Sports Spine Specialist Chiropractic Team: Athletes strive to achieve their body’s maximum performance by participating in numerous training regimens consisting of strenuous exercises and physical activity and ensuring they meet all of their body’s nutritional requirements. Through proper fitness and nutrition, many individuals can condition themselves to excel in their specific sport. Our training programs are designed for athletes that look to gain a competitive edge in their sport.
We provide sport-specific services to help increase an athlete’s performance through mobility, strength, and endurance. Occasionally, however, the excess workouts can lead many to suffer injuries or develop underlying conditions. Dr. Alex Jimenez’s chronicle of articles for athletes displays in detail the many forms of complications affecting these professionals while focusing on the possible solutions and treatments to follow to achieve overall well-being.
Exercise is crucial if you have arthritis. But knowing just how much activity to do when you�re hurting can be tricky. After all, research has shown that moderate activity can help prevent the progression of arthritis and improve overall function.
But while mild muscle soreness after a workout is normal, sharp pain during or immediately after can signal injury. And sometimes simply the fear of pain can keep you from wanting to do any kind of exercise at all.According to a new study, however, just a little physical activity seems to go a long way toward helping older adults with arthritis remain able to do daily tasks.
Arthritis Symptom Relief with Exercise
Scientific studies have shown that participation in moderate-intensity, low-impact physical activity improves pain, function, mood, and quality of life without worsening symptoms or disease severity. Being physically active can also delay the onset of disability if you have arthritis. But people with arthritis may have a difficult time being physically active because of symptoms (e.g., pain, stiffness), their lack of confidence in knowing how much and what to do, and unclear expectations of when they will see benefits. Both aerobic and muscle strengthening activities are proven to work well, and both are recommended for people with arthritis.
Older adults with arthritis-related joint pain and stiffness need to keep moving to remain functionally independent. But only 10 percent of older Americans with arthritis in their knees meet federal guidelines of at least 150 minutes of moderate activity a week, the researchers said. This Northwestern University study found that doing even about one-third of that amount is still beneficial. The study involved more than 1,600 adults 49 or older who had arthritic pain or stiffness in their hips, knees or feet.
Those who did a minimum of 45 minutes of moderate activity — such as brisk walking — a week were 80 percent more likely to improve or sustain physical function and gait speed over two years, compared with those who did less activity, the researchers found.
“Even a little activity is better than none,” said study first author Dorothy Dunlop. “For those older people suffering from arthritis who are minimally active, a 45-minute minimum might feel more realistic,” said Dunlop, a professor of rheumatology and preventive medicine at Northwestern’s School of Medicine in Chicago.
She said the federal guidelines are important because the more you do, the better you’ll feel and the greater the health benefits. “But even achieving this less rigorous goal will promote the ability to function and may be a feasible starting point for older adults dealing with discomfort in their joints,” Dunlop said in a university news release.
Some mild pain or discomfort is typical when you first start to move, but after a few minutes you�ll usually start to feel better, says A. Lynn Millar, PhD, a professor of physical therapy at Winston Salem State University in Winston-Salem, N.C. �Our joints and muscles get nutrition through movement,� she explains. �Once you start to move around a little you�ll improve the lubrication and circulation around that joint.� Start with some gentle, active range of motion movements and if that feels OK, progress to some low-impact activity like walking, she advises.
Stretches and Physical Activity for Arthritis
In addition to the activities recommended above, flexibility exercises are also important. Many people with arthritis have joint stiffness that makes daily tasks such as bathing and fixing meals difficult. Doing daily flexibility exercises for all upper (e.g., neck, shoulder, elbow, wrist, and finger) and lower (e.g., low back, hip, knee, ankle, and toes) joints of the body helps maintain essential range of motion. Some activities take more effort for older adults and those with low fitness or poor function. For example, walking at a brisk pace for a 23-year-old healthy male is moderate intensity, but the same activity may be vigorous activity for a 77-year-old male with diabetes. You should adjust the level of effort during activity so that it is comfortable for you.
