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.
A research study published in the Journal of the American Medical Association in September 2015 demonstrated that nearly 50 percent of adults in the United States may have pre-diabetes or diabetes.
Approximately 9 out of 10 people may have undiagnosed pre-diabetes while 1 out of every 4 people may have undiagnosed diabetes. Statistics from the Center for Disease Control also revealed that about 30 percent of all individuals with pre-diabetes will develop type 2 diabetes within 5 years.
While these statistics have become dangerously alarming in the United States, the increasing issue of pre-diabetes and diabetes cases in adults has been growing throughout the world. Over the last decade, for instance, Great Britain has seen a drastic rise in both pre-diabetes and diabetes cases as well. According to a BBC News report, approximately more than one-third of British adults have been diagnosed with pre-diabetes, as compared to a 2003 report, where only 11.6 percent of British adults had been diagnosed with pre-diabetes. By 2011, the amount of individuals diagnosed with the conditions had almost tripled to about 35.3 percent.
Pre-diabetes is medically characterized as having a fasting blood sugar of 100-125 mg/dl or a hemoglobin A1C of 5.7-6.4 percent. Researchers medically defined diabetes as having a fasting blood sugar greater than 126 mg/dl or a hemoglobin A1C > 6.5 percent, a measure of long term glucose control.
Health Complications Related to Diabetes
A majority of the complications associated with pre-diabetes and diabetes can develop gradually over time. Individual�s who�ve had the condition for an extended period of time, and who also maintain less control of their blood sugar levels, may have a higher risk of suffering other complications commonly associated with type 2 diabetes. If these issues are not treated accordingly, they could eventually lead to disabling or even life-threatening complications.
Common complications associated with pre-diabetes and diabetes include:
Skin and tissue infections: Damage to blood vessels and nerves can affect the proper circulation and blood flow to the skin. This can result in the death of skin cells which may lead to a variety of changes in the skin as well as in other important structures of the body.
Foot damage: The Improper blood flow and circulation as well as damage to the nerves in the feet can increase the risk of experiencing a variety of foot issues. If left untreated, these foot complications, such as cuts and blisters, can develop into serious infections which can often heal poorly. Severe infections may ultimately require toe, foot or leg amputations.
Eye damage or retinopathy: Diabetes can damage the blood vessels of the retina which can potentially lead to blindness. This complication of the condition also increases the risk of other serious vision conditions, such as the development of cataracts and glaucoma.
Kidney damage or nephropathy: The kidneys are made up of millions of tiny blood vessel clusters, known as glomeruli, which function by filtering waste from the blood. Type 2 diabetes can damage these blood vessel clusters, affecting their normal function to properly filter the blood. Severe damage to the glomeruli can lead to kidney disease or kidney failure which may require dialysis or a kidney transplant.
Peripheral neuropathy or nerve damage: Increased blood sugar levels can injure the walls of the capillaries, tiny blood vessels which nourish the nerves, particularly those found in the legs. Peripheral neuropathy can cause pain, tingling and burning sensations and numbness along the upper and lower extremities. If this type of nerve damage is left untreated, the symptoms mentioned above may worsen, resulting in loss of strength and balance as well as the complete loss of feeling in the affected limbs. A majority of people with advanced stages of peripheral neuropathy experience chronic symptoms of pain and they may be unable to walk without the help of a cane or walker. Some people may need to use a wheelchair. Nerve damage can also affect the nerves of the digestive system, causing nausea, vomiting, diarrhea or constipation. For men, peripheral neuropathy may lead to erectile dysfunction.
Cardiovascular disease: Pre-diabetes and diabetes also dramatically increases the risk of developing a variety of cardiovascular problems, including coronary artery disease with chest pain or angina, heart attack, stroke and narrowing of arteries, or atherosclerosis. Individuals with diabetes are more likely to experience heart disease or stroke.
Hearing impairment: Individuals with diabetes have double the risk of experiencing hearing loss and other auditory complications than adults without the condition.
Alzheimer�s disease: According to various research studies, type 2 diabetes has been linked to the development of Vascular Dementia and Alzheimer�s disease.
Risk Factors Leading to Diabetes
Pre-diabetes and type 2 diabetes can develop due to a variety of risk factors. Knowing these factors can help individuals be more aware of their chances of developing the condition in order to help them take the necessary precautions to prevent diabetes from developing.
Several risk factors contributing to pre-diabetes and diabetes include:
Weight: Excess weight and obesity can cause the development of insulin resistance, one of the most common reasons behind pre-diabetes and diabetes in adults.
Inactivity: Sedentary individuals who engage in less exercise and physical activity can be at greater risk of developing the condition. Physical activity and exercise helps control weight, utilizes glucose as energy and improves insulin sensitivity.
