Denver kidney donor to be first to run Leadville 100 & This Week’s 1-Page Newsletter

On National Donor Day, Dr. Jeff Stripling announced his goal to run 100 miles on behalf of all living organ donors. What follows is a recent press release from the American Transplant Foundation, and then This Week’s 1 Page Newsletter…

(DENVER, CO) – Being a living kidney donor will not stop Denver chiropractor Jeff Stripling from running 100 miles. In fact, it is what drives him forward

Dr. Stripling donated a kidney to his father in 2009. Today – National Donor Day – he announced his goal to be the first known living organ donor to run the Leadville 100 Mile Ultramarathon in August “on behalf of all living organ donors.

“Running 100 miles through the high Rockies will be tough, but that’s no because I’m a kidney donor. I want to shatter the misconception that you are limiting yourself if you donate an organ,” said Dr. Stripling.

“Being a live donor has proved to be the proudest moment of my life, and has enabled me to see my father healthy and enjoying retirement. Many people thought I would be limiting my own quality of life, but since I donated, my quality of life has only improved.”

To help other people become living donors, Dr. Stripling plans to raise funds for American Transplant Foundation’s Patient Assistance Program, which awards financial grants to offset expenses for living donors, such as travel costs to the surgery or time away from work during their recovery.

“We want people to understand that living organ donation is a viable option, and that it’s critical to reduce the transplant waiting list, especially for those who need a kidney,” said Kyle Pietari of the American Transplant Foundation. “Over 90,000 Americans are waiting for a new kidney. Most people don’t realize that the medical complication rate for live kidney donors is less than 1%. We are proud to work with Dr. Stripling and other living donors to raise awareness about this. They are truly heroes.”

“As a doctor, I understand that my body only needs one kidney. I can still workout, play sports, and attempt to run 100 miles. My father needed the other kidney much more than I do,” said Stripling.

The American Transplant Foundation is a national nonprofit organization that works to increase the donation of organs and tissue to reduce the growing list of men, women and children who are awaiting a lifesaving transplant.

Here’s this Week’s 1-Page Newsletter…

Mental Attitude: Emotions Not On My Sleeve? Contrary to what many scientists think, all people do not have the same set of biologically “basic” emotions and those emotions are not automatically expressed on the face. People do not scowl only when they’re angry or pout only when they’re sad. For example, people do a lot of things when they’re angry, sometimes they yell and sometimes they smile. Current Directions in Psychological Science, Jan 2012

Health Alert: Ten Ways To Decrease Cancer Risk 1.) Max BMI of 25; 2.) 5 or more servings of fruits & veggies daily; 3.) 7 or more portions of complex carbs daily; 4.) decrease processed foods & refined sugars; 5.) limit alcoholic drinks to 1/day for women and 2/day for men; 6.) limit red meat to no more than 3 oz daily; 7.) decrease fatty foods, particularly animal fats; 8.) limit intake of salted foods & use of salt in cooking; 9.) eliminate tobacco use; 10.) practice sun safety/recognize skin changes. American Cancer Society.

Diet: Soy And Hot Flash. According to a placebo-controlled study, daily doses of a soy germ-based nutritional supplement containing S-equol decreased menopausal symptoms 59%, including significantly reducing hot flash frequency after 12 weeks. It is believed that S-equol, produced from the isoflavone daidzein during the fermentation of soy germ, interacts with specific estrogen receptors to promote the improvement in menopausal symptoms. Journal of Women’s Health, Jan 2012.

Exercise: Colds And Exercise. Different levels of exercise can significantly increase or decrease your chances of catching a cold. If you tend to be a couch potato, then you will catch 2-3 colds per year, on average. Regular moderate exercise can reduce the risk of catching cold-like infections by 33% (this effect has been shown to be the result of the cumulative effect of exercise leading to long-term improvement in immunity). Prolonged strenuous exercise, such as marathons, can make an individual more susceptible to catching colds. We are constantly exposed to viruses, but it is our immune system that determines whether we get sick or not. Association for Science Education Conference, Jan 2012

Wellness/Prevention: Cancer Rates Dropping. In the last 20 years, one million deaths from cancer have been avoided. From 1990-2008, death rates dropped 23% in males and 15% in females. A Cancer Journal for Clinicians, Jan 2012

Quote: “There are no rules here – we’re trying to accomplish something.” ~Thomas A. Edison

Weekly 1-Page Newsletter for the week of 1/30/2012

Mental Attitude: Do Video Games Enhance Cognitive Abilities? In a recent study, it was demonstrated that there is little solid evidence that games enhance cognition at all. On the other hand, it may be the people who have these enhanced abilities are more likely to play video games. Frontiers in Psychology, Dec 2011

