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Taking A Metabolic Approach On Thyroid Disorders | Part 2

Sore throat, woman with pain in neck, gray background, studio shot

Introduction

There is a butterfly-shaped organ that is located at the base of a person’s neck known as the thyroid. The thyroid is part of the endocrine system and plays a major role in releasing hormones throughout the body and converting it into energy. When the body is going through a growth and development phase, the thyroid hormones can help regulate all the vital bodily functions and make sure that each system is doing its part. When the body starts to underproduce or overproduce the thyroid hormone from harmful pathogens it can cause the body to develop chronic diseases and make individuals not feel good. In this 3 part series, we will be discussing how to spot a low thyroid function and its symptoms. Part 1 discussed how does a normal thyroid function work in the body and how disruptors can affect the thyroid. Part 3 will be discussing and taking a look at hyperthyroidism and how the elimination diet can help the thyroid. By referring patients to qualified and skilled providers who specialized in hormone wellness services and we advise our patients to appropriately refer to our associated medical providers based on their examination. We find that education is the key when asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, in case you are uncertain here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.

 

How to Spot Low Thyroid Function?

When the thyroid is functioning normally, it releases T3 and T4 hormones that help regulate the body’s metabolism and makes sure that each organ system is doing their jobs properly. When the body starts to be attacked by harmful pathogens and affects the thyroid, it can make the thyroid produce fewer hormones and causes the body’s metabolism to slow down. This condition is known as hypothyroidism. Hypothyroidism is when the thyroid isn’t making enough hormones for the body to function properly and is a common condition for thyroid hormone deficiencies. Studies have found out that hypothyroidism can range from no symptoms or signs to life-threatening if it is left untreated. There are many factors that can cause hypothyroidism, some of the factors that can be spotted physically include:

  • Dry skin, elbow keratosis, brittle nails
  • Diffuse hair loss
  • Puffy face, swollen eyelids; edema in legs, feet, hands
  • Loss of hair in varying amounts from legs, axilla, and arms
  • Poor night vision

The Symptoms

 

Some of the symptoms of hyperthyroidism can develop over time slowly and usually don’t take effect on the individual for years. What causes hypothyroidism can be numerous things from inflammation on the thyroid to Hashimoto’s disease which is common for pregnant women. Some of the other symptoms include:

If the symptoms of hypothyroidism are not treated properly, it can become serious and life-threatening to individuals when they don’t see their healthcare provider. From having mental health problems to developing goiter or even developing myxedema coma, having the thyroid produce normal hormone levels is important as the body needs hormones to function properly.

 

High Insulin & Thyroid Function

As everyone knows insulin and hormones help the body function properly by being released to the proper organ systems and making sure that each system is doing its jobs right. If there is a harmful pathogen that is affecting the body it can cause numerous problems. With glucose, it can cause a homeostasis disorder known as insulin resistance. Since insulin helps the body regulate its blood glucose levels and provides energy to the body when there is insulin resistance it can lead to many disorders that can cause the body harm. It can range from diabetes to arterial hypertension. Some of the other symptoms that insulin resistance does cause are:

 

When it comes to hypothyroidism, high amounts of insulin can cause the development of impaired glucose tolerance which is the result of hepatic insulin resistance and can damage the peripheral tissues in the body.

 

High Adrenaline & Thyroid Function

When a person is reacting to a huge event that is happening to them and their body goes from being relaxed to being tensed, well that is adrenaline. Adrenaline is what keeps the body moving from danger and is a hormone that helps prepare the sympathetic nervous system. Adrenaline is also known as the fight-or-flight response hormone and can increase the blood flow for the muscles, release blood glucose into the bloodstream and make your body more alert.

 

Granted that adrenaline can help the body be more alert, it is a hormone so it can be overproduced and can cause problems to the body. Simples things like chronic stress, inactivity from sports, and digestive problems can cause the adrenaline hormone to be overproduced and cause problematic issues in the body. Some of the issues include:

  • Losing weight/low BMI
  • Anxious
  • Hot flashes (midlife)
  • Cold (compensatory hypothyroidism)
  • Muscle wasting if not exercising to build muscles
  • Bone loss

 

High Cortisol & Thyroid Function

In today’s world, everyone is always dealing with stressful situations from work-life to physical stress, it is all around the world. Just like glucose, cortisol and hormones play hand in hand with the body. Studies have shown that when the body is responding to stress that the hormone level change in various amount of ways. When stress is being mixed with hormones it can help the body increase the growth hormone and mobilization of energy sources in the body.

 

But when the body has developed too much cortisol in the body it can affect not only the body itself but the organs as well including the thyroid. High levels of cortisol can cause the body to develop chronic pathogens that can harm the body. When the body produces too much cortisol, it can cause inflammation around the joints and even the thyroid. Some of these include:

Conclusion

All in all the thyroid is an important organ that plays a huge role in the world of hormones for the body. When unwanted pathogens are affecting the body and are attacking the thyroid, it can cause many problems and develop chronic diseases that can cause a person to be in pain. When the hormones start going crazy and affect the body, the individual does not realize that they are developing chronic illnesses until years later on. But with a healthy lifestyle change, the body can begin the healing process and repair the damaged area.

 

References

Chaker, Layal, et al. “Hypothyroidism.” Lancet (London, England), U.S. National Library of Medicine, 23 Sept. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6619426/.

Gierach, Marcin, et al. “Insulin Resistance and Thyroid Disorders.” Endokrynologia Polska, U.S. National Library of Medicine, 2014, pubmed.ncbi.nlm.nih.gov/24549605/.

Lyons, Gila. “What Is Adrenaline? – Adrenaline Is a Hormone Released …” Endocrineweb, 12 July 2021, www.endocrineweb.com/adrenaline.

Professionals, Cleveland Clinic. “Hypothyroidism: Symptoms, Causes, Treatment & Medication.” Cleveland Clinic, 19 Apr. 2020, my.clevelandclinic.org/health/diseases/12120-hypothyroidism.

Ranabir, Salam, and K Reetu. “Stress and Hormones.” Indian Journal of Endocrinology and Metabolism, Medknow Publications, Jan. 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3079864/.

 

Disclaimer

Enhance Exercise Program With Chiropractic

Sportswoman training on exercise bike in gym

Chiropractic can enhance the effectiveness of an exercise program. Chiropractic works on the neuromusculoskeletal system, which comprises the nervous, muscular, and skeletal systems. It produces an indirect effect on the immune system, involving the body’s processes resulting from exercise and muscle development. Most individuals are familiar with the benefits of regular exercise and physical activity. Regular physical activity and exercise:

  • Increases circulation
  • Improves strength
  • Increases immune system function
  • Produces brain-boosting endorphins and chemicals
  • Improves mood
  • Increase muscle mass
  • Contributes to enhanced flexibility and mobility

Exercise-boosting practices can multiply the effectiveness of a workout program. Exercise-enhancing methods that are well known include:

  • Incorporating rest days
  • Staying hydrated
  • Consistent and high-quality sleep
  • Utilizing supplements that enhance the body’s ability to produce and sustain muscle.

A chiropractor can develop a personalized treatment plan to support and enhance an individual’s workout/exercise program. This plan can include specific interventions to improve alignment or maintain muscle relaxation and prescribed stretches and movements to decrease the strain from an exercise regimen.

Enhance Exercise Program With Chiropractic

Nervous System

Chiropractic helps to balance the nervous system. Treatment allows pressure to be removed from compressed, bruised, and severed nerves. Chiropractic decreases and eliminates pain originating from inflamed muscles, joints, and tissues. When it comes to exercising, nerve pain usually originates from vigorous movement. Swelling and inflammation in the body can cause nerves to become inflamed or compressed. Misalignment in the spinal structure and joints can occur during strenuous exercise, particularly when weight resistance is involved. It can also constrict/pinch nerves, contributing to sciatic pain, which originates in the lower back and spreads down the gluteal muscles and back of the legs. Chiropractic can help:

  • Reduce pain and discomfort
  • Improve physical responsiveness
  • Decrease inflammation
  • Improve immune function

Muscular System

The muscular system is interconnected with the nervous and skeletal systems. Manual chiropractic manipulation helps to:

  • Reduce pain in inflamed muscles that have been utilized during exercise
  • Release tense and strained muscles
  • Remove muscular knots
  • Accelerate muscle repair
  • Improve exercise performance

Skeletal System

The skeletal system is the foundation for all physical movements and activities. It plays a role in physical activity/exercise, recovery, and the development of strength and musculature. During exercise routines, the joints can become misaligned, especially with weight-bearing or lifting activities. Chiropractic for the skeletal system can:

  • Rebalance the system
  • Realign bones and joints
  • Decrease muscular strain
  • Improve posture and form
  • Reduce and eliminate pain in the knees, wrists, and shoulders
  • Increase the body’s capacity for taking on additional weight healthfully

Keep The Chiropractor Informed

To receive enhanced exercise and performance-related benefits from chiropractic care, individuals must keep their chiropractor informed of goals and style of physical activity. The more the chiropractor knows about the types of exercises, the more they will provide a customized treatment plan for an individual’s specific needs. Any injury or strain experienced during an exercise session or a specific part of the body seems to be recovering at a slower rate than the rest of the body, inform the chiropractor. They can survey posture, stance, determine imbalances, and discover other body areas that may be over-straining to compensate.

Time Sessions Appropriately

Depending on the type of physical activity and exercises, individuals may be advised to seek care on rest days or the same days of the workout. Discuss with the chiropractor what days of the week are best for treatment and before or after workouts.

Health Goals

Movement and exercise practices are unique and vary with each individual. Individuals have different goals for their regimens that range from:

  • Increasing flexibility and agility
  • Building strength, endurance, and muscle mass.

Identify health goals and share them with the chiropractor. Depending on the purpose of the exercise routine, treatment may vary to support and enhance specific objectives.


Body Composition


Improve Insulin Sensitivity

When consuming carbohydrates, it is broken down into sugar. The body needs a certain amount of sugar to function. However, cellular damage occurs if the levels become too high for too long, like in diabetes. Insulin’s role is to guide excess sugar – glucose into the safety of the cells. However, more individuals are experiencing high blood insulin levels, called hyperinsulinemia. It’s dangerous to let glucose levels remain elevated, which is why more insulin is produced to bring the blood sugar down. After a time, constant hyperinsulinemia results in a condition called insulin resistance, where the cells become resistant to the effects of insulin and less effective.

Insulin Sensitivity and Weight Loss

A high insulin level in the blood can trigger weight gain and make it difficult to shed excess fat. Research shows that high insulin:

  • Inhibits lipolysis
  • Hinders the breakdown of fat
  • Increases possible fat accumulation
  • Increases the risk of regaining weight loss following a low-calorie diet

Improve Insulin Sensitivity

References

Erion, Karel A, and Barbara E Corkey. “Hyperinsulinemia: a Cause of Obesity?.” Current obesity reports vol. 6,2 (2017): 178-186. doi:10.1007/s13679-017-0261-z

Hawk, Cheryl et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Hoogvliet, Peter et al. “Does the effectiveness of exercise therapy and mobilization techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review.” British journal of sports medicine vol. 47,17 (2013): 1112-9. doi:10.1136/bjsports-2012-091990

Peluso, Marco Aurélio Monteiro, and Laura Helena Silveira Guerra de Andrade. “Physical activity and mental health: the association between exercise and mood.” Clinics (Sao Paulo, Brazil) vol. 60,1 (2005): 61-70. doi:10.1590/s1807-59322005000100012

A Metabolic Approach On Thyroid Disorders | Part 1

Introduction

In the endocrine system, there is a butterfly-shaped organ that is located at the base of a person’s neck. This is the thyroid and it plays a major role in the body by releasing hormones to control the body’s metabolism thus converting it into energy. The thyroid’s hormones help regulate all the vital bodily functions and help with the growth and development of the human body. When there are harmful pathogens that are entering the body and affect the thyroid it can cause an imbalance and lead to chronic diseases. When the thyroid produces an abundance or low quantities of hormones to be released in the body, it can cause hypo or hyperthyroidism and make a person not feel good. In this 3 part series, we will be taking a look and discussing how does a normal thyroid function and how disruptors can affect the thyroid. Part 2, will discuss what are the signs of low thyroid function and the symptoms. Part 3 will be taking a look at hyperthyroidism and how the elimination diet can help the thyroid. By referring patients to qualified and skilled providers who specialized in hormone wellness services and we advise our patients to appropriately refer to our associated medical providers based on their examination. We find that education is the key when asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, in case you are uncertain here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.

What Is A Normal Thyroid Function?

Since we know that the thyroid is part of the endocrine system, it plays a huge role in the body since it is responsible for hormone production. Thyroid hormones help regulate the body’s weight, energy levels, and many more. The thyroid gland releases three hormones to assist the other parts of the endocrine system and these hormones are:

  • T4 (Thyroxine)
  • T3 (Triiodothyronine)
  • Calcitonin

These three hormones are secreted out of the thyroid to help the body function properly. When the rest of the organs in the endocrine system needs these hormones from the thyroid, the thyroid will secret out T4 and T3 to the cells in the body, the liver, and the kidneys, giving them the nutrients that the other systems are lacking and making them function properly.

 

T4 (Thyroxine)

 

T4 or Thyroxine is one of the hormones that is secreted from the thyroid gland into the bloodstream. This hormone is one of the most important hormones in the thyroid because it is crucial in protecting the overall health of the body. Thyroxine’s function is that it travels through the bloodstream and then converts itself into T3 (triiodothyronine) and releases itself into the heart and digestive function, the body’s metabolism, brain development, bone health, and even muscle control. However, like all hormones, when there is overproduction or underproduction of thyroxine, it can lead to thyrotoxicosis, which is another form of hyperthyroidism and hypothyroidism and can even lead to goiter in the throat. So by regulating the T4 hormone, the body can function properly.

 

T3 (Triiodothyronine)

 

Triiodothyronine or T3 is the second most important hormone in the thyroid. It is made when T2 (thyroxine) is being converted into the bloodstream. This hormone is actually bound to the protein compounds in the body and is being traveled through each system, making sure that they are doing their job correctly. Most individuals when they are getting their routine check-ups with their doctors get a T3 test to make sure that the person’s thyroid doesn’t have any problems. Many doctors perform this test if they suspect that the patient’s thyroid has a problem and see what the patient needs to do in order to get their thyroid back to normal.

