Arlington, Va.–People suffering from back pain should consider first trying chiropractic services and other non-drug therapies in light of a new research review that found common over-the-counter and prescription pain medications have limited effectiveness for back pain and raise the risk of side-effects, according to the American Chiropractic Association (ACA).
The review, published this month in Annals of the Rheumatic Diseases, examined 35 randomized, placebo-controlled trials, encompassing 6,000 patients, to determine the effectiveness and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for spinal pain. The authors of the report found that NSAIDs provided �clinically unimportant effects� when compared with patients who received only a placebo. Meanwhile, those who used NSAIDs had a 2.5 times greater risk of experiencing gastrointestinal disorders.
�At present, there are no simple analgesics that provide clinically important effects for spinal pain over placebo,� the authors noted.
The news about NSAIDs follows reports last year that prescription opioids also have limited effectiveness for back pain�one of the most common causes of disability worldwide.
�The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications,� said ACA President David Herd, DC. �In addition to spinal manipulation, chiropractors can offer a range of non-drug therapies for back pain and recommend exercises and important lifestyle changes to help prevent future back pain and injury.�
According to a 2016 Gallup survey, more than 35 million people visit a chiropractor annually.
About the American Chiropractic Association
The American Chiropractic Association (ACA) is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org to find an ACA chiropractor near you.
NSAIDs: Non-Steroidal Anti-Inflammatory Drugs
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation. Inflammation is a contributing factor in most back pain conditions, so reducing inflammation is important to alleviate the pain.
Mild or moderate back pain, tenderness, inflammation, and stiffness
Activity-related pain or discomfort (e.g. pain that follows sports or activities such as housework, shoveling snow, or other exertion)
Pain related to muscle strain in the low back and elsewhere
Neck stiffness related to muscle, ligament, or tendon strains or damage
Osteoarthritis joint pain
Rheumatoid arthritis
Ankylosing spondylitis
A number of other forms of arthritis pain
This article provides information on how non-steroidal anti-inflammatory medications can be helpful against back, neck, and other pain, as well as several potential risks and complications to be considered.
Most Common Types of NSAIDs:
NSAIDs comprise a large class of drugs that act by hampering body substances called prostaglandins, which trigger feelings of pain, giving NSAIDs fever-reducing, pain-relieving, and anti-inflammatory properties. There are many types of non-prescription (over-the-counter) and prescription NSAIDs. The four NSAIDs most often used to treat many types of back and neck pain are:
Aspirin (brand names include Bayer, Bufferin, and Ecotrin, St. Joseph)
Ibuprofen (Advil, Motrin)
Naproxen (Aleve, Anaprox DS, Naprosyn)
Celecoxib (Celebrex)
Other Forms of NSAIDs:
In addition to the above, NSAIDs come in forms other than those taken by mouth. For example:
Ketorolac can be given as an intravenous, intramuscular, or intranasal drug, making it useful after surgery or if the patient cannot eat.
Diclofenac is available topically as a gel (Voltaren), patch (Flector), or solution (Pennsaid). The medication is applied directly to the area of pain. Topical forms reduce gastrointestinal and other potential side effects of NSAIDs.
Taking NSAIDs continuously, rather than just at the onset of pain, helps build up the body�s anti-inflammatory blood level, resulting in a better healing environment in the affected area. The efficacy is markedly lower if NSAIDs are taken only when experiencing pain.
Checking with the doctor. Because NSAIDs have risks and complications, it is important to keep the doctor informed. People taking NSAIDs for long periods are advised to see the doctor regularly so any side effects can be monitored. In some cases, a change in medication may be required.
Using as little as possible. The U.S. Food and Drug Administration advises that the lowest effective dose of NSAIDs be used, and then for only as long as necessary.
Combining with acetaminophen. NSAIDs and the pain relief medication acetaminophen (e.g. brand name Tylenol) work differently, so sometimes doctors recommend taking both medications. This often offers better pain relief than taking one type of pain medication. Some people find it also helps lessen the pain as one dose wears off, alternating between the two�for example, taking a dose of ibuprofen, then 3 hours later taking a dose of acetaminophen.
Any adverse reactions from taking an NSAID, or any other medication, should be reported to the doctor without delay.
When NSAIDs Are Not Advised
People having a lumbar fusion surgery are typically advised not to take NSAIDs for at least 3 months after surgery due to concerns about the impact NSAIDs may have on bone healing.
Many doctors also tell patients to stop using NSAIDs prior to other types of surgery because the medication poses an increased risk of bleeding.
Low Vitamin D Linked to Increased Headache Risk
News Bite: Vitamin D may be a component factor in headache a new study demonstrates.
More research is adding to the literature of a link between vitamin D deficiency and headaches, at least for men living in colder climates.
Data from 2600 middle-aged men from Finland who participated in the Kuopio Ischemic Heart Disease (KIHD) Risk Factor Study showed that those with the lowest levels of serum 25-hydroxyvitamin D (25[OH]D) were more than twice as likely to report having chronic headaches as those who had the highest vitamin D levels. In addition, reports of chronic headache were significantly more frequent in months other than the summer months (June through September).
The investigators note that although past studies have examined the link between vitamin D and headaches, the results have been �inconclusive� because many included small sample populations. When the KIHD study originally started, men in this part of Finland had the highest prevalence of heart disease in the world, and it was looking at risk factors for cardiovascular disease.
During the baseline examinations, questionnaires asked the participants to report headache status during the previous 12 months. �Frequent headache� was defined as a daily or weekly occurrence � and was reported by 9.6% of the full group.
Also at baseline, fasting venous blood samples were collected during morning hours and 25(OH)D concentrations were measured.
Interestingly, the mean concentration of serum 25(OH)D for the study group was 43.4 nmol/L, which is below the 50-nmol/L threshold generally considered to be a marker of vitamin D deficiency. In fact, 67.9% of the group had levels that were less than 50 nmol/L.
Every day, an estimated 30 million people worldwide take a non-steroidal anti-inflammatory medication, or NSAID.
These versatile medications, available in over-the-counter and prescription strength, treat both pain and inflammation.��The American Chiropractic Association urges people to try non-drug approaches to back pain relief first, before resorting to over the counter or prescription medications.� For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Neurotoxins are substances which can interfere with nerve cells by overstimulating them to death or interrupting the electrical activities of nerves and their communication process, altering the normal function of the nervous system.
Common symptoms associated with the consumption of neurotoxins can manifest immediately after ingestion or they may be delayed. Symptoms include: weakness in the extremities; tingling sensations or numbness; memory loss; loss of vision and/or intellect; uncontrollable obsessive and/or compulsive behaviors; delusions; headaches; cognitive and behavioral issues; and sexual dysfunction. Also, people with certain types of disorders can be more vulnerable to these substances.
Research studies have demonstrated that neurotoxins can shorten the life span of nerve cells. In addition, these substances have been associated with the development of brain disorders, peripheral neuropathy as well as neurodegenerative diseases, such as Alzheimer�s, Huntington�s Chorea and Parkinson�s disease.
To make matters worse, the availability of neurotoxins has increased dramatically within the last few decades. A majority of the neurotoxins our bodies absorb are found in the food we eat and the water we drink. Even worse, these can also be found in baby food.
Contents
Neurotoxins In Food
If you have children, it’s important to be aware of the following ten neurotoxins listed below. Because kid’s bodies are still developing, they are often the most vulnerable to the effects of consuming these dangerous substances. The majority of food products that contain neurotoxins are listed on their ingredients list. Processed foods, such as chips and candy, are generally supplied with a load of neurotoxins. It’s best to avoid consuming any food or drink containing the following neurotoxins listed below.
10 Neurotoxins To Avoid
Aspartame (best known as Equal, AminoSweet, NutraSweet and Spoonful):�This substance is very commonly added to sugar-free products, such as sugar-free gums and drinks. Most aspartame is made from the fecal matter of genetically modified bacteria. Research studies have associated the consumption of aspartame to migraines, obesity,�kidney failure, blindness, seizures,�neurological disorders, mental illness, brain tumors and diabetes.
