Algorithm for Grain Free/Inflammation-Limiting Health

Written by admin on April 25, 2013 – 8:57 am -

In a recent message from Dr. Phalen of Wake Forest Chiropractic I found myself quite interested in some of his recent research on gluten/ grain consumption and I just wanted to take a minute to share. Dr. Phalen shared the following:

“I was asked recently to give a talk on the impact of gluten/grains on health and the opportunity gave me the push to get the info I’ve been trying to download to patients onto a one page algorithm (Grain Algorithm)…

I’ve seen my practice change significantly over the last 10 of my 21 years in practice. For a number of reasons; aging population, managed care, fewer PCP’s entering the field and unfortunately food industry practices — I’m seeing the need to help identify and refer for management conditions and disorders that seem to be accelerating in frequency.

Much of this seemed to trace back to gluten/grain consumption and the long term reaction to it…”

Dr. Shawn Phelan is a chiropractor practicing in Wake Forest, NC, treating neuro-musculoskeletal conditions with a focus on functional health care, food allergies and metabolic disorders. He works closely with primary care doctors and specialists in the management of his patients.


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Save cash and pain by cutting cigs

Written by admin on April 22, 2013 – 1:29 pm -

“Patients treated for axial or radicular pain related to a spinal disorder reported less pain and disability after they quit smoking, in a new study.

The strong association between pain and smoking cessation was reported by older and younger patients alike.”

For more info Patients Who Quit Smoking Report Less Spine and Leg Pain


Until now “researchers say that while cigarette smoking is one of the major causes of preventable disease, its effect on fracture healing and post-operative infection after long-bone fracture surgery hasn’t been well studied.”

However, this “study brings together the published data on the effects of smoking on long-bone fracture healing into a single meta-analysis with a large number of patients. We showed that smokers are at a higher risk of long bone fracture nonunion..”

For more info Fractures in Smokers Don’t Heal as Well or as Quickly as in Non-Smokers


“Smokers may need more revisions and have more complications after total hip arthroplasty (THA), regardless of the number of pack-years smoked and whether or not they quit before their surgery, new research suggests.

‘A failed total hip arthroplasty can devastate and debilitate a patient’s health and finances…’

For more info Smokers May Have More Problems After Total Hip Arthroplasty

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Exercise as Good as Massage for Sore Muscles (Reuters Health)

Written by admin on April 18, 2013 – 9:32 am -

Apr 11, 2013

By Kerry Grens

NEW YORK (Reuters Health) Apr 11 – The aches and pains people suffer after exercising more than usual can be relieved just as well by more exercise as by massage, according to a new study.
“It’s a common belief that massage is better, but it isn’t better. Massage and exercise had the same benefits,” said Dr. Lars Andersen, the lead author of the study and a professor at the National Research Center for the Working Environment in Copenhagen.

Earlier research has shown that massage can offer some relief from work-out soreness.

To see how well light exercise compares, Dr. Andersen and his colleagues asked 20 women to do a shoulder exercise while hooked up to a resistance machine.

The women shrugged their shoulders while the machine applied resistance, which engaged the trapezius muscle between the neck and shoulders.

Two days later, the women came back to the lab with aching trapezius muscles. On average they rated their achiness as a five on a 10 point scale, up from 0.8 before they had done the shoulder work-out.

Then the women received a 10-minute massage on one shoulder and did a 10-minute exercise on the other shoulder. Some women got the massage first, while others did the exercise first.
The exercise again involved shoulder shrugs; this time the women gripped an elastic tube held down by their foot to give some resistance. (Hygenic Corporation, which makes the tubing used in the study, supported the study.)

Andersen’s group found that, compared to the shoulder that wasn’t getting any attention, massage and exercise each helped diminish muscle soreness.

The effect peaked 10 minutes after each treatment, with women reporting a reduction in their pain of 0.8 points after the warm up exercise and 0.7 points after the massage.

“It’s a moderate change,” said Dr. Andersen, whose study appeared March 21st in the Journal of Strength and Conditioning Research.

He said he expects that athletes would notice the difference, however.

“I think that for athletes…by reducing soreness then they’re able to perform better, but we didn’t measure this. But if you are sore your movements are very stiff,” he said.

Dr. Andersen would like to see future studies track whether warming up the muscles to relieve soreness does indeed impact how well athletes perform.

It’s not clear how massage or exercise would relieve soreness, but Brumitt said that it’s thought that they help to clear out metabolic byproducts associated with tissue damage.

Andersen recommends that people try light exercise to ease their pain. The effect is moderate, and only offers temporary relief, but the benefit of using exercise, Dr. Andersen said, is that it doesn’t require a trained therapist or travel time.

“If people go out and exercise and get sore they can find some relief in just warming up the muscles,” he said.


