Back Clinic Functional Medicine Team. Functional medicine is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms.
Practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.
By changing the disease-centered focus of medical practice to this patient-centered approach, our physicians are able to support the healing process by viewing health and illness as part of a cycle in which all components of the human biological system interact dynamically with the environment. This process helps to seek and identify genetic, lifestyle, and environmental factors that may shift a person’s health from illness to well-being.
The muscles, tissues, and ligaments help stabilize the joints and structure of the spine so that the body can function. These muscles are layered and interwoven in the spine and joints that help facilitate movement. When the body suffers from injuries or traumatic events, the muscles, tissues, and ligaments become affected, causing muscle pain and discomfort. This causes the muscles to be tender to the touch and sensitive. This is known as myofascial pain syndrome. Today’s article looks at myofascial pain syndrome, how it is linked with central sensitization, and ways to manage myofascial pain syndrome. We refer patients to certified providers specializing in musculoskeletal treatments to help many individuals with myofascial pain syndrome associated with central sensitization. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
What Is Myofascial Pain Syndrome?
Have you been experiencing muscle tightness in different areas of your body? Have you felt your muscles tender to the touch? Or have you been having trouble sleeping? Many of these overlapping risk factors are signs that you might have myofascial pain syndrome. The term “myofascial” is split into two parts. “Myo” refers to the muscles, while “fascia” refers to the connective tissues found throughout the body. So myofascial pain syndrome is where there is muscle pain in various forms, which includes the muscle tissues, connective tissues, or both. Studies reveal that myofascial pain syndrome originates from trigger points in the skeletal muscle, causing the affected muscle to be in pain. The trigger points in the body’s skeletal muscles are the “knots” people feel when their muscles feel tight. These trigger points are challenging to identify because they occur in different areas causing referred pain (pain in one place but in another body area).
How Central Sensitization Link To Myofascial Pain Syndrome?
Studies reveal that central sensitization in the body is represented as an enhancement in neuron function and circuits in the nociceptive pathways that increases membrane excitability and synaptic efficacy. To that point, it reduces inhibition and manifests the remarkable plasticity of the somatosensory nervous system. The nociceptor inputs can trigger and manifest central sensitization as pain hypersensitivity when the body suffers from an injury. So how is central sensitization linked to myofascial pain syndrome? Let’s use fibromyalgia as an example. Many individuals dealing with myofascial pain may be potentially involved with fibromyalgia. This is due to fibromyalgia being a chronic condition that features widespread pain, and this causes the body to be more sensitive to pain. Central sensitization linked to myofascial pain syndrome can mimic fibromyalgia symptoms in the body, causing muscle pain and discomfort.
An Overview Of Myofascial Pain Syndrome-Video
Are you experiencing muscle weakness or soreness in some regions of your body? Have you dealt with chronic fatigue or poor sleep quality? Or have you been dealing with headaches constantly throughout the entire day? Many of these symptoms are signs that you might be at risk of developing myofascial pain syndrome. The video above explains myofascial pain syndrome, the symptoms, and the causes that affect the body. Studies reveal that myofascial pain has two types of trigger points:
Active trigger points associated with muscle pain without movement
Latent trigger points associated with muscle pain with movement
Myofascial pain syndrome can vary in acute or chronic forms and can range from mild to severe while being in different locations, making it very difficult to pinpoint where the pain is localized. Fortunately, there are ways to manage myofascial pain syndrome in the body that can help with the pain.
Ways To Manage Myofascial Pain Syndrome
When managing myofascial pain syndrome, many individuals dealing with muscle pain will take pain medication to alleviate it; however, that only minimizes the pain for a short period. One way to manage myofascial pain syndrome is by utilizing chiropractic care as part of treatment. Chiropractic care is non-invasive and often the preferred treatment for individuals with myofascial pain syndrome due to its effectiveness and drug-free approach. Chiropractors are not only good at finding the trigger points, but they are good when it comes to treating them using various techniques. Studies reveal that chiropractors use direct pressure on the trigger points to relieve the pain with their hands or specific tools. Incorporating chiropractic care provides the body with an increase in muscle strength, flexibility, and range of motion. Since chiropractic care is a whole-body approach, it allows many people with myofascial pain syndrome to have a better quality of life and learn healthy habits, which include diet, exercise, and mental health, while living with less or no pain at all.
