Mental Health includes an individual’s emotional, psychological, and social well-being. It affects how one thinks, feels, and acts. It helps determine how an individual handles stress, relates to others, and makes choices. Mental health is important at every stage of life, from childhood, adolescence, and adulthood.
Over the course of one’s life, one may experience mental health problems, thinking, mood, and behavior can be affected. Many factors contribute to mental health problems which include:
Biological factors, i.e., genes or brain chemistry
Life experiences, i.e., trauma or abuse
Family history of mental health problems
Experiencing one or more of the following can be an early warning of a problem:
Eating or sleeping too much or too little
Pulling away from people and usual activities
Having low or no energy
Feeling numb or like nothing matters
Having unexplained aches and pains
Feeling helpless or hopeless
Smoking, drinking or using drugs more than usual
Feeling unusually confused, forgetful, on edge, angry, upset, worried, or scared
Yelling or fighting with family and friends
Experiencing severe mood swings that cause problems in relationships
Having persistent thoughts and memories that can’t get out of your head
Hearing voices or believing things that are not true
Thinking of harming oneself or others
Inability to perform daily tasks like getting to work or school
These problems are common, but treatment can help an individual get better and recover completely.
If you are experiencing any of these situations, then your hippocampus might be lowered than usual.
The Hippocampus
In the brain, there is an S-shaped structured located in the inner folds in the temporal lobe called the hippocampus. The hippocampus is a complex brain structure that has a layer of densely packed neurons, and its primary function involves how humans learn and how their memory works. The hippocampus is part of the limbic system as well since it works the feeling and reacting function in the body. The limbic system is situated at the edge of the cortex and includes the hypothalamus and the amygdala.
These structures help controls the body�s different functions like the endocrine system and the �fight or flight� reaction response. With the hippocampus helping humans process what information they are learning, this structure can retrieve two kinds of memories that are important; they are declarative memories and spatial relationship memories.
Declarative memories: These are memories that are related to facts and events a person experience. It includes examples like how to memorize speeches or line in a play that a person is doing.
Spatial relationship memories: These memories involve pathways or routes that a person must learn. An example of this is transportation drivers like cab drivers, bus drivers, and truckers who have to learn the routes in the places they are going to. So they use spatial memory and practice their routes many times until they have it in their memories. The spatial relationship memories are stored on the right side of the hippocampus.
Sadly though, the hippocampus can be damaged by neurological diseases like Alzheimer�s disease and PTSD (Post-Traumatic Stress Disorder). When it is damaged, a variety of conditions can affect the hippocampus�s ability to do its job for the brain, thus making the individual suffer from retaining information.
Hippocampus Conditions
Several conditions can cause problems to the body when the hippocampus is damaged. This is known as hippocampus atrophy, where the neurons and neuronal volume in the hippocampal that is a loss.
Alzheimer�s Disease
Alzheimer�s disease is when an individual begins to lose their memory. When the hippocampus is damaged, it can cause a dissociation between the cortexes and leads to information registration failure. Studies show that when Alzheimer�s disease is progressing, the hippocampus will lose its volume, and it will become harder for an individual to function in their daily lives.
Epilepsy
When a person has epilepsy, it might be due to a damaged hippocampus. Research shows that around 50 to 75% of patients with this disease may have hippocampal sclerosis, and in case they have died, they have medial temporal lobe epilepsy. More research states that the mechanics of hippocampal sclerosis in epilepsy can be related to the development of inflammation on the uncontrolled local hippocampus and blood-brain barrier damage.
Hypertension
When the hippocampus is damaged, hypertension can happen to a person. Hypertension is another name for high blood pressure, and it can lead to severe health complications to the body. Even though the causes of hypertension are still unknown, the risk factors from hypertension can include:
Environmental factors like stress or a lack of exercise
Hormone activity
Blood plasma
Studies show that hypertension and other risk factors are being increasingly viewed as a putative factor that is leading to hippocampal atrophy.
Cushing�s Disease
Cushing�s disease or Cushing syndrome is when the body is exposed to high levels of cortisol for a long time. Studies show that when there is a loss of cellular volume to the corticosteroid�s levels in the body and it could be responsible. When there is too much cortisol being produced in the body, it is one of the signs of Cushing syndrome. Some of the other signs include:
Weight gain
Fatty tissue deposits around the midsection, face, upper back and between the shoulders
Pink or purple stretch marks
Thinning, fragile skin that bruises easily
Slow healing cuts, insect bites and infections
Acne
Muscle weakness
Cognitive difficulties
Loss of emotional control
Since stress does play a role in the endocrine system and the neurological system, there are nearly 80 years of research on how much focus has been on the various levels of the HPA (hypothalamic-pituitary-adrenal) axis and the hormones it produces. It shows that glucocorticoids as the mediators for the stress effects on the hippocampus and being the contributing factor for stress-associated psychopathologies.
