It's Easier to Be a French Fry Eating Couch Potato

A few days ago I was cutting up a butternut squash to bake and I couldn't help but think that it would be much less work to just take the short drive to Wendy's and get some fries.  Then this morning the last thing I wanted to do was to do my workout.  I struggled through every set thinking of how good my bed would feel.  My oh my, a healthy lifestyle can be a lot of work!  And there are times I really don't want to put in the effort.  I know I'm not alone in feeling that having a healthy chiropractic lifestyle is a lot of work and there are days when it would be easy just to say forget it.

It's on those days when I have to remind myself of why I choose a healthy lifestyle, and it is totally my choice.  The benefits of eating well, exercising, getting rest, managing stress, and keeping my spine adjusted are tremendous.  When I do these good things I have more energy, I'm happier, my immune system is strong, and I'm able to handle the challenges life throws at me.  I also know deep within myself that by living healthy now, I have a much greater chance of enjoying good health as I age.  One goal I have for myself is to be able to live vibrantly until I die.

Then I also look at the cost of not living a healthy lifestyle.  I would surely gain weight and become sluggish.  Along with that comes loss of muscle tone and strength.  I would be more susceptible to acute infections and chronic disease processes such as diabetes, arthritis and cardiovascular problems.  An unhealthy lifestyle now would jeopardize the health I hope to have in the future.

The only benefit to leading an unhealthy lifestyle is that it is easy.  No effort is required.  To go downhill all you have to do is coast.  But once you reach the bottom getting back up is an awful lot of work, if it can be accomplished at all.  Hitting the bottom from a health standpoint is not a good place to be.  It means the body is no longer able to maintain or repair itself and there is widespread failure of body systems.  There is no longer any enjoyment of life.  That's not a place any of us look forward to being in; I certainly don't!

The best assurance I have of enjoying a healthy future is to put in effort and sacrifice today.  What I do, or don't do, today will have a tremendous impact on my tomorrow, my next year, and my next decade.  Like everything I do in life, where my health is concerned I need to focus on my long term goals and work toward them.  Though it may be easier to go for the fries and skip my exercises, I'm going to continue to prepare my veggies and get up to workout.  I resolve to persevere with a healthy chiropractic lifestyle this year and end 2014 healthier than when it started.  How about you - expend the effort or take the easy route?

Abnormal Lab Results

It's been a while since I've added a new post to this blog.  Like many people I don't always have time to accomplish all the things I want to and this blog has unfortunately been pushed down on my priority list many times lately.  There are many things I want to comment on and my plan is to be more regular again with my posting.

A few months ago I had my annual checkup from my medical doctor.  As part of the procedure he ordered a number of lab tests to check the chemical values of my blood and urine, along with an EKG.  When the tests results came back, a couple of the values were out of the normal range.  What should be done?  Very often the medical approach is to prescribe some medications to bring the lab values back to within the normal range.  Is this the best approach to take?

Before I comment further, let me clearly state that there are times when medications are necessary.  But there should always be other considerations first.  The chiropractic approach is always chiropractic first, drugs second, surgery last.  Fortunately I have a good relationship with my MD and, although his first suggestion was medication, we agreed on an approach that did not involve taking any drugs.  There were two of my blood values that were of concern.  First, my testosterone levels were low.  This is not uncommon for a man of my age.  Second, my C-reactive protein levels were high.  I believe anytime a person has abnormal lab values the first thing to do is to consider lifestyle issues that could cause the abnormalities.  Was there something I was or wasn't doing that would result in my body working less that optimally?

In the case of low testosterone, it's easy to just say I'm getting older and that's just what's going to happen.  The knee jerk reaction is to take hormone replacement, risk the side effects and not make any changes to my lifestyle.  Instead I changed my exercise routine to include more strengthening of my big muscle groups.  I also made sure I was getting plenty of high quality protein and fat in my diet, including increasing my red meat intake.  Additionally, I took an herbal supplement (TestoGain from Douglas Labs) formulated to support testosterone production.  Within three months my testosterone level was right in the middle of the normal range.  My conclusion is that my low testosterone was the result of diet and exercise deficiencies and not my age.

