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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

The Neck & Shoulder Pain Relationship

In our hectic lifestyles of driving, hunching over computers, talking on the phone, not to mention stress arising from multiple sources, the muscles in the neck, upper back and shoulders seem to tighten up and hurt at the same time. The question is, between the neck and the shoulder, which one is the “chicken” and which is the “egg?”

The neck gives rise to the nerves that innervate the head (C1-3 nerve roots), the shoulders (C4-5), and the arms (C5-T2). Hence, there are 8 sets of nerves in the neck, 12 sets in the thoracic (middle back region), and 6 sets in the lumbar or low back region and 5 sets in the sacrum, all of which travel to a specific destination allowing us to move our muscles and to feel hot, cold, sharp, dull, vibration and position sense.

When these nerves get pinched or irritated, they lose their function and the ability to feel, making it challenging to button a shirt, thread a needle, or pick up small objects.  It can also make it difficult to unscrew jars, squeeze a spray bottle, or lift a milk container from the refrigerator. Hence, the nerves arising from the neck, when pinched, can have a dramatic effect on our ability to carry out our desired activities in which the shoulder, arm and hand use is required.

On the other hand, when the shoulder is injured (such as a rotator cuff tear or strain), this can also result in neck problems. There are several ways pain from the neck affects the shoulder and vice versa. When the shoulder is injured, pain “information” is relayed to the brain starting at the nerve endings located in the area of the shoulder injury, transmitting impulses between the shoulder and the neck, and finally from the neck to the sensory cortex of the brain. That information is processed and communication to the motor cortex prompts nerve signals to be sent back to the shoulder through the neck and to the injured area (in this case, the shoulder).

A reflex muscle spasm often occurs as a result, serving as kind of an “internal cast” as the muscle spasm tries to protect the injured shoulder. This can become a “vicious cycle” or never-ending “loop” until the reflex is interrupted (perhaps by a chiropractic adjustment). Another means by which both areas become injured has to do with modifications in function. We tend to change the way we go about our daily chores when an injury occurs to the shoulder, such as putting on a coat differently by leaning over to the opposite side.

These functional changes can also give rise to neck pain. Because of this reflex cycle, as well as the close anatomic relationship between the neck and shoulder, not to mention the “domino effect” of soft-tissue injuries which seem to change the function at the next joint level, it’s not surprising that both the neck AND the shoulder require simultaneous treatment for optimal treatment benefit. However, the good news is, regardless which one is the “chicken or the egg,” your treatment at Denver Chiropractic Center for shoulder injuries will almost always include the neck and vice versa.

We use a unique combination of Active Release Techniques Soft Tissue Treatment, adjustments, and physical therapy exercises. Research shows that this combination is best. We realize that you have a choice in where you get your healthcare services.  If you, a friend or family member requires care for neck 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.

Tim Tebow and the Denver Broncos get Active Release Techniques, and you can too…

Many of you know that Active Release Techniques was created and developed by my friend and mentor, Dr. Mike Leahy. Dr. Leahy has been on the Broncos staff since 2001, providing Active Release Techniques to all of the players. I had the good fortune to assist him at Dove Valley during the 2001 and 2002 seasons.

Anyway, when you watch the Broncos on any given Sunday (or this upcoming Saturday night), you just might see some players getting Active Release work done on the sidelines.

Here’s this week’s 1-page health newsletter:

Mental Attitude: I Can’t Remember. Older individuals’ complaints about memory lapses (such as trouble remembering recent events) may indicate they are experiencing cognitive problems that are greater than typical age- related changes. The incidence of Alzheimer’s disease and other dementias is expected to rise in the United States as adults 65 and older are projected to double in number over the next two decades.  Clinicians are now incorporating cognitive screening tests as part of annual wellness visits for older people. Journal of the American Geriatrics Society, Nov 2011

Health Alert: Low-Dose Aspirin. The risk of gastrointestinal (GI) bleeding needs to be considered when determining the potential preventive benefits associated with low-dose aspirin for cardiovascular disease and cancer. The risk is increased with the use of cardiovascular disease-preventing therapies. Low-dose aspirin is defined as 75 to 325 mg. Clinical Gastroenterology and Hepatology, Dec 2011

