Social Significance

I’ve attempted in this column to cover numerous aspects of physical, chemical, and emotional well-being and how they relate to better health and wellness.  However, a journal article published in Nature Neuroscience reminded me that I’ve neglected the social aspect of health and its role in longevity.

The topic of social health became more significant in 1947 when the World Health Organization included it in its formal definition of health.  Increasing evidence has shown that those who are well integrated into their communities tend to live longer and heal better from disease while those who do not feel as connected are more prone to illness.  Numerous times, it has been proven that married people tend to live longer than individuals who do not marry.  In his book, Healthy at 100, John Robbins, M.D. documents the critical significance of a strong community network in all four of the cultures he studied where people often lived over 100 years with extraordinary health.  This recent research study set out to determine the neurological mechanism that makes these outcomes possible.  The conclusion of the study ties into a subject I’ve discussed numerous times in the past – stress physiology.  The researchers believe that a lack of community or even threats to social connection may tap into the same neural and physiological alarm system that responds to critical survival threats.  Having a strong social network appears to tap into basic reward related mechanisms in the brain.  What they are saying is that a good social support network shuts off the stress response and a poor social structure actually feeds the stress response.  Any perceived stress leads to what I have often called “stress physiology” which should be viewed as the predictable cascade of increased hormones that affect nearly all aspects of our physiology and over time can be linked to virtually every disease known to man.

The lesson to take home from this material is to work on your relationships.  Resist the temptation to go home and tune out.  Instead, spend time building meaningful bonds with your family and friends.  Join a club or group, or get involved in your church.  The more strong and meaningful relationships you maintain will not only make you feel better, but they will actually help you to live longer with less risk of disease and illness.

More Than a Luxury

When our patients begin their chiropractic treatment, I often recommend massage as part of a treatment plan. This seems to trouble some patients and they are reluctant to schedule massages. My only explanation for this is that people fail to see the health and wellness connection of massage therapy as they think of it merely as a spa experience or what I like to refer to as a Jacuzzi effect.  This is something that provides some benefit while you’re doing it, but by the next day, life remains relatively unchanged.  What I’ve come to see is that the people who undergo regular massage even for just once per week for a couple months learn the truth and experience the real benefits.

I did a quick review of the research on massage therapy and while there is too much to report, I made a laundry list of the broader benefits of this age-old procedure.  By increasing blood flow and circulation, research shows that massage often can reduce heart rate and blood pressure.  Similarly, by increasing the flow of lymphatic fluid, massage reduces swelling and strengthens the immune system.  By reducing muscle spasm, tension patterns, and adhesions, massage improves range of motion and flexibility while enhancing athletic performance and helping to prevent sports injuries.  Massage also releases the body’s natural painkillers endorphins, thereby reducing acute or even chronic pain.  It is well documented that massage will increase serotonin levels to help reduce stress and prevent depression.  There are research studies to show that massage can help with more specific conditions such as fibromyalgia, plantar fascitis, carpal tunnel, migraines, arthritis and even asthma and bronchitis.  A study that I kept coming across was one that showed premature infants who received massage gained weight much faster than those who did not.

The point is that massage is much more than a luxury.  Even amateur massage feels good and relaxing while it’s being done, and I’m not certain I’ve heard anyone complain about a “bad massage.”  However, in my experience, the good ones are ones where even after the first couple sessions, you know that something has changed and the results begin to become long-lasting.  There are numerous licensed massage therapists in the area.  If you haven’t tried massage in the past, call for a couple appointments to experience the health benefits of this safe and painless therapeutic approach.

Heart Health

I was attracted to an article titled “The Real Cause of Heart Disease” written by a heart surgeon of 25 years experience.  His article was more of a retraction letter apologizing for the bad advice he had promoted over the years.  He stated that the standard advice of cholesterol lowering medications and a low-fat diet are no longer scientifically or morally defensible.  25% of the population is taking cholesterol drugs, yet more Americans are dying of heart disease every year and 75 million Americans are currently suffering with some level of heart disease.

This surgeon sited recent research proving that inflammation in the artery wall is the real cause of heart and all cardiovascular disease.  Without this inflammation, cholesterol wouldn’t accumulate in the vessel lining to begin with.  It’s the inflammation that traps cholesterol in the internal lining of the arteries.  From this point-of-view, cholesterol in the arteries is not the cause of heart disease, but merely another symptom.  Inflammation from diet and stress is the real cause and also the solution.  What causes this inflammation?  It’s the processed carbohydrates such as sugar and flour products as well as the omega-6 corn, vegetable, soybean and sunflower oils.

To solve the heart disease epidemic we must begin to choose more natural and complex carbohydrates such as fruits and vegetables over the processed grains and sugars.  Likewise, we don’t need to avoid fat because that strategy has not worked either.  Rather we need omega-3 fats found in fish oils, organically raised.

Today's mainstream American diet has produced an extreme imbalance of these two fats. The ratio of imbalance ranges from 15:1 to as high as 30:1 in favor of omega-6. That's a tremendous amount of cytokines causing inflammation. In today's food environment, a 3:1 ratio would be optimal and healthy. Eating a balance of healthy fats improves overall health leading to less heart disease. 

