Sunday, June 28, 2009

Suwanee Ga Lawrenceville Chiropractor Discusses Diet & Fibromyalgia



Lawrenceville - Suwanee Chiropractor Discusses Diet & Fibromyalgia Pain!!


Does Diet Make a Difference with Fibromyalgia?

Fibromyalgia (FM) is a complex condition that includes widespread symptoms of muscle and joint pain, where everything seems to ache and is associated with severe exhaustion and fatigue. It affects up to 4% of the population (woman > men), with no known cause or known cure. With these facts, it’s not surprising that many sufferers have turned to diet as a means of trying to improve their quality of life. Unfortunately, there are many conflicting dietary recommendations for FM, some completely contradicting the other, leaving the patient and doctor confused as to who or what to believe.

FM can be primary (of unknown cause) or secondary (caused by a different specific condition). Because many conditions can give rise to FM, it’s not surprising that there is no one diet that works universally for all FM patients. However, many FM sufferers respond from eliminating one or more of several types of foods according to experts interviewed by WebMD, and utilizing these recommendations can prove highly effective. They specifically identified 7 foods to avoid in the management of FM, which include the following:

1. Aspartame (NutraSweet): All of the experts interviewed by WebMD agreed a large majority of FM patients could worsen by eating or drinking foods sweetened by aspartame.

2. MSG (monosodium glutamine) and nitrates: MSG is a common additive to enhance flavor in many processed and frozen foods as well as in some Asian (eg., Chinese) foods. Hence, lunchmeats like ham, bologna and bacon should be avoided.

3. Sugar, fructose, and simple carbohydrates: Though no study has clearly identified that these foods directly worsen the symptoms in FM patients, eliminating foods like cake, white bread and sugar in general, will decrease the risk of developing secondary conditions such as yeast infections that can give rise to FM. Eliminating foods with high levels of fructose corn syrup has been reported to help some FM patients.

4. Caffeine (coffee, tea, colas/soda, & chocolate): After a brief stimulating effect (energy boost), there is a longer lasting sedative affect, which is amplified in FM patients. The good news is that most of the caffeine is out of the body within a week of discontinuing use.

5. Yeast and glutens: These two are not related but are frequently used together in foods like cake, donuts and bread and both contribute to FM symptoms. Yeast gives rise to yeast fungus where an overgrowth may cause or exacerbate FM symptoms resulting in joint and muscle pain. Glutens can cause stomach and other GI problems, which in turn can give rise to fatigue.

6: Dairy: Regardless if its low or high fat, some reports indicate that dairy products, particularly milk can increase the symptoms of FM and avoiding these can help.

7. Nightshade plants: Tomatoes, chili and bell peppers, potatoes and eggplant can trigger flare-ups of FM and various forms of arthritis.

Some GOOD diet approaches include a heart-healthy diet – that is, one that is low in saturated fat and includes lean meats & poultry, fresh fruits and vegetables. This diet improves one’s overall health, thus reducing the risk of secondary FM and allowing the body to better fight off other disease processes. This diet is also anti-inflammatory, the common link found in many health conditions. A vegetarian diet comprised of mostly whole foods was also reported as helpful. High potency vitamin supplement and specifically Omega 3 fatty acids (main ingredients – EPA & DHA) included in fish oil, flax seed, walnuts, some fortified cereals, and eggs also help reduce inflammation. These recommendations are research supported and we can further discuss the nutritional approaches that benefit patients suffering with fibromyalgia.

Wednesday, June 24, 2009

Lawrenceville - Gwinnett Chiropractor Discusses Carpal Tunnel Syndrome & Wrist Pain



Carpal Tunnel Syndrome: Can I Diagnose It Myself?

Your Lawrenceville, GA Chiropractor Carpal Tunnel & Wrist Pain Sufferers Find Relief!!
We are so used to fixing everyday problems ourselves in society today, that we sometimes do this when it comes to health care. The "can-do" American spirit of "pulling yourself up by your boot straps" is alive and well. We are bombarded by advertising messages that tell us if we have a pain in the wrist or back, then just go to the drug store and get some pills. The messages seem to make sense. If I have a problem with my wrist, then it must be carpal tunnel syndrome, right?

Nothing could be further from the truth. The reality is that hand and wrist pain or numbness can come from many different causes-some even very serious diseases such as cancer. Even a disease such as diabetes can show up as wrist or hand pain. There are also different types of arthritis that can show similar symptoms. Only through x-rays and laboratory tests can these distinctions be made.

Also at issue is the fact that long nerves run from your neck and spinal cord and down your arm to the hand. An injury anywhere along the course of this nerve, could make you feel pain in your fingers or hand. And then, of course, there are wrist traumas or repetitive motion injuries that can further complicate the picture.

This should illustrate to you how important a thorough diagnosis is before deciding on a cause for a problem and a course of action to get it resolved. Even a detailed history by a doctor will not be enough to determine if you have carpal tunnel syndrome. So if you've been diagnosed with this condition and the doctor failed to examine your wrist, the diagnosis can be incorrect. An astute doctor will use the history of the pain combined with very specific tests to determine how your wrist functions. We do these examinations too, but also include an analysis of the neck region, which can cause irritation to a nerve, that then produces hand symptoms.

Once you get the diagnosis correct, there are many options for treatment. Medications, splints, and surgery are tried by many with varying degrees of success. For those who want a more natural, and drug and surgery-free alternative, then chiropractic care is an excellent option to consider.

Tuesday, June 16, 2009

Your Lawrenceville Chiropractor Discusses Stress & Headaches


Lawrenceville - Suwanee, GA Chiropractor, Gwinnett Chiropractor

How does stress affect your wellbeing? And how is stress related to getting headaches? There are many paths to this and I will discuss the most common ways stress can make you more headache prone.

Stress can affect our sleep. Americans just do not get enough sound, restful and restorative sleep. Studies suggest that few of us get the necessary eight hours each night. Tossing and turning, and simply not recovering from the previous day, adds tension to your morning. Sleep deprivation itself can lead to headaches. Sometimes we compensate for this by taking in a lot of caffeine each day, which can then create a vicious cycle, making us jittery and affecting our ability to fall asleep later that night.

How we react to it stress also affects us. Some of us literally "take it out' on our bodies, channeling the stress into our neck and shoulders. This can cause tension-type headaches where the back muscles of your neck are tight and ropey. "Knots" in the muscles can develop, sending shooting pains into your head, as if it’s trapped in a vise, being squeezed by the muscle tension.

Stress can affect us by disrupting our normal healthy routine. Instead of eating right and exercising, we resort to eating junk foods and avoiding the gym. Over-eating and not maintaining a healthy weight can add to the stress on our body, the spine, and our heart.

A lot of us think we handle stress well and just need a two-week vacation to get back on track. But really, two weeks off does little to change your life for the other fifty weeks during the year. The key is to learn how to handle and deal with stressors on a "day to day" basis. Sometimes, it's a spinal injury that is not corrected that adds to a stressful feeling. Sometimes, it's conflict at work or at home, that is simply not getting resolved. Are we ourselves taking time out to smell the roses?

Each day, try to do something positive for yourself, and resist the temptation to worry about the future and fret about the past. Take each day as it comes and try to have positive thoughts. These practices can help improve your outlook and perspective. There's a lot to be said for the person who wears "rose-colored glasses," or the person who can just let the water "run off of the duck's back."

Try a different attitude in approaching the stressful things in your life. Sometimes just getting things into perspective and not stressing the small stuff are important to leading a more stress-free life, and enjoying the hidden pleasures that life brings to us each and every day.

If you've been suffering with chronic neck pain or headaches, call our office for a FREE Consultation at 770-817-0833. Call Today!!

Until Next Time,

Dr. James Roman
Your Lawrenceville, GA Chiropractor

Monday, June 15, 2009

Where Can I Find Information About Fibromyalgia?

Gwinnett Chiropractic Care - Lawrenceville, GA Chiropractor Talks About Fibromyalgia Pain!

Fibromyalgia (FM) is a very common condition that affects approximately 5% of the female population. A partial list of symptoms associated with FM include widespread pain and includes fatigue, non-restorative sleep, generalized stiffness, memory problems, poor balance, headache, numbness/tingling, painful muscle cramps/spasms, depression, anxiety, back pain, jaw pain, and hypersensitivity to: noise, lights, odors (perfumes), and weather changes. It is important to note that FM is NOT a psychiatric disorder, and can be diagnosed and treated, though promising a cure is not realistic.

There are many websites and articles that one can access through the internet. This is not an endorsement for any one site but rather, a review of one site that is available. The “Fibromyalgia Information Foundation” (www.myalgia.com) offers a lot of information that is very informative and usable. This includes information on the condition, the diagnosis, treatment, exercise advice and more. For example, under “Treatment of FM,” it is stated that there is no “cure” for FM. Rather, the goal of treatment is to teach the patient to gain “control” over the condition rather than to have the condition control the patient. There are four major areas of treatment to concentrate on which include pain management, exercise, sleep, and psyche. For pain management, there are lists of different medications, manual therapies and physical agents that can be of benefit. Exercise is emphasized to be gentle stretching after warming up and not to exercise too aggressively, so as to avoid irritation. In addition to stretching, light non-impacting aerobic exercise such as walking, water exercises, and/or stationary bike are recommended with a gradual increase in dose. Starting out at short 3-5 minute sessions, 2-3 times per day and gradually increase the session duration to three, 10 minute sessions/day, then to 2 -15 minute sessions and eventually one 20-30 minute session/day may be wise.

Regarding sleep, all FM patients complain of interrupted, non-refreshed sleep and improving this pattern is important. If an underlying condition such as whiplash, back, neck, or shoulder pain is the cause of interrupted sleep, that condition should be managed. A sleep study to determine if sleep apnea is an issue and the use of a C-pap unit can be quite helpful in gaining restorative sleep. Multiple medications are listed with dose recommendations that can be shared with your primary care provider. Regarding the “psyche”… Because chronic pain can result in depression, anger, fear, withdrawal and anxiety, management of these issues is important. Early detection and treatment is ideal. Interventions can include activity management such as ergonomic modifications both at work and home such as weight lift/carry limits, computer station re-design, the use of headsets vs. phones, and modifying other irritating postures should be considered. A de-emphasis of medications and long-term health care provision without clear goals is important. Unless an underlying psychological condition is present, counseling may be non-productive. However, biofeedback and some behavior modification may benefit some patients that are having trouble coping with the pain and it’s effect on their life.

Chiropractic is an important player in the management process of FM and benefits the patient by helping them set realistic goals and offering management strategies to help achieve those goals. Patients with FM need a “quarterback” to guide them in this process for which chiropractic is a logical choice. If you or a loved one is suffering with FM, sharing this information may be one of most significant acts of kindness you can give to that person.

If you or a family member has been suffering with chronic fibromyalgia pain, call our office to set up a FREE CONSULTATION! Call 770-817-0833 Today!!

Yours in health,

Dr. James Roman
Your Lawrenceville Chiropractor