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  • Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr.  Tricia Pingel + BoneCoach™ – BoneCoach™

    Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr. Tricia Pingel + BoneCoach™ – BoneCoach™

    Are you one of the 80% of adults suffer from adrenal fatigue?

    Worried about how stress can silently sabotage your bones and contribute to osteoporosis?

    Ready to discover one groundbreaking, cost-free strategy that would revolutionize your bone health?

    Then you shouldn’t miss this episode!

    Come with me as I sit down Dr. Tricia Pingel, a licensed naturopathic doctor known as the Adrenal Whisperer. Delve deep into the mysteries of adrenal gland healthdiscover the surprising ties with stress and osteoporosisand find out how restore your bone strength and revive your vitality.

    Episode timeline

    0:00 – Episode begins

    1:37 – Introduction to Dr. Tricia Pingel

    3:08 – Dr. Pingel’s journey to tackling adrenal fatigue and stress

    5:06 – Identifying adrenal gland problems in men and women aged 50-70+ with osteopenia and osteoporosis

    6:40 – Recommended tests for suspected adrenal gland problems

    8:15 – The link between stress, adrenal glands and bone health

    11:39 – Everyday stressors that affect health

    15:14 – Actionable steps for self-assessment and improvement

    17:54 – The profound impact of intentional breathing on reducing stress, improving bone health and promoting overall well-being

    20:15 – Connection between thyroid and bone health

    24:02 – Dancing for healthier bones and better mental health

    30:05 – Simple ways to return to the present moment

    34:30 – Where to meet Dr. Pingel and how she can help you on your journey to better bone health

    Sources mentioned

    **Show notes @ https://bonecoach.com/drpingel-adrenal-fatigue-bone-health-connection

    Below you will find resources from Dr. Tricia Pingel!

    >> Read more about Dr. here. Tricia on her website!

    >> Connect with Dr. Tricia on Facebook

    >> Follow Dr. Tricia on Instagram

    >> Follow Dr. Tricia on TikTok

    >> Connect with Dr. Tricia on LinkedIn

    What can you do to support your bone health and this podcast?

    1. Press the “Subscribe” button on your respective podcast player (i.e. Apple, Google, Spotify, Stitcher, iHeart Radio and TuneIn). Never miss an episode that can help improve your bone health.

    2. Leave a review. The more positive ratings and reviews and the more subscribers we have, the more people can find us and get the answers to the questions they need. Thank you! 🙂

    3. Tell a friend about The Bone Coach Podcast or share via text, email or social. Do you know of a Facebook group where people can benefit from this information? Feel free to hit any of the share buttons below.

    About Dr. Tricia Pingel:

    Dr. Pingel, a certified naturopathic doctor, is known as the Adrenal Whisperer. She has dedicated almost 15 years of her career as an adrenal gland and stress expert.

    She helps Rockstar women look and feel great by restoring their adrenal glands without the use of drugs. Her specialty is identifying the cause of health problems and restoring health and youthful energy.

    Since learning that she was one of the 80% of adults suffering from adrenal fatigue, Dr. Pingel passionately taught about the impact that stress has on the adrenal glands. She has helped thousands of people restore their adrenal glands, resulting in the reversal of many other health symptoms, including perimenopause. Her greatest joy is guiding people to return to their happy, vibrant and energetic selves.

    Dr. Pingel has appeared in nearly a dozen television shows, including: The Dr. Ax Show, Ask the Expert with JJ Virgin, Good Morning Arizona, The Arizona Daily Mix with Brad Perry and many others.

    She has contributed to many publications, most notably: Mind Body Green, Prevention Magazine, Yoga Journal, Eat This Not That, MSN.com, Vitamin Shoppe, Health Central, Birdie and Livestrong.

    Dr. Pingel, affectionately known as The Hip Hop Adrenal Doc, can often be found on social media cheering on her two boys at soccer, making healthy vegan recipes in her kitchen, and cuddling her three dogs and cats at home with her husband. Phoenix, Ariz.

    Medical disclaimer

    The information shared above is for informational purposes only and is not intended as medical or nutritional therapy advice; it does not diagnose, treat or cure any disease or condition; it should not be used as a substitute or substitute for medical advice from physicians and trained medical professionals. If you are under the care of a healthcare professional or are currently taking prescription medications, you should discuss any changes in your diet and lifestyle or possible use of nutritional supplements with your doctor. You should not stop prescribed medications without first consulting your doctor.



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  • What you need to know so they don’t hold you back – ACL Strong

    What you need to know so they don’t hold you back – ACL Strong

    Do you know how many people walk around with a torn meniscus without knowing they have a tear?

    💥About 5% of young people and up to 67% of older people have asymptomatic (non-painful) meniscus tears! 💥

    How is that possible?

