Back Clinic Health Team. The level of functional and metabolic efficiency of a living organism. In humans, it is the ability of individuals or communities to adapt and self-manage when facing physical, mental, psychological, and social changes in an environment. Dr.Alex Jimenez D.C., C.C.S.T, a clinical pain doctor who uses cutting-edge therapies and rehabilitation procedures focused on total health, strength training, and complete conditioning. We take a global functional fitness treatment approach to regain complete functional health.
Dr. Jimenez presents articles both from his own experience and from a variety of sources that pertain to a healthy lifestyle or general health issues. I have spent over 30+ years researching and testing methods with thousands of patients and understand what truly works. We strive to create fitness and better the body through researched methods and total health programs.
These programs and methods are natural and use the body’s own ability to achieve improvement goals, rather than introducing harmful chemicals, controversial hormone replacement, surgery, or addictive drugs. As a result, individuals live a fulfilled life with more energy, a positive attitude, better sleep, less pain, proper body weight, and education on maintaining this way of life.
Nowadays, individuals trying to avoid surgery have more therapy options. Can regenerative medicine help treat neuromusculoskeletal injuries?
Regenerative Medicine
Regenerative medicine utilizes the body’s raw cells and is used in cancer treatment and to reduce the risk of infections. (American Cancer Society. 2020) Researchers are looking for other ways to use these cells in medical therapies.
What are These Cells
Stem cells are unspecialized cells that can develop into any cell and in certain cases renew themselves an unlimited number of times. (National Institutes of Health. 2016)
Regenerative cell therapy uses these cells as a treatment for a disease or condition.
Regenerative cells are given to individuals to replace cells that have been destroyed or have died.
In the case of cancer, they may be used to help the body regain the ability to produce regenerative cells after treatment. (American Cancer Society. 2020)
For individuals with multiple myeloma and certain types of leukemia, regenerative cell therapy is used to eliminate cancer cells.
The therapy is called graft-versus-tumor effect/GvT, where a donor’s white blood cells/WBCs are used to eliminate the cancerous tumor. (American Cancer Society. 2020)
What They Can Treat
This is a new treatment that is still going through research. The Food and Drug Administration has only approved it for certain cancers and conditions that affect the blood and immune system. (Centers for Disease Control and Prevention. 2019) Regenerative cell therapy is FDA-approved to treat: (National Cancer Institute. 2015)
Leukemia
Lymphoma
Multiple myeloma
Neuroblastoma
It is also used to decrease the risk of infection after regenerative cell transplantation in individuals with blood cancers. (U.S. Food & Drug Administration. 2023)
Researchers are studying how these cells can treat other conditions. Clinical trials are analyzing how to use the therapy for neurodegenerative diseases like:
During regenerative cell therapy, the cells are given through an intravenous line. The three places where blood-forming cells can be obtained are bone marrow, the umbilical cord, and blood. Transplants can include: (American Cancer Society. 2020)
Autologous
The cells are taken from the individual who will be receiving the therapy.
Allogeneic
The cells are donated by another individual.
Syngeneic
The cells come from an identical twin, if there is one.
Safety
The therapy has shown to provide benefits but there are risks.
One risk is known as graft-versus-host disease – GVHD.
It occurs in one-third to half of allogeneic recipients.
This is where the body does not recognize the donor’s white blood cells and attacks them causing problems and symptoms throughout the body.
To treat GVHD medications are given to suppress the immune system to stop attacking the donor cells. (American Cancer Society. 2020)
The future of regenerative cell therapy is promising. Research is ongoing to find out how these cells can treat conditions and find new ways to treat and cure diseases.
Regenerative medicine has been researched for over twenty years for conditions like macular degeneration, glaucoma, stroke, and Alzheimer’s disease. (National Institutes of Health. 2022) This therapy is a new medical treatment that could be used in future therapies as part of a multidisciplinary approach to neuromusculoskeletal injuries and conditions.
Garlic tea is an herbal tonic made from garlic, lemon, and honey. What medicinal uses and benefits can garlic provide that is supported by scientific research?
Garlic Tea
Garlic tea:
Garlic – Allium sativum – is a perennial plant from Central Asia.
The plant produces a bulb that is used in cooking and in health remedies all over the world.
Garlic powder, oil, and supplements are available.
Supplements can be made from garlic oil or from fresh, dried, or aged garlic.
The tea is commonly made with garlic, lemon, and honey, but can be made with a variety of different ingredients.
It is used for cold symptoms like congestion and cough.
Health Benefits
Some, but not all benefits are supported by scientific evidence. It is important to keep in mind that these studies are analyzing garlic, and not necessarily garlic tea. The dose of garlic in tea may not be the same as a more concentrated dose that is used in the studies. Also, cooking or boiling garlic can change its therapeutic effects.
The scientific evidence about garlic’s benefits. Garlic is a healthy source of organosulfur compounds, including alliinase, which is released when it is crushed or chopped. (Leyla Bayan, Peir Hossain Koulivand, Ali Gorji. 2014)
Organosulfur compounds are believed to provide health benefits.
An overview of garlic studies found that there are promising health benefits, however, the researchers caution that larger studies are needed to confirm the results and verify the right dosage to get the results. (Johura Ansary, et al., 2020)
The current studies show the following possible benefits:
Some studies have also shown that garlic could be able to stimulate the immune system and decrease tumor growth in certain cancers, like colorectal cancer.
However, research investigating the cancer-preventing benefits has shown mixed results. (Xi Zhou, et al., 2020)
Common side effects of garlic consumption include bad breath, upset stomach, and body odor.
Garlic can also cause bloating, gas, and heartburn for some.
There are allergies to garlic and individuals with an allergy can experience more severe symptoms.
The NIH also advises that taking garlic may increase your risk of bleeding.
Individuals taking a blood thinner like warfarin or about to undergo surgery should discuss taking supplements or drinking garlic tea with their healthcare provider.
Garlic has been found to interfere with the effectiveness of some drugs that are used to treat HIV infection.
Lemon can cause tooth erosion so it is recommended to rinse teeth after drinking.
Honey has sugar content so it is recommended to use it in small quantities.
Healthy Diet and Chiropractic
References
National Center for Complementary and Integrative Health. Garlic.
Bayan, L., Koulivand, P. H., & Gorji, A. (2014). Garlic: A review of potential therapeutic effects. Avicenna journal of phytomedicine, 4(1), 1–14.
Ansary, J., Forbes-Hernández, T. Y., Gil, E., Cianciosi, D., Zhang, J., Elexpuru-Zabaleta, M., Simal-Gandara, J., Giampieri, F., & Battino, M. (2020). Potential Health Benefit of Garlic Based on Human Intervention Studies: A Brief Overview. Antioxidants (Basel, Switzerland), 9(7), 619. doi.org/10.3390/antiox9070619
Zhang, S., Liu, M., Wang, Y., Zhang, Q., Liu, L., Meng, G., Yao, Z., Wu, H., Xia, Y., Bao, X., Gu, Y., Wang, H., Shi, H., Sun, S., Wang, X., Zhou, M., Jia, Q., Song, K., & Niu, K. (2020). Raw garlic consumption is inversely associated with prehypertension in a large-scale adult population. Journal of human hypertension, 34(1), 59–67. doi.org/10.1038/s41371-019-0257-0
Zhou, X., Qian, H., Zhang, D., & Zeng, L. (2020). Garlic intake and the risk of colorectal cancer: A meta-analysis. Medicine, 99(1), e18575. doi.org/10.1097/MD.0000000000018575
Avci, A., Atli, T., Ergüder, I. B., Varli, M., Devrim, E., Aras, S., & Durak, I. (2008). Effects of garlic consumption on plasma and erythrocyte antioxidant parameters in elderly subjects. Gerontology, 54(3), 173–176. doi.org/10.1159/000130426
Burian, J. P., Sacramento, L. V. S., & Carlos, I. Z. (2017). Fungal infection control by garlic extracts (Allium sativum L.) and modulation of peritoneal macrophage activity in a murine model of sporotrichosis. Brazilian journal of biology = Revista brasleira de biologia, 77(4), 848–855. doi.org/10.1590/1519-6984.03716
Kato, Y., Domoto, T., Hiramitsu, M., Katagiri, T., Sato, K., Miyake, Y., Aoi, S., Ishihara, K., Ikeda, H., Umei, N., Takigawa, A., & Harada, T. (2014). Effect on blood pressure of daily lemon ingestion and walking. Journal of nutrition and metabolism, 2014, 912684. doi.org/10.1155/2014/912684
Samarghandian, S., Farkhondeh, T., & Samini, F. (2017). Honey and Health: A Review of Recent Clinical Research. Pharmacognosy Research, 9(2), 121–127. doi.org/10.4103/0974-8490.204647
While a healthy, sustainable lifestyle for one individual may not be the best option for another, can experts point out signs of a healthy life?
Healthy Life
Being or living a healthy life is a phrase that can be confusing. Researchers examine some major areas of concern with constant imagery like social media’s role in shaping what behaviors people consider important to reach a physical fitness/health goal. These behaviors prioritize physical appearance and are often linked with negative psychological effects and worsening physical health outcomes. (Binder A, et al., 2021) Studies routinely show that someone’s body shape is not a good indicator of how healthy they really are. (Uhlmann LR, et al., 2018)
Living a healthy life is a multi-faceted endeavor that requires maintaining a balance. New research has shown that “adhering to both quality diet and sufficient physical activity is important for optimally reducing the risk of mortality from all causes, CVD and PDAR cancers.” (Ding D, et al., 2022) Individuals do not need to make extreme changes to these areas of their lifestyle. Studies show that making small adjustments, little by little, prepares the individual to develop long-term sustainable habits. (Adhikari P, Gollub E. 2021)
Nutritional Health
Too much salt, sugar, and saturated fat increases the risk of diseases like diabetes, heart disease, and stroke. (National Institutes of Health, 2017) It can be easy to overlook balanced nutrition and it is not all about what should be restricted and avoided. It is about making sure the body gets the proper amount of nutrient-rich foods essential to overall health. Examples include:
Deficiency of nutrients like magnesium, calcium, and vitamins A, C, D, E, and K are with sleep problems. (Ikonte CJ, et al., 2019)
Not acquiring enough protein can lead to slowed metabolism and weight gain. (Pezeshki A, et al., 2016)
Healthy fats are essential to protect against heart disease and can help maintain high energy levels. (Gammone MA, et al., 2018)
Research has found that depression and nutrition are linked.
Incorporating a diet like the Mediterranean has been associated with a reduced risk of depression symptoms. (Oddo VM, et al., 2022)
Physical Activity
Regular physical activity helps with weight management, reduces the risk of chronic diseases, maintains healthy bones and joints, and contributes to positive mental health and mood.
The Centers for Disease Control and Prevention estimates around 60 percent of the population does not get enough daily physical activity. (Surgeon General Report, CDC. 1999)
According to the research, individuals don’t exercise for consistent reasons that include: not having enough time, no access to resources, and being too tired to work out. (Yen Sin Koh, et al., 2022)
Increasing the heart rate for only 12 minutes a day can protect the cardiovascular system. (Matthew Nayor, et al., 2020)
Signs
A few signs that an individual is healthy.
Stable Energy Levels
Having energy throughout the day is a sign you’re getting high-quality sleep.
Energy levels can also offer clues on nutritional intake, particularly of fats, carbohydrates, and proteins. (Yohannes Adama Melaku, et al., 2019)
The right combination of macronutrients can be different for everyone, especially depending on factors like age, job, medical history, and physical activity.
Paying attention to energy levels at different times of the day can help guide fitness and health goals.
One sign that the mind and body are dealing with stress well is the ability to set boundaries.
Setting boundaries shows recognition and priority for their needs.
This could be boundaries for respect of thoughts and ideas, physical space, emotional needs, the time spent on certain things, sex life, and material possessions.
Fresh Breath
The mouth can show what is going on as far as the health of the body.
Poor oral hygiene can lead to a buildup of bacteria that can spread throughout the respiratory and digestive tracts.
Chronic bad breath is a common sign of poor oral health.
Studies suggest that increased bacteria entering the body can lower immune system response and increase the development of general health problems. (NIH. 2018)
Time to Change
Signs that the mind and body are not healthy include:
Always sick or feel as if you’re coming down with something.
The stomach is constantly feeling like it is bloated, backed up, or dealing with acid reflux or indigestion.
The human body, organs, and tissues are complex structures, and the signals they transmit about underlying issues can be subtle which individuals tend to not notice until the little problems become major ones. It’s important to look at life habits and be honest about changes that may need to be implemented to improve health, lessen the risk of chronic health conditions, and improve quality of life.
Multidisciplinary Evaluations and Treatment
References
Binder, A., Noetzel, S., Spielvogel, I., & Matthes, J. (2021). “Context, Please?” The Effects of Appearance- and Health-Frames and Media Context on Body-Related Outcomes. Frontiers in public health, 9, 637354. doi.org/10.3389/fpubh.2021.637354
Uhlmann, L. R., Donovan, C. L., Zimmer-Gembeck, M. J., Bell, H. S., & Ramme, R. A. (2018). The fit beauty ideal: A healthy alternative to thinness or a wolf in sheep’s clothing? Body image, 25, 23–30. doi.org/10.1016/j.bodyim.2018.01.005
Ding, D., Van Buskirk, J., Nguyen, B., Stamatakis, E., Elbarbary, M., Veronese, N., Clare, P. J., Lee, I. M., Ekelund, U., & Fontana, L. (2022). Physical activity, diet quality and all-cause cardiovascular disease and cancer mortality: a prospective study of 346 627 UK Biobank participants. British Journal of sports medicine, bj sports-2021-105195. Advanced online publication. doi.org/10.1136/bjsports-2021-105195
Adhikari, P., & Gollub, E. (2021). Evaluation of the Small Changes, Healthy Habits Pilot Program: Its Influence on Healthy Eating and Physical Activity Behaviors of Adults in Louisiana. European journal of investigation in health, psychology, and education, 11(1), 251–262. doi.org/10.3390/ejihpe11010019
How dietary factors influence disease risk. National Institutes of Health (NIH)
Ikonte, C. J., Mun, J. G., Reider, C. A., Grant, R. W., & Mitmesser, S. H. (2019). Micronutrient Inadequacy in Short Sleep: Analysis of the NHANES 2005-2016. Nutrients, 11(10), 2335. doi.org/10.3390/nu11102335
Pezeshki, A., Zapata, R. C., Singh, A., Yee, N. J., & Chelikani, P. K. (2016). Low protein diets produce divergent effects on energy balance. Scientific reports, 6, 25145. doi.org/10.1038/srep25145
Gammone, M. A., Riccioni, G., Parrinello, G., & D’Orazio, N. (2018). Omega-3 Polyunsaturated Fatty Acids: Benefits and Endpoints in Sport. Nutrients, 11(1), 46. doi.org/10.3390/nu11010046
Oddo, V. M., Welke, L., McLeod, A., Pezley, L., Xia, Y., Maki, P., Koenig, M. D., Kominiarek, M. A., Langenecker, S., & Tussing-Humphreys, L. (2022). Adherence to a Mediterranean Diet Is Associated with Lower Depressive Symptoms among U.S. Adults. Nutrients, 14(2), 278. doi.org/10.3390/nu14020278
Adults, Surgeon General Report, CDC.
