The Glycemic Index, Explained

Do you know the difference between high glycemic foods and low glycemic foods?

If you’ve ever felt light-headed or shaky (and very hungry) a few hours after eating certain foods, then you’ve experienced the “roller-coaster ride” of high glycemic foods.   You’ve probably noticed that all foods don’t have this effect on you, and those that don’t are most likely low glycemic foods.

The Glycemic Index or GI is a scale that ranks high-carbohydrate foods according to how much they raise your blood glucose levels after eating. The GI ranges from 0 to 100. Foods with a high GI are digested quickly and cause a significant spike in our blood sugar levels. This increase in blood sugar causes a corresponding increase in insulin to bring those sugar levels back down.

Low glycemic foods have less of an impact on your body because they are digested and absorbed more slowly, so you need less insulin to control your blood sugar levels. When sugar and insulin aren’t spiking, you won’t get that light-headed or weak feeling. You just feel normal.

There are many more advantages to choosing a low glycemic diet. Low glycemic foods are beneficial to our health because controlling blood sugar and insulin levels is one of the keys to reducing our risk of heart disease and diabetes. Low GI diets are also useful for controlling our appetite and aiding in weight loss.

When our blood sugar levels are maintained relatively stable, our bodies perform better. A study from the Harvard School of Public Health demonstrated that high GI diets are strongly linked to an increase in the risk of Type II diabetes and heart disease. The World Health Organization recommends that people in developed countries eat as many low-GI foods as possible, to prevent heart disease, diabetes, and obesity.

A hundred years ago, our foods simply took longer to digest. They came straight from the farm to our table, in its natural state, containing the original fiber and other natural components they were grown with. Modern food processing practices have stripped our food of many of its natural properties, making it easy to package and store, and extremely quick to digest. And the faster we digest the food, the quicker we get hungry again.

This is the “roller coaster” that happens when we consume too many high GI foods.

High glycemic index foods may give you a burst of energy, but this is followed by a “crash” as the insulin takes the blood sugar back down and you feel hungry again. To make things worse, these insulin spikes turn all that excess blood sugar into fat, which is usually stored right around the abdomen.

On the other hand, when we consume low glycemic foods such as fruits, vegetables, legumes and whole grains, the rise in blood sugar is slower and more sustained over time. That means you feel fuller longer and are less tempted to eat again so soon. Our energy levels are maintained throughout the day, which not only provides health benefits but also makes us feel better, because we’re not on that up and down cycle from morning to night.

If you would like to increase your consumption of low glycemic foods, here are some suggestions.

Eat less of the following:

• Avoid sugary snacks, especially those made with refined sugar. Not only are they high GI foods, they are mostly empty calories.
  
• Many salad dressings are very high GI foods.
  
• While potatoes are nutritious, especially with their skins intact, they are also very high GI foods.

Eat more of the following:

• Fruits and vegetables in their natural state, preferably organic. Many commercially grown fruits and vegetables have a higher sugar content than organic. Commercially grown foods also have added chemicals and pesticides.
  
• Eat foods with lots of fiber, which tends to lower the glycemic index of everything you eat.
• Choose breakfast cereals with whole grain barley, bran, and oats.
  

Interestingly, the cooking method can affect the GI rating of a food. For example, boiled potatoes are rated an 81 on the glycemic index, while baked potatoes rate as 119 and mashed potatoes 104.

However, rather than obsess about individual GI food ratings, remember that the most important goal is to have a low glycemic diet overall. Eating the occasional high GI food is OK, especially if you also eat a low glycemic food along with it.

Try to focus on eating a healthy, balanced diet including a wide variety of whole, natural, and fresh foods. By doing so, you won’t even have to consult the GI scale, because you’ll be eating a relatively low glycemic diet and gaining all the benefits described here.

Carpal Tunnel Syndrome

Can Chiropractors Help With Your Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS), named from the carpal bones in the wrist that form a tunnel around the nerve leading to the hand, is an injury usually caused by repetitive and forceful movements that result in swelling around the tendons and pinching of the median nerve, causing painful tingling, lack of muscle strength and control in the hand, and pain shooting from the hand up to the shoulder.

CTS is a risk to most workers, such as those who work on the computer and also store and assembly line workers, who receive micro-traumas to their hands and wrists on a daily basis due to awkward positioning, forceful and repetitive movements, and stressful activity. [1,2]

The usual treatment for Carpal Tunnel Syndrome can extend to heavy medication and surgery, however there are alternative methods of treatment that can alleviate the symptoms and effects arising from CTS. Chiropractic treatment for CTS has been studied against conventional non-surgical medical treatment by Davis et al. [1] and was found to be effective. This offers an alternative to sufferers who are intolerant to ibuprofen, or those who simply wish to avoid treating with medication. 

The median nerve in the wrist, which when trapped causes Carpal Tunnel Syndrome, connects to the spinal cord through the openings in the bones in the areas around the lower neck. If these bones in the spinal cord lose their ordinary position or motion, this can cause problems in the wrists or fingers.

Through chiropractic treatment, these bones can be reset to the correct position and can help to treat CTS.

