Chiropractic & You: a match made in my office

September 22, 2010 Leave a comment

Enjoy balance!You thought I was going to say “in heaven”.  Tricked you.  Onto the post!

You (probably) need to be seeing a chiropractor.  There are very few situations where your posture is (near) perfect, and your spine is moving properly in its full range of motion.  Full, appropriate range of motion is important.  Very important.  Time to delve into a little neurology.

So, in a typical joint (including its capsule and associated structures) there are numerous different types of mechanoreceptors (types of nerves).  Some of these nerves are responsible for sensing movement and proprioception (knowing where your body is in space), while others are responsible for the experience of pain (1).  There is, of course, some overlap between their function.  For example, some of the proprioceptive mechanoreceptors will result in pain if you’re outside of the appropriate range of motion for that joint (1).  Another indication that APPROPRIATE joint motion is crucial.  Too much motion can be a problem too, but we’ll tackle that a little later.

So here’s the deal.  If a joint isn’t moving properly it results in altered biomechanics.  The altered biomechanics are acknowledged by the brain and it protects the area by tensing muscles, relaxing others, and breaking down cells and building others in response to the stress put on it (usually in the form of scar tissue).  These newly broken cells lead to inflammation and the firing of those pain-sensitive mechanoreceptors.  So now we have tight, painful muscles, inappropriate joint mechanics and scar tissue being laid down (2).  Not good.  Enter chiropractic.

I have nothing bad to say about massage therapy or physical therapy.  They are fantastically helpful professions and modalities and they do amazing work.  We DO however, need to address the joint dysfunction.  I like to use the analogy of a fire.  When putting out a fire, you spray the base of the fire, not the drapes, ceiling or wallpaper.  So if we want to prevent the pain, altered motion and tight muscles from recurring , we need to address the joint motion AS WELL as the effects it has on the muscles and the effects the muscles have on it.  Once proper motion has been returned to the joint, the cycle is broken.  It would be nice if this could happen in one shot, but like all things that make your health considerably better (exercise, proper nutrition), proper joint motion is a lifelong endeavor.  The good thing is that with some diligence, you and your bodies joints will learn to move properly with very little outside input (chiropractic).  However it it is left to go unchecked, the cycle of dysfunction is allowed to continue and worsen.

The message that optimal joint function sends to the brain can have profound effects on health (3).  The varied effects that appropriate joint motion and its effect on the nervous system has on your health is the reason why there is such a wide variety of anecdotal evidence and case studies showing benefit of chiropractic with problems to which it is not classically associated.  Ideally, it’d have very little effect, meaning you’re already moving well and haven’t deteriorated into dysfunction, but that tends to be the exception versus the rule. So let’s work to make it the rule and optimize the input your joints are sending to your brain!  See a chiropractor, workout and supplement it all with some glorious massage (who DOESN’T want a massage, right?).  For those reading in the Mississauga or Newmarket areas, come in and see me!

Chiropractic @ Element Crossfit: 3505 Laird Rd. Unit 3.  Mississauga, Ontario.  L5L 5Y7.

Balchen Chiropractic & Massage Clinic: 17205 Leslie St.  Unit 13.  Newmarket, Ontario.  L3Y 8E4.

If you’d like me to contact me to make an appointment or ask a question, drop me an email here: Adam.Ball.DC(at)gmail.com  Replace the (at) with @.  I made it that way because I already get enough “Cialis for super cheap!” emails as it is.

Cheers!

1. MacLean, R.F. (1994) Mechanoreceptor endings in human cervical facet joints.  The Iowa Orthopedic Journal.  Volume 13, pp. 149-154.  Accessed on 09/22/2010 from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2328986/pdf/iowaorthj00021-0151.pdf

2. Chaitow, L. & DeLany, J. (2008) Clinical Application of Neuromuscular Techniques:  The upper body.  Elsevier.  Philadelphia, PA.

3. Srbely, J. (2010) Chiropractic Science: A Neurophysiologic Paradigm.  Journal of the Canadian Chiropractic Association.  54(3)

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Ugh… Science.

September 15, 2010 Leave a comment
Various fruits, vegetables, nuts, and grains; ...

