Archive for the ‘Dr. John's Blog’ Category
Dr. John: Old Age is Not an Excuse
Tuesday, August 31st, 2010Have you ever heard someone say they have aches and pains because they are old? Have you ever had an ache in your knee and said to yourself, I’m too old? Why does aging automatically mean we have to put up with hurting all day? It’s a common excuse in today’s world. “I hurt because of my age” “I’m too old to do that.” I hear these comments constantly. And when I hear this I think of one person, Jack LaLanne. Jack LaLanne is known as the “Godfather of Fitness” and he also happens to be a chiropractor. Jack admits that he was addicted to sugar and junk foods in his youth. At the age of 14 he became ill. His mother brought him to a lecture by nutritionist Paul Bragg. After hearing that lecture, Jack dedicated himself to eating right and exercising. He purchased a copy of Gray’s Anatomy textbook and read it cover to cover. He began to develop exercises and his health and fitness career is well known history from there. Jack is now 95 years old and still writing on health and fitness. If you look up his achievements, you will see numerous awards and feats of strength he’s performed even at age 70. At age 70, for example, handcuffed, shackled and fighting strong winds and currents, Jack towed 70 boats with 70 people from the Queen’s Way Bridge in the Long Beach Harbor to the Queen Mary, 1 ½ miles. At age 70, he performed a feat that most people of any age could not accomplish.
I do not suggest duplicating Dr. LaLanne’s feats of strength. I do use him as an example that old age doesn’t mean you have to constantly be in pain. Jack has be staying healthy and fit for 81 years; however, no matter what age you are, health and wellness can begin right now. Eating right, exercising, and living better day-to-day are the Fountain of Youth. Use people like Jack LaLanne as motivation and ask a chiropractor and/or fitness expert about how you can take the first step to living healthier and living longer.
Dr John: Chiropractors: Not Just Back Doctors
Tuesday, August 24th, 2010I often have people come up to me and say that they have a wrist problem, but they “know that chiropractors just work on the back and neck.” Usually my response is that isn’t true. Doctors of Chiropractic are trained to diagnose and treat ailments of the human body without the use of pharmaceuticals or surgery. Many chiropractors practice physical medicine. Physical medicine can be described as conditions of the skeleton like joint pain or muscular conditions such as sprains, headaches, or low back pain. However, there are also chiropractors that do practice internal medicine. They may use nutritional counseling and supplementation to treat conditions like high cholesterol or the common cold.
At Ducat Chiropractic and Wellness Center, we specialize in physical medicine. We are a sports medicine facility that uses active care (i.e. physical therapy) to treat a wide variety of conditions from Achilles tendonitis to chronic neck pain. Oddly enough, while most think of chiropractors as “back doctors,” we see an equal number of arm or leg conditions, if not more, compared to low back or neck.
Consider this: there are 206 bones in the adult human body which means there are a lot of joints. There are 27 bones in each hand and 26 bones in each foot. If you do the math that means about 51% of our bones are in the hands and feet. There are about 640 muscles in the human body and the majority of those cross over joints to allow movement to occur. Needless to say, if chiropractors only treated backs, we would be missing out on the many, many ailments of the body that have nothing to do with the spine.
Dr. John: Healthy Shopping Tips at the Grocery Store
Tuesday, August 17th, 2010Everyone hears about what kind of fats to eat, what kind of carbohydrates to eat and how much protein we should get in our diets, but how to avoid harmful additives in our foods is not often discussed. These days, it’s very hard to eat something that has not gone through some form of processing. Unless you raise your own chickens and grow your own crops, you would have to rely on getting your food from your local grocery stores. But how can you decide what is good and what is bad?
There are numerous books and articles that discuss how to eat right by avoiding chemicals put into foods. This can be tedious and, unless you’re the farmer I spoke of above, hard to avoid all together. Here are some things to remember when picking out your food.
- If it’s in the aisles, be cautious. Most of the items found within the aisles are the highly-processed and preserved foods. Try to stick to the outside perimeter of the store where the produce and deli departments are located and go into the aisles only for your breads and nuts.
