Weather Related Joint Pain

The increased achiness felt with weather changes is usually present in people with arthritic changes in the joints, especially those of the spine, knees, hips, shoulders, elbows and hands.  Joints with a history of injury are particularly susceptible to weather changes.

This phenomenon has been dismissed by many, but research has shown that nerves sensitive to pressure changes, called baroreceptors,(like barometer) are sensitive to even slight changes in atmospheric air pressure.  “The phenomenon of people being able to forecast precipitation, especially rain, due to the level of their joint pain is real,” says Dr. Javad Parvizi, director of clinical research at the Rothman Institute at Jefferson, and associate professor of Orthopaedic Surgery at Jefferson Medical College of Thomas Jefferson University in Philadelphia   “It is not in the patient’s head.  There is science to back it up.”

However, people  seem to be most sensitive to change from high to low barometric pressure, which usually happens when the weather turns from dry to moist, such as before rain or snow.

What you can do to help yourself

Omega 3 (fish oil or flaxseed) supplements can help reduce inflammation.  Glucosamine sulfate (not HCl) and chondroitin in combination are effective at reducing arthritic pain.  Enzyme based natural anti-inflammatory supplements like Bromelain are effective and don’t harm the liver or kidneys.  Using enzyme based supplements for this purpose requires specific dosing instructions for the supplements to be effective. It has been our experience that people who obtain these supplements from health food stores rarely get the proper dosage instructions.  Consult your Chiropractor to learn how to use these supplements effectively.

If you are interested in using supplements to control your joint pain, or if you are interested in Chiropractic care, call us at 219-738-1925 or visit our website, www.integratedchiro.net

Parvizi, J People with joint pain really can forecast thunderstorms. Science Daily June 3, 2008.

Migraines and Acupuncture

Did you know that some 28-33 MILLION Americans suffer from Migraine headaches (MHA)?  MHA is ranked 19th among disability causing conditions by the World Health Organization (WHO). Here are a couple of other interesting statistics:

•94% of people who consult their Doctor for head pain have MHA.

•90% of people who consult their Doctor for sinus HA’s actually have MHA

•28-33 million people have MHA in the U.S., compared to 32 million who have asthma, Diabetes, and Congestive Heart Disease combined

Migraine is considered a "primary" headache, meaning it is not attributable to any other condition or illness.  There are many types and subtypes of MHA.  The most common type of MHA is Migraine without aura (aura is a set of sensory precursors, such as a smell or flashing lights in the eyes that the sufferer experiences prior to the onset of the MHA).

The causal mechanism of MHA is poorly understood.  Originally, it was believed that the cause was vascular, probably because of the pulsing quality of the pain.  Research has shown that although there is some change in bloodflow at the brainstem (base of the brain, just above the spinal cord in the neck), there is no change in bloodflow within the cortex of the brain or surrounding tissues.  Current thinking is that MHA is a neurobiologic issue. It is now believed that hyper sensitization of nerve endings within the brain itself are responsible for the initiation of MHA. Thus, attacks originate within the brain. The brain is not in itself a pain sensitive structure, but it is where the perception of all sensation (including pain) takes place.  The nerves respond first, thereafter affecting blood flow.  Here are a few things that are known:

•Migraine sufferers are over-stimulated by what they see and hear.

•Pain starts within the brainstem, which is considered the migraine generator.

•Visual changes (aura) result from an electrically charged wave sweeping across the brain surface, followed by decreased charge.

•The throbbing/pulsing sensation is due to swelling (inflammation) of the brain’s surface blood vessels and it’s covering (dura mater, meninges)

•Hypersensitive nerve endings in the brain result in allodynia, or pain resulting from stimulation that is normally non-painful.

This hypersensitivity is why sufferers do not want to be touched or talked to while having a migraine.  Most prefer a quiet, dark place to rest until the pain passes.

TREATMENT OPTIONS
There are two main types of treatment, prophylactic/preventative, or abortive.
Prophylactic treatment seeks to prevent the onset of MHA.  Some common prophylactic choices include:

• Beta blockers (propanolol) affect the blood vessels around the brain

• Anti-seizure meds like topiramate are used to prevent migraines in adults

• Acupuncture

• Chiropractic 

• Feverfew herb 

The most common abortive measure includes:

•Triptans affect the blood vessels and nerve endings that become irritated during a MHA.

•They are not a preventative and cannot be taken within 24 hours of other migraine meds.

WHY ACUPUNCTURE? 

Acupuncture is an effective MHA preventative measure. At Integrated Chiropractic 

Rehab, www.integratedchiro.net we have had patients who report decreased frequency and intensity of 

MHA. Furthermore, research supports the use of acupuncture as a reliable preventative measure for MHA:

•Vickers, et al. at Sloan Kettering Cancer Center in New York performed a study on 401 chronic HA    sufferers, primarily MHA.

–12 visits over 3 months

–HA pain in the acupuncture group was almost 50% lower at 12 month follow up.

–Acupuncture group experienced 22 fewer HA days, used 15% less meds, had 25% fewer GP visits, and 15% fewer days off. 

•2009 Cochrane Database Review reported that there is consistent evidence that acupuncture is at least as effective, and possibly more effective than drug prophylaxis, with far fewer side effects, and continued benefit long after treatment ended.

