Archive for the 'Back Pain' Category

04
Sep
15

How Are Bones Made and How Do They Grow?


referred-pain-200-300Each of the 206 bones in your body is constantly undergoing a process of breakdown and renewal, even if you have never suffered a broken bone in your life. Your entire skeleton is completely replaced approximately every 10 years. The construction of bone tissue begins when we are a fetus in the womb, and continues until we die. Our genetics and both the nutrients we receive before we are born and those we get through our diet in our youth have a major influence on the strength and endurance of our skeletal system.
Fetal cartilage is the precursor to bone growth, and is transformed into bone in a process called ossification. The fetal cartilage attracts the minerals calcium and phosphorus, which cover the cartilage cells. The fetal cartilage cells soon die off, leaving small holes through which blood vessels can grow. Osteoblasts, the specialized cells responsible for bone growth, travel to the developing bone via these tiny blood vessels. There they produce the collagen fibers that are the structure over which bone is formed, and attract the calcium with which the fibers are covered. Osteoblasts eventually transform into osteocytes, which become part of the calcium mix that helps to reinforce the collagen fibers and strengthen the bone.
Osteoclasts are the cells responsible for breaking down and removing old bone tissue, leaving small chambers that allow marrow to form. The small holes osteoclasts create are why this particular part of the bone is called spongy bone. Although it is hard, spongy bone resembles a common kitchen sponge. In our youth, the osteoblasts outnumber the osteoclasts, so we have a net gain of bone growth. This is when the growth of bone is referred to as modeling. Bone continues to grow until approximately our mid-20s, at which point we have reached our greatest bone density.
From our mid-20s on, our bones are in a constant process of remodeling. At this point, the osteoblasts can no longer keep up with the osteoclasts.  While bone is continually being rebuilt, no supplemental bone is being added, so we can begin to lose bone density. Even though our bodies no longer add to our stock of spongy bone tissue after our mid-20s, we can still continue to add bone to the outer layer of our bones, called compact bone. Compact bone accounts for about 80 percent of our bone mass and protects the more fragile spongy bone inside. Although compact bone is considerably denser than spongy bone, it still has tiny channels for blood vessels and nerves to pass through.
Our spongy bone is filled with two types of marrow, red and yellow. Red bone marrow is responsible for the creation of our red and white blood cells and the platelets that are necessary for clotting in order to stop bleeding when we are injured. Yellow bone marrow consists mostly of fat cells and is more common in our long bones, such as the femur.
A healthy diet with adequate amounts of calcium, magnesium, phosphorus and vitamin K, along with a little regular weight-bearing exercise, will help ensure that you maintain the greatest bone density possible as you age, and will help protect against the danger of fractures due to osteoporosis.

08
Jul
15

How Coffee Affects Your Health


How Coffee Affects Your Health.

08
Jul
15

How Coffee Affects Your Health


coffee-cup-200-300We seem to hear different things from the medical community every few years about either the positive or negative effect that coffee has on our health. So what is the most current information? Is coffee good or bad for your health? The answer, in short, is that it’s a little of both.

Too much coffee can lead to a temporary increase in blood pressure, anxiety and upset stomach, in addition to its ability to become addictive. And don’t forget that added cream and sugar contribute to weight gain. For example, a 24-ounce Starbucks venti double chocolate chip frappucino contains a mind-boggling 520 calories!

Despite these drawbacks, moderate coffee consumption can actually have a protective effect, helping to reduce your risk of many problems, including Parkinson’s disease, Alzheimer’s disease, liver cancer, gallstones and Type 2 diabetes, to name a few. It can also lower the risk of stroke in women.

Current research has indicated that there is no increased risk of heart disease or cancer from moderate coffee drinking. The studies done earlier that reached that conclusion were flawed in that they did not take into consideration other lifestyle habits that went along with increased coffee drinking, such as smoking and lack of exercise, two major causes of these diseases. In fact, coffee has been shown to protect against many kinds of cancer.

A recent study published in the journal Cancer Epidemiology, Biomarkers & Prevention found that there was a 25 percent reduction in cases of endometrial cancer in women who drank four or more cups of coffee per day. Scientists believe this may be due to the fact that coffee has the ability to lower concentrations of free estradiol and insulin, in addition to the cancer-fighting effect of coffee’s antioxidant phenols.

Even a few cups of coffee every day can cut men’s risk of developing prostate cancer by 30 percent, with those consuming six cups of coffee a day reducing their risk of a dangerous form of the cancer by a whopping 60 percent.

Coffee also reduces your risk of developing basal cell carcinoma by up to 20 percent, according to scientists from Brigham and Women’s Hospital and Harvard Medical School.

