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.
When mid-afternoon fatigue sets in, it’s easy to reach for a cup of coffee or a sweet treat for a quick boost. Unfortunately, the energy boosting effects are short-lived and often lead to a crash later in the day.
Instead, experts say it�s best to opt for a snack that’s rich in protein, fiber, and complex carbohydrates for a natural energy boost. Here are nine of the best options for energy-boosting snacks and meals that will keep you alert throughout the entire day.
Nuts. Almonds, pistachios, and other nuts contain important nutrients like magnesium and B vitamins which help convert food to energy. Pistachios have a powerful combination of protein, fiber and heart healthy monounsaturated fats, making them a great snack choice.
“Research shows that people with low magnesium levels tend to tire more quickly during exercise due to magnesium’s role in energy metabolism,” dietitian Rachel Berman says. A lack of B vitamins can cause fatigue, irritability and poor concentration. Berman suggests one serving, or about 23 nuts, to keep calories low.
Whole grains. “Thanks to fiber, whole grains help prevent the blood-sugar crashes that happen after consuming refined or simple carbohydrates,” says Berman. Whole-grain carbohydrates, like popcorn, are a great afternoon snack choice. The volume of popcorn also keeps you satisfied longer than chips or crackers. Try popping your own and adding herbs and spices, instead of butter and salt.
Nut butters. Peanut butter and almond butter can provide a great energy boost. They’re filled with health fats, protein and fiber, which help keep blood sugar levels stable. Berman says make sure you avoid brands with added sugars and stick to just a 2-tablespoon serving.
According to a study done at the University of Cambridge in England, protein also activates cells that help keep you awake. Researchers found that the cells responsible for our energy levels respond better to amino acids in proteins than in other nutrients.
Fish. Salmon is filled with omega-3 fatty acids, nutrients that can boost energy and mood. Berman says the nutrients found in fish have also been found to improve memory and reduce depression. The healthy fats found in fish like salmon also help lower blood pressure and bad cholesterol, making them heart healthy choices.
Bananas. These sweet treats are a great source of fiber, B vitamins, and potassium � nutrients that promote sustained energy. Bananas make for a great pre- and post-workout snack. Berman suggests a banana with a cup of yogurt for an energizing snack with fiber and protein for sustained energy.
Kale. This leafy green contains the amino acid L-tyrosine, which is great for an energy boost. The leafy green also contains fiber and a number of antioxidants which help stabilize blood sugar, says Berman.
Oatmeal. A dish of this high-fiber, filling breakfast staple can provides lasting energy all day long. Dieticians recommend looking for breakfast foods that contain at least 3 grams of fiber per serving. Options can include: oatmeal, whole-grain breads or pancakes, high-fiber breakfast cereals and quinoa.
Hummus. Made of garbanzo beans, sesame-based tahini, olive oil, and lemon, hummus is full of nutrients that contribute to high energy levels. The fiber and protein in the beans help stabilize blood sugar and boost energy. Use hummus as a veggie dip or a sandwich spread for a great snack or healthy lunch.
Greek yogurt. Compared to regular yogurt, Greek yogurt contains twice as much protein, making it a great breakfast or snack option. “The thick, indulgent texture is the perfect canvas for a variety of toppings that can make it even more substantial,” says dietitian Kari Kooi. Add fruit, nuts, or low-calorie granola to make it even more nutritious.
Prices for generic topical steroids to treat skin conditions like eczema and psoriasis are on the rise, and many seniors may pay more for generic medications than the brand-name versions, a U.S. study finds.
Researchers compared average out-of-pocket patient costs as well as spending by Medicare, the U.S. health insurance program for people 65 and older, for several commonly prescribed topical corticosteroids that have been used for decades to treat a wide variety of inflammatory skin conditions.
Medicare Part D, the drug benefit program, spent $2.3 billion on topical steroids between 2011 and 2015, the study found. During that period, spending surged 227 percent while the number of prescriptions increased just 37 percent.
If doctors had prescribed the cheapest version when a variety of similarly effective options were available, Medicare could have saved $944.8 million, the researchers calculate.