Family history: A person�s risk of developing pre-diabetes or diabetes can increase if a parent or sibling has the condition. Although Type 2 Diabetes is not hereditary, it can develop due to lifestyle habits. Your family history can help predict the probability of developing diabetes.
Race: Research published in JAMA revealed that African-Americans, Hispanics, American Indians and Asian-Americans are at higher risk for developing Type 2 Diabetes.
Age: The risk of developing pre-diabetes and diabetes does increase with age. This is generally believed to be due to inactivity associated with aging, loss of muscle mass and weight gain. However, pre-diabetes and diabetes has also dramatically increased among children, adolescents and younger adults over the past several years.
Gestational diabetes: A woman who developed gestational diabetes while pregnant, may have an increased risk of developing pre-diabetes and type 2 diabetes. If you gave birth to a baby weighing more than 9 pounds, 4 kilograms, you may also be at risk of developing diabetes.
Polycystic ovary syndrome or PCOS: For women, having polycystic ovary syndrome, a common condition characterized by irregular menstrual periods, excess hair growth and obesity, can also increase the risk of developing diabetes.
High blood pressure: Having blood pressure of over 140/90 mm Hg, or millimeters of mercury, has been associated to an increased risk of type 2 diabetes.
High cholesterol and triglyceride levels: Individuals with low levels of high-density lipoprotein, HDL or good cholesterol, their risk of developing pre-diabetes or diabetes is generally higher. Triglycerides are another type of fat carried in the blood. People with high levels of triglycerides can be at risk of developing type 2 diabetes. Consulting a doctor at this point is important as they can inform you on what your cholesterol and triglyceride levels are.
Preventing Diabetes
Diabetes has become one of the most common diseases of the 21st century, most of which can lead to peripheral neuropathy. Although there are many factors behind this type of nerve damage, such as the use of medications and drugs, approximately 66 percent of all people with diabetes will develop peripheral neuropathy over time.
Fortunately, you can avoid developing pre-diabetes, diabetes and ultimately, peripheral neuropathy, by making some simple lifestyle changes. While changing the regular diet you are used to can be challenging, taking such a task slowly can help ease the daunting change. For instance, you can try changing one thing about your diet today. Whether it involves giving up soda or skipping sweets after dinner, this small change can be effortless for many. Now try doing this for 30 days. It will be difficult at first but it will get progressively easier.
For people who already developed diabetes as well as some of the common complications associated with the condition, keep in mind that both type 2 diabetes and peripheral neuropathy can be reversed with the right lifestyle changes as well. By addressing your diet and other lifestyle habits, such as the amount of exercise you participate in and how much sleep you get, the condition and its complications can be tremendously improved. In one 10-year long study of 70,000 diabetes-free women, researchers found that women who either slept less than five hours a night or more than nine hours each night were 34 percent more likely to develop diabetes than women who slept seven to eight hours each night.
In addition, getting the appropriate amount of vitamin D on a daily basis can also help improve diabetes. Evidence demonstrated that vitamin D can be extremely beneficial for both type 1 and type 2 diabetes. Taking vitamin D supplements if you�re not spending the necessary amount of time out in the sun can in turn help provide the required nutrients and minerals.
In conclusion, diabetes is considered to be one of the most prevalent conditions today, where nearly up to 50 percent of people have been diagnosed with type 2 diabetes. Many factors can often increase the risk of developing the condition but diabetes can be prevented as well as reversed. If you�ve been diagnosed with diabetes or you suspect you may have the condition, make sure to seek professional care to receive proper diagnosis and treatment.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient’s strength, mobility and flexibility.
To get better balance, power and agility, kickboxing is king among workouts. Experts who have studied the sport say nearly everyone—even older people who might shy away from such things—can benefit from throwing a punch.
Unlike most other types of exercise, kickboxing emphasizes powerful movements. Power is different from strength, and for older adults, it’s an even better predictor of mobility and their risk for falls, says Kurt Jackson, an associate professor of neurology and rehab science at the University of Dayton in Ohio. “Pure strength is what a weightlifter uses, but producing power is about both force and speed,” he says.
Kickboxing training tends to involve shorts bouts, two to three minutes long, of intense, repetitive movement—like hitting a punching bag over and over again and kicking and kneeing a pad someone else is holding. “If you look at the research on high-intensity interval training [HIIT], you see these short, intense periods of activity can have big benefits,” he says. Some research shows that even very brief stretches—just 60 seconds—of HIIT can offer the same gains in heart and lung health as 45 minutes of less-intense exercise.
Kickboxing has been shown to improve fitness, power, flexibility and agility, according to a study of healthy men in their twenties who trained three days a week for five weeks. The men in the study improved their upper and lower body power by about 7%, while shaving off more than a second from their time in a 50-meter dash.
