June 2015 Health Newsletter

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» June 2015
» Adrenal Fatigue
» Your Core!
» Brain Chemicals
» Metabolic Syndrome?
» Boost Performance - Eat Your Breakfast
» Chiropractic Physicians Urge Conservative Approach to Pain Management
» Social Media... Depressing

June 2015

It has been a bitter sweet last month or so. On May 25th, I had the joy of becoming a grandfather. Adria, my son Joshua's wife gave birth to her own son named Isaac Austin Saul. He is a beautiful healthy baby! Adria was also wise enough to stay in amazing shape during her pregnancy and had Acupuncture, Pregnancy massage and Chiropractic care the whole 9 months leading up to the birth. The day after delivery...yes...the very next day, she looked amazing. We are very proud of her and Josh. I know they are going to be fantastic parents.

Unfortunately the end of May also brought the loss of my incredible father-in law Manny Nodar who finally succumbed to Lung Cancer. He was told he had 1 to 3 months to live....14 months ago! Our hearts go out to his wife Go and the rest of my wife Susan's family. Manny was a delightful human being. Always a smile. Never a harsh word. One of my idols!

We will resume the newsletter next month. As always we continue to strive to do the best for our patients and our community. Thanks to Lily Sitero for keeping the ship on course and to our partners Josh Saul and Margy Harrell for being the best practitioners around!

Wishing you the beginning of a glorious summer on June 21st!

Dr. Steven Saul


Author: Dr. Steven Saul
Source: Dr. Steven Saul
Copyright: Dr. Steven Saul 2015


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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 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!

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.
 

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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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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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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Boost Performance - Eat Your Breakfast

Skipping breakfast can lead to a reduced athletic performance later in the day according to U.K. researchers. In a group of 10 males, researchers compared performance later in the day when eating breakfast as well as when skipping breakfast. In this particular group of individuals, when breakfast was skipped, even though more calories tended to be consumed during lunch (an average of approximately 200 additional calories), their later day performance was still reduced. More studies will need to be performed but if you're an athlete with an athletic performance later it the day, making a decision to skip breakfast may reduce your overall performance, even if more calories are consumed later in the day.

Author: ChiroPlanet.com
Source: Medicine and Science in Sports and Exercise, online May 12, 2015.
Copyright: ProfessionalPlanets.com LLC 2015


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Chiropractic Physicians Urge Conservative Approach to Pain Management

Painkiller overuse has led to negative outcomes for musculoskeletal conditions, reveals JAAOS study
Arlington, Va.— With new research highlighting more risks associated with the increased use of opioids for pain, the American Chiropractic Association (ACA) strongly urges patients and healthcare providers to consider first exhausting conservative forms of pain management. According to a recent report published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), the increased usage of opioids has led to unanticipated consequences such as a tolerance among some patients to the drug hydrocodone and negative treatment outcomes for conditions such as work-related musculoskeletal disorders, joint replacements and spine surgery.

"Beyond the risks of overuse and addiction, prescription drugs that numb pain may convince a patient that a musculoskeletal condition is less severe than it is, or that it has healed. That misunderstanding can lead to over-exertion and a delay in the healing process or even to permanent injury," says ACA media spokesperson Robert Hayden, DC, PhD.

JAAOS points out that more than 80 percent of the world’s opioids are consumed in the United States and that orthopedic surgeons are the third-highest prescribers of these medications – behind primary care physicians and internists. Researchers note that orthopedic surgeons must continue to treat pain but also implement strategies to battle the opioid epidemic.  

According to Dr. Hayden, one potential strategy is the use of conservative forms of care for pain before initiating higher-risk options such as opioids. A conservative health care model emphasizes more cost-effective and safer approaches over potentially addictive medications or surgery for pain management and health enhancement. For example, conservative management of back pain may include trying spinal manipulation combined with exercise and stretching prior to moving on to procedures involving higher risk.

Health care quality organizations now recognize the value of a conservative approach. Earlier this year, the Joint Commission, which certifies more than 20,000 health care organizations and programs in the United States, including every major hospital, revised its pain management standard to include chiropractic services and acupuncture. Clinical experts in pain management who provide input to the Commission’s standards affirmed that treatment strategies may consider both pharmacologic and nonpharmacologic approaches.

Author: American Chiropractic Association
Source: Acatoday.org, online May 20, 2015.

Copyright: American Chiropractic Association 2015


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Social Media... Depressing

A growing amount of research indicates those suffering from depression, loneliness and other mental health issues can be at risk for addiction to excessive internet usage. A new study shows similar findings with Facebook usage. Facebook addiction or intrusion arises when Facebook usage begins to negatively impacting one’s day-to-day activities and interpersonal relationships. In this recent study, 672 Facebook users were assessed utilizing questionnaires to determine their degree of Facebook addiction and current level of depression, if any. Researchers found those individuals with higher depression scores suffered from higher levels of Facebook addiction. Additionally, their time spent online was also associated with the degree of Facebook addiction - the more time online, the more Facebook addiction. However, time spent online alone was not associated with depression. These findings indicate that Facebook and likely other social media websites have a heightened attraction to those suffering from depression and addictive behaviors. Findings also identified those with the highest risk of becoming addicted to Facebook - young males spending an extensive amount of time online.

Author: ChiroPlanet.com
Source: European Psychiatry, online May 8, 2015.
Copyright: ProfessionalPlanets.com LLC 2015


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