Glycemic Index

     The Glycemic Index (GI) is a relative ranking of carbohydrate foods according to how they affect blood glucose levels. The lower the relative value, the slower the metabolism of the food, and thus the slower the food causes an increase in blood glucose.

     Any rise in blood glucose, of course, affects insulin levels, a critical consideration for people who are diabetic or pre-diabetic.

     However, attention to the GI is a good idea for everyone, because spikes in blood sugar due to what we eat can lead, over time, to ever-increasing proximity to a diabetic state.

     So---it's not just about sugar! 

     Ultimately it's about how rapidly any food raises our level of blood sugar. 

     Find out more at   https://www.gisymbol.com/about-glycemic-index/ 

     

Arthrokinematics

     Combine "arthro" meaning "of a joint," and "kinematics," meaning "properties of motion of objects" and you get a cool new word, "arthrokinematics"---which is applicable in describing the motion of any joint in the body.

     For example, the "roll and slide" movement of the lower end of the thigh bone, the femur, moving against the top of the larger bone in the lower leg, the tibia, when bending the knee.

     Whether kicking a soccer ball (the femur is stable & the tibia is rolling & gliding)  or squatting (the tibia is stable & the femur will roll & glide), the arthrokinematics are crucial to maintaining stability of the knee throughout its range of motion.   

      

"The Straw That Broke the...

     .......Camel’s Back."  As the saying goes, when a seemingly insignificant action or event results in sudden, extreme pain. 

     What’s going on here?

     Patients often tell me, "All I did was bend over to pick up the newspaper," or "I just got up out of a chair." Simple actions that should not be expected to cause the pain that followed.

     In fact, 90% of the time, dysfunction has been building, often becoming more complex, but not yet symptomatic, or maybe the little twinges you felt were easy to ignore. 

     Then a simple movement, change of position, or event, suddenly pushes things over the edge into pain. What has been lurking becomes painfully impossible to ignore.

     When you feel those little twinges, or sense that maybe something in your underlying structure isn't right, come in and get your body balanced, and you're much less likely to get into that place of severe pain.

To Sit or Not to Sit

  Widely available in different configurations, the standing desk can be an ergonomic blessing to people whose work keeps them desk-bound for long periods of time. 
     Most advantageous are the adjustable types, which can be raised for working while standing, or lowered for sitting to work. The flexibility allows for changing positions throughout the work day, a good antidote to chronic unhealthy postures.

  Whether you sit or stand, or mix it up, it is still wise to take frequent breaks---at least once an hour, walk away from your desk, move around, get some motion in your body, do some stretching, rest your eyes.  
     If you decide to use a standing desk, it’s a good idea to have a cushioned pad to stand on.  

Rotated Scapula

The shoulderblade (scapula) often rotates abnormally, or becomes stressed, in a clockwise or counterclockwise direction. Another way to conceptualize this is to imagine the bottom angle of the scapula moving in direction toward, or away from, the spine.

Because of how the scapula articulates at the shoulder, these rotations can affect the upper extremity all the way down to the wrist.

In my Activator Chiropractic protocol, after I find a rotated scapula and correct it, I then check the humerus (the bone in the upper arm), the radius and ulna (the two bones in the forearm), and the carpals (bones in the wrist).

This is a good example of the thoroughness of Activator Method when assessing and adjusting the  body.

As A Doctor Serving Medicare Patients

        Sadly, Medicare fraud is apparently rampant and on the rise. According to the April, 2018 edition of the AARP Bulletin, ways that fraudsters have figured out how to “bilk the system” include:

---”charging for services never delivered,

---falsifying patient records,

---inflating claims,

---stealing your ID,

---filing duplicate claims,

---providing unneeded equipment,

---buying off doctors / patients, (and)

---shortchanging your care.”

As a Doctor Serving Medicare Patients, I take my responsibilities to you and to the Medicare system very seriously. I work hard and pay careful attention to:

 ---giving you honest, clear, and complete information about your care in my office,

---inviting questions about anything, anytime, including my services, fees, what Medicare covers and does not cover, 

---guarding your personal records and information carefully,

---keeping complete & legible records about your diagnoses, your treatment, and your progress,

---being vigilant, careful, and compliant about Medicare rules,

---treating you only as frequently & for as long as is reasonable & necessary for your recovery from pain & resumption of acceptable functional status, and

---reporting accurately to Medicare on your behalf about the care you receive here.