High levels of C-reactive protein are indicative of an inflammatory process in the body.  It is significant because low grade inflammation that elevates C-reactive protein is associated with cardiovascular problems.  Stress is probably the greatest cause of this abnormal finding.  This can be physical, chemical or emotional stress.  In my case, I recognized stresses in all three areas.  I reduced my consumption of wheat and white potatoes while increasing my consumption of green vegetables.  My sleep quality also needed improving so I became more diligent in getting to bed at the same time each night and taking magnesium (Natural Calm) each evening.  Managing emotional stress is an ongoing challenge, but I've tried to make sure I have down time just for me.  Additionally, I increased my anti-oxidant and enzyme intake.  Again within three months my C-reactive protein levels were well within the normal range.

When our lab values are abnormal, there is a reason.  There is usually a lifestyle issue that is the cause and lifestyle changes can be corrective.  It may be easier to take a prescription, but drugs all come with the risk of side effects and they don't necessarily get to the root of the problem.  It takes more effort to actually make changes, but the long term results are better.  Nothing beats a healthy chiropractic lifestyle.

I've given you my own case only as an example of what can be accomplished with some effort.  Abnormal lab values can be corrected with lifestyle changes and nutrition without the use of drugs.   What will you do when some of your lab results are abnormal? 

Buyer Beware

This past weekend news outlets around the world reported on research out of the University of Guelph that found a significant portion of herbal supplements tested either contained or didn't contain the products listed on the label.  A typical sample of these reports was published in the Vancouver Sun, "'CSI'-like DNA study finds herbal products don't always list all contents on the label."  The findings are not a surprise to me.

Patients in our office have often asked us why they can by a certain supplement at a big box store so much cheaper than for what we sell products at our office.  My answer has typically been that I know what is in the products I carry.  I do not know what is or isn't in the supplements carried at the big stores and likely no one at the big store does either.  These companies, and many smaller natural product companies, buy their ingredients from wherever they get the best price and simply put their label on it.  They do not maintain the laboratory facilities to assure quality control.  They accept the assurance of the supplier for the quality of the ingredients.  Sadly many of these suppliers lack quality control facilities as well.  It is thus common for supplements to contain toxins, contaminants, and ingredients that do not have the potency they should have.

On the other hand, I do know that by carrying the professional grade supplements we have in our office I am assured that what is on the label is in the product.  Both Metagenics and Douglas Labs maintain their own research, quality control, and manufacturing facilities.  Their products are produced to pharmacutical standards to assure there are no toxins or contaminents.  They produce many of the raw materials themselves and all ingredients are analyzed for potency.  This assures that the products consistently produce the desired biological effects in the body.

There are significant costs to establishing, staffing and maintaining the facilities necessary to assure high quality products.  Although the products sold in our office are often higher priced, patients usually get better results than when they use discount brands.  Many, many times patients will tell me they have tried a specific supplement with no positive results and then they have gotten great results when using our high quality supplements.  The end result was that the quality product was actually more cost effective because the desired results were obtained.

With supplements, as with anything else we buy, we get what we pay for.  No where is quality more important that dealing with our health.  Beware when buying supplements.  Buy quality if you want consistent results.  

Healthy Lifestyle Really is Anti-Aging

For some time now I've tried to emphasize the importance of living a healthy chiropractic lifestyle.  There are many outward benefits that can be seen in people who live such a lifestyle.  They are able to do the things in life they both need and want to do.  They are resistant to disease and injury.  They feel and look good.  But what is happening on the inside of these people?

True health occurs at the cellular level.  When a person's cells are healthy, they are overall healthy.  A person's age is determined by how well their cells are working.  Recent news reports such as this one from Businessweek, "Veggie-Heavy, Low Stress Regimen Shown to Modify Cell Aging", reveal how a healthy lifestyle improves the health of cells.  Click and read the article.  It explains in a clear, simple manner the complex changes that occur in the telomeres within individual cells when lifestyles are improved.  The improvement is significant enough to be able to label the cells as being younger.  The lead researcher is quoted as saying, “Our studies are showing that simple changes in our lifestyle have powerful impacts in ways that we can measure.” Having younger cells is truly anti-aging at its finest!

