Chiropractor Dr. Alexander Jimenez of Injury Medical and Chiropractic Clinic focuses on long-haul truck driversand non-invasive spinal treatments. Truck drivers are at a much higher risk of developing degenerative spinal disorders from the stress that constant driving and repetitive lifting can place on the spinal muscles of the lower back.
Driving a huge truck for eight to ten hours every day/night means the person sits in a stationary position for a long time. The muscles, joints, and ligaments tend to become stiff, and proper blood circulation is affected over time. Ailments can last for weeks, even up to several years if drivers don’t take time to focus on their health and find the right treatment.
Teams are in a truck that never stops. Even sleeping in the bunk, these drivers are subject to constant vibration and bouncing as the truck moves. Roads that are poorly maintained can cause impact trauma to both the driver and the person in the bunk. Various factors can cause musculoskeletal pain like:
Having limited mobility can lead to structural problems like pain in the back, hip, knee, shoulder, arms, and legs. This is compounded by the fact that prescription medications are the norm for these issues and can be dangerous.
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Long Haul
These individuals are taught proper lifting techniques but with time forget to follow them during the rush to make the delivery/s on time. Driving for extended periods regularly places added strain on the back. This is due in part because these individuals can’t use their feet to support the lower part of their bodies while working the pedals of the truck.
The continuous instability, vibrations, and positional changes that come with long-haul driving can cause tension in the spine and surrounding muscles in the area. Research has shown that vibration of the body while driving increases the load on the lower back and driving on roads that are not maintained can exacerbate the condition.
The continuous bouncing can lead to spinal disc compression, which in turn causes degeneration of pain in the spine and nerves. This continuous strenuous routine can lead to herniated/bulging discs, which can cause pain and lead to the development of other spinal conditions like sciatica. Improper alignment of the spine can lead to dysfunction and pain in one or several areas of the body. Other conditions that could develop include:
Facet joint syndrome – the cartilage wears away making the spinal joints stiff and swollen. This syndrome can lead to reduced mobility.
Spinal compression from sitting in a single position for a long time places pressure on the spinal column. As the spinal column compresses, it causes tightness in the lower and upper back muscles.
Sciatica is a combination of symptoms and pain that travel from the lower back to the knee and even into the foot. Usually, caused by a herniated disc that compresses the sciatic nerve, it can cause shooting electrical pain down the leg. Drivers with sciatica can also have tight gluteal muscles that place pressure on the nerve.
Neck pain from tight and tender muscles can affect the middle back and cervical/neck area of the spine causing soreness.
Tension headaches begin with the muscles at the base of the skull. When these muscles are tight, they can pinch the nerves, beginning a headache.
Shoulder pain can be caused by overuse when loading, along with rotator cuff injuries and bicep tendonitis. An inflamed bicep can cause inflammation and pain in the shoulder.
Preventable and Treatable
Prevention and proper treatment are key. Here are a few simple ways to improve the drive:
Better seating to reduce vibration
Correct sitting posture
Chiropractic/physical therapy
Exercise
Proper diet
Ice therapy
Proper sleep support
Proper Seat
The seats that are standard in a truck do not offer proper support for a driver’s back, shoulders, neck, and legs. A seat pad for extra comfort or a memory foam seat with a massage base can relax the muscles. For quick lumbar supportroll up a pillow, towel, or t-shirt and place it behind the lower back.
An ergonomic truck seat helps fight the discomfort and awkward positions, that result in positive posture. A proper seat will force the back into its healthy arch. Driving with less strain helps:
Boost circulation
Distribute the body weight evenly
Helps drivers operate longer
Reduces the vibrations running through the body
These long-haul drivers can choose to bypass invasive procedures that can take months to heal. This is because the inability to drive means they don’t earn a check. And being taken out of a driving job for any period can cause financial difficulties.
Chiropractic provides long-haul truck drivers with a non-invasive, drug-free way to treat injuries, manage conditions, and relieve pain. Regular chiropractic can help correct postural habits that expose the body to injury or move the body and the spine out of alignment. It can identify emerging issues before they become a severe condition.
Larger truck stops offer drivers access to medical and chiropractic services allowing them to get treatment when they need it. Long haul drivers can be out for weeks and may not be able to get their regular adjustments. But it is still a good idea to have a regular chiropractor at home so you can stay healthy and on the road.
Chiropractic works great for neck and back problems, but it is highly effective for the entire body. Carpal tunnel syndrome or CTS is becoming a widespread health issue with so many working on computers, devices, phones, etc. Chiropractic is perfect for treating CTS. It relieves pain, loosens/stretches the ligaments, and promotes healing without meds. �
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Carpal Tunnel
Carpal tunnel is diagnosed as a repetitive stress injury. This is a condition that affects the hands and wrists. The most common symptoms include:
Tingling
Numbness
Weakness in the middle, index, and thumb
Pain in the wrist/hand
Gets worse at night
It is found in:
Hairdressers
Office workers – typing, writing, filing, etc.
Mechanics
Cashiers
Those who perform repetitive hand motions throughout the day
It is estimated that around 3% of adults will deal with CTS at some time in their lives. Around 50 percent of workplace injuries are attributed to CTS. Research has shown that job occupation plays a large role in how it develops. �
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The carpal tunnel lies on the front side of the wrist. Here is where the blood vessels, nerves, and tendons necessary for the hand to move and work reside. The carpal tunnel can become inflamed, damaged, or strained with added pressure on the area compressing the arteries and nerves. This is when CTS develops. It starts slowly with symptoms gradually worsening as the condition progresses.
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How chiropractic helps
There are 3 primary ways that chiropractors treat carpal tunnel syndrome. Manual Adjustment of the:
Upper spine
Arm
Wrist
If the spine is out of alignment it could contribute and exacerbate the carpal tunnel. Chiropractic utilizes spinal manipulation to realign the spine to its correct position. These adjustments are performed by hand, but special devices, instruments, tools, rollers, etc, could be used during the treatments. A chiropractor will make adjustments to the arm and wrist, as well. �
� Ultrasound
Ultrasound uses low energy sound or high energy sound. The sound waves are highly focused and penetrate the body�s tissue at a very deep level. These waves are quite effective in reducing inflammation, alleviating pain, and relaxing the muscles. It could be used as a stand-alone treatment or along with chiropractic treatment. �
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Wrist Supports
Wrist supports are used to keep the wrist properly aligned with the rest of the arm to reduce pressure and compression. It can be used as a preventative measure against carpal tunnel. A chiropractor could go with this option if the individual does repetitive work that could contribute to the condition. �
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This is usually done in conjunction with regular chiropractic care. When treating carpal tunnel, a chiropractor could suggest certain therapeutic exercises and a dietary change to help promote optimal wellness. This is to help the individual get the most benefits from the treatment and to help prevent the condition from worsening, as well as, other conditions. �
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Posture
Proper posture is essential for optimal health, well being, can help avoid age-related conditions and allows the organs room to operate properly and efficiently. Posture can be affected in different ways. Sustaining an injury is one in which the body compensates by listing to one side or hunching over to relieve the pain.
