BULLETIN 2 (2012)

April 18, 2012

Your Health Bulletin is information from scientific literature to make sense of the right choices for your health.  It is a reminder to consider periodic check-ups of your spine, joint mechanics and appropriate exercise.  Maintenance is better than repair!

 

  • Health Maintenance Care in Work-Related Low Back Pain         

  • Red Meat Consumption and Mortality                                              

  • Pain Relievers Could Be Spiking Your Blood Pressure                 

 

Low Back Exercises:

 

From The Chiropractic Report March 2012
Maintenance Care Prevents Future Disability

 

A new study into work related low back pain(LBP) by health economists in the US and the UK concludes that health maintenance care as “explicitly recommended by chiropractors” is associated with fewer recurrences of LBP and disability than ongoing care provided by physical therapists or physicians.

 

This study “Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence” was published in the Journal of Occupational & Environmental Medicine. 53(4):396-404, April 2011.
Data for the study comes from the 2006 claims records of Liberty Mutual, an insurance company with about 10% of US workers compensation coverage.
There was analysis of 11,420 claims for low back pain.


All claimants were followed for 12 months.
Note: LBP is one of the costliest work related injuiries.
Recurrence of LBP is an important component of human and economic cost.
This study is the first of chiropractic health maintenance care.
The study reports much lower recurrent disability for workers who “only or mostly” used a chiropractor during maintenance
care versus physical therapists or physicians.


Two reasons are suggested for this chiropractic advantage:
One –— Provider/Patient communication and a focus on return to work rather than just symptom control.
Two — Benefits flowed simply from keeping patients away from medical procedures “of unproven cost,utility, value or
dubious efficacy”.


Those patients who only or mostly saw chiropractors “had fewer surgeries,used fewer opioids and had lower costs for medical care than the other provider groups”.

 

Comment

 

Finally a study by independent researchers demonstrating long standing Chiropractors observation


“Maintenance is better than repair”and chiropractors do it best

All the recent media coverage on red meat comes from the following study recently published.


The following is a paraphrase of that study.

 

Red Meat Consumption and Mortality
Arch Intern Med. Published online March 12, 2012.
“its relationship with mortality remains uncertain.”   however the media interprets this as certain and distorts it as do others

 

Men and women with higher intake of red meat were less likely to be physically active and were more likely to be current smokers, to drink alcohol, and to have a higher body mass index .(excess body fat)

 

In addition, a higher red meat intake was associated with a higher intake of total energy but lower intakes of whole grains, fruits, and vegetables.

 

We found no statistically significant differences among specific unprocessed red meat items or among specific processed red meat items for the associations with total mortality  However, bacon and hot dogs tended to be associated with a higher risk than other items.


Additional adjustment for other foods (fish, poultry, nuts, beans, and dairy products) or nutrients (glycemic load, cereal fiber, magnesium, and polyunsaturated and trans fatty acids) did not appreciably alter the results.

 

Several mechanisms may explain the adverse effect of red meat intake:

 

saturated fat and cholesterol
dietary iron, particularly heme iron primarily from red meat,although some studies using biomarkers of iron status found no association
in processed meat, particularly sodium and nitrites, might explain the additional harm of processed  meats.

 

blood nitrite concentrations have been related to endothelial dysfunction(inflammation) and impaired insulin response in adults.
Several compounds in red meat or created by high-temperature cooking, including N -nitroso compounds (nitrosamines or nitrosamides) converted from nitrites.

 

polycyclic aromatic hydrocarbons, and heterocyclic amines, are potential carcinogens.

 

Comment

 

the study population engaged in numerous risk factors which would contribute to the indicated diseases ie. decreased activity,smokers,alcohol
consumption,excessive body fat,lack of adequate fresh fruit and veggies

consumption of industrial meat: which means increased pro inflammatory omega 6 fatty acids,drug residue,antibiotic residue, increased pesticide
residue, and decreased Conjugated Linoleic Acid(CLA)—confers numerous benefits as a cancer preventive

 

Note: we should be ingesting organic grass fed meat: high in omega 3 anti inflammatory fatty acids,high in CLA,no antibiotic residue,no or negligible pesticides

 

Regarding saturated fat and cholesterol— saturated fat and cholesterol is good for you: read the book “Fat and cholesterol is good for you” by Uffe Ravnskov ,medical     researcher:The Cholesterol Myths www.ravnskov.nu/cholesterol.htm

 

Pain Relievers Could Be Spiking Your Blood Pressure

ScienceDaily (Mar. 20, 2012) — Diseases such as kidney failure and endocrine tumors are among the suspects causing high blood pressure — but could the common pain relievers in your medicine cabinet be the culprit?

