Doctor of Chiropractic, Dr. Alexander Jimenez looks at the cervical spine and low back pain.
Low back pain and leg pain are the most common cause of disability worldwide. As such new research based treatment approaches are needed. This new randomized trial by BCP Non-profit and Cairo University tested the ability of the cervical Denneroll orthotic to improve cervical spine curvature and its consequent effect on low back and leg pain. Great short term results were found where patients receiving the cervical spine Denneroll improved with low back pain, leg pain, neurological outcomes and disability compared to a PT only interventional group.
When mid-afternoon fatigue sets in, it’s easy to reach for a cup of coffee or a sweet treat for a quick boost. Unfortunately, the energy boosting effects are short-lived and often lead to a crash later in the day.
Instead, experts say it�s best to opt for a snack that’s rich in protein, fiber, and complex carbohydrates for a natural energy boost. Here are nine of the best options for energy-boosting snacks and meals that will keep you alert throughout the entire day.
Nuts. Almonds, pistachios, and other nuts contain important nutrients like magnesium and B vitamins which help convert food to energy. Pistachios have a powerful combination of protein, fiber and heart healthy monounsaturated fats, making them a great snack choice.
“Research shows that people with low magnesium levels tend to tire more quickly during exercise due to magnesium’s role in energy metabolism,” dietitian Rachel Berman says. A lack of B vitamins can cause fatigue, irritability and poor concentration. Berman suggests one serving, or about 23 nuts, to keep calories low.
Whole grains. “Thanks to fiber, whole grains help prevent the blood-sugar crashes that happen after consuming refined or simple carbohydrates,” says Berman. Whole-grain carbohydrates, like popcorn, are a great afternoon snack choice. The volume of popcorn also keeps you satisfied longer than chips or crackers. Try popping your own and adding herbs and spices, instead of butter and salt.
Nut butters. Peanut butter and almond butter can provide a great energy boost. They’re filled with health fats, protein and fiber, which help keep blood sugar levels stable. Berman says make sure you avoid brands with added sugars and stick to just a 2-tablespoon serving.
According to a study done at the University of Cambridge in England, protein also activates cells that help keep you awake. Researchers found that the cells responsible for our energy levels respond better to amino acids in proteins than in other nutrients.
Fish. Salmon is filled with omega-3 fatty acids, nutrients that can boost energy and mood. Berman says the nutrients found in fish have also been found to improve memory and reduce depression. The healthy fats found in fish like salmon also help lower blood pressure and bad cholesterol, making them heart healthy choices.
Bananas. These sweet treats are a great source of fiber, B vitamins, and potassium � nutrients that promote sustained energy. Bananas make for a great pre- and post-workout snack. Berman suggests a banana with a cup of yogurt for an energizing snack with fiber and protein for sustained energy.
Kale. This leafy green contains the amino acid L-tyrosine, which is great for an energy boost. The leafy green also contains fiber and a number of antioxidants which help stabilize blood sugar, says Berman.
Oatmeal. A dish of this high-fiber, filling breakfast staple can provides lasting energy all day long. Dieticians recommend looking for breakfast foods that contain at least 3 grams of fiber per serving. Options can include: oatmeal, whole-grain breads or pancakes, high-fiber breakfast cereals and quinoa.
Hummus. Made of garbanzo beans, sesame-based tahini, olive oil, and lemon, hummus is full of nutrients that contribute to high energy levels. The fiber and protein in the beans help stabilize blood sugar and boost energy. Use hummus as a veggie dip or a sandwich spread for a great snack or healthy lunch.
Greek yogurt. Compared to regular yogurt, Greek yogurt contains twice as much protein, making it a great breakfast or snack option. “The thick, indulgent texture is the perfect canvas for a variety of toppings that can make it even more substantial,” says dietitian Kari Kooi. Add fruit, nuts, or low-calorie granola to make it even more nutritious.
A new study found that gluten-free diets could increase cardiovascular risk in people without celiac disease. The study claims that gluten-free diets among people without celiac disease is not associated with risk of coronary heart disease, but such diets result in a low intake of whole grains, which are linked to cardiovascular benefits.