Calcitonin

 

Calcitonin is the third hormone that is secreted by the C-cells of the thyroid glands. However, calcitonin is known as the forgotten hormone since many people don’t recognize it and it is a 32 amino acid. When the thyroid releases calcitonin, it can help stimulate the calcium serum that is in the body and even help stimulate the gastrointestinal hormones. Another amazing function that calcitonin can provide to the body is that it can be increased and transfer maternal calcium to the fetus of an expecting mother. By transferring the maternal calcium to the infant, calcitonin can aid the prevention and recovery of maternal bone loss as well as increase bone mass and formation in the skeletal system.

How Disruptors Affect The Thyroid?

There are many factors that can disrupt the thyroid and can cause a dysfunction in the body system. These disruptors can be numerous factors that people go through in their daily lives. Sometimes it can be an overabundance of things that many people don’t even realize. Some of the disruptors are:

 

Toxins & The Thyroid

When there are environmental exposures that are being released in the air, it can affect the thyroid function tremendously causing an increased risk for autoimmune diseases for the thyroid. When toxin pathogens enter the body system and start triggering autoimmune thyroid diseases, it can cause the thyroid hormones to go haywire and can make them produce too much or too little hormones for the body to function properly. Some of the triggering factors that can occur with autoimmune thyroid diseases can develop Graves’ disease and Hashimoto’s disease.

 

Disruptors Affecting The Endocrine System

Endocrine disruptors are an exogenous substance or mixture that alters function(s) of the endocrine system and consequently causes adverse health effects in an intact organism, or its progeny, or (sub) populations. This can be many factors that can affect the endocrine system but the primary factor is chemicals. There are many chemicals that are both natural and man-made that can actually interfere with the body’s hormones and disrupt the endocrine system. These chemicals can cause problems with the systems including:

Some of the chemical compounds can be found in everyday items like food containers, toys, cosmetics, and pesticides. When individuals are exposed to them on a daily basis, many don’t realize that the fumes can enter the body and over time can affect the endocrine system and many other systems. This can lead to many chronic illnesses that can cause painful symptoms that a healthy person would not have.

Conclusion

All in all, the thyroid is part of the endocrine system where its main role is to produce and release hormones throughout the entire body. When the thyroid doesn’t produce enough or too many hormones though, it can cause many chronic issues that can affect the body’s entire system causing the individual to be in pain and suffering. When the person eliminates those chronic pathogens from their system then they can start recovering and begin their health and wellness journey.

References

Brady, Bridget. “Thyroid Gland: Overview .” Endocrineweb, 23 Sept. 2021, www.endocrineweb.com/conditions/thyroid-nodules/thyroid-gland-controls-bodys-metabolism-how-it-works-symptoms-hyperthyroi.

Brent, Gregory A. “Environmental Exposures and Autoimmune Thyroid Disease.” Thyroid: Official Journal of the American Thyroid Association, Mary Ann Liebert, Inc., July 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2935336/.

Felsenfeld, Arnold J, and Barton S Levine. “Calcitonin, the Forgotten Hormone: Does It Deserve to Be Forgotten?” Clinical Kidney Journal, Oxford University Press, Apr. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4370311/.

Holm, Gretchen. “T3 Test.” Healthline, Healthline Media, 19 Sept. 2019, www.healthline.com/health/t3.

IQWiG. “How Does the Thyroid Gland Work?” InformedHealth.org [Internet]., U.S. National Library of Medicine, 19 Apr. 2018, www.ncbi.nlm.nih.gov/books/NBK279388/.

Network, Hormone Health. “Thyroxine.” Thyroxine | Hormone Health Network, Hormone, 17 June 2019, www.hormone.org/your-health-and-hormones/glands-and-hormones-a-to-z/hormones/thyroxine.

Scientists, NIEHS. “Endocrine Disruptors.” National Institute of Environmental Health Sciences, U.S. Department of Health and Human Services, 12 July 2021, www.niehs.nih.gov/health/topics/agents/endocrine/index.cfm.

Disclaimer

Flat Back Syndrome

Individuals believe that maintaining a straight/flat back is healthy. However, the back is made up of natural curves that allow flexibility and optimal movement. If there is a lack of these curves, it can lead to spine issues, discomfort, and pain. A common problem to develop from a spine lacking natural curvature is abnormal kyphosis. This is when the natural curve in the thoracic spine – mid-back or lumbar spine – low back disappears, which results in a flat back. Restoring the curvature can be challenging, as flatback syndrome requires chiropractic adjustments to gently shift and realign the spine back into a healthy curve and re-train the spine to maintain the curve.

Flat Back Syndrome

Causes of Flat Back Syndrome

Flatback syndrome is usually a result of muscle tightness in the lower back muscles, specifically in the psoas muscle. Or it could be degenerative disc disease, where the cartilage supporting the spine begins to weaken. Other causes include arthritis and osteoporosis. Practicing unhealthy posture habits can worsen these conditions, speeding up the loss of the spine’s curvature. Loss of spinal curvature does not occur rapidly, as the body will begin to present with symptoms. The following symptoms could be an indication:

  • Fatigue when trying to stand upright
  • Balance problems
  • Restricted mobility
  • Muscle spasms
  • Chronic low back pain
  • Thigh pain
  • Groin pain
  • Disc herniation

Back pain and problems with balance are the earliest warning signs of flatback syndrome.

Symptoms

Flatback symptoms usually get worse as the day progresses, with a sense of fatigue and increasing difficulty to stand upright. Individuals tend to flex or bend their hips and knees to get into an upright position. This can become an exhausting process as the day progresses. Individuals can also have symptoms of sciatica and/or spinal stenosis with leg pain and weakness that gets worse when walking. Neck and upper back pain can begin to present while straining to align themselves. The symptoms become disabling, often requiring pain medications that limit the individual’s ability to perform daily activities.

Realignment Treatment

A chiropractor must determine the severity of the deviation through a thorough assessment and examination. This shows the loss of curvature to help a chiropractor plan a realignment/remodeling adjustment schedule. Restoring a natural kyphosis is done through a combination of adjustments and bracing. Scheduled spinal adjustments will realign and shift the vertebrae back to neutral, while a back brace supports to prevent any deviation. Stretching and exercising relevant muscle groups is also part of a chiropractic treatment plan. An example is core exercises for strengthening the muscles supporting the spine.


Body Composition


Personalized Nutrition

Because the body is so complex and dynamic, there is no perfect fit when it comes to diet, exercise, or a combination. Fad diets typically recommend that individuals adhere to the same eating guidelines, indicating they will reach an expected result like fat loss. These diets work because they focus on a simple reduction in calorie intake, especially processed and fast foods. The problem is that some of these fad diets can restrict critical nutrients that negatively affect an individual’s health. More information about an individual’s body and how it works is an excellent resource in improving body composition and overall health. Personalized nutrition is an innovative and favorable approach to preventing and treating obesity and related conditions. This approach identifies:

  • Genetic markers
  • Dietary patterns
  • Environment
  • Metabolism

Educated recommendations can be made based on these factors.

References

Drabsch, Theresa, and Christina Holzapfel. “A Scientific Perspective of Personalised Gene-Based Dietary Recommendations for Weight Management.” Nutrients vol. 11,3 617. 14 Mar. 2019, doi:10.3390/nu11030617

Farcy, J P, and F J Schwab. “Management of flatback and related kyphotic decompensation syndromes.” Spine vol. 22,20 (1997): 2452-7. doi:10.1097/00007632-199710150-00025

Lee, Chang-Hyun, et al. “‘Lumbar Degenerative Kyphosis’ Is Not Byword for Degenerative Sagittal Imbalance: Time to Replace a Misconception.” Journal of Korean Neurosurgical Society vol. 60,2 (2017): 125-129. doi:10.3340/jkns.2016.0607.001

Lu, Daniel C, and Dean Chou. “Flatback syndrome.” Neurosurgery clinics of North America vol. 18,2 (2007): 289-94. doi:10.1016/j.nec.2007.01.007

Wiggins, Gregory C et al. “Management of iatrogenic flat-back syndrome.” Neurosurgical focus vol. 15,3 E8. 15 Sep. 2003, doi:10.3171/foc.2003.15.3.8

How Inflammation Can Affect The Immune System | El Paso, TX (2022)

Discussing Immunity & Inflammation with experts | El Paso, Tx (2021)

Introduction

In today’s podcast, Dr. Alex Jimenez, Senior Health Coach Kenna Lee Vaughn, and Master Nutritionist Ana Paola Rodriguez Arciniega discuss inflammation and immunity. Inflammation can be both beneficial and harmful to the body especially in the immune system. When a person is injured, inflammation can help the body to heal the affected area. However chronic inflammation in the body can cause many problems that can cause bodily harm and many individuals have residual pain in the affected areas. When inflammation affects the immune system, it can cause chronic diseases like leaky gut.

Can my insurance cover it? Yes. In case you are uncertain, this link has the list of all the insurance providers that we cover.

 

What Is Inflammation?

Dr. Alex Jimenez and his crew discuss what is inflammation and the cause of it. Inflammation can become chronic if it is not taken care of and can actually leak into the organ systems in the body.

[02:11:47] Dr. Alex Jimenez DC*: Guys, we’re presenting a dynamic speaking specifically about inflammation today. Inflammation is the topic of what we’re going to be discussing as functional medicine specialists. What we do and we evaluate whether you’re an internist, whether you’re a physical medicine doctor, whether you’re a chiropractor or a physical therapist, an endocrinologists part of treating. We try to correlate medicine and bring what’s best inappropriate for a patient. We do our due diligence in assessing precisely the best approach for a patient. Now, the term functional medicine is a new term relative. For the last decade or so, it’s a practice that assesses the entire body to evaluate the correlations and the kind of associations that are indicative of things that can affect many organ systems, such as how inflammation in today’s particular topic matter affects the heart, how inflammation affects the brain, how inflammation affects the gut, how inflammation affects different components of the body. We’re going to hear terms that we’re going to listen to dynamics, and we’re going to hear present changes in modern medicine and words that are being used, such as leaky brain, leaky gut. They don’t sound like they have a clinical basis, but today modern medicine embraces the concept of correlated messages in personalized medicine. What’s good for Billy is not suitable for Billy’s sister sometimes, and even though they may have the same cold, there are reasons for us to adapt their approaches. So what we do in physical medicine is to correlate the issues of treating people specifically for pain disorders. We have chronic pain; we have acute pain when dealing with functional medicine. We’re working with the dynamics that assess where the inflammation comes out and the genesis of inflammatory processes. Today’s particular topic that we’re going to be discussing is inflammation at its basis because it is the most critical component of chronic, acute inflammation. It’s the part of repair and recovery. So today, we have a presentation we have Ana Paola Rodriguez Arciniega and Kenna Lee Vaughn. Ana is our master nutritionist, and Kenna Lee Vaughn is a supreme senior health coach. I call it. And what we do is we’re going to be discussing inflammation as it pertains to just a fundamental ideology and an understanding of what it is. So from there, we’re going to be able to do that; we’re going to see that these issues affect the brain and inflammatory repair. They do different components, so they affect the gut, too. They affect the heart; they affect the intestines. All various components of the body have inflammatory processes based on inflammation in our immune system. So what we’re going to be discussing today is how inflammation affects different organ systems. So I’m going to go back and forth between Kenna and Ana right now; what I’m going to do is I’m going to have Kenna go ahead and kind of take over the screen so we can start discussing the issues. She can begin discussing how we approach inflammation in our particular practice in physical medicine and in the ideas of pain management and how it connects to different organ systems, right? Because we got to pay attention to the body the way it is. So here we have a presentation, and Kenna, tell us a bit of where we’re going to take inflammation and immunity.

 

Tests for Inflammation

Senior Health Coach Kenna Vaughn, explains how certain tests like Living Matrix can help assess individuals that are dealing with inflammation in their bodies. She goes into detail that the tests can help a person find out what is causing them pain.

[02:15:56] Kenna Vaughn: Yes, so one thing that we do when our patients come into the clinic is we always want to assess inflammation because it does, like Dr. Jimenez saying, have so much to do with every other body system that’s going on. So one thing we do is called the Living Matrix, and this is a detailed assessment that takes us into your history and your story and helps us put a little bit of a number onto this inflammation and see precisely where we’re going. So if we go ahead and look at part of our Living Matrix, what we get is right here; we can see that it’s divided into different categories. This patient right here has a significant response to defense and repair, meaning that this is where we’re going to want to focus a lot of our attention on at first to try and go in there and see how this inflammation is impacting their immune response, how it can decrease the inflammation, help rebuild a healthy gut so that these inflammatory responses aren’t constantly firing off and get their immune response back down to a healthy level. We want our Matrix to look more uniform. We don’t want it to be all over the place. So once we start with our initial assessment and break down this defensive repair, we can focus our attention on these other areas that the patient may need help with. Another great tool that we have is lab testing that we use, and I have a sample I’m going to go ahead and pull onto the screen right here. This is from Vibrant America, one of the companies that we use. This is their gut zoomer. One thing that I love about their gut zoomer is you can see right here, not only is it just assessing their intestinal permeability and how that has to do with inflammation.

 

[02:17:50] Dr. Alex Jimenez DC*: Kenna, can you just hit the plus mark on there so we can see a little bit better? It’s a little bit too small, just a little plus mark on the percent sign. Yes. A little bit more. There you go. Now we can read it, thank you. Good.

 

[02:18:01] Kenna Vaughn: Perfect. So one thing that I like is not only are we looking at the intestinal permeability, but we’re also seeing how their intestinal permeability is impacting their cardiovascular health, metabolic health, neurological health, hormone levels, TIBO, autoimmune health nutrition. We can use this test as a great snapshot and the Matrix on where to focus first to tame that inflammation and help our patients feel better quicker because this takes out a lot of guesswork. Of course, every patient is different, and we do use more tests than just this. But this one, in particular, is excellent when considering inflammation and our gut health and using it alongside that Matrix and how they coincide with each other.

