A Time for Resolutions

Around New Year's there is usually a lot of talk about resolutions for improving oneself.  September is perhaps a better time to be looking at making changes in one's life.

Here in Southern Alberta, summer is fast and furious.  We try to do as much as we possibly can in the weekends of July and August as well as during the long summer evenings.  It's the time when everyone goes on holidays to see and do something new.  While we endevour to experience so much of what the world around us has to offer, we often neglect the things that are really important to our health.   Routines for healthy eating, exercise, and rest are often cast to the side.  Frequently people neglect their spinal care as well.

Then September arrives.  Back to school; back to routines; back to reality.  The lazy (or not) days of summer have come to an end and it's time to return to normal activities.  It's also time to return to healthy routines.  Because September is a time when we are changing from summer mode, this may be a more logical time to make healthy lifestyle changes than the beginning of January.  So many of the routines people are returning to are healthier than what they have been doing over the summer.  (Think about that old song about "sodas, and pretzels and beer" during "those lazy, hazy days of summer".  That's a description of many people's summer.)  While people are already making changes, perhaps they should take it a step further and make some real significant lifestyle changes.

September is a great time to make healthy diet changes.  There is an abundance of fresh fruit and vegetables, many of them locally grown.  A commitment to ditching the simple carbohydrate foods and drinks for good would be a wonderful step to take.  Eat enough of the good stuff and you'll want less and less of the bad stuff.  Fortunately quality fruits and vegetables are now available year round, so a habit started now can continue through the winter.

Because the weather is still warm, but no longer swelteringly hot, September is a great time to get outdoors to exercise.  Exercising in the fresh air is good for body and spirit.  Get in the habit of exercising now when it's easy to do and you'll be more likely to continue even when the weather becomes less than cooperative.  It takes much more effort to start an exercise routine in January.

As you get back to routines, it's important to once again commit to getting regular chiropractic checkups.  Or if you haven't done so in the past this is the time to start.  Vertebral subluxations can creep up silently and have a profoundly negative impact on a person's health.  The best time to have them corrected is before they become symptomatic.  Regular visits to a chiropractor will assure that your spine is working as well as it can be.

This fall don't just get back to the same routines of spring but add some new, better ones.  Improve your sleep routines. Commit to taking high quality supplements on a regular basis. Embrace techniques to reduce stress. This may be the ideal time to start a new hobby. Rather than watching more TV this fall, look for more active ways to spend your time that will benefit you both physically and mentally. This time of year many organizations are looking for volunteers and committing some time and effort to helping others is very rewarding.

Take advantage of the season and make some resolutions to be a better you.

In It for the Short Term

My wife and I have a small cabin that's been in her family for the past 50 years.  In the village where the cabin is located there a currently a number of cabins for sale.  (One is pictured here.)  There is definitely a pattern in cottagers I've noticed over the years.  People buy a cabin and they are so excited by the new adventures and opportunities they see in their new purchase.  They have wonderful dreams of family times and development projects.  The first year they are at the cabin every opportunity they get and they are busy renovating and making the place their own.  The second season again sees a flurry of activity at their cabin.  Come season three there is usually a significant decline in both attendance and projects as the reality of both how time consuming, costly and labour intensive a cabin can be sets in.  After that many cabins are either used sparingly or go up for sale again.  The cost to reward ratio becomes too great in the minds of many cabin owners.

This phenomenon reminds me so much of what I see in people who embark on changing their lifestyle to either exercise more or improve their diet.  They start out gung ho on their new diet or exercise program with great dreams of being healthy.  Once they realize how much work is involved in changing their lifestyle they abandon the changes that held such promise for them.  It takes emotional effort to make and stick with healthy lifestyle changes.  Time must be committed to exercise and good food preparation.  Maintaining a healthy lifestyle when those around you and most of society drift toward ill health can be a challenge.  Unfortunately, short attention spans and short term goals seem to be an ever increasing norm in our society.  Too often people never stick with one thing long enough to see the true value in it.

