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HEALTHBEAT SHOW NOTES .... Episode #71 - Recorded November 17, 2006Hello
and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s
Health, News and informational Podcast. In
this week’s news:
We’ll Look At –
For
HealthBeat, This is Dr. Todd Eglow. Welcome
to HealthBeat Podcast #71, recorded
November 17, 2006. HealthBeat is
Chiropractic OnLine Today’s radio program, providing current news and
commentary about Chiropractic and Health. This
week’s Episode is sponsored by DaVinci
Laboratories.
Please surf to our web site at ChiropracticRadio.com and click on the
DaVinci link for your Health and Nutritional needs. If
you are interested in creating personalized Healthbeat podcasts for your office
or website, to help attract new patients, please surf to our web site and send
us an Email …. ….
or Skype us by typing in “healthbeat”,
all in small letters. A
quick programming note…. Periodically, we need to update the XML feed that you
see in your RSS Reader, such as iTunes. In
a few weeks, we will be removing the direct feeds to some of the earlier shows
for this current year. However, all
shows will still be available on our web site, at ChiropracticRadio.com Finally,
Chiropractic OnLine Today has always provided our news and education content for
free and plan on continuing this policy. However,
we do request that if you are enjoying these podcasts, that you surf to
ChiropracticRadio.com and consider clicking on our PayPal link to make a
donation to keep these Podcasts airing. We
thank everyone for their continued support. And Now for some news …. Stiff
Lifting Belt and Spinal Compression A
study in the October 15th edition of the journal Spine looked at a question
commonly addressed by doctors of chiropractic, i.e., whether wearing some sort
of belt while working or exercising has any effect. In
this current study, the goal was to determine if and how a stiff back belt
affects spinal compression forces in weightlifting. In weightlifting, a
back belt has been reported to enhance intraabdominal pressure (IAP) and to
reduce back muscle EMG and spinal compression forces. The
results of the study found that the belt reduced compression forces by about
10%, but only when inhaling before lifting. The moment generated by the
intraabdominal pressure (IAP) increased when wearing a belt and inhaling, but
this moment was small and the increase was largely negated by the flexing moment
generated by abdominal muscles. The
study concluded that Wearing a tight and stiff back belt while inhaling before
lifting reduces spine loading. This is caused by a moment generated by the belt
rather than by the IAP. As
always, contact your doctor of Chiropractic or other qualified healthcare
provider if you suffer from or have questions concerning back pain. Surf
to our Show Notes for a link to this study - http://www.spinejournal.com/pt/re/spine/abstract.00007632-200610150-00028.htm;jsessionid=FHmK2jQBTgWk3dGhLlB3TBpn9w8YsP3QpQd8H2QzBkJQZmyYKYSd!-1434154485!-949856145!8091!-1 Chronic
musculoskeletal pain in chronic fatigue syndrome Patients
with chronic fatigue syndrome (CFS) experience chronic musculoskeletal pain
which is even more debilitating than fatigue. Scientific research data gathered
around the world enables clinicians to understand, at least in part, chronic
musculoskeletal pain in CFS patients. Chronic
fatigue syndrome, or CFS, is a debilitating and complex disorder characterized
by profound fatigue that is not improved by bed rest and that may be worsened by
physical or mental activity. Persons with CFS most often function at a
substantially lower level of activity than they were capable of before the onset
of illness. (CDC) Generalized
joint hypermobility and benign joint hypermobility syndrome appear to be highly
prevalent among CFS sufferers, but they do not seem to be of any clinical
importance. On the other hand, pain catastrophizing accounts for a substantial
portion of musculoskeletal pain and is a predictor of exercise performance in
CFS patients. Pain
catastrophizing, or characterizations of pain as awful, horrible and unbearable,
is increasingly being recognized as an important factor in the experience of
pain. The
evidence concerning pain catastrophizing is supportive of the indirect evidence
of a dysfunctional pain processing system in CFS patients with musculoskeletal
pain. CFS sufferers respond to incremental exercise with a lengthened and
accentuated oxidative stress response, explaining muscle pain, postexertional