 

[02:18:49] Dr. Alex Jimenez DC*: Kenna, is this the best test, or is this only one of the tests we use? I can answer that.

 

[02:18:56] Kenna Vaughn: This is only one of the tests that we use. It depends on what will be the best course of treatment for them and the protocols we take. But this one really does offer an excellent overview of everything that’s going on inside that gut and gives us a great baseline to even start with for later on that we can test our patient again, and we can track right here. We can track how their levels go up and down to ensure that protocol is working.

 

The Immune System

Dr. Alex Jimenez discusses how many factors can affect the immune system. Many chronic pathogens can cause not only inflammation to the body’s systems but can develop chronic pain that can make a person miserable.

[02:19:25] Dr. Alex Jimenez DC*: What I like to mention is that what we look at is whether you’ll see the word gut commensal means. The thing is that the bugs that we have. So, in essence, as we look at those particular dynamics, we see what’s going on. Can you minimize that specific screen on the report and bring it down and so I can go back to the Matrix there behind it? The Matrix behind it is one of those areas that can teach us that an individual doesn’t just have one area that is having a problem in most situations. You’ll see that people have energy issues, biotransformation issues, and they also have vascular issues, neuroendocrine issues, a structural integrity issues. And we’re going to be discussing even assimilation issues. What we try to do is begin in a direction. So with functional medicine, we can assess to a detailed questionnaire where the problem is not just inflammation, but where the disorders seem to be creating the most significant kind of like impact for the individual. Based on this detailed history, which is pretty profoundly deep, we can assess where we want to begin as a starting point. Otherwise, I would get from our patients that nutritional advice is confusing. As it’s confusing, it just wraps you around, so many times thought processes from different doctors that you become tied up within a spin of cobwebs of also an enigma wrapped around some chaos, at which point, you find yourself lost. This is a problem affecting most doctors dealing with the type of practice. So what we try to do is bring order and clarity in the direction we’re taking. Based on this, today’s particular discussion is about the immune system. So once we figure out that there is an immune system, I know Ana will be able to take over the screen right now. And as she does, what we’re going to be able to see is that in the dynamics of what Anna presents, she’s a nutritionist, a massive nutritionist, and an educator as well. She teaches, and she’s taught at different places. She will bring us some insights into immunity and the direction of this particular commentary. So do you have access to the screen share Ana?

 

[02:21:57] Ana Paola: Yes.

 

[02:21:58] Go ahead and pop your screen up. And then what we’ll do is we’ll take it from there, and we can look at it. Now, I know you had mentioned something regarding the immunity and the direction. We want to discuss this. Go ahead and tell us in your direction.

 

[02:22:11] Ana Paola: Well, everything has to come together as you said before. So eventually, what we’re going to start seeing is that inflammation has a direct response to immunity. And sometimes people come over to us, and they say, like, Oh man, I think I have a food allergy, or I keep having like this infectious disease. I don’t know where it’s coming in. Once I get that flare-up of infection disease, I get inflamed, and I get bloated. It seems like my life is coming like it’s like falling apart, so sometimes you have to go along; well, not sometimes, but all of the time, you have to look at the antecedents, look at the triggers, look at the mediators are the ones that are like the leading players. These primary factors are inducing this particular condition. And try to link them together and most of the time. And while not most of the time, inflammation will be a big part of it because it’s like the main trigger of everything we might have the gun, but inflammation is always the trigger. So it’s just like the same thing with immunity. It’s just that we have to look at the symptoms whenever a patient comes over and you see that they are having some allergic reaction, or maybe she has a rash, or perhaps he’s having bloating problems. OK, go directly to the cup because right there is where we’re going to find the answer. So yes, maybe we can make that connection right now. Why is inflammation, or why is there meaning-provoking food or the leading cause of this inflammatory response? Or are these in units your response that I’m having? But you will see after this quick explanation of why it’s going on.

 

[02:24:20] D. Alex Jimenez DC*: Let me kind of interject there. One of the aspects that Ana mentioned was discussing antecedents, triggers, and mediators to clarify the antecedents. Antecedents are things that are predisposing factors. These are things that your genetic, your environment, it could be things that constantly are in your life. They’re the things that maybe you live in an area where there’s high electric, high toxins; these are your antecedents, your environment also antecedents, it’s a lot to do with your genetics. So when you look at someone’s genetics, these are the predisposing factors. You know, the number one thing that determines your fate in life is genetics. I have black hair. I have a particular type. Those are the things that define my genetics. So whether we have that, we see that our genetic predisposition significantly influences us. What we’re learning in modern medicine is that your genetics are what we use it as an example of a like a gun versus a gun is the thing that you can have in your house that your genetics; OK, whether you choose to trigger it and fire it, it’s up to you, OK? And in many situations, we can mitigate and work the triggering factors. So when she mentioned seeing at the antecedents, triggering the trigger activates those and the anteceding environments. Now sometimes, what we have is have mediators. These are things like stress. We are learning that these are things that continue the problem. Items of constant foods. These are specific allergens and certain things that cause inflammation. These are the mediator that kind of this keep it going. It’s like when you start a balloon and start it, that’s the trigger. It goes up. But everybody keeps the balloon up, keeping it going to the party. Those are the mediators. So we need to figure out what those mediator components are. So I just wanted to explain precisely what antecedents, triggers, and mediators work. Go ahead, Ana.

 

Our Body’s Immune System

Master Nutritionist Ana Paola explains how our body’s own immune system has many defenses that can help protect the body from inflammation. She discusses how certain pathogen factors can affect the immune system, whether it is a food allergy, obesity, or chronic gut problems.

[02:26:24] Ana Paola: Yeah. So that’s right. And sometimes we ask the patient, OK, did you have or do you have any sibling who has previously reported allergic reactions to food? Well, that would be like an antecedent that you might want to look at or maybe, hey, what was that type of weird thing that you were put into the world or something like that? That would be a very powerful antecedent. And is your birth, your birthweight? And another thing could be breastfeeding. We need to know that someone could be linked to this problem, specifically if we’re talking about immunity and nutrition and allergies and food sensitivities. Well, let’s digress a little bit, and we’re going to talk about what is precisely what makes a healthy immunity. So we have like this fun wordplay right here that it’s dirt. So what will be like the main parts or the primary protectors of immunity is what it’s going to be like, that protective effect of immunity. Well, it has to detect and defend every kind of stranger pathogen or not like a stranger pathogen, just like a stranger microbe that we when we might be having in our system, OK? There is like this funny microbe-looking guy. It’s right there, but I’m going to keep it right there. I’m just going to keep it at bay, OK? It is detecting the microbe, and that’s like the thing it’s doing right there. The other thing that I help with the immunity might be able to do is that it has to be internally regulated. Once it fights this funky-looking microbe, it’s going to be capable of cleaning up the mess. So this is how I understand it. I always try to think about it like this, as if it was a story. So, yeah, internally regulate it. They might want to clean up the mess they made while fighting against this microbe. Another thing is that it is restorative. It has to come back after a fight. So yes, that’s like the art of this wordplay that we have around here and tolerance. It has to be able to tolerate that. There’s like this funny-looking pathogen or microbe, but since it’s not doing anything, I’m not going to attack it because if I attack it, I might do some cellular debris that will cause a more reactive action right there. And I don’t want to do that. So I’m going to tolerate that microbe that it’s right there, and I’m just going to let it be. So that’s essential. What the immunity has to do is be very diligent. It has to be. It has to be able to work whenever it is activated, and it has to be able to know what it’s going to do. I’d like not to react if it’s like a problematic microbe that we might have in our organism. So as I said before, the immune system should be able to identify any life-threatening structures that might be getting inside our system. Something fundamental is that it has to recognize stranger signals, but it doesn’t mean that it has to be all reactive all the time. Like, OK, I get it. It just went inside of the body, but it’s OK. I just detected it right. Right? We’re going to live with it. And the other thing is that it has to be prepared to respond to the threat appropriately when this dangerous presence. So if it’s not like a very life-threatening situation that the immune system might want to like, keep it as the down-low right there. So that’s like the deep part of that dirt.

 

[02:31:06] Dr. Alex Jimenez DC*: Ana, can you go back to the first part of that I was looking at, which was the right before that one? That’s screen right there. Detect, it’s a tremendous little kind of like a good wordplay, as you call it, the detect defense. We have had situations when we try to be a little bit smarter than the immune system, and the immune system has to be pretty much all these areas. It has to do, as you indicated, detect and defend. You know what I was given an example of for those who have cats; their cats are always kind of like they’re just sitting there quiet. But if something moves in miniature, they attack their centuries. OK, that’s the part of the immune, the what they call the innate immune system that it kind of sits waiting looking around, just evaluating looking things and making sure that it can do something. It’s ready to pounce on things. If it goes too crazy and becomes more than internally regulated, it may go internal, deregulated. In other words, it goes crazy. And for that, we have disorders where the immune system does not regulate itself and keeps ongoing, and it doesn’t stop. You know, we have caused chronic pain syndromes to autoimmune disorders. We end up seeing them in the office where the internal regulation systems are gone and continuously array. Restorative; it has to be repaired. It is the first guys on; it’s almost like when you have an electrical fire in your office, you know, and then you’ve got these electricians to show up right away. They’re the first to come in. We got to fix things up. We got to scrub it up. We’re going to make it work. So it has to be restorative. It has to be tolerant because it has to know, as you indicated, from what I’m gathering here, that it’s going to be OK with certain things, lets things pass, and certain things don’t. So let me give you an example of one where it’s internally regulated and restorative. Many years ago, we had certain medications that were Cox two inhibitors. Cox two inhibitors are inflammatory, and we don’t have to go through the names of those medications. But we learned that those medications worked so well on preventing the immune system from functioning that the actual restorative component of the immune system was blocked. Well, what happens is your body decays, and one of the symptoms is cracking of the skin and skin issues, skin repair problems as a result of trying to kind of pigeonholed the immune system. So we must be able to to to understand what the immune system is and how it affects the various organ systems. I know Ana and Kenna were discussing how it relates to different components. And what we need to see is we need to see how we can, as physicians assess where we can assist the immune system and help regulate it. Now I know you’re going to go over some different things; go ahead and continue with that.

 

[02:33:58] Ana Paola: Well, I think well, thank you so much. I think we already talked about being internally regulated. As you said before, it has to be very tightly controlled, not overreact over a single little thing. So it has to keep its cool down. So yeah, it’s going to be like a cool guy. Like, no drama in my house is that I know I know what is going on. I have it all under control. I will keep it tightly controlled, and that it’s me, that immune system. He’s like a cool guy. So whenever it’s like control, so restorative, it’s going to be able to repair the damage. So most of the time, when the immune system responds, it’s going to cost like some cellular debris because most of the time, the pathogens get disintegrated. And that same degranulation might cost like a very inflammatory reaction, or these particular tiny particles might get inside our gut system or our lymphoid system. Eventually, the response will be bigger if it goes that way. So as I said before, the immune system has to make sure that it cleans up its own mess. So it’s like a very cool guy, and it’s like a very clean guy. Now there we’re talking about what immunity has to do. It has to be very nice.

 

[02:35:51] Dr. Alex Jimenez DC*: Go ahead. Continue.

 

[02:35:55] Ana Paola: And it has to be tolerated, as you said before. I mean, there are going to be like good guys and bad guys, and he has to recognize that most of the guys going inside our system are not bad guys. They are microbes that might colonize our bodies, and they are perfect for us. Then he might want to tolerate them inside of our gut. And I think that leads precisely to the part of the immunity where our defense against pathogens or the barriers that come with the immune system plays a crucial role right here. So I think that the bodies are so exciting and intelligent that they gave it like a special place for all of the ring points system and all of the barriers to be precisely where they want to be for them to protect us from any pathogen that’s going to be roaming around our house, around our food, or to like a pathogen laying around there. So yeah, what is like the guys who keep the pathogens at bay? Well, it’s going to be the physical barriers; as I said before, it will be this skin. The skin is one of the most critical parts of that, of the knowledge of the immune system right here. The mucus and the saliva. So I would like to link them together and say that mucosal barriers are the most important things, and one thing about the mucosal is that it’s going to be the place where our microbiome will be present. So I would like to make that association right there. Then, of course, all that goes to the mucosal system, the skin, and the saliva. It’s going to be filled with microbes. They could be either good microbes or harmful microbes. And that’s precisely where the testing and the Living Matrix and all of the tests, don’t guess part of the functional medicine approach. It’s going to be like a significant factor right there because we don’t want to get rid of every single tiny microbe in our system or our gut, or our mouth. They need to stay there for protection to be better, so let’s put it that way. Another thing they’re saying is that celiac, for example, could be found in our nose, and it can brush out like a pathogen, so it’s set up our nose knows no stress. That’s acidic PH. So this is very important, especially when we’re talking about the gault. I recently had this patient that came to me, and she was like, having like this like bloating problem, and she didn’t know why. And I started asking for like, OK, tell me a little bit more about your medication history. And she said to me that she had been on anti-reflux medication for around five to seven years, but she wasn’t sure about it. So, man, she was suffering from a very extreme SIBO just because she wasn’t producing enough or sufficient gastric acid for the food to be ready to be digested enough, so then she was like having a bad reaction. So yeah. PH, gastric acid, and that acid environment that has to be inside our upbringing say things like the small intestine are essential for our bacteria to be in symbiosis with, so that is very important.

 

[02:40:20] Dr. Alex Jimenez DC*: Ana, you mentioned certain areas. When you were discussing things, you would go and take the screen for a second there. The idea behind the immune system, how God designs it is you see my screen there already. What you see here is that there are areas of the immune system and barrier systems. So the way God designed us is from when the first moment that an antigen or antibody or a reaction or reactants or, let’s say, an antigen enters the body, it is first met with your adenoid tissue. This is the nasal immune system. This over here ends up with your lower respiratory system, your brachial, or your bronchial immune system as it goes into your skin. It’s the salt system with skin. The gault is what she was indicating: the gut is in your immune system. The vault is vaginal areas, and your general is a region where this also protects you. So the designer intended for us to be protected and in many ways, and we can see those things. So when we look at this kind of dynamic, we can see that the body is well protected. However, what we’re going to be discussing are the inflammatory reactions as they occur in the body and how they affect the body. And we’re going to continue to do it in a future podcast as well. So what we want to do is Ana, you can take over the screen there or go ahead and run your program. I just wanted to make sure I get absolute clarity in terms of the types and the areas of where your skin, your intestines, your pulmonary system, not only your nasal area but even your genital areas affect your ability to protect yourself.