Conclusion
The body has muscles, tissues, and ligaments that help stabilize the joints and structure of the body, so there is functionality. These muscles help facilitate movement since the muscles are interwoven in the spine and joints. When the body suffers from a traumatic event or an injury, the muscles, tissues, and ligaments become affected. This causes muscle pain and discomfort, known as myofascial pain, where the trigger points cause pain in the body and can occur in different areas. Myofascial pain can be challenging to diagnose since it can be on one side of the body but affects a different section, known as referred pain. Fortunately, treatments like chiropractic care can help manage myofascial pain by treating the pain and using direct pressure to alleviate the pain. Incorporating chiropractic care to manage myofascial pain can help many individuals be pain-free on their health and wellness journey.
References
Bordoni, Bruno, et al. “Myofascial Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 18 July 2022, www.ncbi.nlm.nih.gov/books/NBK535344/.
Latremoliere, Alban, and Clifford J Woolf. “Central Sensitization: A Generator of Pain Hypersensitivity by Central Neural Plasticity.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2750819/.
The brain sends neuron signals to the body to function for everyday movements like walking, running, or resting. These signals travel from the spinal cord through the numerous nerve roots connected to the muscles, tissue, and ligaments that support the joints and organs from multiple factors. However, these factors do affect the body over time, triggering issues that cause pain and discomfort to the body. When this happens, it disrupts the signals from traveling to and forth in the brain, causing dysfunction in the body and leading to neurological disorders associated with neuroinflammation. Today’s article looks at neuroinflammation, how it affects the body, and what is the link between neuroinflammation and neurodegenerative diseases. We refer patients to certified providers specializing in neurological treatments to help many individuals dealing with neuroinflammation associated with neurodegenerative diseases. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
What Is Neuroinflammation?
Are you experiencing fatigue and losing focus from your brain? Do you constantly feel stressed or overworked? Or how about developing the risk of Alzheimer’s or other neurological diseases? Many of these symptoms are correlated with neuroinflammation in the brain. Neuroinflammation is defined as an inflammatory response that affects either the brain or the spinal cord. The body has an extensive network known as the immune system, which produces cytokines, antibodies, white blood cells, and other chemicals that protect the body from foreign invaders. Producing cytokines triggers inflammation in the body where the alien invaders are eliminated. The brain surprisingly has its immune system, which provides maintenance and plasticity. When traumatic factors begin to affect the brain’s immune system, the nociceptors become hypersensitive and overexcited due to the results of tissue injuries and inflammation in the peripheral nervous system. Studies reveal that inflammation in the peripheral nervous system results from hyperactivity in the nervous system, which implicates either a positive or negative outcome for the brain.
How Does Neuroinflammation Affect The Body?
Since neuroinflammation has positive or negative outcomes in the nervous system, it can also trigger the body, making it dysfunctional. Studies reveal that neuroinflammation is mediated by the production of cytokines, ROS (reactive oxygen species), and secondary messengers that becomes the consequences of neuroinflammatory responses. This means that the inflammatory effects are taken into account depending on the intensity and duration of the immune signals in the nervous system, which can be either negative or positive. The positive aspects of neuroinflammation include:
Reorganization of host priorities (immune-brain communication)
While the negative aspects of neuroinflammation include:
Cognitive impairment (aging)
Collateral damage( traumatic injuries)
Neuronal damage (neurodegenerative diseases)
Repeated social defeat stress (anxiety, depression)
Simplified Explanation On Neuroinflammation-Video
Have you been feeling anxious or depressed? Have you been forgetful as of late? Are you experiencing inflammatory effects in your brain? Many of these symptoms are signs that you could suffer from neuroinflammation in the brain. The video above explains neuroinflammation and how it is linked to the immune system affecting the body. Since neuroinflammation may cause various health issues such as anxiety, stress, depression, and other well-known symptoms, studies reveal that neuroinflammation is a common feature of neurodegenerative diseases. To that point, the relationship between neuroinflammation and neurodegenerative diseases shows that neuroinflammation has been responsible for the abnormal secretion of proinflammatory cytokines to trigger the signaling pathways to the brain, making it dysfunctional.