 

According to Prof. Ehud Grossman of Tel Aviv University’s Sackler Faculty of Medicine and the Sheba Medical Center, many common over-the-counter and prescription medications are underlying causes of hypertension, which is a major risk factor for stroke, heart attack, and aneurisms.

 

“In diagnosing the causes of hypertension, over-the-counter drugs like ibuprofen are often overlooked,” says Prof. Grossman. Patients often assume that because a medication can be obtained without a prescription, it’s relatively harmless. But that’s not always the case
1.
Many of the medications that are linked with a rise in blood pressure are quite widely used, says Prof. Grossman, whose research provides an overview of which medications are related to high blood pressure. Examples include contraceptive pills, various anti-depressants, anti-inflammatory pills to control pain. and bacterial antibiotics.

 

Journal Reference
1.    Ehud Grossman, Franz H. Messerli. Drug-induced Hypertension: An Unappreciated Cause of Secondary Hypertension. The American Journal of Medicine, 2012; 125 (1): 14 DOI: 10.1016/j.amjmed.2011.05.024

 

Comment

 

Over-the-counter drugs like ibuprofen are part of a class of drugs called NSAID’s—nonsteroidal antiinflammatory drugs to control pain. This class of drugs inhibits an enzyme which is responsible for creating pain due to the formation of pro-inflammatory prostaglandins. But that same enzyme is also responsible for many benefits one of which is regulating your blood pressure. Changing the foods you eat to encourage the formation of anti-inflammatory prostaglandins is more effective.  

 

Pain is a process. It starts with tightening of muscles and joints,due to daily activities, which results in poor circulation. This then causes an inflammatory reaction with a fibrosis or development of scar-like tissue (adhesions) in muscles and joints. Adhesions slowly develop to eventually cause symptoms of tightness,soreness and pain.

 

We do not sense the adhesions until they reach “5” on a “0”to”10″ scale. Prior to sensation,up to 4.99 we feel good. But these developing adhesions interfere with the proper movement in muscles and joints locally as well as far removed. All parts are fully integrated and if any one part(s) tighten then other parts must tighten to compensate. This chain of events is coordinated and patterned by the brain and is the reason why it takes repeated corrections of muscles and joints to restore movement which is associated with loss of pain.

 

The longer you have been dealing with pain the longer it takes to correct it. This is because pain is a brain thing and our brains learn through repetition. Pain means the brain cannot see what the tight muscles and joints are doing. This is due to poor feedback from special movement sensors (mechanoreceptors) in the muscles and joints because of the developing adhesions.

 

Thus pain is a protective mechanism—–we need pain. If muscles and joints tighten for whatever reason then we need to know what not to do—–pain tells us this. Without pain we hurt ourselves more. If we treat pain so we cannot sense pain then not only do we hurt ourselves more but the brain will pattern it repetitively and result in chronic pain. To correct pain, that is, tight muscles and joints, the adhesions must be found and physically stimulated with muscle and joint manipulation. This takes time.Then supportive exercise(s) need to be followed.

 

Once the adhesions have been corrected it is easier to keep muscles and joints moving correctly. This is done  by continuing the appropriate exercises and having the body parts checked periodically for the development of adhesions or tightness. Maintenance care is better than repair—–always.

 

Low Back Exercises:
Cat/Camel and the Birddog/Superman are two of the most important exercises for the low back.
The cat/camel should be done 5-6 repetitions with constant movement—it is not a stretch.
It is meant to stimulate movement throughout the spine and pelvis.

 

The birddog/superman is done after the cat/camel.
This exercise is for stability. It increases the strength of your core muscles which not only stabilizes your low back but
also the rest of the spine and your arms and legs.
Be careful to keep your pelvis level when your opposite arm and leg are stretched out and there should be no side
movement when you do this.

 

If you need help with these exercises ask us next time you are in the office.

Remember maintenance is better than repair, see you soon.

 

“bird dog”

 

Cat/camel

 

 

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