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Keep Young Athletes Healthy and Fit

Posted on by Dr.Mike

In today’s age of health and fitness, more and more kids are involved in sporting activities. Although being part of a football, soccer or Little League team is an important rite of passage for many children, parents and their children could be overlooking the importance of proper nutrition and body-conditioning needed for preventing injuries on and off the playing field.

“The majority, if not all, sports are good, provided that the child prepares appropriately,” says Dr. Timothy Ray, a member of the American Chiropractic Association’s Council on Sports Injuries and Physical Fitness. “Without proper preparation, playing any sport can turn into a bad experience. There are structural and physical developmental issues that need to be taken into consideration before children undertake certain sports.”

Highly competitive sports such as football, gymnastics and wrestling follow rigorous training schedules that can be potentially dangerous to an adolescent or teenager. The best advice for parents who have young athletes in the family is to help them prepare their bodies and to learn to protect themselves from sports related injuries before they happen.

“Proper warm up, stretching and strength-training exercises are essential for kids involved in sports, but many kids learn improper stretching or weight-lifting techniques, making them more susceptible to injury,” says Dr. Steve Horwitz, an ACA member from Silver Spring, Md., and former member of the U.S. Summer Olympic medical team. “Parents need to work with their kids and make sure they receive the proper sports training.”

“Young athletes should begin with a slow jog as a general warm-up, followed by a sport-specific warm-up. They should then stretch all the major muscle groups,” says Dr. Horwitz. “Kids need to be instructed in appropriate exercises for each sport to prevent injuries.”

Proper nutrition and hydration are also extremely vital. “While an ordinary person may need to drink eight to 10 8-ounce glasses of water each day, athletes need to drink even more than that for proper absorption. Breakfast should be the most important meal of the day. Also, eating a healthy meal two to four hours before a practice or a game and another within one to two hours after a game or practice allows for proper replenishment and refuels the body,” adds Dr. Horwitz.

Young athletes today often think they are invincible. The following tips can help ensure your child does not miss a step when it comes to proper fitness, stretching, training and rest that the body needs to engage in sporting activities.

Encourage your child to:
• Wear the proper equipment. Certain contact sports, such as football and hockey, can be dangerous if the equipment is not properly fitted. Make sure all equipment, including helmets, pads and shoes fit your child or adolescent. Talk to your child’s coach or trainer if the equipment is damaged.
• Eat healthy meals. Make sure your young athlete is eating a well-balanced diet and does not skip meals. Avoid high-fat foods, such as candy bars and fast food. At home, provide fruit rather than cookies, and vegetables rather than potato chips.
• Maintain a healthy weight. Certain sports, such as gymnastics, wrestling and figure skating, may require your young athlete to follow strict dietary rules. Be sure your child does not feel pressured into being too thin and that he/she understands that proper nutrition and caloric intake is needed for optimal performance and endurance.
• Drink water. Hydration is a key element to optimal fitness. Teenage athletes should drink at least eight 8-ounce glasses of water a day. Younger athletes should drink five to eight 8-ounce glasses of water.
• Drink milk. Make sure your child has enough calcium included in his/her diet. For children over 2 years of age, ACA recommends 1 percent or skim milk rather than whole milk. Milk is essential for healthy bones and reduces the risk of joint and muscle related injuries.
• Avoid sugar-loaded, caffeinated and carbonated drinks. Sports drinks are a good source of replenishment for those kids engaged in long duration sports, such as track and field.
• Follow a warm-up routine. Be sure your child or his/her coach includes a warm-up and stretching session before every practice, game or meet. A slow jog, jumping rope and/or lifting small weights reduces the risk of torn or ripped muscles. Flexibility is key when pushing to score that extra goal or make that critical play.
• Take vitamins daily. A multi-vitamin and Vitamin C are good choices for the young athlete. Vitamin B and amino acids may help reduce the pain from contact sports. Thiamine can help promote healing. Also consider Vitamin A to strengthen scar tissue.
• Avoid trendy supplements. Kids under the age of 18 should avoid the use of performance-enhancing supplements, such as creatine. Instead, they should ask their coach or trainer to include weekly weight training and body-conditioning sessions in their workout.
• Get plenty of rest. Eight hours of sleep is ideal for the young athlete. Lack of sleep and rest can decrease performance. Sluggishness, irritability and loss of interest could indicate that your child is fatigued.
Chiropractic Care Can Help
Doctors of chiropractic are trained and licensed to treat the entire neuromusculoskeletal system and can provide advice on sports training, nutrition and injury prevention to young athletes.

