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.
Primary care optometrists and ophthalmologists may sometimes fail to detect age-related macular degeneration, the most common cause of vision impairment in the elderly, a recent U.S. study suggests.
Researchers examined data on a total of 1,288 eyes from 644 older adults who got what’s known as a dilated eye exam, when clinicians widen the pupils with eye drops to let in more light and get a better look at the retina in back of the eyeball.
Based on these exams, none of the participants were diagnosed with age-related macular degeneration by primary care optometrists and ophthalmologists. But when retina specialists took another look, they diagnosed the eye disorder in 25 percent of cases.
“To our knowledge, this is the first study to address the extent to which age-related macular degeneration (AMD) is under-diagnosed by primary eye providers in the U.S.,” said lead study author Dr. David Neely, a researcher at Callahan Eye Hospital and the University of Alabama at Birmingham.
“As treatments for the earliest stages of AMD are developed in the coming years, correct identification of AMD in primary eye care will be critical for routing patients to treatment as soon as possible so that the disease can be treated in its earliest phases and central vision loss avoided,” Neely said by email.
About 14 million Americans have age-related macular degeneration, and as the baby boomer population ages, the ranks of patients with this disorder are expected to swell, the researchers note in JAMA Ophthalmology.
It happens when a part of the retina called the macula gets thinner with age. Over time, people with the condition can lose what’s known as central vision, or the ability to see things in detail when facing them head on. They can become unable to read books or see the road well enough to drive a car, but they may retain some peripheral vision.
There’s no cure, but there are some medications and laser procedures on the eye that can sometimes slow the progression of the disease and help avoid extensive vision loss. Eating plenty of leafy greens and avoiding cigarettes may help prevent the condition from developing.
Patients in the current study were 69 years old on average. They were seen by one of 31 primary eye care providers in Birmingham, Alabama, between 2009 and 2011.
They were more likely to have undiagnosed age-related macular degeneration if they were older, male or had less than a high school education.
One limitation of the study is that results from practices in one region might not necessarily reflect how accurately age-related macular degeneration would be diagnosed elsewhere, the authors note.
There’s also wide variation in severity with this condition, said Dr. David Parke II, chief executive officer of the American Academy of Ophthalmology.
“It’s a little like a person saying `I have high blood pressure,’” Parke, who wasn’t involved in the study, said by email. “It can be just borderline high and difficult to detect or it can be dangerously high leading to a high risk of stroke or heart attack.”
It’s not surprising that good quality, high magnification images of the macula interpreted by a trained ophthalmologist retina specialist catch more subtle changes in the eye, Parke added. But it’s also more expensive than traditional dilated eye exams done by primary eye care providers and won’t necessarily catch many additional cases of AMD in people who don’t have symptoms, he said.
As the condition worsens, some previous research suggests that nutritional supplements with ingredients including zinc, copper, and vitamins C and E may help minimize vision loss.
“For many patients with more severe AMD the use of nutritional supplements can reduce the subsequent rate of worsening of AMD and vision loss,” said Dr. Paul Lee, director of the W.K. Kellogg Eye Center at the University of Michigan in Ann Arbor.
“One piece of good news is that AMD is generally something that progresses over years, so that if detected on the next visit, there is still the opportunity to have the therapy started then,” Lee, who wasn’t involved in the study, said by email.
“You can do anything for 20 seconds.” You might have heard that line in a workout class or on Daily Burn 365, when a trainer wants you to focus on an exercise, drive through the burn and push past what you think are your limits. Well, there’s a reason they want you to go short but hard. You only need to push at your max effort for 20 seconds to conquer a Tabata— a training technique founded by scientists back in the late 90s. Research still says this method improves your VO2 max and offers mega cardio benefits, not to it mention blasts calories fast.
Tabata workouts—a form of HIIT—specifically involve putting in 20 seconds of serious work, then resting for 10 seconds. You repeat this work-to-rest ratio for eight rounds. (Yes, that means you can get a solid workout in just four minutes.) Better yet, you can incorporate almost any exercise into a Tabata format (as long as you’re going at an intense effort), and you don’t need weights or a lot of space.
