Today Meredith and I cover the plank walk out. It’s a great way to work the core, shoulders, back and arms. Make sure it’s right for you & check with a doctor first.
The Opioid Crisis: How Did We End Up Here?
Bottom Line: About 30 years ago, medicine changed how it looked at chronic pain. The number of people with chronic pain rose, and options to address the pain weren’t adequate.
Why it Matters
As doctors paid more attention to assessing pain, they also paid more attention to treating pain. They prescribed opioid pain meds more often- frequently for chronic low back or neck pain. Up until then, doctors used opioids only for severe pain after surgery or in advanced-stage cancer. But, in the early 1990s, that all changed.
Opioid manufacturers promoted new formulas that they described as less addictive. Physicians prescribed these drugs far more liberally than before. Prescribing these drugs very quickly led to a variety of problems. First, patients rapidly adapted to the drugs, requiring larger and larger doses to achieve the same effect over time. Second, these drugs weren’t very effective at addressing chronic pain.
They provided short term relief, but as time went on, they seemed to become less useful for a lot of people. Finally, these drugs provided a euphoric feeling that quickly led to addiction. -Starting in the 1990’s, doctors were encouraged to prescribed opioids for chronic pain.-It’s estimated that 59% of opioids users report having experienced back pain.-In the US alone, there is an average of 130 deaths per day due to opioids.
Now 30 years later, we are consumed with the opioid crisis. Over 130 people die each day from opioids, and over 40% of those deaths are from prescribed opioids. If there is a silver lining to this crisis, it’s that we now realize that the answers and treatment of chronic pain is rarely found in a bottle. Many leading healthcare organizations now recommend non-pharmacological approaches to treatment of chronic pain, including chiropractic.
Our practice is always focused on helping you overcome pain without the use of drugs. It’s time to get your life back naturally!
Science Source(s): Understanding the Epidemic. Centers for Disease Control and Prevention 2018
We are still open under the statewide shutdown order issued by Governor Polis effective today March 26 through April 14. We are still considered an essential business under this order. This means you are allowed to leave your home to come to our office.
Having said this, we are dramatically condensing our schedule over the next 2 weeks. We are in today (3/26) and tomorrow (3/27). Then starting next week we will open just Monday and Thursday.
We will require that each patient attest to all of the following at each visit. This is to protect our patients and our staff.
____I have not had any fever, cough, shortness of breath or other symptoms of the Covid-19 virus the last 2 weeks.
____I have not been in close proximity to anyone who has tested positive for Covid-19 in the last 2 weeks.
____In the last 2 weeks. I have not traveled to New York, China, Europe or the Colorado mountains – Summit, Eagle, Pitkin, San Miguel counties, etc.
____I understand that my doctor, Glenn D. Hyman, will follow all CDC prevention guidelines before and during my visit but he cannot guarantee that I will not contract the virus known as Covid-19. I understand and accept this risk.
____I assert that my visit today is for a specific problem (ie, back pain, neck pain, headaches, etc) and is not a routine or “maintenance” visit.
We are constantly monitoring this situation to see if we should close. We continue to take all CDC mandated precautions, and to ensure that patients who come in do not encounter any other patients.
Like the rest of you, we are hopeful that this situation will improve in April.
Thanks and please take care,
We are open this week (week of Monday, March 23)and will operate a normal schedule. We are here to help you and pledge to continue to be here for you during this Covid-19 / novel coronavirus crisis. Call us at 303.300.0424 to get in touch with us.
The 50 US State Chiropractic Boards, including the Colorado Chiropractic Board of Examiners (which falls under the control of the State of Colorado Department of Regulatory Agencies) are in agreement that chiropractors are essential healthcare workers and therefore should remain open.
Barring a specific order from Governor Polis stating that chiropractic offices should close, we will stay open. We will continue to follow all safety and social distancing procedures that we’ve had in place for weeks now.
(Note: The recent order by Governor Polis that suspended elective procedures applies to surgical procedures or other such procedures that require ventilators, anesthesia machines, and personal protective equipment. This is to preserve such equipment for critical care. Since none of our procedures requires any of this equipment, this ruling does not relate to what we do in our office.)
We have great concern and empathy for everyone who is dealing with this difficult and unprecedented viral pandemic, both locally and globally. We do intend to keep our office open during this Covid-19 crisis. (Of course if any federal or state government entities order that we close, we will.)
As we stay open we are implementing a few procedural changes to practice social distancing within our office. In order to do that we will:
- Limit the number of daily appointment spots available
- Bring patients into treatment rooms and out of the waiting room as quickly was we can
- Continue thoroughly disinfecting each treatment room after each patient
We ask of you:
- If you are sick, have a cough or have a fever please don’t come in (please stay home entirely).
