para utilizar ajustes espinales y manipulaciones manuales en mujeres embarazadas. Invertir en la fertilidad y la salud del embarazo de las mujeres que est�n embarazadas es un cuidado de rutina para la mayor�a de los quiropr�cticos. La atenci�n quiropr�ctica tambi�n se puede usar para otros problemas de salud en cualquier persona.
Tenemos la bendici�n de presentarle la Cl�nica Premier de bienestar y lesiones de El Paso.
Nuestros servicios est�n especializados y enfocados en lesiones y el proceso de recuperaci�n completo. Nuestras �reas de pr�ctica incluyen: bienestar y nutrici�n, dolor cr�nico, lesiones personales, cuidado de accidentes automovil�sticos, lesiones laborales, lesiones de espalda, dolor lumbar, dolor de cuello, dolores de cabeza por migra�a, lesiones deportivas, ci�tica grave, escoliosis, discos complejos herniados, fibromialgia, Dolor cr�nico, manejo del estr�s y lesiones complejas.
Como Cl�nica de Rehabilitaci�n Quiropr�ctica y Centro de Medicina Integrada de El Paso, nos enfocamos apasionadamente en tratar pacientes despu�s de lesiones frustrantes y s�ndromes de dolor cr�nico. Nos enfocamos en mejorar su capacidad a trav�s de programas de flexibilidad, movilidad y agilidad dise�ados para todos los grupos de edad y discapacidades.
Recomi�ndanos: Si ha disfrutado este video y / o le hemos ayudado de alguna manera, no dude en recomendarnos. Gracias, Dios te bendiga.
Opioids and Prescription drug abuse and addiction is a significant problem in the United States. In fact, the U.S. Department of Health and Human Services (HHS) has declared it an epidemic.
Researchers estimate that as many as 36 million people worldwide abuse opioids. Estimates in the U.S. alone reached 2.1 million people in 2012. In 2014, six out of ten drug overdose deaths involved an opioid � including prescription opioids for pain relief.
Every day, 78 Americans die from an opioid overdose. As the Opioid drug problem continues to spiral further out of control, claiming more lives, people are looking for safer, drug free ways to relieve their pain. Chiropractic offers such an option.
What Are Opioids?
Opioids are prescription medications that are intended for pain relief. They work by diminishing the intensity level of pain signals as they reach the brain. They also affect the areas of the brain that control emotion thereby weakening the perception of the pain as well. There are several very popular medications that are classified as opioids:
Hydrocodone (Vicodin)
Oxycodone (Percocet, OxyContin)
Morphine (Avinza, Kadian)
Codeine
The most commonly prescribed opioids are hydrocodone products. They are used to treat pain from injuries, dental work, and typically moderate pain. Milder pain is often treated with codeine but it is also used to treat coughing as well as severe diarrhea. Overall, opioids are used to treat everything from cancer pain to post-op pain to osteoarthritis.
What Are The Dangers Of Opioids?
Opioids have a serious risk of abuse, addiction, and overdose. Even then they are taken as prescribed, opioids can have the following side effects:
Excessive sleepiness
Nausea
Dry mouth
Vomiting
Confusion
Dizziness
Depression
Constipation
Low energy
Sweating
Low testosterone levels that result in a diminished sex drive
Itching
Decreased strength
Increased pain sensitivity
Over time, the body can build up a tolerance to the drug which means that in order to achieve the same relief from pain they must take more of it. Physical dependence is also a concern, usually going hand in hand with tolerance. Once that point is reached the patient will experience symptoms of withdrawal if they stop taking the medication.
If Doctors Are Prescribing Opioids, How Are People becoming Addicted?
In 2013, doctors wrote almost a quarter of a billion prescriptions for opioids. To put that into perspective, that is enough for every adult in the U.S. to have their own bottle of the drug. Doctors prescribe opioids to their patients in an effort to treat pain, but most of the time it is just a band aid. Instead of seeking out the root of the problem and educating their patients on whole body wellness, they prescribe pills that numb the senses, cause unpleasant or even dangerous side effects, and create addictions.
As the patient develops a tolerance for the drug, the doctor increases the prescription. This cycle continues as the patient become more and more dependent upon the drug. They may even experience more pain as the drug increases their pain sensitivity. As patients become addicted, the number of prescription opioid overdose deaths is steadily increasing. The most common drugs involved in these overdose deaths include:
Hydrocodone (Vicodin)
Oxycodone (OxyContin)
Methadone
States are putting measures in place to monitor and regulate how doctors prescribe opiates, but when desperate, addicted patients will go to great lengths to obtain the drugs they are addicted to. They will go to different doctors to get additional prescriptions or even find ways to obtain the drug illegally. It is a heartbreaking problem that is completely preventable.