Health Alert: Diabetes Worldwide! There are 366 million diabetics worldwide and 4.6 million die each year from the disease. In the US, 8.3% or 25.8 million children and adults have diabetes, with 79 million having prediabetes. Diabetes Atlas, Nov 2011 & American Diabetes Association, 2011

Diet: Remember Cholesterol. High cholesterol levels may be associated with a greater incidence of brain plaques, a marker for Alzheimer’s disease. Neurology, Sept 2011

Exercise: Wide Waists Trim Lifespan. Since the mid-1970s, when Harvard published “The Nurses Study,” we’ve been told women with waists over 40 inches raised their risk of early death by 40% vs. women who maintained waists in the 26-27 inch measure. Pounds add up. Studies show that obesity is starting earlier than ever. 18% of children ages 12-18 are reported as being obese and 66% of baby boomers (81 million born between 1946-1964) are either obese or overweight. New England Journal of Medicine, Sept 2011

Chiropractic: Chiropractic and the NFL. All 32 teams in the National Football League offer their players and personnel chiropractic physician services for both managing and preventing injuries. Most have Active Release Techniques providers. Professional Football Chiropractic Society

Wellness/Prevention: Too Much Booze, You Lose. Men are more likely to binge drink than women. Research shows that drinking even a small amount of alcohol increases cancer risks, though moderate amounts of alcohol can show cardiovascular benefits that outweigh such risks. Men can play it safe by having no more than two alcoholic drinks per day. University of Texas MD Anderson Cancer Center, Nov 2011

Quote: “A revolution is coming – a revolution which will be peaceful if we are wise enough; compassionate if we care enough; successful if we are fortunate enough – but a revolution which is coming whether we will it or not. We can affect its character, we cannot alter its inevitability.” ~ President John F. Kennedy

Denver Chiropractic Center Weekly Health News For You

Have you ever noticed that you seem to drag during November and December? Well, there’s a reason for this. As the days get shorter and you get less time in the sun, your brain produces less Serotonin, the feel good brain chemical. The result is usually a little fatigue, less energy than normal, and the annoying urge to eat sugar. This is why many of us gain weight this time of year.

The best defense is to essentially go with the flow. Cut yourself some slack, try not to totally cave in to it, and know that soon the days will start getting longer (December 22). Try to get outside for a walk or run at least 3 times a week, even if it’s just for 20 minutes. Try getting to the slopes or going out for some Nordic fun – snowshoeing or cross country. Open up those blinds and let the daylight in. It’ll help.

Mental Attitude: Commuting To Work Is Bad For Your Health! Spending hours each day behind the wheel or crammed in a public train or bus, commuting to and from work is bad for your health. Those who commuted reported more everyday stress, exhaustion, missed work days and generally poorer health. Those with longer commutes reported even worse health. Duke University, Oct 2011

Health Alert: Under Construction! Nearly all construction workers will experience one or more work-related injury or illness over a lifetime, plus a greater risk of premature death. Over a 45-year career, a construction worker has a 75% chance of a disabling injury, and a one in 200 chance of being fatally injured on the job. An individual who begins construction work at the age of 20 has a 15% chance of developing chronic obstructive pulmonary disease and an 11% chance of developing dust-related parenchymal chest X-ray changes. Center for Construction Research and Training, Oct 2011

Diet: Strawberries & Stomach Ulcers. Scientists discovered strawberry consumption might help reduce and or slow the formation of stomach ulcers caused by alcohol consumption, viral infections and nonsteroidal anti- inflammatory medications, like aspirin and ibuprofen. Plos One, Oct 2011

Exercise: Good Reasons. Exercise helps speed recovery from chemotherapy treatments, increases the ability to supply blood to the skin for cooling and increases the thickness of the cartilage in your joints. Surgeon General’s Report on Physical Activity and Health, 1996

Wellness/Prevention: Cranberry Juice vs. Cranberry Extracts. Cranberries have been recognized for their health benefits for years, especially in preventing urinary tract infections. However, it was found that drinking actual cranberry juice is much more effective in preventing a Urinary Tract Infection than simply consuming cranberry extracts. Food Science and Biotechnology, Oct 2011

Active Release: Posture and mobility. Do you ever catch yourself all hunched over, briefly horrified by your won bad posture? Recent research by Gray Cook from Functional Movement Screens points to poor posture and mobility of the thoracic spine as a contributing source of many problems- from hamstring injuries to back pain to headaches. We can help you with that. Active Release, spinal adjusting and rehab can all be used to improve posture and spinal mobility. If you have chronic back pain, we can help you. Give us a call: 303.300.0424

Thanks For Reading!

