Newsletter Archives > ChiroPlanet.com Monthly Health Newsletter: October 2012 Health Newsletter

October 2012 Health Newsletter


Current Articles

» October
» Your Core!
» Medical Profession Fighting Transparency Despite Patient Benefits
» Pediatricians Warn Kids Off Trampolines
» Intense Ten-minute Workouts Offer Benefits, Risks
» Stressed Out Heart Attack Patients More Likely to Die

October

Happy October. Yes..I know I did not get to write September's in time...So here goes.

Last week I attended the Anatomy trains seminar at the Atlanta School of Massage. It was a marvellous seminar and showed the connective patterns that run throughout the body with a particular emphasis on fascia. Fascia are the connective tissues that surround all your muscles, organs, blood vessels and nerves and bind these structures together. Problems with fascia can distort body position and place undue stress on your spine and bones. I am happy to be incorporating this knowledge into my practice.

In a few weeks, I will be attending the annual Georgia Chiropractic Association seminar for license renewal and there will be a focus on active rehabilitation procedures. I am looking forward to that as well!

Our clinic is happy to serve you and we will continue to learn and grow. This is what life is all about!

Thanks for all your recent referrals and confidence in us. We appreciate you!

From all of us at the staff of the Saul Clinic, Happy Halloween.

PS...Remember...its fun to be someone else for the day!

Author: Dr. Steven Saul
Source: Dr. Steven Saul, Wikipedia
Copyright: Dr. Steven Saul 2012


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Your Core!


Hi! This is so important, I may leave this up permanently!

Lets talk about Core strength. You hear this term a lot. So what exactly is your core? Here is what you need to know.

You are made of Bones, Muscles, Tendons, Ligaments, and Fascia. If there is a breakdown in any of these systems you will have a loss of function which will lead to pain and dis-ease. We evaluate your body to find out the source of the problem.


What are the Core Muscles named and why are they so Important?

 
The core is made of all the muscles that ultimately attach to the pelvis.  These muscles can be divided into two sections based on their anatomical functions. One provides stabilization and the others provide movement.

    1. Deep stabilization system
    2. Superficial movement system


Anatomically, the muscles that are deeper in the body work more to stabilize the pelvis and spine, and the muscles that are located more superficially are more important for moving the pelvis and spine.

1. Deep Stabilization System


Core Training places a lot of emphasis on working the deep muscles of the core. Research shows that the deep muscles contract first before any movement is initiated. The body is brilliant!  It is wired to be stable first before it engages action.

The deep muscles are close to the spine and pelvis and they can help to move the body, but their primary role is to stabilize the pelvis and lower back. This protects these areas and gives you a strong foundation for the upcoming activity.

The core muscles that make the deep stabilization system are:

The transversus abdominus is one of the most important core muscles. It attaches to the pubic bone and fascia in the front. It compresses the abdominal contents, thus adding stability to the lower back and pelvis.

The lumbar multifidus runs on an angle and it helps with rotational stability. Research shows that people with chronic lower back pain have significant atrophy (wasting away) of the multifidus.

The pelvic floor muscles connect the sacrum and pelvis to the pubic bone. Their primary job is to stabilize the bottom of the abdominal cavity. The pelvis floor works with the transversus abdominus and multifidus to stabilize the pelvis. Kegel exercises are a great way to strengthen the pelvic floor muscles.

The diaphragm is the main respiratory muscle. It attaches to the ribs and spine. The diaphragm also forms the roof of the abdominal cavity, so it stabilizes the top of the abdominal cavity.

The internal oblique is the deeper of the 2 oblique muscles. It runs on an angle from the pelvis up to the ribs. Its primary role is in stabilizing the core, but it also helps to move the spine.

The transverso-spinalis muscles focus on segmental stability of the spine because they span just a few vertebrae in length. These muscles are also important for rotational stability.