If Carpal Tunnel Syndrome is detected early, then surgery can be avoided, and chiropractic treatment is the leading method of non-surgical treatment.

Chiropractic treatment usually involves various methods [3], with a combination of rest, ice, ultrasound, and electrical stimulation, including:

• By chiropractic manipulation therapy of the elbow and upper spine, where the joint’s soft tissue undergoes manipulation [4];
   
• Nutritional supplements in the diet such as B6, a vitamin that has had long-term promotion in its treatment of CTS;
   
• Electro-acupuncture treatment; bracing, a technique that has had extensive success, by limiting extension and flexion in the hand, and with compression on the median nerve may encourage recovery and ease the swelling in the tendons;
   
• Exercises for the wrist and hand designed to encourage recovery;
   
• Reassessing the ergonomics of the work place to minimize stress the best way as possible.

Recent studies, such as that by J. Burke et al (2007)[5], concluded that using manual therapy intervention such as soft tissue mobilization (STM) has been found to help improve the signs and symptoms of CTS, with improvements to nerve conduction latencies, wrist strength and motion.

Carpal Tunnel Syndrome can become a serious health problem, and if left too long may require surgery. If it’s caught early, then chiropractic treatment is an effective, drug-free method to ease the symptoms and pains caused by CTS, and provide long-term relief from CTS. 

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References
 
[1] P.T. Davis et al., J Manipulative Physiol Ther. 1998 (Jun);21 (5): 317-326 (1998)
 
[2] R.Valente and H. Gibson, J Manipulative Physiol Ther 1994;17(4):246–9 (1994)
 
[3] R. Perez de Leon & S. Auyong, J Chiropr Med. 2002 Spring; 1(2): 75–78. (2002)
 
[4] P.T. Davis and J.R. Hulbert, J Manipulative Physiol Ther 1998;21(5):356–62 (1998)
 
[5] J. Burke et al., J Manipulative Physiol Ther. 2007 Jan;30(1):50-61. (2007)

Understanding Chiropractic Care for Kids

A growing number of families in the U.S.—both parents and children—are discovering the benefits of complementary and alternative medicine (CAM), including chiropractic care.

The good news is that

you’re never too young or too old to benefit from

the types of therapies a

skilled chiropractic physician can provide. 

Today’s state-licensed chiropractors generally have the training and experience to work with patients from early childhood through to advanced age. However, some practitioners also choose to focus on the unique needs of specific types of patients.   

Many chiropractors who specialize in pediatrics are members of the International Chiropractic Pediatric Association (ICPA) and have attended postgraduate courses that focus on the care of pregnant mothers, infants and children.

The ICPA is a non-profit organization that was founded in 1986 by Larry Webster, DC.  The association offers advanced training workshops and seminars for healthcare professionals, in addition to its chiropractic certification. It also has a referral service for parents and publishes a wide variety of materials designed to educate the general public about chiropractic medicine for children and adults.

How Children May Benefit From Chiropractic Care

As children enter school and begin interacting more with other kids in a different setting, they become susceptible to having their spine and nervous system compromised. From poor sitting posture in the classroom to heavy backpacks in the hallways and rough-housing on the playground, there are a variety of new health risks. Chiropractic care can help address these sorts of risks as well as others that may seem less obvious.

For instance, there is evidence that chiropractic care may help prevent or relieve many common cold and allergy symptoms, including sneezing, coughing and itching or watery eyes. This is not to say that a visit to the chiropractor will “cure” the common cold or that the underlying illness will be eliminated, even temporarily.  However, the research suggests that spinal manipulation and other therapies frequently used by the chiropractor may help to strengthen a child’s immune system over time.

Treating Infants

Chiropractic treatments are tailored to every child according to their specific circumstances, including their height and weight. There is no minimum age and even newborns may safely benefit.  In fact, chiropractic care is encouraged for babies as a chiropractic physician may be able to detect spinal problems that could lead to colic, ear infection or asthma. Early detection may help prevent the development of these conditions and other complications while improving a young patient’s quality of life.
Communicating with Members of Your Child’s Healthcare Team

As both adults and children are turning to alternative medicine as a way to prevent or treat common ailments, there is an increasing need for patients (or their parents) to communicate effectively with members of an expanded healthcare team.  In most cases, your child’s  primary care doctor (usually a pediatrician, general practitioner or chiropractic physician) will play a key role in coordinating care.

Remember that a good chiropractor will always tell you when a particular condition may be outside his or her scope of practice and will refer you to other specialists as appropriate.

Studies have shown that children who visit the chiropractor on a regular basis are likely to grow up with better posture and have fewer illnesses than their classmates. 

If you’d like to find out more about children and chiropractic care, please call Dr. Wintermute at (949) 559-7999 today to make an appointment.

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References
 
Fysh, Peter DC (December 16, 1994) Upper Respiratory Infections [Electronic version] Dynamic Chiropractic, Vol. 12 No. 26; Retrieved August 30, 2011
 
International Chiropractic Pediatric Association (ICPA) homepage (2010) Retrieved August 30, 2011: from http://icpa4kids.com/about
 
Palevsky, Lawrence M.D. (October 8, 2008) Holistic Approaches to Asthma, Retrieved August 30, 2011; from http://icpa4kids.org/Wellness-Articles/holistic-approaches-to-asthma.html

What are Trans Fats?