Monosodium glutamate (also known as MSG or sodium glutamate):�This substance is common in junk food, fast food and most restaurant food, canned food and even in baby food. Independent researchers believe that ingesting MSG, or monosodium glutamate, plays a considerable role in the development of neurodegenerative brain diseases, including Alzheimer�s, Parkinson�s and Huntington�s disease. MSG is frequently disguised on ingredient labels under alternative names like hydrolyzed, or vegetable protein, plant protein extract, sodium caseinate, calcium caseinate, yeast extract, textured protein, TVP, autolyzed yeast, carrageenan, malt extract, malt flavouring, bouillon, seasonings, spices and natural flavoring.
Sucralose (or Splenda):�This artificial sweetener alternative is very popular in sugar-free products, especially sugar-free drinks. Sucralose was accidentally discovered during a research focused on creating a new insecticide, which is why some researchers propose that sucralose should be listed in the insecticide category. Sucralose has been identified as a chlorinated compound. When the body breaks down this type of chlorinated compound, it releases toxic chemicals into the bloodstream.
Aluminum: This type of metal can frequently be found in our drinking water as well as in over-the-counter antacids and vaccines. Aluminum is a difficult substance for the body to absorb, however, citrate or citric acid tremendously increases its absorption. Vaccines are some of the highest factors which contribute to aluminum toxicity, primarily because the aluminum is injected directly into the body.
Mercury:�This heavy metal is common in fish products, vaccines and amalgam fillings, also referred to as silver fillings. Mercury can be found in our drinking water as well. Mercury has been identified to be one of the most toxic neurotoxins because it destroys brain tissue.
Fluoride (sodium fluoride): This substance is very commonly found in drinking water and conventional toothpaste. Fluoride was utilized to exterminate rats before it was introduced into consumer products. The fluoride used for the products we consume is a mixture of a variety of chemicals which can be hazardous to the body. Not to be confused with the natural calcium fluoride, sodium fluoride can be found listed on the warning labels of fluoridated toothpaste products.
Hydrolyzed vegetable protein:�This harmful food ingredient is very common in certain junk foods. Hydrolyzed vegetable protein contains high concentrations of the substances glutamate and aspartate. In high levels, glutamate and aspartate can overstimulate nerve cells.
Calcium caseinate:�This substance is frequently found in the ingredient list of many protein supplements, energy bars and junk food. Due to its harmful properties, this neurotoxin can damage the brain and cause other neurological issues.
Sodium caseinate:�This type of protein is common in dairy products and junk food. It has been associated to the development of gastrointestinal complications and has even been linked to autism.
Yeast extract:�A popular food ingredients in many processed foods, such as canned food. It is also toxic to the brain.
Sugar: The Most Common Neurotoxin�
While the above mentioned neurotoxins can be commonly found in higher concentrations on a majority of the foods we eat today, there is one substance that people consume more frequently than all the others: sugar or table sugar. Refined sugar is not as toxic as aspartame but it can be toxic enough to cause considerable harm to the body when it’s consumed on a regular basis.
When you eat a fruit, for instance, you are not just ingesting sugar and water, but also synergistic components, such as mineral activators, enzymes, co-vitamin helpers and fiber. It’s these components that help the body effectively metabolize all the nutrients of the fruit.
Without the help of these synergistic components, sugar cannot be metabolized safely. In fact, certain elements of the sugar are broken down into toxic chemicals instead. When the body metabolizes refined sugar, toxic metabolites are released into the body. These metabolites can then considerably impair the respiration process of the cells.
Other Common Neurotoxins
Other common neurotoxins which can be found in some of the favorite processed foods we consume are chemical food additives, preservatives and sweeteners. Numerous research studies�have been conducted on food additives and their toxic, damaging affect on the nerve cells in our body. Brain cells and the peripheral nerves are the most affected by these substances, which can also have a cumulative effect on the body over time.
Monosodium glutamate, or MSG, and artificial sweeteners can gradually cause considerable damage to nerve cells, which may lead to peripheral neuropathy or even worse, Alzheimer�s disease. Yet, these ingredients are found in the foods and beverages we consume daily. The average household has diet beverages, salad dressings, canned soups, condiments, crackers, junk food and many other of these types of foods and drinks. Even baby foods contain many of these neurotoxins.
Whether or not you suffer from any neurological dysfunction, everyone should avoid consuming these harmful chemicals. Over a period of decades, they can cause, not only peripheral neuropathy but, damage to brain cells as well, leading to memory loss, confusion, dementia, including Alzheimer�s and other serious neurological diseases such as Parkinsons.
A variety of favorite processed foods Americans consume today have added refined sugars and artificial sweeteners, among additives and preservatives, which can be harmful to the body. However, most of the foods and drinks people eat today commonly contain some of the most harmful substances for the brain and nerves, neurotoxins.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
6 Tweaks For Posture & See What Happens To Back Pain
Your Guide for Getting Rid of Pain With Super-Easy Posture-Tweaking Moves
A lot of us have aches and pains that have become so much a part of our daily lives that we�ve learned to live with them (if not accept them). The problem is that all these small aches and pains, such as lower back and neck issues, are derived from posture mistakes.
We�re NOT pointing any fingers here; we all make posture mistakes on a daily basis without even realizing it. Sure, an Epsom Salt Bath Soak might clear up the problem temporarily, but if you keep on making the same posture mistake, guess who�ll be knocking on your door again soon?
In this post, we�ll be highlighting some common posture mistakes, and then we�ll be giving you tips on how to fix those mistakes. We�ll even throw in some advice on how to posture-check yourself, just to help keep you on the right track. All of our recommendations take 30 seconds or less, and we�re kind of sure that you�ll find them as useful as we do.
6 Common Posture Problems (& How To Fix Them!)
1. Not Sitting Up in a Chair
Most of us slouch in our chairs, which is why most of us experience some form of lower back pain during one stage or another of our lives.
How to Fix It
Make sure you sit up properly in your chair. Make sure you do exercises that strengthen the back and core muscles, which will further support your posture while sitting in a chair.
2. Standing With Your Butt Outwards
People that have a pronounced curve in their lower backs and folks that tend to stand with their bottom stuck out may develop (or already suffer from) hyper-lordosis.
This posture problem looks like a classic picture of Donald Duck. Conditions such as pregnancy and carrying too much belly fat exacerbate this problem.
How to Fix It
Make sure you do thigh stretches and hip flexor exercises � you can also do some core training, as well as exercises that strengthen the buttocks.
It�s crucial that you learn to stand upright, almost as if having a string tied to your head which pulls you upward. This will help get rid of your back pain.
3. Having Your Back Flat While Standing
Folks that tuck their pelvises in and straighten out their lower backs (instead of having a naturally curved posture) tend to stoop forward while standing.
This increases their chances of developing back pains that extend all the way from their upper to their lower backs. They�ll also have a hard time standing around for extended periods of time.
How to Fix It
Core strengthening exercises along with those that focus on strengthening the buttocks, neck, back, and shoulder muscles should be done to help correct this very common posture problem.
4. Leaning on the Right or Left Leg
While it might feel super comfy, leaning on either one of your legs while standing is a habit that could be causing you a lot of pain.
That�s because instead of using your buttocks or core muscle groups to keep you up, you�re relying on your hip and your lower back, and putting too much strain on this area causes pain.
How to Fix It
The best way to fix this common problem is to focus on the idea of distributing your weight on both of your legs as you stand. You can try exercises such as bridges and plank poses to help strengthen your muscles and get rid of any posture-related pains which you may be experiencing.
5. The Common Hunchback
Most of us know this posture problem as �the phone pose.� It�s the pose we all seem to adopt when we�re glued to our smartphones, putting a strain on our necks and backs while we check what�s new.
This leads to problems such as a rounded upper back, causing severe pain in the upper back and the shoulders.
How to Fix It
Make sure you�re doing a lot of exercises that�ll strengthen your shoulders, neck, and, of course, your upper back.
6. The Chin-Out Pose
Another name for this posture problem is the �PC screen stare.� You�ve all seen it, heck you may even be doing it right this moment! We�re talking about the people who sit too low beneath their PC screens and stick their chins out to compensate.
How to Fix It
Your sitting habits will have to be addressed and corrected if you want to get rid of the back pain that comes paired with the chin-out posture problem. Make sure you�re adjusting your seat height, and focus on keeping your head straight and upright while using the computer.