So, still thinking you have no time to squeeze in a workout? Put this total-body Tabata workout, courtesy of Daily Burn 365 trainer Prince Brathwaite, to the test today. You won’t even have to leave your living room.
Meet your new time-saving, body-burning, calorie-scorching workout. In true Tabata form, you’ll do the two exercises below for 20 seconds each, resting for 10 seconds in between. Repeat for eight rounds, alternating moves, so you hit a total of eight minutes. Do this whenever you can fit it in, and get ready to get fit.
How to: Start standing with feet hip-width apart (a). Quickly drive your knees up to your chest as you move toward your right side. Pump your arms so opposite arm comes up with opposite leg (b). After three steps, pause for a second, then drive off your toes and take three steps in the other direction (c). Continue powering through for 20 seconds.
How to: Start standing with feet hip-width apart (a). Push your hips back and drive your butt down to perform a squat(b). Without standing back up, place your hands on the ground and walk them forward so you hit a high plank(c). Perform a push-up, with your body in a straight line from shoulders to ankles (d). Walk your hands back in toward your feet, then stand up (e). Repeat.
This weekend, Nike will stage an intriguing human experiment with the hopes of breaking the two-hour barrier for the marathon. Using a combination of advanced running apparel and an army of pacers on a 2.4-kilometer loop at the Autodromo Nazionale Monza complex just outside of Milan, Italy, the sportswear giant looks to shave two minutes and 27 seconds off the fastest recorded time ever run by a man.
Dennis Kimetto currently owns the world record with his 2:02:57 victory at the 2014 Berlin Marathon. He is an Adidas athlete and has struggled with injuries in the past two years, so no sub-two hour marathon attempt has been tied to him, but his sponsor is working on its own sub-two shoe after having outfitted the last four world record holders.
Nike has taken the largest step forward in the sub-two arms (and footwear) race by staging the attempt under its own parameters and enlisting Eliud Kipchoge, Lelisa Desisa and Zersenay Tadese tackle one of the biggest queries of elite running.
The athletes have been in Monza since about Monday morning. A photo leaked on Twitter of one of the strategists explaining the pacing plan for 18 runners�which includes Olympic medalist Bernard Lagat and elites from the renowned Nike Bowerman Track Club�and it appears there will be runners alternating segments while remaining six at a time on the course with the three stars.
Social media posts out of Monza have the pacers and their agents targeting the attempt on Saturday, May 6, which would be the 63rd anniversary of Roger Bannister breaking the four-minute mile. A window from May 6 to 8 has been set by Nike to select the day with the most favorable weather.
Here�s a look at the r�sum�s and credentials for the three protagonists of the attempt:
?Eliud Kipchoge
Age: 32 Country: Kenya Personal Bests: 2:03:05, 2016 London Marathon Accolades: 2016 Olympic marathon gold medalist, 2008 Olympic 5,000-meter silver medalist, 2004 Olympic 5,000-meter bronze medalist, four-time world championship medalist (includes cross country and indoors), 2014 Chicago Marathon champion, 2015 Berlin Marathon champion, 2015 and 2016 London Marathon champion
Kipchoge enters the attempt as arguably one of the greatest marathoners in history. His personal best of 2:03:05 is the fourth-fastest time over 26.2 in history and the third-fastest over a standard course. By running in Nike�s Breaking2 project, we didn�t get to see Kipchoge try to win is third consecutive London Marathon or a clash between him and 2:03:03 man Kenenisa Bekele of Ethiopia. Kipchoge has proven he can win so Nike recruited him to go for time while probably also throwing him a large check to pass on appearance fees and potential prize money. Kipchoge was also the first of the three selected runners to receive the Zoom Vaporfly Elite shoes that will be worn in the attempt. He�s been instrumental in the company�s tailoring of the footwear to meet his needs and performance.
According to early reports out of Kenya, Kipchoge followed most of his regular training that made him successful in his marathon career thus far. He�s won seven of his eight career marathons and in the one that he didn�t win, he finished second to Kenyan Wilson Kipsang, who won in a then-world record time of 2:03:23.
LetsRun.com paid a visit to Kipchoge and filmed one of his workouts back in March
Kipchoge ran 59:17 in Monza seven weeks ago, when Nike staged an unofficial half-marathon to show off its new shoes. He told Runner�s World that it was about a 60% effort on his part.
Pacing is going to be critical in the attempt and it would be a bad sign for Kipchoge and the leaders to cross the half-marathon mark in over 60 minutes. Kimetto�s world record has an outlier of a 14:09 split at 35-kilometers, which is a large part why he negative split in the race and why attempts to go out hard and hang on haven�t worked as well. Sports scientist Ross Tucker noted on Twitter that 14:13 per 5K is the pace for a sub-two yet a 14:14 has happened only 10 times in fastest 90 marathon winners in history. It�s a tall order for Kipchoge but of the three, he�s the most probably to come the closest to under two-hours� yet that could still be a high-2:01 or low-2:02.
?Zersenay Tadese
Age: 35 Country: Eritrea Personal Bests: 58:23 for the half marathon (WR), 2:10:41 for the marathon (2012 London Marathon) Accolades: Half marathon world record holder, 2004 10,000-meter Olympic bronze medalist, 2009 10,000-meter World Championship silver medalist, five-time World Half Marathon Championship gold medalist, seven-time World Cross Country Championship medalist
The marathon has not been good for Tadese. Asking him to cut more than 10 minutes off his personal best sounds like a lot even for special shoes. He is probably the most unlikely of the group to be the one to break two-hours for the marathon but could be serving as an unofficial pacer to stick with Kipchoge and Desisa for as long as possible. In his attempt to debut at the 26.2 distance, Tadese dropped out of the 2009 London Marathon at about 35K. He finished the race in 2010 with a disappointing 2:12:03. His personal best remains 2:10:41 from the 2012 London Marathon, which put him at a distant 14th place. His last attempt at 26.2 came in 2014 and was another DNF but this time in Chicago and just after the half. Nike hasn�t affirmed it, but Tadese essentially serves as the best pacer (one with world record credentials) for Kipchoge and Desisa for maybe 25K to 30K. Tadese ran 59:41 behind Kipchoge in the Monza test run.
Lelisa Desisa
Age: 27 Country: Ethiopia Personal Best: 2:04:45, 2013 Dubai Marathon Accolades: Three-time Boston Marathon champion, 2013 World Half Marathon Championship silver medalist
Desisa has competed in 11 marathons since he started contesting the 26.2 distance in 2013. His first one at the 2013 Dubai Marathon was a 2:04:45 victory and it remains his fastest. His next-fastest was a 2:05:52 at the 2015 Dubai Marathon, but those are the only two occasions in which he�s run under 2:06. His most recent run resulted in a DNF at the 2016 New York City Marathon and so his other completed marathons have been tactical or unpaced affairs that have resulted in podium finishes or victories on the marathon majors circuit. Desisa struggled in the test run in March and fell off the sub-two pace less than halfway through and finished in 62:55, If he could somehow find that 2013 marathon form, he would hang late into the attempt with Kipchoge and maybe serve as a pacer through 35K. That�s a big �if� though.
Given that we didn�t see any official races from these three runners ahead of the attempt, it�s really hard to assess their fitness and come up with any percentage of a chance. There�s the mental factor that comes with having run 17 laps around the course. There�s also the element of fueling and hydration that takes place within the body. Weather is another uncontrollable variable. Nike got the attention it wanted while also remaining secretive on a lot of details up until the week of the attempt. With millions watching, it�s on three men to deliver in the ultimate race against the clock.
Looking to take your burpees to the next level? If you’ve mastered this basic go-to fitness move, you have to try this challenging new version demoed by Nike trainers Kirsty Godso and Lauren Williams, AKA the “Pyro Girls,” on Instagram this week.
What makes their burpee upgrade so hot? “It challenges core and shoulder stability and strength differently from a regular burpee,” explains Williams. “You have to balance the explosiveness of the tuck with shoulder stability and core strength so you can do the move with control and grace.”
Up for the challenge? Here’s how to do it: Start with your feet hip-width apart. Then place both hands on ground and jump both feet back, going into a plank. Jump both legs up into the air while bending knees to bring feet toward butt (think donkey kick). Hop legs back out to a plank, and then jump feet in toward your hands. As you stand, explode up, bringing knees into chest. Land softly, and then immediately repeat the entire sequence. If you’re feeling extra cool, grab a buddy and try doing this move in tandem like Godso and Williams.
Yep, it’s just as intense as you think. (We know, we tried it!) Need a modification? Williams suggests just jumping your feet back up to your hands instead of attempting the full-blown donkey kick.
Doctor of Chiropractic, Dr. Alexander Jimenez reveals what the popping sound is during a spinal adjustment.
Chiropractic Care &�Back Pain
Has this happened to you? You are at the chiropractor getting treatment for your own back pain, and during a spinal adjustment, a sizable popping sound is heard by you. It seems somewhat alarming, does not it? Rest assured, though: That pop within a chiropractic spinal adjustment is totally ordinary.
During a back adjustment, your back experiences rapid, mild stretching of the spinal joint, which means you may hear a snapping or popping sound. This really is brought on by little pockets of air or bubbles, which are in the fluid that surrounds your joints. When joint tissues are extended throughout a chiropractic adjustment, the pockets of atmosphere “pop,” which creates that cracking sound you hear.
Following this treatment, you could feel in your back for more movement. But, the muscles may still be raw and tight.
Your chiropractor might also incorporate other chiropractic care treatments like muscle therapy. You must notice more back pain relief with each session.
Your chiropractor could also advocate preventive care, including specific exercises, and he/she might give you ergonomic tips on the best way to accurately bend and lift, in addition to how to take good care of your back while at your desk (if you work in a office). Doing specific exercises and maintaining good posture might help keep movement that is healthy in your back.
Is Chiropractic Care Right For You?
It is crucial that you consider that chiropractic care is not a cure all for all conditions that are back. Some backbone conditions that cause back pain may require a combination of treatments, or other treatments, for example surgery and drugs.
But in the event you have a condition that causes pain back and you need to test a non-operative treatment, chiropractic care can be an excellent treatment choice for you personally. But remember, you need to not be alarmed by a popping noise during a spinal adjustment�it’s ordinary in chiropractic care.
Medical researchers have discovered a naturally occurring compound the human body produces that can speed DNA repair, combat disease, and may turn back the clock on aging.
The compound — called NAD+, which is present in all cells — plays a key role in regulating protein interactions that control DNA repair.
An international group of scientists predicts the team’s discovery of NAD+ will lead to a new drug to reverse aging, speed DNA repair, and even keep astronauts healthy on long space flights.
A leading member of research team — geneticist Dr. David Sinclair, whose team is based at Harvard Medical School and the University of New South Wales in Sydney, Australia — said the first human trials of a therapy based on the compound will begin within six months.
Twenty-five volunteers will be injected with a substance to verify its health and longevity benefits. If the trial turns out successfully, larger scale human trials will be conducted in the United States, Australia, and possibly other countries.
“Then we really get serious,” Sinclair tells Newsmax Health.
NAD+ is what’s known as a metabolite — a substance naturally found in our bodies which are vital for metabolism. It is present in all cells and plays a key role as a regulator in protein-to-protein interactions controlling DNA repair.
Sinclair’s laboratory research involved using NMN — a NAD+ precursor or “booster” — which the team has shown is successful in improving cells’ ability to repair DNA damage caused by radiation exposure (including sunlight) and old age.
The team’s lab work found that mice, injected with NMN, appeared more youthful — at the cellular level — in a variety of standard biological tests.
“The cells of the old mice were indistinguishable from the young mice after just one week of treatment,” Sinclair says.
“This is the closest we’ve come to a safe and effective anti-aging drug that’s perhaps only three to five years away from being on the market, if the [human] trials go well.”
The research project has come to the attention of the National Aeronautics and Space Administration (NASA), which has asked to be kept fully briefed on progress because of the possibility of using the substance to keep its astronauts healthy during long space missions, which can speed up aging processes.
Another group that stands to benefit: Survivors of childhood cancers.
According to Dr. Lindsay Wu, a University of New South Wales-based member of the research team, 96 percent of childhood cancer survivors suffer a chronic disease by age 45.
These include cardiovascular diseases, Type 2 diabetes, Alzheimer’s disease, and various cancers unrelated to their childhood cancers.
“All of this adds up to the fact they have accelerated aging — which is devastating,” Wu says. “It would be great to do something about that — and we believe we can with this molecule.”
For the past four years, Sinclair, Wu, and others on the research team have been working with biomedical companies with the aim of making NMN into a drug substance that can be used on patients. It will act by boosting the effectiveness of the body’s own NAD+.
The research was reported in a recent issue of the journal Science.
As well as delaying the onset of visible signs of aging, Sinclair believes the compound could have a great “impact on health and longevity.”
“We took mice that were 20 months old, which is equivalent to a 60- [to] 70 year-old human and we gave them NMN and we found that . . . many aspects of aging were reversed,” Sinclair notes.
“Their DNA repair activities went up to youthful levels and they were more resistant to radiation and should therefore be more protected against cancer and aging itself.”
People with celiac disease have to avoid most grains, but oats may be an exception that’s safe, according to a recent research review, so long as the oats are uncontaminated by traces of other grains.
More studies are needed to see whether so-called pure oats available in the real world don’t provoke celiac symptoms. If proven safe, oats could provide celiac sufferers some of the benefits of eating grains that they miss out on following a gluten-free diet, researchers say.
“Oats, compared to other cereals, are a source of good quality proteins, vitamins and minerals and they improve palatability and the texture of gluten-free food,” said study coauthor Dr. Elena F. Verdu.
“For a person diagnosed with celiac disease, adding oats to a gluten-free diet could not only increase food options but also help them follow a better gluten-free diet and have a higher quality of life,” said Verdu, a gastroenterology researcher at the Farncombe Family Digestive Health Research Institute at McMaster University in Hamilton, Canada.
Celiac disease is an autoimmune disorder that affects roughly one of every 100 people in the U.S. For sufferers, consuming even trace amounts of the gluten protein in wheat, barley and rye can trigger an immune response that damages the intestines. Over time, this immune attack can lead to malnutrition, osteoporosis, chronic inflammation and a variety of other problems.
People with celiac disease are also at heightened risk of heart disease and some recent research suggests that might be in part because avoiding gluten causes them to miss out on the heart-protective benefits of eating whole grains.
Oats don’t contain the same celiac-provoking protein found in other grains, the study team writes in the journal Gastroenterology. However, Verdu told Reuters Health, issues have been raised regarding potential adverse reactions to oats by celiac patients, and this has reduced the enthusiasm of adding oats to the gluten-free diet in many cases.
“The first study suggesting that oats may be harmful for patients with celiac disease was published more than 50 years ago. Since then, the addition of oats to a gluten-free diet has remained clouded in controversy,” she said in an email.
For this reason, the review team decided to evaluate the existing evidence. They re-analyzed data from 28 previous studies that included oats in gluten-free diets for people with celiac disease. Eight of the studies were controlled clinical trials; the rest were observational.
The researchers looked at any negative effects on symptoms or blood tests for up to one year of oat consumption.
“In our study, we found no evidence that addition of oats to a gluten-free diet affects symptoms or activates celiac disease. However, it is very important to stress that there were few studies in some of the analyses, the quality of the studies was low and most of them were conducted outside of North America,” Verdu said.
Although the consensus is that pure oats are safe for most patients with celiac disease, contamination with other cereal sources that may contain gluten needs to be avoided, Verdu added.
“The purity of oats will depend on the country of origin and local regulations, and this is why we were surprised to see that most recommendations in North America are still based on studies performed in Europe,” she said.
“Patients who follow a gluten-free diet are sometimes able to consume small quantities of gluten-free oats without adverse reaction,” said Hannah Swartz, a clinical dietitian at Montefiore Medical Center in New York who wasn’t involved in the study.
“Patients who have the most success with including oats in their diet ensure the oats are certified gluten free, and wait one or more years after following a gluten free diet to ensure that gut inflammation has subsided,” she said.
“Patients with celiac disease must first ensure that the oats they are adding are certified gluten free oats. Regular oats used in products that are labeled ‘gluten free’ such as some mainstream cereals are not recommended for patients with celiac disease as there remains the possibility of cross contamination with gluten containing grains during the processing of the oats,” she said.
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