 

The Barrier Tissue

Master Nutritionist, Ana Paola discusses how the body’s enzymes are anti-microbial. She goes in-depth as well as she explains that the barrier tissue in the body can memorize where the infection is and can help the body to find it.

[02:42:10] Ana Paola: Yes, sure. Now, yes, that was very insightful. And of course, as you said before, the one who designed us knew precisely where it’s like extraordinary things for us to be protected. Another thing that I would like to mention is the protective enzymes that we have, like lysozyme in our tears. We know that they are like anti-microbial. And lysozymes could be found in maternal milk, and it’s like the most crucial enzyme after six months. It goes off after six months of breastfeeding, so it’s one of the most highly active enzymes that could protect the baby. So another thing that I like to mention, and I would like to associate this with, leaky gut and the permeability theme right here, is that the battered tissue has a memory that could help us find an infection better the next time made up here.

 

[02:43:31] Dr. Alex Jimenez DC*: What do you mean by memory? What does that mean? Memory does it? Does it remember? Talk to me about the memory component of the barrier system. This is new, and this is not something that was the recent studies reveal that those barriers have memory. So when it identifies, is this cross-react into or this antigen, there is an antibody reaction that you’re lining remembers. So it’s crazy. Go ahead.

 

[02:44:02] Ana Paola: Yes, they can recall that these tank-like pathogens that I’ve wanted to get through them or if that went through them the first time. And it’s safe to say that the barriers tissue up a function are or are part of the innate immunity right there. It’s like they know they are there to protect, but they will not make any specific information or any specific antigen to find a new pathogen. But they will fight or do something they are like the good guys. Immediately after every action is signed up for mature responses. We’re going to activate Band-Aid immunity that will internally to adaptive immunity or will like kind of make like this interaction. And it’s going to be for a more specialized reaction. And that same information is going to translate to the barrier and that it’s going to be the information that these good guys are going to get or are going to activate when they encounter by the same pathogen that they were before. So now they can fight it, they know how to react, how to fight it, and the infection or the information or the injury will be carried out a little bit faster this time.

 

[02:45:34] Dr. Alex Jimenez DC*: So, you know, when I’m going to take over and to give you a visual of the innate immune system, the natural immune system, what it does, it actually can identify the dynamics of whatever it is and bring it to an end. It’s incredible to see when we talk about neutrophils, specifically neutrophils, and macrophages, the ability to see exactly where that’s going. Let me see if I can do this. Can you guys see that screen right there? Yeah. So you can see how the uniqueness is of this particular macrophage. Here we have, you know, an element or, in this specific situation, it’s anthracis, Bacillus anthracis, and it’s a very deadly type of bacteria. You can see here, but do you see how the macrophage can jump on it and conform to its size? It identifies it, and it goes to destroy it. So this is an immune system. This is what I was talking about the sensory system. So you can actually kind of, you know, if you just think of it, it morphs into a design. So what we look at the immune response as it occurs now, Kenna do you have anything in terms of when you run a commentary on this particular component of it? So what we’ll do is, Ana, let me ask you this question in terms of this when we look at the immune structure as you’re going through your presentation. Tell me a bit about the physical barriers because this is new. What you have mentioned to me it is a unique component. We’ve always known that the T cells, the B cells from the humoral system, and the innate system have been able to identify things. But you’re telling me that the actual barrier itself is it remembers the barrier, the wall lining.

 

[02:47:35] Ana Paola: Yes, and as you said before, it’s like a very new light topic right here because we have to think about it as I like to think about all of our beneficial microbes get to weigh. They can leave them in enough symbiotically kind of way. That is the part of the microbiome and the barrier structure that very tight structure can provide better protection against pathogens. So that is like one of the things that. I want to talk like touch base, and that’s so yeah, that’s like practically one of the things, but as you said before, it is very new in terms.

 

[02:48:30] Dr. Alex Jimenez DC*: In terms of the inflammation, let me ask you this with your personal experience and what you have seen over the years. You know, what we look for is what affects our patients, right? So let me ask you in your clinical experience about your epithelia, your lymphoid tissue, and as you indicated, there are phases of inflammation. Tell us a bit of how your personal experiences with the immune system. How has it affected multiple organ systems?

 

[02:49:03] Ana Paola: Most experts would like to start with their gastrointestinal tract permeability. I think that it’s like the most important thing or like that. The something that I get concerned with the most and the thing that I notice is that in very old patients and the kind of work that I do there have been like enough and very important is that is there that we got from the permeability and the stability of the other tissues with very prolog, 968 contra hospital length of stay, so that is one of the things that I think affect the people the most and that more times they stay in the hospital is going to be like the worst. Like, they’re not going to have any improvement. They’re going to continue losing unless those skeletal mass, it’s going to be even harder to fight against infections once they start getting that metabolic and attritional state. So I think and know that that provision prebiotics and probiotics and this kind of patience will have a significant effect on them, and they’re going to get a better outcome out of it. So yes, that’s one of the first things that we have to put into that idea. The other thing that I know helps is that it’s one of my attrition and nutrition. One of the promoters of probing anti-inflammatory pathways might help reduce bad pro-inflammatory responses that very few patients have. And maybe I’m talking about critically ill patients, but this can function chronically ill patients. And I’m talking about cardio, metabolic distress, or I’m talking about allergic reactions. I’m talking about every type of chronic disease. So yes, in that particular set of things and immunonutrition, it will be like a big help out of bit. But it’s going to be nutritional foods that will have an anti-inflammatory effect. They are going to repair that tissue that will be distressed by all, by all of that diseases inside of the patient.

 

Conclusion

Dr. Alex Jimenez and his crew give a recap of today’s podcast on inflammation and how it affects not only the immune system but also the entire body system. Inflammation can cause many chronic issues in the body and can make it dysfunctional.

[02:52:03] Dr. Alex Jimenez DC*: What I like sharing here is that let me go ahead and share my screen here. And you can see that when I look at what goes on when I see a patient. And as we’ve been able to work with patients, it may start as an issue that it’s a back problem, a knee problem. It’s a chronic issue. And what we’ve seen is the inflammatory components don’t just stop there at the knees. We’re dealing with an individual, and we find out that I often deal with an individual who’s had multiple joint issues, maybe even replacements at an extreme or just chronic knee pain or chronic discomfort. We are trying to make the connection here that it relies upon the general state of the immune system and the inflammatory response. So as we look at the way the body responds, it’s, I think, essential to be as a clinician, as a group of people that are out here looking at to see what is the correlation to all of a sudden their brain fog, OK, because now we have a joint problem that a person is also having memory issues. They are sometimes taking, you know, proton pump inhibitors, such as for anti-acid production in the stomach, which now alters their biome, or what they call their gastric biome or the bacteria affecting the immune system directly. As you look over here again, as Kenna had put, this particular picture, you can see that it crosses the line. So we sometimes have to become like almost like scientists to figure out where this correlates, not just to say, OK, this is a joint problem and send him out to, let’s say, a joint specialist or it’s a memory problem, send them to a neurologist. We’re trying to put it together, and that’s what functional medicine works on. So what would Kenna be presenting there and if you want? I want to end today with the component going back to your vibrant study. Do you have that available there? So as you got that, and by the way, Kenna, we’re the only podcast in the world that has a six-month-old as one of our guests. So you can sometimes hear them there because we’re all-inclusive here, so we are ready, and my mommy took care of me. She could bring me all of the Motorola back in the day so people would look at me and say, Jadiah, Hey, I was with a little kid, and that was just a nightmare. So she had to bring me to work. Otherwise, the house was going to be torched. So tell us a bit of what was going on here in terms of the intestinal permeability. As we see this, we see that the gut or commensal bacteria are essential again to end with this vital component. It affects cardiometabolic. Cardiometabolic, the cardio system, the metabolic system, the irritable bowel system, the liver, the nutrition, the autoimmune. Is there something that you want to add to this?

 

[02:55:16] Kenna Vaughn: Yes, I was going to add on to the fact that since we’re talking about the immune system, a robust and healthy gut really will help you fight off so many more pathogens that you come in with when you have something like intestinal permeability and you are exposed to a pathogen. And if you have a leaky gut, that’s just another area that allows this pathogen to seep through back into their bloodstream. So we’re not going to be able to fight it as well. So, you know, we say here a lot from the kitchen to the genes, and one thing that we focus on in the kitchen is making sure our patients have a super-strong, healthy gut. So they can fight off everything. Well, not everything, but they can fight off more things that they come in contact with because we don’t want it leading to other areas of poor health. As you can see, it’s connected, as Dr. Jimenez said, that cardiovascular, metabolic, neurological, even your hormones, and there’s just so much that comes down to the gut and the environment and the foods we’re eating. And so, if we attack the gut and make sure that we’re building it up to be healthy, we will start to see our health improve in other aspects of our life, including inflammation, our immune systems, and things along that line.

 

[02:56:34] Dr. Alex Jimenez DC*: It’s incredible as we come that grows here, the magnitude of what the intestines have to do and correlate with all our bodies. Now it’s very logical. Our world experience comes through as a child from our mouths. So it would be very logical that when our God and our creator created the protective system, there was going to be a relationship with the outside world and the bacteria within our systems. So what we are aware of is where most chronic disease begins. The chronic disease starts at the mouth. And from dental hygiene to oral hygiene to intestinal balance, we need to start there. And at that point, it is impressive. Once we understand that this is a significantly correlated and associated issue, we can work towards a causative reason and find out where it is that it’s a being affecting the joints, brain fog, or cardiopulmonary reaction because we don’t want to end up in front of a doctor just because we didn’t pay attention. We got to know that we did do something to prepare our bodies. And today, I’m going to leave it there because we are all doing our thing, and we can try and make this a little shorter. But I want you to know that we will be presenting a deeper insight into inflammation and immunology because it is the basis of many chronic disorders. Now we just began with today, the innate system will end up in the humoral system, and we’ll be putting it together over time. And hopefully, we will add to it until the level of understanding that our population can have because I believe most people need to understand that. I want to know when you drive; you kind of look at the speedometer today, you got to know what your A1C is at. You got to understand your triglycerides. You’ve got to know what your LDL is. Your HDL is. Are you got to realize your lipid profile? We know how our metabolic system is today. You hear stories of ketones where we’re set, and we’re poised to be able to share with the public that technology has moved. We can measure, you know, as simple as how many walks you do, how many what you’re eating, what your diet is. And we can calculate a lot of things to determine how to keep your optimal health. So I want to thank you guys all. You can stop sharing that so we can all be on the same screen here; what we can all do is we can do ourselves a good service by connecting the dots. It’s essential to connect what you eat that may not affect your joints or your inflammatory or chronic disorder today. However, it may be doing it three to four or five days later where you don’t perceive it. You’ll notice that people who eat clean diets, their joints stop hurting their brain fog goes away. That’s why we have a quick fix, and it’s called the elimination diet that we instantly change the way someone’s metabolism is. It is working on what we call antioxidants, a reactive oxygen species resulting from lousy metabolism. So again, the immune system is at its core. So we’ll be discussing this much more elaborately. I want to thank you guys all, and I want to tell you that I appreciate you guys taking the time and being with us for the next one, and I look forward to the next time we can hook up. Maybe this weekend or so. You guys have a blessed day. Thank you, Kenna and Ana; I appreciate you guys.

 

[03:00:16] Ana Paola: Thank you.

 

Disclaimer

Musculoskeletal Disorders

Injury hands. Young man with injured hands. Young woman doctor helps the patient

Musculoskeletal Disorders, or MSDs, are injuries, conditions, and disorders that affect the body’s musculoskeletal system. It includes the muscles, tendons, ligaments, nerves, discs, blood vessels, bones, and joints. MSDs are common, and the risk of developing them increases with age. The severity of an MSD can vary. They cause discomfort, recurrent pain, stiffness, swelling, and aching that interfere with everyday activities. Early diagnosis and treatment can alleviate symptoms and improve long-term health. Common disorders include:

  • Tendonitis
  • Tendon Strain
  • Epicondylitis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Radial Tunnel Syndrome
  • DeQuervain’s Syndrome
  • Rotator Cuff Tendonitis
  • Muscle strain
  • Ligament Sprain
  • Rheumatoid arthritis – RA
  • Osteoarthritis
  • Tension Neck Syndrome
  • Thoracic Outlet Compression
  • Mechanical Back Syndrome
  • Degenerative Disc Disease
  • Ruptured Disc
  • Herniated Disc
  • Fibromyalgia
  • Digital Neuritis
  • Bone Fractures

Musculoskeletal Disorders

Musculoskeletal Disorders Discomfort and Pain

The term musculoskeletal disorder is used as it accurately describes the injury or condition. Other terms used are repetitive motion injury, repetitive stress injury, and overuse injury. When individuals are exposed to MSD risk factors, they begin to fatigue. This can start a musculoskeletal imbalance. With time, fatigue completely overtakes recovery/healing, and the musculoskeletal imbalance continues, a musculoskeletal disorder develops. The risk factors are broken into two categories: work-related/ergonomic risk factors and individual-related risk factors.

Ergonomic Factors:

  • Force
  • Repetition
  • Posture

High Task Repetition

  • Many work tasks and cycles are repetitive and are typically controlled by hourly or daily production targets and work processes.
  • High task repetition combined with other risks factors like high force and/or awkward postures can contribute to the formation of MSD.
  • A job is considered highly repetitive if the cycle time is 30 seconds or less.

Forceful Exertions

  • Many job tasks require high force loads on the body.
  • Muscle effort increases in response to high force requirements. This increases associated fatigue.

Repetitive or Sustained Awkward Postures

  • Awkward postures place excessive force on joints, overload the muscles and tendons around affected joints.
  • The joints of the body are most efficient when they operate close to the mid-range motion of the joint.
  • The risk of MSD is increased when the joints are worked outside of this mid-range repetitively for sustained periods without a proper amount of recovery time.