Final Thoughts
In our modern world, it�s pretty hard not to fall victim to one of these common posture pitfalls and the pain associated with them. The good news is that now you know what these common mistakes are, and how they can quickly and easily be corrected.
We hope that this post has been helpful in guiding you through the process of alleviating the pains that derive from poor posture, and that you�re a little more aware of where, why, and how to avoid these innocent yet painful mistakes.
Tips for Improving Posture and Ergonomics
Over time, poor posture may be caused by habits from everyday activities such as sitting in office chairs, staring at the computer, cradling a cell phone, carrying a purse over same shoulder, driving, prolonged standing, caring for small children, or even sleeping.
Poor posture can easily become second nature, causing and aggravating episodes of back and neck pain and damaging spinal structures. Fortunately, the main factors affecting posture and ergonomics are completely within one’s ability to control and are not difficult to change.
The following guidelines suggest several ways to improve posture and ergonomics, especially for people who work sitting in an office chair for most of the day.
Identify The Warning Signs Of Back Pain Caused by Poor Ergonomics & Posture
Back pain may be the result of poor ergonomics and posture if the back pain is worse at certain times of day or week (such as after a long day of sitting in an office chair in front of a computer, but not during the weekends); pain that starts in the neck and moves downwards into the upper back, lower back, and extremities; pain that goes away after switching positions; sudden back pain that is experienced with a new job, a new office chair, or a new car; and/or back pain that comes and goes for months.
Keep The Body In Alignment While Sitting & While Standing
When standing, distribute body weight evenly to the front, back, and sides of the feet. While sitting in an office chair, take advantage of the chair’s features. Sit up straight and align the ears, shoulders, and hips in one vertical line. Any prolonged sitting position, even a good one, can be tiring. Shifting forward to the edge of the seat with a straight back can alternate with sitting back against the support of the office chair to ease the work of back muscles.
Some people benefit from a naturally balanced posture that is achieved by sitting on a balance ball; in this posture the pelvis is rocked gently forward increasing the lumbar curve which naturally shifts the shoulders back (similar to sitting on the edge of a chair seat).
Also be aware of and avoid unbalanced postures such as crossing legs unevenly while sitting, leaning to one side, hunching the shoulders forward, or tilting the head.
Get Up & Move
As muscles tire, slouching, slumping, and other poor postures become more likely; this in turn puts extra pressure on the neck and back. In order to maintain a relaxed yet supported posture, change positions frequently. One way is to take a break from sitting in an office chair every half hour for two minutes in order to stretch, stand, or walk.
Use Posture-Friendly Props & Ergonomic Office Chairs When Sitting
Supportive ergonomic “props” can help to take the strain and load off of the spine.�Ergonomic office chairs or chairs with an adjustable back support can be used at work.
Footrests, portable lumbar back supports, or even a towel or small pillow can be used while sitting in an office chair, on soft furniture and while driving.
Using purses, bags, and backpacks that are designed to minimize back strain can also influence good posture.
Proper corrective eyewear, positioning computer screens to your natural, resting eye position can also help to avoid leaning or straining the neck with the head tilted forward.
Increase Awareness Of Posture & Ergonomics In Everyday Settings
Becoming aware of posture and ergonomics at work, at home, and at play is a vital step towards instilling good posture and ergonomic techniques. This includes making conscious connections between episodes of back pain and specific situations where poor posture or ergonomics may be the root cause of the pain.
Building on the prior page, the following five points highlight important ways to improve posture in the workplace, helping to reduce back and neck pain and stiffness.
Exercise To Help Prevent Injury & Promote Good Posture
Regular exercise such as walking, swimming, or bicycling will help the body stay aerobically conditioned, while specific strengthening exercises will help the muscles surrounding the back to stay strong. These benefits of exercise promote good posture, which will, in turn, further help to condition muscles and prevent injury.
There are also specific exercises that will help maintain good posture. In particular, a balance of core muscle and back muscle strength is essential to help support the upper body and maintain good posture.
Avoid regularly wearing high-heeled shoes, which can affect the body�s center of gravity and induce compensatory alignment of the entire body, thus negatively affecting back support and posture.
When standing for long periods of time, propping a leg up on a foot rest, wearing supportive shoe orthotics, or placing a rubber mat on the floor can improve comfort.
Simply walking, lifting heavy materials, holding a telephone, and typing are all moving activities that require attention to ergonomics and posture. It is important to maintain good posture even while moving to avoid injury, walking tall with shoulders back for example.
Back injuries are especially common while twisting and/or lifting and often occur because of awkward movement and control of the upper body weight alone.
Create A Ergonomic Physical Environment & Workspace
It does require a small investment of time to personalize the workspace, home, and car, but the payoff will be well worth it. Undue strain will be placed on the structures of the spine unless the office chair, desk, keyboard, and computer screen, etc. are correctly positioned.
It’s much easier and less time consuming to correct everyday ergonomics and minimize back or neck pain than to add doctor visits and corrective therapies for debilitating pain conditions.
Remember that it is important to maintain an overall relaxed posture. Avoid restricting movements by clenching muscles or adopting an unnatural, stiff posture. For individuals who already have some back or neck pain, it’s a natural tendency to limit movements to avoid provoking increased pain.
However, unless there is a fracture or other serious problem, the structures in the spine are designed for movement and any limitation in motion over a long period of time creates more pain and a downward cycle of less motion and more pain.
Aches and pains have become a part of our daily lives that we�ve learned to live with them (if not accept them). The problem is that all these small aches and pains, such as lower back and neck issues, are derived from posture mistakes.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
A current study conducted by the U.S. Chamber of Commerce’s Institute for Legal Reform, or ILR, determined that several of the most expensive ads under popular search terms on Google, including phrases such as “Top personal injury lawyers” and “El Paso accident lawyer”, costed personal injury lawyers approximately $700 every time a possible client clicked on it.
While these elevated costs have demonstrated a definite growing advertising trend among attorneys, these statistics have developed a tremendous concern among Texans who value the integrity of their civil justice system. As a matter of fact, the increased amount of personal injury lawyer advertising shows how misleading ads have become, putting greed ahead of justice. Furthermore, this method of advertising can burden courts with questionable lawsuits, leading to more delays and denials of justice for those with legitimate legal claims.
According to the Institute for Legal Reform’s research study, personal injury attorneys in the United States were estimated to spend a total of $892 million in television advertising in 2015, a growth from $531 million in 2008. The large sums being invested on these expensive ads were utilized in the study to show the way many personal injury lawyers are predominantly more interested in lining their pockets rather than being interested on the client’s safety and overall health and wellness.
The current study conducted by the U.S. Chamber of Commerce placed various cities in Texas among the top national rankings of personal injury attorney advertising. The 68 percent increase in personal injury lawyer ads on television during the previous An evident increase of approximately 68 percent in personal injury lawyer television ads over the previous eight years was most notable in Houston, Texas, ranking among the top 10 United States television markets for trial lawyer advertising in 2015.
Because more Texans have started depending on the internet and television for a majority of their health information, it’s fundamental for individuals to be able to distinguish between all the helpful resources and misleading lawsuit advertising. In addition, many personal injury attorney advertisements have started attempting to influence consumer’s decisions, guiding them away from seeking medical attention from qualified doctors, chiropractors and medical specialist as well as misleading them to questionable lawsuits.
People have to begin to understand the purpose of personal injury attorney advertising. Many personal injury lawyers are acting on their own self-interest, one that is often not in the best interest of clients and patients. Texans must learn to protect themselves against those recruiters who’s main purpose is to enlarge their own bank accounts rather than helping victims who need it. Clients with questions regarding the medical care and treatment they deserve for their settlement should ask their doctor, chiropractor or medical specialist, not a personal injury lawyer. Subsequently, people should be aware of misleading advertisements attempting to guide them away from a healthcare professional.
Misleading personal injury advertising can put people�s overall health and wellness at risk. Fortunately, there are ways to avoid the consequences of this often selfish practice: don�t allow a lawyer be your doctor, chiropractor or medical specialist.