Patients could have saved a lot too; seniors’ annual out-of-pocket spending for topical steroids grew from $41.4 million to $101.8 million, 146 percent, during the study period.
“Patients often have difficulty paying for their medications and many patients on Medicare are retired and on fixed incomes,” said senior study author Dr. Arash Mostaghimi, a dermatology researcher at Harvard Medical School and Brigham and Women’s Hospital in Boston.
“Paying extra for their medications may mean going without other medications or sometimes food,” Mostaghimi said by email.
Generics accounted for almost 98 percent of total spending on topical steroids during the study period, the researchers report in JAMA Dermatology.
In theory, generic drugs are supposed to come on the market after brand-name versions lose U.S. patent protection and help lower prices by increasing competition. The study of topical steroid costs, however, offers one look at a much more complex and confusing reality.
For the study, researchers examined costs for drugs grouped based on potency, or how much medication is blended into the ointments and creams. They sorted drugs into five classes, with one being the most potent and five being the weakest potency.
Costs grew at the slowest rate, 23 percent, for the weakest steroids, the study found. By contrast, costs rose the most, 604 percent overall, for the most potent group of steroids.
Within that group of most potent steroids, the steepest increase in average user costs was for clobetasol propionate (Temovate), which is used to treat itching and inflammation from skin issues caused by allergic reactions, eczema and psoriasis. During the study, user costs for this drug climbed by more than 605 percent.
Limitations of the study include the lack of data on certain drug manufacturer rebates that might help lower costs, the authors note. Researchers also didn’t know if doctors had certain clinical reasons for choosing specific versions of similar medicines.
Still, the study illustrates something doctors already see all the time: that these costs often take a toll on patients, said Dr. Joslyn Kirby, author of an accompanying editorial and a dermatology researcher at Penn State Hershey Medical Center.
One challenge for doctors is that they can’t always see what different steroids of similar potency cost when they prescribe the drugs, because that’s not in electronic medical records, Kirby said by email.
“I ask my patients to contact me and let me know if the medication I prescribed during the appointment is too expensive when they go to the pharmacy,” Kirby added. “I need my patients to know that it’s ok to tell me that something is too expensive, because I can work with our staff to find an alternative or a solution.”
On the market for a new fitness tracker? On April 12, Garmin released its newest wearable, the Vivosmart 3 ($140; amazon.com), the update to its Vivosmart HR+ fitness tracker that was released almost a year ago.
The Vivosmart 3 comes with a few new features that make it useful not only for cardio fanatics, but also your run-of-the-mill gymgoer. As a self-proclaimed cardio hater (sorry, but you�ll never catch me “just going for a jog”), I decided to put the Vivosmart 3�s features to the test. Here�s what I thought.
The look:
Fitbit diehards may have a run for their money when they see how slim (and Fitbit-like) Garmin�s newest model looks. According to Garmin, this wearable is �a master of subtlety.� The touchscreen is smaller than the tracker’s previous versions, so it doesn�t look like a clunky brick on your arm. Plus, the display isn�t perpetually lit up�the screen only brightens when you tap or lift your wrist slightly to check the time. Other features include the traditional watch-buckle band and two color options: black or a grayish-purple.
New standout features:
Garmin has always offered step and mileage counting in its fitness trackers, but now you can also use the device to long your strength-training workouts. A rep-counting feature can be turned on to track your reps and sets and record them in the Garmin Connect app.
The Vivosmart 3 can also track your VO2 max�the maximum amount of oxygen your body can use at any given moment�and translate that data into your �fitness age.� For challenge-loving exercisers, it�s an easy way to notice changes in your athletic ability over time.
The coolest new feature, in my opinion, is the device�s ability to track your stress levels. The Vivosmart 3 uses your heart rate variability to estimate how stressed you are on a four-level scale. If it turns out you�re feeling the pressure, the watch can help you calm down with a breathing exercise. Set the duration (1 to 5 minutes) and hit start; the watch then commands you to breathe in and out in counts of four.
