Tuesday, August 9, 2016

Which two exercises should you avoid if you have low back pain?

Tuesday Trivia!

Which two exercises should you avoid if you have low back pain?


A. The Superman


B. Bird-Dog


C. Roman Chair Extension



D. Side Bridge
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The answer is A and C! Both the superman exercise and the roman chair exercise put a lot of force on the low back discs. If they are already not happy, these two moves will only aggravate them further. Low back forces should be kept below 3300 Newtons to avoid compressing the vertebral disc and bones of the vertebrae. This may not be something you feel immediately, but overtime, these compressive forces add up. 


Here is a list of common exercises and the 
compression load they cause:

Sit-Up (bent knee)       3,300 N
Sit-Up (straight leg)     3,506 N
Curl-Up feet anchored     2,009 N
Curl-Up feet free     1,991 N
Quarter Sit-Up     2,932 N
Bent Leg Raise     1,767 N
Isometric Side Bridge     2,585 N
Roman Chair Extension     4,000 N
Back Extension (arms and legs)     6,000 N
Bird-Dog      2,000 N

McGill S, Low Back Disorders: Evidence Based Prevention and Rehabilitation. 
Human Kinetics. 2002.

The bolded exercises exceed the force limits we should be placing on our spinal vertebrae and discs. The bird-dog exercise, pictured above, is actually one of the best exercises you can be doing to help train your back and core muscles and relieve low back pain!

Monday, August 8, 2016

Take a break from technology! This week's goal.....enjoy some silence.

Take a break from technology!
This week's goal.....enjoy some silence.


Today’s world is filled with technology; computers, phones, portable games, etc. Our brains no longer get to experience the peace and quiet they sometimes need. Your goal this week is to take a 5 minute break in the middle of the day, find a quiet place to go sit, and just relax without thinking of anything else (AND NO TECHNOLOGY). Hard, isn’t it? We are so used to constantly being stimulated that it is hard for our brains to unwind. However, this relaxation time promotes healing throughout the body, allows time for messengers in the brain to regroup, solidifies memories, and allows for higher energy and productivity! So go take a break, and if your boss asks, just tell them it’s doctor’s orders!

Saturday, August 6, 2016

Saturday Supplements - Formula 303 (Dee Cee Labs)

Saturday Supplements:

Formula 303 (Dee Cee Labs)



I don't normally have such strong feelings about supplements, but if you don't have this yet, get it! I have used this with patients for years now with phenomenal effects.


So what is it used for?
-Muscle Spasms
-Tension
-Stress

What can it be used for?
-All of the above
-Menstrual Cramps
-Headaches
-Inflammation
-Constipation
-Anxiety
-Soreness/Achiness


The only ingredients are magnesium, passion flower, and valerian root, but they are the perfect ingredients in the perfect ratios to relieve a multitude of issues. As a chiropractor, I recommend this as a substitute for aspirin, or in conjunction with the aspirin, but at least the aspirin can be taken in smaller doses. Formula 303 has no bad side effects on the digestive tract or liver. In fact, the magnesium in it can be very helpful for people suffering from constipation!

One of the other big areas I always recommend Formula 303 for is menstrual cramps. Two tabs every 4-6 hours greatly diminishes the pain some women suffer from during this time.


Where can you get it?
It's all over the internet, especially Amazon. It is not very hard to find. That being said, if you know a doctor that sells it, chances are it will be much less expensive!


Dr. Sam's rating:
Excellent! 


Scale: Excellent, Great, Good, Fair, Bad, Abysmal


Friday, August 5, 2016

Friday Recipe - Zucchini Noodles! (I know, I know.....we're on a noodle kick right now.)

Friday Recipe - Zucchini Noodles! 
(I know, I know.....we're on a noodle kick right now.)


Last week we talked about how to make spaghetti squash into noodles. Well, this week it's zucchini, and it's just as delicious. Why are we doing so many vegetable noodles? Because they're delicious and healthy and even kids will eat them! Plus, if you have a healthy base, it's easy to continuously make new recipes by throwing different ingredients in.


How to "noodle" zucchini.

What you will need:
- A zucchini
-A zucchini noodle maker, I use Vegetti, but there are others out there.
(If you can noodle zucchini with just a knife, please send me a video, because I would love to see that skill in action.)

1) Optional. You can either leave the skin or peel the zucchini like you would a potato. The outside can be a little tougher (however it's zucchini, so not much), but it also has nutrients that you are cutting out if you take it off. 

2)  Insert zucchini into the noodle maker and rotate.



Tada! You have noodles! And it only took a few minutes!

4) Steam the zucchini noodles for 5-10 minutes depending on how soft or firm you like your noodles. You can use a vegetable steamer, as pictured below, or you can always just put some water in pot and heat the noodles straight in the water. Warning: they do get soggier that way. 
(I know those aren't zucchini noodles.)


3) Add the zucchini and other ingredients into the pan and stir fry for 5 minutes on medium heat.
I normally add in a protein, like chicken, and some extra cooked vegetables, but be creative! Finally, finish with a sauce. Different oils, pasta sauce, or teriyaki/tamari sauce are all good options.


Enjoy!

Thursday, August 4, 2016

Thursday Humor - Yummy Avocados

Yummy Avocados!


Avocados are packed full of yummy, healthy fats, with the majority of it being monounsaturated oleic acids. Current research is showing that oleic acids reduce LDLs, raise HDLs, and are associated with a healthy cardiovascular system. And since fat doesn't make you fat, that's sugars job, eat as many as you want!

Wednesday, August 3, 2016

High Fructose Corn Syrup.....no, it's not just sugar, and here's the science behind it.

