Your body uses glucose for energy with the help of insulin, a hormone made by your pancreas (an organ located in your abdomen). High blood glucose levels over time can lead to serious health problems, such as eye and nerve damage, kidney disease, heart attacks, and strokes.
DPP-4 inhibitor medicines (generic names: sitagliptin saxagliptin, and linagliptin) are a type of incretin-based medicine that block the action of the DPP-4 enzyme.
The Hormone Health Network partners with other organizations to further patient education on hormone related issues.
A monthly email newsletter covering important issues related to hormones and hormone health.
One in eight people living in Northeast Ohio has diabetes — and it can be a difficult disease to handle alone.
Below are some tips about how to communicate with your loved one about coping with diabetes. Embark on the new live-action epic adventure with THE JUNGLE BOOK from Walt Disney Studios Home Entertainment! In an epic adventure directed by Jon Favreau (IRON MAN), Mowgli, a man-cub raised in the jungle by a family of wolves, embarks on a captivating journey of self-discovery when he's forced to abandon the only home he's ever known. The number of people suffering from lower back pain has nearly doubled since the 1990s, and recent studies have found that the rising obesity epidemic in the United States may be a contributing factor.
To understand how obesity is quickly becoming a leading cause of lower back pain, it is important to educate yourself on how the spinal column works. Over time, if a person does not lose weight, this pressure can cause problems far more severe than aches and pains. While chiropractic adjustments may help realign your spine and reduce your pain, it can not fully cure your condition if you remain overweight.
Bluestone Chiropractic Group has several doctors in our network who are Registered Dieticians in addition to working as licensed chiropractors.
Patient TestimonialsTwelve months prior to my first visit I twisted my lower back due to improper weight lifting.
Workers may suffer back or neck pain in any type of workplace, from the warehouse to the corner office. Chiropractic care is most commonly associated with neck and back care, but many patients experience relief for non-musculoskeletal issues as well.
Countless studies have outlined the effectiveness of chiropractic care when it comes to dealing with a variety of spine related issues.
If you have a personal injury that is preventing you from having an active life, pause any plans for surgery and stop popping pills. If you are involved in a car accident, emotions will surely be running high, which makes it easy to ignore the most common symptoms of injury sustained in collisions.
According to the Association for Safe International Road Travel (ASIRT), approximately 2.35 million Americans sustain some form of injury due to a road accident each year.
Bluestone Chiropractic Group specializes in dealing with patients who have been injured in auto or sports accidents and need healing and recovery. If you are looking for a chiropractor because of an injury caused by auto or sports accidents in the Scottsdale area, Bluestone Chiropractic Group should be your first call. The latest National Health Interview Survey (NHIS) found that an increasing number of Americans are embracing so-called “mind and body” approaches to wellness, such as yoga and chiropractic care. It is estimated that one out of every three men and 40 percent of women born in the year 2000 will suffer from diabetes in their lifetime.
Sauna (a Finnish word) means a room in which water is splashed on the hot rocks to produce steam. The heat of the sauna (which can get as high as 85C) can have significant effects on the body. Many supporters of saunas argue that the sauna can assist in removing toxins from within the body and blood.. Saunas may also be useful in joint pains as the hot steam aids blood flow within the muscles and the restricted muscles can be released. Other studies have indicated that certain heavy metals have been detected in the sweat excreted during a sauna (although there is some question whether these would have been eliminated regardless of whether the person had a sauna or not). However as with any new exercise regime, people considering using saunas are advised to be aware that there are some precautions that they should consider. Pregnant women, heart patient with low or high blood pressure condition or suffering from any disease which has negative effect of sauna bath should first consult a physician regarding their physical condition and the length of period they can take sauna bath. A Baker’s cyst is an uncomfortable condition that most often occurs in adults over 55 or in children between around 4 and 7 years of age.
In some individuals, a Baker’s cyst causes no discomfort or pain and has no obvious symptoms. A round mass or swelling behind the knee joint which may be soft or hard and is most apparent when the person is standing.
The most common cause of a Baker’s Cyst is after an injury when damage to the knee capsule results in a build-up of synovial fluid as referred to above.
