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Mindful Eating Healthy Food Connection: Back Clinic

Mindful Eating Healthy Food Connection: Back Clinic

Mindful eating involves paying attention to what and how individuals eat, helping to become more aware of the body’s natural hunger and satisfaction cues. The process can help individuals become aware of the reasons behind their hunger and help to reduce cravings, control portion sizes, and develop long-term healthy eating habits.Mindful Eating Healthy Food Connection

Mindful Eating

It’s easy to rush through meals and snacks without pausing to enjoy the experience while refueling the body. Like meditation, individuals focus on what they are eating, how it smells, tastes, and the bodily sensations experienced. It is a way of checking in with the mind and body throughout a meal or snack. Mindful eating puts the individual in touch:

Benefits

Individuals do not have to go all-in but can adopt some principles of slowing down and tuning into the body to improve health. Benefits include:

Better Digestion

  • Slowing down and chewing food properly makes it easier to digest.

Improved Nutrition

  • Fast foods can cause a feeling of sluggishness and bloating.
  • Eating nutrient-packed meals provides more energy.
  • Improved nutrition means improved immune system health.
  • The awareness reinforces making healthier choices.

Satisfaction After Meals

  • Rushing to finish a meal means not enjoying the flavors and texture factors that can generate a sense of fullness and satisfaction.
  • Training the mind and body to be truly satisfied with meals and snacks leads to less stress and less craving.

Healthier Food Relationship

  • The body needs food physiologically for fuel and nourishment.
  • Individuals also develop emotional attachments to food associated with experiences and memories.
  • Addressing all aspects and influences in food relationships allows individuals to become more aware of their learned behaviors, perceptions, emotions, and mindsets.
  • Identifies behaviors that are not beneficial so the individual can work to improve them.

Improved Cardiometabolic Health

Mindful or intuitive eating has been shown to improve:

  • Blood sugar levels in pregnant women.
  • Inflammatory markers in postmenopausal women.
  • Lipid and blood pressure in overweight adults.

Food Consumption Health

  • Put away electronics and set aside time and space for eating only.
  • Eat in a setting where you are relaxed.
  • Eating in the car, in front of a computer while working, or on the phone doesn’t give full attention to the eating process and, as a result, can cause the individual to eat more or eat foods that are not healthy.
  • Sit down and take a few deep breaths before starting the meal.
  • If emotions are running high and are geared towards eating, see if you can acknowledge and express those emotions rather than eat through them.
  • This will help the digestive process and get the most out of the meal.
  • Eat a palette of colors, sample various salty, sweet, spicy, and umami/savory flavors, and take in the food with all the senses.
  • Not eating a variety of flavors at a meal can cause a feeling of missing something that can lead to unhealthy cravings.
  • Eat with others, as sharing food can enrich everyone involved and help focus on the experience, not the amount of food consumed.
  • Chew thoroughly, as digestion begins in the mouth, where enzymes are secreted in saliva to break down food.
  • Not properly chewing and making the food smaller can cause indigestion and other digestive problems.
  • Listen to your body and recognize when you have had enough or want more.
  • Waiting five minutes before getting another serving can help the body become more attuned to hunger and fullness cues.

Eat Mindfully


References

Cherpak, Christine E. “Mindful Eating: A Review Of How The Stress-Digestion-Mindfulness Triad May Modulate And Improve Gastrointestinal And Digestive Function.” Integrative medicine (Encinitas, Calif.) vol. 18,4 (2019): 48-53.

Espel-Huynh, H M et al. “A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale.” Obesity science & practice vol. 4,3 238-249. 28 Feb. 2018, doi:10.1002/osp4.161

Grider, Hannah S et al. “The Influence of Mindful Eating and/or Intuitive Eating Approaches on Dietary Intake: A Systematic Review.” Journal of the Academy of Nutrition and Dietetics vol. 121,4 (2021): 709-727.e1. doi:10.1016/j.jand.2020.10.019

Hendrickson, Kelsie L, and Erin B Rasmussen. “Mindful eating reduces impulsive food choice in adolescents and adults.” Health psychology: official journal of the Division of Health Psychology, American Psychological Association vol. 36,3 (2017): 226-235. doi:10.1037/hea0000440

Morillo Sarto, Hector, et al. “Efficacy of a mindful-eating program to reduce emotional eating in patients suffering from overweight or obesity in primary care settings: a cluster-randomized trial protocol.” BMJ open vol. 9,11 e031327. 21 Nov. 2019, doi:10.1136/bmjopen-2019-031327

