PRACTICAL PAIN MANAGEMENT TALKS ARTHRITIS DRUGS
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BIO-HACKING WITH DOCTOR JACK KRUSE
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NOURISH VERMONT (WESTON PRICE FOUNDATION)
JACK SAYS THAT LIGHT IS MORE IMPORTANT FOR HEALTH THAN FOOD!
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THE STATE OF THE AMERICAN DISEASE: MANAGEMENT -VS- CURES EXPLAINS WHY YOU ARE BIG PHARMA'S LARGEST COMMODITYRead Now
IF YOUR FAITH IS IN YOUR MEDICINE, DON'T COUNT ON EVER TRULY GETTING BETTER
Is The Pharmaceutical Industry Focused On Curing Diseases, Or Just Treating Symptoms? The title of a December, 2017 issue of Forbes
As many have already figured out, the drugs for treating diabetes and its ilk are expensive and don't work very well (HERE). Sure; they do an "OK" job of doing what they were designed to do --- lower blood sugar. But as far as doing the heavy lifting that's claimed (decreasing death, strokes, heart attacks, etc) --- it's not happening. As is often the case, THE DRUGS affect surrogate endpoints (in this case blood sugar), while morbidity and mortality run wild. What's arguably worse is that our government is subsidizing this disease on multiple fronts.
They subsidize the corn (NOT TO MENTION OTHER GRAINS) that is the source of HIGH FRUCTOSE CORN SYRUP. They are directly subsidizing the FOOD BUDGETS of the people most prone to being diagnosed (1 in 7 of those living inside our borders are on government food assistance). And they heavily subsidize corporate healthcare --- the system that's slowly taken over American medical care. After revealing that diabetes is costing over 325 billion dollars per year, the ADA went on to explain just how much of this burden is being covered by the American taxpayer. "Most of the cost for diabetes care in the U.S., 66%, is provided by government insurance (including Medicare, Medicaid, and the military). The rest is paid for by private insurance or by the uninsured."
Not only has this made healthcare as we know it --- no matter whose funding plan you promote --- completely UNSUSTAINABLE, but now we have big pharma and the medical community themselves to contend with. That's because if there is one thing we know for sure, it's that MEDICAL GUIDELINES cannot be trusted. Just how little they can be trusted can be seen in a paper published in last March's issue of the Journal of the American College of Cardiology (Trending Cardiovascular Nutrition Controversies); a paper that started out by trumpeting a fact that they should have been ashamed of.
"Contemporary guidance by the American Heart Association/American College of Cardiology (AHA/ACC), the U.S. Department of Agriculture, and the Department of Health and Human Services is issued now as food-based dietary patterns with accompanying speciﬁc nutrient recommendations."
I've already shown you how corrupt the AHA/ACC is (HERE is a great short example), but in this paper they are worse, touting SOYBEAN OIL, continuing to pan coconut oil (HERE), and even going back to ancient recommendations not to eat eggs because they are high in cholesterol (HERE). They even had the gall to quote the NLA thusly. "The National Lipid Association concluded that there is no evidence of any health beneﬁt of coconut oil" ---- this from an organization with more ties to industry than DONALD RUMSFELD, HERE).
Furthermore, the chief function of the USDA is, as stated on their website (it was first on the list), "to promote agriculture production....." Don't forget that it was the USDA who brought us one of the single most detrimental and destructive governmental recommendations this nation has ever seen; the FOOD PYRAMID. And as for DHHS, among other things, they administrate the FOOD & NUTRITION SERVICES (FOOD STAMPS) program --- a program frequently run the way a five year old would fill the grocery cart if you let them.
The point to today's post is this --- we are not quite halfway through the first month of 2019. You've already bailed on your NEW YEARS RESOLUTIONS and are realizing that this year is going to be just another rung on the ladder to unmanageable pain, weight gain, and chronic diseases (plural). But it doesn't have to be like this. Sit down today and create your own PERSONALIZED EXIT STRATEGY (I'm even giving you THIS RESOURCE completely free).
As I've mentioned numerous times, the vast majority of chronic health conditions begin with blood sugar issues. Fortunately there are a group of rogue scientists out there who have provided you with a dietary blueprint that actually makes sense for those of you coping with T2D (HERE). Just do it already! And if you have friends or loved ones who could similarly benefit, FACEBOOK is still a nice resource for reaching them.
GOT CHRONIC PAIN?
LEARN ABOUT WHAT IT TAKES TO SELF-MANAGE IT!
"There is a shortage of pain specialists with only one for every 21,000 patients. Meanwhile, untreated chronic pain impacts multiple aspects of the patient’s life, leads to depression, anxiety, irritability, emotional frustrations, social avoidance, relationship issues, loss of self esteem and lack of enjoyment of living and, occasionally, leads to suicidal ideation or attempts. Many primary care providers are comfortable treating acute pain due to its short course and usually identifiable cause, however they are much less comfortable treating chronic pain due to the myriad of complexities... such as pain without a clear etiology."
The article went on to talk about various ways of addressing chronic pain, mostly pertaining to medication --- most specifically opioids. Fast-forward six years, and we are in the throes of an OPIOID EPIDEMIC that is costing our nation over 500 billion dollars and killing nearly 50,000 people each and every year.
As I showed you (HERE), the pendulum has swung so far back the other way that many doctors are no longer prescribing opioids for fear of government retribution --- not having their claims paid, losing their licenses, or even being sent to jail. Add this to the medical community's realization that they have no real solutions to most of the chronic health issues they face all day, every day (HERE and HERE), and it's simple to see why there is a shift taking place in what constitutes the best way to deal with patients struggling with chronic pain.