The abstract from this study is found at the The Lancet  "Increased telomerase activity and comprehensive lifestyle changes: a pilot study".


Want to live healthier and longer?  Adopt a healthy chiropractic lifestyle.  Eat nutritious food, take nutritional supplements when indicated, get regular exercise, sleep soundly, manage stress, avoid toxins, protect your mental health, and keep your spine and nervous system healthy with regular chiropractic adjustments.  The take-a-way good news is that wherever you are now you can be healthier and younger by improving your lifestyle.

You Have Both a Right and a Left

It came as a bit of a surprise to me when I found out that when practicing, pro golfers will hit a bucket of balls right handed and then a bucket left handed, or vice versa.  This should not have surprised me because from a conditioning and biomechanical stand point, it makes perfect sense.  As humans we tend to be very one handed but using one side predominately can result in a host of problems.  By hitting balls both ways the pros are trying to minimize the possibility of these problems happening and at the same time improve their overall performance.  Given that I really can't hit a golf ball decently right handed, I can only imagine the challenge hitting it left handed.

Human balance can be thought of in two ways.  The first is whether or not a person has equilibrium.  That is whether they can remain upright.  If you lose your balance you fall down.  The second type of balance is whether a person has symmetry.  That implies the body having equal strength and mobility from one side to the other or front to back.  Having equilibrium is probably the most important type of balance, but having symmetry is important to having optimal equilibrium.  The two are related and both are important aspects of health.

The type of balance the golfers are working on when hitting balls both right and left handed is symmetry.  By doing this muscles and joints on both sides of the body are utilized.  Most significantly the "core" of the body is developed in a symmetrical manner.  This is particularly important for proper spinal function.  The nervous system also benefits tremendously when activities are done both right and left handed.

As a chiropractor, I see many spinal problems that are the result of people repetitively doing things one handed or one direction only.  When muscles are more developed on one side of the body, or more on the front or back, the joints of the spine move abnormally.  This results in the development of vertebral subluxations where there is not only a loss of joint function but altered nerve conduction as well.  A whole host of health problems can result.

It's not easy to use the body symmetrically.  Most of us are very one handed and it takes real effort to use the body in a balanced way.  It is particularly important to try to be balanced with the activities we do the most.  That means looking at the way we do our work and recreational activities.  For example I had to make a conscious effort to hold my Activator Adjusting Instrument an equal amount with either hand.  I had to train myself to work from both sides of the adjusting table.  By doing this over time my left hand has become almost as strong and coordinated as my right hand.  It certainly wasn't when I started doing this years ago.  I believe that doing this has not only prevented injuries but is a factor in my overall health.

It's important to also try to achieve symmetry when exercising.  This is particularly significant when rehabilitating injuries.  Stretching and strengthening should be done on both the right and the left.  Of equal importance is balancing the front and the back of the body.  Did you know that walking on the ground provides much more symmetry than walking on a treadmill?  When walking on the ground both flexor and extensor muscles of the lower extremity are used as opposed to the treadmill where the machine does most of the extension for you and the flexor muscles develop more than the extensors.

Take a tip from the pros to improve both your performance and your health by using your body in a balanced manner.  You will have fewer injuries, recover faster, have improved coordination, and better equilibrium.  Balance is part of a healthy chiropractic lifestyle.   It's not easy, but you will be better for it.

I Have Algorithms In My Head

When I'm consulting a patient for the first time I often tell them they are just like a jigsaw puzzle and I'm trying to put the pieces together so they make sense.  All the questions my staff ask and that I ask are designed to reveal glimpses of who this person is and what their condition really is.  Each examination procedure also reveals more pieces to the puzzle.  But just having all the pieces of the jigsaw on the table doesn't show you what the whole picture is.  The pieces have to be put together.  Each piece contains clues.  In a picture puzzle this includes shape, colour and pattern.  Every interconnection reveals more of what the whole will look like.