Conclusion
The hippocampus is located in the temporal lobe of the brain. This S-shaped structure can be easily damaged due to stress and other neurological factors that can affect the entire body and its systems. When harmful factors affect the hippocampus, it can lead the hormones that are producing to become imbalanced and cause dysfunction. Some products are here to make sure that the endocrine system is functioning properly and supporting the metabolic system, the gastrointestinal system, as well as making sure the hormones are balanced.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
References:
Anand, Kuljeet Singh, and Vikas Dhikav. �Hippocampus in Health and Disease: An Overview.� Annals of Indian Academy of Neurology, Medknow Publications & Media Pvt Ltd, Oct. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3548359/.
Dresden, Danielle. �Hippocampus: Function, Size, and Problems.� Medical News Today, MediLexicon International, 7 Dec. 2017, www.medicalnewstoday.com/articles/313295.php.
Felman, Adam. �Hypertension: Causes, Symptoms, and Treatments.� Medical News Today, MediLexicon International, 22 July 2019, www.medicalnewstoday.com/articles/150109.php.
Kim, Eun Joo, et al. �Stress Effects on the Hippocampus: a Critical Review.� Learning & Memory (Cold Spring Harbor, N.Y.), Cold Spring Harbor Laboratory Press, 18 Aug. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4561403/.
Team, Mayo Clinic. �Cushing Syndrome.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 30 May 2019, www.mayoclinic.org/diseases-conditions/cushing-syndrome/symptoms-causes/syc-20351310.
If you are experiencing any of these situations, then it might be the weather that is affecting your mood and your body.
The Weather
Does the weather forecast make anyone smile? Whether it is nothing but bright, sunny skies and warm temperatures or gray, overcast skies with threats of rain and thunderstorms, the weather can affect a person’s joints and cause them pain. The old saying “Feel it in my bones” comes to play when environmental conditions can affect the physical body. Research has indicated that these effects are not just skin deep, but the weather can affect a person�s mood and emotional health. They found that patients experience increased joint pain in response to a decrease in pressure and indicating that low atmospheric pressure conditions exacerbate joint pain.
Lots of people are affected differently by different weather patterns. There are no hard-fast rules regarding the influence of how the weather affects people�s moods. The research suggested that high humidity may increase sleepiness and can negatively affect concentration and focus on a person. While rising temperatures can help lower anxiety and skepticism mood scores in a person. Since humidity is the most significant predictor since it implicates for school and office performances are being discussed and highlights the importance of humidity as a weather variable.
Some individuals love to sit out in the sun and soak up every ray while basking in the heat. Others instead prefer to let themselves stay indoors surrounded by air conditioning and feeling so much better in the colder weather with less sunshine.
Types of People Affected By The Weather
Studies have researched that there were four distinct types of people, especially in children and their mothers that were identified when it comes to the weather and their moods. They are:
Summer Lover
Unaffected
Summer Haters
Rain Haters
Summer Lovers have better moods in warm, sunny weather while the Summer Hater has the worse moods under the warmer conditions. People in the Unaffected category has shown only the weak association between the weather and their moods. When it comes to rainy days, Rain Haters experiences particularly bad moods during those types of days. The correlation between the children and their mothers was founded for two of the types. It stated that there might be some intergenerational influences, and the finding from the study and many others show that there is a massive individual difference in how the weather affects people’s moods. Some people love rainy or sunny days, while others loathe them.
A 2013 paper found that rising temperatures and increased precipitation can have a significant impact on human conflict and interpersonal violence. The correlation between the higher temperatures like more extreme rainfall and increased violence was seen on both scales, large and small. Other researchers have suggested that the psychological effects of the weather are influenced by seasons and the time a person is outside. What they found was that higher temperatures or the barometric pressure were related to better moods, memory, and “broadened” cognitive style in the springtime as an individual spends more time outside has increased.
Weather Can Affect People�s Mood
While this relationship is perfect for some people, others see this relationship as an inverse during the other seasons. Some people found out that during the warmer seasons, lowers their mood. It is correlated strongly with individuals who live in the south. The hotter weather can cause them to have poorer moods when the summer has higher temperatures, and it can become downright debilitating.
Researchers speculated that the discrepancy between spring and summer moods might be related to seasonal affective disorder. With seasonal affective disorder, the results were consistent with their findings. They suggested that pleasant weather improves moods and broaden cognition in the spring because people have been deprived of such weather during the winter.
The founder and editor-in-chief of Psych Central, John M, Grohol, Psy.D., noted that the weather could affect people’s moods and emotions. He also mentions that the strength of that relationship varies from person to person, and the effects are noticeable, whether it be small in some people or more pronounced in others.
Another study found that many people intuit that the bad weather makes them sad and pleasant weather makes them happy. Scientific investigations have largely failed to support such associations, however, with variations in meteorological variables either showing no or weak relationships with variations in normal moods. It means that a person�s definition of� �good� or �bad� weather is their own opinion. If someone likes the rain, then gray, rainy days are �good� in their view while others view rainy days are �bad� and prefer sunshine, blue skies, and warmer weather.