Google 'chronic pain self-management,' and you'll come up with over 130 million hits. Today we are going to talk about just one --- an article from the new issue of Practical Pain Management titled Self-Management of Chronic Pain in Primary Care.
"Despite the complexity of chronic pain, at least half of all patients receive their healthcare from a primary care clinician. This raises a striking conundrum since primary care practitioners have been found to harbor negative attitudes toward patients with chronic pain, driven by a sense of insufficiency in addressing this patient complaint. To effectively address the multidimensional effects of chronic pain, patients need self-management training about behaviors, strategies, and activities that may help to control the destructive effects of pain on their quality of life."
How would you like to have a doctor that harbors "negative attitudes" towards you? The authors went on to talk about "limited options available to manage common cases of chronic pain," as well as that fact that both sides of this equation --- doctors and their patients --- feel "stuck" with their options; both groups typically and unfortunately seeing "increasing medication as the only solution." What this has done --- which, while not perfect for every person or situation --- has forced the medical profession to re-evaluate and abandon many of the practices that got us to this point.
What this really means for you --- the pain patient --- is that with doctors increasingly threatened with treatment audits and their careers being taken from them, the burden is increasingly falling on you to step up to the plate and take care of yourself (after all, today's post is about 'self care'). Since necessity is the mother of invention (or change), let's look at some of the self-management tips being promoted by these authors (an MD and clinical psychologist) for people struggling with chronic pain.
- UNDERSTAND PHYSIOLOGY: Look; if you don't have at least a cursory understanding of PHYSIOLOGY, INFLAMMATION, and CHRONIC PAIN (most people think they understand the latter two, but few actually do), getting better is going to prove tough. Since nothing makes sense, the entire situation, along with everything you try, will seem hopeless. Knowledge really is power! The authors also mentioned 'goal setting' under this bullet point. I would whole-heartedly agree since one of the most important aspects of my protocol is having patients create a PERSONALIZED EXIT STRATEGY for getting out of pain. And even though it was not mentioned, this is a good time to say something about having a support network of some kind. Online is great, but I would argue that in most cases, having someone nearby is better.
- MEDITATION & MINDFULNESS: While I'm a fan (our family watched a COOL VIDEO on meditation last evening), I have argued that "mindfulness" is all too often an intellectual-sounding, all-encompassing cop-out provided to people in chronic pain. A recommendation made by practitioners who aren't really getting to the root of things, or in many cases don't believe it's even possible to do so (HERE).
- BODYWORK: Although the authors mentioned massage, there are an almost unlimited number of forms of bodywork that can provide amazing results (HERE and HERE are two articles on this topic concerning fibromyalgia). Although there are people coping with "intractable" chronic pain (CENTRAL SENSITIZATION), I've shown you how important it is to work with these folks (HERE, HERE and HERE) because in many cases improvement is possible. My goal with my patients is not just to manage, but if possible, help provide solutions (THIS is what I'm talking about).
- STRETCHING, EXERCISE, ADL'S: I'm a huge fan of using various sorts of physical training to help get people back to performing activities of daily living without suffering every step of the way (these authors specifically mentioned stretching and a STRENGTH / CARDIOVASCULAR COMBO). Be aware, however, that in many cases, the cart gets put in front of the horse. Put simply, if people are trying to exercise or stretch areas that are microscopically 'TETHERED' by scar tissue, it has the potential to make things worse (HERE, HERE, or HERE). The more severe the case, the more true this is.
- HEALTHY EATING PLAN: Because I would argue that it's the number one key to solving SYSTEMIC INFLAMMATION (which can greatly help with either local or systemic pain), this bullet should have been number one on the list. Although I'm not quite sure where to begin since this bullet could encompass several volumes of books, THIS SHORT POST provides a starting point. It's important for the chronic pain patient to realize that inflammation always leads to fibrosis (HERE).
- SLEEP HYGIENE: Although I've talked about this in many posts, probably the most important can be found HERE.
- COUNSELING: Several things were mentioned here, including CBT, acceptance therapy, and managing setbacks. While counseling can be valuable (emphasis on "CAN"), it's important to have the right kind of counselor. Many people could benefit from seeing someone who's mostly Florence Nightingale, with a streak of Sgt Lee "Gunny" Ermey.
The most beautiful part of this plan is that much of it can be done on your own. Once your FIBROSIS / SCAR TISSUE has been dealt with, even much of the bodywork can be accomplished without professional assistance (HERE or HERE). For those of you looking to expound on this protocol, HERE it is. And while there are no fool proof methods for dealing with chronically ill or chronic pain patients, my protocol will at least get you thinking outside the box (which research is starting to show is actually inside the box even though far too many practitioners have not yet come to this realization). If you like what you're seeing or feel it deserves to be shared with struggling people, you can reach those you love and value most by liking, sharing, or following on FACEBOOK.
WHICH DIET MIGHT BE BEST FOR YOU?
Firstly, that the average profile of a chronic pain sufferer was female, overweight, and over fifty --- the same profile for developing autoimmunity (HERE). Secondly, and more importantly; we saw that of all the various sorts of diets looked at, the type that seemed to work best (12 of the 16 studies in this category showed significant improvement of pain) simply involved shifting a person's overall pattern of eating away from junk, toward health. Take a look, however, at this statement...
"These limitations add to the disparity between the recognition of nutrition-related issues as key treatment goals and the availability of good-quality, dietetic-led, nutrition-related treatment options for people who experience chronic pain."