    Depending on the type of injury and how it is treated, the symptoms of a meniscus tear may resolve within days to weeks or months; and you may not even know the tear exists!

    The initial injury may not even have been severe enough to warrant a visit to an orthopedist or ordering an X-ray or MRI, especially if the knee only hurt for a few days before the pain went away.

    Here’s what you need to know about meniscus injuries so they don’t hinder your favorite activities…

    Where is the meniscus?

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    The meniscus is a “C”-shaped disk made of cartilage that is located in the knee, between the shin bone and the femur. It sits on the weight-bearing surface of the tibia, or tibia, in the joint capsule.

    There are two menisci, one on the lateral (outside) of the knee and one on the medial (inside). A healthy meniscus provides space, cushion and lubrication to the joint so that the knee can bend, straighten and bear weight comfortably.

    The meniscus is located deep in the knee, along with the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Due to their deep location, the menisci do not have a very good blood supply, so certain areas are not likely to heal from an injury.

    💥 🤯 However, the fact that the meniscus does not heal properly on its own does not mean that a tear always needs to be repaired!

    What does the meniscus do and why is it so important?

    Shock absorption: The meniscus acts as a shock absorber for shocks that occur during daily activities, such as walking, running, jumping and sports. As we move, force travels through the foot and through the shin bone to the knee, where the meniscus absorbs and disperses that force through the knee, so the impact is spread out and not concentrated in one area.

    Stability: The meniscus also acts as a wedge that supports the front and back of your knee, keeping the knee from going beyond a certain range of motion, such as hyperextension, which puts you at risk for other injuries.

    How does the meniscus become injured?

    The meniscus is most commonly injured during twisting of the knee when the foot is planted on the ground. Rotational stress or “shearing” can cause the femur and tibia to rotate beyond what the meniscus can handle, resulting in a tear in the cartilage.

    Meniscal tears are common in athletes who exert a large amount of force on one leg and twist their body in a different direction, such as football 🏈, soccer ⚽️, lacrosse 🥍, tennis 🎾, or basketball 🏀. Field and field athletes often put their feet down to stop and change direction; and in a split second the knee rotates with enough force to cause a meniscus tear.

    Snow sports, such as skiing ⛷ and snowboarding 🏂, also carry a high risk of meniscus injuries. The edge of a ski or board can unexpectedly hit the snow, causing a sudden rotation of the leg. The long lever arm can quickly generate a high-speed rotational force, strong enough to cause meniscus injury.

    Meniscal tears occur in people of all ages, including athletes and non-athletes. In middle-aged and older adults, meniscus tears can occur due to wear and tear on the knee joint. As the body ages, degeneration of the cartilage tissue occurs as the joints are exposed to force for years.

    Osteoarthritis, a condition in which cartilage wears away over time, is common in older adults and is often accompanied by a torn meniscus. A meniscus tear earlier in life can also make the knee more susceptible to earlier-onset osteoarthritis. That’s why it’s so important to learn the right moves and exercises to protect your knees!

    I have a meniscus tear. What now?

    image

    Depending on the type of meniscus tear, you may experience symptoms such as pain, swelling, locking, or locking of the knee. Although a meniscal injury cannot be detected on X-rays, it can be diagnosed through a careful examination or an MRI.

    Most meniscal tears are initially treated conservatively (without surgery); although an orthopedic doctor may recommend surgery if symptoms persist and daily activities are limited.

    Meniscectomy: The most common surgery for a meniscus tear is called a menisectomy, in which the surgeon removes the torn piece of cartilage and cleans up the surrounding ragged tissue. Although it is a surgical procedure, recovery after a meniscectomy is relatively short. Most people can resume daily activities within a few weeks and exercise within a few months.

    It is important to add that everyone responds to surgery differently; and a ‘minor’ surgery for one person may be a more stressful experience and longer rehabilitation for someone else.

    Meniscus repair: An alternative surgery is a meniscus repair, which is performed when the orthopedic surgeon believes the torn cartilage structure can be sewn together, saving cartilage to prevent osteoarthritis in the future. This procedure is typically performed more in younger people to preserve the cartilage rather than remove it. Recovery from a meniscus repair takes longer than a menisectomy and involves close monitoring of range of motion, weight bearing, and activity progression during rehabilitation.

    Non-surgical treatment A meniscus tear is very common and results in great results in most cases! A diagnosis of a meniscus tear does NOT mean that surgery is always necessary!

    Although a meniscus tear will not heal itself, you can strengthen the knee and improve movement patterns to disperse forces and reduce stress at the site of the tear, which will help resolve symptoms.

    💪 With the right exercises and learning to move properly, most meniscus tears can be treated conservatively WITHOUT surgical intervention.