Diet: Soda Consumption. The average American drinks 44.7 gallons of soda a year. That much soda weighs about 375 pounds! AdAge, Dec 2011

Exercise: Benefits For Breast Cancer Survivors. For breast cancer survivors, the benefits of exercise outweigh the risks, including those who develop lymphedema, a chronic swelling that commonly occurs after breast cancer treatment. Balance the pros and cons of the activity one chooses, but keep in mind that even remaining sedentary has risks and being active is beneficial in many ways, including possibly reducing the risk of cancer recurrence. Journal of Cancer Survivorship, December 2011

Active Release Technique (ART): The Functional Movement Screen. Sometimes the pain can be in one area, but the cause is in another. The Functional Movement Screen is a 7-move test that we use to help figure out what’s causing your problem. Then we use ART and corrective exercises to fix both the symptoms and the cause.

Wellness/Prevention: Cancer Prevention In Your 30s. One begins to lose muscle mass after age 30. Strength training can prevent muscle loss, build bone density and help the body burn calories faster to keep you at a healthy weight. Maintaining a healthy weight can help decrease the risk of cancer. University of Texas MD Anderson Cancer Center, Nov 2011

Quote: “We must find time to stop and thank the people who make a difference in our lives” Dan Zadra

Low Back Pain & Spinal Manipulation: How Does It Work?

For many years, Chiropractic has been at the forefront of treating low back pain (LBP) with both greater patient satisfaction and less lost time at work when compared to other non-surgical treatment approaches. There have been many explanations as to why chiropractic manipulation therapy (CMT) works but many of these studies include other treatment modalities or methods and the benefits are ,therefore, not clearly derived only from CMT.  A recent study has tried to clear this up and the results are very interesting!

This study included two chiropractors and two a physical therapists (PT) from Canada and the US. What is unique about this study is that they measured clinical or symptomatic improvement by tracking improvement in activity tolerance using a standard questionnaire commonly used by chiropractors and PTs all over the world, as well as changes in the spinal stiffness using a valid/reliable instrument before and after CMT was utilized. The importance of these findings is that only CMT was utilized and hence, other forms of treatment commonly utilized by chiropractors did not cloud the findings. There were 48 patients included in the study and the initial 2 treatments were administered 3-4 days apart, followed by an assessment 3-4 days after the 2nd treatment. Assessments were also performed before and after each treatment. The assessments included use of the questionnaire and a stiffness measurement using the special instrument. Also, “recruitment of the lumbar multifidus muscle” (a muscle in the low back that helps stabilize the trunk or core) was measured by ultrasound. After each treatment, significant improvement was found in the overall pain level and in reduced spinal stiffness (which remained improved 3-4 days after the last/second treatment).

The study conclusions revealed less pain, more activity tolerance and less spinal stiffness after the administration of the 2 treatments. The greatest clinical improvement was found in those who had the most dramatic reduction in stiffness after each treatment. They found that the level of muscle recruitment was directly related to the degree of spinal stiffness.  They also found that patients who received thrust manipulation (CMT) had immediate improvements with reduced pain, stiffness and improved muscle recruitment measurements. However, this same effect was NOT obtained when non-thrust mobilization techniques were used. This means many non-thrust manual techniques such as mobilization, massage, and other soft tissue release methods do not create the immediate benefits that were produced by thrust manipulation.

With this new information, we are now able to explain with confidence to patients the reasons why they typically feel better after the spinal adjustment. The patient can then appreciate receiving an answer that makes clear sense and has been “proven.” It’s important to realize that the “bonus” of receiving chiropractic care for low back pain includes not only just pain reduction, but more importantly, improvement in tolerating activities such as vacuuming, washing dishes, golfing, walking and of course, working.

