Wellness
Clinic Wellness Team. A key factor to spine or back pain conditions is staying healthy. Overall wellness involves a balanced diet, appropriate exercise, physical activity, restful sleep, and a healthy lifestyle. The term has been applied in many ways. But overall, the definition is as follows.
It is a conscious, self-directed, and evolving process of achieving full potential. It is multidimensional, bringing together lifestyles both mental/spiritual and the environment in which one lives. It is positive and affirms that what we do is, in fact, correct.
It is an active process where people become aware and make choices towards a more successful lifestyle. This includes how a person contributes to their environment/community. They aim to build healthier living spaces and social networks. It helps in creating a person’s belief systems, values, and a positive world perspective.
Along with this comes the benefits of regular exercise, a healthy diet, personal self-care, and knowing when to seek medical attention. Dr. Jimenez’s message is to work towards being fit, being healthy, and staying aware of our collection of articles, blogs, and videos.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
In October of my junior year of high school, I was at the top of my cross-country game. I was running five to six days a week, knocking more and more time off my mile split, and gearing up for a big race that would finally prove I had what it took to hit varsity status. So when opportunities arose to run a few extra miles and push myself harder, I took them without a second thought.
Then came the day of the race. I’d been noticing some pain and throbbing in my shins for a few days, but assumed I just had shin splints—something I’d dealt with many times in the past. So before my event, I popped a couple of Ibuprofen and visualized myself totally dominating the race. Spoiler: That’s not what happened.
When the race started, I took off and headed to the front of the pack. I kept up my pace as I wove through the trail, adrenaline surging through my body. That is, until about mile 1, when my runner’s high was interrupted by an excruciating pain in my left shin.
I tried to ignore it, unwilling to give up just yet. But the pain only got worse, and soon I was limping. Girls passed me left and right, but I kept hobbling my way across the grassy path until I reached the finish line and collapsed.
Fast forward through two doctor’s visits, an X-ray, and a bone scan. The verdict was that I had seven small stress fractures in my left shin.
My case is certainly nothing out of the ordinary. In fact, ABPM-certified podiatrist Melissa Lockwood, DPM, says nearly one in five runners she sees is for a stress fracture. But why do young, healthy people end up with this injury? Here, she explains what causes stress fractures, and shares tips for preventing and treating them.
RELATED: 7 Running Injuries and How to Avoid Them
What is a stress fracture?
Stress fractures are characterized as “overuse injuries.” They occur when a bone experiences repeated, unusual force, says Dr. Lockwood, who’s based in Bloomington, Illinois: “For example, when runners increase their distance and speed—basically anything that changes the amount of pressure they’re putting on the body.”
Dr. Lockwood typically sees these injuries happen in the metatarsals, which are the small bones right behind your toes, and the lower leg (as in my case). According to the American Academy of Orthopedic Surgeons, more than 50% occur in the lower leg.
While stress fractures are associated with running, “they can also be caused by regular force, if the bones are weakened by other problems, such as osteoporosis or another systematic problem like an eating disorder,” adds Dr. Lockwood. Research suggests women are more susceptible, possibly because they’re more prone to the above-mentioned conditions.
But really, stress fractures can affect anyone. Dr. Lockwood got one in her foot after walking around Disney World all day. (See her X-rays below.)
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What are the symptoms of a stress fracture?
“The biggest thing is to watch for increased pain with increased activity,” says Dr. Lockwood. “Meaning it doesn’t hurt so badly first thing in the morning, but then the more you’re on it throughout the day, or after you go for a run, the pain gets worse, even excruciating.”
Unlike a strain or pull, the ache associated with stress fractures doesn’t tend to resolve itself after a couple of days, or go away with rest. So if you still feel a throbbing pain after sitting down, that’s also pretty good indicator.
But diagnosing a stress fracture can get a bit tricky: “Typically you can’t see a stress fracture on an X-ray until two weeks after the initial injury.” For that reason doctors often order other tests, like an MRI or bone scan, to identify the injury.
If a patient describes stress fracture symptoms, Dr. Lockwood always treats it as one, she says, unless she figures out an alternative explanation.
RELATED: 4 Ways to Ward Off Shin Splints
How can you prevent a stress fracture?
Once you’ve had one stress fracture, it puts you at greater risk for another, says Dr. Lockwood. [Insert un-amused emoji here] But luckily, there are a number of smart strategies you can use to keep your bones healthy.
For starters, invest in solid sneakers. If you’re a runner, head to a running store and find a pair that works optimally for your stride and foot type.
It’s also crucial to retire your shoes after a certain amount of use, Dr. Lockwood warns. Either toss them based on time (no more than 6 months) or miles (no more than 300).
