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Exercise of the Week: Overhead Arm Raise

Recipe of the Week: Strawberry Ghost

Stretching For Back Pain Relief

Almost everyone can benefit from stretching the soft tissues - the muscles, ligaments and tendons - in the back, legs, buttocks, and around the spine. The spinal column and its contiguous muscles, ligaments, and tendons are all designed to move, and limitations in this motion can make back pain worse. Patients with ongoing back pain may find it takes weeks or months of stretching and other back exercises to mobilize the spine and soft tissues, but will find that meaningful and sustained relief of back pain will usually follow the increase in motion.

General Tips for Stretching to Relieve Back Pain
Keep the following in mind when starting a stretching routine as part of a program of back exercises:

• Stretching should be pain free; do not force the body into difficult positions
• Move into the stretch slowly and avoid bouncing, which may actually tear muscles
• Stretch on a clean, flat surface that is large enough to move freely
• Hold stretches long enough (20-30 seconds) to allow muscles or joints to become loose
• Repeat the stretch, generally 5-10 times

If one already has low back pain or neck pain, it is best to check with a physician or physical therapist to discuss whether the following neck, shoulder, and lower back pain exercises should be done.

Back, Hip & Gluteus Stretches
Many back pain patients know the feeling of tension in the back, especially first thing in the morning. These stretching back exercises can help bring back some suppleness and increase mobility, decreasing back pain and discomfort.



Back Flexion Exercise
While lying on one's back, pull both knees to the chest while simultaneously flexing the head forward until a comfortable stretch is felt in a balled-up position.

Knee to Chest Stretch
While lying on the back with the knees bent and both heels on the floor, place both hands behind one knee and bring it to the chest.
The hips and buttocks (where the gluteus muscles are) support the lower back, and stretching these muscle groups plays a pivotal role in maintaining spine flexibility.

Hip Stretch
While standing with feet shoulder-width apart, take a half-step back with the right foot, bend the left knee and shift weight back to the right hip. While keeping the right leg straight, bend forward more and reach down the right leg until a stretch in the outer hip is felt.

Piriformis Muscle Stretch
The piriformis muscle runs through the buttocks and can contribute to back pain or leg pain. To stretch the this muscle, lie on the back and cross one leg over the other and gently pull the other knee toward the chest until a stretch is felt in the buttocks area.

Ebola Fact Sheets From the CDC

High Blood Pressure! What is it & Why You Should Care.....

Cara Jakob, MD

We have all likely heard of high blood pressure, or "hypertension", at some point in our lives. Our grandmother may have been taking blood pressure medicines. We may have checked our own blood pressures out of curiosity at those little machines at our local pharmacy.  Or, perhaps our own doctor has mentioned high blood pressure to us.

  But, what exactly is high blood pressure, and why such a big deal about it?  Let's start with some numbers. High blood pressure, or "hypertension," is defined as repeated blood pressure above 140/90mmHg. Normal blood pressure is blood pressure up to 120/80mmHg.  The blood pressures in between 120/80-140/90mmHg are considered "pre-hypertension."

  How do these numbers affect our health?  According to the Centers for Disease Control, heart disease is the current leading cause of death in the United States.  About one third of all deaths above age 35 is due to heart disease, and hypertension is a major risk factor in the development of heart disease. Hypertension also increases risk for stroke, heart failure, and kidney disease.

  Just imagine trying to water your lawn using a garden hose that has a kink in it. You'll be working harder and struggling to push the water past the high pressure in the hose, and those flowers in your garden will suffer from the poor supply of water coming through. That is a simplified version of the way our hearts are working to pump blood through our arteries to feed our body's organs like the brain, eyes, kidneys, etc. With hypertension, our vital organs are suffering the damages of a high pressure system.

   The good news is that healthy lifestyle changes like regular exercise, lower sodium diet, and weight loss can significantly lower blood pressure, thereby decreasing the risk for stroke, heart attack, heart disease, etc. 

 Aerobic exercise regularly can lower blood pressure by 5-15mmHg, and the intensity of the workout is more important than its duration. An easy way to improve our diet to a lower sodium diet is to limit or cut out the processed foods and canned foods. Eating fresh foods, and preparing your own meals can help reduce that excess salt in our diet. As for weight loss, there are many benefits to reaching a healthy weight, and better blood pressure is one major benefit. Every few pounds we lose can improve our blood pressure by as many points. Some people may also need medications to treat their hypertension and its risks.

Now that we know more about hypertension, let's be on the lookout for it, and take healthy steps to help combat it. Talk with your doctor about your blood pressures and whether you have hypertension. Together, you can develop an individual health plan to keep you at your best.

 

Different Types of the Flu

Edgar Cruz, MD

Influenza (the flu) is a virus that infects the nose, throat, airways and the lungs. It is very contagious and is transmitted from person to person during coughing, sneezing, and even while speaking at a very close distance. The infection with the influenza virus occurs during the period from October through April.

The typical symptoms of the flu include fever, chills, muscle aches, nasal congestion, runny nose and difficulty breathing. In some instances, in vulnerable people like young children and older adults, it can even cause fulminant pneumonia. Every year in the United States approximately 200,000 people are hospitalized and 36,000 die from complications of the infection. Because of the fact that the infection is caused by a virus, it cannot be successfully treated with antibiotics.

Since the 1940’s a flu vaccine has been available to reduce or eliminate the symptoms of the flu. There are two types of vaccines. The vaccine with inactivated virus is developed in eggs. It is purified and it is administered as an injection. The vaccine with attenuated (debilitated) virus ”Flu Mist”, is also produced in eggs. This vaccine is administered as a nasal spray. Because the virus is attenuated, it cannot grow in the lungs but it can grow in the nasal cavity were it produces an excellent protective immune response. Both vaccines include the 3 most frequent types of virus that cause the infection during that year. The flu vaccine is administered each year because the circulating virus are different each year.

For the most part the flu vaccines are safe. There is a secondary effect that could be very serious. Because the vaccines are produced in eggs there might be a small amount of egg protein. The people that are allergic to eggs might develop an allergic reaction that is rarely fatal but that it can be very severe. For this reason people that are allergic to eggs should not receive the flu vaccine unless they are in a very high risk population and that the benefits of receiving the vaccine outweighs the risk of getting a severe flu infection.

The flu vaccine is usually administered right before the flu season starts during September and November. The vaccine can be administered during the flu season even through March. In a phone conversation with CDC (centers for Disease Control) personnel we were informed that as long the vaccine has not expired there is no definite time limit to administer the vaccine.

The vaccine could protect 70 to 90 of every 100 people from contracting a moderate to severe infection. Talk to your doctor and try to get the vaccine this year.