Nelson, Joseph B. “Mindful Eating: The Art of Presence While You Eat.” Diabetes spectrum: a publication of the American Diabetes Association vol. 30,3 (2017): 171-174. doi:10.2337/ds17-0015

Warren, Janet M et al. “A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviors: effectiveness and associated potential mechanisms.” Nutrition research reviews vol. 30,2 (2017): 272-283. doi:10.1017/S0954422417000154

Blood Test Diagnosis Ankylosing Spondylitis Back Clinic

Blood Test Diagnosis Ankylosing Spondylitis Back Clinic

Diagnosing ankylosing spondylitis usually involves multiple tests. When doctors order blood tests to diagnose ankylosing spondylitis, an individual is experiencing worsening symptoms in their back and joints. Often, a blood test diagnosis means the doctor is looking for evidence of anything else that could be causing the symptoms. However, blood tests by themselves cannot definitively diagnose ankylosing spondylitis, but when combined with imaging and assessment, they can provide important clues that point to the answers.Blood Test Diagnosis Ankylosing Spondylitis

Ankylosing Spondylitis Blood Test Diagnosis

Ankylosing spondylitis is arthritis that primarily affects the spine and hips. It can be difficult to diagnose as no single test can provide thorough information for a definitive diagnosis. A combination of diagnostic tests are utilized, including a physical exam, imaging, and blood tests. Doctors are not only looking for results that will point to ankylosing spondylitis, but they are looking for any results that might point away from the spondylitis results that might provide a different explanation for symptoms.

Physical Exam

The diagnostic process will begin with the individual’s medical history, family history, and physical exam. During the exam, the doctor will ask questions to help rule out other conditions:

  • How long have symptoms been presenting?
  • Do symptoms get better with rest or exercise?
  • Are the symptoms getting worse or staying the same?
  • Are the symptoms worse at a particular time of day?

The doctor will check for limitations in mobility and palpate tender areas. Many conditions can cause similar symptoms, so the doctor will check to see if the pain or lack of mobility is consistent with ankylosing spondylitis. The feature sign of ankylosing spondylitis is pain and stiffness in the sacroiliac joints. The sacroiliac joints are located in the lower back, where the base of the spine and pelvis meet. The doctor will look at other spinal conditions and symptoms:

  • Back pain symptoms caused by – injuries, posture patterns, and/or sleeping positions.
  • Lumbar spinal stenosis
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Diffuse idiopathic skeletal hyperostosis

Family History

  • Family history plays a part in diagnosis because of the genetic element of ankylosing spondylitis.
  • The HLA-B27 gene corresponds with ankylosing spondylitis; if an individual has it, one of their parents has it.

Imaging

  • X-rays often serve as the first step to a diagnosis.
  • As the disease progresses, new small bones form between the vertebrae, eventually fusing them.
  • X-rays work best at mapping the disease progression than the initial diagnosis.
  • An MRI provides clearer images in the early stages as smaller details are visible.

Blood Tests

Blood tests can help rule out other conditions and check for signs of inflammation, providing supportive evidence along with the results of imaging tests. It typically only takes about a day or two to get the results. The doctor may order one of the following blood tests:

HLA-B27

HLA-B27 test.

  • The HLA-B27 gene reveals a red flag that ankylosing spondylitis could be present.
  • Individuals with this gene have a much higher risk of developing the condition.
  • Combined with symptoms, other labs, and tests, it can help confirm a diagnosis.

ESR

Erythrocyte sedimentation rate or ESR test.

  • An ESR test measures inflammation in the body by calculating the rate or how fast red blood cells settle to the bottom of a blood sample.
  • If they settle faster than normal, the result is elevated ESR.
  • That means the body is experiencing inflammation.
  • ESR results may come back high, but these alone do not diagnose AS.

CRP

C-reactive proteinCRP test.

  • A CRP test checks CRP levels, a protein associated with inflammation in the body.
  • Elevated CRP levels signal inflammation or infection in the body.
  • It is a useful tool for measuring disease progression after diagnosis.
  • It often corresponds with changes in the spine shown on X-ray or MRI.
  • Only 40-50% of individuals with ankylosing spondylitis experience an increased CRP.