Features like sleep tracking, a heart rate monitor, a 5-day battery life, and a waterproof shell have been passed down to this latest installment.
The bottom line:
This watch provides all the features you’d expect�smartphone notifications, heart rate and step tracking, and other fitness tracking features�but it�s the new abilities that really make the Vivosmart stand out. I love to lift (and hate cardio), and now, there’s finally a watch that can help me achieve my goals in the gym. I’m also a fan of the stress-level indicator. The streamlined design makes the watch much more attractive than its predecessors, and is something I’m not embarrassed to wear all day.
At $10 less than Fitbit�s newest wearable, the vivosmart 3 could be a top fitness-tracking contender. I give it an A+ in my cardio-loathing book.
Doctor of Chiropractic, Dr. Alexander Jimenez shares a few tips on how to prevent back pain, treating injuries and stretching.
Since chiropractors see the results of poor lifestyle choices on a daily basis, it�s only natural to formulate opinions and offer tips to patients so they can help themselves. From sore backs, necks, shoulders, irregular sleeping patterns to back pain, we provide help in a wide range of areas. Here are 3 tips from a El Paso chiropractor that will help keep your body operating efficiently.
1) Try Not To Sit So Much
Sitting seems like a relatively innocent activity, but the negative effects that prolonged sitting creates are numerous. Extensive sitting has always been associated with back pain and spinal issues, but recent research also suggests a link between too much sitting and heart disease. If you have a sedentary job like so many people do, make a point of getting up and moving around at least once per hour. You can take phone calls standing up, buy an adjustable standing desk, do deep knee bends, jumping jacks or just go for a quick walk. The key is to stand up and move around to relieve pressure and stay healthy.
2) Get Injuries Treated Promptly
Another important tip from a El Paso chiropractic team is to get quick treatment if you�ve suffered an injury. A little twist or tweak now can lead to years of discomfort and improper muscle function if you just leave it alone. It�s always wise to apply ice to injuries to help reduce swelling, but visiting a chiropractor as soon as possible will help with the healing process and keep your muscles and joints functioning at full capacity.
Leaving minor injuries may not cause a great deal of pain, but the effects will be felt in the future. Many people end up using various pain medications or having reduced mobility as they get older because they chose to leave an injury alone.
3) Incorporate Stretching Into Your Day
Treating injuries promptly is a good idea, but preventing them altogether is even better. Keeping your muscles, tendons, and ligaments flexible with daily stretching will help you avoid many common injuries. You can incorporate the stretches into your morning routine or as part of your daily workout regimen. As you age, those muscles will become tighter and tighter leaving you prone to injury. Working for long hours hunched over a desk also shortens muscles and opens the door to injury. Stretching tips from a El Paso chiropractor include your hamstrings, quadriceps, calves, chest, hips, and back. It only takes a few minutes a day, but you�ll notice the results for the rest of your life.
Feeling bad about skipping a day? Taking rest days from your workout may actually be healthier for your bones and body than a nonstop fitness streak, according to a small new study.
The preliminary research, presented at the American Physiological Society�s annual meeting, found that women who were Olympic rowers had more signs of inflammation and lower levels of bone-building protein in their blood during their most intense weeks of training, compared to recovery weeks that included days off.
These protein fluctuations may be a warning that training without adequate recovery could lead to injury or bone loss, study authors say.
In general, exercise is good for bone health. Bone mineral density, an indicator of bone strength, typically increases with regular physical activity, especially the weight-bearing type. But experts have often wondered if too much exercise could have the opposite effect, especially for female athletes. That can be a difficult thing to measure, says Nigel Kurgan, a graduate student in the Centre for Bone and Muscle Health at Brock University in Canada, because elite athletes may also follow strict dietary patterns that could also negatively affect bone health.
To help account for this, Kurgan decided to study 15 female heavyweight rowers training for the 2016 Olympic games. Rowers have a high incidence of stress fractures and are at increased risk for bone loss�but because these women weren�t competing in the sport�s lightweight category, restrictive eating and low-calorie diets were less likely to play a role.