Conclusion
The weather can affect anyone’s mood. Whether people enjoy the colder seasons or the warmer seasons, their moods can change due to the type of weather. If they are aware of their mood patterns, taking supplements can ease the transition of the change of seasons and be a beneficial impact on their moods. Some products can help support the body and making sure that the entire system is functioning correctly by targeting amino acids and sugar metabolism.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
References:
Bullock, Ben, et al. �Highs and Lows, Ups and Downs: Meteorology and Mood in Bipolar Disorder.� PloS One, Public Library of Science, 9 Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5344507/.
Grohol, John M. �Weather Can Change Your Mood.� World of Psychology, 28 Mar. 2019, psychcentral.com/blog/weather-can-change-your-mood/.
Howarth, E, and M S Hoffman. �A Multidimensional Approach to the Relationship between Mood and Weather.� British Journal of Psychology (London, England: 1953), U.S. National Library of Medicine, Feb. 1984, www.ncbi.nlm.nih.gov/pubmed/6704634.
Hsiang, Solomon M., et al. �Quantifying the Influence of Climate on Human Conflict.� Science, American Association for the Advancement of Science, 13 Sept. 2013, science.sciencemag.org/content/341/6151/1235367.
Keller, Matthew C, et al. �A Warm Heart and a Clear Head. The Contingent Effects of Weather on Mood and Cognition.� Psychological Science, U.S. National Library of Medicine, Sept. 2005, www.ncbi.nlm.nih.gov/pubmed/16137259.
Keller, Matthew C, et al. �A Warm Heart and a Clear Head. The Contingent Effects of Weather on Mood and Cognition.� Psychological Science, U.S. National Library of Medicine, Sept. 2005, www.ncbi.nlm.nih.gov/pubmed/16137259.
Klimstra, Theo A, et al. �Come Rain or Come Shine: Individual Differences in How Weather Affects Mood.� Emotion (Washington, D.C.), U.S. National Library of Medicine, Dec. 2011, www.ncbi.nlm.nih.gov/pubmed/21842988.
Team, DFH. �Weather Forecast � Can It Predict Your Mood, Too?� Designs for Health, 15 Aug. 2019, blog.designsforhealth.com/node/1085.
Verg�s, Josep, et al. �Weather Conditions Can Influence Rheumatic Diseases.� Proceedings of the Western Pharmacology Society, U.S. National Library of Medicine, 2004, www.ncbi.nlm.nih.gov/pubmed/15633634.
Our brain is one of our most important organs that controls everything that we do. From learning how to walk at our earlier stages, learning new motor skills, to remembering nostalgic events in our lives. However, when tragedy strikes, our brain is the first one to get impacted.
The brain has many functions in the past that were structured, fixed, and therefore, hard-wired. That changed in the 1970s when neuroscientists discovered that the brain was the opposite of what they originally thought. It turns out that the brain is continuously changing and gathering information for many life events called neuroplasticity.
Our brain�s neuroplasticity has helped us re-learned simple motor skills by training our bodies to do these functions through rehabilitation from any brain injuries that anyone has been through. However, for some people, when they are recovering from any tragic events can encounter many mental struggles and have a hard time to bounce back. The most common mental struggles are apparently stress.
Good Stress: Increases energy, strengthens the immune system, immune to other stressful situations.
Bad Stress: High blood pressure, mental health problems, weaker immune system.
These two categories can make our brain go into overdrive, however, once you find out what stresses you out; you can actually find many ways to de-stress and relax. Some examples are taking up a hobby to make your brain learn a new technique, while others are either exercising or talking to someone.
When you�re exercise, not only your whole body feels good, but also you can let out whatever is frustrating you when you put the work in. And when you are done exercising for thirty minutes to an hour, you will feel a whole lot better with a clear head. When you�re talking to someone, it feels pretty good to have somebody there to listen to your problems and sometimes they will give you some advice and maybe something to drink so you can feel relaxed a bit and let your worries slip away.
Other times when you want to keep your brain healthy is to eat some really good food. Some of the food we eat have been known to keep our brain�s motor skill running and making your body feel good. Omega-3s, antioxidants, L-theanine supplements are consumed to calm down the neurotransmitters that are in our brain.
Neurotransmitters
This leads to our neurotransmitters, GABA and Glutamate, to be monitored by MRS (magnetic resonance spectroscopy). When these two neurotransmitters are being monitored, doctors have found out that the patient�s glutamate is in overdrive and that they need to increase the patient�s GABA in order to lower the excitotoxicity and protecting the brain�s grey matter or else the brain will get destroyed.
Some of the best ways to ease an anxious mind are to figure out what is causing our brains to be extremely anxious in any situations that are thrown to us. Our brain is like the CPU of a computer that we programmed and managed so we can have these thoughts, passion, and desires that are wired into our minds. The brain is an intricated network of neurons and receptors that co-exist to various internal and external stimulations.
