Dr. Steven Saul, D.C.
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July 2014 Health Newsletter

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Current Articles

» Metabolic Syndrome?
» Brain Chemicals
» Adrenal Fatigue
» Your Core!
» Back Pain Sees Little To No Benefit From Steroid Injections
» Acute Low Back Pain - What's The Prognosis?
» More TV Equals Less Life


Metabolic Syndrome?

Metabolic syndrome is a disorder of energy utilization and storage, diagnosed by a co-occurrence of 3 out of five of the following medical conditions: abdominal (central) obesity, elevated blood pressure, elevated fasting plasma glucose, high serum triglycerides, and low high-density cholesterol (HDL) levels. Some studies have shown the prevalence  in the USA to be an estimated 34% of the adult population, and the prevalence increases with age.

Metabolic syndrome is also known as metabolic syndrome X, cardiometabolic syndrome, syndrome X, insulin resistance syndrome, Reaven's syndrome, and CHAOS (in Australia).

Metabolic syndrome and prediabetes appears to be the same disorder, just diagnosed by a different set of biomarkers.

Your risk for heart disease, diabetes, and stroke increases with the number of metabolic risk factors you have. In general, a person who has metabolic syndrome is twice as likely to develop heart disease and five times as likely to develop diabetes as someone who doesn't have metabolic syndrome.

If you think you have this condition, we can help! Call us for information on the best supplements and dietary changes to help this condition!

All the best,
Dr. Saul

Author: Dr. Steven Saul
Source: Wikipedia, NIH
Copyright: Wikipedia, NIH 2014


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Brain Chemicals

Are you feeling more depressed than you think you should? Has your get up and go, got up and went? If so, you may be low in particular brain chemicals like Serotonin, GABA, Tyrosine or DPA.

Low Serotonin will make you feel like you are living under a dark cloud, while low tyrosine( an amino acid) will leave you feeling like you have the blah's. You may feel stressed out and could use some GABA (Gamma Amino Butyric Acid). GABA acts to make the body more tranquil.  If you feel too sensitive to life's pains, you may be low in endorphins. This can be raised by a supplement call DPA. The good new is that these supplements may work as well or better than the common anti-depressants you see on TV with less side-effects!

If you would like to find out more, call LIly and she will send you the brain chemical analysis worksheet.

All the best,

Dr., Saul

PS..My son is getting married on Saturday the 5th of October and I am excited!

Author: Dr. Steven Saul
Source: Dr. Steven Saul, The Mood Cure, Julia Ross
Copyright: Dr. Steven Saul 2013


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Adrenal Fatigue

Are you suffering with Adrenal fatigue? Here are the common signs.
1. Difficulty getting up in the morning.
2. Mid morning low.
3. You feel better after the noon meal.
4. You have an afternoon low.
5. You feel better from 6 to 9:30 pm and get a second wind from 11pm to 1:30am.
6. You feel better if you can sleep in an extra 2 hours in the morning.

Other common signs are low bloods sugar or hypoglycemia, craving sweets and/or salty foods, difficulty sleeping, lowered libido, taking longer to recover from illness or stress, respiratory problems that come back too soon, a feeling of overwhelm or mild depression and difficulty concentrating.

There are multiple causes of adrenal fatigue, but the most common is prolonged periods of stress or acute injuries like auto accidents.

The most common groups of people who suffer from this are caregivers, social workers, police, doctors, nurses, single moms, lawyers and people working 2 jobs. Self employed people are likely candidates as well.

The good news is that we can help. If you think you are suffering from adrenal fatigue, call us to see if we can provide a way back to being the person you know yourself to be!

All the best,

Dr. Saul

Author: Dr. Steven Saul via Dr. James L Wilson
Source: ChiroEco No9 6/13
Copyright: Dr Steven Saul 2013


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Your Core!


Hi! This is so important, I may leave this up permanently!

Lets talk about Core strength. You hear this term a lot. So what exactly is your core? Here is what you need to know.

You are made of Bones, Muscles, Tendons, Ligaments, and Fascia. If there is a breakdown in any of these systems you will have a loss of function which will lead to pain and dis-ease. We evaluate your body to find out the source of the problem.


What are the Core Muscles named and why are they so Important?