ANA

ANA test

  • Antinuclear antibodies, or ANA, go after the proteins in the cell’s nucleus, telling the body its cells are the enemy.
  • This activates an immune response that the body fights to eliminate.
  • A study determined that ANA is found in 19% of individuals suffering from ankylosing spondylitis and is higher in women than men.
  • Combined with other tests, the presence of ANA provides another clue to a diagnosis.

Gut Health

  • The gut microbiome plays an important role in triggering the development of ankylosing spondylitis and its treatment.
  • Tests to determine the gut’s health can give a doctor a complete picture of what is happening inside the body.
  • Blood test diagnoses for ankylosing spondylitis and other inflammatory conditions rely heavily on piecing together different tests alongside clinical exams and imaging.

Causes, Symptoms, Diagnosis, and Treatment


References

Cardoneanu, Anca, et al. “Characteristics of the intestinal microbiome in ankylosing spondylitis.” Experimental and therapeutic medicine vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108

Prohaska, E et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Antinuclear antibodies in ankylosing spondylitis (author’s transl)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.

Sheehan, Nicholas J. “The ramifications of HLA-B27.” Journal of the Royal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102

Wenker KJ, Quint JM. Ankylosing Spondylitis. [Updated 2022 Apr 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470173/

Xu, Yong-Yue, et al. “Role of the gut microbiome in ankylosing spondylitis: an analysis of studies in the literature.” Discovery medicine vol. 22,123 (2016): 361-370.

Back Injuries From Vehicle Collisions Chiropractic Back Clinic

Back Injuries From Vehicle Collisions Chiropractic Back Clinic

Back injuries from vehicle collisions vary from person to person. Common injuries may include strains, sprains, herniated discs, and fractures, and individuals dealing with certain spinal conditions like spinal stenosis may cause the medical condition to accelerate. Still, the force and physical impact the body absorbs during a crash, no matter how minor the accident or how safe the car is, will cause bodily aches and pains with the potential for other spinal conditions. Chiropractic care, massage, decompression, and traction therapy can relieve symptoms and restore mobility and function.

Back Injuries From Vehicle Collisions Chiropractor

Back Injuries From Vehicle Collisions

Depending on how the impact affects the spine, problems can present in various areas of the back. The violent motion can sprain, strain, and fracture spinal components. Even minor incidents can impact mobility. Symptoms can stem from inflammation, compressed nerves, or fractures. Any damage can have long-lasting effects on the vertebrae, nerve roots, and back muscles. A vehicle collision can affect the following:

  • Lumbar vertebrae – lower back
  • Thoracic vertebrae – middle/upper back
  • Cervical vertebrae – neck

Each area consists of bones, tissues, muscles, nerves, tendons, and ligaments extending from the neck to the pelvis.

  • The most common back injuries are to the neck and lower back, where the most movement and shifting occurs, often causing nerve damage.
  • The central placement and rigid structure make middle back injuries less common.
  • Upper back injuries that connect the rib and chest region can affect breathing.
  • Soft tissue injuries might not show up immediately.

Symptoms

After a vehicle collision, it’s common to feel sore all over. The symptoms can range from manageable discomfort to complete immobility. Individuals may experience the following:

Muscle spasms

  • The muscle may repeatedly twitch, feel like hard knots, and feel tender to the touch.
  • Muscle spasms can vary in pain levels from mild to debilitating.

Stiffness

  • Individuals may not feel as flexible because of the muscle tension that activated during the crash to protect the body.
  • Stiffness can go away after light stretching or continue throughout the day.

Burning or Shooting Pain

  • A burning or shooting pain may travel down the back and buttocks through the back of one or both legs.
  • It can be mild, dull aches and pains that go away quickly or last for days.
  • Changing positions, such as sitting up after waking up or standing up after sitting, can cause sharp acute pain.
  • Facet disease may cause neck or shoulder pain.

Discomfort When Walking or Standing

  • Certain physical activities can cause a throbbing sensation or mild pain when attempting to perform various tasks.

Tingling and/or Numbness

  • Tense muscles can pinch nerves leading to sensations of tingling or numbness in the legs, feet, arms, or hands.

Head Issues

  • Headaches, dizziness, or disorientation can present.