Its common for personal injury lawyers to advertise on the internet and television today. However, recent studies have started to demonstrate that from the vast majority of ads, an increased percentage of them be misleading, steering people away from medical care and treatment after being involved in a personal injury case.
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
“Star Trek” fans will, of course, recognize these immortal words as the famed salutation of the beloved Mr. Spock. But they’re also the focus of a new book about the links between health, wealth, and longevity by Newsmax contributor Dr. Michael Roizen and financial expert Jean Chatzky.
The book — “Age-Proof: Living Longer Without Running Out of Money or Breaking a Hip” — has a clear and uplifting take-home message: With a little planning and foresight you can to live by Spock’s words to both live long and prosper.
To help you do so, Roizen and Chatzky have devised an eight-point plan for living the good life well into old age that spotlights the surprising connections between health, wealth, and longevity.
“The same eight principles that help you live longer also are the ones that help you live with more money so they really intertwine,” says Roizen, Cleveland Clinic’s chief wellness officer.
“For example, you want to do diagnostic areas of both. You want to take a look in the mirror financially and look in the mirror into your health so there really are eight principles that unite the two so you can in fact become age-proof.”
Rosen tells Newsmax Health one big mistake many people make is failing to recognize they are likely to live living longer than they expect, which makes long-term planning for fiscal and physical fitness critically important.
Average life expectancy in the U.S. is now in the high 70s for men, low 80s for women. But many people will live much longer than the national average, often with at least one chronic health condition.
“Most people expect … to live to 75 or 85. We’re now thinking that most of those people will live much longer,” Roizen explains. “(And) as you get older you’re going to spend money to stay healthy. Wealth without health that won’t work … because you’re going to spend a lot of money on that.”
The eight core principles of “Age-Proof” provide a roadmap to health and wealth that helps ensure you won’t wind up medically or fiscally bankrupt later in life, Roizen says. Here are the strategies he and Chatzky recommend:
No. 1: Automate good habits. “We are programmed, all of us to do the wrong thing,” Roizen says. “We’re programmed to survive and to splurge both in our money and in our food.” So what we need to is “reprogram” our brains and lifestyles to live healthier, fiscally responsible lives. Among the ways you can “automate” healthy habits and money-savvy strategies:
Set aside 15 percent of your earnings for retirement, or automatically deduct 401(K) savings from your paycheck.
Eat the same healthy foods every day. Trade the typical American diet for the Mediterranean diet, emphasizing healthy fats, lean protein, vegetables and fruit, and unprocessed grains.
Build regular exercise into your life, aiming to get 10,000 steps in a day, with no excuses.
No. 2: Look beyond vital signs. In addition to the regular tests your doctor will perform during an annual physical exam (blood pressure, heart, rate, pulse, respiration), opt for more advanced “body checks” that provide a better snapshot of your health. Roizen and Chatzky recommend undergoing a series of tests you can do at home for fitness, stress levels, and weight, among others.
He suggests taking a tape measure to your waist to determine your obesity risks.
“The number of inches around your belly at the bellybutton should be less than half your height so that tells you how much abdominal fat you have, a very important thing,” he says.
No 3: Maintain your “fiscal fitness.” Getting your financial house in order should not only involve having a solid bank balance, but also making sure you have a steady income, are putting away money for savings and investment, keeping your expenses under control, and checking your credit score annually.
“What you want to know is three basic things: your income versus your expenses, what you owe and what you own,” Roizen notes.
No. 4: Set priorities. You can’t have a plan for living well without setting priorities, so it’s important to identify five or six you identify as your top goals. They can include things like earning a decent living, making high-quality food your top budgetary item, paying yourself first with savings (15 percent of your income), spending less than you make, protecting your financial life (through insurance, savings, estate planning), and giving back to the community in a meaningful way that’s meaningful.
No. 5: Get organized. Gathering and maintaining your financial and health records can help you keep track or your priorities. That means keeping track of your medical records, important financial files, living wills, insurance files, and investment papers.
No. 6: De-stress your life. Stress — over your health or wealth — can kill you, and isn’t good for your bank account either, Roizen says. You have to de-stress your life by finding ways to manage it. “Stress is like ice cream — more than a little is bad for your health and it comes in all flavors,” Roizen and Chatzky write.
No. 7: Consult experts. Creating a “people portfolio” of experts can help you reach your fiscal and physical goals. That means assembling a team of financial advisors, medical experts (doctors, pharmacists, nutritionists, and physical education specialists) to help you.
No. 8: Change bad habits. It’s never too late to change bad habits about money or your health to start the “age-proofing” your life, Roizen says. And if you’ve allowed yourself to fall behind, in your finances or health, you can catch up.
“We have some rules for retirement that Fidelity actually came up with,” he tells Newsmax Health. “At age 30 you should have one times your annual salary saved, at age 40 three times, at age 50 six times, at age 60 eight times, and when you actually retire 10 times your annual salary you should have saved.
“(But) if you’re way behind, don’t worry — you can catch up. We have a chapter called ‘Making Up for Lost Coin.’ We also have one for ‘Making Up for Lost Time in Health.’ (The) point is that there are benchmarks which you can compare to know where you are and whether you’ll be able to do it.”
High level performers are always looking for strategies that will give them an edge in their field of endeavor. Athletes want to run a split second faster and jump an inch higher while business executives want to have sharper mental clarity and improved working efficiency. Specific meal timing and superfood strategies have been shown to optimize performance and recovery.
We all want to perform at our peak no matter whether we are a teacher, stay at home mom, doctor or athlete. It is also integral that we recover fast and effectively. The goal is peak performance and quick and effective recovery so we can get up the next day and do it all over again.
Optimize Your Performance:
Performance in any field depends upon high level mental activity and often kinesthetic activity whether that be running or jumping or eye-hand coordination. The keys for healthy function include good fats, anti-oxidants and clean protein sources.
Providing lots of clean healthy foods and meal timing properly can make a huge difference in your overall energy and daily performance. Use the principles in this article to help guide you in preparing your body for great energy and daily performance in your daily life.
Coconut:
This superfood is loaded with medium chain triglycerides (MCT�s) that break down for energy very easily. Unlike most fat sources which consist of long chain fatty acids these MCT�s do not depend upon bile and instead go right to the liver and are metabolized immediately for energy.
Muscle cells are also able to store MCT�s and use them immediately for energy during exercise sessions.
Bone Broth Protein:
Bone broth contains a wide variety of valuable nutrients including collagen, gelatin, hyaluronic acid, chondroitin sulfate, glycosamino glycans, proline, glycine, calcium, phosphorus, magnesium and potassium. These all help with the development of healthy joints, bones, ligaments and tendons as well as hair and skin.
These nutrients are considered beauty foods because they help the body with proper structural alignment and beautiful skin and hair. They also help to prevent against injuries by strengthening joints, tendons and ligaments. Additionally, bone broth is great for the immune system.
If you are unable to make your own bone broth, than you can try our Bone Broth Protein which comes with the same benefits as homemade broth, but it�s even more versatile in so many recipes. Bone Broth Protein begins as a true bone broth liquid. It�s then dehydrated, making it into a concentrated source of high-quality, tasty powder.
Berries:
Berries are loaded with anti-oxidants and are low in sugar. Berries contain unique phytonutrients called anthocyanin�s that give them their strong pigments and allow them to handle intense sunlight. Consuming these anthocyanin�s helps our bodies adapt to stress effectively.
Be sure to get your berries organic as the thin skin makes them susceptible to pesticides and they are highly contaminated with dangerous pesticides when produced on conventional farms.
Spinach:
This superfood is loaded with blood purifying chlorophyll and the anti-oxidants lutein and zeaxanthin. Spinach also contains its own plant based steroids called phyoecdysteroids that boost the bodies ability to adapt to stress. Phytoecdysteroids are similar to insect molting hormones and have been shown to dramatically increase glucose metabolism.
This keeps blood sugar levels stable and minimizes the need for the critical fat-storage hormone insulin. Additionally, phytoecdysteroids increase human muscle tissue growth rates by 20% when applied in a culture medium.