In other words, the numerous limitations listed by the study's authors (there were many) created a "disparity," a word whose definition means "discrepancy, inconsistency, imbalance, inequality, incongruity, unevenness, disproportion; variance, variation, divergence, polarity, gap, gulf, breach; difference, dissimilarity, contrast, distinction, differential, contrary, etc."
In other words, we have a situation here in America where not only is dietary advice rarely given in a clinical setting (HERE); when it is, it's frequently wrong (HERE are recommendations from the American Heart Association and the American College of Cardiology). This is a shame considering these authors noted that dietary changes / interventions can improve the quality of life for suffering patients. Even if the advice is good, is the patient necessarily going to follow through? Unfortunately, doubtful. But those who do will see results, and it's about as simple as your doctor providing APPROPRIATE PATIENT HANDOUTS (whether online as mine are, or an old fashioned piece of paper).
Although not all of these points were in the study, allow me to highlight a few generic dietary recommendations of my own for the average person struggling to cope with their chronic pain.
- CUT SUGAR & JUNK CARBS: Sugar and high-glycemic foods --- foods that break down to glucose rapidly (flour, pasta, white potatoes, bread, etc, etc) --- are inflammatory; particularly if GRAIN-BASED (HFCS is a great example). Over the past two decades I've noticed a common theme when people go LOW CARB (almost always for the purpose of WEIGHT LOSS). They frequently see an array of health or pain-related benefits not directly associated with their weight loss. Oh; I better also mention in this bullet point that if you are using DIET PRODUCTS, be sure to click the link.
- INCREASE THE AMOUNT OF GOOD FATS: The fats you are eating are either driving or squelching inflammation (HERE or HERE). When people clean up their fats and do a PALEO / KETO combination, the results are often off the chart.
- EAT QUALITY PROTEIN: If your protein sources consist of processed or commercially-raised meats, or commercially-grown poultry or eggs, it's important to realize that you could be doing much better. You can read about those differences HERE or HERE. For those of you struggling with chronic illness or chronic pain, while trying to get your protein from plant sources; realize that while not necessarily impossible, it can present a significant challenge.
- SPICE THINGS UP: If you spend some time studying the myriad of anti-inflammatory spices (HERE is a post I wrote about yellow spices), you'll quickly see that not only can can you add a huge amount of anti-inflammatory firepower to your diet, you can add a great deal of flavor in the process.
- BEWARE OF FRUITSANDVEGETABLES: Fruits and vegetables were purposely run together in the bullet's title to provide an example of what most people believe and how they behave regarding fruits and vegetables. Tell a person to eat more fruits and vegetables and most --- particularly your hardcore SUGAR ADDICTS --- will add fruit. YESTERDAY'S POST dealt with this briefly via a story explaining what's happening to fruit-eating zoo animals. The point of this bullet is simply that fruits and vegetables are different (HERE), and your diet should be top-heavy in the latter.
Just remember that despite the problems with this study; the final sentence stated, "This review highlights the importance and effectiveness of nutrition interventions for people who experience chronic pain." For those of you looking for other diet-related ideas, or maybe even some ideas that don't necessarily have anything to do with diet, but are all about reducing inflammation, HERE is a short post to browse. And if you appreciate what you are finding on our site, be sure to like, share or follow on FACEBOOK since it's a great way to reach the people you love and value most.
THE GOVERNMENT WANTS YOU DROWNING IN A SEA OF SUGAR AND JUNK CARBS
"Every five years, the Departments of Agriculture and Health and Human Services publish the "Dietary Guidelines for Americans," which detail which foods Americans should eat or avoid. The highly influential document directs food labeling, school menus, public food programs, and government research grants. Researchers claim the guidelines are based on 'the preponderance of current scientific and medical knowledge.' Yet, since they were first introduced back in 1980, they've barely changed, even though a recent revolution in nutritional science has cast doubt on old assumptions. Last year, at the request of Congress, the National Academies of Sciences, Engineering and Medicine conducted a detailed analysis of the guidelines' methodology and found it failed to meet basic standards of scientific rigor."
Hallberg, a highly rated internist, professor, and WEIGHT LOSS specialist in Indiana University's medical system (she is a proponent of VARIOUS LOW CARB APPROACHES), talked about the current government recommendations, showing, AS I HAVE PREVIOUSLY SHOWN MYSELF, that they are not evidence-based in any way, shape, or form. Dr. H went on to provide proof (emails obtained via various Sunshine Laws) that this was done purposefully. In other words, the SAME THEMES SO COMMONLY FOUND within the pharmaceutical research industry are alive and well in the food industry (which you already knew HERE, HERE, HERE, and HERE). As is often the case, the powers-that-be have been PICKING AND CHOOSING THE EVIDENCE, while suppressing those findings they (or more appropriately, their financiers) didn't care for.
This is why, as I have asserted many times, the roots of the OBESITY EPIDEMIC can be laid squarely at the feet of the very agencies within our government designed to protect us, and is a great example of what happens when BIG GOVERNMENT sticks their noses into areas it was never meant or designed to. It's also why, despite the new evidence, things aren't likely to change any time soon (HERE). Don't forget to watch HALLBERG'S TED TALK on the subject titled Reversing Type II Diabetes Starts with Ignoring the Guidelines. We already know how conflicted "GUIDELINES" are here in America, but how big is the "SUGAR / JUNK CARB PROBLEM" getting to be? Allow me to show you by using new findings concerning one of my pet peeves.