All of the deep core muscles are important. When you perform exercises that require your spine to be stable, you challenge these core muscles. The plank exercise  http://www.youtube.com/watch?v=kiA9j-dR0oM, bridges, alternate arm and leg raises, and the drawing in maneuver are examples of exercises that can increase core stability. Any exercise or piece of equipment that requires your muscles to work harder to keep your spine stable will increase the muscle work in the deep stabilization system of the core.

2) Superficial Movement System


When the pelvis moves, the hips move, and when the hip move, the lower back moves. If the pelvis is stable, the lower back and hip are stable, so any muscle that attaches to the pelvis is part of the core as well.

The latissimus dorsi (lats), which helps you do pull ups, is most often thought of as a back and shoulder muscle, but it also attaches to the upper border of the hip bone, (pelvis), lumbar vertebrae, thoracic vertebrae, and ribs. The lats can help to tilt the pelvis forwards or to the side, and it can negatively affect lower back posture when tight and inflexible.

The erector spinae are the group of muscles that people most commonly think of when they talk about lower back muscles. They are a group of superficial muscles that run the entire length of the spine. As the name suggests, these muscles help to keep the spine erect and they also pull the spine backwards. Every lower back exercise will place some emphasis on the erector spinae muscles.

The iliopsoas is the main hip flexor muscle. It attaches to the front of the lumbar spine and pelvis. It is primarily responsible for bending the hip, but it can also help to stabilize the pelvis, lower back, and hip.

The adductors are the muscles of the inner thigh. Most people don't think of the inner thigh muscles as core muscles, but all of the adductor muscles attach to the pubic bone, which is the front part of the pelvis. Because they attach to the pubic bone they can help to stabilize the pelvis, especially when standing on 1 leg.

The hip abductors (gluteus medius and minimus) also attach to the pelvis. The gluteus medius and minimus are very important for hip stability, and they are especially important for stabilizing the hip and pelvis when standing on one leg. This is one of the reasons I say that balance exercises are so important in core training.

The hamstrings are the muscles on the back of the thigh, and they attach to the bottom of the pelvis. Strong hamstrings can help to anchor and stabilize the pelvis, and tight inflexible hamstrings can pull on the pelvis and negatively affect lower back posture.

The gluteus maximus is the largest muscle in the body and it attaches to the back of the pelvis. It extends thigh at the hip, and assists in laterally rotating the thigh. It works with the hamstrings to move the pelvis and also helps to stabilize the pelvis. Bridges can be considered a core exercise because it works the glutes while keeping the spine stable.

The external obliques attach to the ribs and pelvis but they are located superficially compared to the internal obliques. The external obliques are designed slightly more for moving the spine than stabilizing, but the external obliques  also help to stabilize the pelvis and lower back.

The rectus abdominus (6 pack)
is probably the most popular core muscle. It runs down the front of the spine, and it is the main muscle for flexing and bending. It is the main muscle for core exercises such as crunches and sit-ups.

So, what exercises, will help strengthen your core? Primarily we recommend yoga..http://www.springsyoga.com

and Pilates. We also know some private instructors if you need one. Just give us a call.


Dr. Saul and Staff


Author: Dr. Steven Saul
Source: Internet Articles ,Kinetic Spine and Sports
Copyright: Dr. Steven Saul 2012


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Medical Profession Fighting Transparency Despite Patient Benefits

Dr. Marty Makary, a cancer surgeon at Johns Hopkins Hospital in Baltimore is aiming to reduce the over 9 million patients harmed or killed every year in the United States by medical mistakes. However, hospitals and medical professionals are often resistant to the solutions he suggests. Makary is the author of the recently published book, "Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care." In it, he outlines how doctors and hospitals suppress objective data on how patients fare in their care. Makary argues for an end to the professional code of silence that often protects incompetent or careless medical practitioners and calls for hospitals to provide publicly accessible statistics on treatment outcomes to help people make informed treatment choices. Currently there is no mechanism in place in any U. S. state for a patient to find out a surgeon's rate of complications, how many mistakes a hospital makes or almost any other data that may influence their treatment decisions.  What data is available to patients often reflects subjective values like a hospitals' "reputation"  among specialists. Dr. Makary does note several models of medical transparency that show promise. Currently, California, New York and Oregon all require hospitals to report death rates from heart bypass surgery. The information has benefited patients; after New York made its data public in 1989, hospitals scrambled to improve and death rates from heart surgery fell 41 percent in four years.