This is not dissimilar to the way I need to evaluate a patient.  Age, sex, family history, occupation, diet, physical activity, injuries, illnesses, and many other factors need to be probed.  Depending on the answer given to a particular question, it leads to the next question that needs to be asked.  The examination is then formulated from what has been gleaned from the history and consultation.  Each positive or negative finding leads to the test that should follow.

Over the years of evaluating many, many patients, I have developed algorithms that run through my mind to help me quickly and accurately assess what is going on.  An algorithm is defined as a formula or set of steps for solving a particular problem. To be an algorithm, a set of rules must be unambiguous and have a clear stopping point.  For example you can have an algorithm for baking a cake.  It might look like this:

 

Evaluating a patient is certainly more complex than baking a cake and instead of a simple algorithm, algorithms often need to be combined to get valid results.  If a patient has just one simple complaint, say a sprained ankle, there are few steps necessary to make the diagnosis and develop an approach for rehabilitation.  Few people present with such a simple situation.  Although a person may have one complaint, perhaps low back pain, there can be many factors which lead to the condition and usually involve more than just the lower area of the spinal column.  By having a logical sequence to follow, an algorithm, clues don't get missed and the best possible conclusions can be determined.  During both the history and examination of a patient with low back pain, algorithms for evaluating the lumbar spine, pelvis, and hips will likely be combined.  The knees, feet, and even the neck may be added depending on what is revealed.  

Activator Methods, my primary chiropractic technique, is based on a series of algorithms that allows for very efficient and thorough evaluation and adjustment of the spine and extremities.  The Activator Methods basic scan for the lumbar spine looks like this:

This basic algorithm covers most low back conditions.  Should a patient present with a more complicated situation there are advanced algorithms that can be applied to evaluate the lumbar spine more thoroughly.    Following the algorithms leads to effective care of low back conditions.  There is less likelihood of missing pieces to the low back pain puzzle.

Whether I'm work with a new patient or during a routine office visit, I have algorithms constantly going through my mind.  As a result I can quick evaluate the spine and extremities for subluxations and determine the best chiropractic adjustments for a given patient.  By putting the pieces together I know where, when, and when not to adjust.  This is crucial to being an effective chiropractor. 

  

Activator Methods Upgrading

Last weekend I participated in an Activator Methods Seminar.  The technique requires that in order to maintain my Advanced Proficiency status that at least once every year I attend a seminar to assure my competency in using the procedures.  This is something I really appreciate about Activator Methods.  They assure that all the doctors who are rated to use the technique, continue to maintain their competency.  This is important for patients and also for practitioners.

During the weekend our instructor, Dr. Rebecca Fischer, walked us through relevant research and showed us how to apply it in our practices.  Something that is not always easy to do is to take research and make it practical in a clinical setting.  In the rapidly changing health care world this is very valuable.  This year's focus was on osteoarthritis.  I appreciate not only the ongoing research that Activator Methods does but how they utilize research from many, varied sources to continually refine the technique.  There are few techniques that are so diligent.

Probably more important than the research however is the time spent on practical application over the course of the weekend.  Doctors are divided into basic, intermediate and advanced classes depending on their experience using Activator Methods.  In the advanced class with Dr. Fischer that I attended we spent a great deal of time refining our ability to use the technique.  That included hands on workshops, small group case studies, and a review of both old and new advanced procedures.  Nutrition, exercise, and lifestyle issues were integrated into the presentation and workshop.  This year the emphasis was on evaluating and treating the lower extremity.   Dr. Fischer and her helpers evaluated each attendee on their competency in using the Activator analysis.  It is wonderful to have this done every year.  It's amazing how many bad habits a person develops and this seminar always helps to bring back my focus.  There are also those, "Man I totally forgot about that test!" moments.

Not insignificant is the opportunity to connect with other like minded doctors.  This is often the only occasion where I get chance to see these people, may of whom are not from Alberta.  Time is spent sharing good and bad things that happen in our practices.  There is great value in this time of informal exchange.  I come away with a great confidence in many of the doctors I want to refer to and also recognize some I don't want to send patients to.

I commend Activator Methods for maintaining a system of quality control through their annual seminar requirement.  It's good for me as a doctor and also good for my patients.  For me it is not a burden, but a privilege to maintain my proficiency with Activator Methods.