And whether you’re an athlete or not, if you’ve suffered a stress fracture in the past, you may want to consider getting custom orthotics to make sure you’re moving with the right biomechanics, says Dr. Lockwood.
At the time of my own injury, I was stupidly wearing a pair of sneakers that were past their expiration date. So please, don’t make the same mistake, and actually pay attention to your shoes!
Don’t get discouraged
After my injury, I felt really down. I worried that my body wasn’t cut out for running, and that this was a sign I needed to throw in the towel.
But as Dr. Lockwood puts it, “having stress fractures does not mean your running career is over.” It may mean you need to change how you’re training, whether that’s adjusting the distance or frequency of your runs, or running on softer surfaces (think grass vs. concrete).
For me, getting back into running entailed everything Dr. Lockwood mentioned: scaling back my runs, paying better attention to my form, and regularly swapping out my shoes. Today running is still a huge part of my lifestyle. I even run-commute to work sometimes. But I’m much better about listening to my body now, and taking notice when it needs a break.
If you sense that something is off with your body, “don’t sit and wait to get it checked,” says Dr. Lockwood. “Or rather, don’t run and wait.”
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Scroll through Hannah Bronfman’s Instagram feed and you’ll get a nice picture of what healthy living looks like: The 29-year-old DJ and fitness influencer regularly shares snapshots of her killer workouts and stellar skincare regimen with her 364,000 followers. (FYI: She’s obsessed with microcurrent facials.)
But these days, Bronfman’s current motivation to keep up her clean lifestyle is her wedding. She’s tying the knot with fellow DJ and social media star Brendan Fallis this weekend in Morocco.
Bronfman’s idea of wedding prep has nothing to do with detoxing, however. “There’s all this stupid pressure about losing weight for your wedding,” the HBFIT founder told The New York Times earlier this month. “I’m really not into it.”
The soon-to-be bride’s goal is to feel her best on the big day. Here are five ways she has made wellness a top priority during her wedding week.
RELATED: 6 Exercises for Perfect Wedding-Day Posture
Bronfman says she always tries to avoid dairy, but in the last few days, she’s been following a macrobiotic diet while staying at the Sha Wellness Clinic in Spain. She wrote on Instagram that this new way of eating has made her “rethink her diet completely.”
In an Instagram story, Bronfman shared this snap of her and the almost-groom getting cozy on the tennis court. Talk about a perfect match.
After slipping into some killer Adidas gear (Bronfman’s a global ambassador for the brand), she got her “om” on. Not a bad idea to get centered before the wedding craziness begins: “will try to channel the zen to calm my inner hype beast!!” she wrote.
RELATED: 22 Exercises for Toned Arms and Shoulders
Because no skincare enthusiast would be wedding-ready without her go-to products, Bronfman tagged two of her beauty must-haves in this snapshot she posted to her Instagram story yesterday: The Bright Eye Firming mask from Joanna Vargas ($60 for 5 masks; joannavargas.com) and KNC Beauty’s All-Natural, Collagen-Infused lip mask ($25 for 5 masks; birchbox.com).
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Does sipping bubbly in a bathrobe count as self-care? We vote yes.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Ever had a less-than-poised moment on a weight machine, or in a boot camp class? Hey, you’re certainly not the only one. In a recent Reddit thread titled “Stupidest thing you’ve ever done in the gym?” in the XXFitness subreddit, users revealed their most cringeworthy (and often painful) workout moments—from tripping on the treadmill to gym flirting gone wrong. Here are some of the comments that had us giggling. (We recommend you stop reading now if you’re currently on a cardio machine!)
Uneven bar
User Sambeano made the mistake of unloading a heavy barbell on one side, but not the other: “It was resting on the safety bars at the time, at about knee height, with about 30 kgs loaded on the other side. The bar flipped in the air and crashed into a glass door frame … The crash was so loud everyone turned around to look.” Whoops.
Bike dominos
“I thought this bench near some cardio equipment was fixed to the ground for some reason and grabbed onto it to stretch my shoulders out. I flew backwards into a row of eight stationary bikes, knocking them all over like dominoes,” wrote Mpaellen.
Bottom out
Themortalvalkyrie got off a rowing machine with a bruised bum: “My butt fell off the rower. I was [trying to] do sprints and got a little too excited, and at one point I think my butt must have come up a little and the seat flew back and i came down on the bar. But it was funny.” (Another Redditer jumped in, “I wish that thing had a seatbelt!”)
RELATED: 27 Fat-Burning Ab Exercises (No Crunches!)