The Link Between Neuroinflammation & Neurodegenerative Diseases
Since the brain is the primary command center for the body, the link between neurodegenerative diseases and neuroinflammation overlap and cause havoc in the body. Studies reveal that inflammatory and neurotoxic mediators are released in the brain, thus viciously triggering neuroinflammation and neurodegeneration in the body. When the body is dealing with neuroinflammation, one of the symptoms that are prominent in the body is chronic oxidative stress. Research studies have revealed that neuroinflammation has been associated with chronic oxidative stress, a vital feature of all neurodegenerative diseases causing genetic structural alterations. To that point, it results in neurodegeneration. Fortunately, there are ways to lower neuroinflammation associated with neurodegenerative diseases. Some of the ways that many people utilize to reduce neuroinflammation include:
All these small changes are remarkable in reducing neuroinflammation and managing neurodegenerative diseases in the body. This will help many individuals dealing with neuroinflammation associated with neurodegenerative diseases and can regain their health and wellness by managing it.
Conclusion
The brain is the primary command center that sends neuron signals to the body to function in everyday movement. The neuron signals travel from the brain to the spinal cord through the numerous nerve roots connected to the muscles, tissues, and ligaments to support the organs and joints. When environmental factors affect the body over time, it risks developing neuroinflammation associated with neurodegenerative diseases. Neuroinflammation is when the inflammatory mediators start to affect the brain, it can make the brain disrupt the neuron signals from traveling to the body and cause issues associated with neurodegeneration. Fortunately, incorporating different ways to reduce neuroinflammation can help manage neurodegenerative diseases and benefit the body.
References
Chen, Wei-Wei, et al. “Role of Neuroinflammation in Neurodegenerative Diseases (Review).” Molecular Medicine Reports, D.A. Spandidos, Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4805095.
DiSabato, Damon J, et al. “Neuroinflammation: The Devil Is in the Details.” Journal of Neurochemistry, U.S. National Library of Medicine, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5025335/.
Guzman-Martinez, Leonardo, et al. “Neuroinflammation as a Common Feature of Neurodegenerative Disorders.” Frontiers in Pharmacology, Frontiers Media S.A., 12 Sept. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6751310/.
Kempuraj, D, et al. “Neuroinflammation Induces Neurodegeneration.” Journal of Neurology, Neurosurgery and Spine, U.S. National Library of Medicine, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5260818/.
Matsuda, Megumi, et al. “Roles of Inflammation, Neurogenic Inflammation, and Neuroinflammation in Pain.” Journal of Anesthesia, U.S. National Library of Medicine, Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6813778/.
Around 60% of individuals have a condition caused by or complicated by chronic inflammation. The body reacts with acute inflammation, which is beneficial as the immune system fights off bacteria that could infect the injury. Examples could be getting a cut on the finger that swells for a day or so to repair the wound or catching a cold and coughing up mucus to expel the germs. However, acute inflammation only lasts as long as necessary; chronic inflammation can last for weeks, months, and years. Individuals can have chronic inflammation and not know the damage being done to arteries and organs until pain or other issues begin to present. There are a few anti-inflammatory diets, which are nutrition plans that can help reduce inflammation.
Anti-Inflammatory Diets
Health-promoting substances include vitamins, minerals, fiber, omega-3 fatty acids, flavan-3-ols in tea and cocoa, and anthocyanins in blueberries, strawberries, raspberries, and other red and purple plant foods. Certain chemicals in the body cause inflammation, and naturally-occurring chemicals in foods, can prevent and combat inflammation by providing essential nutrients.
Nordic Diet
This includes Denmark, Sweden, and Finland, which each have different cuisines, but traditionally, they share healthy foods that provide anti-inflammatory benefits, including:
Rye is a grain shown to help reduce blood sugar, the inflammatory marker C-reactive protein. Individuals that follow this way of eating have lower blood levels of C-reactive protein and other inflammation markers. A randomized study was done in various Nordic countries and lasted six to 24 weeks. One group was assigned a healthy Nordic diet while the other stayed on the country’s modern, less healthy diet. The studies found that individuals that practiced a healthy Nordic diet even for a short while improved inflammatory markers and lost weight.
Mexican Diet
Research has linked a traditional Mexican diet to lower inflammation. Staple foods of a traditional Mexican diet include:
Cheese
Corn tortillas
Fruits and vegetables, including hot peppers
Rice – brown and white
Legumes/Beans
Legumes/beans are linked to protection from inflammatory-related conditions that include:
Obesity
High blood pressure
High blood cholesterol
Type 2 diabetes
Cardiovascular disease
Legumes are high in fiber, which helps:
Reduce inflammation
Reduce unhealthy cholesterol
Reduce blood sugar spikes after a meal, which helps prevent type 2 diabetes and inflammation.