Suitably trained medical practitioners use a number of tests that are used to diagnose a Baker’s cyst. A popular easy diagnostic tool is to turn off lights and shine a flashlight through any lump. X-rays of the knee do not show a cyst but can indicate other trauma or arthritis damage to the knee. If there is little or no pain then there may not need to be any active treatment and a doctor will just monitor the cyst over time. Treatment for the underlying cause, such as medication for arthritis or surgery for torn knee cartilage.
With any treatment plan for a Baker’s cyst then rest and elevation is generally recommended to reduce the chance of the cyst returning. As the cysts are normally located in the popliteal region which is generally considered as an area contraindicated for most massage techniques then a massage therapist should not apply any deep pressure directly onto the cyst. Lactic acid is produced during high levels of activity when the oxygen requirements of the muscles are greater than can be supplied by the blood circulation system.
During the breakdown of glucose and carbohydrates, the cells of the body make ATP (adenosine triphosphate) which provides energy for most chemical reactions in the body.
Rapid use of carbohydrates for energy production during intense exercise accelerates lactic acid production. Lactic acid is responsible for the burning muscles during exercise and this is why many suspect it to be responsible for soreness 24-36 hours after intense exercise. There are no abnormal levels of lactic acid in the tissues or blood when the dreaded DOMS strikes. Research indicates that DOMS is more likely caused by localised damage to the muscle fibres membranes, the connective tissue and the contractile elements – namely micro trauma to the muscle fibres.
The muscle nerve supply perceives this as an abnormal state and sends pain messages to the pain. Some people resort to using topical ibuprofen gels to deal with the muscle soreness post exercise. In the study over 100 participants completed reps of elbow and knee flexion exercises designed to eccentrically contract the relevant muscles.
Typical recommendations for dealing with DOMS include gentle stretching and exercise, massage (of course!), submersion in a hot bath, etc. There are several problems in the shoulder that may be painful and limit the range of motion in ways similar to adhesive capsulitis. In the glenohumeral joint, the capsular pattern for motion to be limited is first in external rotation, then in abduction and finally in medial rotation. Adhesive capsulitis develops when a portion of the joint capsule adheres to itself and prevents full movement of the joint. Secondary adhesive capsulitis will often develop as the result of rotator-cuff tears, arthritis, shoulder trauma, surgery, bicipital tendinosis, etc. Subscapularis trigger points have also been suspected of causing secondary adhesive capsulitis. Thawing.In the thawing period, there is a gradual return of range of motion and decreased pain.
Treatment should always be directed by a trained health-care practitioner who is suitably qualified to diagnose adhesive capsulitis.
Massage techniques used to treat frozen shoulder should encourage relaxation of the muscles surrounding the shoulder.
Another area that massage therapists may wish to consider is to encourage the elongation of the adhered capsular tissues. If conservative treatment is not successful, a more aggressive stance may be taken of forced manipulation of the shoulder joint whilst the shoulder is anesthetized. Put simply, sciatica is a pain, usually in the back of the leg caused by compression, irritation, or inflammation of the sciatic nerve. The sciatic nerve is actually composed of four or five smaller nerves that leave the spinal cord from the lower spinal column, join together and then travel down each leg. There are several reasons why the sciatic nerve could become compressed, entrapped, or irritated. There are also other conditions which can mimic sciatic symptoms such as Piriformis Syndrome where the sciatic nerve is entrapped by the piriformis muscle in the buttocks. Massage Therapy and Bodywork can help Sciatica, Sciatic Nerve Pain, in particular the conditions which mimic sciatica such as Piriformis Sydrome.
Other Manual treatments (including physical therapy, osteopathic, or chiropractic treatments) can help relieve the pressure.


The knots in the muscles of the hip and buttock can be effectively treated with a tennis ball. Whether the pain is caused by the crushed sciatic nerve itself, or just by tight muscles, the muscles need to relax. Cellulite – the mere mention of the word can bring about a highly negative reaction in some women. There are also many massage therapists who promote that their massage techniques can bring about a reduction in cellulite and they claim that there are studies that support that cellulite can be smoothed and reduced by a cellulite massage. Cellulite is not an actual disease but a condition of bulging fat cells that lead to an appearance of bumpy looking fat on the skin. Probably as much money is spent on creams as any other treatments but there is little evidence that they offer long term benefits. Some people do feel that regular application of creams does reduce the appearance of cellulite although it is probably the case that the cheaper creams are as good as the expensive creams that contain wild and exotic ingredients.