So, if we were to find the �virus� that is causing our brains to be overwork and anxious, we can change our mind to make it mellow out and tell ourselves that we are fine. Our brain has six brainwaves that are well known and here is a very quick outline of what each wave does.
Infra-low: The �reset� wavelength helps our brain slow down and reset our thought process.
Delta: These waves help us go into a deep meditative state.
Theta: These waves benefit our memories, intuition and learning process.
Alpha: These waves make us feel calm and be at a resting state.
Beta: These waves are split into three sections and each section deals with our waking state: Idling, calculated thoughts and learning new experiences.
Gamma: These waves make us have a quiet, calm healthy mind when we need peace and quiet.
The first five brain waves are key for us to have a calm, collected healthy mind when we have to go to sleep. We all know that having 8 hours of sleep is essential for us to have a healthy mind. When we don�t get enough sleep, we feel grouchy or even more tired when we have to get up to go to school or work. So, we have a bit of caffeine to lift our spirits up, and of course, go through the day. Even if we have some time to spare a quick nap for about thirty minutes seems to help our brain process what we learned and then feel refreshed after that nap.
Proper Sleep = Healthy Mind
Like the last paragraph stated, when we don�t get enough sleep, we feel more tired when we have to get up and start our day. However, let�s say someone is very anxious or has depression can suffer from hypersomnia. When a person suffers from hypersomnia, it takes that person�s willpower to actually get up and go out of their bedroom.
What they think is that �I don�t feel well� but; it is actually their brain producing so much glutamate and have less GABA that may be a factor to these triggers. But when we find supplements that can help our brain rewired itself naturally with these supplements that we find in food. As Hippocrates stated, �Let food be thy medicine and let medicine be thy food.�
All in all, our brain is one of the most valuable organs that we must take care of. Whether it be taking up a new hobby, going to eat some good food to fuel our brain cells and protect it at the same time, or even finding a quiet place to meditate. We have to have to make sure our brain�s neurochemistry is doing okay and that it is healthy enough to experience new things that we encounter throughout our lives.
El Paso, TX Neck Pain Chiropractic Treatment
Sandra Rubio discusses the symptoms, causes, and treatments of neck pain. Headaches, migraines, dizziness, confusion, and weakness in the upper extremities are a few of the typical symptoms. Trauma from an accident, such as that from an automobile accident or a sports injury, or an aggravated illness because of improper posture can commonly cause neck pain and other ailments. Dr. Alex Jimenez uses spinal alterations and manual manipulations, one of other chiropractic treatment techniques like deep-tissue massage, to reestablish the alignment of the cervical spine and improve neck pain. Chiropractic care with Dr. Alex Jimenez is your non-surgical choice for restoring general patient well-being.
Neck pain is a frequent health issue, with roughly two-thirds of the people being influenced by neck pain at any time throughout their lifetimes. Numerous other health issues can cause pain arising in the upper back, or the spine. Neck pain can result emanating from the vertebrae, or because of muscular tightness in both the neck and the upper back. Joint disruption in the neck causes migraines, and headache, as does joint disturbance at the trunk, or can generate a variety of other symptoms. Neck pain affects about 5 percent of the worldwide population as of 2010, based on figures.
NCBI Resources
The relationship between the body and the mind is still far from being fully understood. However, there is no denying the significant connection between our physical health and our mental health. When your body is healthier, your mood is more level and positive. Just like keeping a food diary can help you identify a food allergy, keeping an anxiety diary can help you see what things in your life are triggering your anxiety. Triggers for anxiety�can include a wide range of things, not all of them related to human interactions. All for a healthy mind!
Research has found about 35% of Americans experience symptoms of a warning stroke. However, only 3% seek out immediate medical attention. A stroke occurs when the blood supply to part of the brain is blocked or reduced, which deprives brain tissue of oxygen and nutrients. Within minutes, brain cells start to die.
Adults who have had a sign of a�temporary blockage aka, a Transient Ischemic Attack (TIA)waited/rested until symptoms had subsided instead of calling 911. This is according to the research from the American Heart Association/American Stroke Association (AHA/ASA).
Only a formal medical diagnosis with brain imaging can determine whether someone is having a TIA or stroke. If you or someone experiences warning signs that come on suddenly or go away,�CALL 911 IMMEDIATELY!
Stroke: Early Signs
Ischemic strokes occur when a clot blocks blood flow to the brain.
This type may be treated immediately with a special clot-busting drug
A device called a stent retriever may also be used to remove the clot and help prevent long-term disability.
TIA precedes about 15% of strokes
People who have had TIA are at greater risk for stroke within three months
Use The Acronym F.A.S.T. To Help Remember Common Signs:
�
Face Drooping
Arm Weakness
Speech Difficulty
Time To Call 911
Other Warnings Signs:
Confusion
Dizziness
Loss Of Balance/Coordination
Numbness Or Weakness Of Face, Arm or Leg, Particularly On One Side Of The Body
Trouble Speaking Or Understanding
Trouble Walking
Unexplained Severe Headache
Vision Loss In One Or Both Eyes
Injury Medical Clinic: Stress Management Care & Treatments
How important is nutrition for our brain health? In the current work force, we are continuously stressed, often forced to finish tasks faster in order to meet ever so demanding deadlines. In addition, we are expected to maintain our optimal mental health, as this can be an essential�part towards delivering quality work. When our mental health is being affected by our hectic lifestyles, however, several practices which can help you start thinking more clearly can include sleeping properly, controlling stress, and even taking nutritional supplements for your brain health.