   

HOW DOES ACUPUNCTURE WORK?

Acupuncture works by increasing circulating levels of endorphins, the body’s natural pain killing chemicals.  This reduces pain and prevents the onset of migraine by maintaining a circulating level of painkiller.  Acupuncture also provides stress relief! The overwhelming majority of our patients report profound relaxation during and after treatment. This decreases the sensitivity of migraine sufferers to triggers and promotes an overall sense of balance.

Acupuncture involves the insertion of very fine needles at specific points on the body.  The majority of the time, this process is painless.  The most you might feel is a momentary pinch at the site of needle insertion.  This typically passes as quickly as it comes.  Once all the needles are inserted, you relax for 20 minutes.  For MHA, we use points on the head, arms, neck, back, and legs.  Because there are points on both sides of the body, we must do two 20 minute sessions per visit to provide comprehensive treatment.

Each person responds differently, so it is difficult to predict how many visits it will take to effect change.  Because we are attempting to prevent a MHA, we will be looking for a reduction in the frequency and intensity of migraines.  These factors will influence how frequent your treatment will be and how long the initial trial will last.

To learn more about acupuncture and our other services, please call us or visit our website, www.integratedchiro.net . 


   

The Return of the Blog!

After a lengthy absence, the Integrated Chiropractic Rehab blog has returned! I hope to be more regular with my posts and stimulate some real interest in its content.

The blog will be a place where I post information relating to health issues, but you should not take this as me providing advice to you, the reader, specifically.  If you have a health related question, you are encouraged to contact me or another health care provider.  Each person is unique, so the information contained in the blog should be viewed in that context.

Be sure to check our website, www.integratedchiro.net for updated information on office hours, services, and health tips!

Take care, and the best of health to you and yours!

Dr. Powell

Weight Loss

Hardly a day goes by that we don't get questions about weight loss.  Sometimes it's in relation to a back problem, but most of the time it's a general health concern.

On a daily basis there are dozens of advertisements for weight loss programs, pills, tricks, and low-fat this or that. Unfortunately, there is rarely anything of substance to these, they're just more gimmicks to get your money.  If you are truly concerned about your weight and want to learn what the issue is, then read on.  I will not be laying out an eating plan for you or telling you about a vitamin or herb that will melt fat away.  In fact, there is nothing I will be telling you that will make me any money.  What I am going to tell you about is the information I used to confront my personal weight problem, which I continually (but now successfully) struggle with on a daily basis.

First of all, you need to understand that the opinions I have may or may not apply to you.  If you believe something that is opposite to my experience, that is perfectly ok with me.  This is not a forum for debate, rather I am just interested in letting you know what has helped me.  That being said, let's continue.

I've been a heavy person most of my life.  Even when I was a kid, I struggled with my weight.  I went to the doctor, who put me on very low calorie diets (800-1200/day) and my dad made me run at least a mile before dinner.  These things helped, temporarily, but the weight always came back.  This continued into my adult life.  Eventually, I realized I had to do something that I could adhere to, something manageable.  Calorie counting and low fat are not long term solutions, especially if you understand why you gain weight in the first place.

I attended a continuing education lecture on nutrition given by a man who had once weighed 300 pounds, but was now under 200.  He had done this solely through diet modification.  What he had done was the Atkin's diet.  If you have an undying belief in low fat that will not be swayed, you might as well stop reading now.  The reason Atkins has been unpopular is because of the dogmatic (though scientifically vague at best) view that eating fat both makes you fat and clogs your arteries.  What Atkins knew, which has been repeatedly verified in the scientific literature, is that the problem is not fat consumption, it's carbohydrate consumption.

In the most basic terms, carbohydrate consumption causes the pancreas to secrete insulin, and insulin drives fat into cells, which makes you gain weight, hold onto it, and deposit cholesterol in your artery walls.  This is not an opinion, it is a physiologic fact.  Very simply then, if you eat fewer carbs, you will secrete less insulin and deposit less fat.  However, there is a unique threshold for each person that varies based on activity levels and other factors, some of which are genetic.  A blog is not the place to elaborate on this, if you are interested in understanding more about this, here are some very helpful links:

Gary Taubes, Author of Why We Get Fat and What to do About It
Gary Taubes, Author of Good Calories, Bad Calories
Atkins

The first two are links to Amazon pages for the two best books available on the subject of weight loss, the third is the Atkins website.  You can read some of the Taubes books online, and they are available on Kindle and through your local public library.  The Atkins site should dispel any belief that a low carb diet is a "bacon and eggs" diet.  I recommend Atkins because it is well thought out and allows you to phase in more carbs over time once you have reached your goal weight.

Since beginning a low carb lifestyle, I have personally lost over 25 pounds and have kept it off for over a year.  I need to lose even more, but it's an ongoing process.  It's worth the effort to evaluate this for yourself, especially if you've been unsuccessful in prior weight loss attempts.  Good luck!

Dr. Powell

Welcome to Integrated Chiropractic Rehab's Blog!

Welcome to the newly formed blog for the office of Integrated Chiropractic Rehab in Merrillville, Indiana.  We will regularly be posting health information, opinions, and the like to keep you up to date.  Make sure you follow us to get all the latest posts!

Dr. L. Thomas Powell