Stay on the Lookout for Trans Fats

You’ve probably heard that trans fats are bad for you. You may even be looking for them on product labels. But what about all the foods that don’t have nutrition labels on them, such as French fries or doughnuts?

When it comes to these foods, trans fats may be hiding in plain sight. That’s why it is important for you to have a basic understanding of where you are most likely to encounter them. By knowing a little more about trans fats, you can make more informed food choices.

Trans fats, also known as trans fatty acids, come from the hydrogenation of polyunsaturated oils and are used in place of healthier oils in many foods. Say what? Unless you majored in chemistry, that probably makes zero sense to you, so allow me to explain.

Naturally occurring vegetable oils – such as canola, sunflower, or corn oil – don’t contain any trans fats. People have to intentionally create trans fats. So if we know they are bad for our health, why do we do it? There are several reasons – all of which serve the needs of the food industry, not individuals. Trans fats:

• Increase the shelf life of products
• Make vegetable oils more suitable for repeat use in deep fryers
• Decrease product refrigeration requirements
• Are less expensive than butter or lard

Have you ever noticed that butter is stocked in the refrigerated section of grocery stores, but packaged baked goods like muffins aren’t? Yet the muffins still resist spoiling. Why? It’s because the kinds of pure vegetable oils and butter we cook with at home are often substituted with trans fats when foods are prepared on a commercial scale.

The trans fats come from adding hydrogen atoms (partially hydrogenating) to unsaturated fats. This process raises the melting point of the fat – so that it will be more solid at room temperature and won’t require refrigeration to hold its shape.
Up until 2006, food manufacturers were not required to list trans fats on product labels.

Now the FDA requires food manufacturers to list the presence of trans fats.  And although the FDA did not set any limits on the amounts of trans fats that are allowed to be present in our foods, they did say that it should be “as low as possible.

Experts believe that there are nearly 50,000 products on the market that contain trans fatty acids. While the term “trans fats” might not specifically appear on the nutrition label, you will see terms such as shortening and hydrogenated or partially hydrogenated oil. The closer to the top of the nutrition label these trans fats appear, the higher the percentage that are present.

Consumer health groups have begun to pressure food manufacturers to remove trans fats from their products altogether. Some have gone so far as to file law suits demanding that a particular product be removed from the shelves unless trans fats are eliminated from the ingredients.

While that battle is fought at the highest levels, individuals can take control of their own health by recognizing the types of food likely to contain high levels of trans fat. Stay on the lookout for trans fats in fried foods, in unrefrigerated baked goods and in snack foods such as cookies and crackers.

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Bibliography
 
Dietary Fats Explained MedlinePlus Medical Encyclopedia. (n.d.). Retrieved 9 5, 2011, from MedlinePlus Health Information from the National Library of Medicine: http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000104.htm
 
Trans fat. (n.d.). Retrieved 9 5, 2011, from Wikipedia.org: http://en.wikipedia.org/wiki/Trans_fat
 
Trans fat definition Cholesterol Information Produced by Doctors For Patients Experiencing High Cholesterol Levels. (n.d.). Retrieved 9 5, 2011, from MedTerms.com: http://www.medterms.com/script/main/art.asp?articlekey=11091

Safe Soccer Headers

Proper Form is the Key to Safe Soccer Headers

The question of whether repeated headers in the game of soccer have a long-term impact on the brain or cognitive function is a raging debate among experts with no clear answer one way or another.

An LA Times article on the subject makes this clear in its opening line…"Like a loose ball in a kids' game, argument over the safety of heading in soccer has parents, coaches and scientists scrambling all over."

The one place where there is solid agreement is that proper form is the key to preventing injury. Even if your child plays in a league where heading isn’t allowed, kids will emulate in the backyard what they see the top soccer players doing on TV.

Take a moment to learn the basics of proper form so you can double check what you, your child and your child’s coach are doing. Here are a few dos and don’ts to look for:

Do strike the ball with the head. Don’t allow the ball to hit you in the head.

The main thing to remember is that the player should actively ‘strike the ball with the head’ rather than allowing the ball to ‘hit them in the head’. It is very hard to learn the skill of intentionally hitting a flying object with your head! The player needs to be active and purposeful in heading the ball, not passive.

Do keep your eyes open and locked on the ball. Don’t close your eyes when heading a soccer ball.

The most common mistake that young players make is closing their eyes. Instead, keep the eyes open and locked on the part of the ball you want to head.

Do use the whole body to generate your power. Don’t try to use your neck muscles.

Another mistake is believing that the power in a soccer header comes from the neck muscles. It doesn’t. In a traditional header, the power comes from the upper body. The back is arched in preparation for the header and the torso is trust forward to contact the ball. All the while, the chin is tucked toward the chest.

This stabilizes the neck. In a diving header, the neck position is locked and stabilized and the entire body is propelled forward to contact the ball. The power comes from the jump and gravity, not the neck.