Image via Wikipedia

Hey Everyone,

So after a fair amount of time reading and a comment I made and then instantly regretted making in regards to the vegetarian/vegan diet I have something to post about.  Science.

You have to love it to be interested in health and wellness, as I am.  Unfortunately, once you actually dive deep into the science-y goodness, it turns from a fountain of knowledge, into a huge pile of bullsh*t, with the odd nugget of gold (not corn) interspersed.  Unfortunately, todays post is not about the gold.

I like to think of my time as valuable.  And in endeavoring to learn and increase my knowledge, I like to read.  For the past few years I’ve read everything from blogs to books, to magazine and journal articles.  From the poorly researched, to the overly researched to the not researched at all (sort of like this post, I suppose).  This post is about the naysayer.  The Debbie downer.  Negative Nancy.

This person gets “published”, and doesn’t deserve it at all.  This person often is the author of randomized controlled trials that don’t tell you anything.  Those trials that required some SERIOUS statistical gaming to come up with significance.  This person gets published in arenas where all they’ve done is criticize someone else and offer nothing of value to the world.

I’m tired of reading this crap.  I don’t know how these people can feel fulfilled while making a living off spewing negativity and putting people down.

Ok.  Onto the guts of this post.  I commented on the Men’s Journal article about how to become a vegan.  I knew I shouldn’t have.  I knew it would attract the wrong kind of attention, but I thought my easy-going nature and polite tone would save me a lot of trouble.  It more or less did.  The jist of my post; read about the diet, and it’s positives and negatives before trying it, please.  I asked people to consider reading Lierre Keith’s “The Vegetarian Myth” for a great argument against the vegan/vegetarian lifestyle/diet.  I only received 2 comments, but one of them said this:

“You are wrong.”  and “Lierre Keith?  Are you kidding me?  She’s been completely debunked!”

The person then provided me with a website where the debunking occurs.  I humoured this person and read the site.  I won’t post it here because it isn’t worth wasting your time reading.  It’s complete crap.  Perfect for someone, say a vegan, who wants to feel reassured that what they’re doing is right.  Unfortunately, it doesn’t debunk anything.  All the critique does, is attack the WAY she makes her arguments.  So now the person can feel at ease, because that person who challenged their paradigm was wrong, of course.

Moving on.  I read a lot of Robb Wolf’s information and generally agree with what he has to say.  I recently heard he did an interview on T-Nation and there was a subsequent review/reply to this interview by Alan Aragon.  Alan Aragon apparently publishes a literature review each month.  I have nothing bad to say about Aragon as I haven’t read his publication.  This argument is purely with his appraisal of the Robb Wolf Interview.  I feel as though he’s jealous of Wolf’s current fame (if you’d call it that?) and has a bone to pick with anyone who says anything that isn’t backed up 100% by a randomized controlled trial.  I’m not going to post his review here as it’s a document that costs money.  He attacks Wolf in a way that makes Wolf seem unscientific and biased.  According to Aragon, the paleo approach to diet that Wolf advises is unscientific because any speculation about what paleolithic people ate is purely that, speculative.  So then I guess the existence of dinosaurs needs to be reconsidered too, since it’s also speculative?  I mean, there are no LIVE dinosaurs around now, so who’s to say the bones weren’t engineered by some evil (and extremely creative, and awesome, might I add) scientist?  Where the “concrete” evidence for that?

In his review he offers a lot of arguments against not only WHAT Robb Wolf says, but HOW he says it.  He insults Wolf for using correlative data, but then criticizes Wolf later, backing up his criticism with correlative data.  It’s ridiculous and most importantly for me… it’s exhausting!

You’re killing me people!  Asking people not to eat grains due to the phytic acid, lectins, lack of nutrients and abundance of insulin spiking carbohydrates is NOT nutritional blasphemy!  If you don’t agree with someone’s information, give a reason and an alternative.  Simply putting someone down isn’t doing anyone any good and is DEFINITELY not improving “science”.

Thanks for reading, the next post will be positive, I promise

p.s. Make sure you actually READ the journal articles you read too.  Methods and Results and that’s it.  Come to your own conclusions on what the data says.

Why do I train?

August 28, 2010 Leave a comment

I was recently asked during a workout (I work out in my driveway on a semi-busy street) by a passerby, “why are you doing that?”