Those who know me know that for at least ten years I have been frustrated by doctors, professors, celebrities, etc, using the terms 'fruits & vegetables' synonymously (HERE). New evidence shows that my chirping is spot on. A few months ago Newsweek carried a story by Brendan Cole with a title that should make you squirm as you contemplate the genetic tinkering taking place in our food supply; Zoo Weans Animals Off Fruit Because Its Increased Sugar Makes Them Fat and Rots Their Teeth. In the same way that both GRAINS and DAIRY are not the same as they were back in your grandfather's day, neither is fruit.
"Zookeepers have had to wean their animals off fruit -- which is now so full of sugar that it has made them fat and rotted their teeth."
My, how times have changed. The changes became even more glaring as I was cleaning out some old file cabinets this weekend and and came across a paper that was published back in January of 1992. Scientific American carried the piece by UN researcher, DR. NEVIN SCRIMSHAW, titled Iron Deficiency, which stated about this problem (ANEMIA)....
"The world's leading nutritional problem is iron deficiency. 66% of children and women in developing countries have it. Iron deficiency is identified with often irreversible impairment of a child's learning ability. It is also associated with low capacity for adults to work which reduces productivity. In addition, it impairs the immune system which reduces the body's ability to fight infection. Iron deficiency also lowers the metabolic rate and the body temperature when exposed to cold. Hemoglobin contains nearly 73% of the body's iron. This iron is always being recycled as more red blood cells are made. The rest of the needed iron does important tasks for the body, such as binds to molecules that are reservoirs of oxygen for muscle cells. This iron comes from our diet, especially meat. Even though some plants, such as spinach, are high in iron, the body can only absorb 1.4-7% of the iron in plants whereas it can absorb 20% of the iron in red meat. In many developing countries, the common vegetarian diets contribute to high rates of iron deficiency. Too much supplemental iron in a malnourished child promotes fatal infections since the excess iron is available for the pathogens use."
Whoaaaaa Nellie. An article in a major publication touting meat for health? No way would SA do that paper today! However, as I showed you just one short month ago, despite what we are currently being told by pseudo-governmental agencies (the UN and similar), there is no way to maintain or to build healthy soil naturally or rapidly without the astute use of livestock (HERE). So, thanks to current 'evidence,' meat is no longer good for us, but sugar is (HERE). Interestingly, according to experts such as ART AYERS, people can achieve good health via eating either a vegan or carnivore diet, as long as the proper bacteria for digesting what one is eating are present in one's gut (HERE).
The New Year is just one week old. It's not too late to turn over that leaf and make 2019 the year you got healthy. And just for you, HERE is a generic template to get you started. It's not going to be a perfect fit for everyone, but it will at least get you thinking; hopefully realizing that yes, you could do it if you put your mind to it. Be sure to like, share, or follow on FACEBOOK if you like what you are seeing and want to reach someone you love and value with potentially life-changing information.
A RECENT ARTICLE ON LIVER DISEASE PROVIDES A GLIMPSE AT WHY AMERICA CANNOT GET HEALTHCARE RIGHT, NO MATTER WHICH PARTY IS IN CHARGERead Now
THE NAFLD / NASH EXPLOSION AND WHAT YOU CAN
DO TO PROTECT YOURSELF AND YOUR FAMILY
NAFLD (Nonalcoholic fatty liver disease) is an overarching term for several diseases; one of which (NASH ---- nonalcoholic steatohepatitis) is so much more common than the others that it and NAFLD are frequently used interchangeably. Although I am not going to delve into the subtle differences, just realize that these two diseases represent the most common cause of liver dysfunction in Westernized society, with over 1/3 of our nation's population affected. What's it look like? Just look around you.
Thanks to our CARB-RICH DIETS, OBESITY has exploded here in America, with 70% of the adult population overweight or obese, and another 7-10% appearing that way via blood work even though their scale might say they are of a normal weight (HERE). The result is that fat accumulates not only around the liver, but (gulp) in the liver (this fatty accumulation within the liver's cells is called "steatosis"). Without intervention (we'll get to what that looks like in a moment), NAFLD will progress to NASH in a significant part of this population, leading to massive inflammation (hepatitis) and subsequent scarring (cirrhosis), because as I've shown you repeatedly, inflammation always leads to fibrosis (HERE).
Not surprisingly, NASH is associated with MOST OF THE DISEASES ON THIS LIST --- particularly METABOLIC SYNDROME / DIABETES ---- simply because they are all intimately related to inflammation. And lest I forget to mention, the rate of a certain NASH-related cancer (Hepatocellular Carcinoma or HCC) is literally exploding. Considering we already know that sugar and simple carbs are cancer's fuel-of-choice (HERE), not to mention the fact that OBESITY IS HEAVILY LINKED TO ALL CANCERS, we shouldn't be shocked. And once you realize that "Immune activation is a prerequisite for the development of NASH" (HERE), you'll understand why it's thought to be AUTOIMMUNE as well.
Why do I being this all up? Last Sunday's edition of CNBC carried a story by Lorri Ioannou titled The $35 billion Race to Cure a Silent Killer that Affects 30 Million Americans. After providing numerous scary facts, including the exploding incidence in young adults and even children, we learned that there is no drug to treat this problem (thus the title); a fact noisily touted by every single study I read on the subject. But with a 35 billion dollar market at stake, the race is on like Donkey Kong. And unfortunately, that was where the article ended. It was a piece about BIG PHARMA and sick people blaming others for their sicknesses (the quote below comes from a person who was diagnosed with NAFLD several years ago, but only recently diagnosed with NASH).
