After taking a few days off last week to help my wife through her ACL (knee) reconstruction surgery – it went very well – I am back in the office today. Thanks for your patience. We have just one spot open today so if you need us, please call asap 303.300.0424.
We are happy to announce that we have added Cigna to the long list of insurures with whom we are in-network. After years of patients sending letters asking that Cigna add us to the network, they listened. For those of you with Cigna policies, we will need to verfiy your coverage the next time you’re in the office. We are also now in-network with Great West.
Here are the other major insurers for whom we are in-network providers:
Anthem / Blue Cross
Federal Employee Benefits Program
Mail Handlers Benefits Program
MedPay for auto injuries and ALL auto insurance policies
Workers’ Compensation (Level 1 Accredited)
Why pay more for out-of-network providers? We do all the paperwork and file insurance claims on your behalf! We will continue to do all that we can to better serve our patients now and in the future in this changing health care world.
Weekly Health Update
Week of: Monday, August 19, 2013
“Healing is a matter of time,
but it is sometimes also a matter of opportunity.”
Mental Attitude: Optimism and Stress.
A six-year study of 135 older adults (>60 years old) found that pessimistic people have a higher baseline level of stress and have a more difficult time handling stress than their more optimistic peers.
Health Psychology, May 2013
Health Alert: Decrease Your Heart Disease Risk. A 16-year study of nearly 27,000 male health care professionals found that those who skipped breakfast were 27% more likely to suffer from coronary heart disease.
Circulation, May 2013
Diet: Eat More Nuts To Decrease Risk Of Death From Cancer & Cardiovascular Disease.
Individuals who eat more than three servings of nuts a week had a 55% lower risk of death from cardiovascular disease and a 40% reduced risk of death from cancer. (But, of course, if you’re allergic like my son is, stay away from nuts.)
BMC Medicine, July 2013
Exercise: Moderate-Intensity Walking Timed Correctly May Help Protect Against Diabetes.
A moderate paced fifteen minute walk after each meal appears to help older individuals regulate their blood sugar levels and could reduce the risk of developing type 2 diabetes.
Diabetes Care, June 2013
Chiropractic: Chronic Pain in the Neck Relieved With Chiropractic. Patients with chronic neck pain showed significant improvements in pain levels following spinal manipulation and showed positive changes up to 12 weeks post-treatment.
Journal of Manipulative and Physiological Therapeutics, March 2007
Wellness/Prevention: Retire Later In Life To Lower Dementia Risk. A very large study of self-employed people living in France found that individuals who retired at a later age had a lower risk of developing dementia. The study appears to confirm other research that suggests lifelong mental activity and challenge may protect against several forms of dementia.
International Longevity Center-France, July 2013
Video link- How to foam-roll your hips.
“Let food be thy medicine and medicine be thy food.”
Health Alert: Hip/Knee Replacement?
Joint damage from osteoarthritis is responsible for 80% of hip replacements and 90% of knee surgeries. Only 50% of individuals with arthritis who had a hip or knee replacement reported a significant improvement in pain and mobility after surgery. 25% of patients who get a single joint replacement will have another within two years.
Arthritis & Rheumatism, April 2013
“Did you know that if your spine is not moving well or is not aligned (known as subluxation of the spine), you could easily get an injury in your hips, knees, calves or ankles? This is because spinal subluxations inhibit the nervous system, leading to poor motor control. Reference- Seaman et al, JMPT; 18;21(4): 267-280.
Getting your spine adjusted regularly is the best way to keep your body moving well and keep those muscles firing. Our athletes who get adjusted regularly hold up better than the ones who wait for the pain to set it. Call us – 303.300.0424 – or just reply to this email.
Diet: Unleaded Please!
Levels of lead in rice imported into the United States (US) ranged from 6-12 mg/kg. For adults, the daily exposure levels from eating imported rice are 20-40 times higher than the Food and Drug Administration’s accepted levels. For infants and children, the daily exposure levels are 30-60 times higher. Lead is a neurotoxin that can damage the brain, and in young children whose brains are still growing, it can seriously diminish their capacity to learn and develop. It can disrupt children’s behavior, such as make them more aggressive, impulsive, and hyperactive. Lead increases blood pressure and causes cardiovascular diseases in adults.
American Chemical Society, April 2013
Exercise: Walking vs. Running.
Brisk walking can reduce a person’s risk of diabetes, high blood pressure, and high cholesterol just as much as running can. The risk for first-time hypertension was notably reduced 4.2% by running and 7.2% by walking. The risk for first-time high cholesterol was reduced 4.3% by running and 7% by walking. The risk for first-time diabetes was lowered 12.1% by running and 12.3% by walking. The risk for coronary heart disease was lowered 4.5% by running and 9.3% by walking.
Arteriosclerosis, Thrombosis and Vascular Biology, April 2013
Chiropractic: Lowering Blood Pressure.
Chiropractic adjustments to the upper neck were shown to lower high blood pressure. Researchers found a 14 mm Hg greater drop in systolic blood pressure, and 8 mm Hg greater drop in diastolic blood pressure following a cervical adjustment. This effect was greater than would result from two blood pressure medications given in combination, and it was adverse-event free.
Journal of Human Hypertension, March 2007
Wellness/Prevention: Vitamin D.
A hormone produced in the skin with exposure to sunlight, Vitamin D is also found in fish, fish liver oils, and egg yolks. Muscle function and recovery from fatigue has been shown to improve with Vitamin D supplementation, which is thought to enhance the activity of the mitochondria – the power plants of the cell.
Newcastle University, April 2013
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.
Once you’ve found the middle of the thigh. Stand the stick up to mark the spot.
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)
Erin gets a 3 for this effort, her heel is above her mid-thigh
With her heel between the stick and her right knee, Erin gets a 2.
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.
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