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Wellness Tip: Understanding Vitamin D

Posted on by Dr.Mike

Vitamin D has been getting a lot of attention in studies and the media. It is being studied for its possible role in the prevention and treatment of low-back and joint pain, diabetes, hypertension, glucose intolerance, multiple sclerosis and other conditions. Some studies suggest that vitamin D may protect against cancers of the colon, prostate and breast.

What is vitamin D?
Vitamin D is a nutrient generated by the body through exposure to sun rays. It can also be found in some foods. It plays an important role in building strong bones by helping the body absorb calcium. In addition, vitamin D participates in nerve and muscle function, as well as in the function of the immune system and in the reduction of inflammation.

How can I get vitamin D?
• The body makes vitamin D when skin is directly exposed to the sun outdoors. During the warmest months, for example, 5 to 30 minutes of exposure between 10 a.m. and 3 p.m. several times a week to the face, arms, legs or back without sunscreen may be enough to produce sufficient vitamin D.
• Excessive exposure to the sun increases the risk of skin cancer. When out in the sun, wear protective clothing and apply sunscreen with a sun protection factor of 8 or more.
• People who avoid the sun, who cover their bodies with sunscreen or clothing, or who live in the northern half of the United States during the winter months should include good sources of vitamin D in their diets or take a supplement.
• Vitamin D is found in supplements in two different forms: D2 (ergocalciferol) and D3 (cholecalciferol). The D3 form may do a better job of raising levels of vitamin D in the blood and keeping levels raised for a longer time.
• Vitamin D in American diets is found mostly in fortified foods. Almost all of the U.S. milk supply is fortified with 400 international units (IU) of vitamin D per quart. Vitamin D is also added to many breakfast cereals and to some brands of orange juice, yogurt, margarine and soy beverages. Check the labels for more information.
• Fatty fish such as salmon, tuna and mackerel, as well as fish liver oils, are among the best sources. Beef liver, cheese, egg yolks and some mushrooms provide small amounts.
How much vitamin D is required?
• The current average recommended by the government for most children and adults is 200 IU. Adults 51 to 70 years of age should get 400 IU. Adult older than 71 years of age should get 600 IU.
• Certain groups of people—breast-fed infants, older adults, people with dark skin, obese people and those with Crohn’s disease and celiac disease and similar conditions—may need additional vitamin D.
• As people get older, they may develop osteoporosis—a condition where bones become fragile and may fracture easily as a result of falls. Women are at an especially high risk. Supplements of both vitamins D3 (at 700 to 800 IU/day) and calcium (500 to 1,200 mg/day) have been shown to reduce the risk of bone loss and fractures in people aged 62 to 85 years.
What precautions do I need to take?
• The safe upper limit for vitamin D is 1,000 IU/day for infants and 2,000 IU for children and adults.
• Excessive amounts of vitamin D can lead to toxicity—nausea, vomiting, poor appetite, constipation, weakness and weight loss. Excess vitamin D can also damage the kidneys.
• Vitamin D toxicity almost always occurs from overuse of supplements. Excessive sun exposure doesn’t cause vitamin D poisoning because the body limits the amount of this vitamin it produces.
• Like most dietary supplements, vitamin D may interact or interfere with other medicines or supplements, such as prednisone and other corticosteroid medicines; the weight-loss drug orlistat and the cholesterol-lowering drug cholestyramine; and with phenobarbital and phenytoin, medications that prevent and control epileptic seizures.
• Be sure to tell your health care provider about any dietary supplements and medicines you take to avoid potential interactions.