Do use a ball that is age-appropriate. Don’t use a wet ball for practice.

Soccer balls come in different sizes for a reason. When practicing headers, make sure you are using the right size ball for your age and not a ball that is too large and heavy. Also, as a soccer ball gets wet, the weight increases by 20% or more, so for practice, choose a dry ball.

As we stated at the beginning of the article, the debate about whether heading a soccer ball is safe for children (and adults) rages on. What we do know for sure is that kids will do it with or without proper instruction and that proper technique is the key to injury prevention. As adults, our job is to provide the proper instruction to keep our kids safe playing ‘the beautiful game’.

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Bibliography

Dreyfuss, I. (2001, May 20). Experts Face Off About Soccer Heading. LA Times.
 
Institute for Sports Medicine Heading the Soccer Ball. (n.d.). Retrieved 9 9, 2011, from Children's Memorial Hospital Chicago, IL: http://www.childrensmemorial.org/depts/sportsmedicine/heading-soccer-ball.aspx
 
Kirkendall, D., & Garrett, W. E. (2001). Heading in Soccer: Integral Skill or Grounds for Cognitive Dysfunction? Journal of Athletic Training, 36(3), 328-333.
 
Soccer Training Heading the Ball. (n.d.). Retrieved 9 9, 2011, from ExpertFootball.com: http://expertfootball.com/training/heading.php

Degenerative Disc Disease

Degenerative Disc Disease and Chiropractic Care

Whether they first see the phrase in print or hear it for the first time in a doctor’s office, “degenerative disc disease” is a term that many chronic back pain sufferers will encounter. It’s part of a brand new vocabulary that many patients learn as they try to understand their condition and navigate healthcare choices. But what does it really mean?

Degenerative disc disease is not actually a disease at all. Rather, it refers to normal changes in your spinal discs that tend to occur naturally as your body ages. Spinal discs are the soft “separators” between your vertebrae that cushion the individual bones and give your spine its flexibility. Healthy ones are thick and soft. Unhealthy ones are thinner and more brittle.

Over the years, these discs may gradually become less effective as the amount of fluid inside is reduced or cumulative wear and tear damages the discs and raises the risk of bulging, rupture or disintegration. The truth is that by the time we reach middle age, most of us already have degenerating discs, whether we’re experiencing any pain or not. And even with our best imaging technology, it can be very difficult to tell whether this degeneration is actually the source of a patient’s problems.         

So from a patient’s point of view, this bit of language—degenerative disc disease—can be both confusing and frustrating since it suggests a diagnosis but doesn’t usually come with a clear set of treatment options attached.  In some ways, it may actually seem like a “catch-all diagnosis” or “un-diagnosis”.

Can I Benefit From Chiropractic Care if I Have Degenerative Disc Disease?

Sometimes patients who’ve been told they have degenerative disc disease wonder if chiropractic adjustments can still help them or if they’re safe.

The answer to these questions depends on the patient’s individual circumstances, including whether the damaged discs are herniated or ruptured (bulging or broken) or have caused other conditions, such as osteoarthritis (a breakdown of the tissue that protects joints) or spinal stenosis (a narrowing of the channel within the spine that holds the spinal cord).  

Chiropractic physicians are specially trained to diagnose the underlying causes of back pain and to recognize when specific types of treatment may be either ineffective or harmful in situations where patients have degenerative disc disease. Since they are often skilled in a wide range of conservative, non-surgical therapies, most chiropractors will recommend low-force, non-thrusting techniques in situations involving disc degeneration and related complications. They may also employ traditional spinal adjustments based upon the results of a careful evaluation of the patient.

Chiropractic care generally focuses on addressing back pain at its source as well as improving the spine’s stability and mobility. While there is no cure for degenerative disc disease, an effective treatment plan will usually combine manual therapies (such as manipulation or massage) with supervised exercise and/or nutritional programs and lifestyle changes designed to minimize its impact.

If you’re wondering what chiropractic care could do for you or someone you care about, please call Dr. Wintermute at (949) 559-7999 today to schedule a consultation.

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Bibliography
 
Degenerative Disc Disease - Topic Overview. (2011, July 21). Retrieved September 2011, from WebMD: http://www.webmd.com/back-pain/tc/degenerative-disc-disease-topic-overview
 
Arn Strasser, D. (n.d.). How a Chiropractor Treats Degenerative Disc Disease. Retrieved September 2011, from spineuniverse.com: http://www.spineuniverse.com/experts/how-chiropractor-treats-degenerative-disc-disease
 
New York Times Back Pain In-Depth Report. (n.d.). Retrieved September 2011, from nytimes.com: http://health.nytimes.com/health/guides/symptoms/back-pain-low/print.html
 
Peter F. Ullrich JR, M. (n.d.). Degenerative Disc Disease. Retrieved September 2011, from spine-health.com: http://www.spine-health.com/conditions/degenerative-disc-disease/what-degenerative-disc-disease

Chiropractics vs Back Surgery

Comparing the Risks: Spinal Manipulation versus Back Surgery 

While most people seeking medical care for back or neck pain recognize that they may have treatment options (often including chiropractic care and surgery), many do not understand the potential benefits and risks associated with those choices.