As you can imagine, this particular passerby was a young, curious child with walking somewhere with one of their parents.  I didn’t have a lot of time to answer, as they were continuing their walk by, and while dripping sweat on the ground, chest heaving, I dropped my weight and said, “because it’s fun!”

Maybe the kid thought I was lying, and I’m fairly certain that the parent did, as they smiled and walked away.  After I finished my workout I got to thinking, why DO I train?  This blog post will look to answer this question.

I want to remain extremely functional as I grow old. I think if I can work hard to max out with a 500 pound deadlift now (or hopefully within the next couple years), than lifting my grocery bags off the ground when I’m 90 years young will be a breeze.  While I can appreciate the reduced work capacity associated with aging, it just gives me more reason to work hard now.  Studies have shown exercises can increase functionality in the elderly, the young, and those with disease (1, 2, 3).

I want to avoid disease and give my MD no reason to doubt my health. As we all know, obesity rates are through the roof, heart disease is killing about half of all North Americans, and diabetes rates are increasing at an alarming rate (I’ve seen they’re changing the name from “adult onset” to “age onset”, I assume this is because too many young people are suffering from this condition).  My genetics aren’t exactly stellar in the cholesterol department, the heart disease department, and to a small degree the diabetes department.  If I can optimize my blood markers and provide my body with a calm, balanced environment, I’m going to do what it takes to create that environment.  Many sources have found that insulin sensitivity is increased with exercise.  Body weight, body mass index, body fat, total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, and hsCRP (an inflammation marker) all respond favourably to regular exercise (1, 2, 4, 5).

I want to stay sane. Exercise is known to help reduce the occurrence of depression and lead to better well-being (6).  I know that when I exercise I feel better for that day and in the long run.  I don’t usually feel fantastic DURING the workout (sometimes I do), but shortly afterward I feel great.  I think it is due, psychologically, to a sense of accomplishment, as well as the endorphin release and further cascade of hormones released by the body in response to the stimulus of the exercise.  In my, n=1 case, I know it makes me more productive, happier, and more relaxed, consistently.

I want to look good naked. Don’t we all?  I don’t think I need to argue the fact that exercise is an important factor in body composition.  Diet is also hugely implicated, but we’ll talk about that in another post.  Exercise provides the stimulus your body requires to release hormones that will increase your insulin sensitivity, and cause you to synthesize protein to fix the damage you did to your muscles while exercising.  This protein synthesis is a metabolically expensive process, and you do it while at rest.  This means you’re burning mostly fat for the fuel used to assemble the amino acids provided by the protein in your diet (you’re eating high quality protein, right?) to restore your muscle tissue.  There is a lot more involved but that’s part of what is going on.

I like the challenge. Originally with exercise, I never stayed with my program which was usually because I didn’t HAVE a program.  I just figured going to the gym and doing some stuff was enough.  Occasionally I would follow the mens health monthly workout poster thingy.  I employ Crossfit for my training, which constantly challenges me to get better at everything as well as trying new movements or weights on a frequent basis.  It keeps me interested, and I ALWAYS feel like I have a lot of room to improve.  As long as you don’t let it get you down, it’s a great motivator to keep at it to get better.

Anyway, that’s what I can think at the moment as to why I train.  Why do YOU train?

References:

  1. Martins, R., Verissimo, M., Coehlho e Silva, M., Cumming, S. & Teixeira, A. (2010)  Effects of aerobic and strength-based training on metabolic health indicators in older adults.  Lipids in Health and Disease. 9:76.  Accessed online on 28/08/2010 from: http://www.lipidworld.com/content/9/1/76
  2. Ansari, W., Ashker, S. & Moseley, L. (2010)  Associations between Physical Activity and Health Parameters in Adolescent Pupils in Egypt.  International Journal of Environmental Research and Public Health.  7: 1649-1669.  Accessed online on 28/08/2010 from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872361/?tool=pubmed
  3. Subin, Vaishali Rao, V. Prem & Sahoo (2010)  Effect of upper limb, lower limb and combined training on health-related quality of life in COPD.  Lung India. 27(1): 4-7.  Accessed online on 28/08/2010 from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878713/?tool=pubmed
  4. Bradley, R., Jeon, J., Liu, F. & Maratos-Flier, E. (2007)  Voluntary exercise improves sensitivity and adipose tissue inflammation in diet-induced obese mice. American Journal of Physiology – Endocrinology and Metabolism. (295) E586-E594
  5. Kirwan, J., Soloman, T., Wojta, D., Staten, M. & Holloszy, J. (2009)  Effects of 7 days of exercise training on insulin sensitivity and responsiveness in type 2 diabetes mellitus.  American Journal of Physiology – Endocrinology and Metabolism.  (297) E151-E156
  6. Babyak et al (2000)  Exercise Treatment for Major Depression: Maintenance of Therapeutic Benefit at 10 Months.  Psychosomatic Medicine. (62) 633-638