Posted in Aging, Back, Beauty, Carpal Tunnel, Chiropractic, Depression, Diet, Exercise & Fitness, Health, Joints, Neck, Pain, Pregnancy, Viral Infections, Wellness Tips, Winter Health | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Comments Off on Wellness Tip: Understanding Vitamin D

Yard Work

Posted on by Dr.Mike

Before you rev up the lawnmower or reach for your rake this fall, the American Chiropractic Association (ACA) cautions you to consider the possible consequences: upper or lower back strain, neck strain and pain in the shoulders.

Just as playing football or golf can injure your body, the twisting, turning, bending and reaching of mowing and raking can also cause injury if your body is not prepared. Like an athlete, if you leap into something without warming up or knowing how to do it, the chances of injury increase. To prevent unnecessary strain and pain, consider these simple tips before you get started:

• Wear supportive shoes. Good foot and arch support can prevent some back strain.

• Stand as straight as possible, and keep your head up as you rake or mow.

• When it’s still warm outside, avoid the heat. If you’re a morning person, get the work done before 10 a.m. Otherwise, do your chores after 6 p.m.

• When raking, use a “scissors” stance: right foot forward and left foot back for a few minutes, then reverse, putting your left foot forward and right foot back.

• Bend at the knees, not the waist, as you pick up yard equipment or piles of leaves or grass from the grass catcher. Make the piles small to decrease the possibility of back strain.

• Drink a lot of water and wear a hat, shoes and protective glasses. To avoid blisters, try wearing gloves.

• If you have asthma or allergies, wear a mask.

Tips on Using Your Outdoor Equipment

The equipment available today for lawn and leaf management can turn the average homeowner into a lawn specialist overnight. But the use of weed trimmers, leaf blowers and hedge clippers has also sent many aspiring landscapers to the office of their local doctor of chiropractic. ACA cautions that using this equipment can result in back and neck pain, as well as more serious muscular strains and tears. The repetitive motion that your body undergoes when using such equipment can create a whole host of mechanical problems within the body. It is essential to operate your equipment properly. If you do not, the pounding your body endures may be multiplied.

The following tips can help you safely enjoy a productive day in the yard:

• Regardless of what piece of equipment you use, make sure it has a strap and that you use it. Place the strap over your head on the shoulder opposite the side of your body from the device. This will help normalize your center of gravity. the equipment as often as possible, and to balance the muscles being used, alternate your stance and motion frequently.

• Try ergonomic tools. They’re engineered to protect you when used properly. • When mowing, use your whole body weight to push the mower, rather than just your arms and back.

• If your mower has a pull cord, don’t twist at the waist or yank the cord. Instead, bend at the knees and pull in one smooth motion.

• Take frequent breaks from the activity of the day. Muscle fatigue may be felt when using any of these devices for an extended period of time.

• If your equipment is loud, wear hearing protection.

Simple Stretches

While it is critical to operate yard equipment safely, it is equally important to prepare your body for the work you are about to do. Be sure to include a warmup/cool-down period that involves stretching to help avoid injury. Breathe in and out slowly throughout each stretching exercise until the muscle is stretched to its furthest point. At that point, hold your breath in; when you relax, breathe out. Stretch gently and smoothly. Do not bounce or jerk your body in any way and stretch as far as you can comfortably. You should not feel pain.

Get the most out of the time you spend in the yard with these stretches:

• Stand up and prop your heel on a back door step or stool with your knee slightly bent. Bend forward until you feel a slight pull at the back of the thigh, called the hamstring. You may need to stabilize yourself by holding on to a garage door handle or sturdy tree branch. Hold the position for 20 seconds, then relax. Do it once more, and then repeat with the other leg.

• Stand up and put your right hand against a wall or other stable surface. Bend your left knee and grab your ankle with your left hand. Pull your heel toward your buttocks to stretch your quadriceps muscles at the front of your thigh. Hold that position for 20 seconds, relax and do it again. Repeat with the other leg.

• Weave your fingers together above your head with your palms up. Lean to one side for 10 seconds to stretch the side of your upper body, then reverse. Repeat two or three times.

