Tag Archives: osteoporosis

Link

Immune Boosting Tip (part 2): The Optimal Way to Supplement with Vitamin D

Flu season rages on, but optimizing that immune system is a 365 day a year job. Discover more on another way to enhance immune function, and supplement correctly with this core component to optimal health.

IMMUNE BOOST: Vitamin D3/K2

Running Essentials (Vol. 2)

One of the most frustrating injuries an athlete can suffer is that of a stress fracture.  This is caused by the accumulation of micro-traumas sustained within a period of time not sufficient for recovery, and can leave the individual unable to weight bear and left with few other options than the often dreaded rest.

As stated, a stress fracture, like most injuries, mainly occurs due to a workload and subsequent breakdown, exceeding the capacity to heal.  Whenever we workout, we are injuring our body to some extent.  This is not in the traditional sense of injury as in a broken bone or concussion, but rather micro-traumas and micro-tears to the body’s tissues.

When done intentionally, the goal is for the tissue to heal stronger, creating a more durable and efficient tool with which to do work.  A key component to this process is rest and recovery.

The body is a miraculous machine capable of being conditioned and achieving improvement.  However, the machine has its limits and when breakdown exceeds recovery, injuries are sustained and can persist.

This holds true for all the body’s tissues, including bone in the case of a stress fracture.  While navigating the training minefield and finding that perfect, individualized balance in order to achieve maximum benefit, while equally respecting the recovery process can be tricky, it is clearly the most obvious tip for avoiding these pesky injuries.

Well let’s take it a step further and arm ourselves with the knowledge to hedge our bets against the fracture of the stress variety.  In order to ensure your parts are equipped to withstand the repetitive pounding and subsequent micro-traumas and tears, we need to understand what we can do to set the table for healthy, dense bone.

We all know a key component of bone is calcium.  What isn’t such common knowledge is the fact that calcium plays a key role in maintaing our blood pH (acid v base measurement) within a narrow range necessary for us to live.  This pH level is of vital importance and trumps many other physiological aspects in order to survive, including optimal bone health.

If our body’s pH starts to drop and thus become more acidic, something is required in order to offset the acidity.  The main built in mechanism in order to combat this is for calcium to be pulled from bones in order to neutralize the acid; bone derived calcium sustaining a survivable pH and thus maintaining life, strong bones not so much.

The best way to avoid this is to limit or refrain from creating an acidic internal environment.  Obvious offenders include the carbonic acid and phosphoric acid found in soda as this will leave your body with no other choice but to sacrifice strong bones to avoid systemic acidosis. (As if you needed another reason o can the soda.)

A not so obvious, yet extremely acidifying food is wheat.  Any product derived from this grain (bread, pasta, chips, most processed/refined foods, etc.) has the ability to drop pH levels (higher acid content) without any buffer.

Again this leads to the body, in all of it’s infinite wisdom, making the no brainer decision to confiscate bone fortifying calcium from your tibia or metatarsal, leaving you more susceptible to being sidelined with a stress fracture; an injury that yields few treatment options but to rest and hopefully learn from your mistakes.

(This is pertinent information not just for athletes but any individual concerned with osteopenia or osteoporosis)

Being a fellow, lifelong, self professed athlete, I understand getting after it and pushing the limits.  Sometimes it’s difficult to step back and look at the big picture rather than the next session or event.  More is not always better when it comes to training and walking the breakdown-recovery tight rope.  While navigating that rope can be tricky and yield itself to occasional injuries due to blind tenacity and competitiveness, an intelligent nutritional approach offers potential assistance.

While I would never be one to condemn the tenacious, competitive spirit that makes a lot of us tick, utilizing the availability of knowledge in order to build a better machine for the process is a must.  Avoiding acidifying foods is yet another way to intelligently hedge your bets against a stress fracture and keep you doing what you love to do.

Go get it.

Are Injections Your Best Option For Pain?

One of the more common modes of musculoskeletal pain treatment these days is that of an injection.  While various variations and alterations are made regarding the exact content and site of injection, in the majority of cases the basic formula remains the same.

There are two main components to an injection.  First we have the corticosteroid in which cortisone is commonly utilized.  The role of the steroid is to aggressively attenuate inflammation by dampening the immune system.  When you are inflamed, you will usually be feeling some level of pain or discomfort as the chemical mediators involved in the inflammatory process stimulate the pain pathways of your nervous system, and thus the perception of pain is experienced.