Gluten-free pizza…

August 27, 2010 Leave a comment
Meatza Party!

Image by joshbousel via Flickr

Hey Everyone,

I recently enjoyed a gluten free pizza from a popular repetitious pizza store and thought I’d talk about something that crossed my mind while eating it.

“Does gluten really add THAT much to pizza?”

Apparently, yes. Gluten is the part of the equation in making bread that causes it to rise. It rises into pretty, bubbly, airy pockets in a thick crust pizza. So yeah, texture matters.  But what about the flavour?  For some reason I can’t imagine gluten itself tastes like much of anything (aside from sadness). This causes me to wonder why my “healthy” gluten free pizza tasted unimpressive in comparison to pizzas I’ve had in the past.

Then I began to think about pizza in general, especially the crust. Why is the crust so crucial? I think it’s because it holds all the good stuff. It falls into the category with the rest of the starchy carbs (in my opinion) that are solely a vessel for the parts of the meal that actually make it taste good.  Add in the lack of flavour to the fact that gluten is known to destroy people’s digestive tracts and you’ve got a pretty heft RISK portion of the risk:benefit ratio.  So what do I propose to solve this problem?

MEATZA.  It’s like a pizza, except the crust is made out of…. you guessed it, meat.  Delicious, nutritious, hunger satiating meat.  Thank god (or who/whatever you believe in) that animals are made out of meat, because if they were made out of rice cakes…. well then I’d have to be a vegetarian.  And I’d probably cry a lot more.  Not that those two things are related at all.

Anyway, if it entices you, and you think you’ll enjoy it, AND you promise to eat a gigantic salad at some point too, then I say dig in and enjoy some meat flavoured meat.

Remember when exercise was called “playing”?

August 23, 2010 Leave a comment

Hello again everyone!

Today’s topic comes from an afternoon I spent with my pseudo-nephew and niece and their friends.  It was Mateo’s sixth birthday this past weekend and I can think of no better birthday to spend at a park where there were fountains, a water park, a small rock climbing wall, ladders, monkey bars, slides, tunnels and lots of room to roam and play.

Play is an interesting thing.  I had the chance to step back and think about it as I’m not a parent (and therefore not keeping an eagle eye on my kin) but unfortunately, also not a child, so bursting into an all out sprint while gleefully screaming and smiling isn’t exactly appropriate, at my age.  While observing, I couldn’t help but notice how nice it is to be around the calm joy of children at play.  When I turned to focus on the parents of the children attending the party, and even some of THEIR parents and friends I noticed a shared appreciation that you would probably recognize as the “ahh, I remember when I used to play and have fun like that”, and “isn’t it great, how much fun they’re having?”

What happened?  Why do WE stop playing and having fun?  When did that all out sprint to see who can get to the third tall tree (not the second one though, because I just changed the rules, seeing how you beat me to the second tree) turn into trudging for 30 minutes on the side of the road while listening to Meatloaf tell you about all the things he’d do for love?

There’s no way to tell the exact moment it happens.  I think it might be somewhere between when you wear tighty whitey underwear with the looney tunes on them versus the new “cool” Joe boxers with the ubiquitous yellow happy faces on them.  I think that might be when the transition starts at least.  I think it also starts when you find out you aren’t great at something too.  Being picked last because you didn’t know that you’re supposed to stand off to the side of the home plate in baseball as opposed to directly on top of it, isn’t a good feeling.  But it’s only after that barrier has been passed that it becomes a bad feeling.  This transition, where the fun of playing slowly melted away should not be welcomed as something that accompanies aging.  Remember when teams were made up on the fly?