Belly Fat

O.K.  I don’t believe there’s anyone out there that is particularly fond of belly fat or as it is often referred to -- the “muffin top.”  In the past, I’ve discussed that the excess around the girth starts producing its own hormones including estrogen.  In that article, I shared how this abdominal fat is a primary predictor of not only cardiovascular disease, but also of diabetes and cancer.  These are 3 of the 4 top killers in our society.  So obviously eliminating the belly fat is a big deal, but for anyone who has tried, it can be a challenge.  One of the reasons losing belly fat is so difficult is that it’s not there only as a result of poor diet and lack of exercise.  Chronic stress will also contribute to the spare tire.

When you have any perceived stress, your body releases certain "fight-flight" hormones including cortisol, norepinephrine and epinephrine.  This is a normal healthy response to any threat or perceived stress. Typically, these hormones will go up and down throughout the day with stress. The problem is that when you are chronically stressed your cortisol levels go up and stay up. These elevated cortisol levels cause the body to resist weight loss because your body thinks times are hard and you might starve.  So it hoards the fat you eat and takes fat from healthier areas and moves it to your abdomen causing increased inflammation and insulin resistance in the body. This belly fat then leads to more cortisol because it has higher concentrations of an enzyme that converts inactive cortisone to active cortisol.  This increased cortisol retains more abdominal fat and the cycle continues.

So what can be done?  To lose the weight in this area you must reverse the cortisol and fight-flight reaction.  Fortunately, as long as you can find a form of exercise that you don’t resent and get more stressed over; all exercises will at least temporarily inhibit the stress and cortisol response.  Secondly, stress is most often a perception – we are not truly in a life-threatening situation.  Thus, you need to practice shifting your mind and your thoughts from what is wrong in life (stress) to what is right (gratitude).  Meditation to quiet your mind is also critical.  This change in the brain will change the hormones released.  Finally, your fuel sources need to be appropriate.  Caffeine, nicotine, sugar, flour and processed grains all act as stimulants that stimulate stress.  Lean protein, healthy fats (omega 3’s) and the minerals found in raw fruits and vegetables help to shut off the stress response.  In essence, if you eat, think, and exercise appropriately, you can reverse this deadly epidemic to our health and society.

We also have an exciting new laser in our office that will help with belly fat and overall fat loss. The Zerona Z6 Fat Loss Laser flushes toxins from the fat cells, resulting in lost inches, weight and fat. If you are interested in learning more, join us for our open house on July 21st. Register on Eventbrite or by calling the office at 812-273-4325 to save a seat.  

Brain Boost

One of the very first articles I wrote for this column was about the benefits of physical exercise for improving memory and preventing disorders such as dementia and Alzheimer’s.  The good news is that nearly four years later, this information is still true.  In fact, some newer research reported in a recent book titled, The Revolutionary New Science of Exercise and the Brain shows that exercise is absolutely vital for memory and proper brain function.

It wasn’t that long ago that the physiology books and med-school instructors taught that loss of brain cells was permanent and irreversible.  Fortunately, this was simply not true.  In the past, I’ve shared the research that emotional stress will shrink the cells of the hippocampus (considered to be the memory center of the brain).  One recent study proved that regular exercise will actually enlarge this memory center by 1-2% per year throughout life!  If you’re wondering how exercise can do all of this, the experts believe it’s because of the increased blood flow to the brain.  They also believe that physical exertion develops new nerves and increase nerve-protecting compounds.  Finally, numerous studies have shown that exercise alters the damaging proteins in the brain that are directly linked to Alzheimer’s.  Researchers also believe that you don’t have to dedicate large amounts of time to get a brain boost – as little as 20 minute workouts can improve long-term memory.  In one study of elementary students, they found that 40 minutes of exercise every day increased IQ by nearly four points on average and the fittest students scored 30% higher on IQ testing than average students.  In adult studies, employees who exercise regularly are about 15% more efficient at their jobs.

In most of these studies, it appears that the type of exercise doesn’t really matter as long as you’re getting appropriate exertion to get the heart pumping and increase blood flow to the brain.  Studies involving weight training, walking, running, and other forms all generated similar results.  The key is to know your target heart rate and get up to 90-100% of your target several times throughout the workout.  The only catch to all of these studies is that if you are looking to improve the brain, the exercise needs to be regular and routine.  In a recent rat study, they found that stopping exercise for just three weeks duration resulted in the nerve cells of the brain to begin to decrease and memory to suffer.  In a second similar study where the rats had only been exercising for a short time (10 weeks) followed by three weeks of inactivity, they determined that the benefits of the exercise were lost and the memory and nerve development was the same as those rats that had always been inactive.  The moral of the story is that exercise needs to be done and it needs to be done regularly!  But if you’re worried about aging gracefully and preventing the emotional hardship that goes with losing memory and dealing with diseases such as Alzheimer’s, this information is still great news and should give you hope and motivation.

