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Stress & Anxiety

The Stress of Life

“The Stress of Life” is a perennial bestseller by Hans Selye, written in 1956. Selye almost single-handedly introduced the notion of stress into the worldwide consciousness. By doing so, Selye changed the way we think about ourselves, our values, and how we conduct our lives.

As Selye observed, stress is a double-edged sword. Many types of stress are good for people, both physiologically and personally. For example, Wolff’s law states that bone will remodel (build more bone) along lines of mechanical stress. In other words, bone becomes stronger when it is subjected to physical loads. The physiological stress of weight-bearing exercise such as walking, running, and strength training helps prevent osteoporosis by making bone denser and more resilient. From a psychological perspective, the great German philosopher, Friedrich Nietzsche, famously stated in “Twilight of the Idols” (1888), “What does not destroy me, makes me stronger.” Apparently, Nietzsche (writing in the 19th century) was far ahead of Selye in pointing to the benefits (and dangers) of stress.

Life is filled with “good” stresses. A new love relationship, a new job, or a new baby may all provide great personal happiness and the experience of fulfillment and satisfaction. But each circumstance may also place new demands on us, calling on us to be and do much more than that of which we had previously thought ourselves capable. A person may develop all sorts of adaptive responses in attempts to cope with life’s new requirements, but most of these adaptations are themselves stress-producing. Over time the adaptations become habits, stress becomes a day-by-day experience, and a host of physiological and psychological disorders and syndromes may appear.1,2 High blood pressure, diabetes, overweight/obesity, arthritis, insomnia, and depression may all be considered as long-term maladaptive responses to stress.3

Muscular aches and pains, muscle spasms, and headaches are common physiological responses to ongoing stress. A vicious circle develops in which stress leads to muscle tightness, which constricts blood vessels, which leads to headaches, which leads to more muscle tightness, more pain, and even more stress. One’s day seems to become filled with stress and stress reactions. The good news is that means of ending these vicious circles of stress are available. Present time consciousness, regular exercise and a healthy diet, sufficient rest, and regular chiropractic care comprise a powerful tool kit for restoring balance in one’s life.

1Wu EL, et al: Increased risk of hypertension in patients with major depressive disorder: a population-based study. J Psychosom Res 73(3):169-174, 2012

2Hristova MG: Metabolic syndrome – From the neurotrophic hypothesis to a theory. Med Hypotheses 2013 July 27 [Epub ahead of print]

3Martocchia A, et al: Targets of anti-glucocorticoid therapy for stress-related diseases. Recent Pat CNS Drug Discov 8(1):79-87, 2013

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What’s the Problem with Stress?

We live in stressful times. The economy is tough, global conflicts rage, severe weather events are affecting people in every corner of the globe, and our numerous technological devices don’t seem to be making things any easier. Of course, this is nothing new. Every generation thinks theirs is the best of times and the worst of times. But the result is that people everywhere have high levels of stress.

Sometimes stress is a good thing. Mechanical stress, such as exercise, causes your muscles and bones to become stronger and your nerve system to become smarter. Taking on a new assignment at work or taking a challenging class in school may be stressful, but the effort involved in achieving a successful result will cause you to grow and develop in ways that you might not have imagined. After all, the great philosopher Friedrich Nietzsche famously said “what doesn’t kill you makes you stronger.”

But chronic, ongoing physical and mental stress, the kind that affects us every day, is not good for us. Chronic stress causes real psychological and physical problems. People undergoing chronic stress may develop anxiety, which if not managed effectively may lead to depression. Chronic stress may lead to a variety of disorders and diseases, including arthritis, inflammatory conditions such as Crohn’s disease, gastrointestinal problems such as peptic ulcer, diabetes,1 high blood pressure,2 and even heart attacks and stroke.3 As we are all subject to numerous stresses every day, both personal and work-related, it’s very important for us to develop strategies that will be successful in helping us manage ongoing stresses.