Talk to your doctor. If you have arthritis or another chronic health condition, you should already be under the care of a doctor or other health care provider. Health care providers and certified exercise professionals can answer your questions about how much and what types of activity are right for you.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Whole Body Wellness
Overall health and wellness can be achieved by following a proper nutrition and engaging in regular exercise and/or physical activities. While these are some of the most common ways to ensure whole body health and wellness, visiting a qualified and experienced healthcare professional can also grant your body additional benefits. Chiropractic care, for instance, is a safe and effective alternative treatment option utilized by people to maintain well-being.
For people experiencing low back pain, the thought of exercise often seems daunting. But yoga may be a natural fit in the quest to relieve an aching back, a new review indicates.
The findings come from an analysis of 12 studies that included more than 1,000 participants with lower back pain. The studies compared yoga to physical therapy or patient education.
There was some evidence that yoga led to small improvements in pain, and small to moderate improvements in back function at three and six months.
“We found that the practice of yoga was linked to pain relief and improvement in function,” said review author L. Susan Wieland. She is an assistant professor of family and community medicine at the University of Maryland.
“For some patients suffering from chronic non-specific low back pain, yoga may be worth considering as a form of treatment,” Wieland added in a university news release.
About 80 percent of Americans will have back pain at some point in their lives, but treatment can be a challenge. For millions of people, chronic back pain affects their sleep, and their ability to do daily tasks and exercise.
Yoga has become increasingly popular in the United States in recent years. It typically involves a combination of physical movements, controlled breathing, and relaxation or meditation.
The review was published online recently in the journal Cochrane Library.
SOURCE: University of Maryland, news release, Feb. 6, 2017
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Whole Body Wellness
Overall health and wellness can be achieved by following a proper nutrition and engaging in regular exercise and/or physical activities. While these are some of the most common ways to ensure whole body health and wellness, visiting a qualified and experienced healthcare professional can also grant your body additional benefits. Chiropractic care, for instance, is a safe and effective alternative treatment option utilized by people to maintain well-being.
Whether from the disease itself or the treatment, cancer can be exhausting, but a new review says there are ways to beat back cancer-related fatigue.
The review included a look at 113 past studies that included more than 11,000 adult cancer patients. The researchers found that exercise and/or behavioral and educational therapy seemed to be more effective than prescription drugs for dealing with fatigue.
“Exercise and psychological treatment, and the combination of these two interventions, work the best for treating cancer-related fatigue — better than any pharmaceuticals we have tested,” noted study lead author Karen Mustian. She’s an associate professor with the University of Rochester Medical Center’s Wilmot Cancer Institute in Rochester, N.Y.
The upshot, said Mustian, is that doctors should consider exercise and psychological interventions as the “first-line therapy” instead of more medications when it comes to tackling cancer-related fatigue. The study team noted that cancer-related fatigue is a very common problem among cancer patients, both during and following treatment. The American Cancer Society describes the phenomenon as distinct from routine tiredness. Even if you get rest, you’re still tired. Your arms and legs may feel heavy. You may feel too tired to do even the simplest tasks, such as eating a meal, according to the ACS.
Beyond affecting overall quality of life, cancer-related fatigue can also interfere with a patient’s ability to continue cancer treatment itself. That may result in a poorer prognosis and, in some cases, a reduced chance for long-term survival, the study authors said.
For the study, Mustian and colleagues looked at cancer-related fatigue triggered by the onset of cancer itself, rather than as a side effect of treatment.
Almost half of the patients included in the review were women battling breast cancer. Ten studies focused solely on male patients. In all, almost 80 percent of study participants were women. Their average age was 54. The analysis excluded studies that looked at so-called complementary therapies, with an exception made for alternative exercise treatments, such as yoga or tai chi.