Ventana Wilderness Alliance

     I am proud to support this local group, which is dedicated to preserving, protecting, and restoring the wilderness public lands of the northern Santa Lucia Mountains and the Big Sur coast. 
     From their website  www.ventanawild.org :
     "Founded in 1998, the Ventana Wilderness Alliance (VWA) is a California nonprofit corporation with IRS 501(c)(3) tax-exempt status. It is dedicated to protecting the wildlands of California's northern Santa Lucia mountain range. VWA is composed of people from all walks of life who share a love of Wilderness and a goal to ensure it remains wild in perpetuity."
     See page 6 in their Spring, 2018 newsletter  http://www.ventanawild.org/images/docs/newsletters/Spring_2018_Ventana_Wilderness_Watch.pdf   for my personal statement of support.

A Real "Pain in the Neck"

 Over my 25 years in practice, I have found that many cases of severe neck pain involve counter-rotations of cervical vertebrae. 

A vertebra will be abnormally rotated in one direction, clockwise or counter clockwise around a vertical axis, and its neighbor will be rotated in the opposite direction.

These misalignments are precisely corrected with the Activator instrument, placed strategically on each vertebra and appropriately vectored.

The patient feels instant relief.  

Rotator Cuff

  Patients are sometimes confused about this, and wrongly think of it as part of their bones. 

But the rotator cuff consists of four MUSCLES that attach from the front, back, and side of the shoulder blade, and grip the head of the humerus (the bone in the upper arm) like a hand would grip a baseball.

These muscles stabilize the humeral head, or “knob” at the upper end of the bone, near the shoulder. They also act on the humerus to cause different movements, such as when we lift our arm out and up (abduction), turn our arm in (internal rotation) or out (external rotation).

The tendons attaching these muscles to bones act as mechanical “blockers” to excessive movements, helping to keep movements of the arm at the shoulder within normal range.

If the arm is taken beyond these normal limits of movement, tears in the tendons or muscles of the rotator cuff often happen.

A Lateral Sacrum

 Sometimes when everything---all misalignments and fixations---has been cleared,  and abnormal stresses have been detected, adjusted, and the pelvis balanced back to equilibrium. there is still discomfort in the sacrum or sacroiliac joint(s).

In this case, I have the patient, who is lying face down, lift each leg, without bending the knee, as high off the table as they comfortably can.

99.9% of the time, if one leg is harder to lift, or can’t be lifted as high, the sacrum is stressed laterally on that side.

A precise, directional adjustment with the Activator instrument fixes the problem and brings relief. 

Magnificent Magnesium

 One of the most abundant minerals in the body, magnesium is involved in a multitude of essential biochemical processes. 

It is important for the heart, brain, function of the mitochondria (tiny energy producing centers in our cells), cell health & function, metabolism of other essential minerals, regulation of blood sugar, muscle & nerve function, secretion of neurotransmitters, and blood pressure. 

An RBC (red blood cell) magnesium test measures your magnesium level.

Some common signs of magnesium deficiency include muscle spasms (such as “charley horses” in the calf muscles), eye twitches, numbness or tingling in the extremities, frequent headaches or migraines, heart arrhythmias, low energy, and fatigue.

Some foods high in magnesium are avocados, raw cacao, and seeds and nuts (pumpkin, sesame, and sunflower are highest). Herbs & spices---chives, parsley, mustard seeds, fennel, basil, cloves, and cumin seeds---are another good source.

Hyperextension of the Knee

Extension of the knee beyond its normal limit is a common cause of knee pain. Patients may be aware of what happened if it occurred during sports activities, a misstep, or a workout, but other causes of hyperextension may not be so obvious to them. 

For example, one common troublemaker is resting one’s foot up on an ottoman while sitting, resulting in extension stress at the knee.

Activator Chiropractic adjustments can correct the problem quickly and precisely, and bring relief. 

Functional Impairment

     How is your condition affecting your ability to function in your life activities? 

     This is now the standard criterion used to determine a course of care, and how long that care will be covered by health insurance. 

