Back Clinic For Seniors. Older individuals do not have to learn how to live with pain! Chiropractic care for the elderly can help, as it is one of the most effective and safest forms of health care to treat pain-related conditions. The elder we live, the more issues we have with our muscles and joints. Dr. Jimenez discusses the aging process and how it affects those in their prime of life.
Dr. Jimenez offers a range of treatment options. From deep tissue massage, manual therapy, and spinal manipulation. Seniors experiencing problems and or pain can benefit from chiropractic treatment. Chiropractic treatment has been shown to have multiple benefits for the elderly. Increased mobility, decreased risk of falls, and other injuries. And routine chiropractic treatment can help improve overall health and well-being and give them more sense of independence in their lives.
The aging process can usher in a variety of conditions and health issues that are confined (mostly) to the elderly. Chronic pain, arthritis, loss of mobility, and other issues can occur as a person get older, but senior citizens are finding that chiropractic provides some great benefits for the older demographic.
Senior Citizens
Better Range Of Motion
Regular chiropractic care has been shown to increase spinal range of motion as well as in the extremities. Limited range of motion can occur due to age or inactivity � sometimes a combination of the two.
Having the ability to move easier has many great benefits. It allows seniors to more actively engage with their environment. They can get on their hands and knees to work in the garden, bend down to pick up grandchildren, and improve leisure activities like golfing. Increased range of motion is one of the most common (and appreciated!) benefits of chiropractic treatment.
Decreased Degeneration Of Joints
When the spine is misaligned it can lead to other parts of the body becoming misaligned as well. This can lead to unusual and unnatural wearing of the joints. Over time, the joints can become worn down, painful, and cause difficulty in mobility and flexibility.
Chiropractic care is a very effective treatment for decreasing the degeneration of the spine and even other joints. When the body is in proper alignment it no longer has to adapt through postural compensation. This reduces stress on the spine and joints while relieving pain and restoring mobility.
Pain Relief
Chiropractic has long been recognized for its effectiveness in providing drug free pain relief for everything from back pain to headaches to arthritis. While pain medication and anti-inflammatory drugs only suppress the symptoms, chiropractic addresses the root of the problem.
Spinal alignments and other chiropractic techniques help to relieve pain for a variety of issues, not just back and neck pain. What�s more, chiropractic does not have the undesirable, sometimes dangerous side effects that drugs can.
Overall Better Health & Wellbeing
Proper spinal alignment can greatly benefit a person�s health, wellbeing, and even their mood. It allows them to become more active so they get exercise. They sleep better and have more energy.
An aligned spine also lets them more fully engage with their family, friends, and the world. They can get out and do things they were once unable to do and when they are active and happier the entire body benefits.
Improved Coordination & Balance
The aging process can have a significant impact on a person�s balance and coordination. This can have a variety of causes including degenerative changes to the spine, typically in the neck area. Injury to this area is another culprit.
There are special receptors that reside along the cervical spine in the rear of the joints. These receptors work to send vital messages to the brain regarding coordination and balance. When the spine and especially the neck are out of alignment, it can hinder how these receptors send and receive messages to the brain. The result is a condition called loss of proprioception, or sense of body awareness.
As the condition progresses, the patient relies on vision to determine the location of their feet, legs, and other limbs. The worse it gets, the less able the patient is in compensating and can become prone to falling.
Injuries from falling are one of the most common reasons elderly people visit emergency departments each year. Chiropractic can help realign the neck and spine, allowing the messages to move much easier, thus restoring balance and coordination.
Prevents Seniors From Being Confined To Nursing Homes
Senior citizens who are regular chiropractic patients are more likely to engage in exercise that is more strenuous. They are more active, have fewer injuries, and are basically happier and more positive.
The more active and mobile senior citizens are, the less likely they are to be placed in a nursing home due to medical conditions or the �typical� aging issues. Simply put, chiropractic for seniors changes the way many people look at aging � and places it in a much more positive, active light.
Injury Medical Clinic: Elderly & Geriatric Fitness
Question: My parents are elderly, and both hurt their backs. What type of doctor or physician should I look for?