Researchers say that gluten-free diets among people without celiac disease should not be encouraged, as people could miss out on the benefits of whole grains.
Researchers say that gluten-free diets among people without celiac disease should not be encouraged. Image credit: iStock.com / Everyday Health
People with celiac disease, on the other hand, usually have to follow gluten-free diets because the protein found in wheat, barley, and rye can cause them to develop gastrointestinal issues.
Gluten-free diets should not be encouraged to people without celiac disease
The study was published in the BMJ on May 2, and researchers noted that cutting out gluten unless medically necessary can increase a person�s risk of cardiovascular problems. The researchers analyzed data from 64,714 women and 45,303 men who worked in the health industry, each of whom had no history of heart disease.
Subjects were asked to fill a detailed food questionnaire in 1986, and they were required to update it every four years until 2010. The scientists noted that they saw no significant association between gluten intake and heart disease risk.
�Long term dietary intake of gluten was not associated with risk of coronary heart disease. However, the avoidance of gluten may result in reduced consumption of beneficial whole grains, which may affect cardiovascular risk,� wrote the researchers on the study.
Gluten is a storage protein found in wheat, rye, and barley, and it is known to trigger inflammation and intestinal damage in people with celiac disease. According to the researchers, celiac disease is present in 0.7 percent of the U.S. population, and because it is associated with an increased risk of coronary heart disease, patients are recommended to shift to a gluten-free diet.
Gluten is a storage protein found in wheat, rye, and barley, and it is known to trigger inflammation and intestinal damage in people with celiac disease. Image credit: Thankheavens.com.au
The study claims that currently many people reduce gluten in their diet because they believe that it will lead to general health benefits. A national survey showed that in 2013 nearly 30 percent of adults in the U.S. reported that they were cutting off or reducing their gluten intake. However, the researchers noted that despite the rising trend in gluten restriction, no study has linked gluten with the risk of coronary heart disease in people without celiac disease.
�Although people with and without celiac disease may avoid gluten owing to a symptomatic response to this dietary protein, these findings do not support the promotion of a gluten restricted diet with a goal of reducing coronary heart disease risk,� warned the researchers.
Researchers concluded their study saying that it found no evidence of gluten diets and coronary disease among male and female health professionals analyzed for more than 25 years and that further research is needed to investigate the link between gluten and cardiovascular problems, as their study was merely observational.
Seniors who have a good relationship with their adult children also have a reduced risk of developing dementia, according to a new UK research published Tuesday in the Journal of Alzheimer’s Disease.
Carried out by a team of researchers from the University of East Anglia (UEA), University College London (UCL), London Metropolitan University and the University of Nottingham, the study looked at the effect of positive social support on dementia risk.
The team analyzed data that followed 10,055 participants over a 10-year period, who were all dementia-free at the start of the study.
Participants were interviewed every two years and incidence of dementia was identified from self-reports by participants or information given by nominated friends and family.
The results showed that positive support — characterized by having a reliable, approachable and understanding relationship with partners, children, and family — reduced the risk of developing dementia.
However, negative social support — characterized by critical, unreliable and annoying behaviors — had a stronger but negative effect on health, and was linked with an increased risk in developing dementia.
Commenting on the findings Dr Mizanur Khondoker, one of the study’s authors, said, “It is well known that having a rich network of close relationships, including being married and having adult children, is related to a reduced risk of cognitive decline and developing dementia.”
“However, a relationship or social connection that does not work well can be a source of intense interpersonal stress, which may have a negative impact on both physical and mental health of older adults. It is not only the quantity of social connections, but the quality of those connections may be an important factor affecting older people’s cognitive health.”
UCL Prof Andrew Steptoe also added that, “Our results will add to the impetus underlying local and national efforts to help strengthen the social relationships of older people, many of whom are isolated and lonely.”
Prices for generic topical steroids to treat skin conditions like eczema and psoriasis are on the rise, and many seniors may pay more for generic medications than the brand-name versions, a U.S. study finds.
Researchers compared average out-of-pocket patient costs as well as spending by Medicare, the U.S. health insurance program for people 65 and older, for several commonly prescribed topical corticosteroids that have been used for decades to treat a wide variety of inflammatory skin conditions.