Another reason is slouching. Those of us that just don�t stand and sit up straight through bad habits, lack of exercise, improper diet, medication, and the list goes on and on. Whatever the reason, poor posture will gradually lead to:
Back pain
Headaches
Increased risk of injury
Decreased flexibility
Decreased mobility
It can cause the body to age quicker. However, in most cases, even those with extremely poor posture can find help and return to a high quality of life. Chiropractic has shown to help many regain a straight, healthy posture.
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Postural Conditions
There are postural conditions that chiropractic is very helpful in alleviating, include:
Forward head posture – usually associated with mobile devices
Kyphosis
Scoliosis
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Treatment
A chiropractor will:
Discuss the problem/s you are experiencing
Listen to the complaints
Find out when the problem started
Go through events or work that could have contributed to the problem
Thoroughly evaluate the medical history
Observe the way you sit, walk, bend, and movearound
A chiropractor will request x-rays and assess the alignment of the spine. If necessary a neurological or orthopedic test could be done to ensure that there is no underlying condition or injury that is causing the problem.
They will ask you to stand straight and possibly take measurements to determine if there is any visible deviation from the optimum posture. They will then ask you to move and bend while they test the range of motion, mobility, flexibility along with muscle strength and length. �
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Posture Plan
Once the assessments are complete the chiropractor will discuss the best treatment option available. They will walk you through the adjustments that will be performed along with other therapies they might recommend. The best course of action to relieve any pain will be discussed, as well as get your spine into proper alignment improving posture. They will also talk to you about stretching exercises and things to do at home. They could also discuss:
Sleep positions
Diet
Work area adjustments
Exercise
Weight loss
Chiropractic focuses on whole-body treatment. This means addressing lifestyle changes and getting the individual into optimal shape. Basic chiropractic adjustments can help improve posture within a few sessions.
After the body is in alignment you will feel more energetic, healthier, and happier. The body is an intricate machine and when one part is out of order it begins to affect all the other parts. Chiropractic can improve overall health and wellness. We want to get your body functioning more effectively and efficiently and feeling better.
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Chiropractic Podcasting: Why Chiropractic Works
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Spinal injections are exactly what the name says. They are administered direct injections of medicine/s in a specific location of the spine. These are used to treat various conditions affecting the spine when non-invasive treatment/s are not working.
This could be an area along the upper cervical/neck spine all the way down to the sacrum. Injections are also utilized in helping to diagnose neck or back pain that radiates or spreads into an individual�s arms and legs. These are known as:
Cervical radiculopathy
Lumbar radiculopathy
Spinal injection/s for diagnostic or treatment purposes could be a part of an overall treatment plan along with chiropractic/physical therapy and possible medication.
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The medicine in the injection
The medicine could be comprised of a local anesthetic on its own, steroid on its own, or a combination of the two. Steroids are short for corticosteroid, which is a strong anti-inflammatory medication. A contrast dye like an x-ray dye could be added to the injection mix. This dye acts as a guide for precise placement of the needle using image guidance.
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Spinal disorders that could benefit
Proceeding with an injection treatment plan is based on an individual’s unique factors that apply to their condition/state. This decision will be made after consultation, and diagnosis with your doctor, spine specialist, or chiropractor.
Healthcare providers recommend conservative treatment first. A treatment plan typically runs around 4-6 weeks. If there is no change or improvement in the individual’s condition from the conservative therapy then injection treatment/s could be recommended. Conditions, where injection/s are used, include:
Disc herniation
Facet joint pain
Failed back syndrome
Sacroiliac joint pain
Sciatica
Spinal stenosis
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Spinal injection and nerve block difference
Spinal injections are a general term that could mean any type of injection involving the spine. Nerve blocks are a precise type of injection that targets a specific nerve. As the medicine is injected into the target nerve/s, it blocks or creates a blockade of the pain signals being sent from the area (ex. neck, low back, etc.) that is generating the pain.
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Injection types
Epidural
An epidural means an injection on the dura. The dura is the outermost layer that encloses the spinal cord. �
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3 types of epidurals. They are named according to the direction and angle the needle takes to get to the dura.
Caudal epidural:
The spinal canal ends at an opening at the end of the sacrum called the spinal hiatus. The medicine is injected into the epidural space through the sacral hiatus. This is the method that is used to provide anesthesia to pregnant women when they’re in labor. �
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Transforaminal epidural:
There are nerve roots that come out of the spinal canal at each level through a bony opening called the intervertebral foramen or neuroforamen. The medicine is injected into the epidural space in these areas.
Interlaminar epidural:
The lamina is a section that forms the arch of each level and forms the spinal canal. The lamina at each level lays on top of the lamina right below. The needle is inserted between the lamina for delivery of the medicine into the epidural space. �
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Selective Nerve Root Block – SNRB
These involve the injection of a local anesthetic onto a targeted nerve. They are typically used for diagnostic purposes. For individuals with multi-spinal compression/s, these combined with:
Medical history
Physical exam
MRI
These can help identify the pain generator such as spinal stenosis.
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Medial Branch Block – MBB
The facet joints are bony projections that connect a vertebral level to the levels above and below. These can become arthritic and is responsible for different forms of back pain.
This type of spinal injection is local anesthetic injected on the medial branch nerves. These are the nerves that send pain signals from the facet joint/s. They are useful in determining if the facet joint is the pain generator. �
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Facet Joint
These are injections directly into the facet joint itself. Much like injecting anti-inflammatory and pain meds into a knee with arthritis.
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Sacroiliac Joint
The two sacroiliac joints help connect either side of the sacrum to the hip joint. Like other joints, these can get inflamed and cause painful symptoms. This is an injection directly into one or both of the sacroiliac joints.