"The 71-year-old got ascites, varices in his esophagus and severe muscle cramps. Three months later he was diagnosed with liver cancer at Mount Sinai Hospital after his family decided to take him to its Recanti/Miller Transplant Institute in New York City for evaluation. 'I feel like my hometown doctors let me down,' he says, now grateful to be on the liver transplant lists at both Mount Sinai and the Mayo Clinic in Florida. 'For the most part, the medical community is not addressing this horrible disease, testing for it or offering any treatment."
Doctors aren't offering treatment because there is no treatment --- at no least no pharmaceutical treatment. The harsh reality is that while it's true that few physicians will spend the time to educate patients about the LIFESTYLE CHANGES needed to actually reverse disease BY CHANGING PHYSIOLOGY, the harsher reality is that STATS LIKE THESE (along with the quote above) prove that patients aren't listening anyway. It's why the current Republican / Democrat healthcare debate is moot. No matter how you slice it; without some serious national dietary and lifestyle changes, our current healthcare trajectory is totally and utterly UNSUSTAINABLE.
An excellent (free) study was published in last August's issue of Frontiers in Endocrinology, titled Pathogenesis of Nonalcoholic Steatohepatitis and Hormone-Based Therapeutic Approaches. What I want you to notice here is that mainstream medicine is showing you that not only is NASH linked to diet, it's linked to several factors that are directly mediated by diet (LEAKY GUT SYNDROME --- intestinal permeability issues, DYSBIOSIS / MICROBIOME PROBLEMS, TRANSLOCATION OF BACTERIA, and ALTERED IMMUNE SYSTEM FUNCTION), all of which are HALLMARKS OF AUTOIMMUNITY.
"Non-alcoholic fatty liver disease (NAFLD) is an emerging global health problem and a potential risk factor for type 2 diabetes, cardiovascular disease, and chronic kidney disease. Nonalcoholic steatohepatitis (NASH), an advanced form of NAFLD, is a predisposing factor for development of cirrhosis and hepatocellular carcinoma. The increasing prevalence of NASH emphasizes the need for novel therapeutic approaches. Although therapeutic drugs against NASH are not yet available, fundamental insights into the pathogenesis of NASH have been made during the past few decades. Growing evidence suggests that the intestine-liver axis plays a crucial role in the maintenance of metabolic homeostasis, and that its impairment is an important causal factor in the pathogenesis of diverse liver diseases such as obesity-related steatosis, NAFLD/NASH, and liver cancer. Feeding.... NASH diets causes impairment of intestinal barriers, dysbiosis of the microbiota, and alterations of intestinal immunity, leading to increased translocation of bacteria or bacterial products into the systemic circulation."
What's most telling are the guidelines for dealing with NASH as put forth by insurance giant, Cigna. I realize that insurance companies are schmucks, but it's interesting that in their article titled Nonalcoholic Steatohepatitis (NASH): Topic Overview, they mentioned things like REDUCING CHOLESTEROL (which does not work as touted when drugs are used), CONTROLLING DIABETES (ditto), along with WEIGHT LOSS, CUTTING OUT THE BOOZE, and REGULAR EXERCISE, but no specific meds. For people interested in having their health done for them via medication, as opposed to having to do anything difficult themselves, this is a bitter pill to swallow (no pun intended).
What are my recommendations if you have NAFLD or NASH? As is always the case, it's critical to look for ways to reduce systemic inflammatory load. While MY GENERIC PROTOCOL is not the entire ball of wax for everyone, for most people (talk to your doc), it's a great way to get the ball rolling. The super cool thing is that the most effective methods of dealing with weight also happen to be the most effective methods of dealing with overall health --- a big deal when you remember how intimately these twin diseases of liver destruction are related to DIABESITY. Oh; and be sure to like, share or follow on FACEBOOK to reach the people you love and value most.
FOUR-PLUS DECADES OF WHIPLASH PAIN SOLVED IN A SINGLE VISIT -- FIVE YEARS AGO
I saw her yesterday and to say she was excited was possibly as big an understatement as her telling me that for much of her life she was "surrounded by testosterone" (she has six sons and no daughters). Just like I have seen hundreds of times before; despite the fact that her hips are quite degenerative and may (emphasis on may) someday need to be replaced, the dietary changes she's made have already REDUCED HER SYSTEMIC INFLAMMATION to a crawl. In other words, she's feeling great (and can immediately tell the difference if she cheats).
Although tissue remodeling was not able to help her with her hips (I had doubts from the beginning), she reminded me of something I had forgotten about ---- the treatment I did on her neck and upper back. Carolyn had been in a WHIPLASH ACCIDENT when she was 18 years old, and had dealt with periods of CHRONIC NECK PAIN ever since, getting much worse once she hit her early thirties. And while chiropractic adjustments were the one thing she could count on to make a positive difference, the pain and HEADACHES always came back in the same place and the same way --- an EXCEEDINGLY COMMON PHENOMENON (or HERE). The video below was shot yesterday regarding the treatment I did about four and a half years ago (Sept of 2014).
For the record, a quick look at our VIDEO TESTIMONIALS (including THIS CRAZY POST ON CHRONIC NECK PAIN) shows that immediate long-term improvements, while certainly not a guarantee, are fairly common in my clinic. Very cool video Carolyn; Thanks and God bless!
WHAT IS IT AND WHAT KINDS OF STRATEGIES CAN BE USED TO REVERSE IT?
- I've shown you that hip arthritis is a massive cause of morbidity and mortality (HERE).
- I've talked about the POSTURE OF AGE, while showing you HOW TO START REVERSING IT.