A National Cancer Institute study of post-menopausal women of Mexican descent living in the U.S. found that those following a more traditional Mexican diet averaged 23% lower C-reactive protein levels.
Nutritionist Health Coach and Chiropractic
In some instances, chronic inflammation can come from acute inflammation that does not turn off, which can happen when the body does not make enough chemical substances responsible for turning off the immune response. Blood tests for inflammation can include tests that detect the C-reactive protein and the erythrocyte sedimentation rate, which measures the speed red blood cells settle in a test tube that shows if more inflammatory compounds are present. A combined approach and team of medical professionals, including chiropractic, massage therapy, health coaching, and nutrition, can help relieve and prevent inflammation.
Nutritionist
Consulting a nutritionist is recommended to figure out and determine the best diet/nutrition plan for the individual.
A nutritionist may also suggest supplementation like vitamin D, magnesium, and fish oil supplements.
Body composition analysis breaks down the body elements of water, protein, minerals, and fat that can also discover inflammation markers.
Chiropractic
Chiropractic adjustments help reduce the production of cytokines or proteins that regulate the cells of the immune system. Overproduction of cytokines can cause a severe inflammatory response. Chiropractic’s purpose is to rebalance the body by realigning the vertebrae to reduce pressure on the nerves and promote a healthy nervous system. When the spine and other joints are correctly aligned, the nerves function correctly, returning the body’s biomechanics to normal.
InBody Results
References
Galbete C, Kröger J, Jannasch F, et al. Nordic diet, Mediterranean diet, and the risk of chronic diseases: the EPIC-Potsdam study. BMC Med. 2018;16(1):99.
Lankinen M, Uusitupa M, Schwab U. Nordic Diet and Inflammation-A Review of Observational and Intervention Studies. Nutrients. 2019;11(6):1369.
Ricker MA, Haas WC. Anti-Inflammatory Diet in Clinical Practice: A Review. Nutrition in Clinical Practice. 2017;32(3):318-325.
Santiago-Torres M, Tinker LF, Allison MA, et al. Development and Use of a Traditional Mexican Diet Score in Relation to Systemic Inflammation and Insulin Resistance among Women of Mexican Descent. J Nutr. 2015;145(12):2732-2740.
Valerino-Perea, Selene, et al. “Definition of the Traditional Mexican Diet and Its Role in Health: A Systematic Review.” Nutrients vol. 11,11 2803. 17 Nov. 2019, doi:10.3390/nu11112803
Yang, Yoon Jung, et al. “Dietary flavan-3-ols intake and metabolic syndrome risk in Korean adults.” Nutrition research and practice vol. 6,1 (2012): 68-77. doi:10.4162/nrp.2012.6.1.68
When many individuals look for ways to relax after a stressful event in their daily lives, many people have an exercise regime that allows them to take their minds off of their hectic lives. When finding the proper exercise, it is best to consider that everybody is different and has different fitness levels. Many individuals could be dealing with chronic issues that affect them drastically and with so much pain in their bodies. When these chronic issues overlap with muscle and joint pain, it can make the body dysfunctional while potentially being involved in environmental factors. Yoga is a low-impact exercise that helps tone muscles, relax tension in the body, and focus on deep breathing. Today’s article looks at the benefits of yoga for the body, how chiropractic care works together with yoga, and different yoga poses can help manage various chronic issues. We refer patients to certified providers specializing in musculoskeletal treatments to help many individuals with musculoskeletal problems affecting their bodies. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
The Benefits of Yoga For The Body
Have you been dealing with chronic stress affecting your quality of life? Have you been dealing with bladder or gut issues constantly? What about feeling muscle stiffness in your back, neck, shoulders, or pelvic regions? Some of these symptoms are signs that you could risk developing musculoskeletal problems associated with pain. Dealing with musculoskeletal issues related to pain can make a person feel miserable and have stress affecting their bodies. Yoga is a low-impact exercise that doesn’t put pressure on the joints and will provide a full-body workout through strengthening and stretching weak muscles. Yoga has many benefits for many individuals that are dealing with the following:
Studies reveal that environmental factors are involved in non-specified chronic pain in the spine, overlapping musculoskeletal disorders causing many individuals to try to find relief. Many individuals incorporate yoga because it is a safe and effective way to alleviate various forms of back, neck, or pelvic pain causing issues to the body. Yoga utilizes gentle stretching and strengthening of weak, injured muscles while increasing blood circulation to promote healing in the body.