For women who have spent time and money on cellulite cures, then the phrase Endermologie will be familiar to them. This type of process which can break up adhesions and fibrous bands, can improve the appearance of the skin for some women. Whilst massage therapy has numerous benefits for the body and the mind, there are some therapists who claim that their massage will bring about improvements with respect to cellulite. There are many other devices that are available with differing degrees of success and if you are interested in any of these, then it is a good idea to spend a little time doing research before you spend your money.
One treatment that has been approved by the FDA that may offer some benefits is Vela Smooth which combines Bi-Polar Radio Frequency, infrared light energies, plus negative pressure and tissue manipulation to smooth the skin. If you are thinking of trying a treatment, be it a cream, a machine or for sessions of lymphatic drainage massage for reducing your cellulite then it is advisable to shop around and do your research beforehand and always be wary of pre-paying large sums of money for treatments without guarantees of success.
If you are purely after relaxation massage at a day spa or for stress relief then you would be looking for a massage that is be blissful and pain free. You should not feel sore or uncomfortable that day (or the next morning) and any pain is an indication that the therapist wasn’t listening to you or your body.
People who book in to see me are generally after remedial, deep tissue or sports massage and for this group of massage recipients then some degree of discomfort both during and after the massage should be anticipated. If you are suffering from a sore back or a stiff neck then myofascial restrictions and adhesive scar tissues need to be worked.
Now although a deep tissue massage sounds as though it should be excessively painful, this is not necessarily the case. But while it needn’t be excessively painful, in reality it is almost always the case that it can be uncomfortable. By the same token, though there are therapists who work at such a pressure and intensity that a client is literally bruised and in more discomfort than when they started the massage.
I like to work within the clients pain threshold so that whilst it may be uncomfortable and bordering on painful (when I consider it to be appropriate), it should never be so heavy that they are wincing and flinching on the table. There are very few people who do not benefit from massages and massage therapists are no exception.
There are often debates on social networks about the merits of fellow massage therapists trading massages. It can be a great way for students to practise their strokes and receive constructive criticisms about their bodyworking style in a non-threatening environment. However, professional therapists who trade massages in Sydney tend to be the exception rather than the rule. Most therapists tend to find swap partners when they are studying and it may well be that they only swap whilst they are learning new modalities or techniques.
Even therapists who find that they are compatible with respect to swapping massages often drift away over time and what might start out as a weekly or fortnightly swap, ends up being just an occasional massage.
We are all told that we should stretch before undertaking vigorous exercise but does scientific research support this. Some studies have found support for the hypothesis, others no difference (and some that stretching prior to a work-out can actually increase the prevalence to injury!). Even when the research accounted for the fact that the strongest predictor of a future injury is a past injury and excluded runners who had taken up stretching after a previous injury, the stretchers had a 33% greater risk of injury. However, this study also concluded that stretching after workouts reduced the risk of injury. In a similar stduy (2) 159 runners were instructed how to warm up, cool down and stretch effectively while a second group of 167 similar runners received no instruction at all. Often when people ring to enquire about the nature of the Sydney remedial massage services that we offer there is some confusion and misunderstanding about what the differences between physiotherapists and remedial massage therapists. Historically there are suggestions that the first chartered society of physiotherapists formed from remedial massages so there is a degree of commonality between them. People will most commonly see remedial massage therapists when they are suffering from muscular and soft tissue complaints.
Physiotherapists will treat people who are suffering from injury or physical condition using a range of different techniques. Typical injuries that may be treated by physiotherapists are both acute and chronic in nature. If you are not sure who you should be seeing then it is always advisable to talk to any potential practitioner about your requirements prior to booking. As a rule of thumb, if you are suffering from an acute injury or require a firm diagnosis of your condition then it is probably preferable that your first port of call be a physiotherapist. If your condition is more general and chronic in nature, such as stiff neck or ongoing sore shoulder then massage therapy may be appropriate.