- I've shown you what it takes to be healthy and strong at 50 and beyond (HERE & HERE)
- I've shown you that A.G.E.S. caused by LIVING THE HIGH CARB LIFESTYLE cause rapid aging, but how good nutrition creates built-in VITAL RESERVES.
- I've shown you the dichotomy between calorie restriction and a long, health life (HERE and HERE) as well as the benefits of EATING MORE & EXERCISING LESS.
- I've shown you that libido is an indicator of health and not age (HERE).
- I've shown you the relationship between aging, inflammation, loss of flexibility, and degenerative arthritis (HERE).
- I've talked about the AGING GUT.
- I've talked about both female and male sex hormones in aging men and women; ANDROPAUSE & MENOPAUSE.
- I've shown you that it's possible to increase your body's natural production of HUMAN GROWTH HORMONE --- also known as the Fountain of Youth.
One of the facts I remember from my days in Kansas State's dual degree, nutrition / exercise physiology program is that after the age of thirty; unless you are actively working to overcome natural aging processes, people lose 10% of their muscle mass per decade for the rest of their lives. Knowing what we know about the benefits of lean body mass as opposed to adipose tissue (fatty tissue), we can't be surprised. For one, we know that body fat (especially BELLY FAT) becomes its own hormone-producing endocrine system (HERE) which, among other things, actually fuels cancer (HERE). We also know that adiposity tends to turn men into women and women into men (HERE). And this is just for starters.
Writing in The Scientist, a team of four authors recently published a piece titled How Muscles Age, and How Exercise Can Slow It, which contained a mountain of beneficial information on this topic, starting with the term sarcopenia. A SARCOMERE is the structural / functional unit of a muscle (click link for animated video). The word 'penia' means a "lack of" or "deficiency". Thus, osteopenia is a lack of bone density --- not quite to the point of OSTEOPOROSIS, but getting close, which would likewise make sarcopenia a condition of decreased muscle mass. If you've followed my site for any length of time you already know how harmful (EVEN DEADLY) most calcium supplements are. So; what might keep bones strong if CALCIUM SUPPLEMENTS (OR THE SUPPOSED 'BONE-BUILDING' DRUGS) don't do it?
That's easy; physical exercise. And not just any sort of physical exercise, but specifically STRENGTH TRAINING (I'm a huge KETTLEBELL fan myself). It's why it's not surprising that studies have shown that OBESITY CAUSES OSTEOPOROSIS, which itself leads to sarcopenia. The authors of the paper being discussed today made a similar point...
"Loss of muscle mass is associated with—and possibly preceded by—muscle weakness, which can make carrying out daily activities, such as climbing stairs or even getting up from a chair, difficult for many seniors. This can lead to inactivity, which itself leads to muscle loss at any age. Thus, older people can enter a vicious cycle that will eventually lead to an increased risk of falls, a loss of independence, and even premature death. The good news is that exercise can stave off and even reverse muscle loss and weakness."
The authors went on to talk about four distinct exercise-related areas that are coming increasingly into focus as they become better understood; mitochondrial health, stem cell production, increased protein turnover, and the many functions of signaling molecules. MITOCHONDRIAL HEALTH is critical because mitochondria are responsible for manufacturing all (as in all) of your body's cellular energy. Mitochondrial dysfunction not only results in numerous disease processes, but lethargic, often times exhausted people. New research has revealed that sarcopenia tends to trigger a downregulation of mitochondrial function (mitochondria should make up over 10% of the volume of muscle). Unfortunately, as mitochondrial function lessens, muscles will invariably (and probably rapidly) lose more of their mass and strength, leading to even greater downregulation of the mitochondria --- a true vicious cycle in the making. But it doesn't stop there....
"transcriptomes of rat and human muscle [have] susceptibility to sarcopenia, closely linked to deregulation of gene networks involved in mitochondrial processes, regulation of the extracellular matrix, and fibrosis, the formation of excess connective tissue in a muscle caused by the accumulation of extracellular matrix proteins."
They are talking here about FIBROSIS (I call it SCAR TISSUE in my clinic), which is characterized as a DENSIFICATION or "THICKENING" of the connective tissues, along with an increase in the amount and thickness of the jelly-like ECM, all of which happens to be the leading cause of morbidity and mortality worldwide (HERE, HERE, and HERE). Because the transcriptome refers to all of an organism's mtRNA (mitochondrial RNA), we can see how serious this situation can be. Let's now turn our attention to their third point; muscle stem cells, aka satellite cells.
Muscle fibers are interesting birds because they rely totally on stem cells for growth and repair. The problem is that even though satellite cells make up about eight percent of the number of muscle cell nuclei in young adults, by the time a person reaches age 70, that number has dropped to .8% --- a depreciation of (gulp) 1,000%. This is one of the reasons that older folks don't recover from injury as quickly as the young. Here's what's mind-bending though. When this team of scientists attempted to culture geriatric satellite cells in a Petri dish, they grew as well and as rapidly as the satellite cells from young folks. What this means is that there is something acting on said cells in the body to produce the aging effect. What was the culprit?
"The elderly human satellite cells we examined did, however, show dramatic changes in their epigenetic fingerprint, with the repression of many genes by DNA methylation."