     Doctors, Physical Therapists, and other caregivers are expected to measure patient status and effectiveness of their treatment plan by “Outcome Measures”----tools that reflect how well the patient is returning to normal life functioning.

Posture - Induced Headache

     “Craning” the neck to look upward toward a TV or computer monitor, or tilting the head backward to see a monitor through the near-focus part of bifocals, is a common cause of headache. 

     This posture causes the occiput (the bone across the back of the head, just above the spine) to be stressed inferiorly. This inferiority may be more on one side or the other (unilateral) or global (bilateral). 

     When I see this in patients in my office, it  is often in combination with a superiority of the back part of the second cervical vertebra, which makes the headache even worse.

     My Activator Chiropractic Method has focused, precise adjustments that correct the problems without discomfort to the patient, and I offer ergonomic counseling to keep it from happening again.   

New Medicare Allowances

Medicare has increased allowances for Chiropractic care of the spine for 2018. This good news means smaller copays, or more money back from Medicare if patients pay at time of service.

In my office, all patients pay at the time of visit, including Medicare patients. I report the diagnoses and services to Medicare, and Medicare then reimburses the patient directly.   

Homeless Garden, Santa Cruz

Now in its 28th year of providing “job training, transitional employment, and support services” to homeless people in an organic urban farm setting, the Santa Cruz Homeless Garden Project is a successful, inspirational prototype for helping people lift themselves out of homelessness.

New work skills develop in the healing process of growing organic foods, social relationships are built with other workers & volunteers, and self esteem is nurtured by producing and sharing healthy foods.

Workers and volunteers enjoy 4 hot meals a week together from the garden. Customers can shop the Garden’s bounty at the Farmstand, which is open Tuesday - Sunday, 10 - 4, or sign up to get regular food boxes from the Garden. 

     To learn more, volunteer, or find out how to visit the Garden, go to: http://www.homelessgardenproject.org/index.php   

Kinematic Chain

      The shoulder, arm, wrist and hand function as what is known as a “kinematic chain.” 

     Think of this as an anatomical “connected movement” chain. Functioning of each part is connected to, symbiotic with, and consequential with, the other parts.

     In-other-words, what's happening at the shoulder may reverberate down and affect the elbow, wrist, and hand. Or in the reverse, dysfunction or injury at the hand, wrist, or elbow can affect the functioning of the shoulder.

      This is why, as an Activator Chiropractor, my precise adjustments to correct a problem anywhere in the upper extremity often include adjustments all the way up or down the arm to include all the component parts.

Five Keys to Healthy Sitting

      A healthy sitting position can be critical not only to your comfort, but also to good postural and spinal health. Here are simple things to pay attention to:

     ---have both feet flat on the floor,

     ---your knees should be slightly lower than the level of your hips,

     ---your back is resting comfortably against your chair, and

     ---your head is in line with center of gravity of your body (avoid head-forward postures).

     One of the most important features of whatever chair you use is that you can change the height of the seat.

     In most cases, t's not necessary to spend lots of $$ for a fancy chair. You just need to be able to adjust the height of the seat, so that your knees can be slightly lower than the level of your hips.

Unhealthy Oils

Vegetable oils will oxidize when exposed to heat, even cooking at low temperatures. Even if stored in a cool place, these oils will oxidize over time at nothing more than room temperature. 

This is because vegetable oils (except coconut oil, which is saturated) are unsaturated fats, which means, chemically speaking, that they contain carbon-to-carbon double bonds, which are vulnerable to oxygen’s “hopping on” and attaching. 

The attachment of oxygen across these chemical bonds creates a toxic molecule which is not healthy to ingest. Millions of these unhealthy molecules may exist in a bottle of corn oil, or safflower oil, or other vegetable oils. 

  Thus it is never wise to cook with vegetable oils.

Monounsaturated oils, though still unsaturated, are less so, because they have fewer potential oxidation sites than polyunsaturated oils. An example of a monounsaturated oil is olive oil. Canola oil is also a monounsaturated oil, but it is processed with heat and toxic chemicals that make it undesirable.  

Choose healthy oils and fats:  organic, cold-pressed olive oil, organic, unrefined coconut oil, and organic butter.