Spinal Disorders

Back injuries from vehicle collisions can result in a degenerative disc disorder months or years later. It can also speed up health issues individuals didn’t know they had before the crash. As the body ages, previous damage combined with degeneration can result in:

  • Pinched nerves
  • Sciatica
  • Bulging discs
  • Herniated discs
  • Spinal stenosis
  • Degenerative disc disease
  • Foraminal stenosis
  • Spondylolisthesis
  • Spinal osteoarthritis
  • Bone spurs
  • Degenerative scoliosis

Discogenic pain

  • Damage to spinal discs causes discogenic pain, often sharp impulses or shooting sensations.
  • Individuals can experience symptoms in different ways:
  • Some individuals feel better when standing, sitting, or lying down, while the positions or motions worsen the symptoms for others.

Chiropractic Care and Therapies

Chiropractic treatment can rule out critical issues and expedite recovery time. Benefits include:

Pain Symptom Relief

  • Chiropractic relieves pain in the affected areas and throughout the body.
  • Massaging and decompression release endorphins.

Inflammation Alleviation

  • Micro-tears within the muscles and ligaments are common and cannot be found through a standard x-ray.
  • Spinal adjustments can bring the spine back into alignment, producing natural anti-inflammatory properties to assist with discomfort and heal the tears.

Scar Tissue Breakdown

  • Muscles can get scarred, causing stiffness and soreness.
  • Chiropractic massage targets these areas and breaks down the build-up quicker than if it was left to heal on its own.
  • Less scar tissue means faster recovery.

Range of Motion and Mobility Restored

  • Back injuries can result in restricted mobility.
  • It may be difficult to turn or move when the muscles are inflamed.
  • Mobilizing the spine through adjustments restores the proper range of motion.

Decreased Medication Use

  • Prescription pain medications can turn into dependency.
  • Chiropractic adjustments can ensure that the injury is healed and the pain is not just masked.

Long-Term Benefits

  • Receiving chiropractic care can help prevent minor injuries from worsening into serious and chronic conditions.

Post Whiplash Symptoms


References

Erbulut, Deniz U. “Biomechanics of neck injuries resulting from rear-end vehicle collisions.” Turkish neurosurgery vol. 24,4 (2014): 466-70. doi:10.5137/1019-5149.JTN.9218-13.1

National Spinal Cord Injury Statistical Center. (2020) “Spinal Cord Injury: Facts and Figures at a Glance.” https://www.nspine injurysc.uab.edu/Public/Facts%20and%20Figures%202020.pdf

Rao, Raj D et al. “Occupant and Crash Characteristics of Elderly Subjects With Thoracic and Lumbar Spine Injuries After Motor Vehicle Collisions.” Spine vol. 41,1 (2016): 32-8. doi:10.1097/BRS.0000000000001079

Rao, Raj D et al. “Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions.” The spine journal: official journal of the North American Spine Society vol. 14,10 (2014): 2355-65. doi:10.1016/j.spinee.2014.01.038

Fermented Foods and Gut Health: Functional Back Clinic

Fermented Foods and Gut Health: Functional Back Clinic

Fermentation is a process where bacteria and yeast are used to break down foods. The fermentation process has been around for centuries and was initially produced to preserve foods, improve flavor and eliminate toxins. Research has found that eating fermented foods can also increase the beneficial bacteria/probiotics in the gut. Functional medicine practitioners recommend these foods for their health benefits, including improved digestion, increased immunity, and weight loss and maintenance.Fermented Foods and Gut Health: Functional Medicine Clinic

Fermented Foods

Fermented foods and beverages undergo controlled microbial growth and fermentation in which microorganisms like yeast and bacteria break down food elements like sugars/glucose into other products like organic acids, gases, or alcohol. The process gives fermented foods unique taste, aroma, texture, and appearance. There are many different types of fermented foods, including:

Whole foods like vegetables, fruits, cereals, dairy, meat, fish, eggs, legumes, nuts, and seeds can go through fermentation. These foods are nutritious in their original form, but through fermentation, they can provide probiotic and prebiotic health benefits.

Probiotics

Probiotics are live microorganisms that benefit the gut by creating a more favorable digestive environment. This helps:

  • Digest food easier.
  • Support a healthy immune system.
  • Support organ health – lungs, reproductive organs, skin.
  • Improves mood.

However, not all fermented foods contain probiotics, especially commercially produced foods that are pasteurized, killing bacteria and their associated health benefits.