• “Hug your best friend”– Wrap your arms around yourself after letting your breath out and rotate to one side as far as you can go. Hold for 10 seconds; then reverse. Repeat two or three times.

• Be sure to switch the side on which you operate

Chiropractic Care Can Help

If you experience pain or discomfort following yard work, call your doctor of chiropractic who is trained and licensed to treat the musculoskeletal system and can also help you lead a healthier life by focusing on wellness and prevention.


Posted in Back, Blog, Chiropractic, Exercise & Fitness, Health, Joints, Neck, Pain, Wellness Tips, Winter Health | Tagged , , , , , , , , , , , , , , , | Comments Off on Yard Work

October is National Chiropractic Health Month!

Posted on by Dr.Mike

In honor of National Chiropractic Health Month, the American Chiropractic Association is highlighting ways you can feel your best every day, regardless of your age, occupation or fitness level. This year’s theme-“Discover Chiropractic: Find Your Game”-focuses on how everyone can take steps toward optimal health, wellness and functioning.

For starters, try these tips to keep your joints in good shape and avoid repetitive stress injuries:
1. Moving a joint through its full range of motion serves several important purposes. Joints are not supplied directly with blood as are other organs, so “use it or lose it” applies to joint function.
2. Proper diet and nutrition and a tobacco-free lifestyle contribute to joint health by allowing the joints to absorb enough healthy nutrients for long-term stability and resistance to wear and tear.
3. When lifting an object, be sure that the largest muscles in the area perform the task.
4. Muscles will fatigue and joints are more likely to be injured when you hold a particular posture for an extended period of time, especially a poor one, such as staying partially bent forward at the waist.
5. When performing tasks, keep joints that are being used either in their natural posture or approximately halfway to the range of motion. Working with joints at the extremes of their ranges of motion for prolonged periods places abnormal stresses on those joints and can results in repetitive stress injuries.
Find more tips to help you Find Your Game, visit www.ChiroHealthy.com.

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Travel Aches and Strains Can Be a Pain In Your Back

Posted on by Dr.Mike

Traveling can be rough on the body. Whether you are traveling alone on business or on your way to a sunny resort with your family, long hours in a car or an airplane can leave you stressed, tired, stiff and sore.

“Prolonged sitting can wreak havoc on your body,” says Dr. Scott Bautch, an ACA media spokesperson. “Even if you travel in the most comfortable car or opt to fly first class, certain pressures and forces from awkward positions can result in restricted blood flow. One of the biggest insults to your system from prolonged sitting is the buildup of pressure in the blood vessels in your lower legs. Contracting and relaxing the muscles helps the blood flow properly.”

Dr. Bautch and the ACA suggest the following tips and advice to fight the pains and strains of travel before they occur.

Warm Up, Cool Down
Treat travel as an athletic event. Warm up before settling into a car or plane, and cool down once you reach your destination. Take a brisk walk to stretch your hamstring and calf muscles.

In the Car:

  • Adjust the seat so you are as close to the steering wheel as comfortably possible. Your knees should be slightly higher than your hips. Place four fingers behind the back of your thigh closest to your knee. If you cannot easily slide your fingers in and out of that space, you need to re-adjust your seat.
  • Consider a back support. Using a support behind your back may reduce the risk of low-back strain, pain or injury. The widest part of the support should be between the bottom of your rib cage and your waistline.
  • Exercise your legs while driving to reduce the risk of any swelling, fatigue or discomfort. Open your toes as wide as you can, and count to 10. Count to five while you tighten your calf muscles, then your thigh muscles, then your gluteal muscles. Roll your shoulders forward and back, making sure to keep your hands on the steering wheel and your eyes on the road.
  • To minimize arm and hand tension while driving, hold the steering wheel at approximately 3 o’clock and 7 o’clock, periodically switching to 10 o’clock and 5 o’clock.
  • Do not grip the steering wheel. Instead, tighten and loosen your grip to improve hand circulation and decrease muscle fatigue in the arms, wrists and hands.
  • While always being careful to keep your eyes on the road, vary your focal point while driving to reduce the risk of eye fatigue and tension headaches.
  • Take rest breaks. Never underestimate the potential consequences of fatigue to yourself, your passengers and other drivers.