To enjoy a cabin for the long term a person has to have a clear goal of what the retreat will be for them over time.  They have to count the costs not only in dollars, but also in time, physical and emotional terms.  The rewards have to out weigh the costs or the dream will be abandoned.

It is the same with making lifestyle changes.  The rewards of improved health, weight loss, etc. have to be worth the financial, emotional, and physical costs.  Long lasting results will never be obtained by making short term goals or by making goals that do not have a big enough reward to make the effort worth while.  A committment level needs to be established that will sustain a person through the tough times that will inevitably come.

My wife and I have enjoyed our cabin for many years and plan to enjoy it for a long time to come.  We also realize that the ability to continue to have pleasurable cottage experiences we need to be prepared to pay the costs in time, money, energy and emotions.  Likewise anyone wanting to experience long term good health must be prepared to pay the costs.  It is worth the effort.

Consistent & Reliable Adjustments

A couple of months ago I had the privilege of attending a couple of presentations on recent chiropractic research.  Dr. Walter Herzog of the University of Calgary and Dr. Greg Kawchuk from the the University of Alberta outlined the various investigations they are conducting to demonstrate both the effectiveness and the safety of chiropractic.  As they outlined each project and the methodology they were using I was stuck by the fact that both researchers were using the Activator Adjusting Instrument.  This is the same instrument we use in our office.

Both Dr. Herzog and Dr. Kawchuk stated matter-of-factly that they used the Activiator Adjusting Instrument because of it's consistency.  The could rely upon this instrument to produce the exact same thrust each and every time.  The force is consistent, the depth is consistent, and the line of drive is consistent.  The instrument has been validated by several previous research studies.  By using this instrument they reduce variables which makes their research more valid. 

As a clinician I have to constantly ask my self how does any given research apply to how I can better serve my patients.  While it's nice that the Activator Instrument is so valuable for research purposes, how does that translate to clinical practice?  The answer to that is pretty straight forward.  An instrument that produces a consistent and reliable adjustment in the lab will also produce a consistent and reliable adjustment in clinical practice.  As a matter of fact the instrument was developed for a clinical setting and was later proven to be reliable enough to be used for research purposes.

The benefit for patients is that every chiropractic adjustment with an Activator Instrument is the same as every other adjustment.  It is consistent from visit to visit.  It is consistent from doctor to doctor.  It is consistent whether the doctor is having a good day or a bad day.  (Can you believe that I occasionally have a bad day?)  That is not to say that the application of the instrument does not vary, but the instrument itself is consistent and reliable.  It is one variable in the care process that has been eliminated.  That is good news from a therapeutic standpoint.  That is good for patient care.  Patients can depend upon the Activator Instrument to provide the necessary force to create proper motion in joints.  Nerve function is restored and the healing process can proceed.

Researchers depend on the consistency and reliability of the Activator Instrument to produce the best research results.  Patients also can trust this instrument to provide consistent and effective chiropractic adjustments.

Beating Inflammation Naturally

Inflammation is the cause of a great deal of our pain.  There are a number of biochemical substances associated with inflammation that produce pain.  Pain in turn produces chemicals which increase inflammation.  Reduce the inflammation and the pain and dysfunction subside.  Unfortunately just because the pain is gone, doesn't mean the cause of the problem is solved. 

Chronic inflammation is known to be a factor in autoimmune disorders, cardiovascular disease, diabetes, cancer, neurological disorders, arthritis, and pulmonary diseases.  It's not something that a person should ignore.  To complicate the issue, it's also not something that is always obvious.  Inflammation of internal organs is not noticeable until disease symptoms show up.   Inflammation of the muscles, tendons, ligaments and joints are more obvious.  While chiropractic can affect internal inflammation by improving the overall health of the body, it's focus is on musculoskeletal inflammation.