    💥It’s important to remember that you are not your MRI result; and a meniscus tear should not determine the rest of your life.

    How can you treat a meniscus injury without surgery?

    A meniscus injury must be properly guided through the healing phases. Pain and inflammation are likely to be early symptoms, while stiffness and weakness may be the main complaints after a few weeks. Dealing with injuries with “PEACE & LOVE” is a good reference for dealing with acute injuries.

    To return to normal activities, follow the guidance of your physical therapist, who will develop a care plan for strengthening, balance training, improving mobility, and returning to exercise.

    👉Doing the right exercises with good form and consistency will significantly increase your ability to recover from a meniscus tear and prevent future injuries.

    If you’re ready to start strengthening at home, ACL Strong has courses that include all the necessary components of exercise and movement to train your body and brain to protect your knees now and for the long term.

    Whether you have a torn meniscus or not, doing the right exercises the right way will keep your knees strong and stable, so you’ll be less prone to further injury and better equipped to maintain an active lifestyle for as long as you want. to lead!

    You can LIVE with a torn meniscus….

    And you can also PREVENT them!



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  • Inflammation in rheumatoid arthritis: unraveling the mechanisms

    Inflammation in rheumatoid arthritis: unraveling the mechanisms

    Rheumatoid arthritis (RA) is a chronic autoimmune disease that affects millions of people worldwide. It is characterized by joint inflammation, pain and stiffness, which can significantly affect a person’s quality of life. Understanding the mechanisms behind inflammation in rheumatoid arthritis is crucial for developing effective treatments and improving patient outcomes.

    Introduction

    Rheumatoid arthritis is a chronic inflammatory disease that mainly affects the joints. It is an autoimmune disease in which the body’s immune system mistakenly attacks its own tissues, leading to inflammation and damage. This chronic inflammation can lead to joint deformity, loss of function and disability if left untreated. Therefore, gaining insight into the mechanisms that drive inflammation in rheumatoid arthritis is crucial.

    What is inflammation?

    Inflammation is a natural process that occurs when the body’s immune system responds to injury or infection. It involves the release of various chemical signals and the activation of immune cells to protect the body and promote healing. While acute inflammation is a temporary response to a specific trigger, chronic inflammation, as seen in rheumatoid arthritis, persists for an extended period of time. It is this inflammation that causes the symptoms seen in RA.

    Inflammation in rheumatoid arthritis

    Rheumatoid arthritis is characterized by persistent inflammation in the synovial joints, mainly affecting the hands, feet and wrists. The synovium, a thin membrane that lines the joints, becomes inflamed, leading to pain, swelling and stiffness. If left untreated, this inflammation can gradually damage the joints, cartilage and surrounding tissues.

    Inflammatory mechanisms in rheumatoid arthritis

    The inflammatory process in rheumatoid arthritis involves a complex interplay of immune cells, cytokines and genetic factors. Initially, immune cells such as macrophages and dendritic cells are activated, causing an immune response. These cells produce pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-alpha), interleukin-1 (IL-1), and interleukin-6 (IL-6), which play an important role in promoting inflammation and joint destruction . .

    The role of the immune system

    In rheumatoid arthritis, the immune system plays a crucial role in causing inflammation. T cells and B cells, two types of lymphocytes, are mainly involved in the inflammatory process. T cells recognize specific antigens and release cytokines that further activate immune cells and enhance the inflammatory response. B cells produce autoantibodies that target the body’s own tissues, contributing to tissue damage and inflammation.

    Inflammatory mediators

    Several inflammatory mediators contribute to the persistent inflammation that occurs in rheumatoid arthritis. Prostaglandins, leukotrienes and cytokines are among the key players in the inflammatory cascade. Prostaglandins and leukotrienes are lipid mediators that promote vasodilation, increase vascular permeability, and recruit immune cells to the site of inflammation. Cytokines, such as TNF-alpha, IL-1 and IL-6, enhance the immune response and support the inflammatory process.

    Inflammation and joint damage

    The chronic inflammation in rheumatoid arthritis can lead to irreversible joint damage. The continued presence of inflammatory mediators and immune cells promotes the destruction of cartilage and bone. Over time, this can result in joint deformities, loss of mobility and functional limitations. Early intervention to control inflammation is crucial in preventing or minimizing joint damage.

    Inflammation and systemic effects

    Inflammation in rheumatoid arthritis not only affects the joints, but can also have systemic consequences. Chronic inflammation increases the risk of developing cardiovascular diseases, such as heart attack and stroke. Additionally, it can lead to osteoporosis, a condition characterized by weakened bones, making people more susceptible to fractures. Controlling inflammation in rheumatoid arthritis is therefore essential for overall health and well-being.