Rice & Pea Proteins
For sensitive cases where people have pronounced sensitivities I prefer to use either a brown rice or pea protein. Pea protein appears to be the most hypoallergenic of all protein powders and has a 98% absorption rate. This combination of 1% brown rice and 99% pea protein has a great blend of branched chain amino acids, lysine and arginine for lean body tissue development and good circulation
Pea & brown rice protein has also been shown to be very easy on the digestive system and the protein is fairly quickly assimilated into muscle tissue. This is important because slower digesting and assimilating proteins have a greater chance of producing gas and making one feel bloated. Most plant proteins have poor assimilation rates but pea, brown rice and hemp proteins are the rare exceptions.
These are loaded with sulfur containing amino acids like methionine and cysteine which are critical for glutathione production. They are also a rich vegetarian source of branched chain amino acids. They contain essential fatty acids and edestin and albumin which are similar to the makeup of human blood and these help with critical functions like DNA repair.
Grass-Fed Butter:
Dairy from grass-fed cows is extraordinarily rich in essential fats and critical nutrients like vitamin K2 and magnesium. The best foods from this group include grass-fed butter and ghee which are loaded with anti-inflammatory fats and anti-oxidants.
Grass-fed butter and ghee are also rich in conjugated linoleic acid, which helps burn fat and is anti-carcinogenic. It is the best food source of the anti-inflammatory short chain fatty acid butyrate. Finally, it is full of choline which supports healthy brain and neurotransmitter production. I use butter and ghee generously each day. Look for Kerry Gold grass-fed butter.
Red Onions:
These are loaded with the flavonoid anti-oxidant quercetin. They also contain sulfur containing amino acids that boost cysteine and glutathione production within the body. They also have chromium which helps to regulate blood sugar levels.
Grass-Fed Beef:
Cows that are fed a 100% green diet are loaded with anti-oxidants like carnosine and essential fatty acids. Because cows have multiple stomachs and are able to fully digest grass (humans cannot) we are getting the benefits of this fully digested super-greens in a high protein food.
A fantastic source for grass-fed beef and pastured poultry is US Wellness Meats.
Avocados:
Avocados are loaded with good fats and carotenoid anti-oxidants like lutein and zeaxanthin. It is very easy on the digestive system and helps support optimal hormone function, muscle development and exercise recovery.
Raw Chocolate:
This is rich in good fats and polyphenol anti-oxidants for fuel and recovery. Chocolate contains theobromine which is a natural cardiovascular stimulant that helps improve circulation throughout the body.
Proper Meal Timing:
It is best to eat light before our times of performance to keep as much energy focused on the specific performance rather than on digestion. Instead of food, turn to water, as optimal hydration correlates very strongly with great performance. I try to stay super hydrated throughout the day and notice that as my water intake drops, my energy and mental acuity declines.
After the performance we want to have our largest meal to replenish our system with nutrients. Ideally, you have your largest meal at the end of your day as opposed to the beginning of your day. This helps your body to recover from the stresses of the day. You are in a relaxed position at this point, as you no longer have to work hard and perform, so it allows you to digest and absorb the nutrients you need more effectively.
This helps to take stress off of your gut lining and improves the integrity of your digestive system. When you eat in a hurry or have a large meal before a stressful event or a busy day, you compromise your digestive system and cause more inflammation in the body.
These ideas and much more I teach in our Navigating the Ketogenic diet program. Opt-in here for more details and a FREE video training series I give you on advanced strategies to improve your performance.
Fat Burning Foods Video
Food: Diet and Nutrition for a Healthy Back
As most patients are well aware, good nutrition and a balanced diet are important components of overall health. What may surprise people with back problems is that diet, nutrition and maintaining a healthy weight also play a major role in the back – including preventing many problems and healing from injuries.
The bones, muscles and other structures in the spine need good nutrition and vitamins so that they are strong enough to support the body and to perform their other functions. Using these nutritional guidelines, patients can integrate back-friendly vitamins and nutrients into their diets.
Eating a balanced diet that includes the right amount and variety of vitamins and nutrients will reduce back problems by nourishing the bones, muscles, discs and other structures in the spine. Particular importance is given to calcium, which can be obtained through a variety of healthy food choices as well as nutritional supplements.
While a healthy diet calls for many vitamins and nutrients, this partial list highlights a number of healthy choices that can be directly beneficial for helping back patients.
Role of Vitamin or Nutrient Food Sources
Vitamin A:
An antioxidant that assists the immune system in fighting off diseases. It is good for the back because it helps repair tissue and in the formation of bone. It also helps the body use protein effectively.
Additionally, the body can convert beta-carotene into vitamin A. Beta-carotene can be found in dark green leafy vegetables and most orange vegetables and fruits.
It’s important not to get more then the recommended daily allowance of vitamin A, as too much can promote bone fractures. Beta-carotene does not increase the risk of fracture.
Vitamin A can be found in beef, calf and chicken liver; dairy products like milk, butter, cheese and eggs; orange fruits such as apricots, nectarines and cantaloupe; orange or green vegetables such as carrots, sweet potatoes and spinach.
Vitamin B12:
Necessary for healthy bone marrow and for the body – and the spine – to grow and function normally. Vitamin B12 can be found in meat products, such as liver, fish, red meat and poultry; dairy products, such as milk, yogurt and cheese; and eggs.
Vitamin C:
Necessary for the development of collagen, which is an important part of the process that allows cells to be able to form into tissue. This is extremely important for healing problems caused by injured tendons, ligaments and vertebral discs, as well as for keeping bones and other tissues strong.
Vitamin C can be found in fruits, such as strawberries, kiwi fruit and citrus fruits (e.g. oranges, guavas, grapefruits) and tomatoes; many vegetables, such as broccoli, spinach, red and green peppers, sweet potatoes and white potatoes.
Vitamin D:
Improves calcium absorption, which is important for the development of strong and healthy bones. Adequate calcium absorption is particularly important to help prevent development of osteoporosis, a disorder characterized by weak and brittle bones in the spine that can results in painful vertebral fractures. Vitamin D is naturally occurring in egg yolks and fish oils; also found in most brands of fortified milk in the US; can also be obtained by spending time in the sunlight.
Vitamin K:
Needed for the bones to properly use calcium. The combination of vitamin K and calcium works to help bones throughout the body stay strong and healthy. Vitamin K is found in liver, pork, green leafy vegetables such as spinach, kale and broccoli, and dairy products.
Iron:
Needed for cells to remain healthy as it helps them receive oxygen and get rid of carbon dioxide. It also aids in the production of myoglobin, an important element of healthy muscles that are needed to support the spine. Iron is found in meat products such as liver, pork, fish, shellfish, red meat and poultry; lentils, beans, soy, eggs, grains, and green leafy vegetables such as spinach, kale and broccoli.
Magnesium:
Important for the relaxing and contracting of muscles. It also helps maintain muscle tone and bone density, which in turn can help prevent back problems. Further, it assists in the body’s use of protein. Magnesium is found in whole grains and whole-grain breads, beans, seeds, nuts, potatoes, avocados, bananas, kiwi fruit, shrimp, and green leafy vegetables such as spinach, kale and broccoli.
Calcium:
Essential for bone health and helps maintain the necessary level of bone mass throughout the lifespan and especially in old age. Adequate calcium intake is particularly important to help prevent development of osteoporosis, which results in weak and brittle bones in the spine that can results in painful vertebral fractures. Calcium is found in dairy products such as yogurt, cheese and especially milk; dark green leafy vegetables such as spinach, broccoli and kale; tofu, peanuts, peas, black beans and baked beans; some types of fish (salmon and sardines); a variety of other foods such as sesame seeds, blackstrap molasses, corn tortillas, almonds and brown sugar.
Specific meal timing and superfood strategies have been shown to optimize performance and recovery. As most patients are well aware, good nutrition and a balanced diet are important components of overall health. What may surprise people with back problems is that diet, nutrition and maintaining a healthy weight also play a major role in�spine health.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Exercise is an important part of a healthy lifestyle, and sports are one approach many people choose to use to get their exercise.
For people with back pain, sports can still be a viable option if they pay attention to their back.
For others who participate in sports, knowing the type of strain various sports place on the back may help prevent a back injury.
This article gives specific information about sports injuries and back pain from bicycling, weight lifting, running, swimming, skiing, golf, and tennis.