It also torches a lot of calories. One study from the American Council on Exercise (ACE) found that the kind of punching-and-kicking combinations used in Tae Bo or “cardio kickboxing” classes burn more than eight calories per minute—about the same amount you’d burn while swimming.
The sport can also improve coordination, even in the most extreme cases. Jackson studies the neuromuscular benefits of kickboxing training for people with multiple sclerosis (MS), a condition in which poor communication between the brain and muscles can lead to falls or problems with activities that rely on multitasking, like walking and talking. Kickboxing helps strengthen neuromuscular control in people with the disease in ways that improve balance, mobility and dual-tasking activities, he found.
The benefits likely apply to older adults as well. Kickboxing improves both types of balance that the body requires—anticipatory and reactive—and better balance reduces risk of falls or muscle weakness. “Anticipatory balance is something you use when you can see a need coming, like when you’re stabilizing yourself to reach up into a cupboard,” Jackson says. Reactive balance is the type of mind-muscle coordination you need to catch your balance when you trip, or when life throws some unexpected object your way.
Those skills are useful before you hit old age. If your workout routine relies on lifting weights, running or yoga, your neuromuscular system may not be tuned to handle the kind of dynamic motion required for sports—even the ones you do just a few times a year, like skiing or pickup basketball. “You see these people step or twist wrong and suffer major tears,” Jackson says. “Kickboxing training is a great way to avoid those types of injuries.”
However, the swift whole-body movements required in kickboxing could also cause injuries. Back, knee, hip and shoulder strains are all common among kickboxers, found a study in the Journal of Strength and Conditioning Research.
As with most other forms of vigorous exercise, if you’re a newbie, it’s important to ease into kickboxing gradually. “If you have a bad knee or some other limitation, it’s important to have a coach or physical therapist who knows how to adapt a kickboxing program to your needs, and who will introduce it in a controlled, systematic manner,” Jackson says. Start slow, and you’ll get the most benefits in the end.
A variation of the traditional push-up, the pike push-up zeroes in on your arms and shoulders. You won’t have to worry about what’s your best angle in your wedding photos—your arms will look sexy from every angle.
How to do it: Begin in push-up position with hands in a wide diamond (fingers pointing toward each other).
Bend at waist, lifting hips up and coming onto toes (walk them in a bit if needed) so body forms upside-down “V”. Bend elbows to lower head toward hands.
Press back up; do 10 reps. For even more of a challenge, do 10 reps with right leg raised, then repeat with left leg raised.
Nothing says summer like sleeveless tops and strapless dresses. But the idea of showing so much skin can be daunting. Our solution? Get started early with these six sculpting exercises from Nike trainer Lauren Williams. They will sculpt your upper body stat, so you’ll feel good at your next wedding or outdoor social event. Watch this video and try Lauren’s best get-fit moves for awesome arms, strong shoulders, and a beautiful back.
1. Wide hand walkout: Start in a plank position with your hands directly underneath your shoulders. From here, walk your hands out to a wide push-up position. Return to plank and repeat.
2. Tricep drops: Start in a plank position with your hands slightly in front of your shoulders. Gently drop your elbows to the ground. Return to high plank and repeat.
3. Front and side dumbbell arm raises: Stand tall with a dumbbell in each hand. Raise both to chest level to create a 90-degree angle with your torso, then lower back down. Next, raise both arms out straight to each side on the diagonal, stopping at shoulder level to create an open T shape with the arms, palms facing each other. Lower back down and continue to repeat this combination, moving the arms up and down as they extend in front of you and to the sides.
4. Bent-over tricep kickbacks: From standing, lean your upper body forward so you’re slightly bent over with a dumbbell in each hand. Bend arms at the elbows until dumbbells reach chest, then straighten arms back out as the weights reach back behind the upper body. Repeat.
5. Bent-over alternating rows: From standing, lean your upper body forward so you’re slightly bent over with a dumbbell in each hand. First raise your right arm up so your elbow bends deeply and the weight is next to your chest. Return arm down to center, then repeat the row movement on the left arm. Continue alternating arms.
6. Inverted push-up: From a downward dog, bend the elbows out wide to create a 90-degree angle, keeping the hips raised high toward the ceiling. Extend arms to return to starting position and repeat push-up.
The birth of my twins 13 years ago coincided with the death of any semblance of privacy or personal space.
First there was the nursing, which kept at least one of them dangling off my body for a good part of the day and night. Then, once they could crawl, I was afraid to shut the bathroom door for fear they’d bring a bookshelf down on their heads or eat the refrigerator magnets and get stuck to one another at the belly.
I was a nervous mom to begin with, and the two of them, constantly in motion and mischief, made me anxious and hypervigilant. Unfortunately, my open-door policy with my toddlers led to their begging to sit on my lap, even when I was peeing. I said no, but I was too ridden with working-mom guilt (bad mommy, earning money to support your children!) to boot them out and too exhausted to deal with the ensuing meltdowns if I tried.