Nothing to sneeze at
From jazzehcakes: “Once I was running on the treadmill and closed my eyes to sneeze, which caused me to trip, land face first, and fly off the treadmill.”
When exercise balls attack
“I threw an exercise ball on the mini trampoline and it flung back hit my fingers, which then hit my face,” shared another Redditer. “I managed to grab the ball before it caused further chaos. Everyone around me either didn’t notice or pretended not to. I probably looked like an idiot laughing to myself.”
Is this thing on?
Reddutchess15 was new to the exercise scene when she tried out her university’s fancy gym. Feeling a bit intimidated, she decided to “start off easy on the elliptical,” she wrote. “Well, I get to the elliptical, try to push the start button, and nothing. I keep pushing the start button and nothing happens. So, I thought it was broken. Worse, I worried that I would be blamed. So I just left without doing any workout at all. It wasn’t until my friend starting making fun of this other girl for the same reason days later that I realized i was supposed to get on it first.” (Trust us, we’ve been there!)
RELATED: 18 Moves to Tone Your Butt, Thighs, and Legs
Itsy bitsy spider
“Tried to kill a spider while running on the treadmill,” user little—dolly posted. “I lost my balance, fell down, got my shirt caught up and ended up with two scraped knees and treadmill road rash down one side of my face. Oh, and I didn’t get the spider.”
Pee problem
“I peed myself while squatting in a busy gym,” wrote Souponastick. “That wasn’t the worst part. For whatever reason my brain decided I needed to announce it, so as I was coming up from the bottom of the squat I screamed, ‘I’M F****** PISSING MYSELF!’ Everyone looked and watched me clean up my puddle.”
RELATED: 22 Exercises for Toned Arms and Shoulders
Right in the eye
“Saw a cute guy in the gym,” posted Tokyo1964. “I went to take a swig of water just as our eyes met, but accidentally squeezed the bottle slightly and sprayed it into my eye instead.”
Ripped pants
From Blaserea: “Ripped the crotch out of my shorts squatting, even heard it through the headphones.”
Fast and furious
Ever cranked up your speed on a cardio machine to clock a specific number of miles before your time runs out? Phoenixinda attempted this strategy, without success: “Last year I decided to go extra fast on the cross trainer for the last two minutes so that I could get a full 3-mile distance at the end of the 30 minutes. Foot slipped, fell between the pedals, and my foot fractured in three places. I was out for three months … I have been back at the gym, but I just can’t bring myself to even touch the cross trainer.”
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Mistaken identity
Vkm5028 learned the hard way to make sure you actually know the person you’re waving at before you say hi. “Thought I saw a friend of a friend out of the corner of my eye. I was in a goofy mood, and decided to make a goofy face and wave at him. Turns out, it wasn’t the guy who I thought it was, he was on the phone whenever I made the face at him, and I found out he’s a player for the local minor league baseball team and probably thought I was fan-girling at the sight of him.”
Sweat stain
“Worn pale blue leggings,” one user commented. “It looked like I’d [peed] myself half way through my gym session.”
Stuck on you
Wearing athleisure fresh out of the laundry? Make sure there’s no other laundry stuck to it before you leave the house. “I once had a thong static-cling itself to my leggings,” MyShoulderHatesMe posted. “I was at least 20 minutes into my workout before I noticed.”
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Swimming in a pool, lake, or ocean is an excellent way to exercise without feeling like you’re melting in the heat. Plus, it’s a full-body workout that is gentle on the joints. Ironman and USA Triathlon coach Heather Casey shares two quick beginner workouts, one for the pool and one for open water. Before you get started, here are a few helpful tips from Casey:
• Keep water bottles nearby. Just because you don’t feel sweaty doesn’t mean you aren’t losing fluids.
• Invest in some dark-lens or reflective goggles to help block the sun and the glare from the water.
• Swimming in open water? Stay safe by bringing a partner. Warm up on dry land. Remain close to the shoreline, and even if you’re an experienced swimmer, breathe every other stroke. It’s easier to become breathless in open water. If you do, head back to shore at an easy pace.
These workouts burn approximately 367 calories (a 30-minute swim for a 150-pound person).
30-minute pool workout
Interval targets are set by a rate of perceived exertion (RPE) scale of 1 to 10; 10 is the hardest.
The warm up: Go for a 100-yard swim at RPE of 4 to 5, then a 50-yard swim with kickboard at RPE of 5 to 6.