Chiropractic Care & Yoga
When people are dealing with health conditions or injuries that have affected their bodies, it can make them feel frustrated and think their injuries are taking forever to heal. Many individuals don’t realize that incorporating yoga practices provides impressive health benefits while mirroring the similar foundations of chiropractic care. Both chiropractic care and yoga provide many beneficial results to an aching body that needs a good stretch and ready the body to heal itself naturally. Chiropractic care includes spinal manipulation to the spinal joints while reducing inflammation and strengthening weak muscles. Yoga allows the body to increase its flexibility and stamina, reduces stress and blood pressure, and provides a better sense of breathing and balance.
Yoga For Chronic Pain-Video
Have you felt muscle stiffness in your neck, back, or body? Have you felt sluggish or overly stressed from your day-to-day lives? Do you want to improve your balance? If you have been experiencing these issues affecting your quality of life, why not incorporate yoga as part of your exercise regime? The video above shows that yoga poses for chronic pain affect the body, including the neck, back, and pelvic regions. Studies reveal that yoga can help relieve intense neck pain while improving pain-related function disability. Yoga allows the muscles to not only relax but strengthen them as well. Yoga can also help improve the body’s range of motion through deep breathing and give more awareness of how the body holds tension in places a person hasn’t realized they were holding onto.
Yoga Poses For Different Issues
When a person does yoga, they will go through various poses and repeat them constantly as their body begins to get used to the movements. This allows the body to challenge itself and helps the individual focus more on deep breathing. A good example would be an individual taking a yoga class due to experiencing pelvic pain. By going through each yoga pose, many individuals suffering from pelvic pain will reduce the pain intensity while improving their quality of life. Below are some yoga poses that anyone can do to reduce pain associated with their back, neck, or pelvis.
Bridge Pose
Lie on your back
Bend both knees while placing the feet on the floor at hip-width apart
Arm on the sides with palms facing down
Press feet to the floor and lift the hips as you inhale
Engage the legs and buttock
Hold 4-8 breaths and exhale to lower the hips back to the ground slowly
Cobra Pose
Lie on your stomach with hands near the chest just under the shoulders and fingers facing forward
Keep elbows close to sides
Press hands on the floor and slowly lift your head, chest, and shoulders while slightly bending the elbows by inhaling
Exhale to go back down slow and rest your head
Cat-Cow
Be on all fours, hands under the shoulders and knees under hips (Think like a table)
Inhale to lower your core to the floor as your head looks up to the sky
Exhale slowly to lower your chin to the chest as you round your back
Continue fluid motion for a minute
Forward Bend
Be in a standing position, and feet are at a hip distance apart
Lengthen the body as you lean forward while keeping the knees slightly bended
Place hands on either legs, yoga block, or the floor (Whichever makes you comfortable)
Tuck the chin into the chest, letting the neck and head relax
Gently rock your head side to side to relieve tension in the neck and shoulders
Slowly roll up to a standing position allowing the arms and head to be the last to rise
Supine Spinal Twist
Lie on your back while your knees bent and feet flat on the floor
Extend arms out of the side and place palms down on the floor
As you inhale, breathe into the gut and lower limbs
Exhale to lower knees on the left side (Look at the opposite way to slowly stretch the neck and shoulder muscles)
Pay attention to the stretches for 5 breathes as well as the lengthening sensations on the ribs
Return the knees to the middle and repeat on the right side
Child’s Pose
Sit back on the heels with the knees together (For added support, you can use a rolled-up blanket under your knees)
Bend forward and walk hands in front of you
Gently rest your forehead on the floor
Keep arms extended in the front while focusing on relieving tension in the back as the upper body falls to the knees
Stay in that pose for 5 minutes
Conclusion
Incorporating yoga as part of an exercise regime allows the individual to focus on deep breathing while calming the mind. Yoga is a low-impact exercise that helps strengthen weak muscles associated with pain and inflammation. Yoga provides a full-body workout that benefits many people dealing with chronic pain. Utilizing yoga as part of a daily practice might help individuals learn to be calm and practice mindfulness.
Crow, Edith Meszaros, et al. “Effectiveness of Iyengar Yoga in Treating Spinal (Back and Neck) Pain: A Systematic Review.” International Journal of Yoga, Medknow Publications & Media Pvt Ltd, Jan. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4278133/.