Prebiotics

Prebiotics are food ingredients that the microorganisms like gut bacteria consume to grow and live, leading to improving the digestive environment. These include:

  • Milk
  • Honey
  • Tomato
  • Garlic
  • Onions
  • Asparagus
  • Wheat
  • Barley
  • Rye

However, most fruits, vegetables, and legumes contain prebiotics.

The Benefits of Fermented Foods

Fermented foods’ health benefits include reduced risk of:

  • Diabetes
  • Inflammation
  • High blood pressure
  • Cardiovascular disease
  • Obesity

They have also been linked to:

  • Better weight management
  • Improved brain activity
  • Increased bone health
  • Faster recovery after exercise and physical activity

There are currently no official guidelines regarding how often individuals should eat fermented foods. It is recommended to consult a nutritionist or dietician to figure out the best nutrition plan for the individual and their needs.


The Science


References

Aslam, Hajara, et al. “Fermented foods, the gut, and mental health: a mechanistic overview with implications for depression and anxiety.” Nutritional neuroscience vol. 23,9 (2020): 659-671. doi:10.1080/1028415X.2018.1544332

Dimidi, Eirini, et al. “Fermented Foods: Definitions and Characteristics, Impact on the Gut Microbiota and Effects on Gastrointestinal Health and Disease.” Nutrients vol. 11,8 1806. 5 Aug. 2019, doi:10.3390/nu11081806

King, Sarah, et al. “Effectiveness of probiotics on the duration of illness in healthy children and adults who develop common acute respiratory infectious conditions: a systematic review and meta-analysis.” The British journal of nutrition vol. 112,1 (2014): 41-54. doi:10.1017/S0007114514000075

Kok, Car Reen, and Robert Hutkins. “Yogurt and other fermented foods as sources of health-promoting bacteria.” Nutrition reviews vol. 76, Suppl 1 (2018): 4-15. doi:10.1093/nutrit/nuy056

Parker, Elizabeth A et al. “Probiotics and gastrointestinal conditions: An overview of evidence from the Cochrane Collaboration.” Nutrition (Burbank, Los Angeles County, Calif.) vol. 45 (2018): 125-134.e11. doi:10.1016/j.nut.2017.06.024

Şanlier, Nevin, et al. “Health benefits of fermented foods.” Critical reviews in food science and nutrition vol. 59,3 (2019): 506-527. doi:10.1080/10408398.2017.1383355

Spondylitis Types Injury Medical Chiropractic Back Clinic

Spondylitis Types Injury Medical Chiropractic Back Clinic

Spondyloarthritis is a group of inflammatory, immune-mediated diseases that cause chronic low back pain, inflammation, irritating aches, and pains. The conditions mostly affect the spine but can affect joints in the arms, legs, hips, skin, eyes, and intestines. Spondylitis types can significantly affect daily function, physical activity and compromise bone health.Spondylitis Types

Spondylitis Types

The main types include:

  • Ankylosing spondylitis
  • Psoriatic arthritis
  • Enteropathic arthritis
  • Reactive arthritis
  • Juvenile spondylitis
  • Undifferentiated spondylitis

Axial Spondylitis vs. Peripheral Spondylitis Types

Spondylitis conditions are classified as axial – axSpA or peripheral – pSpA.

  • Axial means relating to the body’s central region, as in the trunk and head.
  • Axial spondyloarthritis is arthritis and inflammation in the hips and spine.
  • The condition starts before age 45.
  • The pain typically starts in the low back but can begin in the neck or other regions.
  • Characterized by back pain, usually in the lower back and/or buttocks.
  • Morning back stiffness lasting 30 minutes or longer.
  • Sacroiliac joint inflammation can also present.
  • The back pain gradually progresses.
  • Lasts longer than three months.
  • Improves with physical movement, not with rest.
  • Peripheral spondyloarthritis is arthritis and inflammatory pain in the peripheral joints and tendons and does not include the spine.
  • Individuals can have peripheral and axial spondylitis symptoms simultaneously.
  • Diagnosis depends on whether symptoms are primarily peripheral or axial.

Spondylitis and Spondylosis

Spondylosis and spondylitis are similar in they cause pain and inflammation in the back and hips. The difference is in each condition’s triggers.

  • Spondylitis is a disease in which the body’s immune system degrades joints, causes inflammation, overproduces bone formation, and causes bone fusion.
  • Spondylosis is a category of arthritis that presents as the spine ages from normal wear and tear.
  • It happens during the degeneration of the spine’s discs and joints.
  • It also presents when bone spurs develop on the spine’s vertebrae.