How Is Chiropractic A Safer Alternative To Opioids?
Chiropractic is a proven method for managing pain relief that is not only effective but safe and drug free. Numerous chiropractic studies confirm what chiropractic patients have been saying for decades: chiropractic care is an excellent pain management method. The spinal adjustments bring the body into balance but that is only the beginning of the benefits. Chiropractic focuses on whole body wellness so patients learn how to take proactive steps to treat their condition.
It also seeks to find the root of the problem and begin healing by treating the cause. Through exercise, diet, and lifestyle recommendations in addition to the chiropractic adjustments, patients can get relief from pain caused by injury, surgery, arthritis, and many other conditions. Chiropractic is so much more than a back pain treatment; it is a whole body, whole patient treatment.
Osteoporosis is a significant health problem in the United States and worldwide. An estimated 10 million individuals have osteoporosis in the U.S. alone and an additional 18 million individuals are at risk of developing the disease, according to the American Academy of Orthopaedic Surgeons (AAOS). Females make up 80 percent of individuals who suffer from osteoporosis, but it also occurs in males although it is often underdiagnosed and thus underreported.
What is equally disturbing is that another 34 million individuals in the U.S. are at risk of developing osteopenia, a common precursor to osteoporosis. Many experts blame the typical American diet and lifestyle, although genetics can also contribute to a person�s likelihood of developing either of the diseases. The prevalence of both osteoporosis and osteopenia are serious health issues so it is important to understand them.
What Is Osteopenia?
Osteopenia is often a warning sign of impending osteoporosis. Nearly half of all Americans who are more than 50 years old have the disease.
Osteopenia is a bone disease, marked by a decrease in bone mineral density � or bone loss. While it is not as devastating as osteoporosis, it is a strong indicator that the patient will eventually develop the disease.
Nutrition and exercise are common treatments for osteopenia. Occasionally doctors will prescribe medication, but that is usually not the preferred treatment. Exercise, specifically weight bearing exercise, is a very effective treatment and preventative measure against these diseases.
Incorporating calcium and vitamin D are also common treatments. These can be in the form of supplements, but patients are also encouraged to eat calcium rich foods such as yogurt, leafy greens like spinach, and sardines.
What Is Osteoporosis?
Osteoporosis is a serious condition that causes bones to become extremely brittle and weak. The word �Osteoporosis� literally means �porous bone� which is indicative of the primary characteristic of the disease.
When the bone is viewed under a microscope, it has tiny holes in its surface. While healthy bone has a honeycomb appearance under a microscope, bone with osteoporosis has much larger spaces and holes. The mass and density of osteoporotic bone is severely compromised. This can result in frequent broken bones as well as chronic pain and a patient can even lose several inches in height.
Patients with osteoporosis can also experience limited mobility due to the disease or broken bones that may occur as a result. This can lead to other health problems including depression and obesity. These conditions can exacerbate the disease itself and increase the patient�s pain. Often patients with osteoporosis, particularly at advanced stages, require long term care in a facility such as a nursing home.
The real danger is not how devastating it is to bones, it is the way it can go undetected for so long. Often it is not discovered until a bone is actually broken or the patient�s upper back begins curving forward. Sometimes the patient may become shorter. At that stage it is usually very advanced. With the right treatment, though, it can be slowed or stopped. Sometimes bone density can be improved and the disorder can be reversed at least to some degree.
What To Do If You Have Osteoporosis Or Osteopenia
If you suspect that you may have osteoporosis or osteopenia, or may be at risk for developing it, the first thing you need to do is talk to your doctor to confirm that you do have it. From there you can decide on a course of action which is usually exercise, diet, lifestyle changes, and chiropractic treatments. The sooner you take steps to protect and improve your health, the less likely you are to develop long term conditions.
Injury Medical Clinic: Fibromyalgia Care & Treatment
After a neurological exam, physical exam, patient history, x-rays and any previous screening tests, a doctor may order one or more of the following diagnostic tests to determine the root of a possible/suspected neurological disorder or injury. These diagnostics generally involve neuroradiology, which uses small amounts of radioactive material to study organ function and structure and ordiagnostic imaging, which use magnets and electrical charges to study organ function.