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Administration of the spinal injection or nerve block
Injections are only to be performed by doctors trained specifically in spinal injections. Injections are usually performed by an:
Anesthesiologist
Neurologist
Neurosurgeon
Orthopedic surgeon
Physiatrist
Radiologist
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Role of these procedures
Reasons why an injection could be used:
Help as a diagnostic to identify the pain generator
Therapeutically to provide pain relief
As a prognostic pain predictor of the relief, an individual could expect from a more invasive procedure like nerve ablation.
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How often
A maximum of 6 injections for one year is the recommended treatment protocol. Each injection should be based on the effect/s of the previous injection.
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Potential benefits
The main benefit is to bring pain relief and the ability to function.
Major complications happen in less than one percent of those undergoing the treatment. Individuals with diabetes could see a temporary elevation of their blood sugar.
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Lasting effects
How long the medicine lasts is different for everyone and comes with variables like:
Type of injection
Type of pathology
Diagnosis
Cause
How long the symptoms last
Most can expect to have one and a half to three months of relief. However, with some, they may only provide minimal relief, while others may see improvements for up to a year.
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Treating Severe & Complex Sciatica Syndromes
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Strength training: The Centers for Disease Control have estimated that around 16% of six to nineteen-year-olds in the US are overweight or obese. This comes from inactivity, no movement, exercise, and poor diet. On the other end, young athletes search for ways to gain an edge, often falling victim to steroids and all of the negative effects they have.
This is where strength training comes in. This could be an answer to getting kids off the couch, moving, and offers a healthy alternative to the young athletes looking for that competitive edge. Fitness experts, doctors, health coaches, and parents say absolutely.
The focus for children in strength training is not to bulk up, as this is not weightlifting, powerlifting, or bodybuilding. Fitness experts agree that these types of training regimens are not healthy or safe for children. The goal is to:
Added benefits of strength training can help young athletes improve performance through increased endurance.
Training Guidelines
It is fundamental to find a program that is safe and successful for children. Parents want a program designed specifically for kidssupervised by a fitness professional with child experience, and most of all, it is fun. For strength training, there is not a minimum age; however, the kids should understand and follow directions.
Before starting a child on any new fitness program, check with their doctor or healthcare provider.
A training program should include:
A session should start with a 5-10 minute warm-up exercise/s like stretching and light aerobics.
Every session should end with a cool-down combined with stretching and relaxation.
Kids should not immediately be using weights until proper form and technique are learned.
Kids should start with their own body weight, bands, or a bar with no weight.
Using 6-8 different exercises that address all the muscle groups, begin with 8-15 repetitions.
Each exercise should be done with a complete follow-through of the full range of motion.
If the repetitions are too much with a specific weight, reduce the weight.
Repetitions and sets should gradually increase over time to maintain the intensity of the training.
Add more weight only when the child displays the proper form and can easily do at least 10 reps.
Workouts should be 20 to 30 minutes long, 2 to 3 times per week, to get the most benefit.
Make sure to rest a day between each workout day.
Safety
Strength training was not always considered an appropriate exercise for kids. Doctors and fitness professionals believed that it was unsafe for a child’s growing body because of the added pressure on growth plates or the cartilage that has not fully turned into solid bone. However, experts now know that kids can safely participate in a strength training program with proper technique and supervision.
As with any exercise/fitness regiment, safety measures need to be in place along with heightened supervision. Unfortunately, most injuries happen when kids are not supervised, not using proper techniques, or from trying to lift too much weight. Here are some safety precautions to remember:
Learning new exercises should be done under the supervision of a trainer/instructor, making sure proper technique and form are used.
Smooth, controlled motions should be the goal.
Controlled breathing and not holding their breath needs to be taught
Proper technique will help avoid injuries
The kids’ progress should be monitored
Have the children record the exercises they have done, how many reps, and the amount of weight/resistance.
If enrolled in a strength training class, a good ratio is one instructor per 10 students. With this ratio, the kids can receive proper instruction and supervision.
Kids should train in a hazard-free, well-lit, and properly ventilated facility.
Make sure the kids drink plenty of water during and after the workout
Fitness trainers/instructors will see to it that there are frequent rest and rehydration breaks
Keep in mind
In a strength training program for children, there should be no competitive drive. Instead, the focus should be on participation, learning the movements, and positive reinforcement. Set realistic goals and expectations for the child to understand that it will take time to learn these new skills.
Remember that kids do not increase muscle size until after puberty. Please make sure the kids enjoy the strength training sessions and that they are having fun. Keep in mind that kids can become easily bored. Therefore, use various exercises and routines, keeping them excited and wanting to learn and do more.
Healthy Habits
Getting kids interested in fitness early on can help establish a life-long habit of wanting to be and stay healthy. This includes a balanced diet, plenty of rest, and regular exercise. When done correctly, strength training can be a fun and highly beneficial activity.
Our brain is constantly working to help us make decisions, speak, read, and perform many other important functions. It’s also responsible for several involuntary processes, including breathing, regulating body temperature, and secreting hormones. The brain needs a consistent supply of energy in order to perform these essential functions. It mainly uses glucose as fuel for energy, however, does the brain really need glucose from carbohydrates to function properly?
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What Happens When You Don’t Eat Carbohydrates?
According to healthcare professionals, the brain needs between 110 to 145 grams of glucose per day to function properly. Most people who follow a high-carb diet provide their brains with an abundant supply of glucose. However, what happens when you eat less than 110 grams of carbohydrates per day or even no carbs at all? Does your brain starve? Absolutely not! Our muscles and liver store glucose in the form of glycogen, a polysaccharide of glucose.
When you don’t eat carbs, glycogen in the liver is broken down into glucose and released into the bloodstream to prevent low blood glucose levels. While more glycogen is stored in the muscles than in the liver, it stays in the muscles to meet their demand for energy and it can’t be broken down and released into the bloodstream to prevent low blood glucose levels. After about 24 to 48 hours without eating carbohydrates, glycogen in the liver is depleted and insulin decreases.
The liver will then produce ketones, water-soluble compounds produced by the breakdown of fatty acids. Ketones are produced from the fats you eat or the movement of stored body fat. Ketones can penetrate the blood-brain barrier (BBB) and enter the bloodstream in order to reach the brain and provide additional energy. This ultimately means that ketones can also be used as fuel for energy when our body is running low on glucose from carbohydrates.
Can Your Brain Use Ketones Alone for Energy?
Our brain always needs some glucose for energy. However, healthcare professionals have shown that for several people following a ketogenic diet, ketones can be used to meet up to 70 percent of the brain�s energy needs. As for the rest of the brain�s energy needs, your liver can produce the glucose it needs through a process known as gluconeogenesis. Thus, the liver can meet the brain’s energy needs through stored glucose, the production of ketones, or gluconeogenesis.