While this may effectively address a compartmentalized target, it does so at the expense of the rest of the body.  Inflammation is a main and necessary component of the immune system.  A steroid dampens the immune system, lessening the inflammation, but also compromising  overall immune function which is kind of important.

The widespread effects of steroids are seen when they are utilized as a method of control for an autoimmune condition.  In an autoimmune disease, the immune system has become imbalanced and has turned against the body that houses it, causing tissue destruction.  Patients who find themselves in this predicament often find relief with the use of corticosteroids as it knocks the entire immune system down a level, thus temporarily lessening the self destruction (rather than rebalancing the immune system, addressing the root of the dysfunction).

Some other side effects of corticosteroid injections include risk of infection, hyperglycemia (elevated blood sugar), peripheral nerve damage (median nerve commonly injured in carpal tunnel injections) adrenal insufficiency (adding dysfunction to the commonly over worked “stress glands), immunosuppression, osteoporosis, and actual TENDON RUPTURE.

The tendon element can get dicey, as injections are now commonly utilized for such a wide range of sport type injuries including sprains and strains, bursitis, tendonitis, plantar fasciitis, etc.  The logic behind aiming an injected dose of a corticosteroid at what is presumed to be a tendon issue comes into question when we discover the tendon doesn’t actually succumb to inflammation.

The term tendonitis (meaning inflammation of the tendon) is actually a misnomer due to the lack of inflammation. The proper term for the reduced mobility, strength and discomfort originating in the tendon is actually tendinosis but many clinicians (present company included) continue to use the outdated, falsely descriptive term.

As we explained above, the therapeutic property of the corticosteroid intended to be utilized in this instance is that of an anti-inflammatory agent.  If the tendon is incapable of becoming inflamed this is a poorly misguided effort.  Additionally, studies have shown that injections weaken the tendon and can actually lead to eventual  rupture.

The other commonly used component of these injections is a local anesthetic like lidocaine.  This provides immediate relief to the area as the pain signals are silenced by this chemical agent.

The dangerous aspect of using this or any numbing, pain blocking agent is that it puts a gag on the body as it tries to convey the idea that something isn’t right.  The underlying dysfunction persists, but miraculously you feel fine.  This creates a false sense of security and can lead to doing too much, too soon causing re-injury, escalation of the injury or a new injury.

Injections for common musculoskeletal injuries have become so popular due to our constant demand for the quick, easy fix.  The inflammation; the pain; they came about for a reason.  Something isn’t right in the way we move, our strength, stability or mobility and it has manifested in the irritation of a particular and tissue and now you and your potentially reduced training load.

If you want to be in this thing for the long haul, capture this opportunity to discover the breakdown, remedy the issue, and make your parts happy (and quiet) again.  As annoying, nagging, uncomfortable, disruptive, (insert adjective) as pain can be, it truly is a gift from the body letting you know to knock it off or make a change.  Simply silencing this signal may get you through temporarily.  It may even provide lasting relief.

However, it may not. It may actually leave you right where you started or worse.  The alternative can be more time consuming.  The alternative may take a little trial and error to find a unique to you treatment program, rather than a one size fits all remedy.  The alternative may involve looking beyond an injection site for pain and addressing the whole person and kinematic chain.

To me this non-invasive approach logically makes more sense as the primary mode of intervention.  If it does to you as well, and you’d like to give it a shot before getting a shot, we are ready and waiting to collaborate with you.

 

REFERENCES

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2084363/

http://www.m.webmd.com/a-to-z-guides/cortisone-injection-soft-tissues-joints

Slow Down Aging: Preserve Your Telomeres

For this week’s post we are going to change it up and pull excerpts from an intriguing article written by Michael Downey.  It is on the subject of telomeres which can best be described as caps on the end of your DNA, and how important it is to preserve them as long as possible.  The topic has fascinated me for some time now, so I thought I would share.  Enjoy.

“Telomeres are protective DNA molecules. Often compared to the plastic caps on the ends of shoelaces, telomeres are found on the ends of coiled pieces of DNA known as chromosomes. They keep the chromosome material from deteriorating.

Every time chromosomes divide, the telomeres at the ends shorten.  The eventual shortening of telomeres is correlated with aging.  Ultimately, the telomeres become so depleted that the cell can no longer divide, and that cell dies (aka apoptosis).