In addition, the research team didn’t include studies that had assessed drug treatments involving erythropoietin medications (such as epoetin alpha, brand names Procrit and Epogen). These drugs are designed to stimulate red blood cell production, and are “used primarily for treating anemia and are not recommended as a stand-alone treatment for [cancer-related fatigue] due to adverse effects,” the study authors stated.
Studies included looked at the impact of four different treatment approaches: exercise alone (including aerobic, such as walking or swimming or anaerobic, such as weight-lifting); mental health interventions aimed at providing information and/or helping patients understand and adapt to their current situation; a combination of both exercise and psychological treatment; and prescription drugs, including stimulant medications (such as modafinil, brand name Provigil) and ADHD meds (such as methylphenidate, brand name Ritalin).
All four interventions led to improvement in fatigue. But the researchers found that exercise therapy led to the best outcomes. But psychological therapies produced similarly positive results, as did treatments that integrated exercise with mental health efforts.
The team concluded that when it came to controlling cancer-related fatigue, the exercise and/or psychological therapy approaches appeared to outperform prescription drugs. Colleen Doyle is managing director of nutrition and physical activity for the ACS. She said exercise has many benefits, not just helping to ease fatigue.
“But because many people undergoing treatment do experience fatigue, it’s nice to know that there is something an individual can do to help reduce that fatigue and gain some of the many other benefits of exercise [both during and after treatment]: reduced stress, less anxiety, [and] benefits to physical functioning,” Doyle said.
But can the typical cancer patient actually handle an exercise regime? Mustian says yes.
“These are not your elite athletes or fitness buffs,” she said. Almost all of the studies focused on people who had been sedentary and were placed on a low-to-moderate intensity exercise regimen, involving activities such as yoga or resistance training. “So they are normal people who were not regular exercisers, and who were able to complete these interventions and have relief from their fatigue,” Mustian said.
Doyle said that for patients who weren’t previously active, it’s important to start slowly.
“Our recommendation for survivors is essentially avoid inactivity as best you can. There will be days when you feel like not doing much of anything, and that’s okay, but strive to do something. Even if it is gentle stretching exercises, or a five-minute walk down the block,” she advised.
Mustian stressed that relatively few studies looked at combining exercise and psychological therapy.
“So it is not as clear what the best way to combine them would be,” she noted. The researchers said more studies need to be done to explore the ideal way to integrate exercise and psychological interventions.
The study was published March 2 in JAMA Oncology.
SOURCES: Karen M. Mustian, Ph.D., M.P.H., associate professor, Wilmot Cancer Institute, department of surgery, University of Rochester Medical Center, Rochester, N.Y.; Colleen Doyle, M.S., R.D., managing director, Nutrition and Physical Activity, American Cancer Society; March 2, 2017, JAMA Oncology
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
Getting regular exercise and staying slim can lower the risk for an especially hard-to-treat type of heart failure, new research shows.
This specific type of disease is called heart failure with preserved ejection fraction (HFpEF). Ejection fraction is the amount of blood that’s pumped out of the heart. In many people with heart failure, the heart is so weak that it doesn’t pump enough blood out of the heart to meet the body’s demands.
In HFpEF, the heart muscle becomes stiff and doesn’t fill up with enough blood. This causes fluid to build up in the lungs and the body, the researchers explained in a news release from the American College of Cardiology.
“We consistently found an association between physical activity, BMI [body mass index] and overall heart failure risk,” said study senior author Dr. Jarett Berry. BMI is a measurement of body fat based on height and weight. “This was not unexpected,” Berry said, “however, the impact of these lifestyle factors on heart failure subtypes was quite different.”
Berry, of the University of Texas Southwestern Medical Center in Dallas, is an associate professor in the department of internal medicine and clinical sciences, and director of cardiac rehabilitation. HFpEF accounts for up to 50 percent of heart failure cases. Treatment for the condition often doesn’t work well, which increases the importance of prevention strategies, the study authors said. For the report, Berry and his colleagues reviewed information from three previous studies that included more than 51,000 people. The researchers excluded anyone who had heart disease when the studies began.