The most important method for managing stress is to attempt to focus your point-of-view, your frame of reference, on the present moment. Our minds are constantly in motion, constantly at work creating new thoughts and new scenarios regarding some potentially stressful situation, or rehashing old conversations, old conflicts, and old problems. The result is that we’re almost never at peace. When we try to sit down and relax for a bit, it’s never too long before our minds start bringing up the exact things we’d like to be able to forget or ignore, at least for a little while. Most of us can’t flip a metaphorical switch and shut off our incessant stream of mostly negative self-talk. But we can learn to remind ourselves to return to the present, to come back to this moment, the one that’s happening now.

The best way to do this is to ask yourself, “is this [what I’m thinking about] happening right now?” If you can see that what’s happening now is that you’re sitting in a chair reading the newspaper, you have a good chance of being able to let go of what your mind is talking to you about. Say to yourself, “I’m right here, right now, and none of that other stuff is actually happening right now.” This will help you create some distance from your self-talk, and the self-talk may even recede into the background for a while. The feeling of calm you might then experience is one you can build on. The more you practice returning to the moment, the more power you gain in being able to manage the stress in your life.

1Bener A, et al: Association between psychological distress and gastrointestinal symptoms in diabetes mellitus. World J Diabetes 3(6):123-129, 2012

2van Dijk, AE, et al: The association between prenatal psychosocial stress and blood pressure in the child at age 5-7 years. PLoS One 7(8):e43548, 2012

3Pereira VH, et al: Stressed brain, diseased heart: A review on the pathophysiologic mechanisms of neurocardiology. Int J Cardiol 2012 Apr 20 [Epub ahead of print]

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Life-Work Balance

A Day in the Life of a Working Mom

Sandy Smith woke up to the annoying and familiar sound of the alarm clock. It was another day and the beginning of another hectic week. She rolled from her stomach onto her back and unburied herself from beneath the old, down-filled, pillows. Sandy reached over and pressed the snooze button in an attempt to steal five more minutes of peace. As Sandy stretched, she felt the pain, a stiff ache that had unfortunately loomed over her body every morning for quite some time.

Once out of bed, Sandy leaned over and tried to concentrate on making the perfect hospital corners. She slightly lifted the large, squishy mattress, and tucked the corners just right, trying to ignore her stiff muscles and joints. She shuffled into the bathroom and brought her toothbrush to her mouth. Hunched over the sink, trying to avoid the tired reflection staring back at her, Sandy brushed her teeth. Her motions were slow this morning, and she had no time to concern herself with a little pain.

“Here they come,” Sandy thought to herself as she heard the pitter-patter of four little feet running down the hallway. The kids were awake, eager to begin the day. Sandy threw on a skirt and sweater, pulling her brown high heels out from the back of the closet.

“Ow,” Sandy exclaimed. The pain in her back sent a sharp signal to her brain that the day was not going to run smoothly. She clomped down the hall to retrieve the hairbrush stuck in her daughter’s long hair, and her feet found Barbie. Her heels had little traction and she grabbed the banister for support.

Realizing she was late, Sandy bent over to scoop up her 2-year-old. Her back seemed to yell at her, and she suddenly realized her toddler was becoming heavier every day.

After cereal and burnt toast, Sandy marched her girls to the bus stop and waved good-bye as she turned toward her car, angry with herself for sleeping those five extra minutes. She would have to face Monday morning gridlock and suddenly felt the beginning of a headache that would stay with her all day.

“I love Mondays,” Sandy said to herself as she sat in traffic. She reached for her cell phone, cradling it between her neck and head. Her conference call would need to be conducted in the car, and her headache only worsened.

Thirty minutes later, Sandy pulled into her parking place. She sprang from her car, heaved her over-stuffed leather bag over her shoulder, and scurried through the office doors.

Monday Madness

Sandy’s Monday morning was filled with telephone calls and last minute deadlines. She tried to type and talk at the same time, constantly crossing and re-crossing the left leg over the right. She began breathing erratically when she realized her deadline would not be met. The lunch hour was approaching, and it suddenly occurred to Sandy that she had not taken a break all morning. Her computer screen appeared blurry and her wrists were stiff.