Regardless of the therapy you receive, then it is suggested that you talk to your therapist about goals and milestones with the treatment program. Enter your email address to follow this blog and receive notifications of new posts by email.
Any information, advice, recommendations, statements or otherwise contained herein, or in any other communication made by or attributed to Inner West Massage and its representatives, whether oral or in writing, is not intended to replace or to be a substitute for medical advice trained by a trained physician or healthcare practitioner.
Indeed, leading dermatologist and acne specialist Dr Stefanie Williams says: a€?Adult acne is at epidemic levels.
In a 2012 study from the New York University School of Medicine, gym surfaces were found to be infected with a bacterium that can cause acne, boils and folliculitisSOLUTION: First, put a clean towel over your gym or yoga mat when you work out. The glucose in your blood comes mainly from the food you eat, and a small amount comes from your liver.
But you can prevent or delay health problems by keeping your blood glucose, blood pressure, and cholesterol levels on target. This kind of medicine is based on the action of hormones called incretins, which help control how the pancreas works.
But you’re at risk for low blood glucose if you also take diabetes pills or insulin that can cause hypoglycemia. They may also cause inflammation of your pancreas, skin rash, hives, swelling of your face, or trouble breathing. If you are a caregiver of a loved one living with diabetes, you can have a significant impact on their well being.
Oftentimes your loved one won’t want to discuss their diabetes and the consequences of uncontrolled glucose levels, however it’s important to remain steadfast in your support and ­discuss these matters.
As a caretaker it’s important to be knowledgeable about the complications of untreated diabetes. Chronic lower back pain is the second most common disability in America, and more than 80% of all Americans will experience some form of lower back pain in their lifetime. Think of your spine as the anchor of your body, it holds the branches of nerves that allow the your limbs to feel and move and your vertebra provide support and mobility. People with obesity are at higher risk of developing a herniated disc, where the spine’s outer fibers are worn away exposing the nerves housed in the spinal column. If your weight stays the same, so does the pressure on your lower back and chiropractic adjustments may only postpone inevitable complications that will later arise. Our doctors will assess your weight and help you learn to make healthier choices in regard to your diet.
This is because both heavy lifting and prolonged periods of sitting in front of a computer affect the musculoskeletal system. Additionally, patients seeking chiropractic care to treat musculoskeletal issues report secondary relief in a number of areas, including improved respiratory and digestive function, circulation, and vision. It is also known as a safe method of easing or even resolving neck and back pain, headaches, and many more maladies.
These injuries range from minor scratches to life-threatening trauma, perhaps leading to huge medical bills. Our doctors use the latest research and advances in chiropractic care to help patients get back on track and lead healthier, fuller lives. New research suggests there is a link between your body’s vitamin D levels and spinal health. Whilst traditionally a sauna involve adding water to hot coals to produce a steam atmosphere, these days there are several different types of sauna. As we sweat more during sauna bath and the skin’s pores open, it helps in excretion of toxins through the sweat.
If they have any slight doubt regarding the safety of using a sauna then they should consult their health care professional. As an example of the negative effects that a sauna may have then a study in the Journal of American Medical Association found that there may be an relationship between neural-tube defects and heat exposure from saunas, hot tubs, and fever during the first three months of pregnancy. An important method of distinguishing adhesive capsulitis from other shoulder problems is to evaluate the way in which motion is restricted at the shoulder joint.


Thus if a client has difficulty bringing the arm up in abduction but has no problems externally rotation the shoulder then it is unlikely that the client has adhesive capsulitis. The sciatic nerves are the longest and largest nerves in the body, running down the back of each leg and are about the diameter of your thumb.
It then divides into numerous smaller nerves that travel to the thigh, knee, calf, ankle, foot and toes. The pain may come and go at different times, it may be a constant problem and then it may subside for hours or days for no apparent reason.
This may include using painkillers, muscle relaxers or anti-inflammatory drugs such as NSAIDs . Simply lie on a tennis ball such that it presses on deep, sore points and just wait for the feeling to fade. However, since that time physiotherapists and physical therapists have moved away from this background and offer distinctly different treatments and therapies from remedial massage therapists who have largely stayed constant with their approach.