Allow me to unpack this for you. Having written numerous articles on EPIGENETICS, rest assured that in the vast majority of people, it is a far more important concept for you to grasp than genetics (HERE). Epigenetics simply means that even though people carry genes for a myriad of who-knows-what kinds of ugly diseases, most of these diseases are never expressed. However, there are certain things that can "turn on" these dormant genes, causing them to express themselves with varying degrees of symptoms of an unlimited number of diseases. What are we talking about here? Even though you may not "know," you already know ---- SMOKING, DRINKING, consuming too much sugar or processed carbohydrate (HERE), etc, etc, etc........ Or maybe not enough physical exertion / exercise. Whichever way it occurs, suppress DNA METHYLATION and you have problems on your hands --- serious problems.
Last on the list was protein quality control. The authors began this section by saying that even though elderly people may consume significant amounts of protein, their bodies are breaking it down so rapidly that they lose muscle mass anyway. They also spoke of diminished autophagy, the process where the body recycles used, old, or damaged proteins to be used in building new proteins. Furthermore, if the body cannot clear these old proteins fast enough, they accumulate in the cells, causing muscles to further atrophy and weaken. While I would not argue that either of these points are true, it's important to realize that people's stomach acid tends to get weaker with age (HERE) as well; a huge and unmentioned factor in being able to properly digest and assimilate the protein one is consuming.
Remember when I showed you that "old" muscle stem cells grown in a test tube grew like young muscles? "It is now well known that the levels of circulating hormones and growth factors drastically decrease with age and that this has an effect on muscle aging. Indeed, hormone replacement therapy can efficiently reverse muscle aging, in part by activating pathways involved in protein synthesis." Although I mentioned it in the list at the top of the page, the foremost of these is HGH or Human Growth Hormone. So much so that when you see a medical clinic advertising "anti-aging", I promise that the ultimate goal is to get you to pony up for injections of HGH --- the hormone that turned Barry Bonds from a true 'baseball player' into a bison-headed home run machine.
There are, however, about a jillion other "GROWTH FACTORS" besides HGH that are critical for soft tissue healing (many of these could actually be referred to as "INFLAMMATION"). It's important to remember that inflammation is critical for healing damaged tissues in the proper amounts; it's when there is too much that it becomes problematic. And in the same way that I've shown you that fatty tissue (adipose) is an endocrine organ (see earlier link), these authors are quick to point out that muscle tissue is as well.
What do most of the growth factors mentioned have in common? Something I've spoken of at length on my site; stimulating fibroblastic activity (HERE or HERE --- fibroblasts are cells that "build" collagen and other proteins needed for building / healing soft tissues, muscles included). Be aware, however, that not all of these "factors" are helpful (particularly in large amounts) since INFLAMMATION ALWAYS LEADS TO FIBROSIS.
One of the chief 'growth factors' (myokines) mentioned in this paper happened to be the ultra-common IL-6 --- an inflammatory marker which "makes the elderly more prone to sarcopenia," among a host of others (see link). Another factor, IGF-1, was dealt with as well. "Another myokine, insulin-like growth factor 1 (IGF-1), can trigger the swelling of muscle fibers, including after exercise. IGF-1 levels decrease with age, as do levels of the cell-surface receptor that IGF-1 binds to, and mice that overexpress IGF-1 are resistant to age-related sarcopenia."
Cool to know, but the bottom line is what can a person do about it on their own, without dangerous or expensive drugs such as HGH or THE BIG FIVE, or doctor visits? Exercise. In one study, not only were the muscles of older cyclists who had exercised their entire lives virtually identical to the muscles of younger cyclists, their immune systems were likewise indistinguishable. Essentially, exercise benefits and helps regulate each and every one of the four points mentioned today. On top of all of this, the authors even spoke about going into surgeries in a "preconditioned" fashion --- something I dealt with exactly one year ago today (HERE). And for the love of Pete, be sure to add some sort of RESISTANCE TRAINING to your regimen, however short, as research has shown it to be metabolically superior to other forms of exercise.
If you are looking to turn things around and get healthier in this new year, be sure and check out THIS SIMPLE PROTOCOL. And it you think our site is worth sharing, be sure to see that it makes the rounds on FACEBOOK, since it's a nice way to reach people you love and value most.
CHRONIC BACK PAIN AND FASCIAL ADHESIONS OF THE THORACOLUMBAR SPINE
MIGHT THERE BE A SOLUTION FOR YOU?
"The diagnosis of chronic low back pain is a scourge of society that does not take into account the pathoanatomical cause of pain. Low back pain is one of the most challenging conditions to treat, as it is a symptom of an underlying disorder. Low back pain is incredibly frustrating for clinicians to treat, as over 100 conditions can result in back pain. It is one of the most prevalent musculoskeletal disorders in developed countries, affecting up to 85% of the adult chronic pain population. Also, a precise pathoanatomical diagnosis cannot be determined in up to 85% of patients with low back pain, so treatment is based on the classic step-wise approach. For those unfortunate patients who do not respond, chronic pain management is advised to mitigate the effects of the pain on patient function with an attempt to approximate as close to a normal lifestyle as possible."
Think about what's being said for a moment because it flies in the face of everything the average person is led to believe about back pain. First, despite what you've been told (and just as I've shown you before --- HERE), it's virtually impossible to look at an orthopedic test --- any orthopedic test, including MRI --- and determine with any degree of certainty whether or not the findings on said test are in any way related to your pain. Secondly, whether we are talking about MRI or modern digital x-rays, telling people their pain is due to "degeneration" (arthritis, osteoarthritis, degenerative arthritis, DJD, DDD, etc, etc, etc) is USUALLY LESS THAN ACCURATE, with the same being true of most visible disc herniations as well (HERE). Thirdly, when the authors say that over 100 conditions are related back pain, they are grossly UNDER-EMPHASIZING THIS ASPECT. And lastly, we've known for years that chronic low back pain is the single biggest cause of disability in the developed world (HERE).