Glucose Alone vs Glucose and Ketones for Energy
If you follow a moderate-carb to a high-carb diet, your brain may not be properly adapted to use ketones as fuel for energy. Therefore, glucose will be the main source of energy for your brain. However, when your body has adapted to following a low-carb or carb-free diet, the brain can easily use ketones to meet the brain’s energy needs and the liver can make as much glucose as it needs to meet the rest of the brain’s energy needs in order to function properly.
What are the Low-Carb and Ketogenic Diet?
While there is a lot of similarities between the low-carb and ketogenic diet, there are also several important differences. The differences between the low-carb and the ketogenic diet may include but are not limited to the following:
Ketogenic Diet
Carbohydrates are limited to 50 grams or less per day.
Protein is generally limited or restricted.
The main goal is to increase the production of ketones.
Low-Carb Diet
Carbohydrates can vary from 25 to 150 grams per day.
Protein is typically not limited or restricted.
Production of etones may or may not increase.
In conclusion, eating carbohydrates to use as fuel for the brain’s energy needs is an option, not a requirement. It�s true that the brain can�t depend on ketones alone as it always needs some glucose as well. It’s important to understand that your brain isn�t in any danger if you follow a low-carb or a ketogenic diet. However, before following any particular diet, always make sure to talk to a healthcare professional to determine if these nutritional guidelines are right for you.
For information regarding the effects of carbohydrates on the brain, please review the following article:Effects of a Carbohydrate Supplement Upon Resting Brain Activity
Our brain is constantly working to perform many important functions. The brain needs a consistent supply of energy in order to perform these essential functions and while it mainly uses glucose as fuel for energy,� the brain doesn’t really need glucose from carbohydrates to function properly. Glycogen in the liver is broken down into glucose. The liver will then produce ketones, water-soluble compounds produced by the breakdown of fatty acids. Ketones are produced from the fats you eat or the movement of stored body fat. Ketones can penetrate the blood-brain barrier (BBB) and provide additional energy for the brain. However, our brain always needs some glucose for energy. Your liver can also produce the glucose it needs through a process known as gluconeogenesis. Thus, the liver can meet the brain’s energy needs through stored glucose, the production of ketones, or gluconeogenesis. A low-carb or a ketogenic diet can provide a variety of benefits. Always make sure to talk to a healthcare professional to determine if these nutritional guidelines are right for you.�- Dr. Alex Jimenez D.C., C.C.S.T. Insight
Zesty Beet Juice
Servings: 1Cook time: 5-10 minutes
� 1 grapefruit, peeled and sliced
� 1 apple, washed and sliced
� 1 whole beet, and leaves if you have them, washed and sliced
� 1-inch knob of ginger, rinsed, peeled and chopped
Juice all ingredients in a high-quality juicer. Best served immediately.
Just one carrot gives you all of your daily vitamin A intake
Yes, eating just one boiled 80g (2�oz) carrot gives you enough beta carotene for your body to produce 1,480 micrograms (mcg) of vitamin A (necessary for skin cell renewal). That’s more than the recommended daily intake of vitamin A in the United States, which is about 900mcg. It’s best to eat carrots cooked, as this softens the cell walls allowing more beta carotene to be absorbed. Adding healthier foods into your diet is a great way to improve your overall health.
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas*& New Mexico*�
Curated by Dr. Alex Jimenez D.C., C.C.S.T.
References:
Spritzler, Franziska. �Food for Thought: Does the Brain Need Carbs?� Diet Doctor, Diet Doctor Media, 17 Jan. 2019, www.dietdoctor.com/low-carb/does-the-brain-need-carbs.
Spritzler, Franziska. �How Low-Carb and Ketogenic Diets Boost Brain Health.� Healthline, Healthline Media, 26 Mar. 2016, www.healthline.com/nutrition/low-carb-ketogenic-diet-brain#section1.
Dowden, Angela. �Coffee Is a Fruit and Other Unbelievably True Food Facts.� MSN Lifestyle, 4 June 2020, www.msn.com/en-us/foodanddrink/did-you-know/coffee-is-a-fruit-and-other-unbelievably-true-food-facts/ss-BB152Q5q?li=BBnb7Kz&ocid=mailsignout#image=24.
Having the proper mattress can help reduce, prevent, and alleviate neck and back pain. Individuals spend around one-third of their life sleeping. However, when it comes to the mattress that we sleep on, there seems to be no consideration of how the mattress will affect our spines. No other piece of furniture in the house is used more often or affects overall health more than our beds. �
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Down to sleep
Everybody needs to sleep, as the proper amount of rest is an essential part of life. When there is a lack of sleep or sleep disorder, this contributes and leads to health issues of all types and increased/exacerbated pain.
Specifically, the spine benefits tremendously from a proper sleep cycle. The spine works all day supporting the body and its functions. Rest is essential to maintain this level of activity day in and out. But when the surface that we sleep on does not support our body and spine in the correct form, then proper sleep can be impossible to achieve.
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Proper Mattress Selection
The mattress we sleep on can make a significant difference in the quality of sleep we are getting on a regular basis. A mattress that does not provide optimal support for the spine can lead to muscle fatigue and sleep deprivation.
A proper mattress keeps the spine in the same natural alignment as when standing. When the body can rest in its natural position, the muscles are relaxed and the sleep is healthy following the five stages of a full sleep cycle.
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Healthy sleep means the individual needs to cycle through five stages: 1, 2, 3, 4, and rapid eye movement or REM sleep. A full sleep cycle takes around 90 to 110 minutes to complete. Once the five stages have finished, it starts over at stage 1. Here is a look at the stages:
Stage 1
This is the lightest stage and is characterized by slow eye movement and relaxed muscle activity.
Stage 2
Eye movement stops and brain waves slow down.
Stage 3
This is the first stage of deep sleep where brain waves appear but are extremely slow. It can be quite difficult to wake someone from this stage.
Stage 4
This is the second stage of deep sleep with no eye or muscle activity. Just like stage 3, it can be more difficult to wake someone in this stage.
REM sleep
This is the dream phase where breathing quickens, heart rate, blood pressure increase, and eyes begin to move around in different directions. REM sleep could be considered the most important stage, as researchers believe REM sleep contributes to storing memories, learning, and regulating mood. Most adults spend half of their total sleep time in stage 2, 20% in REM sleep, and 30% in the other stages. �
Innerspring mattresses can offer more variety in terms of firmness and support. However, individuals find other types of mattresses just as comfortable. What makes a proper mattress the best is that it is the one that offers you the most support and the most comfort.