Scientists have made an alarming discovery: higher stress levels can cause accelerated shortening of telomeres.  In a recently published study, researchers found that depression related stress results in the significant shortening of telomeres (the caps at the ends of chromosomes) an indication of accelerated aging.

The publication of this study emphasizes the importance of minimizing the impact of internal and environmental stress on the body.  An estimated 75-90% of visits to primary care physicians are now related to the effects of stress, and this new study documents how lethal stress can be to our well-being and longevity.

STRESS-INDUCED HOMEOSTATIC IMBALANCE

Homeostasis is the ability and tendency of a body to maintain harmonious equilibrium by constantly readjusting its physiological processes.  Cells and tissues exist in a constantly changing environment—homeostasis steers internal biochemical levels back to near-optimum points.

Physical and emotional stress triggers a cascade of biochemical changes, causing homeostatic imbalance.  This interruption in homeostasis helps us prepare for dangerous external situations. (Essentially it is an activation of the “fight or flight” sympathetic nervous system which we have discussed numerous times before.)  These changes are supposed to be moderate, infrequent, and short-term.  Ordinarily, after a stressor has passed, our system adjusts—raising and lowering different biochemical levels—returning the body to homeostasis.

In today’s world, our feedback mechanisms become overwhelmed by the extent, duration, intensity, frequency, or multiple layering of stress.  This produces an excessive or prolonged homeostatic imbalance (sympathetic overdrive).  Studies have even found that these harmful effects can persist long after a stressful situation has been normalized.

The result can be a multitude of physical and mental diseases, including permanent organ damage, DNA effects, and the physical changes associated with aging.

Some of the many disease states associated with stress-induced homeostatic imbalance include obesity, diabetes, osteoporosis, hypertension, cardiovascular disease, infectious disease, gastric ulcer, cancer, gastrointestinal complaints, skin issues, neurological disorders, sexual dysfunction, psychological problems, suppressed immunity, decreased memory, predisposition to Alzheimer’s,  and shortened telomeres; and, as a result, accelerated cellular and tissue aging.

PROTECTION FROM THE DAMAGING EFFECTS OF STRESS

Adaptogens are a pharmacological group of compounds that metabolically support the ability of an organism to respond appropriately to stress, preserve structure and function from the damaging effects of stress, and hasten recovery of homeostasis.

When combined, adaptogens work together to modulate the multiple pathways of stress.  The multiple benefits include improved mental and physical performance, reduced incidence of chronic disease, and increased longevity.  Scientists investigated numerous extracts—some used for thousands of years to treat various stress-related symptoms.

This research led to four potent adaptogens that can provide a united defense against the multiple cellular pathways of chronic stress:

Holy Basil

Bacopa

Cordyceps

Ashwagandha”

Telomeres, stress, anti-aging; I think you’d agree that this is truly fascinating stuff.  Of course we all know that prolonged stress is a negative thing and ideally we would like to rid ourselves of it.

You can begin to do this by addressing those chronic physical stressors in our bodies.  This involves combatting those nagging injuries and poor posture, as well as cleaning up that inflammatory diet; both of which cause constant physical and chemical stress.

You also want to make sure your nervous system is functioning at an optimal level so that you can deal with stress appropriately when it does inevitably arise.  Being checked by a physician who utilizes functional neurology is a solid way to keep that sympathetic nervous system in check.  In addition, there is various supplemental and herbal support that can assist on an individual basis.

If you have any questions about any of this or would like to take action towards removing the stressors from your life, please call and schedule an appointment today.

 

You can find this article in it’s entirety, as well as all of the associated references at: http://www.lef.org/magazine/mag2012/jun2012_New-Reason-Avoid-Stress_01.htm.

Why Gluten Free???

It seems that one of the trendiest topics being thrown around the health food arena today is a gluten free diet. However, unlike other diet fads, the reason to eliminate gluten from your diet is backed by a sound scientific explanation and significant positive changes have been seen when the gluten is kicked to the curb. This should be reassuring news to anyone who has heard the negative spin on gluten, but wondered whether or not it is just another excuse for food manufactures and restaurants to up-charge that gluten-free item.

What is Gluten Anyway?