Boys and Girls Clubs of Santa Cruz County

   

   Boys and Girls Clubs of Santa Cruz County have afterschool programs for youth aged 6 - 18. Activities include help with homework, tutoring, arts & crafts, computer training, gym and sports, and game rooms.

Programs offer music lessons, swim lessons & swim team, a Basketball League, special events for teens, and Summer Day Camps.

In Social Awareness groups for teens, participants discuss news events from the past week and talk about how these events may affect their personal world. They also talk about issues teens face in their everyday lives and how to safely and wisely navigate through them.

The Basketball League runs in partnership with the Golden State Warriors Jr. Warriors program, receives lots of support from the Santa Cruz Warriors D Team, and final playoffs of Boys and Girls Club basketball competition are held in the Santa Cruz Warriors Arena. Basketball games begin in early January each year.

Find out more about Boys and Girls Clubs of Santa Cruz County and their Downtown Santa Cruz and Live Oak centers at   http://boysandgirlsclub.info/programs/ 

 

Suboccipital Tension

        The occiput is the bone across the lower part of the back of our head, just above the top of our neck. Along the lower edge of it are the suboccipital muscles, which help support our head, help us move and turn our head, and often bear the burden of stressful postures, especially related to computer use.

Many people are very familiar with this area because they experience chronic tension here. Tension in these muscles is a common prelude to headaches.

I have specific, gentle Activator Chiropractic adjustments to relieve this tension, and to re-position a misaligned occiput. After treatment, it is essential for patients to avoid stressful postures that cause the tension to become re-established.

An Often Forgotten Joint in the Pelvis

        In the front of our pelvis is a joint called the pubic symphysis. It is an essential, but often overlooked, part of our pelvic girdle. Many people are unaware that it even exists.

The pubic symphysis is an essential joint because it is integrally involved in motion of the pelvis during our gait cycle (walking), stability and equilibrium of the pelvic girdle, and is important in childbirth. It has a disc, like the discs in our spine, and is expandable during passage of a baby through the mother’s birth canal.

I often find this joint misaligned when the patient’s pelvis is distorted, especially when the distortion is more toward the severe end of the spectrum. Precise, directional correction of the misalignment with Activator Chiropractic relieves pelvic pain and helps the pelvis to stabilize. 

Plantar Fascitis

        Plantar fascitis is a painful condition caused by inflammation of the plantar (bottom of the foot) fascia. The plantar fascia is a sheath of fibrous tissue between the layers of muscles on the bottom of the foot. Microtears in the ligament that attaches these muscles to the heel bone may also be a source of the pain.

This condition often comes on slowly, and may be related to overuse, such as in runners or frequent walkers, or in people whose work or activities include a lot of standing. It can be difficult to resolve because weight-bearing constantly aggravates it.

My treatment plan includes appropriate orthotics to help support and protect the irritated tissues; precise chiropractic adjustments to the feet, ankles, knees, hips, and pelvis; ice and other topical anti-inflammatories; stretches and exercises for the feet; and nutritional advice re elimination of inflammatory foods. 

Medicare & Maintenance Care

     Medicare guidelines state that they will only pay for Chiropractic treatment that is Medically Reasonable or Necessary (defined as treatment that yields a significant improvement in clinical findings and patient functionality).

     To you, and in the clinical judgement of your Chiropractor, your treatment may be CLINICALLY APPROPRIATE:  it may enhance your life, relieve your symptoms, support your health and well-being, or prevent the deterioration of a chronic condition. 

     But treatment that is CLINICALLY APPROPRIATE may not fit Medicare’s definition of MEDICALLY NECESSARY. Your Chiropractor, by law, must inform Medicare when your care is Maintenance Care, so that Medicare understands that this care is not reimbursable, and you will be responsible for payment. 

Welcoming Winter Birds

     Birds migrating through in winter, and those who stay in our areas year-round, can use some help during the cold winter months. According to Audubon, we can support the winter birds by:
     (1) making a brush pile in the corner of the yard--it will offer shelter & night roosting places,
     (2) leaving the leaves---make piles under shrubs & trees, and they will harbor bugs and spiders for birds to eat,
     (3) creating a mini-meadow where grasses & weeds can grow; the plants here that naturally go to seed will feed many of the seed-eating birds.
     Go to http://www.audubon.org/news/how-welcome-winter-birds?ms=digital-eng-email-ea-x-20171204_winter-birds&utm_source=ea&utm_medium=email&utm_campaign=20171204_winter-birds to find out more. 