The remainder of Sandy’s day was much of the same, and she could not wait to take off her shoes. After skipping lunch and sitting through meetings, Sandy drug herself to her car, threw her bag in the back seat and started the stressful trek home. That night, after the kids devoured dinner, Sandy longed for a long hot shower. The girls were in the bathtub, and she winced as she reached over to carefully lift her toddler onto the floor. By this time, her neck and joints screamed in pain and Sandy wanted nothing more than to climb into bed.

It was eleven at night and Sandy was finally lying down. Her bed and pillows did not seem comfortable, and she felt for only an instant that her neck needed a little more support. She drifted off to sleep out of sheer exhaustion.

A New Day

Does Sandy remind you of anyone? The more stressful our lives become, the less we focus on the “moment.” When we aren’t conscious of how we sleep, breathe, stand, lift, bend or sit, our bodies can take a beating that results in lingering pain. We often avoid the early signs of discomfort we feel in our back, shoulders or neck until we are unable to ignore the pain. By reading the tips below, you can learn to make even the busiest days pain free.

  • When you wake in the morning, start the day with a couple of stretches. Stand up and stretch your arms above your head. Do the “hug your best friend.” Wrap your arms around your body, and turn as far as you can to the left, then to the right.
  • When performing everyday routines such as brushing your teeth, remember your posture. Do not hunch over the sink; stand up straight.
  • Don’t bend from the waist when you lift a child. Squat with your back straight. Keep the child close to you and use your arms and legs to lift.
  • Hold the telephone with your hand or use the speakerphone. Cradling the phone between your head and shoulder can lock up the spinal joints in the neck and upper back, eventually causing pain.
  • While in the office, make sure your chair fits correctly. There should be two inches between the front edge of your seat and the back of your knees. The chair should tilt back so you are able to rest while reading from a computer screen.
  • Many people suffer from tension headaches. Adequate lighting and document holders by your computer can help reduce the risk of a headache. Materials placed on a desk cause you to constantly raise and lower your neck while you’re typing at your keyboard.
  • Do not wear high heels. The weight of the foot is not evenly distributed, which not only causes sore feet, but also added spinal stress.
  • Do not carry a heavy bag with its strap over your shoulder, unless you place the strap over your head on the side opposite the bag. Wearing a shoulder strap over one shoulder unevenly places the weight of the bag on one side of the body, potentially causing shoulder and back pain. Or better yet, carry a bag with a handle rather than a strap.
  • Do not consistently cross the same knee over the other. This habit can eventually cause misalignment of the spine.
  • Even if you remain sitting for the majority of your workday, you deserve a break. Get up from your desk and move around, stretching arms and legs as much as possible to avoid postural and spinal stress. Try to practice deep and even breathing to keep yourself calm and keep adequate oxygen flowing through your system.
  • Bath time can be fun for the kids but stressful on any parent. Make certain to bend from the waist and not the back when bathing your children. Use your legs when you lift your child.
  • It is important to get a good night’s rest. Choose a comfortable mattress and pillow that adequately support the weight of your head and body.
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Secrets of Adding Exercise to Your Life

Most of us are plenty tired of having experts tell us we should do more exercise. Our chiropractors tell us. Our family doctors tell us. Friends who just started taking their first yoga class and aren’t really experts tell us. Celebrities tell us. Kid stars on Disney Channel tell us. Now even local television news anchors are telling us.

Intentionally or not, the result of all this “encouragement” is just more and more guilt. We already know we should be exercising. Hearing about it all day long really doesn’t help. We’re working hard at our jobs, keeping it together, taking care of the family, but as long as we’re not also doing our daily exercise we’re just not doing enough. We’re not being healthy and the experts are only too glad to recite all of the long-term consequences of our slothful behavior.1,2,3

So what’s a person to do? On one hand, we can dig in our heels, deny reality, and desperately resist all those do-gooders. Some will bet their future on ancient family legends – “My grand-dad smoked two packs of cigarettes for 50 years, never exercised a day in his life, and died in his sleep when he was 92.” Others will simply leave things up to fate, taking their chances as well as the path of least resistance, doing the same old same old, and hoping everything will be OK.