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Foundation
This is usually called the box spring, which is just as important as the mattress. The box spring absorbs the weight along with the added stress of movement etc, from the mattress. Having the proper foundation extends the life of the mattress.
If possible try to purchase the box spring designed for the mattress. Using no box spring, an old box spring, or mixing the mattress and box spring can have a negative impact on the level of support and durability of the mattress.
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Firmness
The belief that the firmer the mattress is the better is not exactly true. A too-firm mattress does not support the body in a balanced fashion. Which means that only the body’s heaviest parts are supported. A too-soft mattress can sink, preventing the spine from keeping proper alignment. Too firm or too soft does not allow the muscles to relax and rest, because they have to keep working to find a comfortable position just to maintain correct posture.
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Comfort
Make sure to take the time to lie on the mattress and test it out when shopping. Lie down and position yourself the way you would when sleeping. Take turns turning/moving from side to side. If sleeping with a spouse or partner, try out the mattress together to make sure there is enough space to move around comfortably. Be sure that the mattress can support the spine and maintain its natural curve.
Beware, mattress manufacturers use different terms for comfort and firmnessthat could be confusing. Mattress makers will use a term like orthopedic but it does not have any actual medical merit or benefit. That is why trying out the mattress before buying is the way to go. It will definitely help to tell which one is the most supportive and comfortable.
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Durability
How long the mattress and materials that it’s made of will last determines the durability. Top-quality materials are what to aim for. Especially, the core and the cover. Prices are determined by:
What the mattress is made out of
The quality of the construction
The size
A proper mattress and box spring should last for around 8-10 years. Therefore it is an investment in your spine and quality health. Don’t automatically go for the mattresses on sale or that are the cheapest. Instead, search for the best quality and value.
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Flip or Rotate
Keeping the mattress in top form means flipping or rotating the mattress on a regular basis. This will ensure even wear and tear giving you optimal spine and body support. �
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Time for a new one
Even proper mattresses don’t last a lifetime. But like most of us, we wait way too long when it comes to replacing. For those who’ve had the same mattress for 10 years or more, it is definitely time for a new one. There are other signs letting you know it’s time to replace including:
Waking up tired and aching could signal that the mattress is no longer providing enough support for proper rest. Not feeling refreshed after sleep could be the sign it’s time for a new mattress.
If the mattress looks old, worn, or strained, and the box spring rocks and squeaks are all signs that the mattress and foundation are worn out.
The bed is no longer comfortable with the mattress sagging/sinking or leaving an impression where you sleep. Slipping or rolling toward the center along with the inability to find a comfortable position means it’s time to think about a new mattress.
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Sleep position makes a difference
Sleeping on the side, with knees bent or with a pillow between the knees is considered the best way to maintain proper body posture. However, if you must sleep on your back, place a pillow under the knees to support the normal curve of the spine.
Sleeping on the stomach or with the head elevated on an oversized pillow creates an unnatural arch of the spine. This increases pressure on the diaphragm and lungs. These positions usually lead to restless tossing and turning and loss of proper sleep. �
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Don’t Worry
If there is difficulty getting the right amount of sleep or you are waking up exhausted then this could be the time to take a look at where and how you sleep. A proper mattress and box spring will generate proper comfortable rest all the while maintaining posture and protecting the spine. Remember that sleep is an essential nutrient for our bodies. Therefore, the bed that we sleep on can make a significant difference.
Three Points of Weight Loss @ PUSH Fitness Center
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico
Folate is a B vitamin naturally found in a variety of foods. The body can’t produce folate, that’s why it’s important to get it from folate-rich foods. Folate is naturally found in various plant and animal foods, including citrus fruits, avocado, spinach, kale, broccoli, eggs, and beef liver. Folate is also added to foods, such as bread, flours, and cereals, in the form of folic acid or the synthetic, water-soluble version of folate. Folate and folic acid have different effects on the body.
Our body utilizes folate for a variety of essential functions, including cell division, development of red blood cells, conversion of homocysteine to methionine, an amino acid used for protein synthesis, production of SAMe, and DNA methylation. Folic acid is also important for various metabolic processes. Folate deficiency has ultimately been associated with a variety of health issues, such as the increased risk of heart disease, birth defects, megaloblastic anemia, and cancer.
Contents
Daily Intake of Folate and Folic Acid
Our body stores between 10 to 30 mg of folate, most of which is stored in your liver while the remaining amount is stored in your blood and tissues. Normal blood folate levels range from 5 to 15 ng/mL. The main form of folate in the bloodstream is known as 5-methyltetrahydrofolate. Daily intake of this essential nutrient is different for people of different ages. The recommended daily allowance of folate for infants, children, teens, adults, and pregnant women are as follows:
0 to 6 months: 65 mcg
7 to 12 months: 80 mcg
1 to 3 years: 150 mcg
4 to 8 years: 200 mcg
9 to 13 years: 300 mcg
over 14 years: 400 mcg
during pregnancy: 600 mcg
during lactation: 500 mcg
Folic acid supplements play an important role in making sure that people who are in greater need of folate are getting enough of their daily intake. Increasing the daily intake of folate-rich foods is also important because these foods generally offer plenty of other nutrients that all act together to support overall health. Recommended folate daily intake increases during pregnancy and breastfeeding to promote rapid growth and help prevent neural tube defects in the fetus.