“ok…. you guys are the cops and me, you and her are the robbers…. you have to give us 10 seconds to run away first and then we’re gonna go get…. the treasure…. this will be the treasure (grabbing random, previously meaningless item off the ground)… ok?… ok, this is the treasure… and we get to have it first and then we’ll hide it.. but first you have to give us 10 seconds… but don’t start counting until you can’t see us ok?… and then you have to catch us, errrr.. the treasure too… you have to find the treasure AND us… and then we’ll switch… ok-GO!”

Please tell me you remember that, or some variation thereof.  Right after that “GO!” the three of you took off like a bolt of lightning to hide something and then hide yourselves.  Then of course, the “cops” would count to seven or eight and take off the same way, while counting out the remaining seconds.

But it all changed.  Now, it’s “ok……..go” and you ‘take off’ by walking back to your desk, or work station and instead of firing up the sympathetic nervous system with a sprint, you fire it up with stress about how you need to get this work done.  And then the play DOES occur, the long, very confusing, on the fly play session, that seemed to be fabricated in no time out of thin air is now a list of phone calls, and rallying the troops to head over to the local community centre to play floor hockey, or to the gym for basketball, or the baseball diamond for some slo-pitch.

Few of us actually work as hard as we did back then when we play these days, but there ARE those moments of clarity where we realize how much we’re enjoying ourselves.  It could be a great run, a perfect lay-up, hitting a triple down the right field line, or threading the needle for the game winning goal.  Sometimes it’s while you’re sucking wind on the sidelines, cursing the double baconator you had earlier (more on this in a future post) but chomping at the bit to get back out there.  This “play” isn’t dead.  It will always be there.  I’ve heard about it time and again… “Hey doc…. yup… so I was at a family get together and all the kids were playing soccer…. they NEEDED another person to make the teams even… I’m pretty banged up and sore today.”  Of course you’re banged up and sore, but you had a blast, and maybe you’ll “even” out the teams next week, too.

treat the cause!

August 10, 2010 2 comments

As a chiropractor I proclaim to treat the cause of the problem versus the symptoms caused by it. Sometimes I feel we chiropractors come off the wrong way when we explain this model. To help explain it I’m going to try and to do so within the allopathic paradigm.

When a patient presents in an MD or DCs office after having contracted Lyme disease, after a bullseye rash (which doesn’t always show) they often present with all sorts of varying signs and symptoms. Anyone who has had lyme disease will attest that it may have been a long time before their true problem was discovered.

Without the bullseye rash or the other more obvious signs and symptoms lyme disease can be very difficult to figure out.  Many will take anti-inflammatories, pain killers, muscle relaxants and I’m sure many other medications on a trial basis to try and remedy the problem.  A chiropractor concentrating on reducing the patients symptoms may be adjusting frequently without the desired effect (less pain).  The problem with these approaches, is that they don’t address the real problem, but instead concentrate on individual parts of the big picture.  As a society we’ve become conditioned to see things broken down into as many parts as possible.  In many cases this is one of the best ways to explain something.  In health care, it isn’t usually such a great idea.

When the true problem is finally discovered, antibiotics are delivered to the patient and (hopefully) they are cured.  Barring any permanent damage to joints or other structures, the patient will recover and experience full health once again.

So when we look at the conclusion, what was it that happened?  The cause of the problem was dealt with. All the symptom management in the world wouldn’t help that patient.  It MAY help the problem progress slightly more comfortably though, which in itself is probably a very bad thing.  Be diligent, doctors, and look to treat the cause.

Consider your paradigm…

August 4, 2010 1 comment

Hi All,

I was taking a shower at the wonderful Microtel in Beautiful Waterloo, New York when I stepped out and saw a small advertisement on the bathroom door handle for the hotel.  It said something along the lines of “we’re ‘green’, just look at our colours!”  with a small yellow circle, a plus sign, a small blue circle, a small equals sign and then a green circle.

Being an alternative health care practitioner, I often find myself trying to come up with good analogies or examples of what it is I do, and why my approach to your health might seem weird.  When I saw this ad, a quick train of thought ran through my head.  Buckle your seatbelt and open your mind.