Li, Yunxia, et al. “Effects of Yoga on Patients with Chronic Nonspecific Neck Pain: A Prisma Systematic Review and Meta-Analysis.” Medicine, Wolters Kluwer Health, Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6407933/.
Saxena, Rahul, et al. “Effects of Yogic Intervention on Pain Scores and Quality of Life in Females with Chronic Pelvic Pain.” International Journal of Yoga, Medknow Publications & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5225749/.
Ankylosing spondylitis/AS is a common type of arthritis that can cause damage to spinal structures, body parts, and organs. Ankylosing spondylitis causes inflammation in the spine’s ligaments and joints which can cause affected vertebrae to fuse, but other symptoms/complications are skin disorders. Ankylosing spondylitis flare-ups can present with skin disorders like rashes and the possible development of skin diseases like psoriasis.
Ankylosing Spondylitis
The inflammation causes back stiffness and pain that causes the spine to become inflexible and rigid. The vertebrae can fuse in extreme cases.
It is typically seen in the early adult population as back pain and hip pain.
Symptoms are more common in individuals between 17 and 45.
Men are more likely to be affected than women.
Genetics can play a role in this condition.
Doctors utilize multiple approaches to relieve symptoms and manage the condition through combined exercise, chiropractic, physical therapy, diet, and stress management to help improve quality of life.
Skin Disorders
A flare-up can present as a skin rash but can also affect the skin in other ways that include:
Rashes brought on by medication treatments.
Trouble healing from incisions after surgery.
Psoriasis
Psoriasis presents as red skin patches appearing anywhere on the body.
The most common areas are the scalp, palms, elbows, and knees.
The affected skin can itch, become tender, and can also sting and burn.
Some psoriasis outbreaks result in lesions or blisters.
Ankylosing Spondylitis vs. Psoriatic Arthritis
Ankylosing spondylitis and psoriatic arthritis are related and come under spondyloarthritis/SpA rheumatic disease.
Ankylosing spondylitis is typically localized to the spine, whereas psoriatic arthritis can affect almost any joint in the body and presents with tendinopathy.
Some individuals with AS can begin to develop psoriasis.
Medications can also help but can produce side effects.
Ankylosing spondylitis skin disorders present ongoing challenges. However, increasing treatment options are helping to minimize the condition’s impact on a better quality of life.
AS Causes, Symptoms, Diagnosis, Treatment
References
Meier, Katharina, et al. “Skin manifestations in spondyloarthritis.” Therapeutic advances in musculoskeletal disease vol. 12 1759720X20975915. 8 Dec. 2020, doi:10.1177/1759720X20975915
Myers, Elisha et al. “An Update on Narrowband Ultraviolet B Therapy for the Treatment of Skin Diseases.” Cureus vol. 13,11 e19182. 1 Nov. 2021, doi:10.7759/cureus.19182
Ye, Chao, and Wenyuan Li. “Cutaneous vasculitis in a patient with ankylosing spondylitis: A case report.” Medicine vol. 98,3 (2019): e14121. doi:10.1097/MD.0000000000014121
Everyone has different tips and tricks for being healthy and losing weight. Many individuals incorporate other diets, eating habits, and exercise regimes to lose excess weight, have energy throughout the day and feel good. One of the other diets many people seem to lean toward when it comes to losing weight and helping the body is detox. Surprisingly, many people seem misinformed about detox and dieting being the same; however, they are not, as detoxing is a natural process of body purification while dieting incorporates healthy eating habits, exercising, and healthy life choices. For the body, the best detoxing machine is the liver. Today’s article looks at how the liver detoxes the body, how factors can cause detox imbalances in the body, and how different food helps liver detoxification. We refer patients to certified providers specializing in liver or gastrointestinal treatments to help many individuals with liver issues. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
The Body’s Own Detox Machine: The Liver
Have you been experiencing gut sensitivities from the foods you eat? How about experiencing chronic fatigue throughout the entire day? What about experiencing pain and swelling in your abdominals or legs? Some of these issues may indicate that something is wrong with your liver. The liver is the most crucial organ with a massive responsibility for the vast array of functions of the body. The liver helps support many visceral functions like maintaining the body’s metabolism, immunity, digestion, and detoxification. Detoxification is a biochemical process where non-water-soluble compounds are transformed into water-soluble compounds flushed out of the body. The benefit of detox is that it helps protect the body from adverse effects of external and internal toxins.