One nutritional supplement which has been widely recognized for its ability to boost brain health is curcumin, the active ingredient found in turmeric. Well-known for its antioxidant properties and its capacity to control inflammation in the human body, this powerful herb can also promote good mood and cognition. Another specific group which has reported significant benefits with the increased use of curcumin, is the elderly population. Below, we will discuss how curcumin can help boost brain health as well as demonstrate additional benefits this golden gem can have on our overall health and wellness.
Curcumin: a Golden Gem for Brain Health
In accordance with the Journal of Pharmacology, curcumin is made-up of a variety of substances which can encourage biological mechanisms that counteract age-related cognitive decline, dementia, or mood disorders. One randomized, double-blind, placebo-controlled trial analyzed the acute, of approximately 1 and 3 hours following a single dose, chronic, of approximately 4 weeks, and acute-on-chronic, of approximately 1 and 3 hours after one dose subsequently after chronic treatment, consequences of a curcumin formulation on cognitive function, mood, and blood biomarkers in 60 healthy adults ranging from the 60 to 85 years of age. After about one hour of application, the curcumin had considerably enhanced the participant’s functionality on attention and working memory tasks, in comparison with the placebo. Working memory and mood, which included general fatigue, change in calmness, contentedness and fatigue triggered by emotional strain were fundamentally improved following chronic therapy.
Curcumin boosts BDNF (brain-derived neurotrophic factor), the brain hormone which helps boost the development of new neurons that are in charge of improving memory and learning as well as supplying a substantial option for countering the aging brain. Additionally, this powerful ingredient increases blood circulation to the brain, also providing a much better attention span for greater work productivity.
Appreciating its anxiolytic effects can be one of the greatest benefits of carrying curcumin. According to the Journal of Clinical Psychopharmacology, a randomized double-blinded and double-blind trial with 60 subjects experiencing stress-related symptoms, including exhaustion, were to get routine curcumin nutritional supplements, and placebo for 30 days. The results indicated a greater quality of life, and diminished stress and fatigue for those receiving regular curcumin intakes. This progressive compound is believed to be able to help alleviate depression by altering the release of dopamine and serotonin, two powerful hormones which help keep the human mind and body at ease. Curcumin also promotes the optima health and wellness of inflammation pathways from the brain, which ultimately will help improve energy, mood, and production levels.
Curcumin may additionally promote cognition via its powerful antioxidant action which improves the bioavailability of DHA, the potent omega-3 fatty acid demonstrated to boost brain health. A research study in the American Journal of Geriatric Psychiatry revealed that curcumin really does protect the brain from neurodegeneration. The evaluation and analysis included 40 participants ranging from the ages of 51 to 84 years of age. Each individual subject consumed 90mg of curcumin twice per day or placebo for 18 weeks. The results indicated enhanced long-term healing, visual memory, and focus. With its tremendous medicinal properties, curcumin can also support neuroplasticity, which empowers the brain to change and fortify itself even through the natural degeneration with aging.
Curcumin can also promote anti-seizure action. With its antioxidant properties, this golden gem can help slow down reactive astrocyte expression, which helps cells survive within the mind. According to the Neuropharmacology Laboratory, Department of Pharmacology, the antioxidant properties of curcumin helped alleviate migraines, cognitive impairment, and cognitive stress in rats. A dental pre-treatment of curcumin was given to male rats which were additionally treated together with Pentylenetrazole, or PZT, every other day. The study demonstrated that curcumin enhanced the seizure score and indicated a diminished amount of myoclonic jerks. Furthermore, the outcome measures of the research study demonstrated that curcumin restructures seizures, oxidative stress, and brain function. Moreover, it helps protect memory function which may also be jeopardized by seizure activity.
Using its capability to strengthen fatty acids in the mind, curcumin helps athletes achieve better physical performance by boosting critical thinking, improving problem solving, and developing improved choices. The neuroprotective properties in curcumin also help regenerate tissues. In reality, based on Stem Cell Research and Therapy, a research study was conducted between the effects of curcumin on endogenous stem cells which were impartial. The study demonstrated that curcumin played an essential role in the healing of cells from combating the activation of microglia cells. Scientists in the Institute of Neuroscience and Medicine in Julich, Germany, observed the effects of impartial stem cell generation. During a 72-hour period, the evaluation and analysis demonstrated and indicated that the turmeric curcumin improved cellular generation by up to 80 percent. This shows how powerful curcumin could be for successful brain health function.