The investigators looked for information on how much exercise the participants got, as well as their weight. In addition, the researchers reviewed participants’ medical records to see if people had been admitted to the hospital for heart failure over the several years of the study.
The study authors found that traditional risk factors for heart failure — such as high blood pressure, diabetes, smoking and obesity — were less common among those who were more active. People who exercised more tended to be white, male and have higher levels of education and income, the findings showed.
Meanwhile, people who carried more excess weight were younger, less active and were more likely to have risk factors for heart disease, according to the report. Overall, the researchers identified almost 3,200 cases of heart failure. Almost 40 percent were HFpEF. Nearly 29 percent were heart failure with reduced ejection fraction (HFrEF), which is associated with weak heart muscle that doesn’t pump properly. And just under 32 percent were unclassified.
The study doesn’t prove a cause-and-effect relationship, but low levels of physical activity were associated with a 6 percent lower risk of heart failure than no physical activity. Those who got the recommended amounts of exercise had an 11 percent lower risk of heart failure.
In people who got more than the recommended amounts of exercise, the risk of HFpEF was reduced by 19 percent. In addition, the incidence of HFpEF was significantly higher among those with excess weight, the findings showed.
According to the study’s first author, Dr. Ambarish Pandey, “These data suggest the importance of modifying lifestyle patterns to help prevent HFpEF in the general population.” Pandey is a cardiology fellow at the University of Texas Southwestern Medical Center.
The study was published Feb. 27 in the Journal of the American College of Cardiology.
SOURCE: American College of Cardiology, news release, Feb. 27, 2017
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Chiropractic Care for Older Adults
With the progression of age, it�s common for the human body to naturally begin to degenerate. Although degenerative changes in the body are normal, it�s also common for complications associated with aging to develop. Chiropractic care is a safe and effective, alternative treatment option utilized by many individuals to prevent, diagnose and treat injuries and conditions associated with the structures of the spine. Research studies have demonstrated that chiropractic treatment can help older adults find relief from their neck pain and back pain.
The calming poses and meditation of yoga may be just what the doctor ordered when it comes to beating depression, new research suggests.
Researchers found that weekly sessions of yoga and deep breathing exercises helped ease symptoms of the common condition. They believe the practice may be an alternative or complementary therapy for tough-to-treat cases of depression.
The intervention seemed helpful for “people who are not on antidepressants and in those who have been on a stable dose of antidepressants [but] have not achieved a resolution of their symptoms,” study lead author Dr. Chris Streeter said in a news release from Boston Medical Center. He’s a psychiatrist at the hospital and an associate professor of psychiatry and neurology at Boston University.
How Depression Can Improve with Yoga
Major depression is common and often persistent and disabling, Streeters’ team noted. Up to 40 percent of people taking medication for this form of depression won’t see their depression go away, according to the researchers.
However, prior studies have shown that the ancient practice of yoga may be of help.
“The mechanism of action is similar to other exercise techniques that activate the release of ‘feel good’ brain chemicals,” explained Dr. Alan Manevitz, a clinical psychiatrist at Lenox Hill Hospital in New York City, who reviewed the new findings. He added that exercise, especially yoga, may also “reduce immune system chemicals that can worsen depression.” Then there’s yoga’s meditative quality, as well, Manevitz said. “It has been demonstrated that ‘mindful’ movement — conscious awareness — has a much more beneficial impact on the central nervous system,” he said.
But would this bear out in a rigorous study? To find out, Streeter’s team tracked outcomes for 30 people with major depressive disorder. All were randomly assigned to partake in either a “high-dose” or “low-dose” yoga intervention. The high-dose group had three 90-minute yoga classes each week along with home practice, while the low-dose group engaged in two 90-minute yoga sessions each week in addition to home practice.
The participants practiced Ilyengar yoga, a method that focuses on detail, precision and alignment in posture and breath control.