The workout:
• 25-yard swim at RPE of 4; 25-yard swim at RPE of 6
• 25-yard swim at RPE of 6; 25-yard swim at RPE of 4
• 50-yard swim at RPE of 4
• 50-yard swim at RPE of 6
• Repeat these four intervals
• 100-yard swim at RPE of 4 (cooldown)
RELATED: 10-Minute Lower-Body Water Workout
30-minute open-water workout
Dry land warm-up: Arm circles and shoulder shrugs on shore.
Swim warm-up: 8 minutes of 1-minute out-and-back intervals from the shore at RPE of 4.
The workout:
• 4-minute swim at RPE of 4
• 30 seconds treading water
• 2-minute swim at RPE of 6
• 2-minute swim at RPE of 4
• 30 seconds treading water
• 2-minute swim at RPE of 4
• 2-minute swim at RPE of 6
• 30 seconds treading water
• 4-minute swim at RPE of 6
• 30 seconds treading water
• 2 sets of 3-minute swims at RPE of 4, treading for 1 minute in between (cooldown)
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Did you catch Cher’s performance at the Billboard Music Awards on Sunday night? Not only did she hit the stage in a sheer, bedazzled body suit looking incredible, she dropped a little humble-brag about how she stays in such great shape. “I can do a 5-minute plank, okay?” she told the audience.
Yep, 71-year-old Cher can plank longer than most people who are decades younger. This wasn’t the only time the pop icon showed off her devotion to working out and living a healthy, active life. For further proof that Cher is a super-strong badass, check out her top five #fitnessgoals moments throughout her career.
RELATED: 20 Ways to Do a Plank
When she showed us how to be forever fit
Cher came out with a book in 1991 called Forever Fit: The Lifetime Plan for Health, Fitness, and Beauty. The epic cover photo shows her in a knotted gray t-shirt with her black boot placed on a barbell. Besides workout advice, the book featured exercise and weight loss programs, nutrition tips, and her favorite skin-care products. If her current healthy glow is any indication, she knew what she was talking about.
When she wore Spandex for her step aerobics videos
In the early 1990s, Cher released a series of fitness videos called (what else?) CherFitness. The videos featured step routines, ab workouts, and dance cardio sessions, all accessorized with black leotards and Spandex. The beginning of this step routine clip offers some major motivation and truth bombs from Cher. Our favorite: “You don’t have to start off perfect, you just have to start.” Preach!
When she killed it while keeping up with Tina Turner
Okay, so this glittery 1970s dance duet isn’t exactly what we think of as a workout today. But it takes damn hard training and effort to do these moves as perfectly as Cher and Tina do—and in heels to boot. Watch and learn, legends at work!
When she was candid about working out 5 times a week
When Cher was 67, she gave HELLO! magazine a summary of how she stays in shape. “I exercise about five times a week because it’s something I’ve always done and I just enjoy it,” she said. “I don’t like meat and so most of things that I like are healthy for you, apart from desserts. I don’t do drugs and don’t drink very often. I try to play the age card with my trainer but she just doesn’t go for it. My farewell tour was one of the longest tours ever, and I think it would be a tour that would kill a 25-year-old girl now.” Props for not pretending she doesn’t work hard at it.
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When she learned to surf in her 60s
During at interview with E! Online in 2010, Cher spoke about how staying in shape is more difficult now that she’s older, but she’s passionate about trying new activities to keep things fresh and exciting. “You have to work twice as hard. You have to be in the gym all the time. But I like it. When I was young I was a tomboy. I played sports . . . and I’m learning to surf right now. I like that kind of stuff, thank God.”
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Cannabinoids, Natural Health, Wellness
Losing sleep increases the risk of becoming obese, according to a Swedish study. Researchers from Uppsala University say a lack of sleep affects energy metabolism by disrupting sleep patterns and affecting the body’s response to food and exercise.
Although several studies have found a connection between sleep deprivation and weight gain, the cause has been unclear.
Dr. Christian Benedict and his colleagues have conducted a number of human studies to investigate how sleep loss may affect energy metabolism. These studies have measured and imaged behavioral, physiological, and biochemical responses to food following acute sleep deprivation.
The behavioral data reveal that metabolically healthy, sleep-deprived human subjects prefer larger portions of food, seek more calories, show signs of increased impulsivity related to food, and expend less energy.
The group’s physiological studies indicate that sleep loss shifts the hormonal balance from hormones that promote fullness (satiety), such as GLP-1, to those that promote hunger, such as ghrelin. Sleep restriction also increased levels of endocannabinoids, which are known to stimulate appetite.
In addition, their research showed that acute sleep loss alters the balance of gut bacteria, which has been widely implicated as key for maintaining a healthy metabolism. The same study also found reduced sensitivity to insulin after sleep loss.