Another study published in the Archives of Internal Medicine found that women who drink coffee (four cups per day) have a 20 percent lower risk of depression than those who drink no coffee at all.

It is recommended that you get no more than 500-600 mg of caffeine intake per day, the equivalent of about 6 to 8 cups of brewed coffee. Obviously, the amount of caffeine in a cup of espresso will be more than that in the equivalent amount drip coffee.

The key point to keep in mind is to consume coffee in moderate amounts, especially if you are pregnant. But all in all, the benefits of coffee consumption far outweigh the risks for most people, so grab a café grande and drink up!

Nutrition is a very complex and our understanding of it is constantly evolving. If you have questions about your current nutrition or supplement plan, please ask. We are here to help!

25
Nov
13

Menopause and your Skin


Menopause and your Skin.

12
Nov
13

Reasons to run a 5k race


all things hot pink!

Joe Carey, President of the Houston Area Road Runners Association (HARRA.org), wrote something interesting about 5k races in the June issue of the HARRA newsletter, printed in Texas Runner & Triathlete magazine. His words were “5ks get no respect”.

That’s an interesting quote, and I think for many long distance runners it is probably an accurate statement. And, I realize that while many of you reading this blog may already be runners, some of you aren’t.  But, no matter where you fall in the running spectrum, whether you are new to running, whether you are a long-time runner, or even a seasoned athlete in general, are there reasons why you should run a 5K race?

Some thoughts for distance runners.

Mr. Carey’s article, outlined several great reasons why long distance runners should consider running 5k races (in addition to their longer races).  Here are some of his thoughts:

  1. The post-race food at 5ks are often just as…

View original post 417 more words

07
Nov
13

Dowager’s Hump Causes and Treatment Options


Camel. Ship Of DesertAlthough the name “Dowager’s Hump” implies that this condition is one that affects elderly women (which it primarily does), it can also affect anyone who spends a lot of time hunched over or who has a severe case of osteoporosis, including men. The medical term for Dowager’s Hump is hyperkyphosis, which is an increase in the forward curvature of the lower cervical and upper thoracic spine. It is a condition that can either be relatively painless or can cause considerable pain and discomfort.

Dowager’s hump is common in people with osteoporosis and is usually due to what is called a wedge fracture. This is when the front part of the vertebra (the side facing your chest) collapses. This causes the vertebra to tilt forward, which forces the back to curve and the head to jut forward. In some cases the curvature is so severe that it forces the head to look downward. It can become a sort of domino effect, with the collapsed vertebra tilting and putting pressure on the one below, until it too subsequently fractures and tilts, etc. In advanced osteoporosis, the bones of the vertebrae can become so porous that they may fracture as a result of lifting something or doing something as simple as coughing or sneezing.

A wedge fracture does not necessarily cause pain, and the first signs of it may be a loss in height or an obvious rounding of the upper back. Other people are more likely to see it before the person suffering from the disorder, as we do not generally see ourselves from the side. Someone with hyperkyphosis may also experience neck pain, breathing difficulties, rib pain and loss of appetite. Symptoms may be worse when coughing or sneezing and may be relieved when lying down.

Those with mild cases of hyperkyphosis may find some relief through yoga. A study published in the Journal of the American Geriatrics Society found that elderly women with Dowager’s Hump who took yoga classes three times a week for six months had a slight reduction in the curvature of their spine. In situations where Dowager’s Hump is more severe and is causing pain, there are also more invasive treatments available. The surgical treatments vertebroplasty and kyphoplasty involve the injection of cement into the vertebrae to restore their height, reducing pain and spinal curvature.

The best treatment, however, is prevention, which involves strengthening the bones as much as possible and preventing bone loss by eating a healthy diet and getting regular weight-bearing exercise. Maintaining correct posture is also important, as habitual slumping (such as when you use a laptop or when sitting at a desk) eventually causes muscle imbalances, and the muscles and ligaments supporting the spinal column weaken, putting additional pressure on the vertebrae, allowing them to slip out of place. Regular chiropractic adjustments can help keep the vertebrae aligned, along with exercise to strengthen the supporting muscles.

Dr Dubois, DC, CCSP

Pierre DuboisDr. Dubois, a Swiss physician, and a Triangle Certified Sport Chiropractor has over 20 years of experience in the treatment and prevention of disorders of the musculoskeletal system. Amongst his patients, two world champions in martial arts (gold medalists in 2005 WMJA), one carrier of the Olympic flame in 2004, and numerous soccer players, swimmers and athletes of all levels who benefited from his chiropractic care.

 

06
Aug
13

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