malaise, and the decrease in pain threshold following graded exercise in CFS
patients. Applying
the scientific evidence to the manual physiotherapy profession, pacing
self-management techniques and pain neurophysiology education are indicated for
the treatment of musculoskeletal pain in CFS patients. Studies examining the
effectiveness of these strategies for CFS patients are warranted. Surf
to our Show Notes for a link to this Study - http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WN0-4K606VN-4&_user=10&_handle=V-WA-A-W-AE-MsSAYZA-UUW-U-AAZVYYUUAW-AAZWVZUYAW-WEUUEWWA-AE-U&_fmt=summary&_coverDate=08%2F31%2F2006&_rdoc=9&_orig=browse&_srch=%23toc%236948%232006%23999889996%23629316!&_cdi=6948&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=2581415c77808ec35225ee2752c00fe2 CDC
Definition - http://www.cdc.gov/cfs/cfsbasicfacts.htm Pain
catastrophizing - http://brain.oxfordjournals.org/cgi/content/abstract/127/4/83
New
Scoliosis Classification System According
to the Orthopedic web site – Orthopedics Today – a new adult scoliosis
classification system appears effective for surgical decision making and
devising nonoperative strategies. “It
is a classification based on equal level of deformity, the lumbar lordosis, the
presence or absence of anterovertebral subluxation, and the global balancing of
the spine.” Investigators
examined treatments in adult patients with major thoracolumbar and lumbar curves
defined by the new five-part classification system as type IV and V,
respectively. “The classification system for adult deformity has some good
utility in predicting and guiding strategies for care.” In
time, the system might contribute to more evidence-based approaches for adult
scoliosis. Looking
at the rates of operative treatment, “Patients who were more hypolordotic or
practically kyphotic across the lumbar spine were more likely to have
surgery.” For example, 51% of those with type B lordosis had surgery vs. those
with type A lordosis (P<.05). Other key findings from the new classification system include: 1.
Patients
with significant vertebral subluxation and those with very positive sagittal
balance showed a strong trend toward surgery. 2.
At
the least, fusions went across the main level involved in the curve’s apex. 3.
Most
surgeons extended fusions at least one level beyond the subluxation. 4.
Patients
with lumbar curves were more likely to get fused to the sacrum. 5.
Fusions
ended at L4 or L5 in those with good sagittal profiles. 6.
Anterior
surgery was the treatment choice for good lumbar lordosis and sagittal balance,
minimal subluxation. 7.
Lumbar
kyphosis typically led to posterior surgery with osteotomy For
more information about this new Scoliosis Classification system, surf to our
Show Notes for a link:
Chronic
Fatigue Syndrome given Official Status In
early November, 2006, the Centers for Disease Control and Prevention, the CDC,
announced that Chronic Fatigue Syndrome is real, and that it affects more than 1
million Americans — four times as many women as men. Chronic
fatigue syndrome, or CFS, is a debilitating and complex disorder characterized
by profound fatigue that is not improved by bed rest and that may be worsened by
physical or mental activity. Persons with CFS most often function at a
substantially lower level of activity than they were capable of before the onset
of illness. In
addition to these key defining characteristics, patients report various
nonspecific symptoms, including weakness, muscle pain, impaired memory and/or
mental concentration, insomnia, and post-exertional fatigue lasting more than 24
hours. In some cases, CFS can persist for years. Further,
the CDC warns that since many illnesses have incapacitating fatigue as a
symptom, care must be taken to exclude other known and often treatable
conditions before a diagnosis of CFS is made. Surf
to our Show Notes for a link to the CDC and how it defines this syndrome - http://www.cdc.gov/cfs/ http://msnbc.msn.com/id/15535705/ As
always, please surf to our Podcast Show Notes at ChiropractiRadio.com
for a full listing of web references mentioned in today’s show. And
remember - COT’s Healthbeat always
recommends discussing any
nutritional or exercise lifestyle modifications with a qualified healthcare
professional. Thank
you for listening…. As always, We Want to hear from you.
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healthbeat@chiropracticradio.com We
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I leave you with the following quote: "Statistics:
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