Blue plus Yellow equals Green right?  Well… maybe.  When we eventually make it into school for kindergarten or grade 1 (I don’t remember when I first learned it) we learn to paint.  We do finger paintings, conventional paintings, we have pencil crayons, proper crayons and the like.  We know when we paint the green grass that we ran on last weekend into a picture, we have to combine yellow and blue.  Yellow, blue and red are the “primary” colours in paint, and we are VERY comfortable and confident that when we combine yellow and blue, we will get green.

Fast forward 10 or 11 years to physics class in high school.  We learn about the spectrum of light.  You may recognize that white light will refract into a rainbow of colours due to your familiarity with Pink Floyds album cover for Dark side of the moon.  Well when we learn the “primary” colours of the spectrum of light, we find out they are red, blue, and GREEN!  What???!?  Impossible.  Green is half blue -half yellow, how the heck could they say it’s a primary colour!  Fools!

I’m fairly confident you didn’t react that aggressively, but that uncomfortable feeling you got is a PERFECT example of learning something that isn’t congruent with your current paradigm.  Green IS a primary colour when we are talking about the spectrum of light.  So even though it might feel odd, it’s still right.  It’s just a different way to look at things.  It’s a different paradigm (and maybe a subtle reason why physics isn’t overly popular in high school) which makes us uncomfortable.  What is important is to embrace that discomfort.  It’s only when we’re outside our comfort zone that we can grow.

So now let’s switch over to health care.  I can’t speak for everyone, or even for the many different forms of alternative health care.  What I can do, is offer a reason to why exercise is important, and should be fun, why chiropractic is more than “cracking” bones, and why eating well actually matters.  When you have a bacterial infection, you take antibiotics and you’re cured.  The medical doctor uses careful measurement and lab tests to determine which type of bacteria it is so that they can prescribe the appropriate and most effective antibiotic for you.  Thank goodness for medicine, in this setting.

Let’s look at another scenario.  You show up to your MD for your yearly check up and the doctor finds you are in the high end of normal for fasting blood glucose, total and LDL cholesterol, you’re overweight and you suffer from odd sleep patterns and digestive issues.  You don’t give it much thought as none of them are overly alarming and they’re “part of life”.  You mention that you “get through it” and that it must just be that you’re “getting older”.  What they might do, is offer a prescription statin for your cholesterol, a medication to help with your blood sugar, a sleeping pill for when you’re having trouble sleeping and a myriad of other medications/advice for your digestive problems.  Each problem is addressed, and supplied a “solution” for.  But what if all those problems stem from one common source?

Enter the alternative health care practitioner.  We don’t have a pill to give you or a surgery to suggest that will fix your problem.  However, if we work together with you, over time, you will experience greater health than you could ever imagine.  Your chiropractor will help you move within a full range of motion, without pain, and this effect on your movement neurology will aid in everything from digestion to headaches and those random aches and pains you have.  Taking nutritional advice will help you come back to balance and avoid foods that are insulting your body in the subtlest of ways (and sometimes in NOT so subtle ways).  Taking the time for physical activity regularly at a leisurely pace, and occasionally at a challenging pace will produce an adaptation in your body that will help you experience your goals in a more timely manner.  Over time, you notice that you don’t have that nagging knee pain, your headaches are gone, you’re looking better in the mirror and you are maybe even getting more compliments.  But none of it came quickly, and you have no idea exactly how it happened.  There was no quick, specific thing you added or took away to “fix” you.  Who knows if your knee no longer hurts due to better walking biomechanics from the exercises or chiropractic or if it was a lack of gluten wearing away at your cartilage.

When you accept that there is no quick fix, and that YOU are responsible for your everyday health, and that we (alternative health care practitioners) have devoted our lives to learning how to help you experience your greatest health, you may notice that at first this new approach is uncomfortable, but then after a while, you figure it out.  It isn’t the same as medicine, but it works too.  It isn’t wrong because it’s different, it’s different because it’s different.  So when you slip back into the one problem – one solution thinking, and you will, and you wonder, “wait!  what was it that made me feel so much better?  Was it the exercise?  The chiropractic?  The massage?  The nutrition?”,  just remember that it wasn’t any of those things…

it was you.