- Avoid frozen dinners. Notice I didn’t say frozen food. Frozen dinners means the meals that are prepared and only need microwaving to be cooked. These meals may be fast, but they are generally loaded with chemical preservatives.
- Flip the box around. I hear some joke about the shoppers that take the time to read food labels. I do it! If there is a laundry list of ingredients that takes up half the box, I avoid that item. And…
- If I can’t pronounce it, I don’t want to eat it. Butylated hydroxytoluene may sound catchy, but it does not sound delicious at all.
I shop following those rules and some others. Another important thing to remember is try different things. Adding variety to your diet keeps things from becoming boring and repetitive. Add color to your diet with various fruits and vegetables. If you worry about how those items are grown, you can ask the store manager where they get their produce and ask them about their use of pesticides and chemicals. Lastly, nutrition is a complicated topic. Seek the advice of professionals like a licensed dietician, registered nutritionist, or a doctor of chiropractic like myself.
Dr John: Why is speed of execise important?
Tuesday, August 10th, 2010One of the most common mistakes I see with any exercise is the speed of the movement. I’m often asked why it matters and how fast should the movement be. What does it matter if I’m still getting a good burn? The speed of exercise is important for a number of different reasons. For one, inappropriate speed can lead to injury. Without proper control of the resistance muscles, tendons, and ligaments can be injured. Also, using the appropriate cadence while exercising is the best way to build muscle size and strength and create an effective workout.
There are two phases of contraction for every muscle: concentric and eccentric. Concentric is the shortening phase, eccentric is the lengthening phase. The typical weight lifter is very familiar with the concentric or shortening phase. It’s the phase where we show off our muscles. Think about when you flex your biceps and you can see the muscle bulking in the middle of your arm; that’s the concentric phase. The eccentric or lengthening phase is often overlooked and is typically where injuries occur. We are stronger in the eccentric phase than in the concentric phase. This is illustrated when you see someone performing “negative” repetitions during the bench press. That lifter will pile on more weight than they can press, so instead of pushing they simply resist the weight coming down on them. The eccentric phase is all about controlling the resistance. By letting the weight take over and push you back to the starting point, you increase the risk of injury. Therefore, speed of exercise is essential.
Now the question is: what is the right speed? There are a number of different resources that will give you a number of different answers. There is even a new fad in some gyms that teach extremely slow movements. The thing to remember is to be in control of the resistance at all times. Maintain proper form and do not break it. Move in a fluid pattern and do not allow extraneous movements to occur (e.g. extending your back to aid a bicep curl). Lastly, always remember to use the appropriate resistance. Choose a weight that allows you to perform a set of 10-12 repetitions. If you can’t get to 10, the weight is too much. If you get to 12 and don’t feel challenged, the weight is too little. The most important thing to remember is to always be in control of the resistance in either phase. It’s the difference between results and injury.
Dr John: Stress
Wednesday, July 28th, 2010There are two kinds of stress: good and bad. They are very important in our daily lives and have large effects on our health. Good stress is physical stress on our bodies that we experience during exercise and other activities. This kind of stress is what helps our bodies grow and become stronger. Bad stress can be physical, mental or emotional. It is this type of stress that has very hazardous effects on our lives.
All forms of stress release cortisol in the body. Cortisol is released by the adrenal glands in response to stress for energy regulation and mobilization. The problem comes when we are exposed to too many stressors too often. Too much of any kind of stress is not good. If it’s physical stress, we become overtrained and good stress becomes bad. So when stress overwhelms us, cortisol release increases. The natural effects the hormone has on the body now become detrimental in excess. Glucagon, DHEA, and human growth hormone decrease with excess release of cortisol. These are hormones that have fat burning, anti-aging and repair and maintenance effects. Increased cortisol levels also increase the release of insulin which lowers blood sugar and stores fat in the gut. Another hormone called insulin growth factor-1 (IGF-1) is also increased. Recent research has shown that IGF-1 may be pro-cancer.