Study Finds Yoga Can Help with Mental Illness
The study found that both groups had significant reductions in their depression symptoms. Those who took three weekly yoga classes had fewer depressive symptoms than those in the “low-dose” group, but Streeter’s team said even two classes a week was still very effective in improving people’s mood.
Streeter noted that this intervention targets a different neurochemical pathway in the body than mood-altering medications, suggesting that yoga may provide a new, side effect-free avenue for treatment.
For his part, Manevitz called the study “practical and well-designed.” He believes the findings support yoga as a treatment “that can help the millions of people suffering from major depressive disorders around the world.”
Dr. Victor Fornari is a psychiatrist at Zucker Hillside Hospital in Glen Oaks, N.Y. He agreed that the new study “supports the use of yoga for the treatment of depression… Yoga, like regular exercise, is good for most people for health maintenance as well as to treat what ails them.”
The study was published March 3 in the Journal of Alternative and Complementary Medicine.
SOURCE: Alan Manevitz, M.D., clinical psychiatrist, Lenox Hill Hospital, New York City; Victor Fornari, M.D., psychiatrist, Zucker Hillside Hospital, Glen Oaks, N.Y.; Boston University Medical Center, news release, March 3, 2017
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Whole Body Wellness
Maintaining overall health and wellness through a balanced nutrition, regular physical activity and proper sleep is essential for your whole body’s well-being. While these are some of the most important contributing factors for staying healthy, seeking care and preventing injuries or the development of conditions through natural alternatives can also guarantee overall health and wellness. Chiropractic care is a safe and effective treatment option utilized by many individuals to ensure whole body wellness.
A common soccer move — bouncing the ball off of the head — may not be as harmless to the brain as has been thought, new research suggests.
A study of more than 200 adult amateur soccer players of both genders found that regularly “heading” the ball, as well as suffering accidental hits to the head, significantly boosted a player’s risk of concussion.”The prevailing wisdom is that routine heading in soccer is innocuous and we need only worry about players when they have unintentional head collisions,” study leader Dr. Michael Lipton, of the Albert Einstein College of Medicine in New York City, said in a college news release.”But our study suggests that you don’t need an overt collision to warrant this type of concern,” said Lipton. He is professor of radiology, psychiatry and behavioral sciences at Einstein.Another concussion expert who reviewed the findings agreed.Soccer Athletes at Risk
The study “seems to provide additional evidence that such practices within the game of soccer can put athletes at risk for traumatic brain injury,” said Dr. Jamie Ullman. She directs neurotrauma at North Shore University Hospital in Manhasset, N.Y.Much of the research into sports-related concussions has concentrated on high-impact sports, such as football or hockey. But head trauma experts have long known that other sports — including soccer and rugby — might carry risks, too.In prior studies, Lipton said his team found that “30 percent of soccer players who’d had more than 1,000 headings per year had a higher risk of microstructural changes in the brain’s white matter, typical of traumatic brain injury, and worse cognitive performance.”Exploring the issue further, the new study focused on online questionnaires answered by 222 adult amateur soccer club players in the New York City area, both male and female. All had played soccer at least six months during the prior year.Men averaged 44 headers in two weeks, the survey found, while women averaged 27. One or more accidental head impacts, such as a ball hitting the back of the head or a head colliding with another player’s knee, were reported by 43 percent of women and 37 percent of men.Players who regularly headed the ball were three times more likely to have concussion symptoms than those who didn’t head the ball often, Lipton’s team reported.Players who suffered accidental head impacts two or more times within a two-week span were six times more likely to have concussion symptoms than those without accidental head impacts, the findings showed.Of those who headed the ball or reported accidental head impacts, 20 percent had moderate to severe concussion symptoms, according to the report.Of the seven players with very severe symptoms, six had two or more unintentional head impacts over two weeks, four were among those who headed the ball the most, and three were in the group that headed the ball second-most.Lipton stressed that the findings cannot be generalized to child, teen or professional soccer players.Still, “our findings certainly indicate that heading is more than just a ‘sub-concussive’ impact, and that heading-related concussions are common,” Lipton said. “We need to give people who have these injuries proper care and make efforts to prevent multiple head impacts, which are particularly dangerous.”That means watching out for symptoms, he added.”Many players who head the ball frequently are experiencing classic concussion symptoms — such as headache, confusion and dizziness — during games and practice, even though they are not actually diagnosed with concussion,” Lipton explained.”Concussion sufferers should avoid additional collisions or head impacts during the following days or weeks, when their risk of incurring a second concussion is extremely high,” he said. “Because these injuries go unrecognized and unmanaged, there may be important clinical consequences for the short and long term.”Dr. Salman Azhar is a neurologist and director of stroke services at Lenox Hill Hospital in New York City. He said the new findings are in accordance with prior studies, and the odds for concussion appeared to rise along with the frequency of head impacts.”The chance of having moderate-to-severe symptoms increased when the unintentional heading went from just one per two-week period to two per two-week period,” Azhar noted.The study was initially published online Feb. 1 in the journal Neurology.