Chiropractic care is safe and effective for elderly adults with back pain, according to new research. To better understand the risk and benefits of chiropractic care in elderly individuals, El Paso, TX. Chiropractor, Dr. Alexander Jimenez, answers questions regarding chiropractic care for elderly individuals with back pain.??
Q: Is Chiropractic Care Safe For Elderly People?
Dr. Jimenez: Chiropractic care is one of the safest interventions for the care of back pain. The dangers of a serious problem after a chiropractic adjustment would be like the danger of having a serious problem after an immunization–exceptionally small. However, minor side effects lasting up to approximately 3 days are very common, most commonly muscle stiffness and soreness. These side effects are similar to those you get when you begin a workout program. People have a smaller chance of severe side effects from manipulation and manual treatment than they do from medication taken for the very same ailments. You should always discuss any side effects from treatment with your chiropractor right away.
Q: What Are The Benefits Of Chiropractic Care For The Treatment Of Low Back Pain In Older Adults?
Dr. Jimenez: Chiropractic care has been used for over 100 years to assist patients with back pain. One of the best benefits of trying chiropractic care first is that you can avoid the risk of side effects from taking medications for pain. Opioid drug addiction is a serious crisis in America. Trying non-drug therapies, such as chiropractic care first may help to reduce the high rates of opioid dependency in the USA.
Actually, the most recent treatment principle for low back pain (from the American College of Physicians), specifically states that people should attempt non-drug options first. The health dangers of pain medications are even greater for older adults compared to younger people, since many older people have other illnesses that affect their wellbeing, and their own bodies process drugs more slowly. Also, many drugs, particularly opioids, increase older people’s risk of falls, which is a very considerable risk in this age group.
Q: What Questions Should I Ask My Chiropractor Before Receiving Treatment?
Dr. Jimenez:�When first talking with a chiropractor, inquire which sort of treatments he or she may use for back pain. Chiropractic care incorporates many different non-drug approaches in addition to spinal manipulation, including other kinds of manual therapy in addition to exercise. �Ask the chiropractor to explain or illustrate the type of spinal manipulation he or she uses (many chiropractors have photographs or can demonstrate what they do), so that you feel comfortable with it. Should you feel uncomfortable with the therapy, feel free to ask whether there are alternate kinds of manipulation he or she may use as there are many different ways to perform spinal manipulation for optimum patient comfort, and also achieve the same targets.
Q: What Should I Tell A Chiropractor About My Medical History, Medicines, & Spinal Condition?
Dr. Jimenez: First of all, since chiropractors are trained to choose a thorough patient history, including questions regarding medication, past injuries or surgeries, and any recent changes in your health, most likely you won’t have to volunteer this information. You’ll be asked about your health history on a patient intake form. Then the doctor will ask you more questions in person. Make sure to talk about all health information about current and previous conditions, drugs, history of accidents and surgeries or alternative therapy, and current changes in your health, even if you think they are not important, they may be.
The chiropractor will also inquire what makes your pain worse or better, and if you have had changes in strength, recent falls, or balance issues, changes in your bowel or bladder function along with other relevant health factors like eating and sleep habits. The chiropractor should then perform a thorough physical examination, including your neurological system, to be certain that spinal manipulation is ideal for you. He or she’ll also see what kinds of adjustments will make your pain better or worse. The chiropractor will use all of this information to develop a treatment plan that’s specific for you to help you fulfill your goals for returning to a normal lifestyle.
Older adults who don’t have a history of cardiovascular problems don’t benefit from taking cholesterol-lowering statin drugs, says a new study of seniors with high blood pressure and moderately high cholesterol.
Researchers from New York University School of Medicine studied the data from 2,867 older adults and found that they had the same risk of dying as seniors who didn’t take statins, and also suffered the same amount of heart attacks and strokes. In fact, statins may have caused more harm than good since more deaths occurred in the group taking statins.
“This study doesn’t surprise me at all,” says Dr. David Brownstein, a board-certified physician and editor of the newsletter Dr. David Brownstein’s Natural Way to Health. “In fact, it should be expected.