“Since perturbed sleep is such a common feature of modern life, these studies show it is no surprise that metabolic disorders, such as obesity are also on the rise,” said Benedict.
“My studies suggest that sleep loss favors weight gain in humans,” he said. “It may also be concluded that improving sleep could be a promising lifestyle intervention to reduce the risk of future weight gain.”
Not only is a lack of sleep adding pounds, other research has discovered that too much light while you sleep can also increase your risk for obesity. A British study of 113,000 women found that the more light they were exposed to during sleeping hours, the greater their risk of being fat. Light disrupts the body’s circadian rhythm, which affects sleep and wake patterns, and also affects metabolism.
But getting exposure to light in the early waking hours might help keep weight in check. A study from Northwestern University found that people who got most of their exposure to sunlight, even if it’s overcast, early in the day had a lower body mass index (BMI) than those who got their sun exposure later in the day, regardless of physical activity, caloric intake, or age.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Herbs, Natural Health, Wellness
The herb ashwagandha is one of the most important herbs in Ayurveda, a form of natural Indian folk medicine. It has been used for more than 3,000 years to boost energy and ease stress. And modern research is discovering that this ancient herb can treat a host of modern illnesses.
Ashwagandha’s Latin name, somnifera, means sleep-inducing, and a new Japanese study found that the herb truly does improve sleep.
Researchers at the University of Tsukumba used a neurological test (EEG) to record activity in the brains of mice that were given ashwagandha. They found that an extract of ashwagandha leaf, which was rich in the component triethylene glycol (TEG), significantly increased non-rapid eye movement (NREM) sleep.
The sleep induced by TEG was similar to normal sleep, and researchers believe that ashwagandha could revolutionize the natural plant-based therapies for insomnia and sleep-related disorders, producing natural sleep without side effects.
An earlier study published in Alternative Medicine Review found that volunteers reported an improvement of 66.9 percent in sleep quality. Participants also reported a 42 percent improvement in emotional health and a 45.8 percent improvement in their social life and activities.
In addition to inducing sleep, ashwagandha also provides the following health benefits:
Inhibits Alzheimer’s. Herbal doctors have been using ashwagandha for centuries as a remedy for memory loss, and scientists at the U.K.’s Newcastle University may have discovered why it is effective. They found that ashwagandha inhibits the formation of the beta-amyloid plaques that accumulate in the brains of Alzheimer’s victims.
The study, which was published in Phytotherapy Research examined the effects of water-based ashwagandha extracts on beta-amyloid peptides in test tubes, and found that the herb prevented them from forming clumps, a main characteristic of Alzheimer’s.
In a study conducted at India’s National Brain Research Center on mice with Alzheimer’s, their brain function returned to normal after 30 days of treatment, and the amyloid plaques in their brains decreased.
Another study published in the Chemical Pharmacy Bulletin found that ashwagandha inhibits acetylcholinesterase, the enzyme that breaks down the neurotransmitter acetylcholine. (Neurotransmitters are chemicals made by nerve cells that send signals to other cells.) Current drugs prescribed to treat Alzheimer’s disease target this mechanism.
Reduces stress. A 2012 Indian study of people with chronic stress found that taking ashwagandha supplements for two months lowered stress by 44 percent and eased depression and anxiety by 72 percent. Tests showed that blood levels of cortisol — the stress hormone — were reduced substantially.
The study, which was published in the Indian Journal of Psychological Medicine concluded that the herb was safe and “effectively improves an individual’s resistance towards stress and thereby improves self-assessed quality of life.”
Aids weight loss. A 2016 double-blind, randomized, placebo-controlled study of stressed volunteers found that ashwagandha reduced stress and food cravings and also helped subjects lose weight. The eight-week study was published in the Journal of Evidence-Based Complementary & Alternative Medicine.
Fights cancer. Studies show that ashwagandha slows the growth of many types of cancer cells. It works in multiple ways to prevent or slow cancer. In a study published in PLoS One, mice with ovarian cancer that were treated with ashwagandha either alone or with an anti-cancer pharmaceutical reduced tumor growth by 70 to 80 percent and also prevented the cancer from spreading to other parts of the body.
A 2011 study published in Biochemical Pharmacology found that ashwagandha was effective against four types of cancer — lung, colon, breast, and central nervous system (CNS) lymphoma — and a steroidal component of the herb called withaferin A showed a stronger effect on breast and colon cancer cell lines than the chemotherapy drug Adriamycin.
Other studies have found that ashwagandha also protects normal cells against cancer, shelters normal cells from being harmed by chemotherapy, and stops the growth of new blood vessels that help cancer grow and spread.