We realize you have a choice in where you get your 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. Call us at 303.300.0424

Low Back Pain & Scoliosis

Low Back Pain & Adolescent Idiopathic Scoliosis

Scoliosis is a curvature of the spine that is shaped like a “C” or an “S” when looking at the person from behind. I’m sure you’ve noticed when you’re at a beach, at a swimming pool, or walking in an airport, some people have a high shoulder, walk with a bit of a limp if one leg is short, and may have a shoulder blade that sticks out more than the other. Scoliosis often develops for unknown reasons (hence the term, “idiopathic”) during the adolescent age range between 10 or 11 years old and can progress, not change or less often, improve up to age 16 to 18. During these 4-6 years, the time when the adolescent is growing quickly, the curve often worsens without any intervention but few studies have looked at what types of treatment or combinations of treatment work the best, especially non-surgical methods.

A recent study was conducted that looked at the response to non-surgical treatment using conventional medical treatment (MT) vs. conventional MT plus chiropractic, as well as conventional MT and “sham” (fake) chiropractic treatment.  This is a pilot study using a small population of patients in order to determine if a larger scale study would be important to run (which was determined to be the case).

The conventional medical treatment approach included two groups – observation (a “wait and watch” approach) in a braced group verses a non-braced group. The chiropractic treatment group received spinal manipulation using “diversified technique” which is widely used where the patient is treated while lying on their stomach, sides, and back and the type of manipulation used was the thrust type where the “cracking” sound occurs (which is caused by the release of gas from the joint capsules and is technically called cavitation). This was applied to the regions determined by the chiropractor as requiring the treatment by using palpation (touch) methods, postural examination, range of motion, and x-ray and all chiropractors involved had 6-hours of training to assure consistent and similar approaches were used. Treatments were administered (determined by a survey of many chiropractors) at 3x/week for a month, 2x/week for a month, 1x/week for a month, and 2x/month for 3 months or as needed for a total of 6 months. The “sham” or fake chiropractic treatment used the same treatment frequency and similar positioning of the patient but purposely did not obtain a joint cavitation or “crack” but still seemed “real” to the patient.

The primary outcome used to determine “success” was a reduction of the scoliosis curve measured on x-ray at a 6-month point. Using the standard medical model, those with curves of 20-25 degrees require careful observation, curves 26-40 degrees are potential candidates for bracing, those greater than 40 degrees are potential candidates for surgery and, an increase in curve by more than 5 degrees measured twice a year or every 6-months is considered failure.

The results are interesting. Of those receiving only conventional medical treatment, none improved and one failed. The same occurred in the conventional MT plus sham/fake chiropractic. NO ONE failed and one improved in the chiropractic treatment plus MT group making it the only successful non-surgical treatment approach in the study. The preliminary findings from this study are huge! Chiropractic treatment in this group of adolescent children was determined to be THE ONLY non-surgical approach that had the ability to maintain (not allow the curve to progress) or even better, improve the curve!

At Denver Chiropractic Center, we work with many patient who have scoliosis. We combine Active Release Techniques to release tight soft tissues, chiropractic adjustments to increase spinal mobility, and physical therapy exercises to help retrain the nervous system. Call us today to see how we can help. 303.300.0424

We realize you have a choice in where you get your 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.

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.

What Denver Chiropractic Center’s doctors do to workout in the winter & This week’s health news for you…

WEEKLY HEALTH UPDATE

Week of: Monday,  October 17, 2011

Courtesy of: Denver Chiropractic Center

Now that everyone on our staff is done with races for the year, it’s time to focus on winter conditioning (despite the fact that it’s 76 degrees out as I write this).

For Dr. Hyman, it’s a mix of P90X and Kettlebells. For Dr. May, it’s Kick boxing. Dr. Stripling is a Cross Fit guy and just got his Kettlebell Certification, so you can bet he’ll be swinging some Russian Iron around this winter. Who knows, you may even see us show up for some snowshoe races (really).

If you have any questions about your off-season or winter-season exercise program, we’d be happy to answer. Dr. Hyman and Dr. May are both Certified Strength and Conditioning Specialists, and as noted above Dr. Stripling is a certified kettlebell expert. So ask away!