Denver Chiropractic Center

303.300.0424

Dr. Glenn Hyman

Dr. Jeff Stripling

Low back pain – why patient education is a part of how Denver Chiropractic Center can help you.

Low Back Pain & Patient Education

Patient education is a very important aspect of caring for our patients. In fact, it can be one of the most important aspects of care. For example, when patients present with a brand new injury and pain levels are off the map, it’s quite common for that acute suffering patient to inappropriately think that, “I’m going to die… this hurts so much!” Hence, one of the very first things we do as chiropractors is to determine what structures are generating the pain so we can tell you!

Once you have an understanding of where the pain is coming from and why it hurts so bad, then you can be reassured that it’s not life threatening or dangerous. Also, at this acute point of time, the patient often unknowingly puts heat on the back, often for hours. This is the WORST thing you can do as the area is already swollen and putting heat on a swollen area draws more blood and fluids into the area. It’s literally like throwing gas on a fire. So, receiving proper information from us such as, put ice on the area for 15-20 minutes on and off several times in a row to “PUMP” the swelling out of the area will make complete sense.

Also, did you know that 2/3rds of our body’s weight is above the waist? That means, when a 150# person bends over, they are “lifting” 100#! That’s one of several reasons why bending over can be so dangerous. To “fix” that, squat by bending the knees keeping the back straight and keep objects that you might be lifting close to your body as that weight literally weighs 10x more when your arms are straight and you’re lifting. When you can’t squat and have to bend over, bend the knees, arch your back (literally “stick your butt out”), and bend over at your hip joints – DON’T use your back. You’ll need to practice that one a few times before it’s fully understood.

As your back pain improves, we will review these important self-help approaches and add new “tricks of the trade” like certain stretches, some strengthening and perhaps some balance exercises. Did you know that your thigh muscles shrink just by sleeping overnight? It’s true! When you wake up in the morning, your thigh muscles are smaller than when you went to bed. Well, this same muscle shrinkage (technically called “atrophy”) occurs in the lower back and hips, so strengthening exercises are REALLY IMPORTANT! Just think, if your muscles shrink overnight just from laying in bed, what about when you might have been told to use bed rest for several days or more? There potentially is a lot of muscle shrinkage and weakness that can occur in a relatively short amount of time and therefore, strengthening exercises also need to be taught in order to regain your strength so you can more safely do your activities.

Now what about back pain prevention? What methods to you think will help us NOT get low back pain? That’s right – managing weight! If your BMI (body mass index or, the ratio between your height and weight) is >25, you need to trim down a bit (or more). Go on line and SEARCH BMI, and pick one of many “BMI Calculators” to figure out your BMI. So, what do chiropractors know about weight loss?

Did you know the chiropractic college curriculum includes more nutritional courses than most medical schools? We will help you find a way to lose weight – whether its calorie restriction, a special diet like no/low salt, gluten-free, or a diabetes-specific diet. Another prevention trick for the low back (actually, whole body!) is to STAY FIT! Make aerobic exercise and even a light weight lifting program part or your daily ritual. Other methods help too, so come in and let us guide you in this journey to better health!

We realize you have a choice in where you get you healthcare services. If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Using the ASLR to prevent back pain, hip pain, knee pain and more

I spent a recent December weekend hanging out once again with some very smart physical therapists in Brighton. We were becoming certified practitioners of the Functional Movement Screen. (Many of you may recall that this past August I went to Brighton to learn about the Selective Functional Movement Assessment. Despite their seemingly similar names, the two are different. End digression.)

I’ve been using the Functional Movement Screen for years, but decided to get officially certified because it’s becoming a key part of my practice- finding the underlying dysfunctions that end up producing pain. It’s about fixing the problem, not just getting rid of the symptoms.

The Functional Movement Screen (FMS) is a system of 7 movements that are scored on a 3-point scale. 3 is good, 1 stinks, and 2 is somewhere in between. A total of 21 is perfection. Research shows that athletes (of any level) who score 14 or less are three times more likely to get injured than athletes who score a 15 or more.

The idea is that you identify your worst functional movement and then work to correct it, thus improving your score. You then do follow up screens to determine what you need to work on next.

So I’m going to have you check yourself on the movement test considered most important – the Active Straight Leg Raise.