Patients who ask family, friends or coworkers for advice all too often hear secondhand stories about healthcare “miracles” or “nightmares” experienced by a friend’s uncle, a wife’s boss or a father’s golfing buddy.

The clinical facts—on the other hand—are often less accessible to the average person and tend to leave a smaller impression. However, for those who want a broader perspective on their treatment options, there are several high-quality research resources available. The American Journal of Medicine and Spine (among others) have featured information on the risks involved with surgery and spinal manipulation.

Headline:  Both Surgery and Manipulation Present Risks

Patients who are suffering with neck pain and considering both surgery and chiropractic treatment should be aware of the risks and discuss them openly with their healthcare providers.

In the case of any surgery, there may be serious complications from anesthesia, excessive bleeding, blood clots that lead to pulmonary embolism and infection. These general risks are added to the more specific risks of surgery on the spine. These may include a dural tear (the dura surrounds the spinal cord and a tear can cause leaking of cerebrospinal fluid), spinal cord injury and persistent or increased pain from an unsuccessful procedure.

Spinal manipulation may also cause dangerous complications. Spinal manipulation has been associated with disc herniation, cauda equina syndrome (pain, weakness or loss of bladder and bowel function) and vertebrobasilar accident (a tear in a major artery of the neck). These complications can be just as serious as the complications associated with surgery. 

If similarly severe complications may result from either course of treatment, how can a patient weigh the risk of each option? Managing risk isn’t just about understanding “worst-case”-type scenarios, it’s also about understanding how likely these and other complications are to occur. This is where some additional research findings can help. 

How Frequently Do Serious Complications Actually Occur?

In April 2010, the journal Spine (published by Lippincott Williams & Wilkins) included an article that summarized the incidence of adverse events in spinal surgery based on the authors’ review and analysis of the existing literature.

They found complication rates for spinal surgery ranging from 5% to 19%. Similarly, the American Journal of Medicine in 2002 published the results of a study that examined the incidence of serious adverse events for spinal manipulation. By comparison, researchers involved in that work reported complication rates ranging from one out of every 400,000 manipulations to one out of every two million.

So now we can see that the risk of a serious adverse event from spinal manipulation is extremely low relative to the risk posed by surgery. That’s one reason that the Mayo Clinic and many other reliable healthcare organizations around the world consider spinal manipulation very safe when performed by someone trained and licensed to provide this type of chiropractic care.

Whenever we talk about risk, it’s always important to remember that almost everything we do can be ‘associated’ with some type of adverse event. Driving a car, handling scissors, and even eating dinner can all lead to serious complications. The best way to handle these risks, including the risks of spinal manipulation, is to understand them and keep them in perspective.

Healthcare providers are uniquely qualified to help you do that. If you or someone you care about is interested in chiropractic care—including its potential benefits and risks — please call Dr. Wintermute at (949) 559-7999 to make an appointment.

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References
 
Dekutoski, MD, M. B., Norvell, PhD, D. C., Dettori, PhD, J. R., Fehlings, MD, PhD, FRCSC, FACS, M.G., & 

Chapman, MD, J. R. (2010). Surgeon Perceptions and Reported Complications in Spine Surgery. Spine, 35(9S).  Retrieved August 31, 2011, from http://www.medscape.com/viewarticle/721611

Staff, M. C. (n.d.). Chiropractic adjustment: Risks - MayoClinic.com. Mayo Clinic. Retrieved August 31, 2011, from http://www.mayoclinic.com/health/chiropractic-adjustment/MY01107/DSECTION=risks

Stevinson, MS, C., & Ernst, MD, PhD, E. (2002). Risks Associated With Spinal Manipulation. The American Journal of Medicine, 112(7), 566-571. Retrieved August 31, 2011, from http://www.sciencedirect.com/science/article/pii/S0002934302010689 

What is the Atlas Orthogonal (AO) Technique?

The Atlas Orthogonal chiropractic technique, often abbreviated AO, is a specialty within the field of chiropractic that focuses of the upper cervical region. Even more specifically, practitioners of the Atlas Orthogonal technique concentrate on the Atlas vertebrae – the very first bone in the neck. Their goal is to make the Atlas bone orthogonal (or exactly perpendicular) to the skull. This is where the approach gets its name.

The premise behind AO is that the first bone – the atlas – is central to the alignment of the remainder of the column. Imagine a marching band where the first member is out of position. All the other band members position themselves relative to the first member. When the first member is out of place, the entire band is out of formation. This is a crude analogy to explain the critical role played by the atlas in directing the alignment of the other vertebrae.

And, it’s not hard to imagine how the atlas may be out of alignment. The rather light atlas (it weighs about 2 ounces) supports the weight of the human head (which weighs about 9 to 17 pounds).

Imagine the head as a golf ball and the atlas as the top of a golf tee. The small tee is best able to support the weight of the golf ball on top when it is straight up and down.