“When you know the mechanisms of how statins work in the body, how anyone could predict that they will prolong a person’s life is beyond me, particularly in older people,” Brownstein tells Newsmax Health.
“Seniors depend on adequate cholesterol for a host of reactions in the body, including proper brain function and proper hormonal production,” he says.
“Some studies have shown that statins increase the risk of Alzheimer’s and Parkinson’s, even if you take CoQ 10 to help cope with some of statins’ side effects, because statins lower cholesterol.
“The highest concentration of cholesterol in the body is in the brain,” Brownstein says. “The brain actually produces its own cholesterol, and it needs cholesterol to function properly.
“Since statins have been shown to fail in 97 to 99 percent of the people who take them, I can’t imagine — with those odds — why anyone would consider taking this drug when they know the side effects are severe and many.”
Still, statins continue to be prescribed and are one of the most commonly prescribed medicines in the world. “Big pharma has convinced doctors that statins are much more effective than they are by using questionable statistical methods,” Brownstein says. “Unfortunately, most doctors don’t understand how to read statistics and don’t know how to read the studies.
“This isn’t the first study to show that statins harm patients,” Brownstein says and points to a 2015 study, published in Critical Care Medicine, which found that the lower a patient’s cholesterol levels, the higher the risk of dying during the 30-day period following a heart attack.
“The increased risk the researchers found isn’t nominal,” he said. “Patients with low LDL (bad) cholesterol levels coupled with low triglyceride levels had an astounding 990 percent increased risk of dying!”
A 2016 study published in the British Medical Journal found that not only do high cholesterol levels not shorten the lifespan of senior citizens, they may live as long — or longer — than their peers with low levels.
The results, which came after analyzing more than 68,000 patients over the age of 60, questioned conventional medicine’s belief that seniors with high cholesterol, especially high levels of low-density lipoprotein or LDL, are more at risk of dying from heart attack and stroke, and need statin drugs to lower their cholesterol levels.
The study suggested that high cholesterol may, in fact, be protective against diseases which are common in the elderly, including neurological disorders like Parkinson’s and Alzheimer’s.
“If your cholesterol is elevated, the first thing you need to do is to look at your diet,” says Brownstein. “You should follow a healthy diet by eliminating refined foods and eating whole, organic foods. Your cholesterol levels will naturally drop to their optimal levels.
“But to chemically lower them with a drug that fails 97 to 99 percent of the time — I don’t understand it.”
If you’d like a food or supplement to help you lower your cholesterol naturally, consider the following:
Red yeast rice. According to the University of Maryland, red yeast rice has the same chemical composition as the prescription drug lovastatin. A five-year, double-blind study of patients who had suffered a heart attack found that an extract of Chinese red yeast rice, Xuezhikang (XZK), reduced the risk of repeat heart attacks by 45 percent. The extract also decreased heart bypass surgery, cardiovascular mortality, and total mortality by a third.
Bergamot. Several studies have found that bergamot, an extract made from the bergamot fruit and used to give Earl Grey tea its distinctive flavor, lowers cholesterol safely and naturally. Several studies have shown it reduces LDL (low density or “bad”) cholesterol and triglycerides, while raising levels of HDL (good) cholesterol.
Green tea. Green tea lowers bad cholesterol and raises good cholesterol. Several studies have found that green tea blocks the absorption of up to 89 percent of cholesterol from foods. Black tea has also been found to be protective.
Research carried out by the universities of Glasgow and Mauritius found that drinking three cups of tea daily reduced LDL cholesterol by more than 16 percent when compared with a control group who drank the same amount of hot water. Scientists believe the health benefits are due to antioxidants in the tea called polyphenols, which were boosted by 400 percent in the tea-drinking group.
Oatmeal. Numerous studies conducted over the past 50 years have shown that oatmeal reduces bad cholesterol. The Mayo Clinic recommends eating one-and-a-half cups of cooked oatmeal each day. Oatmeal contains soluble fiber, a cholesterol-lowering component of foods which is also found in beans, apples, and many other whole foods. A study published in the American Journal of Clinical Nutrition found that oats lowered cholesterol levels almost as well as prescription cholesterol-lowering drugs.