Ankylosing Spondylitis

Ankylosing spondylitis is the most common form of arthritis affecting the spine, other joints, and body regions. The condition causes spinal joint inflammation causing extreme discomfort and chronic pain. In some cases, the inflammation progresses to ankylosis, where spine sections fuse and become immobile. Other body areas that can trigger inflammation include:

  • The ribs
  • Heels
  • Shoulders
  • Hips
  • Small joints of the feet and hands.

Ankylosing spondylitis symptoms vary from person to person. Common early symptoms include:

  • There is general discomfort, appetite loss, and mild fever early in the condition.
  • Persistent stiffness and pain in the buttocks and low back, gradually progressing over a couple of weeks or months.
  • The pain and stiffness can travel into the neck and spine within months or years.
  • The pain is usually spread out and dull.
  • The stiffness and pain are worse in the morning and night and improve with light exercise or a warm shower.
  • The pain typically becomes chronic, lasts for a minimum of 3 months, and can be felt on both sides.
  • Tenderness and pain in the hips, thighs, shoulder blades, heels, and ribs may also occur.

Treatment approaches include applications of ice and heat to reduce swelling, increase circulation, and decrease joint pain, posture exercises, stretches, physical therapy, and medication.

Psoriatic Arthritis

Psoriatic arthritis causes swelling, pain, and inflammation in the small joints of the hands and feet; however, the joints of the knees, ankles, and wrists can also be affected. Psoriasis is a rash that causes scaly skin patches.

  • Individuals can develop dactylitis when a finger or toe swells between the surrounding joints.
  • Spinal stiffness and pain can present.
  • Typically the ends of the finger joints are most affected and experience pain and inflammation.
  • The condition also includes fingernail and toenail symptoms.
  • Medications frequently utilized to treat ankylosing spondylitis can be used.
  • Exercise helps preserve the range of motion and maintain strength.
  • Isometric exercises work muscles without joint motion reducing the risk of further injury to inflamed joints.
  • Occupational and physical therapy can significantly assist in optimizing arthritic joint function.

Enteropathic Spondylitis

Enteropathic Arthritis is chronic inflammatory arthritis linked to inflammatory bowel disease. The most recognized are Crohn’s and ulcerative colitis.

  • The peripheral limb joints and sometimes the whole spine are the most prevalent body areas afflicted with enteropathic spondylitis.
  • The main symptom is intestine inflammation, including bowel and joint pain and/or inflammatory back pain.
  • Other symptoms can include weight loss, blood in the stool, abdominal pain, and/or chronic diarrhea.
  • Managing enteropathic arthritis typically means managing the underlying bowel disease.

Juvenile Spondyloarthritis

Juvenile spondyloarthritis is a group of childhood rheumatic diseases that cause arthritis before age 16 and can continue through adulthood. Juvenile spondyloarthritis encompasses:

  • Enteropathic arthritis
  • Enthesitis-related arthritis
  • Undifferentiated spondyloarthritis
  • Psoriatic arthritis
  • Reactive arthritis
  • Juvenile ankylosing spondylitis

Juvenile spondyloarthritis causes inflammation and pain in joints in the lower body, like the ankles, hips, knees, and pelvis. Other body areas that could be affected include:

  • The bowels
  • Eyes
  • Skin
  • Spine

Lethargy and fatigue can also present. The symptoms can be unpredictable and episodic, appearing and disappearing without a specific cause. The condition cycles between flare-ups and remission. Common treatment approaches include:

  • Medication
  • Exercise
  • Posture training
  • Physical therapy, medication
  • Ice and heat to decrease joint pain and relax muscles.
  • In severe cases, surgery could be recommended.

Reactive Arthritis or Reiter’s Syndrome

Reactive arthritis is arthritis that causes pain and inflammation in the mucous membranes, bladder, skin, joints, eyes, and genitals.

  • Reactive arthritis is believed to be a reaction to an infection, usually in the gastrointestinal or urinary tract.
  • Reactive arthritis does not affect the sacroiliac joints and spine in most cases.
  • Reactive arthritis is typically treated with nonsteroidal anti-inflammatory medications, steroids, and rheumatoid arthritis medications.
  • A physician could prescribe antibiotics if a bacterial infection brought on reactive arthritis.