Without further delay, here’s this week’s Health News For You…

Mental Attitude: Don’t Worry Be Happy. The more you stay positive and happy in life, the better chance you have of avoiding a stroke. Optimistic people have a healthier immune system, faster wound healing, and a lower risk of heart disease. So don’t worry, be happy. Journal of The American Stroke Association and The Mayo Clinic, Aug 2011

Diet: Prune Power? In the US, 8 million women have osteoporosis because of the sudden cessation of ovarian hormone production at the onset of menopause. In the first 5-7 postmenopausal years, women are at risk of losing bone at a rate of 3-5% per year. In a study, the group of women who consumed dried plums had significantly higher bone mineral density in comparison with the group of women who ate dried apples. This was due, in part, to the ability of dried plums to suppress the rate of bone resorption, or the breakdown of bone, which tends to exceed the rate of new bone growth as people age. British Journal of Nutrition, Aug 2011

Exercise: Good Reasons. Exercise reduces your anxiety level, helps control blood pressure in people with hypertension, and protects against “creeping obesity” (the slow, but steady weight gain that occurs as you age). Surgeon General’s Report on Physical Activity and Health, 1996

Chiropractic: Happy Patients! In this study, the average intake pain rating of patients cared for by Doctors of Chiropractic was 6.2 of 10, and the average discharge score was 1.9 of 10. 95% of the patients rated their care as “excellent.” Journal of Manipulative Physiological Therapeutics, Feb 2011

Wellness/Prevention: Ancient Bugs. When they were developed less than a century ago, scientists were surprised at how fast bacteria developed resistance to antibiotic drugs. Recently, researchers discovered antibiotic resistant genes in bacteria recovered from 30,000-year-old permafrost. This shows antibiotic resistance is a natural phenomenon predating the modern clinical antibiotic use. Nature, Sept 2011

Quote: “Anything that won’t sell, I don’t want to invent. Its sale is proof of utility, and utility is success.”

~ Thomas A. Edison

Active Release Techniques: Pain Between the Shoulder Blades. One of the most common complaint that new patients bring to Denver Chiropractic Center is pain between the shoulder blades. This is almost always caused by poor posture. Chronically tight muscles start to build scar tissue and become painful. Using Active Release, adjusting , and corrective exercises we can break up the scar tissue and help you correct your posture. If you have pain between your shoulder blades, give us a call at 303.300.0424.

Weekly Health News for You 10/10/2011

Dr. Hyman is back in the office after taking a week off. He looks rested and is ready to see you!

4 members of our staff did the Denver Rock n Roll 1/2 Marathon on October 9, here are their times:

Dr. May 1:57

Keri B, Office Manager, 2:04

Dr. Stripling 2:04

Erin Young, LMT, 2:05

Mental Attitude: Money Can Be Depressing? Rates of depression are higher in countries with higher per capita incomes. 121 million people worldwide have depression. Severe depression can lead to suicide and causes 850,000 deaths every year. The United Sates and France had the highest depression rates. Higher incomes can be related to more work hours and a lowered quality of life. 15% of people in high-income countries were likely to become depressed during their lifetime, compared with 11% of those in low or middle-income countries. British Medical Journal, Aug 2011

Health Alert: You Are Getting Very Sleepy. Insomnia affects 23% of US workforce, costing $63.2 billion annually. Insomnia is a condition characterized by difficulty falling asleep and remaining asleep. It includes a wide spectrum of sleep disorders, from not enough sleep to lack of quality sleep. Sleep, Aug 2011

Diet: Bad Habits? People entering the movies were given a bucket of either just-popped, fresh popcorn or stale, week-old popcorn. Moviegoers who didn’t usually eat popcorn at the movies ate much less stale popcorn than fresh popcorn. Moviegoers who typically had popcorn at the movies ate about the same amount — regardless it was fresh or stale. When we’ve repeatedly eaten a food in an environment, our brain comes to associate the food with that environment and we keep eating as long as those environmental cues are present. Personality and Social Psychology Bulletin, 2011

Exercise: Runners Drinking Too Much? 50% of recreational runners may be drinking too much fluid during races. 37% of runners drink according to a preset schedule or to maintain a certain body weight and 9% drink as much as possible. Expert guidelines recommend runners drink only when thirsty. 30% incorrectly believe they need extra salt while running,

British Journal of Sports Medicine, June 2011

Chiropractic: Careful. In work-related nonspecific low back pain, the use of health maintenance care (treatment after initial disability was resolved) provided by Physical Therapist (PT) or Medical Physician (MD) services was associated with a higher disability (injury) recurrence than in the use of Chiropractic (DC) services.