Dr. Alex Jimenez’s Insight
Nutrition is a fundamental factor in overall health and wellness. In today’s stressful world, however, it can often become difficult to eat a proper meal, let alone making sure we are taking in all the necessary nutrients we require on a regular basis. That, plus the added pressure of the workforce can have detrimental effects on our brain health. Dietary supplements, such as curcumin, have been demonstrated to have tremendous benefits on brain health. Although we may not always have the “free time” to sit down and have a properly balanced meal, taking nutritional supplements like curcumin, among others, can help improve the human body’s general well-being.
While many research studies have found that natural remedies and botanicals, such as dietary supplements apart from vitamins and minerals, continue to be the most common complementary health approach in the United States today, more and more alternative treatment options, such as chiropractic care, have started to incorporate these into their practices. As a matter of fact, a majority of chiropractors give nutritional advice, as well as recommendations for other lifestyle recommendations, as a general part of their treatment plan. Because chiropractic care is based on the notion of naturally treating the human body as a whole, enhancing it’s own healing properties without the use of drugs and/or medications as well as other invasive procedures, this healthcare profession relies on offering the necessary health maintenance components for optimal health and wellness. These components can include nutrition, water, rest, exercise, and clean air. Many chiropractors also offer curcumin supplements to help promote recovery.
This exceptional nutritional supplement, curcumin, helps improve mental clarity, improve cognition, improve endurance, and supplies anxiolytic benefits. Whether it’s more work fabricating, or a much better disposition, curcumin is a hidden golden gem for health.�The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topics: Back Pain
Back pain is one of the most prevalent causes for disability and missed days at work worldwide. As a matter of fact, back pain has been attributed as the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience some type of back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments and muscles, among other soft tissues. Because of this, injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
After a neurological exam, physical exam, patient history, x-rays and any previous screening tests, a doctor may order one or more of the following diagnostic tests to determine the root of a possible/suspected neurological disorder or injury. These diagnostics generally involve neuroradiology, which uses small amounts of radioactive material to study organ function and structure and ordiagnostic imaging, which use magnets and electrical charges to study organ function.
Neurological Studies
Neuroradiology
MRI
MRA
MRS
fMRI
CT scans
Myelograms
PET scans
Many others
Magnetic Resonance Imaging (MRI)
Shows organs or soft tissue well
No ionizing radiation
Variations on MRI
Magnetic resonance angiography (MRA)
Evaluate blood flow through arteries
Detect intracranial aneurysms and vascular malformations
Magnetic resonance spectroscopy (MRS)
Assess chemical abnormalities in HIV, stroke, head injury, coma, Alzheimer’s disease, tumors, and multiple sclerosis
Functional magnetic resonance imaging (fMRI)
Determine the specific location of the brain where activity occurs
Computed Tomography (CT or CAT Scan)
Uses a combination of X-rays and computer technology to produce horizontal, or axial, images
Shows bones especially well
Used when assessment of the brain needed quickly such as in suspected bleeds and fractures
Myelogram
Contrast dye combined with CT or Xray
Most useful in assessing spinal cord
Stenosis
Tumors
Nerve root injury
Positron Emission Tomography (PET Scan)
Radiotracer is used to evaluate the metabolism of tissue to detect biochemical changes earlier than other study types
Used to assess
Alzheimer’s disease
Parkinson’s disease
Huntington’s disease
Epilepsy
Cerebrovascular accident
Electrodiagnostic Studies
Electromyography (EMG)
Nerve Conduction Velocity (NCV) Studies
Evoked Potential Studies
Electromyography (EMG)
Detection of signals arising from the depolarization of skeletal muscle
May be measured via:
Skin surface electrodes
Not used for diagnostic purposes, more for rehab and biofeedback
Needles placed directly within the muscle
Common for clinical/diagnostic EMG
Diagnostic Needle EMG
Recorded depolarizations may be:
Spontaneous
Insertional activity
Result of voluntary muscle contraction
Muscles should be electrically silent at rest, except at the motor end-plate
Practitioner must avoid insertion in motor end-plate
At least 10 different points in the muscle are measured for proper interpretation
Procedure
Needle is inserted into the muscle
Insertional activity recorded
Electrical silence recorded
Voluntary muscle contraction recorded
Electrical silence recorded
Maximal contraction effort recorded
Samples Collected
Muscles
Innervated by the same nerve but different nerve roots
Innervated by the same nerve root but different nerves
Different locations along the course of the nerves
Helps to distinguish the level of the lesion
Motor Unit Potential (MUP)
Amplitude
Density of the muscle fibers attached to that one motor neuron
Proximity of the MUP
Recruitment pattern can also be assessed
Delayed recruitment can indicated loss of motor units within the muscle
Early recruitment is seen in myopathy, where the MUPs tend to be of low amplitude short duration
Polyphasic MUPS
Increased amplitude and duration can be the result of reinnervation after chronic denervation
Complete Potential Blocks
Demyelination of multiple segments in a row can result in a complete block of nerve conduction and therefore no resulting MUP reading, however generally changes in MUPs are only seen with damage to the axons, not the myelin
Damage to the central nervous system above the level of the motor neuron (such as by cervical spinal cord trauma or stroke) can result in complete paralysis little abnormality on needle EMG