Insufficient Lumbo-Pelvic Stabilization

 

     Our pelvis is the bio-mechanical foundation for our whole body. Everything depends on and relates to the pelvis.

     If the pelvis becomes distorted and consequently unlevel, it becomes an unstable foundation for the body above, and negatively affects the extremities below.

     A technical term for this kind of abnormal disturbance is “Insufficient Lumbo-Pelvic Stabilization.” This is a diagnosis I see frequently in patients in my office.

     Left uncorrected, this will continue to cause problems---discomfort, secondary disturbances elsewhere above and / or below, abnormal gait, and fatigue. Chiropractic adjustments elsewhere will not hold unless the pelvis is balanced and corrected.

     In my practice, I always pay particular attention to the pelvis, no matter what the patient’s symptoms or complaints. I consider this critically important to my patients’ healing. 

Pronation---A Troublemaker in the Foot

     When the inside of your foot drops inward toward the floor when you’re standing, it’s called “pronation.”  It is often seen in combination with fallen arches, or “flat feet.”

     If you stand behind someone who “pronates,” or has pronation in their feet, it is easy to see how the inside of the foot falls in and down. You may also notice an inward curving of the Achilles tendon in the back of the ankle on the involved foot (feet).

     Pronation can cause foot pain and fatigue, but it also negatively affects the knees, and can reverberate upward to cause abnormal stresses in the hips and pelvis.

     Watch the legs of someone who pronates as they stand facing you, and have them lift and hold the inside of their feet out of pronation. Now focus on their knees and have them relax their feet back into their usual pronation.  

     See what happened? The dropping back into pronation caused a rotation of the knees. This shows how much stress pronation causes on the knees. These abnormal stresses cause wear and tear that can lead to osteoarthritis.

     Pronation should be corrected by proper orthotics, and they don’t necessarily have to be custom. My treatment plan includes precise adjustments of lower extremity, hip, and pelvic joints with Activator Chiropractic, orthotics, and exercises to strengthen the muscles that support the ankle and foot. 

Sugar "Awakens" Cancer Cells

     It has been known for a long time that cancer tumor cells break down sugars much more quickly than healthy tissues, a process known as the “Warburg Effect.”  However, it has not been understood whether this was a symptom, or a cause, of cancer.

     Research publicized in October, 2017 shows how this stimulates tumor growth. The research, done in the Netherlands, reveals “evidence for a positive correlation between sugar and cancer.”

     According to the lead researcher on the study, “Our research reveals how the hyperactive sugar consumption of cancerous cells leads to a vicious cycle of continued stimulation of cancer development and growth.”

     To learn more, go to  http://www.vib.be/en/news/Pages/Scientists-reveal-the-relationship-between-sugar-and-cancer.aspx 

Frozen Shoulder

The condition of “frozen shoulder” is technically called adhesive capsulitis. There is pain, stiffness, and limited range of motion in the involved shoulder. A common origin is inflammation, which can be caused by injury, overuse, or it can be related to chronic diseases such as diabetes.

It is sometimes related to a stroke, or after surgery, either of which can cause lack of use and progressive loss of range of motion.

My treatment plan includes evaluating and adjusting the joints of the shoulder complex, the neck, and thoracic spine, with accompanying anti-inflammatory home care. The patient does contrast therapy of alternating ice and heat, gentle range-of-motion exercises and stretches, and applies topical arnica for inflammation at home.

The Seymour Marine Discovery Center

                       "Jingle Shells" 

                     Arts and Crafts Festival 

is Sunday, Dec. 10 at the Seymour Marine Discovery Center, 12:00 - 5:30 pm.You can shop for gifts made by local artisans, enjoy the aquarium, kids' activities, hot cider, and music. Discounted admission all day.  Go to  https://seymourcenter.ucsc.edu/  for more information.

The Cranial Rhythms

    The bones in our head have very subtle rhythmical motions, called the "cranial rhythms." 

    These motions are not synchronized with either our heartbeat or our breathing. They are related to the circulation of the cerebrospinal fluid, the fluid that bathes our brain and our spinal cord. 