Koh, Y. S., Asharani, P. V., Devi, F., Roystonn, K., Wang, P., Vaingankar, J. A., Abdin, E., Sum, C. F., Lee, E. S., Müller-Riemenschneider, F., Chong, S. A., & Subramaniam, M. (2022). A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behavior. BMC public health, 22(1), 1051. doi.org/10.1186/s12889-022-13431-2
Saint-Maurice, P. F., Graubard, B. I., Troiano, R. P., Berrigan, D., Galuska, D. A., Fulton, J. E., & Matthews, C. E. (2022). Estimated Number of Deaths Prevented Through Increased Physical Activity Among US Adults. JAMA internal medicine, 182(3), 349–352. doi.org/10.1001/jamainternmed.2021.7755
Nayor, M., Shah, R. V., Miller, P. E., Blodgett, J. B., Tanguay, M., Pico, A. R., Murthy, V. L., Malhotra, R., Houstis, N. E., Deik, A., Pierce, K. A., Bullock, K., Dailey, L., Velagaleti, R. S., Moore, S. A., Ho, J. E., Baggish, A. L., Clish, C. B., Larson, M. G., Vasan, R. S., … Lewis, G. D. (2020). Metabolic Architecture of Acute Exercise Response in Middle-Aged Adults in the Community. Circulation, 142(20), 1905–1924. doi.org/10.1161/CIRCULATIONAHA.120.050281
Melaku, Y. A., Reynolds, A. C., Gill, T. K., Appleton, S., & Adams, R. (2019). Association between Macronutrient Intake and Excessive Daytime Sleepiness: An Iso-Caloric Substitution Analysis from the North West Adelaide Health Study. Nutrients, 11(10), 2374. doi.org/10.3390/nu11102374
Jamieson, J. P., Black, A. E., Pelaia, L. E., Gravelding, H., Gordils, J., & Reis, H. T. (2022). Reappraising stress arousal improves affective, neuroendocrine, and academic performance outcomes in community college classrooms. Journal of experimental psychology. General, 151(1), 197–212. doi.org/10.1037/xge0000893
Vernia, F., Di Ruscio, M., Ciccone, A., Viscido, A., Frieri, G., Stefanelli, G., & Latella, G. (2021). Sleep disorders related to nutrition and digestive diseases: a neglected clinical condition. International journal of medical sciences, 18(3), 593–603. doi.org/10.7150/ijms.45512
How can healthcare professionals provide a positive and safe approach for gender minority healthcare for the LGBTQ+ community?
Introduction
In an ever-changing world, it can be challenging to find available treatments for body pain disorders that can impact a person’s daily routine. These body pain disorders can range from acute to chronic, depending on the location and severity. For many individuals, this can cause unnecessary stress when going in for a routine check-up with their primary doctors. However, individuals in the LGBTQ+ community are often thrown under by not being seen and heard when treated for their pain and discomfort. This, in turn, causes many problems for both the individual and the medical professional themselves when getting a routine check-up. However, there are numerous positive ways for LGBTQ+ community individuals to seek inclusive gender minority healthcare for their ailments. Today’s article will explore gender minorities and the protocols for creating an inclusive gender minority healthcare environment safely and positively for all individuals. Additionally, we communicate with certified medical providers who incorporate our patients’ information to reduce any general pain and disorders a person may have. We also encourage our patients to ask amazing educational questions for our associated medical providers about their referred pain correlating with any diseases they may have while providing an inclusive gender minority healthcare environment. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer
What Is Gender Minority?