 
The core is made of all the muscles that ultimately attach to the pelvis.  These muscles can be divided into two sections based on their anatomical functions. One provides stabilization and the others provide movement.

    1. Deep stabilization system
    2. Superficial movement system


Anatomically, the muscles that are deeper in the body work more to stabilize the pelvis and spine, and the muscles that are located more superficially are more important for moving the pelvis and spine.

1. Deep Stabilization System


Core Training places a lot of emphasis on working the deep muscles of the core. Research shows that the deep muscles contract first before any movement is initiated. The body is brilliant!  It is wired to be stable first before it engages action.

The deep muscles are close to the spine and pelvis and they can help to move the body, but their primary role is to stabilize the pelvis and lower back. This protects these areas and gives you a strong foundation for the upcoming activity.

The core muscles that make the deep stabilization system are:

The transversus abdominus is one of the most important core muscles. It attaches to the pubic bone and fascia in the front. It compresses the abdominal contents, thus adding stability to the lower back and pelvis.

The lumbar multifidus runs on an angle and it helps with rotational stability. Research shows that people with chronic lower back pain have significant atrophy (wasting away) of the multifidus.

The pelvic floor muscles connect the sacrum and pelvis to the pubic bone. Their primary job is to stabilize the bottom of the abdominal cavity. The pelvis floor works with the transversus abdominus and multifidus to stabilize the pelvis. Kegel exercises are a great way to strengthen the pelvic floor muscles.

The diaphragm is the main respiratory muscle. It attaches to the ribs and spine. The diaphragm also forms the roof of the abdominal cavity, so it stabilizes the top of the abdominal cavity.

The internal oblique is the deeper of the 2 oblique muscles. It runs on an angle from the pelvis up to the ribs. Its primary role is in stabilizing the core, but it also helps to move the spine.

The transverso-spinalis muscles focus on segmental stability of the spine because they span just a few vertebrae in length. These muscles are also important for rotational stability.

All of the deep core muscles are important. When you perform exercises that require your spine to be stable, you challenge these core muscles. The plank exercise  http://www.youtube.com/watch?v=kiA9j-dR0oM, bridges, alternate arm and leg raises, and the drawing in maneuver are examples of exercises that can increase core stability. Any exercise or piece of equipment that requires your muscles to work harder to keep your spine stable will increase the muscle work in the deep stabilization system of the core.

2) Superficial Movement System


When the pelvis moves, the hips move, and when the hip move, the lower back moves. If the pelvis is stable, the lower back and hip are stable, so any muscle that attaches to the pelvis is part of the core as well.

The latissimus dorsi (lats), which helps you do pull ups, is most often thought of as a back and shoulder muscle, but it also attaches to the upper border of the hip bone, (pelvis), lumbar vertebrae, thoracic vertebrae, and ribs. The lats can help to tilt the pelvis forwards or to the side, and it can negatively affect lower back posture when tight and inflexible.

The erector spinae are the group of muscles that people most commonly think of when they talk about lower back muscles. They are a group of superficial muscles that run the entire length of the spine. As the name suggests, these muscles help to keep the spine erect and they also pull the spine backwards. Every lower back exercise will place some emphasis on the erector spinae muscles.

The iliopsoas is the main hip flexor muscle. It attaches to the front of the lumbar spine and pelvis. It is primarily responsible for bending the hip, but it can also help to stabilize the pelvis, lower back, and hip.

The adductors are the muscles of the inner thigh. Most people don't think of the inner thigh muscles as core muscles, but all of the adductor muscles attach to the pubic bone, which is the front part of the pelvis. Because they attach to the pubic bone they can help to stabilize the pelvis, especially when standing on 1 leg.

The hip abductors (gluteus medius and minimus) also attach to the pelvis. The gluteus medius and minimus are very important for hip stability, and they are especially important for stabilizing the hip and pelvis when standing on one leg. This is one of the reasons I say that balance exercises are so important in core training.

The hamstrings are the muscles on the back of the thigh, and they attach to the bottom of the pelvis. Strong hamstrings can help to anchor and stabilize the pelvis, and tight inflexible hamstrings can pull on the pelvis and negatively affect lower back posture.