     Aberrances, or abnormalities, in these rhythms can be associated with headaches, vertigo, or sometimes just a general feeling of "being out of sorts." 

     Every treatment in my office includes balancing the patient’s cranial rhythms as part of a full-body balancing.

Wearing Your Shoulders for Earrings?

       
Are you "trying to wear your shoulders for earrings?"

     Sounds like a joke, doesn’t it? But there’s a very real anatomical basis for saying this, and it can cause a lot of trouble in the upper back and neck. 

     If you carry your shoulders in a “perpetual shrug,” holding chronic upward tension, and pain runs from your shoulderblades all the way up your neck, maybe also involving a headache, you may be doing this. 

     Particular muscles, called the levator scapulae, attach to the upper part of the shoulderblade, and to the vertebrae in your neck. If these muscles are on chronic contraction in a “perpetual shrug,” they become exhausted and painful. 

     This can be relieved by precise Activator Chiropractic adjustments of the underlying bones and joints, re-setting the tension in the muscles with the Activator instrument, and stretches and exercises at home. 

     In my office, I include ergonomic counseling to correct stressful postures that may be aggravating the problem.  

Medicare = EXCELLENT Insurance!

     The current Medicare deductible is just $183 per year.  Where else can you get health insurance with such a low deductible?

     And, yes, Medicare covers care of your spine by your Chiropractor. 

     Be sure to inform your Chiropractor as soon as you are covered under Medicare.

Leave the Leaves!

     One of the best things you can do to support pollinators---bees, butterflies, beetles, & moths---is to let fallen leaves stay on the ground! Fallen leaves become food & shelter to insects that overwinter in our landscapes, protecting them from predators and the cold.

     Although Monarch butterflies migrate, most butterflies and moths spend the winter in the landscape as an egg, caterpillar, chrysalis, or adult, & all these stages use leaf litter for winter cover. Fallen leaves may become the first food of caterpillars in the spring.

     Some bees burrow into the soil to hibernate for winter; a layer of leaves helps protect them.

     Fallen leaves are free mulch. They suppress weeds and retain moisture, and the decaying organic matter enriches the soil. 

     Go to  https://xerces.org/2017/10/06/leave-the-leaves/  to learn more.

Scoliosis---Early Intervention is Critical

     Schools offer scoliosis screening for good reason; the earlier it is detected and addressed, the better chance that conservative care can be effective. 

     My treatment plan, preferably begun early, includes chiropractic balancing of the entire frame, special exercises, and ergonomic counseling. 

     This approach has successfully stopped advancement of the curvature for several girls in their early teens.

The Brachial Plexus

     Nerves from the neck that go down the arm are called the “brachial plexus,” literally meaning “arm (brachial) network of nerves (plexus).” 

     Picture the wires inside an electrical box outside your house---multiple wires coming in, maybe different colors, bundled together in clusters of wires, going somewhere inside your home. A rough analogy, but your brachial plexus is somewhat similar. 

     Nerves exit the spine in the neck, join into “bundles,” and travel down the arm and into the hand.

Severe Pain, But There's No Fracture

     A not uncommon cause of severe pain in the ribs, when X-ray rules out fracture, can be strain of the tiny muscles between the ribs, the intercostal muscles. Some kind of trauma is usually involved, such as a fall, an auto accident, overexertion, etc. 

     These little muscles help with the movements of our chest when we breathe, so if they are injured, every breath can be painful. 

     Healing can be slow, but can be assisted by careful assessment of the rib cage for misalignments that put stress on the injured area.  

Pregnancy and Postpartum

A hormone called “relaxin” is generated in a woman’s body when she is pregnant. It has a loosening effect on her joints, partly to prepare the pelvic joints for passage of the baby through the birth canal, but it affects all the joints in her body. Because of this, her joints become more vulnerable to misalignments or distortions.

It is especially beneficial for expectant moms to come in for periodic full-body balancing. My Activator Chiropractic method is gentle, comfortable, precise, and especially suited for women in pregnancy.

After the birth, relaxin slowly dissipates, but for a while the mother’s joints remain susceptible. So continuing to get checked and balanced, while the body returns to pre-pregnancy status, is a good idea.