Folic acid is available in dietary supplements and fortified foods, including bread, flours, cereals, and several types of grains. It is also added to B-complex vitamins. Folate is also naturally found in a variety of foods, including:
oranges
orange juice
grapefruit
bananas
cantaloupe
papaya
canned tomato juice
avocado
boiled spinach
mustard greens
lettuce
asparagus
Brussels sprouts
broccoli
green peas
black-eyed peas
dry-roasted peanuts
kidney beans
eggs
Dungeness crab
beef liver
Uses of Folate and Folic Acid
Both folate and folic acid are frequently utilized for a variety of reasons. Although folate and folic acid supplements are generally used to treat similar health issues, they do offer different effects in the body and, therefore, it may affect our overall health in different ways. Moreover, getting the proper daily intake of folate and folic acid can improve overall health. The following are several of the most common uses of folate and folic acid supplements, including:
folate deficiency
inflammation
diabetes
brain health
heart disease
kidney disease
mental health issues
fertility problems
birth defects and pregnancy complications
For information regarding the importance of folate and folic acid, please review the following article:The Importance of Folic Acid
Folate is a B vitamin that is naturally found in many different types of food. Because we can’t produce folate, it’s important to get it from foods that are high in folate. Various folate-rich foods include citrus fruits, avocado, spinach, kale, broccoli, eggs, and beef liver. Folate is also added to foods like bread, flours, and cereals, in the form of folic acid, the synthetic version of this essential nutrient. Folate and folic acid have different effects on the body. Our body uses folate for many important functions, including cell division, development of red blood cells, conversion of homocysteine to methionine, an amino acid used for protein synthesis, production of SAMe, and DNA methylation. Folic acid is also essential for many metabolic processes. Folate deficiency has ultimately been associated with a variety of health issues, such as heart disease, birth defects, megaloblastic anemia, and even cancer. Daily intake of this essential nutrient is different for people of different ages. Furthermore, folate is also naturally found in a variety of foods, such as bananas, avocado, boiled spinach, and eggs. Both folate and folic acid supplements have a variety of uses and they can help improve various health issues, including inflammation, diabetes, heart disease, birth defects, and pregnancy complications. Adding healthy foods to a smoothie is a fast and easy way to get your daily intake of folate. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Ginger Greens Juice
Servings: 1Cook time: 5-10 minutes
� 1 cup pineapple cubes
� 1 apples, sliced
� 1-inch knob of ginger, rinsed, peeled, and chopped
� 3 cups kale, rinsed, and roughly chopped or ripped
� 5 cups Swiss chard, rinsed, and roughly chopped or ripped
Juice all ingredients in a high-quality juicer. Best served immediately.
Eating cholesterol-rich foods doesn�t increase your cholesterol
According to research studies, eating foods with HDL cholesterol or “good” cholesterol doesn’t increase your overall blood cholesterol levels. When you eat healthy cholesterol-rich foods, such as prawns and eggs, your blood cholesterol levels decrease, so your blood cholesterol levels stay balanced, or they’re only raised minimally. It’s actually saturated fats that you have to look out for when it comes to high blood cholesterol levels. Simply choose healthier food options.
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas*& New Mexico*�
Curated by Dr. Alex Jimenez D.C., C.C.S.T.
References:
Kubala, Jillian. �Folic Acid: Everything You Need to Know.� Healthline, Healthline Media, 18 May 2020, www.healthline.com/nutrition/folic-acid#What-is-folic-acid?
Ware, Megan. �Folate: Health Benefits and Recommended Intake.� Medical News Today, MediLexicon International, 26 June 2018, www.medicalnewstoday.com/articles/287677#recommended-intake.
Felman, Adam. �Folic Acid: Importance, Deficiencies, and Side Effects.� Medical News Today, MediLexicon International, 11 Mar. 2020, www.medicalnewstoday.com/articles/219853#natural-sources.
Berg, M J. �The Importance of Folic Acid.� The Journal of Gender-Specific Medicine: JGSM: the Official Journal of the Partnership for Women’s Health at Columbia, U.S. National Library of Medicine, June 1999, pubmed.ncbi.nlm.nih.gov/11252849/.
Dowden, Angela. �Coffee Is a Fruit and Other Unbelievably True Food Facts.� MSN Lifestyle, 4 June 2020, www.msn.com/en-us/foodanddrink/did-you-know/coffee-is-a-fruit-and-other-unbelievably-true-food-facts/ss-BB152Q5q?li=BBnb7Kz&ocid=mailsignout#image=23.
Pets have improved the lives of those living with chronic pain and can help alleviate the depression that comes with it. There’s no doubt that having a pet or interacting with a trained therapy animal can help reduce and alleviate the pain and improve the quality of life.
Animals and the companionship they offer seems to be a natural pain reliever, and significant research supports this theory. Here are some ways that our pets can help us live optimal lives even with chronic pain. �
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Contents
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Ways Pets Can Relieve Pain
Our pets allow us to feel less stressed out. Research has shown even for those that are not into pets, that petting a dog for ten-fifteen minutes reducescortisol, which is a stress hormone. In a journal for pain, researchers studied the effects of quick therapy dog visits at a pain management clinic. Over 2-months they compared the individuals’ feelings of:
Pain
Fatigue
Stress
Tremendous improvements were reported for pain, state of mind, and other measures of stress among the individuals after the dog visit. Improvements were also seen in family, friends, and staff after the therapy dog visits.
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They Generate More Activity
Specifically, dog owners seem to be healthier than those without a dog. Cats are great but when it comes to activity/fitness, dogs require regular walks, which makes owners get up, go outside and move around. Walking a dog can help:
Improve balance
Combat fatigue
Improve flexibility
Reduce joint pain
Increase strength
Manage weight
Being active combined with walking helps to get a better night’s sleep and reduced pain. �
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They Make Us Feel Better Without Medication
Research has shown how the proper attitude impacts treatment outcomes. With a positive attitude, an individual is more likely to stick with a long-term pain treatment plan. Petting and playing with a furry friend can be the perfect medicine creating an improved mood literally relieving pain and reducing the need for pain meds.
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They Distract The Pain Away
Individuals living with chronic pain are constantly thinking about it. Having a pet changes the focus from pain to joy and happiness. With a pet to care for gives the day structure and life purpose. Pets need attention and because of their lovability are hard to ignore. �
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Animal-Assisted Therapy
This type of therapy is a legitimate option for chronic pain management. With the problems associated with opioids, doctors and patients are looking for alternative ways to treat pain. The American Academy of Family Physicians reports that nonpharmacological therapies, like animal-assisted therapy, are now included in chronic pain treatment plans. Other options for pain relief include:
Example: An individual has a pain syndrome/condition. When the pain flares up the individual becomes irritable and upset. The individual has a dog that recognizes these feelings. The dog comes over and starts playing, licking, etc. The individual picks up the dog, calming the individual, helping change the mood, and ease the pain.
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Pet Time
Owning a pet is a real responsibility, for those who are not interested in adopting, there are still benefits from pet medicine. Some ideas to consider:
Perhaps a family member or friend owns a pet that could have regular visits. This would be a good way to get a feel for the experience and see what it’s like to have a pet without committing.
Cats are an option if dogs are not your cup of tea. This could be because of allergies or residing in a location that does not permit them. Cats offer companionship along with the same psychological benefits as dogs. However, there is not much activity since they don’t need to be walked. But they still need to play/pretend hunt.
Try spending time at a pain management clinic that has an animal therapy program. Some of these clinics allow individuals to spend time with a therapy dog a few times per week. These are usually 15-minute sessions.