In an Airplane:

  • Stand up straight and feel the normal “S” curve of your spine. Then use rolled-up pillows or blankets to maintain that curve when you sit in your seat. Tuck a pillow behind your back and just above the beltline and lay another pillow across the gap between your neck and the headrest. If the seat is hollowed from wear, use folded blankets to raise your buttocks a little.
  • Check all bags heavier than 5-10 percent of your body weight. Overhead lifting of any significant amount of weight should be avoided to reduce the risk of pain in the lower back or neck. While lifting your bags, stand right in front of the overhead compartment so the spine is not rotated. Do not lift your bags over your head, or turn or twist your head and neck in the process.
  • When stowing belongings under the seat, do not force the object with an awkward motion using your legs, feet or arms. This may cause muscle strain or spasms in the upper thighs and lower back muscles. Instead, sit in your seat first, and using your hands and feet, gently guide your bags under the seat directly in front of you.
  • While seated, vary your position occasionally to improve circulation and avoid leg cramps. Massage legs and calves. Bring your legs in, and move your knees up and down. Prop your legs up on a book or a bag under your seat.
  • Do not sit directly under the air controls. The draft can increase tension in your neck and shoulder muscles.

Safe Travel For Children:

  • Always use a car seat in a car when traveling with children below the age of 4 and weighing less than 40 pounds.
  • Ask the airline for their policy on child car seat safety. Car seats for infants and toddlers provide added resistance to turbulent skies, and are safer than the lap of a parent in the event of an unfortunate accident.
  • Make sure the car seat is appropriate for the age and size of the child. A newborn infant requires a different seat than a 3-year-old toddler.
  • Car seats for infants should always face the rear. In this position, the forces and impact of a crash will be spread more evenly along the back and shoulders, providing more protection for the neck.
  • Car seats should always be placed in the back seat of the car-ideally in the center. This is especially important in cars equipped with air bags. If an air bag becomes deployed, the force could seriously injure or kill a child or infant placed in the front seat.
  • Make sure the car seat is properly secured to the seat of the vehicle and is placed at a 45-degree angle to support the head of the infant or child.

Chiropractic Care Can Help…
“If you follow these simple tips, you can enjoy pain-free, safe travel,” says Dr. Bautch. “If you do experience pain and stress on your back, doctors of chiropractic are trained and licensed to diagnose and treat problems of the spine and nervous system.”

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Recognizing Skin Cancer: A Hands-on Approach By James Rosenberg, DC

Posted on by Dr.Mike


According to the American Academy of Dermatology, in the United States alone, more than 2 million people are affected by skin cancer, making it the most common form of cancer. One in five Americans will develop skin cancer in their lifetimes, which is greater than breast, prostate, lung and colon cancer combined. As doctors of chiropractic seek to become primary care providers, we are required to regularly educate ourselves on subject matter that allows us to better serve our patients. When caught early, skin cancer is among the easiest cancers to cure. Recognizing skin cancer lesions in our patients and making appropriate referrals can be a lifesaving step.

Skin cancer occurs when DNA damage to the skin cells triggers mutations that cause the skin cells to multiply rapidly and become malignant rumors. Cancerous skin lesions may spread and damage nearby tissues and, in some cases, spread throughout the body with deadly results.

According to the American Academy of Dermatology and the American Cancer Society, the five most common forms of skin cancer are:

• Most dangerous
• Originates in the pigment-producing melanocytes
• Often resembles moles and can develop from them
• Usually caused by UV exposure, which includes tanning beds

Visual Cues
“ABCDE’s of Melanoma:”
A: Asymmetry of shape
B: Borders are uneven
C: Colors – multiple colors in the same lesion
D: Diameters – usually larger than W’
E: Evolving – changing in color, elevation, shape or size, or any new symptoms such as bleeding, itching and crusting

Basal Cell Carcinoma
• Most common of all cancers
• Affects two million Americans a year or 8 out of 10 people
• Arises in the skin’s basal cells