In addition to improving motion, reducing nerve excitability, reducing pain thresholds, and improving sensory functions chiropractic adjustments also decrease inflammation in malfunctioning joints and tissues.  Often inflammation is due to mechanical dysfunction and nerve interference in the body.  When joints don't move properly inflammatory and pain chemicals are produced.  Chiropractic adjustments are very effective at normalizing body mechanics to reduce inflammation.  This is one way chiropractors are able to quickly relieve pain.  One study by XJ Song, published in JMPT, showed that inflammatory pain symptoms were reduced in 10 to 14 days with Activator Methods chiropractic adjustments as opposed to 3 to 4 weeks in the control subjects.

Low level laser therapy has also been demonstrated to be very effective in reducing inflammation.  Low intensity laser energy is known to improve how cells function.  As cells function more normally there appears to be a reduction in the inflammatory chemicals within and around the cell.  The result is not only decreased inflammation but pain as well.

For localized inflammation, ice is a great anti-inflammatory.  It constricts blood vessels to reduce fluids in the area of injury.  The quantity and activity of inflammatory chemicals are also reduced by decreasing the temperature of the area.  A note of caution: ice should never be used longer than 10 minutes at a time or the healing can actually be prolonged.

There are also several natural substances that have been shown to have anti-inflammatory properties throughout the body.  These are: 

• White Willow (Salicin), 
• Proteolytic enzymes particularly Bromelain,
• Ginger, 
• Curcumin (Turmeric), 
• Boswellia, 
• Magnesium,
• Omega 3 fatty acids.  

Many of these natural approaches have been shown to be as effective as NSAIDs (Non steriodal anti-inflammatory drugs), such as aspirin or ibuprofen, without the many side effects.

Dietary considerations to reduce inflammation include: red wine, fish, eggs, dark chocolate, vegetables, fruit, garlic, and almonds.  When making food choices to reduce inflammation a person must also avoid Omega 6 fatty acids which are know to increase inflammation. These are found in grains as well as oils produced from corn, safflower, sunflower, cottonseed, peanut, and soybean.  Grain feed meats are also high in Omega 6 fatty acids.

Inflammation, whether localized or found throughout the body, can have a detrimental effect on healing and overall health.  Fortunately, there are safe, natural approaches to beating inflammation.  

A PEBBLE IN YOUR SHOE

I've heard stories of monks who would deliberately put a pebble in their shoe so they would constantly be reminded of the suffering of Christ. A pebble in one's shoe is certainly an irritation. The pebble is felt on every step and the foot soon becomes irritated to the point that even when resting the foot is sore. It becomes impossible to step properly on that foot. Soon the knee, hip and low back become sore as the body compensates for the foot that isn't working properly. Even the mind is affected. Where does your mind go with every step you take? To the pebble of course. You just can't wait for the opportunity to take your shoe off and get rid of that pebble. The pebble doesn’t have to be very big either.  I can't imagine deliberately putting one in my shoe!

Even though a pebble in your shoe is a small thing, it can affect your entire body.  There is another even smaller thing that can affect your body.  That is a vertebral subluxation.  A vertebral subluxation is when there is a loss of proper motion between the joints of the spine which is accompanied by nerve dysfunction.  There is usually associated swelling and muscle spasms as well.  Pain may or may not be present, but there will be loss of function whereever the associated nerves travel.  A vertebral subluxation is such a small, subtle lesion that it takes a great deal of training and practice to accurately detect it.  Finding and correcting vertebral subluxations is what chiropractors specialize in.

Physical, emotional or chemical stresses can all cause vertebral subluxations.  Once a vertebral subluxation is present it is much like a pebble in a shoe.  It is a constant irritation to the body.   Even though no pain may be present when the subluxation first occurs, the longer it exists the more severe the associated problems will be.  Initially there may only be stiffness.  Later muscles will spasm.  Pain may occur early in the process or may never be part of the symptoms.  Common symptoms include back pain, neck pain, headaches, pain in the arms or legs, numbness, tingling, and weakness.  Even the internal organs can be affected when the nerves going to them are not functioning properly.