    Current treatment methods

    Treatment for rheumatoid arthritis aims to reduce inflammation, relieve symptoms and prevent joint damage. Conventional medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), and corticosteroids, are often prescribed to control inflammation and manage pain. Biological therapies, such as TNF inhibitors and interleukin blockers, target specific inflammatory pathways and have revolutionized the treatment of rheumatoid arthritis.

    Possible future directions

    Research into inflammation in rheumatoid arthritis is constantly evolving, leading to the development of new treatment methods. Emerging therapies, including Janus kinase (JAK) inhibitors and small molecule inhibitors, show promise in targeting specific molecules involved in the inflammatory process. Personalized medicine, based on an individual’s genetic profile, is also an area of ​​active research, aimed at optimizing treatment outcomes and minimizing side effects.

    Lifestyle and diet adjustments

    In addition to medical interventions, lifestyle changes can play an important role in controlling inflammation in rheumatoid arthritis. Regular physical activity, tailored to individual capabilities, helps reduce joint stiffness and maintain joint flexibility. Following an anti-inflammatory diet rich in fruits, vegetables, whole grains and omega-3 fatty acids can provide essential nutrients and possibly ease symptoms.

    Conclusion

    Inflammation is a major cause of rheumatoid arthritis and contributes to joint damage and systemic effects. Understanding the complicated mechanisms involved in inflammation can help develop targeted therapies and improve the lives of people with rheumatoid arthritis. By controlling inflammation, maintaining joint function, and taking a comprehensive approach that includes lifestyle changes, people with rheumatoid arthritis can live fulfilling lives with a reduced burden of disease.

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  • Stories of hope and inspiration – Bone Talk

    Stories of hope and inspiration – Bone Talk

    shutterstock 1005777274

    The Bone Health & Osteoporosis Foundation (BHOF) is currently collecting written stories as part of a support initiative called Voices of Osteoporosis: Stories of Hope and Inspiration.

    If you have experienced osteoporosis as a patient or caregiver, we invite you to share your story. Your story can inspire others to learn how to protect their ability to live their best life and stay strong.

    If you are interested in participating in this initiative, please contact us click here to complete a short interest form online. A BHOF representative will then contact you to answer any questions you may have and coordinate the time frame for your submission.

    Below are some important details about participating in this initiative:

    • Examples – click here for a few sample stories that others have shared before: if you scroll down the page, you’ll see some listed and you can click on each story to expand it.

    • Length – We request that all stories be submitted in a Word document; stories must be written in the first person and are typically about 800 words long.

    • To process – BHOF only very minimally, if at all, edits each person’s story because we want it to come directly from each person as his or her own lived experience.

    • Title – Add an inspiring title to your story.

    • Photos – We request that you submit 2-3 photos of yourself along with your story. At least one of the photos must be horizontal, as it will be placed as the main image at the top of your story web page. The ideal size for the horizontal image is 1400×600.

    • Release form – Once you complete the online interest form, a BHOF representative will contact you to answer any questions you may have and coordinate the time frame for your submission. At that time they will also ask you that sign this release form and send it back before sharing your story.

    • Process & BHOF Contact – You can forward all articles to your BHOF contact person by e-mail. They will also help you with any questions you may have throughout the process.

    • Share your story – Your story may be shared through a variety of channels including the Bone Talk blog, the BHOF website, email communications and social media.

    Do you have questions? Your BHOF contact will be happy to help you every step of the way!

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  • Running and physiotherapy;  Why runners should seek the expertise of a PT

    Running and physiotherapy; Why runners should seek the expertise of a PT

    by Danielle Dupont, PT, DPT, RRS, NASM-CNC – North Central Phoenix

    Whether you’re a seasoned marathon runner or just starting your fitness journey, running and physical therapy can play a crucial role in optimizing your performance. PT can also help prevent injuries and promote overall well-being.

    Marathon runners at the starting line.

    Top 10 Reasons Why Runners Should Seek a Physical Therapist:

    1. Injury prevention: Physical therapists can assess your running biomechanics and identify potential problems that could lead to injuries. They can provide personalized advice and exercises to address weaknesses, imbalances or poor running form. Reducing the risk of injuries such as shin splints, stress fractures or runner’s knee.
    1. Rehabilitation: If you have already suffered a running injury, physical therapists can tailor a rehabilitation program to help you recover safely and quickly. They use evidence-based techniques to restore strength, flexibility and range of motion. This allows you to start running again with less risk of new injuries.
    1. Performance improvement: Physical therapists can work with you to improve your running efficiency and technique. They can identify areas where you can improve your stride, posture and gait so you can run faster and with less effort. This can be especially valuable for competitive runners who want to achieve personal bests.
    1. Custom training plans: Physiotherapists can develop personalized training plans that take into account your individual strengths and weaknesses. This can help you avoid overtraining and make safe progress toward your running goals.
    1. Pain Management: If you experience persistent pain during or after running, a physical therapist can provide pain relief strategies such as manual therapy, modalities such as ultrasound or electrical stimulation, and education on self-care techniques.
    1. Biomechanical analysis: A physical therapist can perform a comprehensive assessment of your walking biomechanics. This may include analyzing your footstep pattern, joint movements and muscle activation to recommend appropriate footwear, orthotics or exercises to optimize your walking mechanics.
    1. Postoperative rehabilitation: If you have had surgery for a running injury, physical therapists can guide you through postoperative rehabilitation to ensure a successful recovery and a gradual return to running.
    1. Education and guidance: Physical therapists can educate you on proper warm-up and cool-down techniques, stretching exercises, and injury prevention strategies. They can also give you advice on how to adjust your running program as you get older or encounter new challenges.
    1. Motivation and support: Building a strong relationship with a physical therapist can provide the motivation needed to continue your rehabilitation. They can encourage and support you as you work toward your running goals.
    1. Whole body health: Physiotherapists take a holistic approach to health, taking into account the impact of various factors on your running performance. Including nutrition, sleep and stress management. They can guide you in optimizing these aspects of your life to support your running efforts.

    Physiotherapists are movement experts who improve the quality of life through practice-oriented care, patient education and prescribed movement. Seeking the expertise of a physical therapist can be extremely helpful for runners of all levels. Whether you want to prevent injuries, improve performance, or recover from an injury, a physical therapist can provide personalized care and guidance to help you achieve your running goals safely and effectively.

    Find a location near you for a free port analysis and tips to start your pain-free running journey.

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  • Training your bones – Bone Talk

    Training your bones – Bone Talk

    shutterstock 289401098

    Train your bones
    By Rebekah Rotstein, NCPT

    You have been diagnosed with osteoporosis or osteopenia and told that exercise can help. But what kind of exercise should you do? How do you know you won’t hurt yourself? What if you’ve never exercised before – how do you even get started? Or if you’re already an exercise enthusiast, what else can you do that you may have overlooked before?

    Let’s start by identifying how exercise can benefit your bones. Your bones are living tissue that change thickness, mass and shape with use, just like your muscles. If you wanted to strengthen your muscles, you would use them by pulling objects (like lifting weights) and pushing things (like push-ups). You can strengthen your bones in much the same way.

    Your bones adapt and respond to loads by strengthening and strengthening themselves to be able to bear that same load again in the future. When you resist external forces like gravity or weights, your bones reap the reward. On the other hand, not using your bones results in a weakening of their structure and composition. Ever seen the wrist of someone whose cast has just been removed? The wrist size has generally become smaller compared to the other wrist due to its immobility and lack of use. Similarly, NASA research has shown how the absence of gravity in space, which also limits the ability of muscles to pull on bones, causes reductions in bone mass.

    To know which type of exercise to engage in, you need to understand that bone is built from three sources when it comes to activity:

    1–Weight load

    Every time you stand upright, you are working against gravity and supporting the weight of your body. When you crawl or exercise on the floor and support your body with your hands and wrists, you similarly support your weight through your forearm bones.

    2–Resistance

    Your muscles facilitate movement against additional forces such as weights, bands or pulleys when you exercise. They also contract during daily activities such as carrying objects and moving furniture.

    3–Effect

    Your bones respond to compressive forces and receive further stimuli to become stronger when a greater force is added that increases the gravitational effect. You’re probably familiar with the term “high impact,” which refers to activities like running and jumping that some people find uncomfortable on their joints as they get older. High impact may not be recommended if you have osteoporosis, and especially if you have had a fracture, but it is important for building maximum bone mass in younger individuals. Low impact can be achieved by repeatedly stomping your feet or dropping your heels.

    Knowing which exercises to perform – and even which type of exercise (strength training, Pilates, yoga, HIIT, aerobics, to name a few examples) – depends on your physical capacity, history of physical activity and history of fractures . (If you have had a fracture, you should get permission from your doctor to begin an exercise program.)

    To actually increase bone density through exercise after menopause, you probably need high-intensity exercise (lifting heavy weights with a load of at least 80% of the maximum you can lift in a single repetition, along with a high impact). That assumes you don’t have any comorbidities (other conditions) or safety concerns that could make it contraindicated, and you have access to a gym and a trainer to supervise you.

    You can also aim to maintain the bone density you have, train for strength and power, and absorb impact at lower loads. No matter what, to avoid injuries, maintain good form by mastering basic movements and training for mobility to achieve the necessary range of motion in your joints.