Since the liver is a massive organ, its essential role in the body is detoxification. Studies reveal that the detoxification process for the liver is in two phases. Phase 1 activated the enzymes in the body to prepare the substance to be removed. Phase 2 excretes the enzymes out of the body as urine, stool, and bile. These two phases help keep the body healthy and stop excessive toxins from harming the rest of the body.
The Lymphatic System
The lymphatic system is one of the central detoxification systems responsible for allowing waste products to leave and be carried away to the bloodstream, becoming one of the defense mechanisms for the body and purifying the body fluids for proper functioning. The lymphatic vasculatures also play an active role in immune regulation by impacting inflammatory and immune responses. This means that the lymphatic will produce white blood cells to attack foreign invaders entering the body.
The Gut-Liver Axis
Since the liver is the master organ for detoxification, what is its relationship with the gut? Well, studies reveal that the gut microbiota forms a complex microbial community that significantly impacts human health. The gut microbiota can indirectly modulate the functionality of the extra-intestinal organs, which involves the liver. The gut connects to the liver with the intestines through bile acid metabolism. When there is a decrease in bile acid in the gut, it could trigger hepatic inflammation via inflammasomes. Inflammasomes are an essential component of innate immune response while being critical for the clearance of pathogens or damaged cells. When the inflammasomes start becoming mediators for hepatic inflammation, they could potentially be involved with detoxification imbalances in the body.
Detoxification Imbalances
When there are decreased bile acids in the gut, the body could be at risk of developing intestinal dysbiosis. This causes impaired intestinal barrier function, which overlaps to leaky gut and aggravates hepatic inflammation in the liver. When this happens, toxins in the body become excessive and may cause immune and nervous system abnormalities while triggering imbalanced detoxification symptoms that correspond to issues similar to chronic conditions. Some of these detoxification imbalances include:
Fatigue
Allergies/intolerances
Sluggish metabolism
Weight gain easily
Intolerance to fats
Puffy – excess fluid
Body odor, bad breath, metallic taste
Profuse sweating even in cool weather
Naturally Detoxing Your Body-Video
Have you been dealing with allergies or food intolerances affecting your abdominals? Have you been feeling sluggish? What about feeling chronic fatigue throughout the entire day? Some of these symptoms are signs that your liver could suffer from some issues. The liver’s primary function in the body is to detoxify the body. The video above explains how the liver detoxifies the body and how drinks to cleanse the body don’t add additional benefits. The best way for a healthy liver to be functional and detox the body naturally is by eating the right foods that help support the liver, exercising regularly, drinking plenty of water to flush out the system, and getting adequate sleep.
Foods That Support Liver Detoxification
When it comes to supporting the liver, eating the right foods can provide energy and reduce inflammatory effects on the body. Studies reveal that eating various wild and semidomestic food plants can provide various components to liver function. Plants like dandelions contain taxasterols, which have antioxidant and anti-inflammatory properties that allow the liver to increase bile secretion. Other foods that help with liver functionality associated with other body functions include:
Berries (blueberries & cranberries)
Grapefruit
Prickly pear
Cruciferous vegetables
Garlic
Carrots
Beets
Olive oil
Nuts
Incorporating these healthy foods can not only be beneficial to the liver but can help the major organs and body to receive the nutrients that the body deserves.
Conclusion
The liver is a massive organ that helps the body to function correctly by harmful detoxifying pathogens through excretion. As a natural detoxifying machine, the liver has a casual relationship with the gut system by filtering the nutrients and transporting them out to different body areas. Harmful pathogens enter the body and disrupt the liver can lead to dysbiosis and liver dysfunction. Fortunately, there are nutritious foods that can help support the liver and even help flush out the toxins over time so the body can begin its healing process naturally.
References
Grant, D M. “Detoxification Pathways in the Liver.” Journal of Inherited Metabolic Disease, U.S. National Library of Medicine, 1991, pubmed.ncbi.nlm.nih.gov/1749210/.
Guan, Yong-Song, and Qing He. “Plants Consumption and Liver Health.” Evidence-Based Complementary and Alternative Medicine : ECAM, Hindawi Publishing Corporation, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4499388/.
Karla, Arjun, et al. “Physiology, Liver – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK535438/.