Visual Cues
• Often looks like persistent open sores, scars or pink or red shiny bumps
• Can resemble psoriasis or eczema
• Reddish patch or irritated-looking area on the face, chest, arms or legs

Squamous Cell Carcinoma
• Second-most common of all cancers
• Affects 700,000 Americans a year or 2 out of 10 people
• Uncontrolled growth of squamous cells

Visual Cues
• A bump or lump on the skin that can feel rough
• A bump or lump that grows; it may become dome-shaped or crusty and bleed
• A sore that doesn’t heal or heals and returns
• Flat, reddish, scaly patch that grows slowly
• Commonly appears on sun-exposed parts of the body, such as the face, ears, neck, lips and back of hands

Actinic Keratosis
• Most common pre-cancer
• More common in individuals with fair skin

Visual Cues
• Small, pink, rough, dry scaly patch or growth on skin
• Rough patch or growth that feels irritated or painful when rubbed
• Itching or burning on a patch of skin • Lips feel constantly dry and have a whitish color or feel scaly

Dysplastic Nevi (atypical moles)
• Are benign moles that may resemble melanoma
• Can be predisposed to developing melanoma

Visual Cues
• Look like normal moles
• Often larger than moles
• Abnormal shape or color
• Can appear on skin that is not exposed

A simple first step in the fight against skin cancer is encouraging an open and honest dialogue with your patients, Allow them to feel comfortable to discuss the changes they notice on their bodies, A second step in helping you and your patients recognize the signs of skin cancer is displaying posters in your waiting areas and patient treatment rooms, Skin-cancer posters are available through various sources, including the American Academy of Dermarology (www.aad.org) and the American Cancer Society (www.cancer.org).

Displaying posters in your waiting areas and treatment rooms is a valuable resource for you to refer to when examining a patient and also to stimulate your patients to talk about skin changes they notice on themselves.

All skin cancers are associated with UV exposure; there is no good UV exposure. The best advice to protect against skin cancer is to avoid excessive sun exposure and use sunscreens with an SPF of 15 or higher. The skin should be professionally examined by a licensed dermatologist at least once a year, along with regular self-examinations throughout the year, especially if the patient is frequently exposed to the sun.

Obviously, doctors of chiropractic get a good look at people’s backs. Any suspicious skin lesions anywhere on the body should trigger an immediate referral recommendation to a dermatologist. The most common form of treatment is excision; the most common is known as Moh’s surgery, especially for basal and squamous cell carcinoma. This surgery spares healthy tissue, while completely removing the cancerous cells. The cure rate for basal cell carcinoma and squamous cell carcinoma is 98 percent with Moh’s surgery.

Our patients look to us as highly trained health care professionals, for answers and guidance. The more prepared we are to meet their needs and answer their questions through continual learning, the better care we can provide .


1. American Academy of Dermatology
2. American Cancer Society

James Rosenberg, DC, is national director of chiropractic medicine at Cancer Treatment Centers of America’s Midwestern Regional Medical Center. www.cancercenter.com

Published in June 2012 ACA News. 

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Gardening: Pull Weeds…Not Your Back

Posted on by Dr.Mike


wheelbarrow-garden-woman.jpgNow that spring is here, the weather is warming up and leaves are turning green, many people will spend more time outside planting bulbs, mowing the lawn and pulling weeds. Gardening can provide a great workout, but with all the bending, twisting, reaching and pulling, your body may not be ready for the challenge.
A warm-up and cool-down period is as important in gardening as it is for any other physical activity. Performing simple stretches will help alleviate injuries, pain and stiffness. Try this:
  • Before stretching for any activity, breathe in and out, slowly and rhythmically; do not bounce or jerk your body, and stretch as far and as comfortably as you can. Do not follow the “no pain, no gain” rule. Stretching should not be painful. While sitting, prop your heel on a stool or step, keeping the knees straight. Lean forward until you feel a stretch in the back of the thigh, or the hamstring muscle. Hold this position for 15 seconds. Do this once more and repeat with the other leg.
  • Stand up, balance yourself, and grab the front of your ankle from behind. Pull your heel toward your buttocks and hold the position for 15 seconds. Do this again and repeat with the other leg.
  • While standing, weave your fingers together above your head with the palms up. Lean to one side for 10 seconds, then to the other. Repeat this stretch three times.
  • Do the “Hug your best friend” stretch. Wrap your arms around yourself and rotate to one side, stretching as far as you can comfortably go. Hold for 10 seconds and reverse. Repeat two or three times.
Finally, be aware of your body technique, body form and correct posture while gardening. Kneel, don’t bend, and alternate your stance and movements as often as possible to keep the muscles and body balanced.
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Holiday Survival