There is another way. First, it’s very important to distinguish what I choose to do from what I should do. No one wants to do what they should do. Should means having to, should means having no choice in the matter. Should means someone else is telling me what to do, and no one really wants to do that. We want to do what we want to do. So telling a person they should do more exercise merely engenders resistance. People will only take the time and make the effort to exercise regularly if they want to do it, if they themselves choose to. Not because someone told them they needed to.

The secret of adding exercise to your life is discovering why you would want to do it. Discovering the payoff. Sure, the payoff includes being healthier, lowering your blood pressure, improving your metabolism, and lowering your serum glucose. But these are not really motivating factors for most people. If they were, everyone would be exercising. The real payoff, what gets people into the gym and out on the road walking, bicycling, and running, is that exercise is fun. You feel great afterward, often for the whole day. And pretty quickly, the more you exercise the more your body wants to do it. Your body takes over and your mind goes, “yeah, I’m going to the gym”.

So the secret is to make a choice, pull yourself together, grit your teeth, and go exercising a few times. Almost always you’ll discover that you actually do like it, that there’s a tremendous feeling of accomplishment and fun. And all of a sudden, to your surprise and astonishment, you’ve become a person who exercises.

1Jordao MT, et al: Exercise Training Restores Hypertension-Induced Changes in the Elastic Tissue of the Thoracic Aorta. J Vasc Res 48(6):513-524, 2011

2Walsh NP, et al: Position statement. Part one: Immune function and exercise. Exerc Immunol Rev 17:6-63, 2011

3Lin GM, et al: Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. JAMA 304(20):2253-2262, 2010

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Can Work Be Relaxing?

Not too many people would agree that “oh, yeah, my work is relaxing”. For most of us, work involves plenty of stress. If we’re in customer service, there’s always a seemingly never-ending stream of customers with an abundance of problems that need to be handled yesterday. If we work in an office, office politics adds an unnecessary layer of stress to the normal daily stress of the work we’re supposed to be doing. If we work for ourselves, there’s the ongoing stress of lining up the next contract, even while we’re dealing with the pressures involved in fulfilling the demands of the current project. And on and on.

If we work at a computer there are additional physiological stresses. Our bodies were not designed for prolonged sitting, nor were they designed for staring a computer screen for hours at a time. The highly complex and highly delicate structures of our forearms, wrists, and hands were not meant to be used for typing on a keyboard. Anyone can type for 15 minutes – that’s not a problem. But typing for most of the day, day after day, week after week – that’s definitely a problem.

These few work scenarios are common. We can recognize ourselves in the descriptions. No one would describe such circumstances as relaxing. But this is how we live. How can we turn what might be thought of as “lemons” into lemonade? Are there tactics we can employ in an overall strategy of causing our lives to be healthy, satisfying, and meaningful, as well as fun and relaxing?

The answer is a resounding “yes”. But there is effort involved. We need to be creative and willing to take action on our own behalf. First, it’s important to acknowledge the conundrum each of us faces every day. We are required to work to obtain food, shelter, and clothing for ourselves and our families. But the work that we’re doing may not be our first choice. Or the second choice. Or sometimes even the third. Still, there it is. We need to work. This is where the creativity comes in.

Our work environment and/or our work itself may never be relaxing. However, we can actively choose to be relaxed. This is an ongoing process and occurs in the moment. For example, you can affirm “I am relaxed. My work is fulfilling and satisfying.” And then, pretty soon, something happens to which you respond with tension. As soon as you come back to yourself and remember that you want to be creating a relaxing environment, you reaffirm your intention. This is very much like Zen or other practices which focus on centering. In Zen, the student is reminded to pay attention, to believe nothing, and that nothing is personal.