- If you have been exposed to anyone who has tested positive for Covid-19, please don’t come in (again you should self-quarantine)
- Please try to come as close to your appointment time as you can (we want to avoid having several people in our waiting rooms).
We still fully intend to operate our normal schedule. As I said last week, we have always taken steps to prevent spread of viruses: flu virus, norovirus, various other stomach viruses, and cold virus (which is also a coronoa virus).
These things are almost always circulating in some form or fashion. We will continue to take steps to prevent the spread of this new virus. These steps include hand sanitizing after each patient visit, table disenfecting, and so forth. We do have gloves in the office and if you would prefer that Dr. Samantha or myself wear them during your treatment, just ask.
We will continue to follow all advisories and directives from the state and Federal governments.
Please make sure to stay home if you are sick, wash your hands, and avoid large crowds. Move away from heavy sneezers and coughers. Use hand sanitzer and good hygeine practices.
With some common sense and persistence we will all get through this together.
Here is today’s 1-Page Health News:
Health Alert: Low Levels of Air Pollution Can Increase Risk of Cardiac Arrest. New research suggests that for every ten microgram per cubic meter increase in fine-particulate matter (air pollution from sources such as motor vehicle exhaust or bushfires), an individual’s risk for cardiac arrest increases by 1-4%. The Lancet Planetary Health, January 2020
Diet: Is Weekend Eating Making You Fatter? Maintaining a regular eating schedule could be a key for preventing obesity. Among a group of 1,106 university students, researchers observed that those whose eating schedule on weekends was different than on weekdays tended to have a higher body mass index than students with a more consistent eating schedule. Lead author Dr. Maria Izquierdo Pulido explains, “As a result, when intake takes place regularly, the circadian clock ensures that the body’s metabolic pathways act to assimilate nutrients. However, when food is taken at an unusual hour, nutrients can act on the molecular machinery of peripheral clocks (outside the brain), altering the schedule and thus, modifying the body’s metabolic functions.” Nutrients, January 2020
Exercise: High and Low Exercise Intensity Influences Brain Differently. Among a group of 25 male athletes, researchers observed that low-intensity exercise stimulated the parts of the brain associated with cognitive control/attention, while high-intensity exercise increased activity in the areas of the brain associated with emotional processing. Brain Plasticity, January 2020
Chiropractic: Sleep Issues and Lumbar Stenosis. Spinal stenosis is a debilitating condition associated with the degeneration of the spine, which can have a wide range of symptoms including back pain, leg pain, numbness, and tingling in the legs as well as reduced physical function. A new study involving 148 lumbar spinal stenosis patients found that 63.5% were poor sleepers and that poor sleep was associated with both worse quality of life scores and functional disability. Clinical Spine Surgery, January 2020
Mental Attitude: You and Your Baby Really Are on the Same Wavelength. Using dual-brain neuroimaging, researchers observed that baby and parent brain activity rises and falls in sync while sharing toys and maintaining eye contact. Psychological Science, December 2019
Wellness/Prevention: Caring for Your Newborn. Completing a “new parents” class and asking nurses to help with basic baby care while in the hospital can help you prepare for taking care of your newborn at home. Before discharge from the hospital with your newborn, you should know how to do the following: handle a newborn and support your baby’s neck; change your baby’s diaper; bathe, dress, and swaddle your baby; feed and burp your baby; clean the umbilical cord; use a bulb syringe to clear nasal passages; take your newborn’s temperature; and soothe your baby. Department of Health and Human Services, January 2020
Feb 10- We are back in the office after the snow day on Friday. We are ready to help you if you need to come see us. Just call 303.300.0424 or us the contact form on our website.