Posted on by Dr.Mike

It’s fun to get into the holiday spirit and participate in all the festive activities that abound this time of year, but the added demands of the season can also stress the capacities of our bodies. Remember to take the time to care for yourself, too. Try these tips for handling the holidays in a healthy, happy way.

Eating healthy can be a year-round challenge, but it’s especially difficult during the holidays with office parties and family get-togethers complete with cookies and holiday treats. You can enjoy the festive desserts-just don’t overload on them.

  • Manage your stress better so it doesn’t affect your holiday fun. Try thinking positively, using aromatherapy, drinking tea or getting a massage.
  • Treat travel as an athletic event. Warm up before settling into a car or plane, and cool down once you reach your destination. While seated, vary your position occasionally to improve circulation and avoid leg cramps.
  • With all of the parties, the shopping, the decorating and the baking, sleep often takes a backseat during the holidays, but sleep is critical to good health and functioning. Exercise regularly, limit your intake of caffeine and keep your bedroom at a cool, comfortable temperature to help your body get the rest that it needs.

You can find more holiday survival tips at www.acatoday.org/12days. If you’re going to be standing in line this season, check out some additional tips to avoid aches and pains.



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USA – Human enterovirus D68 update

Posted on by Dr.Mike

October 15, 2014


While the nation and the Dallas Fort Worth Metroplex have been gripped in fear over the 2nd US case of the deadly Ebola virus in Dallas, an even bigger threat has hit Texas — enterovirus-D68 (EV-D68), the respiratory killer that strikes children. Of the 691 cases of EV-D68 confirmed from by the Centers for Disease Control and Prevention (CDC) now in 46 states and the District of Columbia, 14 of these cases are in Texas. On [9 Oct 2014], the Texas Department of State Health Services (DSHS) confirmed that the children with EV-D68 were residents of Anderson, Bexar, Dallas (7), Denton, and Lubbock (4) counties. One additional confirmed case was in a resident of another state.

EV-D68 is one of the more than 100 non-polio enteroviruses, first identified in California in 1962, according to the CDC; yet, 28 patients in 7 states are experiencing non-characteristic paralysis symptoms, including an 11 year boy from Allen [Collin County, Texas]. He was taken to Children’s Health System of Texas in Dallas for a respiratory infection last July, the Dallas Morning News reported. The youngster was treated and sent home, only his symptoms got worse and he lost the use of his right arm. He returned to the hospital where he’s remained since the summer.

NBC-5 reported that doctors suspect the Reed Elementary 6th grader has EV-D68. He spent much of the past 2 months on a ventilator and continues to have a tracheostomy tube in his throat. He still needs the ventilator at night to breathe. He also remains partially paralyzed. He is improving and is not infectious and will be transferred to a rehabilitation facility where he faces ‘month, not years, of physical therapy’ and he may never fully recover. Part of his therapy is relearning how to talk. Children’s Health neurologist Dr Ben Greenberg said that although the boy tested positive for enterovirus, the hospital is waiting on a final determination from samples sent to the CDC to see if, indeed, it is the D68 strain, according to the Dallas Morning News article. Jeff Allard, Director of Pediatric Nursing at Medical City Children’s Hospital in Dallas, also told NBC-5 in their report that EV-D68 has a telltale sign — wheezing in kids. He said that the wheezing is of concern and when that symptom is present, families are being asked to contact their children’s doctors.