Konturek, Peter Christopher, et al. “Gut⁻Liver Axis: How Do Gut Bacteria Influence the Liver?” Medical Sciences (Basel, Switzerland), MDPI, 17 Sept. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6165386/.
Sharma, Deepika, and Thirumala-Devi Kanneganti. “The Cell Biology of Inflammasomes: Mechanisms of Inflammasome Activation and Regulation.” The Journal of Cell Biology, The Rockefeller University Press, 20 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4915194/.
Energy Boosting Foods: Nutritionists, dieticians, and health coaches are constantly asked which foods help maintain energy, alertness, and focus throughout the day. The first thing to know is that all foods provide energy in the form of calories, but not all foods affect energy levels the same way. There are three macronutrients, carbohydrates, fat, and protein. However, carbohydrates are a rapid energy source compared to proteins and fats and are the body’s preferred energy. Here are a few foods for steady, consistent energy levels to include in a meal plan.
Energy Boosting Foods
Properly planned meals can keep the body fueled for up to four hours, and it is recommended to eat every four hours to keep a steady flow of energy. The objective is to maintain balanced blood sugar levels and eat foods with low glycemic index carbohydrates combined with protein and healthy fats. Unhealthy foods for energy are high-sugar foods that cause blood sugar levels to spike, triggering a heavy insulin release, which triggers plunging blood sugar levels, also known as a sugar crash.
Avocados
Avocados are rich in healthy fats, fiber, and B vitamins.
The fat in avocados promotes healthy blood-fat levels and increases the absorption of nutrients.
Around 80% of the carbohydrate content is made up of fiber, which means sustained energy.
Bananas
One of the best energy-boosting foods that can be eaten on its own, frozen and blended into a smoothie or mixed into oatmeal.
Bananas contain complex carbohydrates, vitamin B6, potassium, and some protein.
Beans
It can be pinto, great northern, red, black, Anasazi beans, or other varieties as they have similar nutrient profiles.
They digest slowly, which stabilizes blood sugar.
They contain antioxidants, carbohydrates, fiber, protein, folic acid, iron, and
Magnesium helps produce energy and delivers it to the body’s cells.
Cashews
Cashews are low in sugar, rich in fiber,
They contain heart-healthy fats and plant protein.
They are a reliable source of copper, magnesium, and manganese, critical for energy production, healthy bones, brain health, and immunity.
Eggs
Eggs are packed with protein and rich in B vitamins, which help enzymes turn food into energy generating steady energy.
They contain leucine, an amino acid that stimulates energy production by helping cells to:
Take in more blood sugar.
Stimulates energy production in the cells.
Break down fat to produce energy.
Oatmeal
The complex carbs in oatmeal generate a steady source of slow-burning energy.
Oats boost serotonin production, which helps:
Manage stress.
Enhances learning.
Memory function.
Oast can be made with raisins, berries, bananas, and healthy maple syrup or honey for a healthy meal.
Yogurt
Yogurt contains lactose and galactose that breaks down to provide ready-to-use energy.
Top with oats, fruits, berries, and some honey or maple syrup.
Shrimp
Shrimp are low in calories and provide vitamin B12 and omega-3 fat, which helps with:
Mood
Energy
Sweet potatoes
Sweet potatoes are recommended for energy production because of their iron, magnesium, and vitamin C nutrients.
The food we eat significantly impacts the body’s health and wellness, along with exercise, proper hydration, and healthy sleep are essential in sustaining high energy levels. Avoiding highly processed and sugary foods will help prevent mental and body fatigue. Consult a licensed nutritionist to learn about personalized diet and nutrition plans.
Natural Energy
References
Atkinson, Fiona S et al. “International tables of glycemic index and glycemic load values 2021: a systematic review.” The American journal of clinical nutrition vol. 114,5 (2021): 1625-1632. doi:10.1093/ajcn/nqab233
Evans J, Richards JR, Battisti AS. Caffeine. [Updated 2022 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK519490/
Holesh, Julie E., et al. “Physiology, Carbohydrates.” StatPearls, StatPearls Publishing, 26 July 2021.
Melaku, Yohannes Adama, et al. “Association between Macronutrient Intake and Excessive Daytime Sleepiness: An Iso-Caloric Substitution Analysis from the North West Adelaide Health Study.” Nutrients vol. 11,10 2374. 5 Oct. 2019, doi:10.3390/nu11102374
Osilla EV, Safadi AO, Sharma S. Calories. [Updated 2021 Sep 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK499909/
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