Neurological Studies
Neuroradiology
MRI
MRA
MRS
fMRI
CT scans
Myelograms
PET scans
Many others
Magnetic Resonance Imaging (MRI)
Shows organs or soft tissue well
No ionizing radiation
Variations on MRI
Magnetic resonance angiography (MRA)
Evaluate blood flow through arteries
Detect intracranial aneurysms and vascular malformations
Magnetic resonance spectroscopy (MRS)
Assess chemical abnormalities in HIV, stroke, head injury, coma, Alzheimer’s disease, tumors, and multiple sclerosis
Functional magnetic resonance imaging (fMRI)
Determine the specific location of the brain where activity occurs
Computed Tomography (CT or CAT Scan)
Uses a combination of X-rays and computer technology to produce horizontal, or axial, images
Shows bones especially well
Used when assessment of the brain needed quickly such as in suspected bleeds and fractures
Myelogram
Contrast dye combined with CT or Xray
Most useful in assessing spinal cord
Stenosis
Tumors
Nerve root injury
Positron Emission Tomography (PET Scan)
Radiotracer is used to evaluate the metabolism of tissue to detect biochemical changes earlier than other study types
Used to assess
Alzheimer’s disease
Parkinson’s disease
Huntington’s disease
Epilepsy
Cerebrovascular accident
Electrodiagnostic Studies
Electromyography (EMG)
Nerve Conduction Velocity (NCV) Studies
Evoked Potential Studies
Electromyography (EMG)
Detection of signals arising from the depolarization of skeletal muscle
May be measured via:
Skin surface electrodes
Not used for diagnostic purposes, more for rehab and biofeedback
Needles placed directly within the muscle
Common for clinical/diagnostic EMG
Diagnostic Needle EMG
Recorded depolarizations may be:
Spontaneous
Insertional activity
Result of voluntary muscle contraction
Muscles should be electrically silent at rest, except at the motor end-plate
Practitioner must avoid insertion in motor end-plate
At least 10 different points in the muscle are measured for proper interpretation
Procedure
Needle is inserted into the muscle
Insertional activity recorded
Electrical silence recorded
Voluntary muscle contraction recorded
Electrical silence recorded
Maximal contraction effort recorded
Samples Collected
Muscles
Innervated by the same nerve but different nerve roots
Innervated by the same nerve root but different nerves
Different locations along the course of the nerves
Helps to distinguish the level of the lesion
Motor Unit Potential (MUP)
Amplitude
Density of the muscle fibers attached to that one motor neuron
Proximity of the MUP
Recruitment pattern can also be assessed
Delayed recruitment can indicated loss of motor units within the muscle
Early recruitment is seen in myopathy, where the MUPs tend to be of low amplitude short duration
Polyphasic MUPS
Increased amplitude and duration can be the result of reinnervation after chronic denervation
Complete Potential Blocks
Demyelination of multiple segments in a row can result in a complete block of nerve conduction and therefore no resulting MUP reading, however generally changes in MUPs are only seen with damage to the axons, not the myelin
Damage to the central nervous system above the level of the motor neuron (such as by cervical spinal cord trauma or stroke) can result in complete paralysis little abnormality on needle EMG
Denervated Muscle Fibers
Detected as abnormal electrical signals
Increased insertional activity will be read in the first couple of weeks, as it becomes more mechanically irritable
As muscle fibers become more chemically sensitive they will begin to produce spontaneous depolarization activity
Fibrillation potentials
Fibrillation Potentials
DO NOT occur in normal muscle fibers
Fibrillations cannot be seen with the naked eye but are detectable on EMG
Often caused by nerve disease, but can be produced by severe muscle diseases if there is damage to the motor axons
Positive Sharp Waves
DO NOT occur in normally functioning fibers
Spontaneous depolarization due to increased resting membrane potential
Abnormal Findings
Findings of fibrillations and positive sharp waves are the most reliable indicator of damage to motor axons to the muscle after one week up to 12 months after the damage
Often termed �acute� in reports, despite possibly being visible months after onset
Will disappear if there is complete degeneration or denervation of nerve fibers
Nerve Conduction Velocity (NCV) Studies
Motor
Measures compound muscle action potentials (CMAP)
Sensory
Measures sensory nerve action potentials (SNAP)
Nerve Conduction Studies
Velocity (Speed)
Terminal latency
Amplitude
Tables of normal, adjusted for age, height and other factors are available for practitioners to make comparison
Terminal Latency
Time between stimulus and the appearance of a response
Useful in assessing demyelinative peripheral neuropathies
Sources
Alexander G. Reeves, A. & Swenson, R. Disorders of the Nervous System. Dartmouth, 2004.