Journal of Occupational and Environmental Medicine, April 2011

Quote: “A question that sometimes drives me hazy: am I or are the others crazy?” ~ Albert Einstein

Active Release Techniques: Sore Knees. The knee joint is a very complex joint. Various layers of muscles tendons and ligaments both move and support the knee. While there may be many causes of knee pain, we’ve found at Denver Chiropractic Center the common cause is tight quads transmitting force to the patellar tendon (the tendon that connects the knee cap to the shin). ART to the both the tendon and quadriceps muscle, along with rehab and stretching, can fix things up in 4-8 visits. If you or someone you know is dealing with knee pain, give us a call. 303.300.0424.

Low Back pain and Spondylolisthesis. How we can help you at Denver Chiropractic Center

Low back pain can arise from many conditions, one of which is a mouthful: spondylolisthesis. The term was coined in 1854 from the Greek words, “spondylo” for vertebrae and “olisthesis” for slip. These “slips” most commonly occur in the low back, 90% at L5 and 9% at L4. According to www.spinehealth.com and others, the most common type of spondylolisthesis is called “isthmic spondylolisthesis,” which is a condition that includes a defect in the back part of the vertebra in an area called the pars interarticularis, which is the part of the vertebra that connects the front half (vertebral body) to the back half (the posterior arch).

This can occur on one, or both sides, with or without a slip or shift forwards, which is then called spondylolysis. In “isthmic spondylolisthesis,” the incidence rate is about 5-7% of the general population favoring men over women 3:1. Debate continues as to whether this occurs as a result genetic predisposition verses environmental or acquired at some point early in life as noted by the increased incidence in populations such as Eskimos (30-50%), where they traditionally carry their young in papooses, vertically loading their lower spine at a very young age. However, isthmic spondylolisthesis can occur at anytime in life if a significant backward bending force occurs resulting in a fracture but reportedly, occurs most frequently between ages 6 and 16 years old.

Often, traumatic isthmic spondylolisthesis occurs during the adolescent years and in fact, is the most common cause of low back pain at this stage of life. Sports most commonly resulting in spondylolisthesis include gymnastics, football (lineman), weightlifting (from squats or dead lifts) and diving (from over arching the back). Excessive backward bending is the force that overloads the back of the vertebra resulting in the fracture sometimes referred to as a stress fracture, which is a fracture that occurs as a result of repetitive overloading over time, usually weeks to months.

If the spondylolisthesis lesions do not heal either by cartilage or by bone replacement, the front half of the vertebra can slip or slide forwards and become unstable. Fortunately, most of these heal and become stable and don’t progress. The diagnosis is a simple x-ray, but to determine the degree of stability, “stress x-rays” or x-rays taken at endpoints of bending over and backwards are needed. Sometimes, a bone scan is needed to determine if it’s a new injury verses an old isthmic spondylolisthesis.

Another very common type is called degenerative spondylolisthesis and occurs in 30% of Caucasian and 60% of African-American woman (3:1 women to men). This usually occurs at L4 and is more prevalent in aging females. It is sometimes referred to as “pseudospondylolisthesis” as it does not include defects in the posterior arch but rather, results from a degeneration of the disk and facet joints. As the disk space narrows, the vertebra slides forwards.

The problem here is that the spinal canal, where the spinal cord travels, gets crimped or distorted by the forward sliding vertebra and causes compression of the spinal nerve root(s), resulting pain and/or numbness in one or both legs. The good news about spondylolisthesis is that non-surgical approaches, like Active Release Techniques, spinal manipulation and core strengthening exercises work very well to manage sondylolisthesis. We use all three at Denver Chiropractic Center.

We realize you have a choice in who you see for your healthcare services.  If you, a friend or family member requires care for low back pain, we are here to help you. Just call us at 303.300.0424 to set up your New Patient Appointment. Or have us call you by filling out the very brief form on our website: http://www.denverback.com/contact.html