Chiropractors are specially trained in the detection and correction of vertebral subluxations.  The only solution for a pebble in a shoe is to remove the pebble.  The only solution for a vertebral subluxation is to restore normal spinal joint and nerve function with specific chiropractic adjustments.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) is a common condition in which there is numbness and possibly pain in the thumb, 2nd & 3rd fingers, and part of the ring finger.  There may also be a loss of sensation, swelling, and weakness in the hand.  True CTS is the result of the median nerve becoming trapped in the wrist.  Normally a "tunnel" is formed by the bones and ligaments of the wrist which allows the nerve to pass through uninhibited.  If this tunnel collapses due to weakening of the tissues or is compromised by inflammation, the median nerve is affected and CTS results.  Vascular disorders and diabetes can also produce CTS symptoms.

People with CTS find that they drop things easily, have trouble wringing a cloth, and have to shake their hands to get them to "wake up".  The symptoms are often worse at night.   Pain without numbness is usually not CTS.  Contrary to popular belief, studies are showing that it is probably not the result of repetitive strains such as extended periods of using a computer keyboard.

Not all numbness or pain in the hand is CTS however.  If only it was so simple!  Nerves can be irritated or entrapped in the neck, thoracic outlet (muscles at the side of the neck & collarbone), shoulder girdle, and elbow producing the same symptoms.  It's important to determine where the nerve irritation is coming from in order to apply the best treatment.  I have seen numerous cases over the years where patients have had CTS surgery which did not improve their symptoms.  That was because the problem did not originate in their wrist.

There are a number of simple tests that can pinpoint were the nerve is being compromised.  This can, and frequently does, occur at multiple sites at the same time.  Once the site of the problem is determined, appropriate treatment can be applied.  Chiropractic adjustments, low level laser therapy, natural anti-inflammatories, nutritional supplements (B6, Vit. C, Omega 3 fatty acids, MSM & magnesium), therapeutic massage, exercises, and night splints can all be used in treating CTS.  Surgery should be performed if conservative treatments fail.  Once the tissues are cut they cannot be uncut.

The chiropractic approach utilizing combinations of the therapies listed above is very effect in treating Carpal Tunnel Syndrome.  Because we look at the body as a whole rather than just individual parts and symptoms, we are able to locate and treat the cause or causes, not just the symptoms.  As with any condition, the sooner treatment begins the better the outcome usually is.  If you have numbness and/or pain in your hand, have it checked by a chiropractor.

Fighting Gravity

One of my sons has a t-shirt that says, "Obey gravity - It's the law".  Gravity is a force that is constantly pulling on our bodies.  In order to walk up right we are literally fighting gravity.  To be successful we need to have both good balance and good posture.  If we don't we will be prone to muscle and joint problems, falls, nervous system problems and stress on all our body systems.  Balance and posture play a big role in our health.


Fortunately there are a couple of simple exercises that can help improve a person's balance and posture.  These exercises can be performed by anyone regardless of age.

The most basic balance exercise is the One Leg Stand.

The One Leg Stand should be done three times every day.  Note that if you are very unbalanced or have vertigo, have someone with you to make sure you don't fall.  If you have hip or joint problems, only bend the joint as far as you comfortably can.
 
Posture problems are the first things to happen when gravity starts to get the best of us.  The basic posture exercise is the Wall Pelvic Tilt. 

Wall Pelvic Tilts should be performed twice daily.

When doing either of these exercises it's important to get your form as perfect as you can.  To get the most benefit focus and concentrate on the muscles and movements.  Most people notice very rapid improvements in their balance and posture when they do these two simple exercises regularly.  They are a great way to counteract the negative effects gravity has on the human body.