Unable to locate a clinic in the area, try looking into other organizations that could provide therapy animals and programs. Local vets and animal shelters can be a good source of information for animal therapy programs.
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Therapy and Service Dogs Are Not the Same
When it’s time you might be ready for a dog of your own. Before searching the local shelter’s website, consider everything that comes with pet ownership. Factor in costs like:
Veterinary care
Behavior classes
Food
Shelter
Toys
Travel
Think about the size of the animal and if you can safely manage a small or large pet. Remember this is a therapy for individuals with a health condition of chronic pain. An individual needs to be able to see what they can take given their level of pain at any given time.
If you’ve never owned a pet, there needs to be an understanding that housebreaking a pet can be quite a time-consuming and exhausting task. This could add more stress and worsen the pain.
It is important to remember that therapy dogs do not have the same training as assistance or service dogs. Service dogs are trained to perform and assist with specific tasks to help an individual that has a disability. This could be a seeing-eye dog helping their blind owner. Also, service dogs live with their owners and are granted special access to public places like planes, restaurants, places of business, etc.
The American Kennel Club defines therapy dogs as dogs that can accompany their owners to volunteer in schools, hospitals, and nursing homes where they work together as a team to improve the lives of other people.
There are definitely medical benefits to having pets in our lives. However, don’t expect them to remove chronic pain overnight. Pets are another tool that can bring relief and improve the quality of life for individuals living with pain.
Metabolic Syndrome & Inflammation
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico
Fructose is one of the main components of added sugar. It is a simple type of sugar that makes up about 50 percent of table sugar or sucrose. Table sugar is also made up of glucose or the main energy source of the human body. However, fructose needs to be turned into glucose by the liver before it can be used as fuel for energy by our cells. Fructose, sucrose, and glucose are all naturally found in fruits, vegetables, dairy products, and whole grains as well as in many processed foods. The effects of this simple sugar on our health have been a controversial topic for many years. Research studies are starting to demonstrate the connection between fructose and obesity, diabetes, and even cancer.
Contents
What is Fructose?
Fructose, also referred to as fruit sugar, is a monosaccharide or simple sugar like glucose. It’s naturally found in fruits, most root vegetables, agave, and honey. Moreover, it’s commonly added to processed foods as high-fructose corn syrup. The fructose used in high-fructose corn syrup mainly comes from corn, sugar beets, and sugar cane. High-fructose corn syrup is made from cornstarch and it has more of this simple sugar than glucose, compared to regular corn syrup. Fructose has the sweetest taste of the three sugars. It is digested and absorbed differently by the human body. Because monosaccharides are simple sugars, they don’t need to be broken down to be used as fuel for energy by our cells.
Natural foods that are high in fructose can include:
apples
apple juice
pears
prunes
dry figs
sorghum
asparagus
Jerusalem artichokes
chicory roots
leeks
onions
caramel
licorice
molasses
agave syrup
honey
Similar to glucose, fructose is absorbed directly into the bloodstream through the small intestine. Healthcare professionals have found that fructose has the least impact on blood sugar levels. It increases blood sugar levels much more gradually than glucose does and it doesn’t seem to immediately affect insulin levels. However, although this simple sugar has the least impact on blood sugar levels than any of the other simple types of sugars, it may ultimately cause more long-term negative effects on the human body. Fructose needs to be turned into glucose by the liver before it can be used as fuel for energy by our cells. Eating excess fructose can increase triglycerides and lead to metabolic syndrome.
Why is Fructose Bad for You?
When people eat a diet that is high in calories and processed foods with lots of high-fructose corn syrup, the liver can become overwhelmed and start turning fructose into fat. Research studies are starting to demonstrate the connection between this simple sugar and an increased risk of developing a variety of health issues, including obesity, type 2 diabetes, and even cancer. Many healthcare professionals also believe that eating excess fructose is one of the main causes of metabolic disorders. However, there currently isn’t enough evidence to demonstrate the full extent to which fructose can contribute to these health issues. Nevertheless, numerous research studies have justified these controversial concerns.
Research studies have demonstrated that eating excess fructose can increase LDL or bad cholesterol which may lead to fat accumulation around the organs and heart disease. As a result, evidence showed that the deposition of fat in the liver due to the negative effects of this simple sugar can also result in non-alcoholic fatty liver disease. Eating excess fructose may also affect body fat regulation. Other research studies have demonstrated that because fructose doesn’t suppress appetite as much as other types of sugars do, it can promote overeating which may lead to obesity, insulin resistance, and type 2 diabetes. Furthermore, evidence has demonstrated that fructose can increase uric acid levels and cause gout.
For information regarding if fructose is bad for your health, please review the following article:Health implications of fructose consumption: A review of recent data
AS PREVIOUSLY MENTIONED IN THE FOLLOWING ARTICLE, FRUCTOSE IS ONE OF THE MAIN COMPONENTS OF ADDED SUGAR. IT IS A SIMPLE SUGAR THAT MAKES UP APPROXIMATELY 50 PERCENT OF TABLE SUGAR OR SUCROSE. TABLE SUGAR ALSO CONSISTS OF GLUCOSE OR THE MAIN ENERGY SOURCE OF THE HUMAN BODY. HOWEVER, FRUCTOSE NEEDS TO BE CONVERTED INTO GLUCOSE BY THE LIVER BEFORE IT CAN BE UTILIZED AS FUEL FOR ENERGY BY OUR CELLS. FRUCTOSE, SUCROSE, AND GLUCOSE ARE ALL NATURALLY FOUND IN SEVERAL FRUITS, VEGETABLES, DAIRY PRODUCTS, AND WHOLE GRAINS AS WELL AS IN MANY PROCESSED FOODS. THE EFFECTS OF THIS SIMPLE SUGAR ON OUR HEALTH HAVE BEEN A CONTROVERSIAL TOPIC FOR MANY YEARS. RESEARCH STUDIES ARE STARTING TO DEMONSTRATE THE CONNECTION BETWEEN FRUCTOSE AND OBESITY, DIABETES, AND EVEN CANCER. IN THE FOLLOWING ARTICLE, WE DISCUSS IF FRUCTOSE IS BAD FOR YOUR HEALTH. DRINKING SMOOTHIES ADD A HEALTHY NUTRITIONAL BOOST.� -�DR. ALEX JIMENEZ D.C., C.C.S.T. INSIGHTS
Sweet and Spicy Juice
Servings: 1Cook time: 5-10 minutes
� 1 cup honeydew melons
� 3 cups spinach, rinsed
� 3 cups Swiss chard, rinsed
� 1 bunch cilantro (leaves and stems), rinsed
� 1-inch knob of ginger, rinsed, peeled, and chopped
� 2-3 knobs whole turmeric root (optional), rinsed, peeled, and chopped
Juice all ingredients in a high-quality juicer. Best served immediately.
