Entries by jg274108

How Can We Fight Inflammation? – Part Two

In Part One, we considered several things that we can do to control chronic, systemic inflammation. Let’s review: -Improve body composition -Exercise regularly -Get between 7 and 8 hours of sleep -Watch our intake of “vegetable” oil and boost omega-3 fatty acid consumption -Avoid trans fats -Decrease refined carbohydrates -Consume at least 30 grams of dietary fiber per day In Part Two, we’ll add to the list. Diet (continued…) Though the previous article was brought […]

How Can We Fight Inflammation? – Part One

When we study the causes of chronic disease, our investigations often reveal a usual suspect – inflammation. It is thought that inflammation plays a central role in the development of diabetes, cancer, heart disease, COPD, Alzheimer’s disease, autoimmune conditions, arthritis, and many other medical maladies. Even so, inflammation is essential. It facilitates tissue repair. It heals broken bones after a fall and allows muscles to recover following an intense workout. In these cases, inflammation is […]

Death By Chair?

How many hours do you spend in a chair each day? If you’re anything like the average American, it’s likelythat you’re seated for 9 to 13 out of 24 hours. Wow! Doesn’t that seem like a fairly unfortunate way to experience the ride of life? Keep your arms, hands, legs, and feet inside the ride at all times… It Hasn’t Always Been Like This It’s very strange when you think about it: We commute to […]

How to Treat Tendon Injuries – Part Two

In Part One of the series on how to treat tendon injuries, we considered the proper diagnosis of tendon disorders and how exercise and nutrition might contribute to injury recovery. In Part Two, we will examine additional treatment options. Nutritional Supplements In the previous article, I mentioned the importance of consuming high-quality, whole foods in order to optimize tissue health and encourage tendon healing. In particular, foods high in protein and rich in micronutrients should […]

How to Treat Tendon Injuries – Part One

In last month’s article we reviewed the anatomy and physiology of tendons. This month we will examine available treatment options for tendon disorders. After having started this article, I quickly realized that the content would exceed the allowable length for printed publication. As a result, the topic of tendon treatment will be split into a two-part series. Let’s get started with Part One… Tendon treatment is remarkably complex; at least in this humble clinician’s opinion. […]

Tendons – What You Need to Know

Tendons. When they’re injured, they hurt, and when they hurt, function can be significantly impaired. Treatment of tendon disorders constitutes a significant portion of my medical practice. While we still have much to learn about tendon physiology and repair mechanisms, recent research has provided better understanding of tendon disorders and offers new insights into potential treatment options. In this month’s column we will consider the anatomy and physiology of tendons so that we can more […]

Wrong about RICE?

What are you supposed to do after experiencing an acute muscle strain or ligament sprain? For decades, people have been told that Rest, Ice, Compression, and Elevation (RICE) will expedite recovery and enhance healing. But is this so? In 1978, Dr. Gabe Mirkin authored The Sportsmedicine Book in which he first used the acronym, RICE. Though it remained the gold standard treatment approach for acute musculoskeletal injuries for years, newer investigations have led many researchers […]

Our Crazy Bodies, Our Crazy Bones

Adaptation. This has been defined as a change or the process of change by which an organism or species becomes better suited to its environment. This is what living organisms do – they adapt. And perhaps there is no better example of this than the response to exercise.  When we exercise, we can become bigger, faster, and stronger.  Similarly, however, we can become fatter, slower, and weaker if we don’t move and indulge in caloric excess. If […]

Treat The Patient, Not The Image

When people present to my medical clinic and begin to describe their “symptoms”, I often hear some version of the following: “I have a bone spur.” “I have bulging discs.” “I have a labral tear.” These statements, however, describe radiologic findings rather than symptoms. While bone spurs, bulging discs, and labral tears can be involved in a painful process, patients are often surprised to learn that pain need not necessarily be associated with these findings […]

A Common Pain in The Butt

I’ve been thinking about something a lot recently – proximal hamstring problems. (Seems like an exciting place to live – in my head, doesn’t it?) It all started with a number of patients that were seen in my medical clinic. In fact, over the course of a single week, I saw 7 patients with proximal hamstring tendon problems. During the week following – 4 more patients. Naturally, I began to wonder what in the world […]

Hanging for Shoulder Health

I have received several recent questions related to shoulder pain. Those who have experienced shoulder discomfort to any significant degree are painfully aware of the limitations that it imposes, not only on training, but also on general daily function. I have become increasingly convinced that most of us could be protecting our shoulders and relieving common causes of discomfort by making a very simple addition to our daily routines. Several years ago, on days when I would […]

Everything You Thought You Knew About Stretching is Wrong

Tight muscles can generate pain, impair performance, and lead to a host of musculoskeletal problems; or so we’re taught. As a Physical Medicine and Rehabilitation physician, stretching for tightness is a topic of discussion as common among patients and practitioners in my field as perhaps statins for heart disease in the realm of primary care. The problem with stretching “tight” muscles, however, is that it doesn’t work (I’ll leave statins for a future article). It’s a […]