These powerful reminders can help us greatly in our intention to have our work be relaxing.1,2,3 The key is to take on the concept of practice. We are practicing centering. We are practicing self-awareness. We are practicing relaxing. And as we practice these things, our overall experience is one of being centered, relaxed, and self-aware, regardless of all the things that are going on around us.

1Chiesa A, Malinowski P: Mindfulness-based approaches: are they all the same? J Clin Psychol 67(4):404:424, 2011

2Zeidan F, et al: Brain mechanisms supporting the modulation of pain by mindfulness meditation. J Neurosci 31(14):5540-5548, 2011

3Ledesma D, Kumano H: Mindfulness-based stress reduction and cancer: a meta-analysis. Psychooncology 18(6):571-579, 2009

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Your Computer and You

Windows and Mac users actually do have one thing in common – computer ergonomics issues, namely, pain.1,2 Beyond the usual hardware and software gotchas we deal with on a daily basis, the real bottom-line question is, “how to play nice with my computer”.

Doing computer work is a funny kind of work, a type of activity we’re still getting used to. It’s not physical work in the sense that there’s no heavy lifting going on, no truck-driving, no emergency services heart-pounding decision-making.

But computer work is still an intensely physical activity, although the work is pretty subtle. In computer work it’s the small muscles that are getting the workout, not the big muscles we’re used to thinking about.

Wrist muscles, tendons, and ligaments. Finger muscles, tendons, and ligaments. Shoulder muscles, Neck muscles. All of these are involved in ongoing repetitive tasks when you sit at a computer and one hour turns into two, two hours turns into three, and suddenly half the day is gone and you notice you’ve got a killer stiff neck.

Or, one day the tendons on the back of your hand begin to hurt, feeling irritated and inflamed. Or your shoulders and upper back are tight and painful.

Your hands or shoulders feel better by the time you go to sleep. But the next day, as soon as you start to type they act up again.

This is all very uncomfortable, because you’ve got to do your work.

What’s going on?

These various pain patterns in your hands, wrists, shoulders, and neck can be grouped together as a repetitive stress syndrome. Repetitive activities, done over a long period of time, can irritate and inflame the muscles, tendons, and ligaments that are involved in doing the work.

But computer work involves repetitive tasks. How can you avoid these painful problems?

The best approach is to prevent them in the first place.3 If such a syndrome does develop, relative rest is indicated. Reduced computer activity, in smaller intervals, is a good solution. A very useful work-around for right- or left-arm pain is to teach your non-dominant hand to use the mouse or touchpad. This training may take a few weeks – the valuable result is the ability to switch hands whenever you like, distributing the workload between the two sides. Much better.

The most important aspect of prevention is to take a quick, refreshing break once an hour. This is a critical habit to develop. Get out of your chair, walk around, get some fresh air if possible. Change your environment for a few minutes – talk to a co-worker for a moment, get a drink from the water-cooler down the hall, seek out a picture, wall-covering, or landscape you’ve never seen before.

These activities refresh your body AND your brain, and you’re ready to do another hour of productive, creative, healthy work. You’ll feel much better, you’ll be avoiding repetitive injuries, and your workday will be more enjoyable.

1Keyserling WM, Chaffin DB: Occupational ergonomics – methods to evaluate physical stress on the job. Annu Rev Public Health 7:77-104, 1986.
2Computer Workstation Ergonomics. Centers for Disease Control and Prevention, 2000. http://www.cdc.gov/od/ohs/Ergonomics/compergo.htm
3Robertson MM, et al: Effects of a participatory ergonomics intervention computer workshop for university students. Work 18(3):305-314, 2002.