    So when the question arises as to what is the one form of exercise you should be doing for osteoporosis, there is not ONE! The three bone-strengthening elements mentioned above are essential in addition to mobility training, but as the 2014 consensus document ‘Too Fit to Fracture’ pointed out, the best strategy is a multimodal approach that also combines balance and posture training (which we will discuss in this article). a future part of this series.)

    A few important things to keep in mind as you begin your training journey:

    • Be consistent. As with any activity or skill, consistency is key to experiencing results and promoting motivation

    • Keep challenging yourself. Your bones and muscles are both adaptive organs. So to continue to reap the benefits of exercise, you need to continually and gradually make things harder so you don’t plateau.

    • Make it fun. If you find it annoying, you’re more likely to procrastinate and avoid it! The best exercise is the one you are going to do.

    Sometimes getting started is the biggest hurdle you have to overcome. Know that exercise affects more than just your bones and muscles, joints and soft tissues. It is multisystemic and can improve other systems of your body, such as your digestion, your circulation and your cognition. Furthermore, the more physically active you become, the stronger you feel. One of the often overlooked aspects of osteoporosis is the emotional difficulty that patients experience, regardless of whether they have suffered a fracture. Taking charge of your health through exercise can be one of the best actions you can take to transform yourself from a sense of fear and vulnerability to a sense of confidence and capability.

    Stay tuned for the next part of this series demonstrating specific posture training exercises that you can incorporate into your daily life. The smallest change in body position can make a big difference in the experience and effects of your exercise program.

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  • What to do if you have an ACL setback

    What to do if you have an ACL setback

    A few weeks ago I worked virtually with a client who was 10 weeks post-surgery. We had started working together around week 3 and so far he had absolutely dominated the recovery process.

    In addition to his physical therapy appointments, he would meet with me virtually once a week to determine the best plan of attack for his workouts with the Neubie… and then he would get after it. By incorporating our recommended workouts with the Neubie 3x per day into his routine, he regained full strength and range of motion before 8 weeks post-surgery.

    But around week 10, they started increasing the load at his physical therapy appointments. In particular, they started trying to increase the weight of his exercise on the knee extension machine, which led to a bit of pain in the front of the knee. Each day he returned to do the knee extensions, the pain in the front of his knee increased.

    As I mentioned earlier, this client met with me once a week, and by the time we met again, he had reached a point where the pain continued even in his daily activities. He no longer had the ability to fully extend the knee without pain.

    Despite doing everything right and botching the first eight weeks of the recovery process, he experienced a setback in week 10.

    Setbacks can be difficult, but with the right strategies you can overcome them quickly and emerge stronger.



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  • OrthoPediatrics Corp.  launches platform for pediatric nailing |  Shin

    OrthoPediatrics Corp. launches platform for pediatric nailing | Shin

    WARSAW, Ind., October 19, 2023 (GLOBE NEWSWIRE) — Orthopediatrics Corp. (“OrthoPediatrics”) (NASDAQ: KIDS), a company focused solely on advancing the field of pediatric orthopedics, today announced that it has released the new Pediatric Nailing Platform TIBIA System and has successfully completed the first cases of the limited launch has completed. The company received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for the system in September 2023.

    PNP Tibia is part of the Trauma & Deformity Correction product range and represents another pediatric-focused solution for the treatment of patients with lower extremity fractures and deformities. It expands the company’s offering to 52 unique systems specifically designed to help address the needs of pediatric patients. The PNP tibial system features rigid cannulated nails ranging in diameter from 7 mm to 12 mm and includes specialized instrumentation to facilitate multiple surgical techniques. Like other OrthoPediatrics products, this system is designed for the anatomy of children and growing patients.

    The versatility and scope of the PNP Tibia System were on full display in these two surgical cases. One case was a trauma procedure for a 6-foot teenager requiring a large nail (12mm x 420mm), while the other was a deformity correction procedure for a 15-year-old of smaller stature requiring a 7mm x 285mm was used. These two cases reflect that OP has the broadest scope of pediatric-focused cannulated nails in the industry, allowing surgeons to treat children of all sizes and needs.

    Joe Hauser, president of OrthoPediatrics Trauma & Deformity Correction, said: “It is extremely gratifying to see the system perform successfully in two unique and challenging cases. It shows that the surgeon’s expert design team together with the OP engineers have achieved a goal in designing a system that will help many children for years to come.”