Are you or your loved ones dealing with muscle aches and strains after an excruciatingly long day at work? Have you been dealing with constant stress that stiffens your neck and shoulders? Or do you feel like your ailments are affecting your daily routine? Often, many individuals in the LGBTQ+ community are researching and looking for the right care for their ailments that best suits their wants and needs when seeking treatment. Gender minority healthcare is one of the important aspects of the LGBTQ+ community for individuals seeking the treatment they deserve. When it comes to creating an inclusive, safe, and positive healthcare environment, it is highly important to understand what “gender” and “minority are being defined as. Gender, as we all know, is how the world and society view a person’s sex, like male and female. A minority is defined as a person being different from the rest of the community or the group that they are in. A gender minority is defined as a person whose identity is other than the conventional gender normality many people associate with. For LGBTQ+ individuals who identify as a gender minority, it can be stressful and aggravating when seeking treatment for any ailments or for just a general check-up. This can cause many LGBTQ+ individuals to experience a high rate of discrimination in the healthcare setting that often correlates to poor health outcomes and delays when seeking care treatment. (Sherman et al., 2021) This can create a negative environment in the healthcare setting as many LGBTQ+ individuals deal with unnecessary stress and barriers to accessing inclusive healthcare. Here at the Injury Medical Chiropractic and Functional Medicine clinic, we are dedicated to creating a safe, inclusive, and positive space that offers dedicated care for the LGBTQ+ community by using gender-neutral terms, asking important questions, and building a trusting relationship in every visit.
Enhancing Health Together-Video
The Protocols Of An Inclusive Gender Minority Healthcare
When assessing inclusive gender minority healthcare for many individuals, building a trusting relationship with any patient who enters through the door is important. This allows many people within the LGBTQ+ community to be treated with dignity and respect and ensure they receive medical care like everyone else. By making these efforts, many healthcare systems can ensure the LGBTQ+ community their rights to adequate and affirming healthcare services that are provided for them. (“Health disparities affecting LGBTQ+ populations,” 2022) Below are protocols that are implemented for inclusive gender minority healthcare.
Creating A Safe Space
Creating a safe space for every patient for treatment or general check-up visits is important. Without it, it can cause health disparities between the patient and healthcare professional. Healthcare providers must be prepared to identify and address their biases so that it does not contribute to healthcare disparities that many LGBTQ+ individuals have experienced. (Morris et al., 2019) It’s already stressful enough for LGBTQ+ individuals to get the treatment they deserve. Creating a safe space in a clinical practice gives individuals a setting of respect and trust as they fill out their intake forms that include different gender identities.
Educate Yourself & Staff
Healthcare professionals must be non-judgmental, open, and ally to their patients. By educating staff members, many healthcare providers can undergo developmental training to increase their cultural humility and improve healthcare outcomes for the LGBTQ+ community. (Kitzie et al., 2023) At the same time, many healthcare providers can use gender-neutral language and ask what the patient’s preferred name is while validating and utilizing appropriate mental and health screenings. (Bhatt, Cannella, & Gentile, 2022) To this point, many healthcare providers can significantly and positively impact the individual’s experience, health outcomes, and quality of life. Reducing the structural, interpersonal, and individual stigma that many LGBTQ+ people experience can become a way to demonstrate respect not only to the individual but also to the doctors and staff members who receive it. (McCave et al., 2019)
Basic Primary Care Principles
The first thing that many healthcare providers should do is to honor the individual’s gender identity and consider what kind of information or examination for the individual to receive the care they deserve. The attainable standard of health is one of the fundamental rights of every human being. Being an ally can create a trusting relationship with the individual and provide them with a customizable treatment plan they can receive. This offers a safe environment for the individual and is cost-effective while getting the necessary treatment they deserve.
References
Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innov Clin Neurosci, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
Kitzie, V., Smithwick, J., Blanco, C., Green, M. G., & Covington-Kolb, S. (2023). Co-creation of a training for community health workers to enhance skills in serving LGBTQIA+ communities. Front Public Health, 11, 1046563. doi.org/10.3389/fpubh.2023.1046563
McCave, E. L., Aptaker, D., Hartmann, K. D., & Zucconi, R. (2019). Promoting Affirmative Transgender Health Care Practice Within Hospitals: An IPE Standardized Patient Simulation for Graduate Health Care Learners. MedEdPORTAL, 15, 10861. doi.org/10.15766/mep_2374-8265.10861
Morris, M., Cooper, R. L., Ramesh, A., Tabatabai, M., Arcury, T. A., Shinn, M., Im, W., Juarez, P., & Matthews-Juarez, P. (2019). Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med Educ, 19(1), 325. doi.org/10.1186/s12909-019-1727-3
Sherman, A. D. F., Cimino, A. N., Clark, K. D., Smith, K., Klepper, M., & Bower, K. M. (2021). LGBTQ+ health education for nurses: An innovative approach to improving nursing curricula. Nurse Educ Today, 97, 104698. doi.org/10.1016/j.nedt.2020.104698
Gender is a concept with many facets. Everyone has a gender expression. Can learning about gender expression help healthcare professionals provide better and more effective treatment plans for the LGBTQ+ community?
Gender Expression
Gender expression refers to the ways that individuals present their gender identity and themselves. This can be clothing, haircuts, behaviors, etc. For many, there can be confusion between what society expects from their gender and how these individuals choose to present themselves. Gender expression is constructed from the culture that surrounds it, meaning that there may be a shared social expectation about gender. It can also mean that the same feminine hair or clothing style in one setting could be seen as masculine in another.