At several points during the nine-month study, Kurgan took blood samples from the rowers to measure levels of two proteins in their body: osteoprotegerin (OPG), which stops bone mineral loss, and sclerostin (SOST), which inhibits new bone formation. The rowers� training ranged from 12 to 21 hours a week.
Levels of OPG decreased over the course of the study, indicating that the athletes were indeed at risk for bone loss. The highest levels of bone-growth-inhibiting SOST corresponded with the weeks with the highest training volumes, and vice versa. Inflammation in the body also increased during the most intense training periods.
The researchers also tested the rowers� bone mineral density at the beginning and the end of the study, and found no change. But they say that the consequences of intense training may only become evident after longer periods of time.
�We are learning that regardless of whether you eat well or not, the systemic inflammation of intense training�unless you bring it down from time to time�creates an issue for bone cells and all kinds of tissue,� says co-author Panagiota Klentrou, professor and associate dean in the department of kinesiology at Brock University. �When you�re at peak training volume, you also have to incorporate time for the body to recover.�
This theory likely applies to all levels of athletes, not just Olympic hopefuls, Kurgan says.
Recovery is important for other reasons, too: Muscles need time to repair themselves from the stress of hard training, and the body needs rest and adequate fueling to maintain high levels of functioning. A 2016 study in Frontiers in Physiology found that two days in a row of intense, CrossFit-style workouts lowered levels of anti-inflammatory cytokines in the body, suggesting a potential drop in immunity.
With further research, it�s possible that scientists could develop a blood test to let athletes know when they�re overdoing it, says Klentrou. �There may be markers that coaches can monitor to see if they have to adjust their training volume,� she says.
Amateur athletes don�t need to take such elaborate approaches, she says. �If they monitor the symptoms of their body and watch for signs of exhaustion and poor recovery from hard workouts, I think they�ll be pretty safe.�
You may think you eat food to fuel your body but that’s not all it does. Emerging research shows that what you eat actually influences the composition of your microbiome, which can help you feel healthier and lose weight.
“We have entered the gut-health era of diet and nutrition and it will be here for a long time indeed. The science is simply too persuasive to suggest otherwise,” top expert Jeannette Hyde says.
Microbiome is the term used for the bacteria, particularly those living in the intestines.
Hyde, a London-based certified nutritional therapist, is the author of “The Gut Makeover: 4 Weeks to Nourish Your Gut, Revolutionize Your Health and Lose Weight,” a popular book in the U.K., which was published here on May 2.
Here are excerpts from her recent interview with Newsmax Health.
Q:Why is our microbiome important?
A: Our microbiome communicates with our hormones to keep them balanced, it influences how aggressively we extract calories from food eaten, and it also communicates with our immune system and signals to our brain.
Q: What is a healthy microbiome like?
A: A healthy microbiome is dominated by beneficial bacteria and contains lots of different varieties of bacteria. An unhealthy microbiome is dominated by nasty types of bacteria, with the good ones left in the minority, and also has little variety of bacteria.
Q: What health problems does an unhealthy microbiome cause?
A: When the microbiome is out of balance, or deranged, we may experience digestive issues such as chronic bloating, wind, loose stools, constipation, or alternating between the two.
Q:How does a healthy microbiome help you?
A: A healthy microbiome is important to have a healthy microbiome keeping your weight, mood, and immune system in check. Early studies are also showing that eating foods to enhance the microbiome can lead to improvements in memory and mood, and autoimmune disorders to name a few
Q: How does the typical American (Western) unbalance the microbiome?
A: In the Western diet we often have a lot of grains (usually dominated by wheat) so there is very little variety of color, and the color beige dominates. It’s also often high in sugar, artificial sweeteners, and unhealthy trans fats. Artificial sweeteners can disrupt your microbiome too.
Q: Why is eating for your microbiome better than counting calories for weight loss?
A: The microbiome has been shown to influence on our hunger hormones, so a deranged microbiome could knock your hunger hormones out of balance, giving you cravings all the time.