Denervated Muscle Fibers
Detected as abnormal electrical signals
Increased insertional activity will be read in the first couple of weeks, as it becomes more mechanically irritable
As muscle fibers become more chemically sensitive they will begin to produce spontaneous depolarization activity
Fibrillation potentials
Fibrillation Potentials
DO NOT occur in normal muscle fibers
Fibrillations cannot be seen with the naked eye but are detectable on EMG
Often caused by nerve disease, but can be produced by severe muscle diseases if there is damage to the motor axons
Positive Sharp Waves
DO NOT occur in normally functioning fibers
Spontaneous depolarization due to increased resting membrane potential
Abnormal Findings
Findings of fibrillations and positive sharp waves are the most reliable indicator of damage to motor axons to the muscle after one week up to 12 months after the damage
Often termed �acute� in reports, despite possibly being visible months after onset
Will disappear if there is complete degeneration or denervation of nerve fibers
Nerve Conduction Velocity (NCV) Studies
Motor
Measures compound muscle action potentials (CMAP)
Sensory
Measures sensory nerve action potentials (SNAP)
Nerve Conduction Studies
Velocity (Speed)
Terminal latency
Amplitude
Tables of normal, adjusted for age, height and other factors are available for practitioners to make comparison
Terminal Latency
Time between stimulus and the appearance of a response
Useful in assessing demyelinative peripheral neuropathies
Sources
Alexander G. Reeves, A. & Swenson, R. Disorders of the Nervous System. Dartmouth, 2004.
Day, Jo Ann. �Neuroradiology | Johns Hopkins Radiology.� Johns Hopkins Medicine Health Library, 13 Oct. 2016, www.hopkinsmedicine.org/radiology/specialties/ne uroradiology/index.html.
Concussions are traumatic brain injuries that affect brain function. Effects from these injuries are often temporary but can include headaches, problems with concentration, memory, balance and coordination. Concussions are usually caused by a blow to the head or violent shaking of the head and upper body. Some concussions cause loss of consciousness, but most do not. And it is possible to have a concussion and not realize it. Concussions are common in contact sports, such as football. However, most people gain a full recovery after a concussion.
Can also happen due to excessive shaking of the head or acceleration/deceleration
Mild injuries (mTBI/concussions) are the most common type of brain injury
Glasgow Coma Scale
Common Causes Of Concussion
Motor vehicle collisions
Falls
Sports injuries
Assault
Accidental or intentional discharge of weapons
Impact with objects
Prevention
Prevention of concussive injuries can be paramount
Encourage Patients To Wear Helmets
Competitive sports, especially boxing, hokey, football and baseball
Horseback riding
Riding bicycles, motorcycles, ATVs, etc.
High elevation activates such as rock climbing, zip lining
Skiing, snowboarding
Encourage Patients To Wear Seatbelts
Discuss the importance of wearing seatbelts at all times in vehicles with all of your patients
Also encourage use of appropriate booster or car seats for children to ensure adequate fit and function of seat belts.
Driving Safely
Patients should never drive while under the influence of drugs, including certain medications or alcohol
Never text and drive
Make Spaces Safer For Children
Install baby gates and window latches in the home
May in areas with shock-absorbing material, such as hardwood mulch or sand
Supervise children carefully, especially when they�re near water
Prevent Falls
Clearing tripping hazards such as loose rugs, uneven flooring or walkway clutter
Using nonslip mats in the bathtub and on shower floors, and installing grab bars next to the toilet, tub and shower
Ensure appropriate footwear
Installing handrails on both sides of stairways
Improving lighting throughout the home
Balance training exercises
Balance Training
Single leg balance
Bosu ball training
Core strengthening
Brain balancing exercises
Concussion Verbiage
Concussion vs. mTBI (mild traumatic brain injury)
mTBI is the term being used more commonly in medical settings, but concussion is a more largely recognized term in the community by sports coaches, etc.
The two terms describe the same basic thing, mTBI is a better term to use in your charting
Evaluating Concussion
Remember that there does not always have to be loss of consciousness for there to be a concussion
Post-Concussion Syndrome can occur without LOC as well
Symptoms of concussion may not be immediate and could take days to develop
Monitor for 48 post head injury watching for red flags
Blurred eyesight or other vision problems, such as dilated or uneven pupils
Confusion
Dizziness
Ringing in the ears
Nausea or vomiting
Slurred speech
Delayed response to questions
Memory loss
Fatigue
Trouble concentrating
Continued or persistent memory loss
Irritability and other personality changes
Sensitivity to light and noise
Sleep problems
Mood swings, stress, anxiety or depression
Disorders of taste and smell
Mental/Behavioral Changes
Verbal outbursts
Physical outbursts
Poor judgment
Impulsive behavior
Negativity
Intolerance
Apathy
Egocentricity
Rigidity and inflexibility
Risky behavior
Lack of empathy
Lack of motivation or initiative
Depression or anxiety
Symptoms In Children
Concussions can present differently in children
Excessive crying
Loss of appetite
Loss of interest in favorite toys or activities
Sleep issues
Vomiting
Irritability
Unsteadiness while standing
Amnesia
Memory loss and failure to form new memories
Retrograde Amnesia
Inability to remember things that happened before the injury
Due to failure in recall
Anterograde Amnesia
Inability to remember things that happened after the injury
Due to failure to formulate new memories
Even short memory losses can be predictive of outcome
Amnesia may be up to 4-10 times more predictive of symptoms and cognitive deficits following concussion than is LOC (less than 1 minute)
Return To Play Progression
Baseline: No Symptoms
As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 48 hours. Keep in mind, the younger the athlete, the more conservative the treatment.