Society tries to regulate expression by making women wear certain kinds of clothes, and men other kinds, in order to participate in school, work, and when in public.
When cultures enforce gender norms it is known as gender policing, which can range from dress codes to physical and emotional punishment.
Creating a safe space for all genders requires awareness of these explicit or implicit gender norms so policing can be prevented. (José A Bauermeister, et al., 2017)
Research has shown that there are increased rates of discrimination against transgender and gender-nonconforming individuals compared with bias against those who are LGBTQ. (Elizabeth Kiebel, et al., 2020)
Health Care
Gender expression can and does affect access to and quality of health care.
Individuals with a gender expression that is different from what is expected for their assigned sex at birth may experience increased bias and harassment from providers. (Human Rights Watch. 2018)
A significant percentage of patients feared health workers would treat them differently because of their expression. (Cemile Hurrem Balik Ayhan et al., 2020)
Minority stress has been shown to play an important role in health imbalances. (I H Meyer. 1995)
Research suggests that gender expression is a part of the minority stress described by cisgender sexual minorities and gender minorities. (Puckett JA, et al., 2016)
Better Training
The effects of gender expression are different depending on a person’s sex, gender identity, and their setting.
However, doctors do need to know a person’s sex that was assigned at birth to be able to do proper screening tests, like screening for prostate or cervical cancer.
One way to be more affirming is for the doctor to introduce themselves first, using their own pronouns.
Health workers should ask everyone what name they prefer to be called and what pronouns they use.
This simple act invites the patient to share without creating awkward uneasiness.
Each person chooses how to present themselves to the world, and we respect all. We at Injury Medical Chiropractic and Functional Medicine Clinic will work to address the effects of minority stress on health disparities and raise awareness of the ways to continually improve positive experiences for LGTBQ+ individuals seeking inclusive health care for neuromusculoskeletal injuries, conditions, fitness, nutritional, and functional health.
Revolutionizing Healthcare
References
Bauermeister, J. A., Connochie, D., Jadwin-Cakmak, L., & Meanley, S. (2017). Gender Policing During Childhood and the Psychological Well-Being of Young Adult Sexual Minority Men in the United States. American journal of men’s health, 11(3), 693–701. doi.org/10.1177/1557988316680938
Kiebel, E., Bosson, J. K., & Caswell, T. A. (2020). Essentialist Beliefs and Sexual Prejudice Toward Feminine Gay Men. Journal of homosexuality, 67(8), 1097–1117. doi.org/10.1080/00918369.2019.1603492
Human Rights Watch. “You Don’t Want Second Best”—Anti-LGBT Discrimination in US Health Care.
Ayhan, C. H. B., Bilgin, H., Uluman, O. T., Sukut, O., Yilmaz, S., & Buzlu, S. (2020). A Systematic Review of the Discrimination Against Sexual and Gender Minority in Health Care Settings. International journal of health services: planning, administration, evaluation, 50(1), 44–61. doi.org/10.1177/0020731419885093
Meyer I. H. (1995). Minority stress and mental health in gay men. Journal of health and social behavior, 36(1), 38–56.
Puckett, J. A., Maroney, M. R., Levitt, H. M., & Horne, S. G. (2016). Relations between gender expression, minority stress, and mental health in cisgender sexual minority women and men. Psychology of Sexual Orientation and Gender Diversity, 3(4), 489–498. doi.org/10.1037/sgd0000201
How can physicians create a positive experience for LGTBQ+ individuals seeking inclusive health care for muscle pain?
Introduction
Finding proper treatment for many body pain conditions should not be challenging when numerous factors and conditions can impact a person’s lifestyle. When it comes to these factors can range from their home environment to their medical conditions, which then harms their well-being and not being heard when informed about their situation. This can cause barriers to be built up and causes the individual not to be seen or heard when seeking treatment for their pain. However, many individuals within the LGBTQ+ community can seek numerous personalized solutions to improve their general well-being and have a positive experience that suits their needs. This article explores how inclusive health care can positively impact the LGBTQ+ community and how non-surgical treatments like chiropractic care can be incorporated into a person’s personalized inclusive health care plan. Additionally, we communicate with certified medical providers who integrate our patient’s information to reduce general pain through inclusive healthcare treatment. We also inform them that non-surgical treatments can be a positive experience for them to minimize general body pain. We encourage our patients to ask amazing questions while seeking education from our associated medical providers about their pain conditions in a safe and positive environment. Dr. Jimenez, D.C., incorporates this information as an educational service. Disclaimer
What Is Inclusive Health Care?