At first glance, this may seem like a test of hamstring flexibility. It is, and more. It also assesses your active hip flexion, and your ability to maintain hip extension on the other side. These are three very important fundamental ranges of motion.

Your hamstrings start at the knee, run up to the “Sit Bone” and then send fibers into the SI joint. This joint is continuous with the spinal muscles.

Poor performance on this test means you’re more likely to experience one or more of The Big Five- back pain, hip pain, sciatica, IT band problems, and knee pain. So scoring your Active Straight Leg Raise (ASLR) is a good place to start if you want to prevent or improve any or all of these.

The ASLR requires a stick, an optional tape measure, and a buddy. For purposes of the description here, you are the one who’s evaluating the test and your buddy is the one performing the test.

Have your buddy lie down on his back. You need to identify two points on your buddy, the kneecap and the ASIS, or point of the hip. (Start on the left side.) The hip point is that bony thing at the waistline right above where the hip flexes. Measure the distance between the two points to find the middle of the thigh. The middle of the thigh is the reference point for this test.

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Once you’ve found the middle of the thigh. Stand the stick up to mark the spot.

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Your buddy is still on his back. (If you are a woman and your buddy is a guy, he’s probably making smart-ass remarks at this point because he knows he’s about to do a really bad job on this thing. Try to take pity on him.) Your buddy’s head must stay on the ground, his arms at his sides, and his palms UP, to avoid cheating.

So, your stick is at mid thigh on the outside of the left leg. Have your buddy raise the left leg – with the knee straight – as high as he can. The right leg MUST stay flat on the ground. If your buddy can get his left ankle (the bumpy bone on the outside of the ankle) above the stick, he gets a 3. If he can get his ankle between the stick and the left kneecap, he gets a 2. If he can’t raise the ankle past the level of the left kneecap, that’s 1.  (3 pics)

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Erin gets a 3 for this effort, her heel is above her mid-thigh

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With her heel between the stick and her right knee, Erin gets a 2.

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Erin couldn’t raise her foot past her right knee, so she gets a 1. Boo.

Now test the other side. When scoring, a 3 on each side is ideal. 2 on each side is OK. 1 on each side is bad. Different scores on each side is considered an asymmetry, and that’s bad.

If you’re interested in getting a baseline score for how your body is functioning, call up and make an appointment. We don’t charge any extra fees in conjunction with a treatment. The idea is to figure out which Functional Movement you score lowest on and take steps to improve it. We’ve developed rehab protocols to improve each pattern and improve your overall score. This reduces your likelihood of getting injured.

A back pain question from a triathlete

Question from a real patient:

Dr. Hyman,

My name is (deleted) and I’m a member of the (deleted) Triathlon Club. I noticed you are a sponsor and are very familiar with the athletic world who has worked with all types of athletes. I’m in my fourth year of racing Tri, which is remarkable due to a back injury in 2001 that resulted in a bulging disc. In 2006 I had a skiing accident that resulted in an avulsion facture of the L5 vertebrae. I was all healed up and good until a week ago when for some reason, a drive to Breckenridge aggravated my back. This resulted in crawling around for a couple of days. My back is very stiff and the pain is now tolerable. I want to consult your services in hopes of a speedy recovery to get back to training. Can you help me and how?

Answer:

A patient with this type of injury history is susceptible to aggravations of back pain. These may be severe and these may be minor. Since this patient had no pain radiating into his legs, and no other neurological symptoms, I was comfortable working with him. In this case, a simple move in the wrong direction led to a fairly significant muscle spasm. It’s likely that this person’s existing herniated disc received excessive pressure as a result of his posture in the car. This led to a painful guarding response that stopped him from skiing and doing further damage to his low back. After 2 – 3 weeks of treatment and some reasonable range of motion exercises, this patient should be able to return to full activity. His triathlon training should be normal, but core strength is definitely going to be a priority.

Note: This article is for informational purposes only. Don’t use it to diagnose yourself. See a qualified licensed health care practitioner.

Dr. Glenn’s Denver Chiropracitc Center & Active Release Blog

So, another blog is born. What can you expect from this one?

Those of you who get the newlsetter know that I like to share information that you’ll enjoy reading. This includes real patients and real problems, like shoulder pain, back pain, knee pain, carpal tunnel syndrome, and so on. I’ve been practicing Chiropractic and Active Release in Denver for over 10 years, and in that time I’ve seen a lot of interesting cases.

You’ll also learn about fitness, strength training, nutrition, and more. So make sure you bookmark us or subscribe, and check back often. See you soon!

 Glenn Hyman, DC