Day, Jo Ann. �Neuroradiology | Johns Hopkins Radiology.� Johns Hopkins Medicine Health Library, 13 Oct. 2016, www.hopkinsmedicine.org/radiology/specialties/ne uroradiology/index.html.
Andres “Andy” Martinez first came to see Dr. Alex Jimenez in Push Fitness after experiencing low back pain and knee problems. Following a period of physical therapy and rehabilitation, Andy became involved in crossfit, where he learned everything he needed to know about health and wellness from the trainers at Push. Andres Martinez expresses how grateful he is to receive the amount of care he does from the staff and he describes how much his perspective of fitness has changed from the first time he walked in to Push Fitness. Andy has found a family at Push who led him to a healthy, clean life and both the trainers and staff mean everything to Andres Martinez.
Chiropractic Low Back Pain Therapy
CrossFit is a strength and conditioning system consisting chiefly of a mixture of aerobic exercise, calisthenics (body weight exercises), and Olympic weightlifting. CrossFit, Inc. clarifies its strength and conditioning system as “continuously diverse functional movements executed at high intensity across wide time and modal domain names,” with the stated goal of enhancing fitness, which it defines as “work capacity across wide time and modal domains.” CrossFit gyms use gear from multiple disciplines, such as barbells, dumbbells, hands rings, pull-up bars, jump ropes, kettlebells, medicine balls, plyo boxes, resistance bands, rowing machines, and various mats. CrossFit is focused on”constantly diverse, high-intensity, operational motion,” drawing on categories and exercises.
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As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
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Health: At its core, chiropractic is about allowing the body to naturally seek its natural balance, allowing all systems to work together. When it is unencumbered it can actually begin to heal itself. However, it can only attain proper function when it is at its proper structure.
When the structure becomes impaired through disease, stress, or injury, function becomes impaired. The degree of impairment often depends on a variety of factors including the nature of the root cause, the length of time it is left unchecked, and the patient�s support system.
Chiropractic is an exceptional part of a patient�s wellness team, addressing existing conditions as well as preventing many health issues. While most people relate the physical aspect of chiropractic to the practice, it is really a whole body approach to wellness. Chiropractic address body, mind, and spirit.
Health
Body
Chiropractic for physical health helps manage pain and heal injuries. Patients who receive regular chiropractic care enjoy a greater range of motion and improved mobility as well as decreased or even the elimination of pain in the body. Spinal misalignments can cause misalignments I other parts of the body which can cause a variety of symptoms from pain to impeded organ function.
When a part of the body is injured, such as the ankle, the body attempts to compensate. It may cause the pelvis to tilt or the spine to curve. The patient may experience pain in the hips, knees, and lower back.
Chiropractic addresses these issues, seeking out the root of the problem and then working to bring the body back into perfect balance. It is a viable and effective treatment for back pain, joint pain, sprains, carpal tunnel syndrome, headaches, and tendonitis. However, it can also be used to treat digestive disorders, asthma, and allergies.
Mind
Imbalances of the mind, such as depression and anxiety are not only destructive and debilitating on their own, they can also exacerbate pain and immobility in the body. These conditions often occur when there is an imbalance of some kind, usually within the brain.
When the body itself is out of alignment, it can inhibit the transmission of messages between the brain and vital nerves. Misalignment that blocks the central nervous system can cause imbalances in the brain, leading to conditions like depression.
Spinal misalignments and pain put a great deal of stress on the body which can affect the mental state. Physical stress that comes from injury or illness can bring about anxiety and panic disorders. When left unchecked, it can lead to mental health issues that can affect family, work, and social activities.
Chiropractic for mental health addresses several mental health issues by aligning the physical body and promoting whole body wellness through lifestyle changes, diet, exercise, and other therapies like massage. When the whole body is in alignment, mind, body and spirit are healthier.
Spirit
You don�t hear a lot about chiropractic for spiritual healing, but many practitioners are discovering the spiritual benefits of the treatment. Doctors have long known that a person�s thoughts contribute to their physical health. A person�s spirituality, their connection to whatever that means to them, plays a very significant part in their overall wellness both mentally and physically.
Chiropractic for spiritual healing may incorporate meditation, yoga, massage, and breathing exercises into treatment. When the physical body is out of balance, the spirit can become imbalanced as well. Bring the body into alignment, and the spirit will follow.
The nervous system is what controls the entire body; when there is interference, the energy cannot flow as it should, causing discomfort and disease mentally, physically, and spiritually. When the flow of energy is without interference, the body can begin to heal itself.
Injury Medical Clinic: Elderly & Geriatric Fitness
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