Medicare Part D, the drug benefit program, spent $2.3 billion on topical steroids between 2011 and 2015, the study found. During that period, spending surged 227 percent while the number of prescriptions increased just 37 percent.
If doctors had prescribed the cheapest version when a variety of similarly effective options were available, Medicare could have saved $944.8 million, the researchers calculate.
Patients could have saved a lot too; seniors’ annual out-of-pocket spending for topical steroids grew from $41.4 million to $101.8 million, 146 percent, during the study period.
“Patients often have difficulty paying for their medications and many patients on Medicare are retired and on fixed incomes,” said senior study author Dr. Arash Mostaghimi, a dermatology researcher at Harvard Medical School and Brigham and Women’s Hospital in Boston.
“Paying extra for their medications may mean going without other medications or sometimes food,” Mostaghimi said by email.
Generics accounted for almost 98 percent of total spending on topical steroids during the study period, the researchers report in JAMA Dermatology.
In theory, generic drugs are supposed to come on the market after brand-name versions lose U.S. patent protection and help lower prices by increasing competition. The study of topical steroid costs, however, offers one look at a much more complex and confusing reality.
For the study, researchers examined costs for drugs grouped based on potency, or how much medication is blended into the ointments and creams. They sorted drugs into five classes, with one being the most potent and five being the weakest potency.
Costs grew at the slowest rate, 23 percent, for the weakest steroids, the study found. By contrast, costs rose the most, 604 percent overall, for the most potent group of steroids.
Within that group of most potent steroids, the steepest increase in average user costs was for clobetasol propionate (Temovate), which is used to treat itching and inflammation from skin issues caused by allergic reactions, eczema and psoriasis. During the study, user costs for this drug climbed by more than 605 percent.
Limitations of the study include the lack of data on certain drug manufacturer rebates that might help lower costs, the authors note. Researchers also didn’t know if doctors had certain clinical reasons for choosing specific versions of similar medicines.
Still, the study illustrates something doctors already see all the time: that these costs often take a toll on patients, said Dr. Joslyn Kirby, author of an accompanying editorial and a dermatology researcher at Penn State Hershey Medical Center.
One challenge for doctors is that they can’t always see what different steroids of similar potency cost when they prescribe the drugs, because that’s not in electronic medical records, Kirby said by email.
“I ask my patients to contact me and let me know if the medication I prescribed during the appointment is too expensive when they go to the pharmacy,” Kirby added. “I need my patients to know that it’s ok to tell me that something is too expensive, because I can work with our staff to find an alternative or a solution.”
On the market for a new fitness tracker? On April 12, Garmin released its newest wearable, the Vivosmart 3 ($140; amazon.com), the update to its Vivosmart HR+ fitness tracker that was released almost a year ago.
The Vivosmart 3 comes with a few new features that make it useful not only for cardio fanatics, but also your run-of-the-mill gymgoer. As a self-proclaimed cardio hater (sorry, but you�ll never catch me “just going for a jog”), I decided to put the Vivosmart 3�s features to the test. Here�s what I thought.
The look:
Fitbit diehards may have a run for their money when they see how slim (and Fitbit-like) Garmin�s newest model looks. According to Garmin, this wearable is �a master of subtlety.� The touchscreen is smaller than the tracker’s previous versions, so it doesn�t look like a clunky brick on your arm. Plus, the display isn�t perpetually lit up�the screen only brightens when you tap or lift your wrist slightly to check the time. Other features include the traditional watch-buckle band and two color options: black or a grayish-purple.
New standout features:
Garmin has always offered step and mileage counting in its fitness trackers, but now you can also use the device to long your strength-training workouts. A rep-counting feature can be turned on to track your reps and sets and record them in the Garmin Connect app.
The Vivosmart 3 can also track your VO2 max�the maximum amount of oxygen your body can use at any given moment�and translate that data into your �fitness age.� For challenge-loving exercisers, it�s an easy way to notice changes in your athletic ability over time.