In Lubbock, the Avalanche-Journal reported an additional case on [10 Oct 2014], although it was not recorded with the DSHS. If confirmed, this would bring the Texas EV-D68 tally up to 15.

EV-D68 is not new. What is new is the dramatic jump in numbers of children showing up at hospitals around the country in 2014. ‘In about 2 dozen cases reported in the United States and Canada, the patients developed polio-like symptoms. A smaller cluster of polio-like cases were identified in California from August 2012 to July 2013,’ the Dallas Morning News included in their article.

Additionally, Chris Van Deusen, spokesman for the DSHS told the Lubbock Avalanche-Journal that concerns were raised about EV-D68 earlier this summer [2014] in yet another part of the country. He said, ‘There were 2 clusters of illness that were unusual — one in Chicago and one in Kansas City. It was a really sort of intense cluster of cases. A lot of children were showing up in the hospital with respiratory symptoms around the same time. That caused concern because that was unusual. That sort of sounded the alarm and started people looking for the virus. We haven’t seen that sort of thing in Texas, but we have seen cases.’ Several years ago, another strand of enterovirus, human enterovirus EV 71, produced cases of illness and paralysis in South America and Australia [and hand-foot-mouth disease in South-East Asia – Mod.CP], according to the Dallas Morning News article on the Allen youth. Still, medical professionals caution against panic over EV-D68. Dallas County Health and Human Services (DCHHS) Medical Director/Health Authority Dr Christopher Perkins said on [26 Sep 2014] that not all respiratory illnesses occurring are EV-D68. This also is cold and flu season.

The enterovirus season runs from July through October. Almost all of the confirmed cases of the virus this year [2014] have been among children the CDC reported. Infants, children, and teenagers are at higher risk than adults for getting infected and sick with enteroviruses like EV-D68. The CDC stated that is ‘because they have not been exposed to these types of viruses before, and they do not yet have immunity (protection) built up to fight the disease.’ They emphasized that children with asthma or a history of wheezing are at greater risk for severe respiratory illness from EV-D68. The CDC site states that EV-D68 ‘has been detected in specimens from samples submitted for testing from 5 patients who died. None of these children were in Texas. FOX News reported a 6th case on [12 Oct 2014]. EV-D68 is now being blamed for the death of a Michigan toddler. These cases are all under investigation.

EV-D68 has flu-like symptoms. On the mild side of the spectrum that may include a fever, runny nose, cough, and body or muscle aches, while more severe symptoms include wheezing and difficulty breathing. The CDC recommends a few tips to prevent catching or even spreading EV-D68 [or any other enterovirus – Mod.CP]. Washing hands often with soap and water for 20 seconds tops the list followed by avoiding physical contact such as kissing, hugging, and sharing cups or utensils with people who are sick. Covering one’s mouth when coughing and sneezing into a tissue or shirtsleeve instead of a hand is also suggested. Parents are advised to clean and disinfect toys and doorknobs if someone is sick and to keep children out of school when sick.

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Exercise Offers Hope for ADHD/Prescription Drug Epidemic

Posted on by Dr.Mike

The CDC says 6.1% of American children were taking an ADHD medication like Adderall or Ritalin in 2011 (the latest data available), up from 4.8% in 2007. Eleven percent of children were diagnosed with ADHD in 2011, also up from 7.8% in 2003. Despite the well-documented dangers of ADHD drugs (and legitimate questions about the diagnosis), the trend doesn’t seem likely to reverse any time soon.

A new study offers hope, however, finding that regular half-hour sessions of exercise before school helped quell ADHD symptoms, improving mood, attentiveness, behavior, even academic performance. Some allopathic doctors who treat kids diagnosed with ADHD say they already prescribe exercise as part of therapy, and teachers have found that exercise during the day helps their ADHD-diagnosed kids. The new research may make exercise a more commonplace treatment modality, however, perhaps one day, replacing harmful drugs altogether. The study followed 202 children in Vermont and Indiana over 12 weeks. It was published recently in The Journal of Abnormal Child Psychology.

Source: “Researchers hope physical activity can stem growing use of ADHD medications,” Foxnews.com, September 9, 2014.

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