I’d gotten myself into a bad pattern in which the kids felt entitled to a 24-hour all-access mommy pass, and I didn’t know how to break it. I loved them to the moon, but I was depleted and not exactly a joy to be around.
That’s when I started saying, “Mommy has to go to the gym.” I’m not sure whether my husband was more thrilled to afford me the free time or to just be rid of me, but it didn’t really matter. For a full hour, I’d go downstairs to our building’s gym and do… whatever. At first, I’d simply sit in the ladies’ room and marvel at what it was like to not have to rush out—pants open, hands unwashed—to avert some impending crisis. I’d noodle around on the bike and then head back upstairs, a saner person for it. Sometimes I made uninterrupted phone calls, and occasionally I cried from the stress of it all.
But eventually I began to use my time efficiently, doing 40 minutes of cardio and either stretching or using the weight machines. I’d been a regular before I had my kids, so getting back in shape wasn’t hard. And just going to a place where I could have myself all to myself was amazing.
Now my children are teenagers, and when I text them through the closed door of their bedroom to say, “Mommy’s going to the gym,” I’m lucky if I get a thumbs-up emoji in reply. But it’s all good, and the gym is still my sanctuary, a place I will forever associate with blissful escape.
Is going out for a run, getting into a downward dog, or doing burpees, jumping jacks, and box jumps a pain in the chest? That uncomfortable bouncing is a sign that your sports bra is not supportive enough—something that can not only hold you back during your workout, but can also be bad for your boobs.
Without good support, breasts move up and down during a workout, which overtime can break down the connective tissue in your breasts. A bra that restricts the movement without suffocating you will keep them healthy. The bra should also be made of breathable and moisture-wicking fabric to reduce the risk of any icky bacteria build-up.
We’ve rounded up three great sports bras for large chests that fit these criteria, tailored to the activities you like to do.
For high-impact training
Livi Active Molded Underwire Sport Bra (starting at $44; lanebryant.com)
If you like to run or do a lot of high-impact training, this is the bra for you. It is designed to give you lots of support with full coverage so you can get right down to the nitty gritty. The thick straps won’t pinch your shoulders, and they are convertible so you can adjust them into a racerback for stealthy support!
For all your cardio training
fullbeauty SPORT Active Bra(Starting at $37; amazon.com)
This sports bra was designed for medium-impact training like the elliptical machine, stair master, walking, hiking, and more. It provides full coverage and features adjustable straps so you can customize the fit perfectly to your needs. Best part: There is a closure in the back so you don’t have to slither out of a sweaty bra post-workout.
Yoga
Wacoal Wire-Free Soft Cup Bra (starting at $20; amazon.com)
Made for ultimate comfort, this bra is best-suited for low impact activities. There is no underwire, but the cups are molded to provide enough support. The full coverage design lets you slip into downward dog (or headstand!) without worrying about your girls running loose. You may even be tempted to swap out your regular bra for this super-cozy alternative!
Not only is�Taraji P. Henson�a powerhouse on screen as Cookie Lyon on the hit Fox series Empire, but the actress has also proven to be one in the gym too. Don�t believe us? Just check out this�video her trainer, Mike T. of Force Fitness Inc.,�shared on Instagram the other day. While we’re tired just watching Taraji get her sweat on, the 46-year-old mom seems to just breeze through this strength circuit.
Lie faceup on a bench, with legs up, knees bent at about 90 degrees and ankles crossed. Hold a dumbbell in each hand on either side of chest; palms face forward. Lift both weights, pushing them straight up until arms are fully extended. Pause for a second, and then lower back to start. Continue repeating.
Biceps Curl in Split Stance
Stand with feet staggered, one foot in front of the other, and knees slightly bent. Hold a dumbbell in each hand in front of body; palms face out. Lean�forward slightly, bend elbows, and curl�dumbbells toward shoulders. Slowly lower weights back down to start, and then repeat. Alternate stance�with each set.
Seated Chest Fly
Adjust seat height on machine so that handles are at chest height. Sit tall with feet planted on floor and middle and lower back touching the back of the seat. Maintaining a slight bend in elbows, squeeze the handles, bringing them in toward one another until hands meet. Pause, and then slowly open arms back out to start. Continue repeating.
Single Arm�American Kettlebell Swing
Stand with feet slightly wider than shoulder-width apart and knees bent into a half-squat. Grasp kettlebell with one hand so it hangs between (and slightly behind) calves. Come up out of squat, letting kettlebell swing until arm is extended straight up over head, and then bend at hips and knees to squat back down as�the kettlebell swings back between legs. Repeat with opposite arm.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