Contents
Types of Sports-Related Back Injuries
In any sport, injuries to any part of the spine are possible, as well as injuries to the soft tissue and fascia that help comprise the makeup of the body. Up to 20% of all injuries that occur in sports involve an injury to the lower back or neck.
Lower Back Injury
The lower back is subject to a great deal of strain in many sports. Sports that use repetitive impact (e.g., running), a twisting motion (e.g. golf), or weight loading at the end of a range-of-motion (e.g., weightlifting) commonly cause damage to the lower back.
Neck Injury
The neck is most commonly injured in sports that involve contact (e.g., football), which place the cervical spine (neck) at risk of injury.
Upper Back Injury
The thoracic spine (mid portion of the spine at the level of the rib cage) is less likely to be injured because it is relatively immobile and has extra support. Injuries seen here can involve rib fracture and intercostal neuralgia as well as intercostal muscle strains in sports that involve rotation of the torso (e.g. weight training with rotation), swimming, golf, tennis, and even skiing.
Stretching and Warm-Up Prior to Exercise
While static stretching prior to any type of exercise used to be recommended, a number of studies in recent years have shown that stretching the muscles prior to exercise is not needed. A number of studies have shown that it does not help prevent injury, and likely does no harm either.1,2,3
For every sport, a thorough warm-up should be completed before starting to play. The warm-up will target the muscles used in that sport, but it should also prepare the back for the stresses to come.
The warm-up used should be specific to the sport to be played. A typical warm-up should include:
Increase circulation gradually by doing some easy movement (such as walking) to increase blood circulation to the muscles and ligaments of the back
Stretch the lower and upper back and related muscles, including hamstrings and quadriceps
Start slowly with the sport movements (e.g. swing the golf club, serve the ball)
Work with a Professional to Prevent or Manage Back Injury
There are professionals or instructors in almost every sport who are willing to share their expertise. Ideally, someone with this type of expertise can teach the correct form for a new sport or help develop and keep the proper technique for a current sport.
Before starting to work with any sports or exercise professional, it is advisable to inquire about his or her credentials. In general, if the individual is certified by the National Strength and Conditioning Association (NSCA), he or she should be up to date on the latest evidence related to stretching, exercise routines for specific sports, and additional information designed to benefit your personal routine.
Mets’ Infield, Chiropractor Is The Most Important Position
There are many ways to describe the Mets� projected starting infield of David Wright, Asdrubal Cabrera, Neil Walker and Lucas Duda. But two weeks ago, as Mets Manager Terry Collins discussed how he would handle their playing time, he provided a telling answer while rattling off the positions.
�We�ve got a bad back, bad back, bad knee and a bad back,� Collins said, referring to Wright, Walker, Cabrera and Duda.
The 2017 Mets, for all of their potential and talent, cannot ignore a significant question mark: health. Aside from the arm-related injuries of the pitching staff, the condition of the spines of three key infielders will hover over the team all season.
Wright, the long-tenured third baseman, has played only 75 games during the past two seasons; part of the reason was neck surgery in June, but mostly it is because of spinal stenosis, a chronic condition. Walker, the second baseman, had surgery to repair a herniated disk in his lower back in September. And Duda, the power-hitting first baseman, missed four months last season because of a stress fracture in his lower back.
All three reported to spring training relatively healthy; in Wright�s case, fusion surgery on a herniated disk in his neck had healed. But only two days into the exhibition schedule, the Mets have suffered a setback.
After experiencing what he said was a pain-free off-season, Duda reported feeling spasms in his back late last week. The pressure had an adverse effect on his hips, and he received a cortisone shot on each side Friday.
�So we�ll take a few days now instead of two weeks down the road,� Duda said. �Just being cautious.�
That should be the Mets� motto all year.
Although baseball players put repeated strain on their core when pitching or swinging, they do not suffer more back injuries than athletes in sports that entail more forceful impact, such as football or hockey, said Dr. Andrew C. Hecht, the chief of spine surgery for Mount Sinai Health System, who wrote a soon-to-be-released book on spine injuries in athletes.
�What happens when you have a few on one particular team is that it highlights it,� Hecht said.
Walker�s injury was the simplest. He first felt discomfort in his lower back and tingling in his leg late during the 2012 season, which he thought was caused by the sport�s day-to-day rigors. Some back pain recurred in the years that followed, but never to the degree that it did last season, when he said he also experienced numbness in his leg and foot.
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Hecht, who is not involved in the treatment of these Mets players, said lumbar disk herniation like Walker�s is �as common as common can be.� Surgery to repair the injury involves removing only the part of the herniated disk that is pinching the nerve and causing the pain, Hecht said.
Walker, 31, said he completed his physical therapy in less than three months and went through normal off-season workouts. Although he is healthy now, Walker said that he has a regimen of daily exercises and stretches to keep his back in good shape.
Despite the back ailment last season, Walker still hit .282, with 23 home runs and a career-high .823 on-base-plus-slugging percentage. The Mets felt confident enough in his recovery that they gave him a one-year, $17.2 million qualifying offer. Walker accepted, and the sides have talked about a contract extension.
Duda�s injury, a vertebral crack, is another common back ailment in athletes, Hecht said. The usual treatment is rest and rehabilitation.
Before his recent flare-up of back spasms, Duda, 31, said he, too, was regularly doing exercises to support his back. Until last week, there was reason to be optimistic about Duda�s outlook because, after missing 107 games last season, he returned in September to play eight games.
Still, as a precaution, right fielder Jay Bruce took ground balls at first base during workouts on Sunday. Jose Reyes and Wilmer Flores are options to back up Walker; Cabrera, the infielder with the balky knee last season; and Wright.
Wright�s stenosis, a narrowing of the canal in the spinal cord that can lead to chronic stiffness and pain, is the most complicated ailment. Hecht said the condition was rare among younger athletes, and while Wright is only 34, he is entering his 14th major league season.
Wright said doctors have told him his condition was the �perfect storm� of three factors. He was born with a narrow spinal canal, Wright said, explaining, �Ideally, you�d want a little more space so that those nerves don�t get pinched.� Wright also sustained a vertebral fracture years ago, which, along with the wear and tear of playing so much baseball, has contributed to his injury.
Wright had neck surgery in June, for an injury that he said was unrelated to his spinal stenosis, which was diagnosed in May 2015. After rest and rehabilitation, he returned to the field in August 2015, but he often required hours of stretching and preparation to play. That kind of maintenance is expected to continue for the rest of his career.
While expectations of how much Wright can play will be tempered again this season, he can try to limit the effects of spinal stenosis. Compared with last year, Wright said, he has a better idea of how to manage his back in spring training, even though he is still building up his arm strength after his neck surgery.
�I know the routine and the process,� he said. �I understand my body a little bit better.�
In any sport, injuries to any part of the spine are possible, as well as injuries to the soft tissue and fascia that help comprise the makeup of the body. Up to 20% of all injuries that occur in sports involve an injury to the lower back or neck.�For Answers to any questions you may have please call Dr. Jimenez at
A new technique that relieves severe tennis elbow faster and more quickly than traditional surgery can provide relief for this painful condition, a top expert says.
“In the past, there have been types of surgical options available to relieve the pain of tennis elbow, but there is a new procedure becoming popular that requires less recuperation time,” Dr. Kevin Plancher tells Newsmax Health.
That new technique, called the Tenex FAST procedure, is for people with the severe form of the condition who need surgery, says Plancher, a leading New York-area orthopedist and expert in sports medicine.
But not all people who get tennis elbow need surgery. In fact, the vast majority do not, says Plancher.
Another myth about tennis elbow is that people develop it from playing the game. Not always, says Plancher.
“Tennis elbow is a bit of a misnomer. In fact, this is a condition that is seen much more often in people who don’t play tennis. In fact, they don’t play racquet sports at all,” says Plancher.
Known medically as lateral epicondylitis, tennis elbow affects about 1-3 percent of the population. But less than 5 percent of tennis elbow diagnoses are actually related to playing tennis, according to the American Academy of Orthopaedic Surgeons (AAOS).
The condition, known medically as lateral epicondylitis, occurs more often in men and most commonly occurs in those between ages 30 and 50, the AAOS says.