The atlas can become misaligned as a result of chronic poor standing or sitting posture, an awkward sleeping position or improper lifting. These are all examples of gradual processes. The atlas can also be jarred out of alignment by an auto accident, bad fall, or a blow to the head.

When the atlas is out-of-alignment (non-orthogonal), the body will compensate in other ways to keep the heavy head centered over your feet. The other spinal vertebrae and the muscles in your neck, torso and lower back will alter their normal position and function in response (just like the marching band reacting to the position of the first member). Now you’ve created a situation where there may be excessive pressure on certain nerves, muscle spasms and tissue inflammation which can cause pain and dysfunction in other areas of the body.

Hopefully you are starting to see why the Atlas Orthogonalist focuses so intently on the atlas. A problem with the atlas alignment can manifest in many other distant places and cause a multitude of problems.

So how does the AO chiropractor restore the proper position of the atlas? By carefully evaluating each patient’s precise atlas position and then programming an instrument to deliver a precise percussive wave to reposition the atlas.

First, an AO-trained chiropractor will take very detailed x-rays that can map the exact position of your atlas. The tilt and rotation of your atlas are as unique to you as your own fingerprints.

Second, an instrument programmed with your exact settings will deliver a painless vibration to the affected area. There is no twisting or cracking.

Since the adjustment is custom-programmed for you it can be simultaneously very gentle and very effective. Some patients that have had traditional chiropractic will often walk away from their first AO treatment thinking that nothing has be accomplished because an AO adjustment is barely felt by the patient.

This article is just a brief introduction to the Atlas Orthogonal technique. When you visit our office, you’ll be able to get answers to all your questions. And after an exam, we’ll be able to talk with you in detail about whether you can benefit from atlas adjustment the same way that tens of thousands of your peers have.
 

Bibliography
 
(n.d.). Retrieved 8 29, 2011, from GlobalAO.com - The Official Site of the Atlas Orthogonal Program: http://globalao.com/
 
(n.d.). Retrieved 08 29, 2011, from Sweat Institute for Atlas Orthogonal Chiropractic: http://www.sweatinstitute.com/content/home.php

Straight Talk About Foot Orthotics

Good spinal health is built from the ground up, starting with the feet.

For years medical researchers and healthcare providers have recognized that problems there can cause posture changes that eventually trigger a variety of musculoskeletal issues in other parts of the body (particularly the ankle, knee, hip and back).

Studies have also shown that even slight foot problems can negatively affect athletes’ performance and predispose them to a broad range of sports-related injuries.

What Are Orthotics and How Can They Help?

Orthotics are shoe inserts that are specially designed and manufactured to correct an abnormal or irregular walking pattern by promoting proper alignment and balance.  They’ve improved the quality of life for millions of people, and it’s become very common for physicians to recommend them to address many different patient needs:

• Reducing pain and/or fatigue
• Providing targeted foot support
• Relieving pressure or stress on an injured or sensitive area
• Preventing or limiting deformity
• Improving foot positioning and function
• Restoring balance

Reinforcing or supplementing other therapies (particularly chiropractic adjustments)

Foot orthotics are medical devices that can significantly change the way a person stands, walks and runs (and therefore the way his or her body absorbs and distributes related forces). For this reason, it’s important that the person wearing them clearly understand their benefits, risks and limitations.  It’s also important that the person use them correctly.

What Every Patient Should Know About Orthotics

There is no “one-size-fits-all” answer when it comes to orthotics. What works for another family member or neighbor will probably not work for you!

Getting the right prescription for your particular needs is all about working effectively with your healthcare provider to define your own goals and develop a complete understanding of your foot’s unique structure and function.

For instance, orthotics can be very sport-specific—the performance requirements of a hiker will not be the same as those of a skier or a football player.
 
 
Not all orthotics are created equal, and the differences matter. The prefabricated orthotics that can be purchased at shoe stores, pharmacies and sporting goods stores are not the same as the custom orthotics prescribed by a healthcare provider. Do not confuse them!

Mass-produced products are tailored for the “typical” foot and are unlikely to address problems specific to any one individual’s foot.

In some situations, such products can actually make a medical condition worse, cause new problems or increase the risk of injury. So while they’re usually less expensive than custom orthotics, they may not actually solve your particular problem.
     
Orthotics don’t actually correct foot or ankle problems. They are intended to realign the structures of the foot to improve function, reduce pain and decrease the risk of injury.
 
Needs can change over time and your orthotics should too. The structure and function of the foot can change as people age. So too can people’s lifestyle and priorities. Your healthcare provider can work with you to ensure that your prescription is still the right one for you.

Long-term use of orthotics may pose its own risks. Any time that you provide outside help to the structures normally responsible for supporting and moving parts of your body (casts or braces are good examples), you are essentially asking them to do less. And if you provide that help over a sufficiently extended period, you run the risk that your bones, muscles and connective tissues may become weaker as a result. The unintended consequence is that you may actually become less capable and more reliant on your devices to do the work your body used to do.

Your healthcare provider will talk with you about how to use your orthotics correctly and manage any long-term risk that he or she believes may exist.
      