Here is today’s 1-Page Health News:
Diet: Foods That Raise/Lower Diabetes Risk. The current research notes that a diet rich in whole grains, lean dairy, fish, nuts, and fresh vegetables and fruit is associated with a reduced risk for type 2 diabetes. On the other hand, a diet featuring high amounts of red and processed meat, refined grains, and sugar-sweetened beverages is linked to an elevated diabetes risk. National Institute of Public Health (Pakistan), December 2019
Exercise: Exercising in Very Cold Weather May Harm Lungs. Researchers from the University of Alberta warn that lung function can worsen over time when they are exposed to cold weather, especially during exercise. Experts advise that if you work out in the cold, it’s a good idea to do the following: perform an indoor warm-up to help dilate the lungs, reduce your exercise intensity to allow the lungs more time to warm and humidify the air, and shield your mouth from the cold air during exercise. University of Alberta, January 2020
Chiropractic: Spinal Pain and TMD. Using data from the Korean National Health Insurance Review and Assessment database, researchers report that nearly half (48%) of temporomandibular joint disorder (TMD) patients also have spinal pain. Additionally, the more severe a patient’s TMD symptoms, the more likely they were to also have neck pain or back pain. Past research has demonstrated that dysfunction in the cervical spine can cause or contribute to TMD, and treatment to improve function in the upper spine, such as chiropractic care, can reduce jaw pain and associated disability. BMC Musculoskeletal Disorders, December 2019
Mental Attitude: Peppermint and Dementia Risk. Among a group of 948 seniors, researchers observed that those unable to smell peppermint and other strong odors were more likely to develop dementia in the following five years. Neuroepidemiology, January 2020
Wellness/Prevention: Losing Tongue Fat May Ease Sleep Apnea. In a study involving 67 obese patients with obstructive sleep apnea (OSA) who participated in a weight loss program, researchers found that a reduction of weight in the tongue contributed to about 30% of the benefit in OSA improvement associated with weight loss. American Journal of Respiratory and Critical Care Medicine, January 2020
Here is today’s 1-Page Health News:
Health Alert: Marriage Benefits the Heart. An analysis of data concerning over 3.5 million adults found that marriage is associated with a reduced risk for vascular disease, coronary artery disease, aneurisms, and other heart-related conditions. New York University December 2019
Diet: Eat Five Servings of Fruits and Veggies a Day! A review of data from 61 published studies concluded that consuming at least five servings of fruits and vegetables a day is associated with higher optimism and self-efficacy, as well as reduced psychological distress, ambiguity, and depressive symptoms. Nutrients, January 2020
Exercise: Is Steady State Training for You? Steady-state training (SST) involves maintaining your heart rate below your target maximum for an extended period of time and is great for strengthening the heart because it maintains a steady state of aerobic output which forces the body to become efficient at pumping oxygenated blood through the body. Constant steady-state training also helps the body burn fat for fuel, and compared with high-intensity training, there is a lower risk for acute injury. The downside to SST is that there is a higher risk for stress or repetitive injury because you are doing the same thing for an extended period of time and it takes longer to see results. American Council on Exercise, January 2020
Chiropractic: Pelvic Alignment and Lumbar Spine Pathologies. When compared with individuals without a history of back pain, patients with lumbar degenerative disk disease, spondylolisthesis, and failed back surgery syndrome are more likely to exhibit abnormal spino-pelvic alignment. Doctors of chiropractic are trained to improve spinal alignment abnormalities with a treatment approach that may include a combination of manipulation, mobilization, and specific exercises. Journal of Craniovertebral Junction & Spine, November 2019
Mental Attitude: Dementia Risk Can Be Reduced in a Short Time. Using data from South Korea’s National Health Screening Program, researchers report that seniors who brought their blood sugar and blood pressure readings to normal levels over a five-year time frame reduced their risk for dementia by about 12%. Journal of Clinical Medicine, January 2020
Wellness/Prevention: Prepare Your Car for Winter Safety. Getting stranded in your car during winter storms and cold temperatures can be dangerous. The Centers for Disease Control and Prevention (CDC) offers the following suggestions to prepare your vehicle for cold weather: service the radiator; check fluid levels; check the tread on all tires or replace tires with ones meant for all weather or snow; keep your gas tank full to avoid ice in the tank and fuel lines; and use a wintertime formula in your windshield washer. The CDC adds that you should have a winter emergency kit in your vehicle that includes blankets, food and water, a compass and maps, a first-aid kit, plastic bags, and a flashlight. Centers for Disease Control and Prevention, December 2019
In this video we show you 3 tips for low back back pain. You can try them at home. As always check with a doctor first and seek professional attention when appropriate.
About 80 percent of adults experience low back pain at some point in their lifetimes. It is the most common cause of job-related disability and a leading contributor to missed work days. In a large survey, more than a quarter of adults reported experiencing low back pain during the past 3 months
We’ve helped people with back pain since 1998. http://denverback.com
Today our Denver Chiropractor is discussing shoulder pain. In this video we show you a few tips for dealing with shoulder pain. As always make sure these exercises are appropriate for you by checking with a doctor first. Don’t forget, we get great results with shoulder pain. Call us at 303.300.0424
Dr. Hyman has extensive experience treating shoulder injuries with Active Release Techniques (ART), chiropractic adjustments, and rehab exercises to strengthen and stabilize. We’d be happy to evaluate your shoulder and tell you if we can help. You can call us or use this link to request and appointment to see how our Denver Chiropractor for shoulder pain can help you. https://www.denverback.com/contact/
We will respond by the next business day. Our Denver Chiropractic Center is easy to get to Colorado BLVD and I-25.