Author: ChiroPlanet.com
Source: Reuters; September 27, 2012.
Copyright: ProfessionalPlanets.com LLC 2012


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Pediatricians Warn Kids Off Trampolines

The American Academy of Pediatricians (AAP) has issued a recommendation that kids stay off of trampolines. They cited the exercise units as being responsible for over 100,000 injuries a year, some of which include serious life threatening spinal injuries. The new statement updates an AAP recommendation from 1999 that caused trampoline manufacturers to add safety features like padding and nets in an attempt to reduce risks. Since then, while overall injuries have been dropping, the number of trampolines in use have dropped as well, meaning the injury rate has remained constant despite the new safety features. While the majority of injuries to children in trampoline accidents cited were ankle sprains and fractures, the AAP also noted that one in 200 trampoline injuries lead to permanent neurological damage, often caused by botched somersaults or flips. The recreational use of trampolines was "strongly discouraged" by the pediatricians' group, but parents who are unwilling to stop their kids from using trampolines were offered a number of tips to make the activity safer, including using the mat one at a time, maintaining effective padding around springs and frame, placing the trampoline on level ground, avoiding somersaults and flips and actively supervising kids. Trampoline manufacturers meanwhile, issued a statement that trampolines are safer for children by hours of use, than activities like skateboarding, climbing trees or swings.

Author: ChiroPlanet.com
Source: Pediatrics, online September 24, 2012.
Copyright: ProfessionalPlanets.com LLC 2012


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Intense Ten-minute Workouts Offer Benefits, Risks

The American College of Sports Medicine (ACSM) recommends that most adults engage in at least 150 minutes of moderate-intensity exercise each week, but surveys indicate that the number one objection raised to meeting that goal is a lack of time. However, that may change with the growing popularity of the 10-minute workout. The workouts, sometimes referred to by devotees as "exercise snacking" substitute intensity for duration. Liz Neporent, co-author of "The Thin in 10 Weight-Loss Plan," says science is discovering that if you increase the intensity of your exercise routine, you can decrease the time needed to benefit. Neoporent and co-author Jessica Smith recommend a hybrid of cardio and strength exercises to experience benefits. According to the ACSM, multiple shorter sessions of at least 10 minutes are acceptable alternatives to the traditional 30-minute workout and even people unable to meet the minimums will still benefit from some activity. But for the middle-aged or older, high-intensity exercise carries risks as well. Studies indicate that inappropriately intense exercise is a contributing factor in the majority of heart attacks and other cardiovascular accidents. Experts recommend that the intense short-burst workouts only be attempted by people who are already moderately active on a regular basis.

Author: ChiroPlanet.com
Source: Reuters; September 24, 2012.
Copyright: ProfessionalPlanets.com LLC 2012


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Stressed Out Heart Attack Patients More Likely to Die

In a recent study of over 4,200 U.S. heart attack patients at St Luke's Mid America Heart Institute, researchers concluded that heart-attack victims who felt 'stressed out' were 42% more likely to die within the next two years than calmer patients. While many studies in the past have focused on the link between stress and developing heart problems, the new research was the first to focus on chronic stress and a patient's prognosis after a heart attack. While the patients were still in the hospital recovering, they answered a survey on how much stress they'd felt in their jobs and personal lives over the last month. Overall, people who reported the most stress were more likely to die in the next two years. However, it is still unclear whether stress is to blame for the gloomy prognosis, as the stressed patients were also more likely to experience other factors which contributed to poor cardiovascular health, such as poor diet, obesity, smoking and depression. The researchers concluded that patients concerned with the results try simple steps to relieve stress and promote heart health, like taking regular walks outside.

Author: ChiroPlanet.com
Source: J Am Coll Cardiol. 2012;():. doi:10.1016/j.jacc.2012.06.044
Copyright: ProfessionalPlanets.com LLC 2012


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