High Fructose Corn Syrup......no, it's not just sugar, and here's the science behind it.


Let's first talk sugars. 

Monosaccharides are called simple sugars, and they are the most basic unit of carbohydrates. We know them by names like glucose and fructose. Disaccharides are still considered simple sugars, because they only have two units attached to each other. Polysaccharides are anything more than two units of carbohydrates attached. (Look at the picture below for a visual!)


Normal table sugar is known as sucrose, and it is a disaccharide made up of glucose and fructose in a 50:50 ratio. This is what we're led to believe high fructose corn syrup (HFCS) is the same as.


Now let's look at HFCS.

The sugars in high fructose corn syrup are extracted in a process resulting in different ratios of glucose to fructose. Normal table sugar is 50:50 glucose:fructose. The most common form of HFCS is 55% fructose and 45% glucose. It is very close to the same ratio as normal table sugar. 

So what's the fuss?

The difference is in the biochemistry!

In nature, glucose and fructose are bound tightly together to make a table sugar molecule. In HFCS, that bond is missing! 


Since there is no chemical bond between them, the normal processes of digestion are not required and the glucose and fructose are rapidly absorbed into the blood stream. The only place fructose can really be metabolized is in the liver, and when the liver is overwhelmed, it tends to immediately start creating fats like triglycerides and cholesterol. 

Without the bond, the fructose is known as "free fructose." Free fructose consumption has been continuously linked to higher rates of obesity, increased belly fat, higher levels of triglycerides, cardiovascular disease, and overwhelmingly fatty liver disease. Studies not done by the corn industry don't share the same view that HFCS is "just" sugar.

Chronic consumption of HFCS caused several problems like cardiac and endothelial injury of aorta by hyperuricemia and induced oxidative stress and inflammation.
Hum Exp Toxicol. 2016 Feb;35(2):194-204. doi: 10.1177/0960327115579431. Epub 2015 Mar 29.
The impact of high fructose on cardiovascular system: Role of α-lipoic acid.

Consuming beverages containing 10%, 17.5%, or 25% Ereq from HFCS produced dose-dependent increases in circulating lipid/lipoprotein risk factors for CVD and uric acid within 2 weeks.
Am J Clin Nutr. 2015 Jun;101(6):1144-54. doi: 10.3945/ajcn.114.100461. Epub 2015 Apr 22.
A dose-response study of consuming high-fructose corn syrup-sweetened beverages on lipid/lipoprotein risk factors for cardiovascular disease in young adults.

When one group of rats was fed sucrose (table sugar) and one group was fed HFCS, the HFCS group was found to have gained significantly more weight even though the rest of the diet remained the same.
“A sweet problem: Princeton researchers find that high-fructose corn syrup prompts considerably more weight gain.”



Even though that tiny, missing bond may seem like a small change, it makes a huge difference in how our body metabolizes it. If you're going to be eating sugar, avoid HFCS!

yours in health,
dr samantha boldt

Monday, December 7, 2015

Reducing Osteoporosis and Avoiding Falls this Winter

Reducing Osteoporosis and 
Avoiding Falls this Winter


With winter weather hitting, bone health is extremely important. However, most people have a misunderstanding of what is needed for good bone health. We constantly hear, "Calcium, calcium, calcium!" More often than not, though, calcium supplementation has very little impact on bone health and fracture rates. 

50% of women and 20% of men will suffer from osteoporosis in their lifetime! That is a huge number and growing. However, calcium supplementation is at an all time high. Obviously, we are missing something.




The importance of RANKL

Our body has a nice system to keep the amount of bone in check, not too much, not too little. Osteoblasts build up bone, and osteoclasts break down bone. From now on, they will be referred to as the bone builders and the bone breakers. When bone builders are at work, they release something known as RANKL. This activates the bone breakers to also work more. This makes sense, because if we're putting more bone down somewhere, to keep everything even, we also need to take away bone from somewhere.

 However, another thing that causes RANKL to be released is inflammation. Too much inflammatory cells cause more RANKL to be released, activating higher number of bone breakers, and decreasing the amount of bone we have. 


No matter how much calcium we take, if we're inflamed or the amount of RANKL in our body is too high, we're going to break down more bone than we can build. So the two most important things you can do to prevent or treat osteoporosis is reduce the amount of inflammation in your body by decreasing sugar, or taking supplements that are known to reduce RANKL. 

(Dairy and milk are two of the worst things you can eat if you are osteoporotic. Countries with the highest intake of dairy have the highest rates of osteoporosis and fractures. Countries with the lowest intake of dairy have the lowest rates of osteoporosis and fractures.)



Supplements that reduce RANKL

~Alpha Lipoic Acid
~N-acetyl Cysteine
~Berberine
~Milk Thistle
~Green Tea

These are powerful antioxidants that reduce RANKL and decrease bone breaker activity.



Exercise is also key for people that are osteopenic or osteoporotic. While most bone is built in the first 25 years of life, exercise is important because it helps strengthen muscles. Stronger muscles exert more force on bones, keeping them strong. It also allows us to have the strength and reaction time to recover from a slip or imbalance, reducing falls and fractures.





Beware of Medications for Osteoporosis

While medication for osteoporosis can be extremely necessary, patients should not be on this medication for too long. 6 months to 2 years is really the longest any of them should be taken. This is long enough to quickly build bone and begin to address the problem in other ways. If left on these medications for more than 2 years, studies show that they actually increase the brittleness of bones and cause necrosis (death) of bone cells. Make sure to talk to your medical doctor about the risks of long term osteoporosis medications and begin addressing the increased inflammation or RANKL in your body via other means.




yours in health,
dr samantha boldt