“Those whose sports or activities require repetitive arm, elbow, and wrist movement – such as golfers, baseball players, bowlers, lawn workers, painters, carpenters, and others – are the most prone to developing tennis elbow,” Plancher says.
Tennis elbow actually is a type of tendonitis, or the swelling of the tendons that stems from overusing the forearm.
“Tennis elbow is an inflammation of the tendon that attaches to the ulna, one of the three bones that make up the elbow joint,” he says.
Like the Achilles tendon or rotator cuff in the shoulder, this tendon has a poor blood supply and gets injured easily.
“This means that anyone who uses this area of their arm repetitively can develop the condition, including those whose work involves lifting, or people who pursue other hobbies, or sports like golf and baseball,” says Plancher, the official orthopedic surgeon of the U.S. Olympic ski and snowboard teams.
“In fact, more golfers get tennis elbow than tennis players do.”
There are different degrees of tennis elbow, so the treatment must be customized, says Plancher, a clinical professor in Albert Einstein College of Medicine in New York.
In its mildest form, the tendon becomes inflamed, but an MRI shows no sign of injury.
“The approach for this type of condition is known as ‘RICE’ – Rest, Ice, Compression, and Elevation. No further treatment is usually required,” says Plancher.
A more serious form is when the MRI shows a partial tear.
“Fifty percent of people in this category can be treated with physical therapy, but, for that to be successful, it must be performed by an occupational hand therapist,” he says.
But what about the 5 percent of people who do suffer a complete tear of their tendon and require surgery?
In the past, this has involved an operation to remove the dead tissue around the tendon – which is the cause of the pain, says Plancher – and then the healthy muscle is reattached back to the bone.
This can be done either as open surgery, or performed arthroscopically.
Tradition surgery involves making a two-inch incision in the shoulder area, but, when the operation is done arthroscopically, the surgeon makes a few small cut, and, using a camera, performs the operation using miniature instruments.
But no matter whether open surgery or arthroscopy is used, a 4- to 6-month recuperation period is required, Plancher says.
This is where the Tenex FAST (or “Focused Aspiration of Scar Tissue”) procedure comes in.
The Tenex procedure is performed on an out-patient basis under light sedation. A tiny incision is made to insert a toothpick-sized device that uses ultrasound to remove the dead tissue, says Plancher.
“It’s a quick, 20-minute procedure with a small incision, so small at times it doesn’t require stitches,” he says.
Instead of a 4- to 6-month recuperative period, patients can return to their regular sports or work activities in one or two months, Plancher says.
Although the procedure is geared for the 5 percent of people who require surgery, the Tenex procdure may make it more feasible for those who have the moderate form of the condition, he adds.
“This is a wonderful procedure. You make a small nick in the skin, restore the good tissue, and get people back to full activity in a rapid fashion,” he says.
If you do play racquet sports, here are Plancher’s tips for preventing tennis elbow:
Warm it up. Always spend a few minutes prior to a game or match gently warming up the muscles and areas of the body that will be used during any sport. For the elbow, gentle arm circles and bicep stretches will allow fluid to flow into the elbow joint, providing protection to the joint.
Be aware. Most tennis elbow cases are the result of repeated awkward and forceful movements involving the elbow joint. Be aware of your form, and use only the amount of force necessary to accomplish each move. Ask a professional to evaluate your stroke.
Let it rest. To avoid overuse injuries, it’s important not to overuse the joint. Engage in sports that use different muscles and joints on alternating days, giving each joint a day or two to recover.
Check your equipment. People who play racquet sports and develop tennis elbow should check their equipment for proper fit. Racquets that are stiffer and/or looser-strung can lower stress on the forearm, or a smaller racquet head may help prevent recurring symptoms.
Just as the way some iconic advertising campaigns might create among us a unique cultural bond, TV watchers and internet surfers today share a common experience. We�re all aware of � and annoyed by � personal injury lawyer advertisements, �If you�ve ever been injured, call now for a free consultation��
Personal injury lawyer advertising is a huge presence on our TV screens and computer searches. It�s also the most visible element of the vicious cycle of lawsuit abuse in this country. Where does the money come from for these ads? Personal injury lawyers get rich filing lawsuits that are often weak on facts or fueled by imbalanced laws. The bounty they reap from these lawsuits goes into the huge volume of injury ads that we see constantly, so they can recruit more plaintiffs for more questionable lawsuits.
About $900 million was spent last year on personal injury ads on TV alone, according to a U.S. Chamber Institute for Legal Reform report. Online, more than 90 percent of the top 25 most expensive Google search terms are related to litigation, according to the report, and the high prices are bid up by high advertiser demand.
Why advertise 24/7 for lawsuit plaintiffs? To create �class members� for personal injury lawyers to bring mass tort lawsuits. What happens to the millions of plaintiffs signed up by the ads and web links? They are bought and sold by the lawsuit generators as if they were cattle or corn futures. Who regulates these ads to make sure they are truthful and ethical? As you might have guessed from looking at the ads, they are barely regulated at all � but they should be!
This aggressive plaintiff recruitment comprises just part of the cycle of lawsuit abuse � lawsuit friendly laws make personal injury lawyers rich as they file more and more lawsuits, and lawsuit riches buys nearly a billion in TV ads to gin up more plaintiffs and wealth-producing lawsuits. The rest of the cycle of lawsuit abuse is the personal injury lawyers putting their money into political campaigns and supporting pro-lawsuit politicians who help to preserve the imbalanced laws � and try to create new ones. Seem a little complicated? It�s not, and we�ve laid it out with a few graphics here.
So the next time you see a personal injury ad that is giving you advice about what to do, remember these three things:
You shouldn�t believe everything you see in the largely unregulated world of personal injury lawyer advertising.
Personal injury lawyer advertising can mislead and scare consumers on important issues, such as their health care.
Personal injury lawsuits are often about making those lawyers rich, not making victims whole.
ANYTHING GOES WITH PERSONAL INJURY ADS
While our country has regulatory agencies whose mission it is to ensure that advertisements are accurate and straightforward for American consumers, one group evades advertising regulation: personal injury lawyers. This group is flooding the airwaves and internet with ads making unsubstantiated or hyperbolic claims to lure potential plaintiffs into lawsuits that make these personal injury lawyers millions.
We�re all familiar with the ominous ads that warn about health dangers or a long list of side effects and promising cash compensation to patients. Yet these sensationalized lawsuit ads do not disclose the low probability of experiencing an adverse health effect. That�s because lawsuit ads are not subject to the same level of oversight for accuracy and disclosure as advertising for other industries.
The disparity is clear when you look at how strictly other ads discussing health treatments are regulated. The Federal Trade Commission (FTC) regulates all consumer product ads that where company�s product can affect consumers� health, insisting that these ads must:
be truthful and non-deceptive
have evidence to back up claims
not be unfair, and
include only accurate testimonials that disclose any information that might influence buyers
None of these requirements exist for lawsuit ads, which largely can say whatever they want about the effects of health treatments or products. Without regulation, personal injury lawyers can dramatize product risks while acknowledging none of the benefits.
Additionally, the Federal Drug Administration (FDA) requires that product claim ads must present the benefits and risks of a prescription drug in a balanced fashion. Companies are required to list the most significant risks of the drug. Similar to the FTC, the FDA requires that these ads must not be false or misleading in any way.
These restrictions do not apply to lawsuit ads, which are often intentionally misleading. There is a rigorous testing and claim substantiation that drugs must go through for all marketable claims, but no such process exists for lawsuit ads. Thus, we see ads with unsubstantiated claims from studies personal injury lawyers may have commissioned or from doctors who are on their payroll. That simply doesn�t seem balanced.
Even cosmetic ads are regulated more strictly than lawsuit ads. Cosmetic ads are subject to the same advertising regulations that the FTC uses for other industries (i.e., fair, backed by evidence, non-deceptive, etc.) These regulations exist for a reason, and personal injury lawyer ads should be held to the same standards as demanded of other advertisers.
There is harm in allowing lawsuit ads to continue to make misleading claims � it can be can be dangerous for consumers, who are repeatedly hearing these wild, unregulated proclamations. American consumers are inundated with personal injury lawyer advertisements � we can�t escape them. In fact, nationwide, personal injury lawyers spend up to $75 million each month on this advertising.