Older, obese adults need to shed weight, but dieting can worsen their frailty. A new study addresses this conundrum, suggesting seniors take up both aerobic and resistance exercise while slimming down.
Engaging in aerobic and resistance exercise while losing weight enabled study participants to maintain more muscle mass and bone density compared to folks who did just one type of exercise or none at all, the researchers found.
Elderly and Obese, Here is What to Do
“The best way to improve functional status and reverse frailty in older adults with obesity is by means of diet and regular exercise using a combination of resistance and aerobic exercise training,” said study leader Dr. Dennis Villareal. He’s a professor of medicine at Baylor College of Medicine in Houston.
More than one-third of people age 65 and older in the United States are obese, according to the study authors. Obesity worsens the typical age-related decline in physical functioning and causes frailty, while weight loss can lead to harmful declines in muscle mass and bone density.
The researchers wanted to see what combination of exercise, along with dieting for weight loss, might be best. They randomly assigned 160 obese and sedentary adults, age 65 or older, to one of four groups: weight loss and aerobic training; weight loss and resistance training; or weight loss and a combination of both types of exercise. The fourth group served as controls and didn’t exercise or try to lose weight.
After six months, physical performance test scores increased by 21 percent in the combination exercise group, but just 14 percent among those who only did aerobic exercise or resistance exercise, Villareal’s team said.
The researchers also found that lean body mass and bone density declined less in the combination and resistance groups than in the aerobic group.
One strength of the study is its evaluation of several regimens, said Miriam Nelson, director of the Sustainability Institute at the University of New Hampshire.
Such research is critical, as ”the majority of [older] people are either overweight or obese,” said Nelson, who wasn’t involved in the study.
It’s About Health NOT Weight
While many studies of obese or overweight older adults focus only on exercise and weight loss, “this is really looking at health,” she said.
“Health in aging is really [about] functioning,” Nelson said. Maintaining muscle strength and bone density is essential to remain mobile and functional, she pointed out.
“All these multiple factors are what dictate to a large extent somebody’s ability to be independent, healthy and to live life to its fullest as they age,” Nelson added.
At the outset of the study, participants were mildly to moderately frail, according to the authors.
The researchers assessed the seniors’ physical performance, muscle mass and bone health over the 26-week study.
The overall winners, the combination group, exercised three times a week, from 75 to 90 minutes each session.
Aerobic exercises included treadmill walking, stationary cycling and stair climbing. Resistance training involved upper-body and lower-body exercises on weight-lifting machines. All groups also did flexibility and balance exercises.
The study showed a clear inverse relationship between weight loss�and lower back pain. �The greater the weight loss in the studied clients, the less lower back and knee pain was clearly presented
The study was published May 17 in the New England Journal of Medicine.
SOURCES: Dennis T. Villareal, M.D., professor, medicine, Baylor College of Medicine, and staff physician, Michael E. DeBakey VA Medical Center, Houston; Miriam Nelson, director, Sustainability Institute, University of New Hampshire, Durham; May 17, 2017, New England Journal of Medicine
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
Richard Overton, the oldest living U.S. World War II veteran, turned 111 on Thursday in Texas.
Overton, an Austin resident, served with the Army’s 1887th Engineer Aviation Battalion in the Pacific Theater from 1942 to 1945.
He celebrated his 111th birthday with a lunch party at the University of Texas club, which was attended by Austin Mayor Steve Adler and other dignitaries. Overton received many gifts, including an autographed football from the University of Texas, ABC News reported.
The mayor declared May 11 Richard Overton Day and temporarily renamed Hamilton Avenue, where Overton lives, Richard Overton Avenue in his honor.
A GoFundMe campaign in January raised funds to allow Overton to stay in the home where he has lived for more than 70 years since he came home from the war, rather than be moved to an assisted living facility.
“111, that’s pretty old, ain’t it,” Overton said, USA Today reported. “I can still get around, I can still talk, I can still see, I can still walk.” Overton credits “cigars and God” for his longevity, admitting he had already had a few cigars that day.