Red peppers have almost 2.5 times more vitamin C than oranges
Citrus fruits like oranges are a great source of vitamin C, however, there are other fruits and vegetables that offer an even better boost of this essential nutrient. Just half a red pepper, eaten raw, offers more than your requirement of vitamin C for the day, according to healthcare professionals. Cut it into crudit�s for a healthy mid-morning or afternoon snack. Red peppers are also rich in a variety of other essential nutrients, including vitamin A, B6, folate, and antioxidants!
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas*& New Mexico*�
Curated by Dr. Alex Jimenez D.C., C.C.S.T.
References:
Gunnars, Kris. �Is Fructose Bad for You? The Surprising Truth.� Healthline, Healthline Media, 23 Apr. 2018, www.healthline.com/nutrition/why-is-fructose-bad-for-you#section1.
Nall, Rachel. �Is Fructose Bad for You? Benefits, Risks, and Other Sugars.� Medical News Today, MediLexicon International, 28 Nov. 2018, www.medicalnewstoday.com/articles/323818.
Groves, Melissa. �Sucrose vs Glucose vs Fructose: What’s the Difference?� Healthline, Healthline Media, 8 June 2018, www.healthline.com/nutrition/sucrose-glucose-fructose.
Rizkalla, Salwa W. �Health Implications of Fructose Consumption: A Review of Recent Data.� National Center for Biotechnology Information, BioMed Central, 4 Nov. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2991323/.
Daniluk, Julie. �5 Health Benefits of Red Peppers. Plus, Our World’s Healthiest Pizza Recipe.� Chatelaine, 26 Feb. 2016, www.chatelaine.com/health/healthy-recipes-health/five-health-benefits-of-red-peppers/.
Discitis affects around 1 out of every 100,000 people. This means that it is not a common spinal disease. Discitis can occur in adults and children, however, it is more common in children. �
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Discitis mostly occurs in the low back region of the spine
Followed by the neck region
Finally the middle-back region
It accompanies vertebral osteomyelitis. Both types of infections share many of the same symptoms/characteristics. Although these are uncommon conditions, they can produce severe symptoms affecting an individual’s quality of life. This is why early diagnosis and treatment are essential.
Contents
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Discitis Causes
There are two recognized causes of discitis. The rarest form comes from a prior surgical or diagnostic procedure. This usually happens when a needle or other tool/device transfers the infection. The other is the more common, and it is known as spontaneous discitis. Here the infection develops from a bacterial or viral organism that travels to the disc/s via the blood supply from another part of the body.
When an infection starts somewhere else and then travels to the disc, it is called transient bacteremia, which is bacteria in the bloodstream that has a short life. Ear infections along with skin infections are perfect examples of infections that can lead to transient bacteremia and discitis. �
After a disc becomes infected, it can be quite difficult for the body to fight the infection. The disc/s are the largest avascular organs in the body, which means they do not have their own blood supply. The discs get their nutrition and blood supply, which includes the white blood cells for fighting infections, from the vertebral endplates. Because the discs lack the resources to fight infections on their own, there is a struggle when trying to protect against infection.
Because discitis is usually caused by an infection that developed in another area of the body, individuals with medical conditions are at a higher risk for developing discitis. These conditions include:
Diabetes
A.I.D.S
Cancer
Chronic kidney disease
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Symptoms
Intense back pain that starts gradually is the distinctive characteristic symptom of discitis. The pain is usually localized to the area where the infection is located. This means that the pain doesn’t radiate or spread out like other types of back pain conditions. �
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Diagnosis
A doctor, spine specialist, or chiropractor will review medical history and symptoms with the individual. A fever is normally not present once the infection is inside the disc, along with the white blood cell count being normal.
However, the erythrocyte sedimentation rate increases. This is a blood test that examines how fast red blood cells fall to the bottom of a tube. The faster that they fall to the bottom, the more likely there is inflammation somewhere in the body.
Blood tests can be utilized during diagnosis, however, the most accurate diagnostic tool to confirm discitis is magnetic resonance imaging or MRI that shows if an infection is present. �
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Treatment
Treatment can be challenging. This is because of the fact that the discs do not have a blood supply, and medications/antibiotics travel through the blood. It is treatable and is usually done within a six to eight-week course of antibiotics intravenously or through an IV.
IV administered antibiotics could require treatment on an outpatient basis. The entire course of antibiotics must be completed in its entirety in order to manage the discitis. A doctor could also prescribe a spinal brace to help stabilize the spine and reduce pain. A brace can limit movement, however, it will help ensure proper healing.
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Spinal Infections
Spinal infections can present spontaneously or as secondary conditions, e.g. after a surgical procedure. Spinal infections can affect different structures, like the:
Vertebral column or the bones of the spine
Intervertebral disc space, which is the cushion-gel structures between the vertebrae
� Here are some facts about the occurrence and prevalence of different infections of the spine:
Vertebral osteomyelitis is the most common type of infection. It affects an estimated 27,000 to 66,000 people a year.
Epidural abscess is an infection inside the spinal canal that affects up to two cases per 10,000 in hospital admissions around the U.S. It is pretty common in individuals with vertebral osteomyelitis or discitis. Eighteen percent of those individuals can develop this infection. However, it is more common in people fifty and older.
Discitis, as aforementioned is a pretty uncommon condition. Although, treatment has advanced, around twenty percent of individuals with this infection do not survive.
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Infection Risk Factors
There are certain factors that increase the risk of developing an infection. These factors include:
Symptoms from a spinal infection can vary. However, continuous back pain with no history of trauma or injury. Usually, there is a delay in the diagnosis for an infection of the spine because of the:
Subtle nature of the symptoms
Individual’s belief that the pain is not serious
Absence of body-wide symptoms like a fever
Lab results can also complicate the diagnostic process, as they can be misleading. There could be normal white blood cell counts, x-rays that show no abnormalities, and a sensitive diagnostic test like a bone scan might not show that an individual is positive until a week later.
An erythrocyte sedimentation rate is a valuable screening test when it comes to spinal infections. The test can measure inflammation and infection in the body. If a spinal infection is suspected, an MRI could be the most reliable tool to confirm early diagnosis.
Health & Immunity Series
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico
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