Gluten is a protein that is found in grains like wheat, rye oats, millet and barely. Gluten, or wheat germ agglutinin (WGA), is a type of protein called a lectin. (Keep in mind as you read that ALL grains [whole grains, corn, rice, etc.] contain these lectins, so all can wreak the same havoc I am about to describe.) Due to the structure of these lectins, they are not able to be broken down during the digestive process as other more friendly foods would. That leaves large protein structures intact and imbedded in your intestinal lining. Eventually, they make their way through your intestinal lining and this is where the problems begin.

Now that these lectins have entered the blood stream, they have access to your entire body. I’m talking everywhere from your reproductive organs, to your pancreas, to your brain. Once this unfamiliar protein structure is detected by the immune system, anti-bodies are created in order to get rid of the inappropriate foreign invader as it would a bacteria or virus. To understand what happens next, it needs to be understood that everything in your body is made up of a sequence of amino acids strung together to form a protein. Unfortunately these lectins have a remarkably similar amino acid sequence as many of the tissues in your body. So, now as your immune system works properly to destroy the unwanted foreign structure, it also begins to attack your own tissues due to something referred to as micro or molecular mimicry, and thus you have the start of an autoimmune disease. The situation is even further amplified due to the fact that when the large, awkward lectin (in this case WGA) makes its way through the intestinal lining, it also damaged it. This is what is commonly referred to as your “leaky gut.” The cascade continues, and now other proteins pass through the intestinal wall before being adequately broken down by the intestinal digestive enzymes. Immune responses are now generated to otherwise harmless foods. Food allergies and the start of other autoimmune diseases now have the green light to commence.

But Wait, There’s More?

Grains must be looked at as living things. They are a simple people with their objective being to survive long enough to reproduce. To do this, they must receive nourishment and have some sort of defense mechanism. Grains contain these things called phytates (or anti-nutrients) which tightly bind to minerals like calcium, iron, zinc and magnesium in order to nourish the grain and enable germination. All good for the grain, but not so good if that sucker is making a home inside of you. The phytate property of the grain enables it to powerfully bind the above listed essential minerals. This leaves you deficient and the door wide open for osteoporosis, iron deficiency anemia, reduced immune function and wound healing, and fatigue and heart problems, respectively. For survival, the lectin also comes equipped with protease inhibitors, meaning it actually inhibits some of the enzymes from breaking it down. This means that all food being digested is now subject to your digestive tracts reduction in breakdown capability. Translation: less absorption of the nutrients you need to survive.

Many people suffer from and are diagnosed with celiac disease. This is an autoimmune disease, able to be directly correlated with gluten as the cause. Many people suffer from various conditions and symptoms to which the medical community remains baffled as far as a cause. Often times, people feel completely fine or have minor issues and therefore dismiss their diet as having any effect on their health. Even if there are no external signs and symptoms present, some potentially hazardous, internal destruction could still be taking place. Gluten sensitivity is a lesser version of an outright allergy and is much more common. Conditions such as RA, MS, fibromyalgia, insomnia, depression, Parkinson’s, autism, and hypothyroidism (to name a few) have all benefited from cutting gluten (and other grains) out of the diet.

Do You Have an Issue With Gluten?

Well, if any of the above conditions or mechanisms of internal destruction described above doesn’t sound that pleasant to you, it may be worthwhile to find out. A simple way to do this is to eliminate the grains from your diet for 30-60 days. I know this may seem crazy, especially since another devious characteristic of gluten is that it comes fully loaded with molecules that fit into opiate receptors in your brain. Translation: It is actually addictive. But a simple period of trial and error may actually result in some of those seemingly minor issues disappearing. Upon completion of the gluten free period, you may even notice an instant headache or stomach issue when you attempt to reintroduce the beloved grains. This is your body politely asking you to knock it off before it gets worse. You now have evidence of an otherwise undetectable food sensitivity, and are empowered to make a change before things potentially get worse. Seems like this would be a better solution than taking side-effect carrying medications, or worse, winding up with some debilitating disease in the golden years, all because those cookies were calling your name.

A great read providing further explanation behind the mechanisms and possible destruction that can occur, along with meal plans and recipes to attempt a gluten-free lifestyle is: The Paleo Solution, The Original Human Diet, by Rob Wolf. Much of the above information was referenced from there.

Other References:
http://www.ncbi.nlm.nih.gov/pubmed/10884708
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737870/
http://paleodietlifestyle.com/11-ways-gluten-and-wheat-can-damage-your-health/