So what does all that science jargon mean? It means that too much stress is bad, plain and simple. Too much stress, especially emotional and mental stress, can lead to weight gain, elevated blood pressure, increased triglycerides, decreased HDL levels (the “good” cholesterol), and can cause insulin resistance (i.e. type 2 diabetes). It is very important that we limit our stress every day, eat a healthy diet, and exercise regularly. When you find yourself at work or home and stress is bearing down on you try this:
- Sit and close your eyes.
- Think of a calming place or activity. It could be a tropical island or lying on the couch watching your favorite movie.
- As you imagine yourself in your calming place, slowly breathe in through your nose letting your abdomen protrude while counting slowly to 5. Then slowly breathe out through your mouth, counting to 5.
Do that as many times as you need to feel calm. When you’re ready, go back to the daily grind and come back to your calming place whenever you need it.
Dr John: Why does it hurt?
Tuesday, July 20th, 2010Patients are often discouraged with rehabilitative care because “it hurts.” Many of the technique’s used in active care are unfamiliar to the patient’s daily activities. Stretching, soft tissue massage and exercise are not typically a part of everyone’s routine. So when a patient says that something “hurts” there are a few things to take into consideration. First, what does “hurt” mean? Is there pain or is the muscle being stretched? Second, are you as the patient following instructions correctly? Most of the time spent in the clinic is used to teach exercises with the intent that the patient will be performing those exercises at home. If the patient does not understand what they are doing, there is a potential for injury. Lastly, everyone’s perception of pain is different. One person’s 5 out of 10 on a pain scale is another’s 1 out of 10.
It is also important to remember that the healing process does create some unwanted effects. Think of when you or someone you know has sprained an ankle. What happened? There was swelling, inflammation and pain. That’s the healing process at work. Inflammation and swelling occur to bring blood to the affected area so that nutrients can feed the injury. Pain is there to say, “Stop using this until it’s fixed.” The process extends into clinical settings as well. When muscles become short and inflexible, the best way to change that is to stretch them. Depending on how short and tight they are stretching is going to be arduous. It is important to remember that sticking to a plan and continuing to exercise and stretch with correct technique will become easier the more you do it. Hurt goes away. Don’t let it stop you from getting to your goals
Dr John: “I Don’t Have Time.”
Wednesday, July 14th, 2010It’s a common complaint and (let’s be honest) excuse. Patients frequently tell me they did not perform their home exercises because they “did not have time.” It’s difficult to accept that as an excuse. As Dr. Ducat said a few weeks ago, personal responsibility is up to the individual. The immediate question is “do you want to get better?” The answer is inevitably, “yes.” Then why would someone not take the 10 minutes to perform exercises at home when that would lead to improvement in health?
It’s hard to say why someone will not exercise or take care of any task on time. Many of us are extremely busy and we put our work before ourselves. We all have to earn money and provide for our families, but how can we provide when we are not taking care of ourselves first? Your health is the most valuable asset you have and, unfortunately, in today’s world, especially in this country, our health is constantly at risk. We sit for hours at a time, we eat unhealthy foods, and we are so go-go-go that our stress levels sky rocket. We have to make time to do some activity, to eat healthier, and to relax our minds.
There is enough time. It all comes down to time management. I will be the first to say that while I may be neat and organized, I don’t have the best time management skills. It’s difficult and it can be overwhelming at times. But there are ways to ensure that you get things done. To do lists and calendars keep you honest. Writing everything down helps you prioritize. Highlight important things on your calendar with your favorite color so that you constantly look at it. Map out your day, week, even your month or year if you have to. Set up the appropriate amount of time to get some activity in (even walking for 30 minutes counts); block it in your schedule. Write down when you are at work and when you are free. Be deliberate with it. Most importantly, block out some time to do nothing at all. It’s important to get yourself into a relaxing environment and just shut your mind off. There is enough time for everything.
Dr. John: Pain
Wednesday, July 7th, 2010What is pain?
Pain is a commonly misunderstood phenomenon that traditional diagnosis presumes is due to tissue injury that signals the central nervous system. However, according to Dr. Chan Gunn MD, there is actually three distinct categories of pain: nociception, inflammation, and neuropathy.