The gluteus maximus is the largest muscle in the body and it attaches to the back of the pelvis. It extends thigh at the hip, and assists in laterally rotating the thigh. It works with the hamstrings to move the pelvis and also helps to stabilize the pelvis. Bridges can be considered a core exercise because it works the glutes while keeping the spine stable.

The external obliques attach to the ribs and pelvis but they are located superficially compared to the internal obliques. The external obliques are designed slightly more for moving the spine than stabilizing, but the external obliques  also help to stabilize the pelvis and lower back.

The rectus abdominus (6 pack)
is probably the most popular core muscle. It runs down the front of the spine, and it is the main muscle for flexing and bending. It is the main muscle for core exercises such as crunches and sit-ups.

So, what exercises, will help strengthen your core? Primarily we recommend yoga..http://www.springsyoga.com

and Pilates. We also know some private instructors if you need one. Just give us a call.


Dr. Saul and Staff


Author: Dr. Steven Saul
Source: Internet Articles ,Kinetic Spine and Sports
Copyright: Dr. Steven Saul 2012


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Back Pain Sees Little To No Benefit From Steroid Injections

Back pain is a widespread debilitating condition affecting millions of individuals annually. Relief from back and related leg pain is offered in numerous forms by many different provider types. Unfortunately, some of those solutions aren’t all that effective, if at all. Newly published research from the prestigious medical journal New England Journal of Medicine has found steroid injections for the treatment certain types of back pain provides little if any benefit and in some cases has serious side effects. Researchers followed 400 patients from 16 different locations throughout the U.S. who suffered from lumbar central spinal stenosis with moderate-to-severe leg pain and disability - a condition where the space for the nerve roots in the lower spine has narrowed causing impingement on the nerve roots resulting in back and leg pain. Patients received an injection of either lidocaine (a pain killer) or lidocaine with a corticosteroid.  The results not only indicated no significant difference in pain within the two groups, it also revealed five times the number of infections and sickness (ten vs. two) in those receiving the corticosteroid.

Author: ChiroPlanet.com
Source: N Engl J Med 2014; 371:11-21July 3, 2014
Copyright: ProfessionalPlanets.com LLC 2014


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Acute Low Back Pain - What's The Prognosis?

According to a newly published study the previous low back pain (LBP) practice guidelines used by physicians have underestimated the likelihood of acute bouts of LBP recurring as well as turning into longer term chronic LBP. In the study, researchers followed 605 acute LBP patients who had an average pain intensity score of 5.6 out of 10 and a disability score of 15.8 out of 24. Eight percent had declared sick leave between pain onset and the baseline interview. Thirteen percent of 521 patients (86% follow-up) experienced chronic pain at 6 months and 19% of 443 patients at 2 years. At 6 months, 54% had experienced at least 1 LBP recurrence, and 47% in the subsequent 18 months. So what does this all mean? Simply, that LBP has a high tendency to return as well as turn into something more serious and more long term. Don't take a chance and think your back pain is just temporary or that taking a substance to mask the pain is the fix. Chiropractors are highly trained to evaluate and provide care for the back and spine. Chiropractors look to the source of LBP and focus on correcting the cause and not just simply masking the symptoms. Get proactive with your health and call your local chiropractor today!

Author: ChiroPlanet.com
Source: Spine: April 15, 2012 - Volume 37 - Issue 8.
Copyright: ProfessionalPlanets.com LLC 2012


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More TV Equals Less Life


Watching TV may bring short-term enjoyment but too much TV time can not only be bad for your health, it can also shorten your life. Spanish researchers have found those who watch 3 or more hours of TV daily double their risk of an early death. Data from over 13,000 adults with an average age of 37 was analyzed to determine if time watching TV was related to an increase in earlier death. The results were substantial. As compared with those individuals watching an hour or less of TV per day, those watching 2 hours per day increased their risk of early death by 40 percent and those watching three or more hours daily doubled their risk for early mortality. According to researchers, a less active sedentary lifestyle increases body fat, reduces muscle and makes the body less responsive to insulin. As a result, cardiovascular disease, diabetes and certain cancers become more prominent, all of which are leading causes of death. So get up, get out and get active - and don’t forget to turn off the TV!


Author: ChiroPlanet.com
Source: Journal of the American Heart Association, online. June 25, 2014.

Copyright: ProfessionalPlanets.com LLC 2014


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