Step 1: Light Aerobic Activity
The Goal: Only to increase an athlete�s heart rate.
The Time: 5 to 10 minutes.
The Activities: Exercise bike, walking, or light jogging.
Absolutely no weight lifting, jumping or hard running.
Step 2: Moderate activity
The Goal: Limited body and head movement.
The Time: Reduced from typical routine.
The Activities: Moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting
Step 3: Heavy, non-contact activity
The Goal: More intense but non-contact
The Time: Close to typical routine
The Activities: Running, high-intensity stationary biking, the player�s regular weightlifting routine, and non- contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2.
Step 4: Practice & full contact
The Goal: Reintegrate in full contact practice.
Step 5: Competition
The Goal: Return to competition.
Microglial Priming
After head trauma microglial cells are primed and can become over active
To combat this, you must mediate the inflammation cascade
Prevent repeated head trauma
Due to priming of the foam cells, response to follow-up trauma may be far more severe and damaging
What Is Post-Concussion Syndrome (PCS)?
Symptoms following head trauma or mild traumatic brain injury, that can last weeks, months or years after injury
Symptoms persist longer than expected after initial concussion
More common in women and persons of advanced age who suffer head trauma
Severity of PCS often does not correlate to severity of head injury
PCS Symptoms
Headaches
Dizziness
Fatigue
Irritability
Anxiety
Insomnia
Loss of concentration and memory
Ringing in the ears
Blurry vision
Noise and light sensitivity
Rarely, decreases in taste and smell
Concussion Associated Risk Factors
Early symptoms of headache after injury
Mental changes such as amnesia or fogginess
Fatigue
Prior history of headaches
Evaluation Of PCS
PCS is a diagnosis of exclusion
If patient presents with symptoms after head injury, and other possible causes have been ruled out => PCS
Use appropriate testing and imaging studies to rule out other causes of symptoms
Headaches In PCS
Often �tension� type headache
Treat as you would for tension headache
Reduce stress
Improve stress coping skills
MSK treatment of the cervical and thoracic regions
Constitutional hydrotherapy
Adrenal supportive/adaptogenic herbs
Can be migraine, especially in people who had pre-existing migraine conditions prior to injury
Reduce inflammatory load
Consider management with supplements and or medications
Reduce light and sound exposure if there is sensitivity
Dizziness In PCS
After head trauma, always assess for BPPV, as this is the most common type of vertigo after trauma
Dix-Hallpike maneuver to diagnose
Epley�s maneuver for treatment
Light & Sound Sensitivity
Hypersensitivity to light and sound is common in PCS and typically exacerbates other symptoms such as headache and anxiety
Management of excess mesencephalon stimulation is crucial in such cases
Sunglasses
Other light blocking glasses
Earplugs
Cotton in ears
Treatment Of PCS
Manage each symptom individually as you otherwise would
Manage CNS inflammation
Curcumin
Boswelia
Fish oil/Omega-3s � (***after r/o bleed)
Cognitive behavioral therapy
Mindfulness & relaxation training
Acupuncture
Brain balancing physical therapy exercises
Refer for psychological evaluation/treatment
Refer to mTBI specialist
mTBI Specialists
mTBI is difficult to treat and is an entire specialty both in the allopathic and complementary medicine
Primary objective is to recognize and refer for appropriate care
Pursue training in mTBI or plan to refer to TBI specialists
Sources
�A Head for the Future.� DVBIC, 4 Apr. 2017, dvbic.dcoe.mil/aheadforthefuture.
Alexander G. Reeves, A. & Swenson, R. Disorders of the Nervous System. Dartmouth, 2004.
�Heads Up to Health Care Providers.� Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 16 Feb. 2015, www.cdc.gov/headsup/providers/.
�Post-Concussion Syndrome.� Mayo Clinic, Mayo Foundation for Medical Education and Research, 28 July 2017, www.mayoclinic.org/diseases-conditions/post- concussion-syndrome/symptoms-causes/syc-20353352.
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Diagnostic Needle EMG
Polyphasic MUPS
Complete Potential Blocks
Positive Sharp Waves
Abnormal Findings