The coolest new feature, in my opinion, is the device�s ability to track your stress levels. The Vivosmart 3 uses your heart rate variability to estimate how stressed you are on a four-level scale. If it turns out you�re feeling the pressure, the watch can help you calm down with a breathing exercise. Set the duration (1 to 5 minutes) and hit start; the watch then commands you to breathe in and out in counts of four.
Features like sleep tracking, a heart rate monitor, a 5-day battery life, and a waterproof shell have been passed down to this latest installment.
The bottom line:
This watch provides all the features you’d expect�smartphone notifications, heart rate and step tracking, and other fitness tracking features�but it�s the new abilities that really make the Vivosmart stand out. I love to lift (and hate cardio), and now, there’s finally a watch that can help me achieve my goals in the gym. I’m also a fan of the stress-level indicator. The streamlined design makes the watch much more attractive than its predecessors, and is something I’m not embarrassed to wear all day.
At $10 less than Fitbit�s newest wearable, the vivosmart 3 could be a top fitness-tracking contender. I give it an A+ in my cardio-loathing book.
Undetected or “silent” seizures may contribute to some symptoms associated with Alzheimer’s disease, such as confusion, a small study suggests.
The seizures occur in the hippocampus — a part of the brain involved in the consolidation of memories. Researchers suspect that treating these seizures could help manage Alzheimer’s or possibly slow it down.
“While it is not surprising to find dysfunction in brain networks in Alzheimer’s disease, our novel finding that networks involved in memory function can become silently epileptic could lead to opportunities to target that dysfunction with new or existing drugs to reduce symptoms or potentially alter the course of the disease,” said study senior author Dr. Andrew Cole.
Cole directs the Massachusetts General Hospital (MGH) Epilepsy Service.
“We now have to study more individuals to validate this finding and understand how prevalent it is in Alzheimer’s patients, whether it occurs in other neurodegenerative disorders and how it responds to treatment,” he said in a hospital news release.
Prevalence of Seizures to Alzheimer’s Symptoms
The study involved only two women. They were both in their 60s with symptoms associated with Alzheimer’s disease. The women had bouts of confusion or asked the same questions repeatedly.
Brain images and cerebrospinal fluid tests suggested they had Alzheimer’s, but swings in the women’s symptoms were much more dramatic than usual.
Neither of the women had a history of seizures. Normally, a test called an EEG conducted from the scalp can detect abnormal electrical activity in the brain of people who have seizures. But, in these two women, no such abnormalities were found, the researchers said. Since the hippocampus is a key part of the brain affected by Alzheimer’s disease, and also a common source of seizures in people with epilepsy, the researchers honed in on that part of the brain and conducted additional tests.
Electrodes were placed on both sides of the women’s brains through a naturally occurring opening at the base of the skull. Their brain activity was monitored for 24 to 72 hours.
The study found the women had seizure-like activity in the hippocampus. One woman had frequent surges of electrical activity usually associated with seizures that were not picked up by the scalp EEG. Three seizures occurred during sleep. None of these episodes caused any noticeable symptoms. Anti-seizure drugs eliminated the seizure-like activity. In the year that followed, the woman only had one incident of confusion, which occurred when she missed doses of her medicine.
The other woman also had frequent spikes in electrical activity in the hippocampus during sleep. This patient was also treated with anti-seizure medication but the treatment was discontinued due to unwanted mood-related side effects.
“Our findings confirmed the presence of serious dysfunction of the neuronal networks affected by Alzheimer’s disease and confirmed our hypothesis that epileptic phenomena are an important component of that disturbance,” said Cole. But, he added, more study is needed. The researchers hope to develop a way to detect these silent seizures without using the minimally invasive electrodes in the brain.
SOURCE: Massachusetts General Hospital, news release, May 1, 2017
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Headache and Auto Injury
After being involved in an automobile accident, it’s common for auto injury symptoms to manifest within the first 24 hours following the incident. Neck pain and headaches are some of the most prevalent symptoms associated with whiplash and other auto injuries. Due to the sudden back-and-forth jolt of the head from the impact of a car wreck, the complex structures surrounding the cervical spine or neck can become damaged or injured.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
Gluten is a storage protein found in wheat, rye, and barley, and it is known to trigger inflammation and intestinal damage in people with celiac disease. Image credit: Thankheavens.com.au