Nociception is the immediate response sent to the brain indicating tissue injury. Inflammation is a local response to cellular injury that causes swelling, redness, heat and pain as the body’s mechanism for facilitating the healing process. Neuropathy or radiculopathic pain is ongoing pain that has no obvious signs caused by a dysfunction in the peripheral nervous system. This can lead to hypersensitivity in the sensory system.
The last type of pain is commonly seen in our office. These are the aches and pains that have been brought on by poor posture, improper lifting techniques, or increased sedentary lifestyles. This is why you may have pain, but cannot remember “hurting” yourself. Myofascial pain is a common form of neuropathy or radiculopathic pain. Myofascial pain can be that nagging ache in your low back or tight hamstrings or it can be that knot you have in your upper back. These are commonly brought on by years of negative adaptation to our lifestyles. Sitting or standing for long periods of time, lack of activity, lack of stretching can cause muscles to shorten and lead to myofascial pain.
Dr John: The Secret to Burning Calories
Wednesday, June 30th, 2010I’ve heard many things about fad diets and quick ways to burn calories. There are some that say chewing gum helps you burn calories. While I can’t say I’ve heard of any research that reports how many calories chewing gum burns, I can speculate that chewing gum is not the way to slimming down your waist line. There are a lot of promotions and magazine articles that pull us in saying they have the way to burn the most calories in the least amount of time. But there is a good, proven, scientific way to burning calories: DIET AND EXERCISE.
What many people don’t know is that your body does, in fact, burn calories when you are not doing anything. It’s called the Basal Metabolic Rate or BMR. It’s based on a person’s height, weight, gender and age. Everyone’s BMR is different, but it is best defined as the number of calories your body burns while performing zero activity. So with BMR, you burn calories watching TV and sleeping. However, most of us do not burn enough calories with BMR to cause any weight loss. There is also a way to calculate the amount of calories you burn with your daily activity. The Harris Benedict equation calculates total caloric needs based upon your BMR and your activity level. Activity being work or exercise. “Total caloric needs” means how many calories you would need to maintain your current weight. Right there is the BIG SECRET. If you know your total caloric needs for the day and you want to lose weight you simply need to consume less calories that what you need to maintain your current weight.
It’s a simple arithmetic problem. Determine how many calories you need per day to stay at your current weight and then take some away. How many should you take away? That’s something you would need to determine yourself. How much weight do you want to lose? One pound = 3500 calories and most experts say that healthy weight loss is 1-2 pounds per week. I recommend seeking out a health care profession like a registered dietician/nutritionist or a chiropractic physician that provides nutritional counseling such as myself or Dr. Ducat for help with establishing these types of goals. There are also websites that provide the calculations I spoke of above. You can visit the site and input your information into the equations and determine your BMR.
Dr. John: Why have I hit a plateau?
Wednesday, June 23rd, 2010Hitting a plateau in any rehab or fitness program is every person’s worst fear. It’s the point where you feel like you are no longer seeing any results, but can’t figure out why. It’s also the point that most people commonly give up. So why do we plateau even when we work so hard? It’s a simply issue of adaptation. Most programs plateau because they have out lasted their worth. We continue with the same program, performing the same exercises, seeing great results that eventually fizzle out. Why? It’s because our bodies are amazing at adapting to change.
When you first begin a program, you feel sore the next day, right? The reason for that is because you’re using muscles in a way that they have not been used in quite some time. Those muscles work harder than they usually do because you stress them in a way they are not usually stressed. Think about your daily activities at work or home. You use muscles, but are you ever sore the next day? No. That’s because your muscles are used to performing that kind of work every day. Your body has adapted to the tasks at hand. Hitting a plateau is explained in the same way. If you perform the same program with the same exercises for too long, your body will get used to doing that kind of work and will learn how to do that work more efficiently and then you will stop seeing results.
So, the solution is simple. Or is it? It is. Modify the program. Switch exercises, equipment, intensity levels, training days, switch the time of day if you’d like. In the office, we are constantly changing exercises with patients. If we have a patient doing the same thing for 8 weeks we are doing a disservice to them. Constant change stresses the body (in a good way) and forces it to adapt. And that adaptation is progress and progress equal result.