    About OrthoPediatrics Corp.
    Founded in 2006, OrthoPediatrics is an orthopedic company focused exclusively on advancing the field of pediatric orthopedics. As such, it has developed the most comprehensive product offering for the pediatric orthopedic market to improve the lives of children with orthopedic conditions. OrthoPediatrics currently markets 52 systems serving three of the largest categories within the pediatric orthopedic market. This product offering includes trauma and deformity, scoliosis and sports medicine/other procedures. OrthoPediatrics’ global sales organization focuses exclusively on pediatric orthopedics and distributes its products in the United States and more than 70 countries outside the United States. For more information, please visit www.orthopediatrics.com.

    Contact person for investors
    Philip Trip Taylor
    Gilmartin Group
    philip@gilmartinir.com
    415-937-5406

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  • 4 women get real about living with rheumatoid arthritis

    4 women get real about living with rheumatoid arthritis

    pexels pixabay 53364

    Your immune system is supposed to protect your body, but when you have rheumatoid arthritis (RA), it accidentally attacks healthy joints, tissues, and organs, including the eyes and lungs. As a result, the chronic autoimmune disease causes pain, swelling, stiffness and loss of function in the joints. It can also cause other symptoms, including fatigue, loss of appetite and dry eyes.

    RA affects 1.5 million Americans and there is no cure. But it can be managed with medications and lifestyle changes.

    Women’s health

    Women’s Health magazine featured four women – including Mariah Leach, founder of Mamas Facing Forward – discussing the diagnosis of rheumatoid arthritis, how they cope and what they’ve learned from living with RA.

    4 women get real about living with rheumatoid arthritis

    Women’s health

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  • You can easily retrain your taste buds to enjoy bone-healthy foods – here’s how

    You can easily retrain your taste buds to enjoy bone-healthy foods – here’s how

    A healthy diet is essential for building strong bones and a long, independent life. However, many people are hesitant to change their eating habits. Taste is often the main reason.

    Fortunately, research has shown that it is possible to retrain our taste buds. By reshaping our response to certain tastes, we can turn healthy foods we don’t like into delicious, delectable treats.

    Today you will discover the science behind taste and how you can apply that knowledge to retrain your taste buds. Once you discover the deliciousness of healthier foods, meeting your nutrition goals will become much easier.

    The physical effect of taste

    Taste is a multifaceted sensation, where information is obtained from different sources.

    On the tongue, receptors convert chemical compounds in food into neural signals. These receptors are your taste buds. When certain compounds come into contact with your taste buds, they identify the compounds as sweet, salty, bitter, sour, or savory.

    About half of your taste buds can detect all five taste types to varying degrees, and the other half specializes in detecting the intensity of only one of the five.

    Our genetic makeup determines which compounds our taste buds can detect. Scientists have observed how differences in certain genes determine people’s food preferences.1

    However, taste buds are not the only source of flavor. Olfactory nerves also transmit information that indicates what food tastes like. That’s why losing your sense of smell can drastically change the way you taste food.

    In addition, other forms of sensory information about how something tastes are taken into account, such as temperature, texture and whether a food is spicy. Our brain combines all this sensory information to generate the taste sensation.

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    Our taste buds sense chemical compounds in food and send signals to our brain about whether that food is sweet, salty, bitter, sour, or savory. Our olfactory nerves provide information about smell that is included in our perception of taste. In addition, physical sensations such as temperature, texture and spice level influence our sense of taste.

    Experience also shapes taste

    Exposure and habit also influence our sense of taste. For example, babies prefer foods that their mothers consume during pregnancy. Exposure to those foods in the womb helped them develop a taste for them before they were born. This indicates a relationship between what we eat and how we experience taste.

    Eating foods high in sugar can reduce our ability to taste sweetness. Our taste buds adapt based on exposure levels. When they experience high levels of sweetness, they respond by lowering their signal levels. Research has even shown that the number of sweetness-sensitive cells can decrease in response to overstimulation.2

    The same goes for salty foods. A high-salt diet causes your taste buds to underestimate the saltiness of food. To achieve the experience of saltiness, even more salt is needed.

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    Babies show a preference for foods their mothers ate during pregnancy, showing that experience determines taste. If you often eat foods high in sugar or salt, your taste buds begin to under-report the sweetness and saltiness of your food. Then you have to add more sugar or salt to get the same level of flavor.

    Manufactured foods have distorted our sense of taste

    Processed foods are notorious for containing excessive amounts of sugar and salt. Because eating too many of those flavors numbs their receptors, processed and manufactured foods reduce our ability to taste salty and sweet.

    To accommodate this reduced sensitivity, manufacturers of these processed foods therefore increase the sugar and salt content. This creates a terrible feedback loop that makes processed foods even unhealthier.

    While manufactured foods become less and less healthy, pure, unprocessed foods remain the same.

    This means that even a delicious fruit or vegetable can taste bland if your taste buds are dulled by excessive sugar and salt intake. Natural foods no longer register as tasty because of the way a diet of processed and manufactured foods has changed your taste buds.