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Staying Young

Chiropractic Care for the Young and the Young at Heart

Children and adults are the same but different. Most kids want to play all the time, but they also are required to go to school. Most adults would prefer to play all the time – relax, go to the gym, read a book, watch TV, or get together with friends – but most adults need to go to work at least 5 days a week. Interestingly, what most young people don’t know about adults, especially older adults, is that they think of themselves as much younger than they actually are chronologically. For example, long ago, when a reporter asked the great golfing champion Arnold Palmer how he felt about turning 60, he famously replied that “it doesn’t matter to me, I think of myself as 27.” Thus, speaking broadly, kids and adults share similar primary goals. Regular chiropractic care can enhance the quality of life for both young and older people by helping make possible the attainment of high levels of overall health.

Young people and adults share identical physiological systems that are distinguished by age and experience. For example, a child’s nervous system and immune system grow and develop over time, acquiring training and additional features as the young person proceeds through childhood, preteen years, and the teenage period. The cardiorespiratory system has full capability at birth and achieves strength, resiliency, and adaptability as the child grows. Similarly, the gastrointestinal system is fully capable at birth, but must be trained to digest and otherwise process a wide variety of foods over the first several years of the newborn’s life. The skeletal system of young men and women achieves maturity in the late teens and early twenties.

The commonality among all physiological systems, at any age and at any stage of development, is the requirement for optimal control by the nerve system, the body’s master system. The nerve system establishes a highly sophisticated feedback system between its components, that is, the brain, spinal cord, spinal nerves, and peripheral nerves, and the numerous other physiological systems. The brain sends instructions via the nervous system to other cells functioning in other systems, and the cells report back to the brain via the nervous system, providing information on their current status and metabolic requirements. In this feedback system, the spinal nerves are the central intermediary between the brain and spinal cord and the rest of the body. The presence of nerve interference can disrupt the flow of information between the brain and all the other physiological systems, resulting in system malfunctions that are apparent in the form of pain, symptoms, and disease.

Nerve interference is the result of spinal vertebral dysfunction, that is, suboptimal biomechanical functioning of the spine and its segmental components, the spinal vertebras. Spinal dysfunction causes painful limited motion of the neck and/or lower back, headaches, tight muscles, and possible radiating pain and/or numbness and tingling in the arms and/or legs. As importantly, spinal dysfunction irritates local spinal nerves and causes nerve interference that creates a host of other problems. Regular chiropractic care detects and corrects causes of nerve interference, enabling your body to function at peak effectiveness, as it was designed to function. In this way, regular chiropractic care helps people of all ages, young and old, obtain high levels of health and well-being.

  1. Goncalves G, et al: Primary prevention in chiropractic practice: a systematic review. Chiropr Man Therap 2017 Mar 20;25:9. doi: 10.1186/s12998-017-0140-4
  2. Maiers M, et al: What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial. Man Ther 2016 Dec;26:183-191. doi: 10.1016/j.math.2016.09.008. Epub 2016 Sep 23
  3. Rosen MR, Bergfeldt L: Cardiac memory: The slippery slope twixt normalcy and pathology. Trends Cardiovasc Med 25(8):687-696, 2015
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Strong Bones Are Healthy Bones

As with the rest of our physical selves, we don’t think about our bones until something goes wrong. Bones are just there, under the surface and unseen, normally never taking up space in our conscious thought processes. Trauma, of course, can injure a bone. But in most circumstances a bone bruise or a fracture heals on its own in due course. You might need a brace, sling, or cast to protect the bone while it’s rebuilding, but within four to six weeks everything is back to normal.

On the other hand, many actual diseases can affect bones for a very long time, perhaps even for the rest of your lifetime. Some of these serious conditions are preventable. Some are not. Osteoporosis is a disorder which may have serious consequences, including disabling hip fractures and crippling fractures of the lumbar vertebras. For many people, however, osteoporosis is preventable, and it’s very important to know how to do that.

Osteoporosis involves loss of bone substance and disorganization of bone structure. “Osteo” means bone and “porosis” means pores or passages. In osteoporosis the biochemical bony matrix is broken down and bony tissue itself is resorbed, creating “passageways” or holes in the affected bone. Metabolic factors involved in the process of osteoporosis include calcium levels and vitamin D levels, as well as the activity of bone cells – osteoblasts – which produce bone matrix.

