Newsletter Archives > ChiroPlanet.com Monthly Health Newsletter: March 2013 Health Newsletter

March 2013 Health Newsletter


Current Articles

» Drug-Resistant Bacteria On The Rise, Often Fatal in U.S.
» Patients Rarely Advised of CT Scan Risks
» Obesity Linked to Chronic Back Pain
» Beat Insomnia With More Exercise
» Your Core!

Drug-Resistant Bacteria On The Rise, Often Fatal in U.S.

The rate of bacterial infections resistant to even the strongest antibiotics are rising in the U.S. and leading to untreatable and often fatal illnesses. In a recent press conference, officials from the Center for Disease Control and Prevention reported that in 2012 nearly four percent of patients in all U.S. hospitals were infected with the drug-resistant bacteria; the rate in specialty hospitals was nearly 18 percent. The officials called for doctors, hospitals and public health workers to come together to stop the infections from spreading. The last decade has seen an explosion in the rate of hospitalized patients contracting Carbapenem-Resistant Enterobacteriaceae, or CRE’s. The name refers to the bacteria’s lack of response to carbapenems, a class of drugs currently regarded by experts as ‘last resort’ antibiotics. CRE’s are fatal to over half of patients who get bloodstream infections from them and include over 70 known species that occur naturally in water, soil and the human digestive system. The majority of CRE infections occur in patients receiving medical care for serious conditions in hospitals, long-term acute-condition care facilities and nursing homes. Patients in these facilities often receive antibiotics; the antibiotics wipe out susceptible bacteria but also clear the ground for CRE infections. While only one state reported CRE infections in 2001, they have since spread to 42 states. In 2011, an outbreak of a CRE strain of pneumonia at the National Institutes of Health Clinical Center in Maryland killed seven patients, including a 16-year-old boy. The CDC is hoping to raise public awareness of the drug-resistant germs, as their spread can be controlled with better practices such as as washing hands, grouping patients with CRE together, dedicating staff, rooms and equipment to the care of patients with CRE and limiting the use of antibiotics.

Author: ChiroPlanet.com
Source: Reuters. March 6, 2013.
Copyright: ProfessionalPlanets.com LLC 2013


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Patients Rarely Advised of CT Scan Risks

High powered x-rays, commonly referred to as CT scans, provide doctors with much clearer images and can lead to better accuracy when making a diagnosis. However, the scans also can expose a patient to up to 100 times more radiation than a standard x-ray. A new study published in JAMA Internal Medicine, indicates that patients are rarely advised of the possible health risks involved when receiving a CT scan, including increased risk of cancer. The majority of patients also believed that the final decision to have the scans belonged to their doctors. The JAMA study involved nearly 300 patients who received CT scans at the Denver Veterans Affairs Medical Center from November through December 2011. Results of the survey indicated that only 35 percent of the patients had discussed the risks of a CT scan with their physicians. 62 percent of the patients reported that the final decision to have the scan was made by their doctor. Only 17 percent reported being involved in the decision making process. The numbers are alarming when compared to the health risks posed by the scans. An unrelated study by the National Cancer Institute estimated approximately 29,000 future cancers related to CT scans done in 2007. In that year alone, there were nearly 72 million total CT scans performed in the U.S.

Author: ChiroPlanet.com
Source: JAMA Internal Medicine, online March 4, 2013.
Copyright: ProfessionalPlanets.com LLC 2013


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Obesity Linked to Chronic Back Pain

In a study published in the January 2013 issue of Spine, researchers in Norway have established a positive link between obesity and chronic lower back pain. The study was backed by census data of nearly twenty thousand men and women, aged 30-69 years and collected over a decade. Participants were divided into two groups; people without chronic back pain and those already experiencing chronic back pain. For the purposes of the study, 'chronic back pain' was defined as pain persisting for at least three months continuously over a year. The results, adjusted for age, physical activity levels, and other health factors indicated that the subjects who were 30 or more pounds overweight were 28 percent more likely to experience chronic lower back pain. The researchers pointed out that while the obesity may lead to the lower back pain, it is also possible that the lower back pain may lead to an increase in the subjects' obesity, due to decreased physical activity.

Author: ChiroPlanet.com
Source: Spine: 15 January 2013 - Volume 38 - Issue 2 - p 133–139.
Copyright: ProfessionalPlanets.com LLC 2013


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Beat Insomnia With More Exercise

For the nearly half of Americans who experience occasional insomnia, and the 22 percent who suffer from the condition nightly, a new survey by the non-profit National Sleep Foundation suggests the key to restful sleep is vigorous exercise. The survey of 1,000 people, conducted by phone and over the internet, indicates that people who exercise regularly have less problems getting to sleep and enjoy a better quality of sleep than those who do not. More than 75 percent of the respondents who reported themselves as working out regularly reported sleeping well, as compared to just over half of the people who reported not exercising at all. Interestingly, both groups reported getting the same amount of sleep; an average of just under seven hours a night during the work week. However, respondents who were physically active reported falling asleep more quickly, experiencing less sleeping problems and needing less sleep to function during the day. The sedentary people reported problems falling asleep at night, staying asleep, keeping awake during the day, taking more naps and exhibiting more symptoms of sleep apnea, a condition that causes breathing problems while sleeping. The experts concluded that even ten minutes of exercise a day could have a significant impact on the duration and quality of sleep.

Author: ChiroPlanet.com
Source: National Sleep Foundation’s 2013 Sleep in America® poll. March 4, 2013.
Copyright: ProfessionalPlanets.com LLC 2013


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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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