Prescribing orthotics is arguably as much an art as a science. Don’t underestimate the role of professional judgment in prescribing orthotics. Experts acknowledge that there are few widely-accepted standards and that we can’t always predict successfully how an individual will respond to a particular prescription.

In fact, recent research has demonstrated that individuals with the same condition can respond very differently to identical orthotic therapy.

There’s even evidence that the same patient can respond to a prescription inconsistently or can respond just as favorably to two entirely different (even contrary) prescriptions. This means that some trial and error may be necessary to get the results both you and your healthcare provider are looking for and that good communication is critical. Without accurate and timely feedback from you about how well your orthotics are doing their job, it’s impossible for your healthcare provider to make the adjustments that will eventually lead to success.


How Your Chiropractor Can Help

There’s a close relationship between the way your feet work and the way the rest of your musculoskeletal system supports your body. So even if your feet themselves don’t actually hurt, they could be contributing to other health problems that you’re experiencing.

After your chiropractor has examined you carefully and talked with you about your situation, he or she can help you decide whether foot orthotics should be part of your broader treatment plan. Call Dr. Wintermute at our office today to learn more - (949) 559-7999.

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References and Resources
 
Gina Kolata, Close Look at Orthotics Raises a Welter of Doubts.  Orthotic Shoe Inserts May Work, but It’s Not Clear Why.  New York Times Fitness and Nutrition.  January 17, 2011.  Accessed August 2011.
http://www.nytimes.com/2011/01/18/health/nutrition/18best.html?pagewanted=all

Nigg, BM et. al., Effect of Shoe Inserts on Kinematics, Center of Pressure, and Leg Joint Movements During Running.  Medicine & Science in Sports & Exercise.  February 2003.  Accessed August 2011.
http://journals.lww.com/acsm-msse/Abstract/2003/02000/Effect_of_Shoe_Inserts_on_Kinematics,_Center_of.21.aspx

Best Foot Forward with Chiropractic.  Journal of the American Chiropractic Association.  January 2001.  Accessed August 2011.
http://www.acatoday.org/pdf/focus_january2001.pdf

Reliable Information on Nutritional Supplements

Great Source for Reliable Information on Nutritional Supplements

Have you ever found yourself tuning out information about nutritional supplements because it all seems confusing and contradictory? If yes, you are not alone.

One headline says 'get more X' the next headline says 'be careful about too much X' and another says 'X supplementation not necessary at all'. Headlines are meant to sell newspaper and magazines.

They report on what's new not necessarily what is backed by the most evidence. And, the stories are often selected based on findings that are contrarian or against conventional wisdom. After all, who is going to buy a magazine with the headline, "No change in guidelines – eating more plant-based foods is still good for you."

Consumers really need a reliable source of evidence-based recommendations for nutritional supplements. Since these are not regulated by the FDA, there isn't a government run website that you can count on to be unbiased. There are several private companies, non-profits and even individuals that claim to offer comprehensive unbiased information on nutritional supplements, but who has the time to sift through all of these to figure out whose information is the best?

At the risk of offending a number of other great sources, this article is a plug for the Linus Pauling Micronutrient Information Center at Oregon State University at http://lpi.oregonstate.edu/infocenter. Chances are this is a source you've never heard of or looked at, but you should.

The website describes the Linus Pauling Institute as a “source for scientifically accurate information regarding the roles of vitamins, minerals, other nutrients, dietary phytochemicals and some foods in preventing disease and promoting health”.

As you can see from the description, their mission extends beyond nutritional supplements to also include whole foods. This is critically important because sometimes nutrients are more potent together (as in a food) than they are separately.

When you visit the website, you'll have a chance to subscribe to the newsletter near the top of the page. Do it. This isn't another email newsletter but rather a printed, bound newsletter sent to your house containing all of the Institute's latest research.

The folks at OSU are doing excellent work to bring us all trustworthy, evidence based recommendations on the tens of thousands of nutrients in our foods. Take some time to look at their website, bookmark it and share it with others. If there are concepts or terms you don't understand, feel free to ask us during your next appointment or send us an email.

Are Chiropractic X-Rays Safe?

How Safe are Chiropractic X-Rays?

Patients occasionally ask whether chiropractic x-rays are safe, so we wanted to summarize the current FDA statements on x-ray safety and give you a couple credible resources where you can learn more. Read the full article if you want the complete story, but if you are looking for a quick answer, the FDA estimates that the radiation exposure from a chest ray is roughly equivalent to the background radiation you are exposed to in 10 ordinary days on planet Earth.

The FDA states on its website "Don't refuse an X-ray. The risk of not having a needed X-ray is greater than the small risk of radiation."

First of all, there is no difference between a chiropractic x-ray and any other type of x-ray. While x-ray equipment does vary slightly by manufacturer, what really matters is the body part being imaged. Different body tissues absorb radiation in different ways.

To provide consumers with a way of monitoring radiation exposure across multiple sources, the FDA uses an effective dosage scale. Each type of x-ray has an effective dosage associated with it measured in millisieverts (mSv). Since millisieverts isn't a unit of measure most people are familiar with (like a mile or a teaspoon), having a reference value helps put the numbers in context.