Q: What is your diet for a healthy microbiome?
A: My diet features a low-grain Mediterranean diet in which you bombard your gut with diversity of plants, satiating proteins, and good oils such as extra virgin olive oil. After 2 weeks, you can add in foods that have healthy bacteria, like fermented milk kefir and smelly unpasteurized cheese Roquefort full of bacteria to plant in your gut, or sauerkraut or miso if you can’t tolerate dairy.
Here are Jeannette Hyde’s 6 tips for a healthy microbiome:
Bombard your body with diversity. It really can make food enjoyable having lots of different ones to look forward to. Get into the habit of trying to get as many different types of vegetables into each meal – chop lots of different fresh herbs on top, throw over a handful of pomegranate seeds, grate some carrot.
Drink fermented milk kefirevery day like medicine. It’s a convenient and delicious way to get tens of billions of beneficial bacteria into your gut in one sitting. You can blend it in a blender with fruit and nuts or mix it with extra virgin olive oil, lemon juice and a bit of garlic for a delicious salad dressing.
Make cold potatoes your friend – potatoes have been demonized for too long! They can be very good for your microbiome and consequently your weight. When potatoes cool down they form resistant starch, a type of fiber which cannot be digested in the top half of the digestive tract, making you feel full, and survive all the way to your colon where you gut microbes dine out on them.
Enjoy flax seeds. Often fairly inexpensive, flax seeds, known also as linseeds, are super foods for your gut bacteria and produce a fuel to keep your gut lining in good repair. You can use them in a shake each morning. It’s simple good housekeeping for the microbiome.
Eat Slowly. Eating slowly is so important to good digestive health. If we wolf down our food, undigested food can reach the colon and lead to a deranged microbiome, bloating, hunger and more. It’s such a simple action, and costs no money, and can deliver big results.
Try a 12-hour overnight fast. This is an easy way to give your microbiome a good long stretch to regenerate, and can help rebalance your hunger hormones so you feel less hungry generally.
A combination of exercise and sufficient vitamin D levels may reduce the risk of serious heart problems more than either one alone, a new study suggests.
An analysis of data spanning 20 years from more than 10,000 U.S. adults found that those who got the recommended amounts of exercise and had adequate vitamin D levels had a 23 percent lower risk of heart attack or stroke.
People who met physical activity targets but were deficient in the so-called “sunshine vitamin” did not have a lower risk.
The combined benefit of having adequate vitamin D and exercise levels was better than either factor alone, according to the Johns Hopkins University study. It was published recently in The Journal of Clinical Endocrinology & Metabolism.
While the observational study does not prove cause and effect, it does support the idea that adequate exercise and vitamin D are signs of good health, the researchers said. Vitamin D is produced when the body is exposed to sunlight and is found in some foods.
“In our study, both failure to meet the recommended physical activity levels and having vitamin D deficiency were very common,” study co-author Dr. Erin Michos said in a university news release.
“The bottom line is we need to encourage people to move more in the name of heart health,” Michos added.
She is associate director of preventive cardiology and associate professor of medicine at the Ciccarone Center for the Prevention of Heart Disease at Johns Hopkins.
Though the study found that the more people exercised, the higher their vitamin D levels, this was true for whites but not for blacks, the researchers said. Michos said people with darker skin may produce vitamin D less efficiently because their skin pigments act as a natural sunscreen.
Most adults can get adequate levels of vitamin D with a few minutes a day of sunlight in spring, summer and fall, along with eating a well-balanced diet that includes oily fish such as salmon and fortified foods like cereal and milk, according to Michos.
SOURCE: Johns Hopkins University, news release, April 27, 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: Chiropractic and Athletic Performance
Chiropractic care is a popular, alternative treatment option which focuses on the diagnosis, treatment and prevention of injuries and/or conditions associated to the musculoskeletal and nervous system, primarily the spine. Many athletes, and civilians alike, seek chiropractic care to restore their natural health and wellness, however, chiropractic has been demonstrated to benefit athletes by increasing their athletic performance.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