Overton, a sharpshooter in the war, has been honored numerous times for his service, including for his 107th birthday having breakfast with President Barack Obama in the White House.
Overton was born May 11, 1906, in Bastrop County, Texas, Fox News reported.
Twitter users in his community and from far beyond it shared their appreciation and good wishes with Overton to mark his special day.
@AP Happy Birthday Richard Overton. U are much loved in our state.Hope u see many more years.My aunt lived 2 106. You’re looking good.
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.”
The health benefits of exercise are well-established for people of all ages. But until now, little has been known about which type of exercise best counters the aging process in senior citizens.
The answer may be high-intensity interval training, suggests a new study published in Cell Metabolism by researchers from the Mayo Clinic.
High-intensity interval training (HIIT) alternates short bursts of intense aerobic activity such as biking or walking with short periods of easing up on the same activity.
This type of exercise, which originated in Sweden, is promoted as an efficient training method that avoids the risk of injuries associated with non-stop, repetitive activity.
Compared to other types of exercise, it appears to be dramatically more effective at boosting the activity of aging cells and even reversing age-related cellular damage.
The Mayo Clinic researchers recruited 72 healthy but sedentary men and women from two age groups: “young” subjects ages 18-30 and “older” subjects ages 65-80.
The researchers conducted baseline measurements of aerobic fitness, lean muscle mass, blood-sugar levels, and insulin sensitivity. After taking biopsies from the subjects’ thighs, they also assessed genetic activity in muscle cells and the health of the energy-producing mitochondria within those cells.
As we age, mitochondrial capacity gradually deteriorates. As a result, cells become damaged and weak.
The researchers randomly assigned subjects to one of three groups:
HIIT on stationary bicycles. Three days per week, they pedaled hard for four minutes, eased up for three minutes, then repeated the sequence three more times. On other days, they did a moderate treadmill routine,
Moderate-intensity training. Three days per week, they pedaled on stationary bikes for 30 minutes. On other days, they lifted light weights.
Vigorous weight training. Participants engaged in weight lifting several times per week.
No exercise. A fourth group did not engage in organized physical activity.
After 12 weeks, the researchers found that all three exercise groups experienced significant gains in fitness and blood-sugar regulation compared to non-exercisers.
As expected, they found that the high-intensity interval training group had the biggest improvement in endurance while the weight training group had the biggest improvement in muscle mass and strength.
But they were astonished to find that high-intensity interval training was most strongly associated with age-reversing changes at the genetic and cellular levels.
In the “younger” group assigned to high-intensity interval training, the activity level changed in 274 genes. That compared to activity-level changes in 170 genes in the moderate-intensity training group and 74 genes in the weight training group.
Genetic changes were even more dramatic in the “older” group assigned to high-intensity interval training. They saw activity-level changes in nearly 400 genes. That compared to activity-level changes in only 33 genes in the weight training group and only 19 genes in the moderate-intensity training group.
High-intensity interval training had a similar effect on mitochondrial capacity: a 49 percent increase in the “younger” group and a whopping 69 percent increase in the “older” group.
This type of exercise also led to improved insulin sensitivity, which is associated with a reduced risk of diabetes.
The researchers cautioned that their primary goal was to show how exercise works at a molecular level, not to provide prescriptive exercise for seniors or anyone else. They hope to learn more about how exercise benefits different tissues in the body.
For the time being, they say that vigorous exercise remains the most effective way to bolster health.
“There are substantial basic science data to support the idea that exercise is critically important to prevent or delay aging. There’s no substitute for that,” senior author Dr. Sreekumaran Nair said in a statement.
Most experts agree that many older adults can participate in an age-appropriate high-intensity interval training program that takes into account their physical limitations.
Older adults are more likely to have an underlying health issue such as osteoporosis, arthritis, diabetes, hypertension or a history heart disease, heart attack, or stroke.
So it’s essential for them to consult with their primary care provider and take a cardio-stress test before beginning a new exercise program, especially one that involves vigorous activity.
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