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    Processed foods are notoriously high in sugar and salt. Consuming overly salty and sugary foods numbs your taste receptors. Then even more salt and sugar are needed to achieve the same taste level. That means a great-tasting piece of produce might not taste good to someone whose taste buds have been altered by eating foods high in sugar and salt.

    We can retrain our taste buds

    Research presented by the European Society of Cardiology revealed that participants with hypertension were able to adjust their taste perception to increase their appreciation of a low-sodium diet.

    Over the course of the 16-week program, participants reduced their salt intake by 30% and increased their enjoyment of a low-salt diet from a rating of 4.8 to a rating of 6.5 on a 10-point scale.3

    A study published in the journal Current Biology found that rats given access to water sweetened with 30% liquid sucrose for four weeks experienced a reduced response to sweetness and even a reduced number of taste buds. However, they also found that when they removed the sucrose fluid from the rats’ water, the effects reversed over the course of just four weeks.4

    These studies, involving both humans and animals, show that within weeks you can recalibrate your taste buds to enjoy the authentic taste of whole foods. Try these four strategies to reset your taste buds:

    1. Avoid processed and manufactured foods. – Processed foods are packed with salt, sugar and artificial ingredients. This includes TV dinners, microwaved meals and ready-made meals. Preparing meals from scratch with whole ingredients gives you control over sugar and salt content.
    2. Choose less sweet and less salty ingredients for your recipes and meals. – For example, instead of a bar, take a square of dark chocolate; use unsweetened creamer in your coffee; and swap the white sugar in a recipe for the recommended amount of a plant-based sugar-free sweetener such as stevia or monk fruit.
    3. Eat more produce. – Increase the amount of fresh produce in your diet. Add fresh vegetables to your meals, add spinach to your morning smoothie, or eat a piece of fruit and a handful of almonds instead of a snack bar.
    4. Consume more fiber. – Choose fiber-rich foods, including leafy greens, whole grains and legumes. The extra fiber ensures that you feel full for longer and reduces the need for unhealthy snacks.

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    Research has shown that eating foods that are too salty or high in sugar can damage our sense of taste. However, research has also shown that by eliminating excess salt or sugar from your diet, you can restore your natural response to those flavors. By adjusting your diet to reduce salt and sugar intake, you can increase your ability to detect these flavors in food, helping you enjoy a healthier diet.

    An alkaline diet of whole foods nourishes your bones

    Reducing sugar consumption is beneficial for bone health. Consistently high sugar levels disrupt the bone remodeling cycle and prevent healthy bone development.

    Additionally, you’ll provide your body with essential nutrients to build strong bones by eating a diet rich in whole fruits and vegetables. That change also supports the 80/20 pH balanced diet, because fruits and vegetables are alkalizing.

    However, this doesn’t mean you can’t enjoy the other foods you love. This diet is not about denial. In fact, the 80/20 pH-balanced diet actually requires that 20 percent of each meal consist of acidifying foods. This can include acidifying plant foods, such as most beans, as well as animal products that contain protein and bone-building minerals, such as eggs, fish and organ meats.

    Because reducing salt and sugar intake increases your sensitivity to those flavors, you may develop a taste for healthy foods, making them more flavorful. When your bone-building diet is delicious, it becomes irresistible.

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    Reducing sugar intake supports bone health. A diet rich in fruits and vegetables reduces added sugars and salt, while adding bone-building nutrients and helping to achieve the 80/20 balance between alkalizing and acidifying foods. The 20 percent of each meal that sours can be plant foods or animal products.

    What this means for you

    You have the power to shape your own taste preferences. With a little intentional effort, you can unlock a new world of sweetness and flavor hidden in the whole, natural, mostly alkalizing foods in your grocery store’s produce aisle.

    The Save Institute developed Bone Appétite to help you turn these healthy ingredients into great meals. With the right preparation, you can turn a vegetable you fancy into a dish you look forward to. By turning healthy eating into delicious dining, Bone Appétite makes building stronger bones irresistible.

    Take back control of your taste buds. Instead of letting the food processing industry dictate your taste, build your palate to appreciate the depth and breadth of flavor of natural, whole foods.

    References

    1 https://www.sciencedirect.com/science/article/abs/pii/S2214799321001077?via%3Dihub

    2 https://www.cell.com/trends/endocrinology-metabolism/fulltext/S1043-2760(20)30235-6?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1043276020302356%3Fshowall% 3Dtrue#%20

    3 https://www.sciencedaily.com/releases/2022/05/220523150647.htm

    4 https://www.cell.com/current-biology/fulltext/S0960-9822(22)01212-X?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS096098222201212X%3Fshowall%3Dtrue



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