As with everything else in the human body, if you don’t use it, you’ll lose it. Bone appears to be hard and durable, a finished product, but in fact bone tissue is highly dynamic. Bone is continually being built up in response to physiologic, weight-bearing stresses such as exercise. But bone is continually being broken down in response to metabolic needs elsewhere in the body. A dynamic tension exists between these two processes, and in osteoporosis the pendulum has swung to the side of breaking down bone tissue. The obvious consequences include weakening of bone’s structural strength. Eventually, long bones such as the thigh bone or strategically located bones such as the lumbar vertebra have lost so much structural integrity that they break under pressure of previously normal weight-bearing loads.

Like the rest of the components of our bodies, our bones are a precious natural resource. Unlike gas or coal, our bones are a renewable resource. But we must pay attention to the need for these structures to renew themselves. If a bone isn’t being used efficiently, higher-priority metabolic needs in other locations will cause important biochemicals to be taken out of the bone. The bone, such a thigh bone, will begin to lose its structure. The appropriate question is how can we ensure that our bones are being used efficiently. How can we ensure that our bones are in fact dynamic structures, rather than merely cages to protect our vital organs or coat racks on which to hang our muscles.

One of the main answers to these questions, which after all really are questions regarding how to achieve good health, is regular exercise.1,2,3 Bones will retain their metabolic structure if they are required to do so. The body is very smart and locates precious resources where they are needed. If weight-bearing loads are consistently placed on your spine and long bones, these dynamic structures will not only retain their shape and strength but in fact will build more bony layers and become stronger. And of course, if we want to have a lifetime of vibrant, vital health, we want to have strong, healthy bones that will help us make it so.

1Sundell J: Resistance training is an effective tool against metabolic and frailty syndromes. Adv Prev Med Epub Dec 13, 2010 doi:10.4061/2011/984683

2Bababtunde OO, et al: A meta-analysis of brief high-impact exercises for enhancing bone health in premenopausal women. Osteoporos Int Sept 28 2011 (Epub ahead of print) PMID: 21953474

3Ragucci KR, Shrader SP: Osteoporosis treatment: an evidence-based approach. J Gerontol Nurs 37(7):17-22, 2011

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Forever Young

Most of us like to think of ourselves as young: young in heart at least, if not actually young in years. But is it possible to stay “forever young” in terms of health and wellness? Of course, probably no one would want to remain forever young in terms of life experience. Our experiences give us character and contribute to our growth and development as persons.

As we get older, though, gaining skills and possibly wisdom, is it really necessary to suffer physical breakdowns along the way? Holding on to youthful bloom may not be feasible in all aspects, but there are a few critical tips and tricks to retain much of that glow and vigor as we get older. We may not, in reality, stay forever young, but we sure can give meaning to the notions that “50 is the new 30” and “60 is the new 40”. Here are two key tips. They may seem obvious, but the power is in actually implementing these tips consistently over time.

Tip #1: Eat less. Each person has his or her own caloric balancing point beyond which extra food will be retained as fat. If your average daily calorie consumption is right around this critical value, all the energy in the food you eat will be used to support your physical functioning. But extra calories will not be burned up and this unused energy will be stored as fat. Over time, increasing fat stores frequently lead to chronic disease such as diabetes, cardiovascular disease, and cancer. So with respect to long-term health, it’s a very good idea to avoid overeating. Of course, we want to have fun, too, but that’s what a “free food day” is for. If you eat within your caloric range on six days of the week, the seventh can be a “free day” when you can eat whatever you want. Such a system works very well for ongoing optimal weight management (which, of course, means ongoing health and well-being, contributing to our notion of “forever young”).1

Tip #2: Exercise more. Did you ever see a gymnast, competitive swimmer, or professional dancer who didn’t look absolutely terrific? These young men and women are in such good shape owing to the high volume of exercise they do every week. Do you know an older adult who was on a high school or college gymnastics team or was a professional dancer long ago? Isn’t that person still really healthy and fit? Such long-term fitness results from a lifelong habit of exercise. The very good news is that even if you haven’t exercised in many, many years, you can still derive benefit for years to come from starting to exercise, right now.2,3

You get fit by doing the work. Not all at once of course, but gradually, steadily, building up strength and endurance, starting right where you are. The secret is to begin. And after not too long a time, you’ll find that your new habit of exercise is providing all kinds of surprising benefits, including deeper, more restful sleep and increased energy and exuberance. Not to mention weight loss and a slimmer waistline.