Medscape News

Journal of Strength and Conditioning Research 2013. – Abstract

Andersen, Lars L. PhD; Jay, Kenneth MSc; Andersen, Christoffer H. PhD; Jakobsen, Markus D. MSc; Sundstrup, Emil MSc; Topp, Robert RN, PhD; Behm, David G. PhD

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Physical Activity Really Does Enhance Cognition

Written by admin on February 27, 2013 – 1:31 pm -

(Medical News Today: February 19, 2013)

Exercise doesn’t only strengthen your heart and muscles – it also beefs up your brain. Dozens of studies now show that aerobic exercise can increase the size of critical brain structures and improve cognition in children and older adults.

University of Illinois psychology professor Art Kramer, a nationally recognized expert on the role of physical fitness on cognition, discussed these brain-changing outcomes at a session of the 2013 meeting of the American Association for the Advancement of Science in Boston. Kramer is the director of the Beckman Institute for Advanced Science and Technology at the U. of I.

“Populations throughout the industrialized world are becoming increasing sedentary as a result of the changing nature of work and leisure activities,” Kramer said. “As a result of these societal changes, increases in diseases such as hypertension, diabetes, osteoporosis and some cancers are increasing. Physical activity serves to reduce susceptibility to these diseases.”

“Increased physical activity also has direct, and relatively rapid effects on cognition and brain health,” he said. “Such results have now been reported, over the course of several decades, in animal studies of physical activity.”

Studies in humans, many conducted in Kramer’s lab, also show that regular exercise, such as walking three times per week, also increases brain power.

Kramer presented research from his own lab and others that demonstrates that older adults who participate in fitness training and physical activity benefit from significant improvements in their brain structure and function. He will detail how scientists use both behavioral measures and non-invasive neuroimaging techniques such as magnetic resonance imaging (MRI), functional MRI, event-related brain potential, and event-related optical signals to assess cognition. He will conclude his presentation with a dissection of the gaps present in human and animal cognitive and brain health literature and describe how future research can remedy this.

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Smoking Associated With Worse Back Pain

Written by admin on January 30, 2013 – 10:09 am -

Medscape Medical News
Smoking Associated With Worse Back Pain
Joe Barber Jr, PhD

Patients with spinal disorders who quit smoking may experience substantial improvements in back pain, according to the findings of an analysis of a prospectively maintained database.

Caleb Behrend, MD, from the University of Rochester Medical Center in New York, and colleagues present their findings in an article published in the December issue of the Journal of Bone & Joint Surgery.

The authors mention that smoking has been identified as a modifiable risk factor for chronic pain disorders. “Furthermore, with regard to chronic pain disorders, smokers have reported an increased magnitude of pain when compared with nonsmokers,” the authors write. “Glassman et al. found that smoking cessation in patients undergoing spinal arthrodesis was associated with increased patient satisfaction, fusion rates, and return to work.”

In the study, the authors reviewed questionnaires for 5333 patients completed at the time of entry into care and at the time of the latest follow-up. Patient-reported pain scores were assessed using a visual analog scale (VAS).

Compared with never-smokers, current smokers reported significantly greater pain scores at the latest follow-up (mean VAS score, 4.49 [95% confidence interval (CI), 4.15 - 4.84] vs 3.59 [95% CI, 3.49 - 3.70]; P < .001).

Patients who quit smoking reported significantly greater improvements compared with current smokers in worst (mean VAS score, −1.56 [95% CI, −1.94 to −1.17] vs −0.70 [95% CI, −0.90 to −0.51]; P = .013), current (mean VAS score, −1.07 [95% CI, −1.44 to −0.70] vs −0.46 [95% CI, −0.66 to −0.28; P < .05), and average (mean VAS score, −1.23 [95% CI, −1.56 to −0.86] vs −0.46 [95% CI, −0.66 to −0.27]; P = .024) weekly pain.

In addition, nearly 2-fold more patients who quit smoking reported a more than 30% decrease in worst pain than current smokers (32.0% vs 16.6%), and never-smokers reported a greater mean improvement in disability as determined by the Oswestry Disability index than current smokers (−7.3 points [95% CI, −8.1 to −6.5 points] vs −4.6 [95% CI, −5.6 to −3.6]).

According to the authors, limitations of the study include their inability to capture the effects of all possible factors that may influence pain and determine when patients stopped smoking or experienced improvements in pain.

They conclude that smoking cessation programs are needed to improve chronic pain among patients with spinal conditions. "The present study supports the need for smoking cessation programs for patients with axial or radicular pain of spinal etiology, given a strong association between improved patient-reported pain and smoking cessation," the authors write.

Asked for independent comment, David O. Werner, MD, from the Mayo Clinic, Rochester, Minnesota, agreed with the authors' conclusion. "This suggests that tobacco use interventions should be an integral part of pain treatment," Dr. Werner told Medscape Medical News. "Given the tremendous health benefits of quitting, clinicians should take every opportunity to help every smoker quit, but if pain is improved, this makes the issue even more urgent for the pain physician."

One coauthor received a grant from the Southwestern Foundation. One coauthor received grants or has grants pending with FOT and Goldstein. The other authors and the commentator have disclosed no relevant financial relationships.

For more information on this topic click below- J Bone Joint Surg Am. 2012;94:2161-2166.

Smoking Cessation Related to Improved Patient-Reported Pain Scores Following Spinal Care

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