Undifferentiated Spondyloarthritis

Undifferentiated spondyloarthritis is where the signs and symptoms of spondylitis don’t meet the criteria for a specific rheumatoid disorder. Individuals diagnosed with undifferentiated spondyloarthritis will have one or more of the symptoms that include:

  • Fatigue
  • Back inflammation
  • Back pain
  • Buttock pain that alternates or presents on both sides.
  • Swollen toes or fingers
  • Heel pain
  • Arthritis in the small joints.
  • Arthritis in the large limb joints.
  • Enthesitis or inflammation where the ligament or tendon connects to the bone.
  • Eye inflammation
  • Individuals can also present symptoms of other spondylitis types, like psoriatic or ankylosing.

Treatment approaches include:

  • Exercise
  • Physical therapy
  • Posture training
  • Ice and heat to decrease joint pain and loosen up muscles.

Spondylitis Types Diagnosis of Spondyloarthritis


References

Carron, Philippe, et al. “Peripheral spondyloarthritis: a neglected entity-state of the art.” RMD open vol. 6,1 (2020): e001136. doi:10.1136/rmdopen-2019-001136

Dougados, Maxime, and Dominique Baeten. “Spondyloarthritis.” Lancet (London, England) vol. 377,9783 (2011): 2127-37. doi:10.1016/S0140-6736(11)60071-8

Gill, Tejpal, et al. “The intestinal microbiome in spondyloarthritis.” Current opinion in rheumatology vol. 27,4 (2015): 319-25. doi:10.1097/BOR.0000000000000187

Rosenbaum, James T. “The eye in spondyloarthritis✰.” Seminars in arthritis and rheumatism vol. 49,3S (2019): S29-S31. doi:10.1016/j.semarthrit.2019.09.014

Seo, Mi Ryoung et al. “Delayed diagnosis is linked to worse outcomes and unfavorable treatment responses in patients with axial spondyloarthritis.” Clinical rheumatology vol. 34,8 (2015): 1397-405. doi:10.1007/s10067-014-2768-y

Sharip, Aigul, and Jeannette Kunz. “Understanding the Pathogenesis of Spondyloarthritis.” Biomolecules vol. 10,10 1461. 20 Oct. 2020, doi:10.3390/biom10101461

Working With A Nutritionist: Chiropractic Functional Back Clinic

Working With A Nutritionist: Chiropractic Functional Back Clinic

Nutritionists are medical professionals in food and nutrition and work one-on-one to develop an optimal nutrition plan for their body type, age, and health conditions. They explain the right foods to eat, how different foods impact the body, and what foods to avoid. Individuals can benefit from working with a nutritionist to help achieve a healthier lifestyle through education and healthy choices.Chiropractic Functional Medicine Team: Working With A Nutritionist

Working With A Nutritionist

Nutritionists work with individuals to enhance their knowledge about general nutrition, food, and health. Their focus is on food behavior, which includes developing and implementing meal plans to improve the individual’s or family’s nutrition. Nutritionists work in:

  • Clinical settings – hospitals, nursing homes, long-term care facilities, fitness and health, and chiropractic clinics.
  • Government – local health departments.
  • School districts –  regarding school nutrition standards.
  • Private business – independent work in combination with other medical professionals.
  • Research – with various health and/or sports organizations.

Benefits

Working with a nutritionist will determine what factors are challenging an individual’s eating habits and triggers and find ways to overcome those barriers. Benefits include:

  • Nutrition plans are based on nutritional needs, current health, and lifestyle.
  • Nutrition plans cut down on grocery bills.
  • Shopping with a specific list cuts down on the extra foods being purchased.
  • Proper nutrition can help manage chronic diseases like diabetes and heart disease, combined with a primary care doctor or specialist treatment.
  • Nutritionists can help individuals dealing with food allergies or who have been diagnosed could require a diet change.
  • Nutritionists can help motivate when struggling to maintain a healthy lifestyle.

Responsibilities and Daily Activities

Nutritionists help individuals reach various goals, like weight loss, healthier eating habits, and stress management, and can be responsible for the following:

  • Evaluating health needs.
  • Screening for nutritional risk.
  • Discussing nutrition and eating habits.
  • Providing educational resources.
  • Developing personalized nutrition plans.
  • Talking about nutritional issues with individual families.
  • Discussing nutrition plans with primary doctors and other healthcare teams.
  • Equipping individuals with food behavior modification tools.
  • Adjusting plans as needed.
  • Monitoring progress.
  • Treating conditions and disease management through nutrition.