Individual Factors

  • Unhealthy work practices
  • Lack of physical activity/fitness
  • Unhealthy habits
  • Poor diet

Unhealthy Work Practices

  • Individuals that engage in poor work practices, body mechanics, and lifting techniques are introducing unnecessary risk factors.
  • These poor practices create unnecessary stress on the body that increases fatigue and decreases the body’s ability to recover properly.

Poor Health Habits

  • Individuals who smoke, drink excessively, are obese, or exhibit numerous other poor health habits put themselves at risk for musculoskeletal disorders and other chronic diseases.

Insufficient Rest and Recovery

  • Individuals that do not get adequate rest and recovery put themselves at higher risk.
  • MSDs develop when fatigue outruns the individual’s recovery system, causing a musculoskeletal imbalance.

Poor Diet, Fitness, and Hydration

  • Individuals who eat unhealthily are dehydrated, at a poor level of physical fitness, and do not take care of their bodies are putting themselves at a higher risk of developing musculoskeletal and chronic health problems.

Causes

The causes of musculoskeletal disorders are varied. Muscle tissue can be damaged with the wear and tear of daily work, school, and physical activities. Trauma to the body can come from:

  • Postural strain
  • Repetitive movements
  • Overuse
  • Prolonged immobilization
  • Jerking movements
  • Sprains
  • Dislocations
  • Falling injuries
  • Auto accident injuries
  • Fractures
  • Direct trauma to the muscle/s

Poor body mechanics can cause spinal alignment problems and muscle shortening, causing other muscles to be strained, causing problems and pain.

Treatment Rehabilitation

A doctor will recommend a treatment plan based on the diagnosis and severity of the symptoms. They may recommend moderate exercise and over-the-counter medications like ibuprofen or acetaminophen to address occasional discomfort or pain. They often recommend chiropractic and physical therapy rehabilitation to learn how to manage pain and discomfort, maintain strength, range of motion, and adjust everyday activities. Different types of manual therapy, or mobilization, can treat body alignment problems. A doctor may prescribe medications like nonsteroidal anti-inflammatories NSAIDs to reduce inflammation and pain for more severe symptoms. For individuals with musculoskeletal disorders like fibromyalgia, medications to increase the body’s level of serotonin and norepinephrine may be prescribed in low doses to modulate sleep, pain, and immune system function.


Body Composition


Types of Pain

Pain can be grouped into three categories:

Early Warning Pain

  • This is most recognizable after having just touched a pan, and the hand jerks away before realizing how hot the pan is, also known as the withdrawal reflex.
  • This is a protective mechanism that helps avoid danger and is vital for survival.

Inflammatory Pain

  • This type of pain happens after an injury or surgery while the body is healing and recovering.
  • Inflammation prevents the body from performing movements to prevent and avoid re-injury.

Pathological Pain

  • This type of pain can happen after the body has healed, but the nervous system has been damaged.
  • This is often the case with individuals who sustain an injury and inform doctors that the injured area is never the same.
  • If the rehabilitation does not correctly heal the nervous system, protective pain measures can generate a false alarm causing pain signals to fire off.
References

Asada, Fuminari, and Kenichiro Takano. Nihon eiseigaku zasshi. Japanese journal of hygiene vol. 71,2 (2016): 111-8. doi:10.1265/jjh.71.111

da Costa, Bruno R, and Edgar Ramos Vieira. “Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies.” American journal of industrial medicine vol. 53,3 (2010): 285-323. doi:10.1002/ajim.20750

Malińska, Marzena. “Dolegliwości układu mięśniowo-szkieletowego u operatorów komputerowych” [Musculoskeletal disorders among computer operators]. Medycyna pracy vol. 70,4 (2019): 511-521. doi:10.13075/mp.5893.00810

Musculoskeletal system diseases. (n.d.). dmu.edu/medterms/musculoskeletal-system/musculoskeletal-system-diseases/

Roquelaure, Yves et al. “Troubles musculo-squelettiques liés au travail” [Work-related musculoskeletal disorders]. La Revue du praticien vol. 68,1 (2018): 84-90.

Villa-Forte A. (n.d.). Diagnosis of musculoskeletal disorders. merckmanuals.com/home/bone,-joint,-and-muscle-disorders/diagnosis-of-musculoskeletal-disorders/introduction

Work-related musculoskeletal disorders (WMSDs). (2014). ccohs.ca/oshanswers/diseases/rmirsi.html

Gentle Yoga Poses After Spinal Fusion Surgery

Attentive dark-haired young professional coach supporting a mature Caucasian man during performing the yoga exercise

Recovery and rehabilitation after spinal fusion surgery take time. Gentle yoga poses can help expedite recovery from spinal fusion surgery and are recommended in a rehabilitation program. The spine is the body’s central support structure that allows the body to stand upright, bend, and stay balanced. However, an individual may need to have vertebrae fused to repair painful back problems. Spinal fusion is a surgical procedure that permanently connects/fuses two or more vertebrae into a single bone. The procedure is done to help:

  • Correct a deformity
  • Improve stability
  • Reduce pain

At the beginning of the recovery process, the doctor may recommend light physical activity like walking. As the spine continues to heal, moderate exercise is essential for optimal recovery. Doctors are recommending gentle yoga to increase mobility, flexibility and regain strength.

Gentle Yoga Poses After Spinal Fusion Surgery

Gentle Yoga and Spine Surgery Recovery

Yoga has become a way to stretch the body, exercise, promote physical and mental well-being. There are different styles of yoga, ranging from gentle stretching to advanced poses. Yoga focuses on stretching, coordination, and balance. When stretching the body, the range of motion is improved. Yoga also helps improve balance and increases strength to reduce the risk of falls and injuries. Gentle yoga after spinal fusion benefits include:

  • Pain relief
  • Stress reduction
  • Improved mental health
  • Increased flexibility and strength
  • Improved balance
  • Increase in energy levels

Gentle yoga after surgery focuses on an improved range of motion/coordination of the arms and legs with the torso. This allows the spine to safely flex, not become stiff, and avoid strain, leading to fuller activity.

When To Begin Yoga After Spinal Fusion?

A reduced range of motion and loss of muscle mass is expected in the weeks and months following surgery. The healthcare/rehabilitation team will address this through exercise and physical therapy once the doctor clears the individual to begin rehabilitation training. The doctor will use some form of diagnostic imaging to determine if the vertebrae have fully fused before giving the ok for exercise. Most individuals can begin light physical activity four to six weeks after the procedure. If the fusion surgery was fused in only one place, individuals could start gentle yoga poses within two to three months. For a multi-level fusion surgery, individuals may need to wait four to six months after the procedure before they can safely begin.

Yoga Recovery Program

It’s essential to take it slow and steady when first beginning yoga after spinal fusion. As the body continues to heal, gradually add more challenging poses and stretches to the routine. This is a graduated recovery program separated into stages to help the individual build back strength and flexibility. In the first stages of recovery, gentle poses that have minimal effects on the spine are recommended. These include:

A few weeks to a month later, with the doctor’s clearance, the individual can advance to poses that stretch/flex the spine a little more, including:

Eventually, individuals can slowly increase the challenge further, with poses like:

Garudasana – Eagle pose
Gomukhasana – Cow Face pose
Vasisthasana – Side plank pose

It’s crucial to listen to the body as a guide when moving through the poses, no matter what stage of recovery. The fusion needs time to heal and stabilize, so any poses that involve twisting movements and flexing should be avoided. Seek advice if there is confusion about how or whether or not to proceed. It is recommended to work with an experienced yoga teacher after spinal fusion. A knowledgeable instructor can guide with the poses, inform which poses to avoid and make modifications to get the most out of the gentle poses.


Body Composition


How Heat Affects Basal Metabolic Rate

Gender, height, and age influence Basal Metabolic Rate. These are factors individuals cannot control or change. However, individuals can increase the calories the body burns by regulating body temperature. Both the internal and external temperatures influence metabolic rate. The chemical reactions that contribute to metabolism happen more quickly if the temperature is higher, as the body works harder to restore normal temperature balance. For example, when a fever is present, the Basal Metabolic Rate will jump up to a much higher rate than usual to increase the speed of cellular metabolic reactions to combat the fever and get the body back to a healthy state. When it comes to external temperature, it’s only prolonged exposure to heat that raises the Basal Metabolic Rate.

References

American Academy of Orthopedic Surgeons. (June 2018). “Spinal Fusion.” orthoinfo.aaos.org/en/treatment/spinal-fusion/

Gillooly, James F, and Andrew P Allen. “Changes in body temperature influence the scaling of VO2max and aerobic scope in mammals.” Biology letters vol. 3,1 (2007): 99-102. doi:10.1098/rsbl.2006.0576

National Center for Complementary and Integrative Health. (February 2020) “Yoga for Health: What the Science Says.” www.nccih.nih.gov/health/providers/digest/yoga-for-health-science

National Center for Complementary and Integrative Health. (April 2021) “Yoga: What You Need to Know.” www.nccih.nih.gov/health/yoga-what-you-need-to-know

The Latest Guidelines For Women’s Hormones | Part 3

Introduction

When the body is in motion, a person can do many things like exercising or just enjoying the day out. This is due to the hormones that are doing their job and making sure that each system is doing what they are supposed to do. Hormones are made in the endocrine system and are secreted out through the adrenal glands. when there are unwanted pathogens are inside the body and causing the hormone levels to overproduce it can cause the body to go haywire. In this three-part series, we will be discussing about the hormone pregnenolone and its functions as well as seeing how melatonin can affect the body’s hormones. Part 1 discusses what happens when the female body when it goes through menopause and how estrogen and progesterone are utilized in the body, and what function do they provide to the female body. In Part 2, we discussed about the symptoms of DHEA dysfunction and the relationship between female hormones and insulin. Over the last decade, many of our patients have asked complex and insightful questions about hormone replacement therapies. By referring patients to qualified and skilled providers who specialized in hormone wellness services and we advise our patients to appropriately refer to our associated medical providers based on their examination. We find that education is the key when asking valuable questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, here is the link to the list of all the insurance providers we cover in case you are uncertain. If you have any questions, please call Dr. Jimenez at 915-850-0900.

What is Hormone Replacement Therapy?

Hormone replacement therapy or HRT actually can help supplement menopausal women replenish their hormone levels. Menopause is when a woman starts to lose their hormone levels naturally and it can range from 35 years of age through 55 years of age. So with hormonal replacement therapy, it can help the body replenish the lost hormones and can provide beneficial results. For the female body, HRT can help regulate and repair hormonal growth in females.

 

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The Hormone Pregnenolone

 

 

The hormone pregnenolone is the precursor to DHEA, estrogen, progesterone, and testosterone. It is found naturally in the body and is made from the body’s cholesterol. However, if a person has very low cholesterol that is below 140, their body cannot produce pregnenolone effectively but can take supplements that do contain pregnenolone to replenish the low levels. Sadly like all hormones, it does naturally decline due to age, and when individuals are at the age of 75, their pregnenolone hormone levels decline to 65%.

 

The Functions Of Pregnenolone

There are many functions that pregnenolone can offer to the body. It can help regulate the balance between excitation and inhibition in the nervous system and can increase the resistance to stress. If a person is feeling a bit low on energy, pregnenolone can help give the body a bit of boost energy both physically and mentally. Pregnenolone can even help block the production of acid-forming compounds that are inhibiting the body. Other beneficial function that pregnenolone can provide includes:

  • Modulates the neurotransmitter GABA
  • Helps to repair nerve damage
  • Promotes mood elevation
  • Improves sleep
  • Enhances acetylcholine transmission
  • Modulates NMDA receptors
    • Regulates pain control, learning, memory, and alertness
  • Is anti-inflammatory

 

The Symptoms Of Pregnenolone Deficiency

When the body doesn’t produce enough pregnenolone it can cause the body to go haywire. When that happens, this is known as pregnenolone deficiency. Some of the causes of low levels of pregnenolone can include:

  • Eating too many saturated fats and trans-fats
  • Very low cholesterol levels
  • Hypothyroidism
  • Pituitary tumor
  • Having a severe illness
    • Pregnenolone will make more cortisol and less of the other hormones to help the body deal with stress.

When these causes are affecting the body and the individual has pregnenolone deficiency it can cause the individual’s body to be dysfunctional and can cause harm if it is not taken care of. Some of the symptoms of pregnenolone deficiency include:

How Pregnenolone Is Used In Treatments?

Since pregnenolone is the precursor to estrogen and all the other female hormones, it is amazing that it is a potential candidate for antiproliferative hormones to ovarian cancer and other female reproductive diseases. Since pregnenolone is anti-inflammatory it can help dampen the causes of inflammatory diseases that can harm the body. Some of the treatments that pregnenolone can provide are:

 

Melatonin

 

If there is one thing that can help a person feel at ease and make their bodies relax, it is melatonin. It is the one hormone that plays a huge role when it comes to sleep and it is produced by the pineal gland at night. Surprisingly though, it is made from tryptophan which is also used to make serotonin, and if the melatonin production goes up inside the body, the production of serotonin goes down. This can also go in reverse if a person is eating too many high glycemic index carbohydrates, melatonin production goes down and the production of serotonin goes up. And if a person is taking B vitamins, the body can convert those B vitamins to melatonin from tryptophan.

 

The Many Functions Of Melatonin

Even though melatonin is used for a better night’s sleep, there are many other beneficial properties that melatonin can provide to the body. Melatonin can actually affect the release of sex hormones in the body and can help block the estrogen hormone from binding to receptor sites in the body. Melatonin can even help with decreasing cortisol levels by making the body relax and release all the tension that the individual was harboring. Other beneficial properties that melatonin can offer are:

  • Aids the immune system
  • Acts as an antioxidant
  • Helps balance the stress response
  • Helps prevent cancer
  • Improves mood
  • Increases the action of benzodiazepines
  • Stimulates the parathyroid gland
  • Stimulates the production of growth hormone
  • Cardio-protection
  • Protects against GERD

 

Melatonin & Cardioprotection

Since melatonin is produced by the pineal gland, the biological effect of combating oxidative stress is remarkable. Studies have shown that melatonin can regulate the immune and inflammatory responses in the body, enhance mitochondrial function, and plays a critical role in protecting cardiomyocytes from infarction. Melatonin has been shown to reduce hypoxia and prevent reoxygenation-induced damage
in patients with cardiac ischemia and ischemic stroke.