Have you been dealing with constant stress that is causing pain in your body? Do you feel like there are barriers that are preventing you from getting the relief you need from your pain? Or are many environmental factors preventing you from getting back your health and wellness? Many individuals seeking treatment for general pain or conditions affecting their health and wellness will often research which care treatment suits their wants and needs in a positive and safe manner while being inclusive. Healthcare treatments like inclusive health care can provide a positive and safe outcome for members of the LGBTQ+ community. Inclusive health care can help many healthcare professionals establish an inclusive code of conduct within the LGBTQ+ community to improve health-specific outcomes. (Moran, 2021) Now inclusive health care is defined as removing barriers to health care services that should be equally accessible and affordable to many individuals regardless of age, sexual orientation, and gender identity. For many people within the LGBTQ+ community, many individuals identify as gender minorities. A gender minority is an individual who identifies as gender non-conforming and whose gender identity or expression differs from the conventional gender binary. Inclusive health care is an important aspect for the LGBTQ+ community as it can benefit people in getting the treatment they deserve.
How Does Inclusive Health Care Benefits The LGTBQ+ Community?
Regarding inclusive health care, many healthcare providers must respect their patients and their needs when coming in for a general check-up. Since many individuals in the LGBTQ+ community are already dealing with enough stress, especially young people, it is important to have a calm, safe, and non-judgmental environment promoting safety and inclusion. (Diana & Esposito, 2022) There are many ways that inclusive health care can provide beneficial results to the individual and health care provider. Some may include:
What pronouns the individual preferred
What the individual wants to be identified
Being respectful of the patient’s needs
Building a trusted relationship with the individual
When individuals in the LGBTQ+ community have inclusive health care in a positive environment, it can create a positive experience for them as it can improve mental health and general well-being and make a huge impact that can be life-saving. (Carroll & Bishop, 2022) The Injury Medical Chiropractic and Functional Medicine Team is committed to building a positive and safe space for individuals in the LGBTQ+ community that need inclusive health care to reduce pain-like symptoms through personalized treatment plans.
How Can Chiropractic Care Transform Pain To Relief-Video
With many individuals looking for the right kind of treatment for general pain and discomfort, many people will look into non-surgical therapies. Non-surgical treatments can be beneficial for many individuals in the LGBTQ+ community as it is safe and can provide individuals with an understanding of what is impacting their bodies. Non-surgical treatments like chiropractic care, spinal decompression, and MET therapy can alleviate pain-like symptoms associated with musculoskeletal disorders through a personalized treatment plan catered to the person. Many health professionals who are respectful and provide a supportive environment for LGBTQ+ individuals seeking inclusive health has been reported an increase in their confidence, and a decrease in their anxiety, which can potentially decrease uncertainty for future visits. (McCave et al., 2019) Creating a safe, positive environment for individuals seeking inclusive health care can help them reduce the pain they have been experiencing while easing their minds. The video explains how non-surgical treatments like chiropractic care can help reduce musculoskeletal pain associated with stress and help realign the body out of subluxation. Additionally, these small changes in creating a safe and inclusive environment when receiving health care can make a lasting and positive impact on many individuals. (Bhatt, Cannella, & Gentile, 2022)
Utilizing Beneficial Treatments For Inclusive Health Care
When it comes to non-surgical treatments being part of inclusive treatment, it is critical to reduce the health disparities and to ensure that many LGBTQ+ individuals receive the needed medical they deserve. (Cooper et al., 2023) Since many individuals face unique health challenges, from body and gender dysmorphia to common muscle strains associated with musculoskeletal disorders, many individuals can seek non-surgical treatments like chiropractic care. Chiropractic care can help meet the individual’s needs by supporting their musculoskeletal health and general well-being. (Maiers, Foshee, & Henson Dunlap, 2017) Chiropractic care can reduce musculoskeletal conditions that many LGBTQ+ individuals have and can be aware of what factors are affecting their bodies in a safe and positive environment. Non-surgical treatments can be combined with other therapies in inclusive health care for LGBTQ+ individuals. They can provide a safe environment in the clinic and improve their care quality by being cost-effective. (Johnson & Green, 2012) Inclusive health care can help make LGBTQ+ individuals a safe and positive space to make them get the treatment they deserve without negativity.