These two tips, eating less and exercising more, have been known for decades. But in order to reap the many benefits, what’s required is to actually do these things. We can be forever young, relatively literally, by taking these simple actions on our own behalf.

1Campbell KL, et al: J Clin Oncol Reduced-Calorie Dietary Weight Loss, Exercise, and Sex Hormones in Postmenopausal Women: Randomized Controlled Trial. 2012 May 21 [Epub ahead of print]

2Umpierre D: Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA 305(17):1790-1799, 2011

3Betof AS, et al: Effects and potential mechanisms of exercise training on cancer progression: A translational perspective. Brain Behav Immun 2012 May 17 [Epub ahead of print]

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Staying Young

Decompression

Did you know that your spinal column’s spongy intervertebral discs (IVDs) comprise 25% of this segmented structure’s entire length? Did you know that an adult’s spinal column is approximately 24-28 inches in length? A little quick math shows that the total height of your spinal discs is approximately between 6 and 7 inches. But most of us don’t get to enjoy the maximum height, springiness, or shock-absorbing capabilities of our spinal IVDs.

Why is that? Another fact known to anatomy students is that IVDs begin losing their total water content at the early age of 2. If you’re a young adult, that water-losing process has been going on for 20 years. If you’re older, tack on a couple of decades. But this is a natural process. Whether we like it or not, our body parts are not built to last forever. They are designed to keep us healthy and fit for about 150 years (another little known fact). What’s not natural is the sedentary lifestyle associated with living in an economy driven largely by the service sector.

Until very recently (75 years ago or so), most adults worked at jobs which required physical labor. Employment in agriculture and industry required actual work using one’s body. Those jobs had a built-in exercise component, all day, every day. In contrast, 21st century jobs require a lot of sitting. For many jobs, workers are sitting all day, every day. When you’re sitting or standing in an unchanging position, the relentless force of gravity bears down on your spine at a steady, never-changing rate of 32 ft/s2. The long-term result on one’s spinal column is compression. Natural water-losing forces are unopposed and your spinal discs just keep getting thinner.

We need to reverse these trends. We need to find ways to pump our discs back up. We want to regain the health of our spinal discs, regain lost stature, and be able to stand up tall, achieving our full physiological height. We need to identify and engage in decompressive activities, activities that will restore fluids to our IVDs.

Fortunately, a highly decompressive set of activities is readily available and has been in use for thousands of years. Yoga is a system of exercises that provides a broad range of health benefits including spinal decompression.1,2,3 In fact, done correctly, all yoga exercises (known as postures, poses, and asanas) result in spinal lengthening. The key is to make the yoga posture active, constantly engaging, working, and lengthening your core muscles while you’re doing the pose.

Regular yoga classes (even once a week may be sufficient) will lead to noticeable benefits, including a sense of being taller. The spinal decompression obtained through regular yoga practice will help increase your flexibility, balance, and coordination. Yoga can be done at home. The only equipment needed is a rubber mat. The long-term payoff is big, in more ways than one.

1Jeng CM, et al: Yoga and disc degenerative disease in cervical and lumbar spine: an MR imaging-based case control study. Eur J Spine 20(3):408-413, 2011

2Williams K, et al: Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine 34(19):2066-2076, 2009

3Goncalves LC, et al: Flexibility, functional autonomy and quality of life (QoL) in elderly yoga practitioners. Arch Gerontol Geriatr 53(2):158-162, 2011

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