 

Melatonin & Insulin

Melatonin is necessary for the proper synthesis, secretion, and action of insulin and acts by regulating GLUT4 expression and/or triggering, via its G‐protein‐coupled membrane receptors, the phosphorylation of the insulin receptor and its intracellular substrates mobilizing the insulin‐
signaling pathway. Melatonin is a powerful chronobiotic meaning that it helps regulate the body’s internal clock.

Furthermore, melatonin is responsible for the establishment of an adequate energy balance by
regulating energy flow to and from the stores and directly regulating the energy expenditure through the
activation of brown adipose tissue and participating in the browning process of white adipose tissue. The reduction in melatonin production, with aging, shift‐work, or illuminated environments during the
night, induces insulin resistance, glucose intolerance, sleep disturbance, and metabolic circadian changes which leads to weight gain.

 

Melatonin & Alzheimer’s Disease

Some symptoms of decreased melatonin are also common to patients with Alzheimer’s
disease. This can include:

  • Disruption of circadian rhythm
  • Mood changes
  • Delirium

One medical trial showed that melatonin levels in the CSF in patients over the age of
80 were ½ the level of younger/healthier patients and patients in this study with Alzheimer’s,
the disease had even lower levels which were 1/5 of those in young healthy people. Melatonin has even shown patients beneficial properties when diagnosed with early Alzheimer’s disease. 

 

Melatonin & Parkinson’s Disease

Melatonin replacement has been shown to decrease the risk of developing Parkinson’s disease. Animal trials have shown that melatonin can prevent and to some extent may even help reverse the motor and behavior changes that are associated with Parkinson’s disease. In Parkinson’s disease, there is an
accumulation of a protein called alpha-synuclein. Surprisingly melatonin supplementation can help prevent the production of alpha-synuclein in the brain cells and attacks them so that way it can be more available to be removed from the body.

Conclusion

All in all, hormones play the most functional and important role in the body. If there are unwanted pathogens that are affecting the body and causing the hormone levels to rise, it can cause the body to go haywire and be prone to chronic illnesses. So it is important that the hormone levels are normal and functional for people to live a healthy life.

References

Staff, Mayo Clinic. “Endometriosis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 24 July 2018, www.mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656.

Allen, Mary J, et al. “GABA Receptor.” StatPearls [Internet]., U.S. National Library of Medicine, 17 Feb. 2021, www.ncbi.nlm.nih.gov/books/NBK526124/.

Fu, Zhenhong, et al. “Cardioprotective Role of Melatonin in Acute Myocardial Infarction.” Frontiers in Physiology, Frontiers Media S.A., 29 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7201093/.

Harper-Harrison, Gina, and Meaghan M Shanahan. “Hormone Replacement Therapy.” StatPearls [Internet]., U.S. National Library of Medicine, 3 June 2021, www.ncbi.nlm.nih.gov/books/NBK493191/.

Murugan, Subathra, et al. “The Neurosteroid Pregnenolone Promotes Degradation of Key Proteins in the Innate Immune Signaling to Suppress Inflammation.” The Journal of Biological Chemistry, American Society for Biochemistry and Molecular Biology, 22 Mar. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6433066/.

Scientists, NIA. “What Is Menopause?” National Institute on Aging, U.S. Department of Health and Human Services, 30 Sept. 2021, www.nia.nih.gov/health/what-menopause.

Shin, Ye Young, et al. “Pregnenolone as a Potential Candidate for Hormone Therapy for Female Reproductive Disorders Targeting ERΒ.” Molecular Reproduction and Development, U.S. National Library of Medicine, Jan. 2019, pubmed.ncbi.nlm.nih.gov/30411422/.

Staff, Mayo Clinic. “Parkinson’s Disease.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 8 Dec. 2020, www.mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-20376055.

Wong, Cathy. “How Taking Pregnenolone Might Boost Brain Health.” Verywell Mind, Verywell Mind, 3 Feb. 2020, www.verywellmind.com/the-lowdown-on-pregnenolone-89502.

Disclaimer

Pelvic Floor Pain and Back Pain

Osteopath Examining Woman At Clinic

The pelvic floor is essentially the spine, and when pain presents, it can be mistaken for back pain. However, these two conditions are frequently linked. The National Institutes of Health- NIH reported that a quarter of women are impacted by pelvic floor disorders and up to 16% of men. The pelvic floor is made up of muscles. If the muscles begin to spasm, they can spread pain upwards and even downwards. This is where the misdiagnosis of lower back pain comes in.

Pelvic Floor Pain and Back Pain

The Pelvic Floor

The pelvic floor is comprised of muscles and connective tissue, known as fascia. The muscles and fascia intertwine, creating a support system for the pelvic organs. The pelvic floor muscles act as a spring system that supports the organs. When downward pressure is applied, and the spring system is working correctly, they push back up to support the muscles. These muscles create the base known as the core. The core muscles support the abdomen, diaphragm, and back muscles, supporting the spine. This is why back, pelvic pain is prevalent as these muscles are interconnected.

Pelvic Floor Dysfunction and Back Pain

If there is pelvic floor dysfunction, there is an inability to control the muscles. There can be too much or insufficient tension, resulting in urinary incontinence or inability to complete bowel movements. It can also be mistaken for back pain or contributes to pelvic and low back pain. The core muscles support the torso and promote stabilization during movement. If they are not working correctly, the torso and pelvis become unstable. The SI – sacroiliac joints linked with the pelvis and the lower spine can begin to present with posterior pelvic and back pain.

Symptoms

Dysfunction can present in several ways, including:

Causes of Dysfunction

Causes of dysfunction include:

  • Weakness of the muscles or tight muscles.
  • Vaginal dryness by a lack of estrogen during menopause.
  • Tight inner thigh muscles.
  • Back pain itself can cause dysfunction.

Women make up the majority of cases that result from:

  • Pregnancy
  • Childbirth
  • Endometriosis – a condition in which uterine tissue grows outside the uterus.

Men can also develop problems. As a man’s body ages, prostate problems can cause urinary leakage and frequency problems. It can develop from activities like bicycling. The seat can compress the pudendal nerve, causing pain and dysfunction.

Retraining the Muscles

The dysfunction can be helped by reactivating and strengthening the pelvic and core muscles. Training the pelvic floor and the core muscles will help boost support for the spine and alleviate discomfort and pain. First, it is recommended to get a physical evaluation by a chiropractor or physical therapist to determine if the pelvic floor muscles are too tight or weak. The objective is to improve the strength of the pelvic floor muscles or relax them if they are too tight. A chiropractor and physical therapist can work on the muscles, educate on stretches, exercises, nutrition, and offer additional help and support.


Body Composition


Muscle Adaptation

The point of resistance training is to get the muscles to function more effectively. It begins with the contractile proteins that control muscle shortening and lengthening. Resistance exercise can cause some of the proteins to get pulled apart. The stress the muscles experience is the stimulus for the muscles to rebuild bigger, stronger, or more powerful. After resistance exercise, the muscle synthesizes proteins helped by nutritional stimuli and protein consumption. Satellite cells also activate to help build up the broken-down muscle. Resistance exercise causes activation.

References

Cleveland Clinic. (2020). “Pelvic Floor Dysfunction.” my.clevelandclinic.org/health/diseases/14459-pelvic-floor-dysfunction

National Institutes of Health. (September 2008) “Roughly One-Quarter of U.S. Women Affected by Pelvic Floor Disorders” www.nih.gov/news-events/news-releases/roughly-one-quarter-us-women-affected-pelvic-floor-disorders

Smith, Christopher P. “Male chronic pelvic pain: An update.” Indian journal of urology: IJU: journal of the Urological Society of India vol. 32,1 (2016): 34-9. doi:10.4103/0970-1591.173105

World Health Organization. (2013) “Low back pain” www.who.int/medicines/areas/priority_medicines/Ch6_24LBP.pdf

Guidelines To Women’s Hormones | Part 2

Introduction

As we know, hormones in the body can help individuals function throughout the day. Since they are secreted in the endocrine system and for females the hormones are secreted through the ovaries and the adrenal glands. The two main hormones that the female body produces are estrogen and progesterone. In part 1, we discuss what happens when the female body when it goes through menopause and how estrogen and progesterone are utilized in the body, and what function do they provide to the female body. In this 3 part series, we will be discussing what DHEA is and what are the symptoms of DHEA dysfunction in the female body, as well as, the relationship between insulin in part 2. Part 3 will be discussing about the methods of hormone testing and the difference between natural and synthetic hormone replacement. Over the last decade, many of our patients have asked complex and insightful questions about hormone replacement therapies. By referring patients to qualified and skilled providers who specialized in hormone wellness services and we advise our patients to appropriately refer to our associated medical providers based on their examination. We find that education is the key when asking valuable questions to our providers. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

 

Is Hormone Replacement Therapy Right For Me?

Since hormones naturally declined due to age, it can drastically alter the body to function properly. For females, they go through menopause and their hormones can go haywire causing the body to have unwanted pathogens and an excessive amount of hormones that the body does not need. So with hormone replacement therapy or HRT, it can help replenish the lost hormonal levels in the body and provide beneficial results, such as regulating and repairing hormonal growth in the female body.

 

Can my insurance cover it? Yes, here is the link to the list of all the insurance providers we cover in case you are uncertain.

 

What Is DHEA?

 

DHEA or Dehydroepiandrosterone is a hormone made by the adrenal glands in the body and a small amount of DHEA is also made in the brain and skin. DHEA can also make estrogen and testosterone in
both women and men. And since hormones can naturally decline due to age, DHEA production declines with age starting in the late twenties and when a person is at the age of 70 the body may only make ¼ of the amount of DHEA it made earlier when the individual is younger. Not only that but, DHEA levels may also change when a person has stress at any age and that can be dangerous if it is prolonged chronic stress.

DHEA in conjunction with other hormones and transmitters can significantly affect some aspects of human mood and has also been shown to modify some features of human emotions and behavior. It has been reported that its administration can increase the feelings of well-being and is useful in ameliorating atypical depressive disorders. Not only that but DHEA has neuroprotective and anti-glucocorticoid activity and CANmodifies immune reactions. It may also have a role in degenerative brain diseases.

The Many Function That DHEA Provides

Since DHEA is a hormone that is produced by the adrenal glands, studies have shown that DHEA receptors have been found in the brain. DHEA has also been shown to be a protective anabolic hormone that has a very important role in the body. Its primary role is to maintain and restore the human organism as well as provide antioxidant activity and help in neuronal preservation in the brain. Some of the functions that DHEA has provided include:

  • Decreases cholesterol
  • Decreases formation of fatty deposits
  • Increases brain function
  • Prevents blood clots
  • Increases lean body mass
  • Supports the immune system
  • Helps the body repair itself and maintain tissues
  • Lowers triglyceride

In the elderly, DHEA exerts an immunomodulatory action by increasing the number of monocytes, T cells expressing T-cell receptor gamma/delta (TCRγδ), and natural killer (NK) cells. DHEA can also improve the physical and psychological well-being of a person, muscle strength and bone density, and
reduces body fat and age-related skin atrophy by stimulating procollagen/sebum production. Not only that but when there is adrenal insufficiency, DHEA restores the DHEA/DHEAS and androstenedione levels by reducing total cholesterol, improving well-being, sexual satisfaction, and insulin
sensitivity, and preventing loss of bone mineral density. In an unblinded study, DHEA can induce remission in the majority of patients with inflammatory bowel disease.

 

Symptoms of DHEA Dysfunction

When the body produces too many hormones it is due to having an excessive amount of DHEA. When that happens it is known as DHEA dysfunction and it can cause unwanted problems in the body. Some of the symptoms can include:

  • Fatigue
  • Anger
  • Depression
  • Deepening of voice
  • Insomnia
  • Mood changes
  • Weight gain
  • Facial hair
  • Acne
  • Sugar cravings
  • Restless sleep
  • Irritability

However, another thing that can happen to DHEA is that it can be extremely low due to the adrenal gland not producing enough hormones to the body causing chronic pain and causing the body to not function properly.

Can Stress Affect Hormones?

 

Stress or cortisol is produced by the adrenal glands and is the only hormone in the body that can increase with age. When a person is stressed out, the cortisol levels can increase and if it is not taken care of it can lead to chronic illnesses. However, the body needs cortisol because of its anti-inflammatory properties and helps balance out the blood sugar in the body. Some of the benefits of stress can include:

  • Influences testosterone/estrogen ratio
  • Influences DHEA/insulin ratio
  • Affects pituitary/thyroid/adrenal system
  • Participates with aldosterone in sodium reabsorption

 

What Can Elevate Cortisol?

There are many factors that can elevate cortisol to dangerous levels in the body. There are two types of cortisol: acute cortisol and chronic cortisol. Acute cortisol is short-termed where a person can be worried about getting interviewed for their dream job or studying for a test at school. Chronic cortisol is long-termed where the symptoms can cause body harm whether it is chronic fatigue or even digestive problems. Some of the factors that can elevate cortisol levels in the body are:

 

What Can Lower Cortisol Levels In The Body?

Whenever a person is under constant stress, the body can release a short burst of cortisol in the bloodstream. However, if there has been prolonged exposure to stress that the body has to endure it can actually drain the adrenal glands and can cause a low cortisol state in the body and can cause adrenal fatigue. Other factors that can lower cortisol levels include:

 

Insulin & Sex Hormones

 

Insulin plays a huge role in the body since both hormones and insulin help regulate the body and provide the necessary roles for each of the systems. When there is an excess amount of insulin or low insulin levels in the body, it can actually cause prolonged effects to the body thus leading to chronic illnesses. Estrogen, progesterone, DHEA, and thyroid hormones are all important for the regulation of glucose in the body. However, estrogen can lower the blood sugar in a woman, while testosterone can decrease the blood glucose in a male. Surprisingly though, progesterone can raise the blood sugar in the body, and if not it can be balanced with estrogen.