The patient in this case study was a geriatric male (age 65), with a history of spinal fracture from a football injury over fifty years prior, which was followed a few years later by a rugby injury. He ended up in a rigid, full-torso brace for three months, eventually having his lower back FUSED several years later. This individual had all the usual signs and symptoms associated with his injury and subsequent treatment; severe degeneration, disc herniations, SCIATIC-LIKE SYMPTOMS, as well as a shuffling gait (see 'under-emphasizing' link above). He had tried therapy (THIS WAS HIS RESULT), TRIGGER POINT INJECTIONS (they did not work either), and was not interested in a life lived on "THE BIG FIVE". Eventually, a PRP INJECTION was tried.
Although I am certainly not against Platelet-Rich Plasma injections (they are unarguably much safer than CORTICOSTEROIDS), I'm biased because even though I have seen numerous patients get incredible results from stem cell injections, I have yet to see a patient who had good results from PRP. What I really want you to listen to, however, is the cherry-picked description of what PRP does, according to the study's author.
"Platelet-rich plasma is thought to work through the release of growth factors in areas of tissue damage. The alpha-granules in platelets contain many growth factors that are responsible for the initiation and maintenance of the healing response. The growth factors that are released include platelet-derived growth factor (PDGF), transforming growth factor beta (TGF-beta), vascular endothelial growth factor (VEGF), and fibroblast growth factor (FGF). The fibrin matrix that forms also has an additional stimulatory effect on healing by trapping platelets and providing an initial matrix for fibroblast migration."
Forget PRP for a moment. What I want you to grasp here is that if you look at two of my past posts on what it takes to stimulate fibroblastic activity (HERE and HERE), you'll find each and every one of the features from the paragraph above, as well as many others. How is it being done without drugs, stem cells, or PRP? It's being done via intense body work (HERE & HERE).
And while it's true that "intense" means that my patients occasionally look like THIS (emphasis on "occasionally"), my goal is always to use the MINIMALLY EFFECTIVE DOSE when treating. What's kind of cool for my patients here in the OZARKS OF RURAL SOUTHERN MISSOURI is that I've been talking about this relationship --- the relationship between BRUISING and healing (fibroblastic activity) --- for the BETTER PART OF TWO DECADES! What's doubly cool is that we haven't even gotten to the best part of this case history yet --- CS. The authors went on to talk about CENTRAL SENSITIZATION, saying........
"Central sensitization is the amplification of neural signaling within the central nervous system that causes pain hypersensitivity not only at the site of pain but in the spinal cord and brain as well. It is thought to be the primary reason chronic back pain is virtually impossible to treat. It is possible that there is bi-directional neurological input that is responsible for the development and maintenance of central sensitization. In this case, it is possible that nociceptive input in the periphery resulted in the development of central sensitization. Once this nociceptive input was removed, the phenomenon of central sensitization also resolved. This suggests that the identification of the original pain generator remains important in patients with a long history of chronic low back pain and that additional attention should be focused towards the thoracolumbar fascia, as full resolution of their pain complaint may still be possible."
I must admit that when I read this, I almost fell out of my chair. Why? Because mainstream medicine's concept of Central Sensitization is that chronic nociceptive inputs (PAIN, INFLAMMATION, etc) in the periphery can create abnormal brain activity that can cause pain to play on a loop in the brain, even though the original injury is 'healed'. In regards to what THIS AUTHOR is saying, one of two things must be true. Either, contrary to popular belief, these abnormal brain loops can be broken (FUNCTIONAL NEUROLOGISTS know this is often possible), or, even though people are being told they are 'healed' (such as insurance companies do all the time with WHIPLASH PATIENTS), the reality is that they could very well be carrying the same CHRONIC INJURY they've carried for decades ---- the point of my post titled CENTRAL SENSITIZATION AND TISSUE REMODELING!
Not only have I shown my readers many studies related to the thoracolumbar fascia (HERE, HERE, and HERE are a few), but I've shown you what it takes to start addressing it in the earlier-mentioned manner (HERE). I've also shown you how thoracolumbar adhesions are responsible for sciatica (HERE) as well as the technology that this doctor used to image his patient's thoracolumbar fascia (HERE). I've even shown you how research continues to show how spinal surgery frequently fouls up the function of the thoracolumbar fascia (HERE). On top of it all, I'm constantly providing you ideas to help you start addressing your own back problems (HERE and HERE are two examples of many).
Although I would never for a moment try and convince you that fasical adhesions of the thoracolumbar spine are the only cause of back pain, they are a major reason for all the reasons I've listed HERE. What about CASE HISTORIES / TESTIMONIALS from patients with problems of the thoracolumbar fascia that were treated without PRP? Allow me to show you two unsolicited emails (HERE and HERE) as well as an amazing one-minute video of a patient from California who suffered with low back pain for over two decades before finding a solution in tiny Mountain View, Missouri (HERE). And because fascia is found all over the body (HERE ARE ALL MY POSTS ON FASCIA), the exact same concepts frequently work for people with chronic neck pain as well (HERE).
As an extra boon for many of you, remember that tissue remodeling is only a small part of my protocol for helping people start the process of taking their lives back, albeit an important one. While it certainly won't provide the solution for everyone; on this first day of 2019, my generic protocol is yours, completely free of charge (HERE). Just remember to like, share or follow on FACEBOOK since it's a good way to reach a lot of people, most particularly the people you love and care about most.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration