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Dementia

Posted by Mark Croucher
on December 7, 2017
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Can you avoid later life dementia?

Lifestyle habits that include better diet, exercise and brain exercises may significantly improve your brain function as you age.  A Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability used lifestyle intervention in participants aged 60 to 77 years who had an increased risk for dementia later in life. These people were also at risk for cognitive decline. The control group received information and advice on lifestyle modification. The intervention group received additional training on nutrition, exercise, cognition, and management of vascular risk factors (hypertension, dyslipidemia, and diabetes).


After 24 months, the intervention group showed improvements in total cognitive scores, executive functioning, and processing speed compared with the control group, even after accounting for sociodemographic factors, socioeconomic status, baseline cognition, cardiovascular risk factors, and cardiovascular comorbidity at baseline.

Credit: Jennifer Rose V. Molano, MD

 

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Untitled

Posted by Mark Croucher
on December 6, 2017
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A weight-loss intervention in primary care may lead to type 2 diabetes remission, suggests a Lancet study.

Nearly 50 U.K. primary care practices were randomized to deliver either a weight loss intervention or best-practice care (control) to 300 non-insulin-dependent adults with type 2 diabetes (diagnosed within past 6 years) and a BMI of 27–45. For the intervention, patients discontinued antidiabetic and antihypertensive drugs and followed a low-calorie formula diet (825–853 calories daily) for 3 months. This was followed by reintroduction of food and physical activity strategies for 2–8 weeks, and then weight loss maintenance.

At 12 months, 24% of participants in the intervention group lost 15 kg or more; none in the control group did. Diabetes remission was also higher with the intervention (46% vs. 4%).

A commentator says that the study “indicates that the time of diabetes diagnosis is the best point to start weight reduction and lifestyle changes because motivation of a patient is usually high and can be enhanced by the professional health-care providers.”

By Kelly Young

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM

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Coffee lovers!

Posted by Mark Croucher
on November 27, 2017
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Hey Coffee lovers!

Coffee’s Numerous Health Benefits Detailed in New Analysis

Coffee consumption — in particular, several cups daily — is associated with a wide range of health benefits, according to an umbrella review of meta-analyses in The BMJ.

The review included over 200 meta-analyses of observational or interventional research into coffee consumption and health outcomes in adults. Among the benefits:

  • Daily consumption of 3 cups of coffee — regular or decaffeinated — was associated with a 17% lower risk for all-cause mortality, relative to no coffee consumption.
  • Caffeinated coffee was linked to lower risks for cardiovascular disease, coronary heart disease, and stroke, with benefits highest at 3–5 cups daily.
  • Caffeinated coffee was associated with lower risks for cancer and liver conditions.
  • Both regular and decaf coffee appeared to lower risk for type 2 diabetes.

In terms of harms, high coffee consumption in pregnancy was tied to pregnancy loss, low birth weight, and preterm birth. High consumption was also associated with higher fracture risk in women, but not men.

An editorialist writes: “The evidence is so robust and consistent … that we can be reassured that drinking coffee is generally safe.” He adds, however, that pregnant women and those at high fracture risk should be educated about possible adverse effects.

 

By Amy Orciari Herman
Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH

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Mrs. Reed’s story

Posted by Mark Croucher
on August 31, 2017
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This is Mrs. Jean Reed.  Jean is a wonderful 96 years old.  She’s a ray of light each time she comes in my office.  With her sweet English accent and her bright personality…she always makes me happy.

Mrs. Reed has had some pretty awful bouts with sciatic pain.  Most recently this injury made it very hard for her to walk.  The good news is, she responded very quickly to treatment!  She’s walking again without pain and she continues to live a very active lifestyle.  Jean says that chiropractic treatment has been a big part of her ongoing health.

It is such a pleasure to know her!

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Thelma’s story

Posted by Mark Croucher
on August 28, 2017
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This is Thelma Malone. She is a very special woman.

A number of years ago, Thelma was hit by drunk driver while she was walking across the road. She was severely injured, with multiple fractures to her legs, pelvis, collar bone and more. Thelma spent 2 months in intensive care and underwent over 10 orthopedic surgeries to repair her broken bones. Unfortunately, she was also left with paralysis of her left arm and limited use of her leg. This didn’t stop Thelma. She fought on and regained her life. But as the years went by her pain became more severe.

When I first met her, about one month ago, she could not stand or walk without severe pain radiating down her leg. She had undergone epidural spinal injections a couple months prior to coming into my office, but Thelma was still suffering severely. Her rheumatologist referred her to my office to see if I could help.

The MRI and X-ray studies on her spine showed advanced spinal breakdown throughout her lower back. But findings during her examination gave me hope that we may be able to help her. Together we discussed my plan for her and she decided to move forward with care at my office.

Within 1 month of treatment at my office, Thelma has been able to lower the pain she was experiencing with standing and walking tremendously. She says her pain score has dropped from 10 out of 10 down (where 10 is the worst pain possible) to a score of 2 out of 10. Thelma is truly a tough individual. I am thankful to her doctor for sending her to see me. I’m so thankful to have been able to help her. She is an inspiring person with an amazing outlook on life.

 

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Tom’s Story

Posted by Mark Croucher
on August 24, 2017
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This is Tom Corbett.  Tom was a military aviator and has some chronic issues with lower back pain, knee pain and foot pain (plantar fasciitis).  He is an avid cyclist and currently rides 70 – 100 miles per week!  Tom gets great relief with chiropractic care at our office.  It helps to keep him active […]

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Patient story

Posted by Mark Croucher
on August 23, 2017
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This is Mrs. Betty Brantley.  She was referred to my office by her spinal pain management specialist. Mrs. Brantley has lumbar spinal stenosis.  Spinal stenosis is a degenerative condition of the spine that starts to put pressure on the spinal nerves in such a way that it becomes difficult to stand and walk.

When she came to see me she using a walker.  Betty was unable to walk for more than 100 yards without severe pain radiation in her back and down her legs.  Mrs. Brantley also had very chronic neck pain.  I examined Mrs. Brantley and I felt I might be able to help.  Together, we set out a plan of action.  Mrs. Brantley admits that she was very skeptical.

After a few weeks of treatment at my office, Betty says that her improvement has been unbelievable. She is walking now with NO difficulty.  She has very little pain and says her life has returned.

Watching her improve has been a pleasure!

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work out

Posted by Mark Croucher
on August 4, 2017
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A new study from the Mayo Clinic showed that lifting weights, even less than 1-hour per week, can help improve your battle against heart disease, stroke, diabetes and obesity (metabolic syndrome).

Roughly 7400 middle-aged adults were involved in the study. The benefits of weight training seemed apparent even when people hadn’t engaged in any aerobic exercise.

It seems weight training all by itself might make you healthier.  But when combined with aerobic exercise, it can lower the risk of metabolic syndrome by 25%!

It might be time to get a trainer and start moving a little iron.

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Interdisciplinary Care

Posted by Mark Croucher
on July 18, 2017
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July 18, 2017

At The Spine Center of Williamsburg we work with local pain management teams and local spine surgery groups in an effort to help their patients to manage their chronic pain in a healthier way.

Many of the techniques that we use can be very helpful to these patients.

A recent review in the Annals of Internal Medicine suggests that we may be on the right path.  They agree that interdisciplinary programs may offer benefits in reducing pain severity, improving function, and quality of life.

Editorialists write, “Although it will be important to confirm the results with more and higher-quality studies, [this] review provides evidence that patients who work with clinicians to reduce or discontinue opioid use can expect improvements in pain, function, and quality of life. Clinicians should find comfort in being able to communicate this hope to patients.”

Opioid Reduction Therapy Offers Some Benefits to Patients with Chronic Pain

By Amy Orciari Herman
Edited by David G. Fairchild, MD, MPH

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sweetners

Posted by Mark Croucher
on July 17, 2017
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Another strike against nonnutritive sweeteners

Nonnutritive sweeteners like aspartame and stevioside might be making you more obese and also may pose cardiovasular risks. That from a recent meta-analysis in the Canadian Medical Association Journal.

Scientists looked at 37 studies that evaluated at the effects of artificial sweeteners in 400,000 people over age 12.

Problems like obesity, Type 2 Diabetes and metabolic syndrome seemed to get worse the more people used artificial sweeteners.

Dr. Harlan Krumholz, editor-in-chief of NEJM Journal Watch Cardiology, comments: “This study raises the concerning possibility that not only have these sweeteners not helped people manage their weight, but may have actually jeopardized their cardiometabolic health.”

 

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