 

The Many Functions Of Insulin In The Body

There are many functions that insulin can provide the body. Insulin can actually counteract the action of adrenaline and cortisol in the body as well as keep the blood glucose level from elevating causing insulin resistance or if a person is a diabetic, they can actually go into diabetic ketoacidosis. So it is always important that insulin levels in the body can’t be too high or too low. When the insulin levels are normal in the body though, they can help increase the development of muscle growth. Other functions can include:

  • Plays a major role in the production of serotonin
  • Helps the body repair
  • Helps convert blood sugar into triglycerides

 

Conclusion

All in all, hormones play a huge role in the body, and when there is an excessive or decreased amount of hormones in the body it can actually cause the body to be dysfunctional. Not only that but hormones and insulin can help regulate the body by making sure that both of these enter the correct organ systems and provide the body to function properly. For women, making sure that their hormone and insulin levels are normal plays a huge part in their journey of overall health and wellness.

References

Campos, Marcelo. “Is Adrenal Fatigue ‘Real’?” Harvard Health, 29 Jan. 2020, www.health.harvard.edu/blog/is-adrenal-fatigue-real-2018022813344.

de Menezes, Karina Junqueira, et al. “Dehydroepiandrosterone, Its Sulfate and Cognitive Functions.” Clinical Practice and Epidemiology in Mental Health: CP & EMH, Bentham Open, 29 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4894834/.

Fulton, R L, and P Ridolpho. “Physiologic Effects of Acute Sodium Depletion.” Annals of Surgery, U.S. National Library of Medicine, Mar. 1971, www.ncbi.nlm.nih.gov/pmc/articles/PMC1397371/.

McDowell, Christopher, et al. “Inflammatory Bowel Disease.” StatPearls [Internet]., U.S. National Library of Medicine, 31 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK470312/.

Scientist, NIA. “What Is Menopause?” National Institute on Aging, U.S. Department of Health and Human Services, 30 Sept. 2021, www.nia.nih.gov/health/what-menopause.

Staff, Mayo Clinic. “DHEA.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 12 Feb. 2021, www.mayoclinic.org/drugs-supplements-dhea/art-20364199.

Stárka, Luboslav, et al. “Dehydroepiandrosterone: A Neuroactive Steroid.” The Journal of Steroid Biochemistry and Molecular Biology, U.S. National Library of Medicine, 2 Apr. 2014, pubmed.ncbi.nlm.nih.gov/24704258/.

 

Disclaimer

 

A Guideline To Women’s Hormones | Part 1

Introduction

In the body, there are many systems that help it function properly, and one of them is hormones. Hormones are secreted through the endocrine system and help bring the body balance. However, when the body produces too many hormones it can cause the body to go haywire and cause many problems that a person does not need. For women, the two main hormones include estrogen, progesterone, and a small amount of testosterone that are produced from the ovaries and the adrenal glands. Since hormones naturally decline due to age, it can cause females to go through menopause to help replenish hormones in a female body. In this 3 part series, we will look at the symptoms of perimenopause and menopause as well as discuss the functions of different hormones in a woman’s body in part 1. Part 2 will be discussing the symptoms of DHEA dysfunction and the relationship between female hormones and insulin. Part 3 discusses the methods of hormone testing and the difference between natural and synthetic hormone replacement. Over the last decade, many of our patients have asked complex and insightful questions about hormone replacement therapies. By referring patients to qualified and skilled providers who specialized in hormone wellness services and we advise our patients to appropriately refer to our associated medical providers based on their examination. We find that education is the key when asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Why Consider Hormone Replacement Therapy?

In the body, hormones can naturally decline due to age, and for older females when their hormones decline it can cause the female body to go through menopause. So by using hormone replacement therapy or HRT the body can replenish the hormone levels in the body. Some of the benefits for HRT include:

  • Relief of symptoms
  • Prevention of memory loss
  • Heart health
  • Bone production
  • Growth and repair

With HRT, it can help regulate and repair hormone growth in the female body.

What Is Menopause?

 

Menopause is a hormone response that is as unique to each person as their own fingerprints. In some cases, hormone replacement should not be considered without a thorough understanding of how all of the body’s hormones interact with each other. With menopause though, the normal age to go through menopause ranges from 35 to 55. Therefore, a woman may live one-half of her life without a menstrual cycle. Thus cycling after the age of 55 increases a women’s risk of breast cancer. Some of the symptoms include the following:

The Many Hormones In The Female Body

In the female body, the hormones control how the body is to functions properly and does not go off-balanced. When there is an abundance of hormones in the body it can lead to chronic illnesses and can cause pain. In the female body, there are estrogen and progesterone that help the female body to function properly.

Estrogen

 

Estrogen has approximately 400 functions in the female body. It can help stimulate the production of choline acetyltransferase, an enzyme that prevents Alzheimer’s disease. Estrogen can even help the body to regulate body temperature, prevent muscle damage, decrease the accumulation of plaque on the arteries and increase the water content of the skin while being responsible for the skin’s thickness and softness. Other functions include:

  • Decreases lipoprotein(a)
  • Protects against macular degeneration
  • Increases HDL by 10 to 15%
  • Aids in the formation of neurotransmitters in the brain such as serotonin which decreases depression, irritability, anxiety, and pain sensitivity

There are some factors to consider when the body produces an excess amount of estrogen. Some of the symptoms can include:

All is not lost as there is a difference when individuals take synthetic estrogen and natural estrogen. Natural estrogen helps to protect against endothelial dysfunction by increasing endothelial nitric oxide, while synthetic estrogen is not the same chemical structure of estrogen that the patient’s body is born with.

 

Estrogen Functions

Estrogen has about three components that can help the female body function properly. With these three components, we will be looking at what each of them does and how they contribute to the body. They are E1 (Estrone), E2 (Estradiol), and E3 (Estriol).

Estrone

Estrone is the main estrogen the body makes postmenopausal and high levels many researchers believe may increase a women’s risk of breast cancer. However, its main purpose is that it is responsible for female sexual development and function, and even though it is less powerful than its other components it can serve as a repository for estrogen sometimes and the body can convert it to estrogen when it’s needed.

Estradiol

Estradiol has many functions in the female body but its primary function is to actually mature and maintain the reproductive system. Some of the other functions that estradiol provides are:

  • Increases HDL
  • Decreases LDL and total cholesterol
  • Decreases triglycerides
  • Works as an antioxidant
  • Helps absorption of calcium, magnesium, and zinc

Not only that but there are results of a new trial that reveals that estradiol has a direct effect in reducing atherosclerosis by reducing cholesterol accumulation in the arterial wall.

 

Estriol

Estriol is about 80 times weaker than estradiol, so has a lesser stimulatory effect, however, it is an estrogen hormone that women can produce naturally and is important to both the mother-to-be and the baby’s health. It can also help the GI tract maintain a favorable environment for the growth of lactobacilli and even help restore the proper pH of the vagina, which prevents urinary tract infections.

 

Progesterone

 

Progesterone is one of the sex hormones that are in the female body. It plays a role in menstruation, pregnancy, and the formation of embryos and is made in the ovaries up until menopause. After a woman goes through menopause though, it is made in the adrenal glands. Progesterone is made from pregnenolone and performs many functions in the female body.

 

Progesterone Function

Some of the functions that progesterone produces can act as a diuretic and is anti-inflammatory. Not only that progesterone can help aid in female ovulation and can balance out the estrogen hormone. Other functions that progesterone can offer include:

  • Effects the potentiation of GABA
  • Enhances the action of thyroid hormones
  • Has a positive effect on sleep
  • Helps build bone
  • Helps maintain bladder function
  • Induces conversion of E1 to the inactive E1S form
  • Lowers LDL
  • Modulates oxytocin receptor binding in the hypothalamus
  • Promotes Th2 immunity

Conclusion

In total, the female body has to have the necessary hormones that can make sure that the entire system doesn’t crash and burn. When the body produces an enormous amount of estrogen and progesterone it can cause unwanted pathogens to enter the body and cause chronic illness. By regulating hormones the body can start on its wellness journey and the individual can continue its health journey for a better body.

References

Cooper, Danielle B, and Charles E McCathran. “Cervical Dysplasia.” National Center for Biotechnology Information, U.S. National Library of Medicine, 17 July 2021, pubmed.ncbi.nlm.nih.gov/28613609/.

Edwards, Michael. “Progestin.” StatPearls [Internet]., U.S. National Library of Medicine, 22 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK563211/.

Eske, Jamie. “Female Sex Hormones: Types, Roles, and Effect on Arousal.” Medical News Today, MediLexicon International, 5 Apr. 2019, www.medicalnewstoday.com/articles/324887.

Farzam, Khashayar. “Lipoprotein a.” StatPearls [Internet]., U.S. National Library of Medicine, 21 May 2021, www.ncbi.nlm.nih.gov/books/NBK570621/.

Goncharenko, Vadym, et al. “Vaginal Dryness: Individualised Patient Profiles, Risks and Mitigating Measures.” The EPMA Journal, Springer International Publishing, 2 Mar. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6459457/.

Scientist, NEI. “Age-Related Macular Degeneration.” National Eye Institute, U.S. Department of Health and Human Services, 22 June 2021, www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/age-related-macular-degeneration.

Scientists, NIA. “What Is Menopause?” National Institute on Aging, U.S. Department of Health and Human Services, 30 Sept. 2021, www.nia.nih.gov/health/what-menopause.

Disclaimer

Calf Muscle Tightness and Injury

Focused patient rolling foam roller along underside of lower leg assisted by physical therapist

Calf pain is common in individuals who spend a lot of time on their feet, whether standing at work, school, or training athletes. The calf muscle/s take on a tremendous amount of load throughout the day. Climbing stairs, jogging, running, and hiking increase strain on the muscles. In most cases, calf pain results from an overuse injury of the calf muscles. Improper footwear can also contribute to issues around the foot and ankle that include:

  • Tightness
  • Loss of strength of the foot
  • Decreased mobility

Short or tight calves can lead to dysfunctional movement, cramping symptoms, chronic pain, and stiffness. A combination of chiropractic active release treatment and physical therapy can help quickly eliminate calf pain.

Calf Muscle Tightness and Injury

Anatomy

The calves are comprised of two muscles, the gastrocnemius, and soleus.

  • The gastroc originates just above the knee.
  • The soleus is below the knee.

They both insert on the back of the ankle as they join to form the Achilles tendon. The gastrocnemius is the power muscle used for explosive movements like jumping. The soleus muscle is predominately a slow-twitch muscle. This means it is very active during extended activities, like standing, walking, exercising, and running. When dealing with calf and ankle issues, other muscles can also contribute. These include:

  • The posterior tibialis lies deep in the inner portion of the calf and plays a role in foot and ankle function.
  • The posterior tibialis is heavily involved with Medial Tibial Stress Syndrome or MTSS, also called shin splints.

Calf Muscle Pain

Most commonly, calf pain is caused by the overuse of the calf muscles. This is often the result of the consistent pounding of the feet and lower legs from standing, walking,  and working. Over time, the repetitive pounding can cause tiny tears in the muscles of the lower legs and calves. If detected, early rest and recovery are recommended to allow the muscles to relax, loosen, and heal. However, repeated use can lead to more severe injury without proper treatment, like compartment syndrome. Certain types of calf pain can signify a medical emergency that requires immediate treatment.

Compartment Syndrome

A tough and fibrous covering surrounds the calf called the fascia. During physical activity or exercise, blood flows into these muscles, causing them to increase in size. If the fascia cannot stretch enough when these muscles enlarge, pain and tightness can develop. This is known as chronic posterior compartment syndrome. The discomfort typically goes away when the activity stops but is likely to return without proper treatment.

Calf Overuse Injury

Soreness, tightness, and pain are usually felt along the back or inside of the lower leg. The calf muscles are generally not painful to touch but maybe tender when deep pressure is applied. Calf pain and tightness often come with extended physical activity, exercise and disappear once the activity is stopped. If the injury becomes chronic, calf stiffness can present even when not active, along with numbness and/or tingling in the lower leg or foot.

Treatment

It is recommended not to ignore any discomfort, pain, and stiffness in the calves. Continued overuse can lead to scar tissue formation and chronic pain potential without proper care. Active Release – ART, and chiropractic effectively treat this type of injury. ART breaks up scar tissue, returning normal function to the calf muscles. And chiropractic loosens up stiff joints in the hips, ankles, and feet that may be contributing to wear and tear on the calves. Together they can quickly and eliminate calf pain. Part of a treatment plan includes:

  • Joint manipulation or mobilization
  • Soft tissue mobilization
  • Nutritional recommendations
  • Rehab-based exercises and stretches

Body Composition


Metabolic Adaptations

Aerobic exercise substantially impacts the body’s muscles’ energy production system and cardiovascular adaptation. The blood delivers oxygen to the muscle cells to produce energy that powers all the exercise being done. Aerobic exercise primarily relies on oxidative energy production, which takes place within the cells called mitochondria. Aerobic exercise also breaks down fat molecules for energy, which can only happen within mitochondria.

  • Aerobic exercise training improves the muscle cells’ ability to burn fat by generating more mitochondria and enhancing their functionality. Specifically, the body burns more fat than usual in the hours following each training session.
  • With more precise quality and quantity of fat-burning machinery, aerobic training can increase the resting metabolic rate, resulting in more calories burned.
  • High-intensity aerobic exercise also increases the excess post-exercise oxygen consumption – EPOC, resulting in increased calorie burn in addition to what was burned during the exercising.
References

Alfredson, H et al. “Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.” The American journal of sports medicine vol. 26,3 (1998): 360-6. doi:10.1177/03635465980260030301

Bright, Jacob Michael et al. “Ultrasound Diagnosis of Calf Injuries.” Sports health vol. 9,4 (2017): 352-355. doi:10.1177/1941738117696019

Campbell, John T. “Posterior calf injury.” Foot and ankle clinics vol. 14,4 (2009): 761-71. doi:10.1016/j.fcl.2009.07.005

Green, Brady, and Tania Pizzari. “Calf muscle strain injuries in sport: a systematic review of risk factors for injury.” British journal of sports medicine vol. 51,16 (2017): 1189-1194. doi:10.1136/bjsports-2016-097177

Colder Weather Musculoskeletal Injuries

Applying plumber pipe drain and vent plumbing system at renovation new home construction

As the weather gets colder, individuals may feel like their muscles and joints are frequently stiff and experience more aches and pains. This is even more evident for individuals that work outside in the winter or with specific ailments/conditions. Colder weather can increase the risk of suffering musculoskeletal injuries and intensify the condition.