As a result of this onslaught of panic-inducing ads, patients are increasingly discontinuing health care treatments that their physician believes would provide them with significant benefits and pose little risk. Americans are listening to unregulated ads instead of their doctors, which has doctors concerned. That�s why the American Medical Association, an organization representing more than 200,000 physicians and medical students, recommended that lawsuit advertisements come with a warning that patients should first consult with a physician before discontinuing medications.
These advertising tactics are intended to generate lawsuits and enrich personal injury lawyers. Consumers deserve, and should demand, greater responsibility and disclosure in lawsuit advertising. For now, consumers must recognize that these ads are not always accurate, and personal injury lawyers have a vested interested in scaring audiences into lawsuits. Don�t fall for it, and don�t get trapped in their web.
How Big Data Is Big Bucks For Personal Injury Lawyers
Texans Against Lawsuit Abuse shared our take on big data and the increase in certain lawsuits in a recent letter to the editor in the Dallas Morning News. It also serves as a good reminder: �Don�t Let a Lawyer Be Your Doctor.�
Texas trial lawyers have a history of searching for ways to make millions of dollars at the expense of our health care system, ultimately reducing access to health care, driving up the cost of consumer goods and limiting job creation.
The recent story, �Health insurers fear Texas trial lawyers are seeking billions, but attorneys say that�s hype� (March 30), shows how the combination of big data and health care can create a gold mine for personal injury lawyers.
So, when sick or injured consumers get a call from a lawyer, not a doctor, Texans Against Lawsuit Abuse is urging caution through a new Sick of Lawsuits (www.sickoflawsuits.org) campaign. The public needs to be aware of the millions spent on misleading television and online advertising.
�Don�t let a lawyer be your doctor,� is sage advice and something TALA is working to ensure that Texans hear and act on. What lawsuit ads don�t say can be harmful. When it comes to lawsuits involving a person�s health, consumers should examine the source carefully.
Jennifer Harris, Austin, Texans Against Lawsuit Abuse (as published by the Dallas Morning News)
Personal injury lawyer advertising is a huge presence on our TV screens and computer searches. It�s also the most visible element of the vicious cycle of lawsuit abuse in this country. Where does the money come from for these ads? Personal injury lawyers get rich filing lawsuits that are often weak on facts or fueled by imbalanced laws.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Peripheral neuropathy is a medical condition where nerve damage or dysfunction occurs, triggering common symptoms such as tingling or burning sensations or numbness in the hands and feet. The source of the neuropathy can often be difficult to diagnose but some of the factors which can contribute to the development of the condition include: vitamin deficiencies, traumatic injuries, diabetes, chemotherapy, alcoholism, infections, kidney disease, tumors and exposure to poisons.
Although these are some of the most frequently reported factors responsible for the development of the condition, many of the common foods people eat on a daily basis and in large quantities can actually worsen peripheral neuropathy. The following are various of the foods which can aggravate nerve damage and dysfunction as well as increase the painful symptoms of neuropathy.
Contents
Gluten
First of all, what is gluten? Gluten is a storage protein found in wheat, barley and rye. The most common sources of gluten include a majority of breads, cereals, pasta, crackers, cookies, cakes, pastries and all foods containing white, wheat, cake or baking flour.
People with celiac disease, best described as a gluten allergy, can trigger and worsen the symptoms of peripheral neuropathy if gluten is consumed. Approximately 50 percent of adults with celiac disease aren’t even aware that they have this autoimmune disorder. Celiac disease, as mentioned before, is an allergy to gluten, however, many individuals may have a sensitivity to gluten without celiac disease. As a matter of fact, 18 million people in the United States have currently been diagnosed with some form of gluten sensitivity. Both gluten sensitivity and celiac disease can cause or increase tingling sensations and numbness as well as other neuropathic symptoms.
If you have any type of gluten sensitivity or allergy, suitable alternatives to the storage protein include: rice, oatmeal, corn and rice-based cereals, breads labeled as gluten free and potatoes.
Refined Grains
Refined grains can aggravate peripheral neuropathy because these are high-glycemic, meaning they can have a tremendous impact on your blood sugar levels. Because refined sugars cause a spike in blood sugar, inflammation throughout the body is increased, worsening any other symptoms associated with it. Chronic inflammation can both cause peripheral neuropathy and worsen nerve damage, resulting in increased pain and decreased function of many structures of the body.
According to the Diabetes Association, controlling glycemic levels in the body can be the most effective strategy for preventing the progression of neuropathy associated with pre-diabetes or diabetes, which is the most common reason for the disorder.
To control glycemic in the body, replace refined grains and products, including white and wheat bread, enriched pasta, white and instant rice, low-fiber cereals and processed snack foods, such as pretzels, potato chips and crackers, with whole grains. Nutritious whole grade alternatives include oats, barley, brown rice, quinoa and millet.
Added Sugars
Supplementary sugars which are added to foods, such as cane sugar, corn syrup, and high fructose corn syrup, add sweet flavor to many of our favorite snack but these supply very few nutrients to foods and can ultimately increase the symptoms associated with peripheral neuropathy.
Common sources of added sugars include: regular soft drinks, candy, milk chocolate, sugary cereals, pancake syrup, jellies, frozen desserts and commercially baked cakes, cookies, pastries and pies.Similar to refined grains, they are high-glycemic and can affect blood sugar levels in the body. Additionally, diets rich in added sugars are most commonly associated with poor nutrient intake.
To protect yourself against nutritional deficiencies which may lead to worsened neuropathic symptoms, choose nutritious foods with natural sugars, such as fruits, vegetables and whole grains, instead of sugary snacks.
Bad Fats
Fats are as essential to your diet as protein and carbohydrates as these are necessary to provide energy to the body and to assist in processing a variety of vitamins and manufacturing hormones. However, when our diet is made up of mostly bad fats as compared to good fats,�many complications can begin to affect the body.
The worst type of dietary fats are trans fats. Trans fats are commonly listed on labels as hydrogenated oils or partially hydrogenated oils. These can increase inflammation in the body, raise bad cholesterol or LDL, and may contribute to the development of insulin resistance which can harm small blood vessels necessary for delivering nutrients to the peripheral nerves.
Saturated fats commonly found in fatty meats and dairy products are often given a bad reputation within the medical field but research studies, including one study from Harvard Health Publications, show that a diet with a moderate amount of saturated fat from fruits, such as avocados and coconut oil, may offer extensive health benefits to the cardiovascular system. Further studies also concluded that a small to moderate consumption of animal saturated fat can also provide several health benefits. It’s recommended to eat moderate amounts of healthy fat sources, including: avocados, nuts, seeds, coconut oils and ghee.
Dairy
Dairy is one of the most inflammatory foods in our modern diet, second only to gluten. It causes inflammation in a large percentage of the population. Individuals who’ve already developed peripheral neuropathy have some form of nerve damage and inflammation can impact the nerves even further, subsequently increasing the pain and other symptoms associated with neuropathy. �Inflammation caused by the consumption of dairy can also result in digestive issues, such as bloating, gas, constipation, diarrhea and may worsen autistic behaviors.
Why the Food We Eat Impacts Neuropathy
Essentially, the food we consume provides our body with the necessary nutrients it needs to function properly. Without the proper nutrients, our metabolic processes can suffer and our overall health and wellness can decline. The food we eat is central to our well-being.
Nutrients are the substances found in food which are fundamental for the growth, development, repair and maintenance of the body’s functions. If an individual’s diet is deficient in nutrients, their health may be affected. Nutritional deficiencies occur by consuming a diet made up fast foods, junk foods or processed foods with very little whole foods. In addition, consuming regular beverages such as soda, coffee, energy drinks, sugary drinks and alcohol, can deplete essential vitamins and minerals in the body, including: vitamins B1, B6, B12, folic acid, calcium and magnesium, among others.
Nutrients are in charge of giving our bodies instructions about how to effectively function by also providing it with the necessary materials to carry out the appropriate functions to maintain overall health and wellness. In conclusion, its important to remember that the food we eat can act as a medicine to maintain, prevent, and treat diseases, such as peripheral neuropathy.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
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