Functional Nutrition


References

Carrard, Isabelle et al. “Un outil pour évaluer les comportements alimentaires: ESSCA” [A tool for assessing eating behaviors: ESSCA]. Revue medicale suisse vol. 12,511 (2016): 591-6.

Golan, M, and A Weizman. “Reliability and validity of the Family Eating and Activity Habits Questionnaire.” European journal of clinical nutrition vol. 52,10 (1998): 771-7. doi:10.1038/sj.ejcn.1600647

Greenwood, Jessica L J, et al. “Healthy eating vital sign: a new assessment tool for eating behaviors.” ISRN obesity vol. 2012 734682. 22 Jul. 2012, doi:10.5402/2012/734682

Kelley, Claire P et al. “Behavioral Modification for the Management of Obesity.” Primary care vol. 43,1 (2016): 159-75, x. doi:10.1016/j.pop.2015.10.004

Yogurt and Gut Health: Functional Back Clinic

Yogurt and Gut Health: Functional Back Clinic

Yogurt is a dairy product made by the bacterial fermentation of milk. The bacteria used are called yogurt cultures, which ferment lactose, which is the natural sugar found in milk. This process produces lactic acid that causes milk proteins to curdle, giving yogurt its flavor and texture. It can be made from all types of milk. Although research is ongoing, the benefits of adding yogurt to one’s nutrition plan can improve overall health, including improved bone health, circulation, immune system function, and probiotics/healthy bacteria that improve digestion and gut health.

Yogurt and Gut Health: Functional Medicine TeamHealth Benefits

Yogurt comes from milk that varies; some are made from skim and fat-free, whereas whole milk is full-fat. Other nutrients include calcium, vitamin B-2, vitamin B-12, potassium, and magnesium. More research is needed, but there is some evidence that active cultures can help certain gastrointestinal conditions, including:

The benefits are thought to be due to the:

  • Changes in the microbiota of the gut.
  • The faster time food takes to circulate through the bowels.
  • Immune system improvement.

Feel Fuller

Yogurt is rich in protein and healthy fats, which makes it very filling. Both of these nutrients are key to feeling full for longer. A study found consuming high-protein Greek yogurt in the afternoon resulted in less hunger, increased fullness and delayed the need to eat before dinner.

Probiotics

  • Look for brands that say living cultures or contain active cultures.
  • Probiotics help regulate bowel movements, combat infections, and restore balance to the digestive system.
  • Different cultures are thought to have various benefits.

Choosing Options

  • Look for yogurts that are unflavored and low or no sugar.
  • Yogurt naturally contains about six to eight grams of sugar
  • Add toppings and fruit for flavor and sweetness.

Use in Recipes

  • Yogurt can be used as a substitute ingredient in a variety of recipes.
  • Plain yogurt can substitute for sour cream.
  • It can replace the fat, oil, and/or butter in muffin, brownie, or cake recipes.

Speak with a nutritionist and health coach to find out if yogurt would be beneficial. Nutritionists work with individuals to find the best foods for their body type, age, and health condition, explain how different foods impact the body, and what foods to avoid.


Functional Nutrition


References

Andoh, Akira. “Physiological Role of Gut Microbiota for Maintaining Human Health.” Digestion vol. 93,3 (2016): 176-81. doi:10.1159/000444066

Bull, Matthew J, and Nigel T Plummer. “Part 1: The Human Gut Microbiome in Health and Disease.” Integrative medicine (Encinitas, Calif.) vol. 13,6 (2014): 17-22.

Cleveland Clinic: “Which Yogurt is Right For You?” “Why — and When — You Should Include Probiotics in Your Diet.”

Jandhyala, Sai Manasa, et al. “Role of the normal gut microbiota.” World journal of gastroenterology vol. 21,29 (2015): 8787-803. doi:10.3748/wjg.v21.i29.8787

Le Roy, C.I., Kurilshikov, A., Leeming, E.R. et al. Yoghurt consumption is associated with changes in the composition of the human gut microbiome and metabolome. BMC Microbiol 22, 39 (2022). https://doi.org/10.1186/s12866-021-02364-2

Wu, Hsin-Jung, and Eric Wu. “The role of gut microbiota in immune homeostasis and autoimmunity.” Gut microbes vol. 3,1 (2012): 4-14. doi:10.4161/gmic.19320

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