Colder Weather Musculoskeletal Injuries

How Colder Weather Impacts The Muscles

Individuals with arthritic conditions might find that symptoms become exacerbated. This can keep individuals away from regular activities. Conditions like rheumatoid arthritis and osteoarthritis tend not to react well to weather sudden atmospheric changes, worsening symptoms. However, individuals are well aware of how their body feels and moves when colder weather is present with or without existing conditions. Movement slows down, and when trying to move, the muscles can contract involuntarily, causing tension and stiffness. This usually results in soreness and pain. Feeling warm, safe, and comfortable is essential for the body’s overall health. Overuse and overexertion can increase the risk of injury in colder temperatures.

Barometric Pressure

  • When the weather gets colder, barometric pressure drops. The Body’s tissues like the muscles, tendons, and ligaments expand. This places pressure on nerves near the joints, causing discomfort and pain.
  • In cold weather, the fluid density in the joints lessens, causing the bones to rub against each other harder because the fluid is not thick enough to allow for proper lubrication.
  • The cold makes the muscles shiver, contract, and tighten. This can compress the nerves in the joints and increase pain symptoms.

Prevent Stiffness and Musculoskeletal-Related Injuries

Maintain an active lifestyle

Dress warm

  • Wear proper clothing to keep the body warm and protected.
  • Wear proper boots that are waterproof and have good treads to prevent falls.
  • Wear a warm hat to maintain head warmth, reducing the body heat that escapes from the head.

Warm-up during breaks

  • Try not to stay out in the cold for too long. If working outside, move indoors during breaks if possible.

Eat a healthy diet

  • Good nutrition helps maintain the whole body.
  • Omega 3 fatty acids help reduce inflammation. Salmon and nuts are recommended.
  • Leafy greens like spinach and kale are rich in vitamin K, which helps soothe pain symptoms.
  • Vitamin C from citrus fruits like oranges, grapefruit, red bell peppers, and tomatoes also help stop cartilage loss reducing friction in the joints.

Proper sleep

Chiropractic


Body Composition


Exercising

Aerobic Exercise

Aerobic exercise can include:

  • Running
  • Cycling
  • Hiking
  • Dancing
  • Walking

Resistance Training

  • Research has shown that resistance training with bands or weights can supplement aerobic exercise to reduce blood pressure.
  • It is recommended to complete 2 to 4 sets of 8 to 12 repetitions for each major muscle group during workout sessions.
  • Resistance training sessions should be spaced out throughout the week to limit muscle soreness and injury.

Resistance training can include: 

  • Resistance bands with freehand movements, squats, push-ups, bicep curls
  • Free weights dumbbells, barbells
  • Gym weight machines like the chest press and shoulder press
References

www.cdc.gov/niosh/topics/coldstress/

Heil, Kieran et al. “Freezing and non-freezing cold-weather injuries: a systematic review.” British medical bulletin vol. 117,1 (2016): 79-93. doi:10.1093/bmb/ldw001

Kowtoniuk, Robert A et al. “Cutaneous Cold Weather Injuries in the US Military.” Cutis vol. 108,4 (2021): 181-184. doi:10.12788/cutis.0363

Long, William B 3rd et al. “Cold injuries.” Journal of long-term effects of medical implants vol. 15,1 (2005): 67-78. doi:10.1615/jlongtermeffmedimplants.v15.i1.80

Headaches and Treatment

Programmers and developer teams are coding and developing software.

Headaches and Treatment: Headaches can range from mild, dull aches to severe throbbing pain. They can be episodic and chronic. Tension headaches are the most common that present with pain around the head, scalp, or neck. Migraines are often chronic, with the pain lasting for a few hours to a few days. The location of the headache and the type of pain being experienced can indicate the type of headache. Sources of headaches include, but are not limited to:

  • Certain kinds of foods
  • Sounds
  • Excessive noise
  • Bright lights
  • Changes in blood sugar
  • Too much exercise

Headaches and Treatment

Headache relief can come from over-the-counter medications, prescription medications, rest, and ice/heat packs on the forehead or neck. Research shows that individuals suffering from chronic headaches and migraines benefit more from long-term chiropractic than drug therapy alone. Doctors of chiropractic offer safe, effective, long-term relief. This is because most headaches have a spinal, muscular, or repeated pattern/s, which chiropractors have been trained to identify and treat.

Tension Headaches and Treatment

Tension Headaches are usually worse in the afternoon and evening and are often work, school, and stress-related. The pain is usually felt on both sides of the forehead and/or the top of the neck. These headaches can last for long periods and can be triggered by something as simple as an airplane trip. Tension headaches are caused by tension and trigger points within the muscles that constantly contract and don’t relax. Chiropractic adjustments and muscle release techniques have proven to be highly effective.

Migraine Headaches and Treatment

Migraines are broken down into two categories:

A migraine aura usually comes before the onset of a Migraine and consists of:

  • Visualizing a strange light
  • Strange smells
  • Confusing thoughts or experiences

Migraines are more common in women, but they do occur in men. Things that can trigger migraines include but are not limited to:

  • Medications
  • Certain foods
  • Environmental exposure
  • Sleeping habits

It is recommended to keep a headache journal to:

  • Account all foods eaten
  • Sleep patterns
  • Drinking patterns
  • Medications
  • Exercise habits
  • Stress scenarios
  • Headache frequency, duration, areas of pain, and discomfort.

Research has shown successful results from chiropractic manipulation applied to individuals suffering from migraine headaches. In addition to chiropractic adjustments, nutrition and supplementation have also shown positive and long-term effects.

Headaches and Treatment Chiropractic

Stress can manifest in many ways that lead to headaches. Chiropractic adjustments can improve acute and chronic neck pain, reducing the number of headaches, whether migraines, tension headaches, or some other kind. Chiropractors adjust the spine’s alignment to improve function and alleviate stress on the nervous system using a targeted methodology. This allows the body to function correctly and reduces stress and tension. A chiropractor will also recommend posture, stretches, exercises, and relaxation techniques.

Lifestyle Adjustments

Understanding how lifestyle affects the severity and frequency can be a large part of successful headache prevention. Specific adjustments can include:

  • Maintain regular sleep patterns.
  • Go to sleep and wake up at the same time every day.
  • Exercise regularly.
  • Aerobic exercise for at least 30 minutes three times a week.
  • Eat regular healthy meals.
  • Do not skip meals.
  • Limit stress by avoiding conflicts and resolving disputes calmly.
  • Take daily stress breaks.
  • Do not overuse pain medications, as overuse can make headaches worse.

Body Composition


Respiratory System

The respiratory system refers to the organs in the body involved in breathing, inhaling oxygen, and exhaling carbon dioxide. These include:

  • Nose nasal cavity
  • Throat – pharynx
  • Voicebox – larynx
  • Windpipe – trachea
  • Lungs

The respiratory system is critical because it delivers oxygen to all the body’s organs, supporting life-sustaining functions. If oxygen supply is insufficient, the energy production necessary for organ function becomes compromised, leading to poor overall health. The respiratory system is divided into the upper and lower respiratory tracts:

  • The upper respiratory tract includes the nose, nasal cavity, mouth, throat, and voice box.
  • The lower respiratory tract consists of the windpipe, lungs, and all sections of the bronchial tree.
  • When breathing, the hairs/cilia in the nose and trachea prevent bacteria and foreign substances from entering the body.
  • Occasionally, pathogens will make it past the cilia and enter the body, causing illness.
  • This is when the immune system goes to work neutralizing any invading pathogens.
References

Bryans, Roland et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Chaibi, A et al. “Chiropractic spinal manipulative therapy for migraine: a three-armed, single-blinded, placebo, randomized controlled trial.” European journal of neurology vol. 24,1 (2017): 143-153. doi:10.1111/ene.13166

Côté, Pierre et al. “Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario Protocol for traffic injury management (OPTIMa) collaboration.” European journal of pain (London, England) vol. 23,6 (2019): 1051-1070. doi:10.1002/ejp.1374

Daghlas, Iyas et al. “Habitual sleep disturbances and migraine: a Mendelian randomization study.” Annals of clinical and translational neurology vol. 7,12 (2020): 2370-2380. doi:10.1002/acn3.51228

Iwasaki, Akiko et al. “Early local immune defenses in the respiratory tract.” Nature reviews. Immunology vol. 17,1 (2017): 7-20. doi:10.1038/nri.2016.117

Neck Adjustment Techniques

Senior female patient while exercise treatment for neck with his physiotherapist. Pain in older woman neck vertebrae and rehab at medical center

Individuals turn to chiropractic care neck adjustments to help ease neck problems and alleviate pain. Some of the different types of neck-cervical conditions that chiropractic treats include:

  • Cervical intervertebral disc injuries
  • Cervical sprain injuries
  • Degenerative joint syndrome of the neck
  • Facet joint sprain
  • Whiplash

A chiropractor will evaluate the whole spine because other regions may be affected and/or contribute to the problems. They will determine areas of restricted movement and will look at walking gait, overall posture, and spinal alignment. Before deciding which approach to use, the chiropractor will thoroughly examine the specific cause of the problems. Neck adjustments consist of various techniques and methods.

Neck Adjustment Techniques

Neck Adjustments

Cervical Mobilization

  • Cervical mobilization focuses on using gentle motions around the neck.
  • It incorporates the high-velocity low-amplitude technique, which uses quick pressure to release an area.
  • This adjustment is best for reducing pain and increasing the neck’s range of motion.

Cervical Drop

  • The cervical drop technique requires the individual to lie on their stomach or side as the chiropractor adjusts the neck, and to prevent any added pressure around the neck, the headrest drops.
  • After the chiropractor prepares the neck for the adjustment, they will work on specific points, release the headrest, and quickly twist the neck.
  • All of this is done within seconds.
  • A standard cervical drop is flexion-distraction.
  • This will release tension in the spine.
  • This technique improves spinal flexibility by placing the vertebrae in their correct position.

Manual Traction

  • The patient sits in a chair for this neck adjustment.
  • Manual traction allows the chiropractor to move the neck at different angles and helps them determine the right amount of force during the adjustment.
  • A chiropractor will cradle the head in the palms of their hands and quickly move it from side to side.

Soft Tissue Massage

  • This technique is often used after a complete adjustment.
  • A chiropractor will gently massage the neck and apply pressure to any inflamed areas.
  • This increases blood circulation and prevents muscles from tensing and contracting.

Chiropractic Benefits

The benefits that come with using chiropractic neck adjustments include.

Improves Flexibility

  • One benefit of chiropractic neck adjustments is that they improve your flexibility.
  • Tight muscles or joints out of place make it harder for the neck to move, limiting its range of motion.
  • Chiropractic works to reduce poor flexibility by ensuring the bones and muscles are in their proper position.

Prevents Tension

  • Individuals that deal with severe tension often notice their neck and upper back feeling sore.
  • Tension tightens the muscles and can cause them to press on nerves.
  • If too much pressure is on them, the nerves can send out painful pulses.
  • A chiropractor will feel around the neck and shoulders to identify areas of concern. After the examination, they will make the proper adjustments to reduce pressure on the nerves and calm inflamed muscles.

Prevents Arthritis

  • Arthritis causes inflammation throughout the body. If not treated, this inflammation can increase the wearing down of bones.
  • Worn-down bones reduce strength and can irritate nerves.
  • Chronic neck pain could indicate that the joints in the neck are misplaced.
  • If these joints are not correctly realigned, the constant friction can begin to break down the bones leading to arthritis.
  • Chiropractic neck adjustments prevent this by ensuring the joints are in place and maintaining joint health by flushing toxins in and around them.

Anti-Inflammatory Food

Most neck pain is the result of inflammation. Individuals can take synthetic medications to reduce inflammation, but they have side effects. It is recommended to add natural anti-inflammatory foods to one’s diet. These won’t only reduce inflammation but can increase energy levels and help the body heal quicker. A few recommended foods include:

  • Avocados
  • Peppers
  • Strawberries
  • Blueberries
  • Turmeric
  • Salmon

Body Composition


Heart Disease

Heart disease is the leading cause of death of adults in the United States. Many factors can contribute to heart disease, and research has pointed to inflammation caused by obesity as one of the most significant factors contributing to the development. The main culprits are cytokines produced by excess fat in the body. These cytokines cause inflammation of the walls of the arteries, causing damage and increasing blood pressure. Blood pressure is the force of blood pushing against the walls of the blood vessels. When high blood pressure is present, the heart does not pump blood effectively, causing the heart to enlarge. An enlarged heart is a significant risk factor for heart failure if steps are not taken to remedy it.

References

Bradley S. Polkinghorn, Christopher J. Colloca, Chiropractic treatment of postsurgical neck syndrome with mechanical force manually assisted short-lever spinal adjustments, Journal of Manipulative and Physiological Therapeutics, Volume 24, Issue 9,
2001, Pages 589-595, ISSN 0161-4754, doi.org/10.1067/mmt.2001.118985. (www.sciencedirect.com/science/article/pii/S0161475401836915)

Haldeman S. Principles and Practice of Chiropractic. York, PA: McGraw-Hill; 2005.

Hawk, Cheryl et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Eric L. Hurwitz, Hal Morgenstern, Philip Harber, Gerald F. Kominski, Fei Yu, and Alan H. Adams, 2002: A Randomized Trial of Chiropractic Manipulation and Mobilization for Patients With Neck Pain: Clinical Outcomes From the UCLA Neck-Pain Study American Journal of Public Health 92, 1634_1641, doi.org/10.2105/AJPH.92.10.1634

Wang, Zhaoxia, and Tomohiro Nakayama. “Inflammation, a link between obesity and cardiovascular disease.” Mediators of inflammation vol. 2010 (2010): 535918. doi:10.1155/2010/535918