A Three-legged Stool

When it comes to health challenges and even wellness goals, I find that people often put all their eggs in one basket.  What I mean is, we try just one thing and if that doesn’t work, then we try another one thing.  Unfortunately, most people neglect their health until they get sick and then their one treatment consists of drugs without regard to the side effects or what lifestyle factors ultimately caused them to get sick in the first place.  This is true even though the New England Journal of Medicine has determined that 80% of our health problems should have been prevented through proper lifestyle.   I even find the same phenomenon with people seeking chiropractic care – they simply want to get adjusted without concern of what caused their problems or what else they can do on their own to improve their outcomes.  But there is a much better way.

Chiropractors deal with misalignments of the spine called subluxations that place pressure and tension on the nervous system.  Just like other health problems, subluxation is caused by excessive amounts of physical, chemical, and emotional levels of stress beyond what the body can adapt.  In fact, for a bone to become misaligned, there must be an imbalance of the muscles that are designed to keep the bones aligned, and at least five ligaments of the spinal joints will have been compromised as well.  The number one complaint about chiropractic care is that people respond and do well while they’re under active care, but when care is reduced the problems begin to come back.  Realize, this is not a chiropractic problem; this is either a stability or lifestyle problem.  In terms of stability, most people have imbalanced or weak muscles from sitting too much or doing the same activities over and over causing some muscles to be over-developed and others to be under-developed.  This phenomenon creates inherent stress on a joint and makes it very difficult for people to “hold their adjustments.”  In physical therapy, they would rehab those muscles to stabilize that joint.  My concern with this is what if the joint was imbalanced to begin with and we’re strengthening an improper structure?  In the past, as a chiropractor, I used to believe that all I had to do is restore the alignment and movement of the joint and the body would take care of the rest.  I have learned this is not true when that joint is supported by weak or imbalanced muscles.  When you restore alignment and strengthen at the same time, it’s a win-win.  In terms of lifestyle, I hope it’s only common sense that if I go back to the same faulty lifestyles that caused my problems to begin with, of course my symptoms will return.  This is why the physical, chemical, and emotional components must all be addressed.  When people address their physical stressors and begin to exercise, when they clean up their inflammatory diets, and when they work at reducing stress in their life through exercise, meditation, or other techniques, this is when health is truly restored.

We need to look at health as a three-legged stool where physical, chemical, and emotional well-being makes up the foundation.  When any one leg is compromised, the whole thing suffers.  We live in a world of numerous demands and stressors that complicate healing.  Whether we’re talking about a chiropractic problem or any health problem, you need to look at healing as a multi-dimensional process where you will likely need to make changes on more than one level to achieve real results.

It’s a Brain Thing

Even after 120 years, there are still a lot of people confused about chiropractic adjustments because they don’t want to get their “bones cracked, or popped.”  They believe that the adjustment “pops” a bone that is out of place back into place like snapping Legos into position.  Some of this is the fault of the chiropractor as we have allowed this simplified interpretation to be perpetuated over the years rather than tell the whole truth which is a little more complicated.  The truth is that the adjustment is more about the brain than it is about the bones.

Chiropractors detect and correct something called a subluxation.  Subluxations are indeed minor misalignments of the spine that can create pressure and swelling on the nerves causing interference with the nerve signals thereby adversely affecting everything under the control of that nerve.  The problem with this is that bones don’t just go out of place on their own – they are controlled by the muscles.  There are approximately 108 muscles of the spine whose job is to keep the bones of the spine in proper alignment.  That’s great, except for the fact that muscles don’t do anything on their own.  In truth, muscles do only one of two things – they turn on to contract, and they turn off to relax much like a light bulb.  However, just like the light bulb, the muscle requires an electrical stimulus from the wiring system of the body or the nerves.  And when it comes to maintaining the alignment of the bones through the muscular system, the nerves that coordinate all of this are controlled largely by the coordination center of the brain known as the cerebellum.  This part of the brain requires constant incoming information from all the joints and muscles of the body to coordinate balance and movement and maintain normal posture and proper structure.  So you see, a misalignment of the spine or subluxation is really a coordination problem.  There has to be some kind of disconnect between the bones, muscles, nerves and cerebellum that would allow a bone to stop moving correctly and become misaligned.  Therefore, you cannot truly “pop” a bone back into place.  Even if you could, the imbalanced muscles would pull it right back out of place.  Rather, the chiropractic adjustment moves the bone enough in the right direction to fire off the nerve endings in the joint that report to the coordination center of the brain (cerebellum).  This stimulus from the joint gives the cerebellum the information needed to begin re-coordinating the imbalanced muscles so that the body can begin to move the bone back into proper position and heal on its own.  I like to think of this like resetting the circuit breaker.  Because the muscles and the nervous system itself are very habit-forming this process usually requires repetition to retrain this complex system and ultimately correct the misalignment or subluxation.  So even though most people go to chiropractors for various pains, the process really is not about reducing pain, but rather about improving the function of this brain/body communication.  When this is accomplished, higher function not only leads to less pain, but better performance and ultimately better health because the brain is communicating with the body more efficiently through the nervous system as it was designed to do.  I share this perspective with you because many people are suffering unnecessarily due to commonly held misconceptions about how chiropractic and the chiropractic adjustment work.