For more information, ask Dr. Jimenez or contact us at 915-850-0900
Presented By:
Dr. Alex Jimenez D.C.,C.C.S.T
Spinal Trauma Specialist
Fitness monitors, or biometric trackers — those wristwatch-looking devices worn by weekend warriors and gym rats — are now making their way into professional sports games. Major League Baseball has approved the first monitoring device for use by players during games, ESPN reports. That means players can now monitor their performance at the most critical times of their careers.
Already the National Football League, the National Basketball League, and others permit the use of performance monitors during practices, but the MLB will be the pioneer for use during games, according to ESPN.
The approved device, manufactured by Boston-based Whoop, tracks vitals such as body temperature, heart rate, and movement monitoring (which measures strain), and does so during rest and sleep cycles as well.
Whoop takes readings hundreds of times each second according the company’s website, and that data can be accessed via Bluetooth on most mobile devices. Apps can be downloaded that offer insights and advice as well. Since the goal of the device is constant monitoring, there’s no need to remove it (which would disrupt that monitoring) to charge it. There’s a slide-on battery pack, which itself is charged by micro USB. The Whoop device costs $1,200 per athlete per year and includes the dashboard to the analytics, according to ESPN. Consumers can get a Whoop 2.0 for about $500.
The device is more geared toward the professional athlete, rather than the average gym-goer, monitoring such categories as peak levels and recovery times during games.
So far the decision to wear the device is left up to individuals: ESPN says teams cannot force players to wear them and players themselves will decide if they want a monitor to collect information day and night about everything from heart rate to amount of sleep.
Whoop founder and CEO Will Ahmed wrote in a blog post that players and teams stand to gain a lot with such monitoring, and his company’s mission is to “unlock human performance. Athletes and competitors alike deserve data to help them better understand their bodies and ultimately perform at a higher level.”
Ahmed said his device will revolutionize sports much like a “Moneyball 2.0” — based on the 2003 book and 2011 film “Moneyball,” about Oakland A’s General Manger Bill Beane’s famous use of data analysis to field a competitive team.
According to Whoop’s website, last year, Whoop and MLB conducted what the company called “the largest performance study ever conducted by a professional sports league” and acquired “massive amounts of quantifiable data” regarding players’ strain, sleep, and recovery. The study also reported on the effects of travel injuries.
As players’ lucrative contracts soar to heights unimaginable even 20 years ago, such information will be critical and highly sought after, which could lead to hacking and behind-the-scenes bartering. Player stats will figure prominently during negotiations over pay and player longevity — already contentious issues for athletes and team coaches and owners. Players have a vested interest in maintaining their health and proving their mettle with hard data — and Whoop device could be the high-tech tool to do just that.
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“Even a little activity is better than none,” said study first author Dorothy Dunlop. “For those older people suffering from arthritis who are minimally active, a 45-minute minimum might feel more realistic,” said Dunlop, a professor of rheumatology and preventive medicine at Northwestern’s School of Medicine in Chicago.