The FDA estimates that the average person is exposed to 3.0 millisieverts of radiation per year from naturally occurring radioactive materials and cosmic rays. That's what allows them to state that a 0.1 millisievert dosage from a chest x-ray is equivalent to about 10 days of background radiation exposure.

Compared to a chest x-ray, x-rays of the extremities (arms and legs) have a much lower effective dosage and x-rays of the lower torso have a higher effective dosage. Recall that the effective dosage comes mainly from the body part being imaged not the intensity or duration of the x-ray machine pulse. Here's a summary of effective dosages and background radiation equivalents for the various types of x-rays a chiropractor is likely to recommend:

• Extremities - 0.001 mSv – similar to 3 hours background radiation
• Chest - 0.1 mSv - similar to 10 days background radiation
• Spine - 1.5 mSv - similar to 6 months background radiation

The FDA website and the excellent radiologyinfo.org website from the American College of Radiology and the Radiological Society of North America both point out that disease risks from radiation exposure are cumulative across time and that patients play a critical role in tracking their own exposure levels.

Since you may be working with multiple health care providers in different specialty areas, you should keep a log of your exposures. Here is a link to a site where you can download a personal Patient Medical Imaging Record: http://imagewisely.org/Patients.aspx

Note that this article refers to effective exposures and recommendations for adults. If you are pregnant or looking for x-ray safety information for children, visit imagegently.org


Bibliography
Consumer Updates Reducing Radiation from Medical X rays. (n.d.). Retrieved 8 29, 2011, from FDA.gov: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm095505.htm

Patient Safety X ray and CT. (n.d.). Retrieved 8 29, 2011, from Radiologyinfo.org: http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray

Radiology Risks Benefits for Patients Image Wisely Image Wisely. (n.d.). Retrieved 8 29, 2011, from ImageWisely.org: http://imagewisely.org/Patients.aspx

Back Pain during Pregnancy

Does Chiropractic Help Back Pain Associated with Pregnancy?

If you are pregnant and suffering from low back pain, a neighbor or a friend has probably suggested you visit a chiropractor because a chiropractor was able to help them during their pregnancy.

The discussion probably left you curious, is that good advice or just a single success story?

Additionally, you may be wondering whether chiropractic is safe during pregnancy and how much low back pain improvement the average pregnant woman can expect to get.

After looking at several scientific publications on these exact topics, the appropriate conclusion seems to be that “chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients. The scarcity of published literature warrants further research.” (Borggren, 2007)

So basically the answers are:

• Yes, chiropractic is safe during pregnancy.
• Yes, chiropractic helps common musculoskelatal probelms during pregnancy  (including back pain).
• Your friends experience isn’t just one woman’s story. Many women are finding relief and the results are being sporadically published in medical journals too.
• More research under more controlled conditions is needed for the purposes of educating primary care physicians and obstetricians about chiropractic care during pregnancy.

Here are a few additional details about the prevalence of low back pain during pregnancy and the number of women being referred for treatment.

• 57 – 69% of women complain of low back pain during pregnancy
• Only about 32% of women report these symptoms to their primary doctor
• Only about 25% of primary doctors recommend seeking treatment for the pain.

Clearly this is a big problem with 2 in 3 having pregnancy-related back pain. Also a big problem is that they are generally not talking to their obstetricians and primary care physicians about it and that these professionals are not referring them to effective treatment options.

Chiropractic treatments can be quite effective for pregnancy-related back pain with just a few visits for the majority of women seeking help. In a small study of 17 women:

• Sixteen of 17 (94%) saw clinically important improvements in low back pain with chiropractic care.
• The average pain rating went down from 5.9 to 1.5 (on a scale of 0 to 10).
• It took an average of 1.8 visits and 4.5 days to get clinically important pain relief.

We hope this article gave you hope that many pregnant women do get significant, rapid relief from low back pain.

If you are currently pregnant with low back pain, you probably have many questions not answered by this article. Perhaps you’ve never had chiropractic care before or you want to know how we adjust our techniques to work with pregnant patients.

The best way to get answers to your questions is with an initial consultation. The only way for us to know whether you are a good candidate is for you to come see us, so call Dr. Wintermute at (949) 559-7999 for an initial appointment today.

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Bibliography
 
Borggren, C. L. (2007, Spring). Pregnancy and chiropractic: a narrative review of the literature. J Chiropr Med, 6(2), 70-74.

Khorsan, R., Hawk, C., Lisi, A., & Kizhakkeveettil, A. (2009, Jun). Manipulative therapy for pregnancy and related conditions: a systematic review. Obstet Gynecol Surv, 64(6), 416-27.

Lisi, A. (2006, Jan-Feb). Chiropractic spinal manipulation for low back pain of pregnancy: a retrospective case series. J Midwifery Womens Health, 51(1), 7-10.

Stuber, K., & Smith, D. (2008, ul-Aug). Chiropractic treatment of pregnancy-related low back pain: a systematic review of the evidence. J Manipulative Physiol Ther., 31(6), 447-54.