References
Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innov Clin Neurosci, 19(4-6), 23-32. www.ncbi.nlm.nih.gov/pubmed/35958971
Carroll, R., & Bisshop, F. (2022). What you need to know about gender-affirming healthcare. Emerg Med Australas, 34(3), 438-441. doi.org/10.1111/1742-6723.13990
Cooper, R. L., Ramesh, A., Radix, A. E., Reuben, J. S., Juarez, P. D., Holder, C. L., Belton, A. S., Brown, K. Y., Mena, L. A., & Matthews-Juarez, P. (2023). Affirming and Inclusive Care Training for Medical Students and Residents to Reduce Health Disparities Experienced by Sexual and Gender Minorities: A Systematic Review. Transgend Health, 8(4), 307-327. doi.org/10.1089/trgh.2021.0148
Diana, P., & Esposito, S. (2022). LGBTQ+ Youth Health: An Unmet Need in Pediatrics. Children (Basel), 9(7). doi.org/10.3390/children9071027
Johnson, C. D., & Green, B. N. (2012). Diversity in the chiropractic profession: preparing for 2050. J Chiropr Educ, 26(1), 1-13. doi.org/10.7899/1042-5055-26.1.1
Maiers, M. J., Foshee, W. K., & Henson Dunlap, H. (2017). Culturally Sensitive Chiropractic Care of the Transgender Community: A Narrative Review of the Literature. J Chiropr Humanit, 24(1), 24-30. doi.org/10.1016/j.echu.2017.05.001
McCave, E. L., Aptaker, D., Hartmann, K. D., & Zucconi, R. (2019). Promoting Affirmative Transgender Health Care Practice Within Hospitals: An IPE Standardized Patient Simulation for Graduate Health Care Learners. MedEdPORTAL, 15, 10861. doi.org/10.15766/mep_2374-8265.10861
Moran, C. I. (2021). LGBTQ population health policy advocacy. Educ Health (Abingdon), 34(1), 19-21. doi.org/10.4103/efh.EfH_243_18
Pickleball is a growing, increasingly popular sport that can be enjoyed by individuals of every age and fitness level. It combines elements of tennis and badminton at a slightly slower pace that makes it ideal for families and provides excellent health benefits and enjoyable socializing. It is easy to learn and requires little practice. The sport is easy on the body and is a great activity for seniors because it is joint-friendly.
Pickleball
Individuals do not need to be athletes or belong to a certain age group to play or benefit from the sport. It requires minimal equipment and a few basic skills. Using a flat paddle and a plastic pickleball, opponents singles or doubles play a game like tennis or badminton.
Playing the Game
A three-foot-long net is set up in the center of a court measuring 44 feet long by 20 feet wide.
The court is divided between right and left service zones.
If the receiving side misses the serving side volley, the serving side receives a point.
The game is played to 11 points, but a player or team must win by two points.
The ball’s design keeps the pace manageable and user-friendly.
Pickleball has other intricacies common with other racket-court sports.
The player serves from a specific side.
The no-volley zone, or the kitchen is seven feet from the net on both sides.
There are rules regarding when the player must call the score, how tournaments work, and variations between singles and doubles matches.
Most players only need a few games to pick up the basics.
Reasons To Play
The sport offers a number of health benefits.
Improves Mental Health
One study found individuals who played pickleball tended to have better mental health and outlook.
Researchers followed older adults competing in pickleball competitions and tournaments.
At the end of the study, the researchers found that a commitment to a physical hobby correlated to reduced depression levels.
Improves Cardiovascular Health
The sport is not as physically intense as say tennis, but offers significant benefits for cardiovascular health.
One study found that individuals who played three times a week for an hour had improved cardiorespiratory fitness, lower cholesterol levels, and decreased blood pressure.
Experts found that it is a healthy alternative to traditional exercises like walking or biking.
Improved Hand-Eye Coordination
Pickleball will improve hand-eye coordination and reflexes.
Coordinating the feet, legs, arms, hands, and eye movements quickens responses, challenges the brain to think fast, and increases balance.
Physical activity combined with cognitive challenges has been found to improve cognitive health and prevent mental decline in older adults.
Socialization
Pickleball requires an opponent or two for doubles matches.
A significant benefit is that the sport provides increased socialization.
Socializing with others, especially the elderly can help with loneliness.
Loneliness can negatively impact physical and mental health, increasing the risk of heart disease, stroke, dementia, and depression.
Getting Started
Individuals need minimal gear like paddles, shoes, and balls and knowledge to get started playing. One of the easiest ways to begin is locating a court in the community. This is a great physical activity that can be competitive, but overall it is fun, easy to play, and provides great health benefits.
Home Exercises For Pain Relief
References
Casper, Jonathan M, and Jung-Hwan Jeon. “Psychological Connection to Pickleball: Assessing Motives and Participation in Older Adults.” Journal of Aging and physical activity, 1-6. 24 Oct. 2018, doi:10.1123/japa.2017-0381
Cerezuela, Juan-Leandro, et al. “Pickleball and mental health in adults: A systematic review.” Frontiers in psychology vol. 14 1137047. 21 Feb. 2023, doi:10.3389/fpsyg.2023.1137047
Ryu, Jungsu, et al. “Pickleball, Personality, and Eudaimonic Well-Being in Middle-Aged and Older Adults.” Journal of Aging and physical activity vol. 30,5 885-892. 14 Feb. 2022, doi:10.1123/japa.2021-0298
Vitale, Kenneth, and Steven Liu. “Pickleball: Review and Clinical Recommendations for this Fast-growing Sport.” Current sports medicine reports vol. 19,10 (2020): 406-413. doi:10.1249/JSR.0000000000000759
Webber, Sandra C et al. “Physical Activity Intensity of Singles and Doubles Pickleball in Older Adults.” Journal of Aging and physical activity vol. 31,3 365-370. 10 Sep. 2022, doi:10.1123/japa.2022-0194
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