Sessions will typically last around an hour (or longer) and the therapist will use their hands, fingers, knuckles, elbows and forearms to provide the manipulation to the soft tissues. Whilst hands on bodywork may be incorporated within this treatment, typically it is only a small component of any session. It is not uncommon for a physiotherapist to be seeing two or three patients simultaneously and so you may experience times during your session as the physiotherapists when you are not actually being formally treated by the therapist.
You have the right to expect an honest answer regarding their suitability and appropriateness (although sometimes it can be a little tricky to make complete assessment over the phone).
It may be that after a few sessions then massage therapy may become more relevant for your treatment (generally in our view most people would sooner experience a massage assuming that their treatment goals are met). This is particularly the case if you wish to have a more general approach with the therapist devoting their time solely to your body rather than a session that is totally dedicated to dealing with the soreness in your left forearm, for example. If you do not feel you are progressing at the rate you would like then it may be an idea to consider alternative treatments (although it is also recommended that you give a therapist a fair opportunity to make progress and not just chop and change after one or two sessions). But this can make matters worsePROBLEM: When prone to break-outs, many women try to desperately scrub away oil and sebum build-up. GLP-1 incretins cause your pancreas to produce more insulin after you eat, helping your body use glucose.
Complications may include blindness, kidney disease, nerve disease, infections, heart disease and strokes.
People who fall in the healthy weight range have a spine with minimal pressure placed upon it, but people who are overweight or obese have extra weight around the middle pressing directly against the spine and limiting the range of motion of the vertebra. A herniated disc can be extremely painful, and recovering from one can be very difficult if the pressure from being overweight is still pressing against the disc. Think of it as taking a step forward every time you visit your chiropractor for an adjustment and then taking two steps back as soon as you leave and the pressure continues to press against your spine, wearing down your vertebra and making you more prone to injury. They will help you develop an exercise plan to shed excess pounds and guide you into a healthier lifestyle in addition to making adjustments to help alleviate your pain. For most people their pulse rate climbs by more than 30% which results in the heart pumping nearly twice the volume of blood in a given time.
Others claim that people may experience improved mood and health after a sauna as the body gets cleansed through sweating. Those suffering from sleep disorders may benefit from frequent saunas as it is claimed to encourage a good night’s sleep. When they compared them with a control group that took no saunas they found that children who had no saunas had twice the number of sick days compared to the experiment group.
In particular, pregnant women, patients with heart conditions, those with high or low blood pressure or any other systemic disease or condition must talk to their doctor before entering a sauna for the first time.
When these nerves are irritated or affected by the inflammation of nearby soft tissues, then this is referred to as sciatica. This can be exacerbated by tight muscles and soft tissues in the lower back, buttocks or leg. However please be aware that the piriformis muscle is so unusually reactive and the use of a tennis ball to massage the piriformis needs to be gentle and conservative. A simple option is to use a timer to remind yourself to get our of your chair at regular intervals such as every fifteen-twenty minutes.
Whilst there is a degree of overlap between the two professions, there is significantly more that is different.
Remedial massage therapists still rely on the same touch and palpation skills to provide the same benefits for their clients and there is no reason why the effectiveness of the application of these skills will have changed over the years. Massage therapists do not do any manipulation and, most importantly as a means of distinction from physiotherapists, they do not have sufficient training to be considered as diagnostic practitioners.
Although most remedial massage sessions have a direct therapeutic objective, for many people an added benefit is that, whilst the massage itself may be a little painful and intense, it will always provide a degree of relaxation for the massage recipient. A typical physical therapy session will involve some assessment, some bodywork (if appropriate), application of ice, ultra-sound or tens machines and some corrective exercise therapy (which will normally involve exercises that the patient may do away from the clinic).
Adult acne is on the rise, with one recent study revealing that more than a quarter of women in their 40s and 15 per cent of women in their 50s suffer from embarrassing and painful break-outs.Acne is caused when an excess of the skina€™s natural oil (sebum) combines with dead skin cells to block the pores. This is because of a€?Acne Mechanicaa€™ or a€?friction acnea€™ as ita€™s otherwise known, which occurs when tight clothing or straps hold sweat against the skin. Bacteria from the floor, feet and sweat can accumulate and transfer to your face.In a 2012 study from the New York University School of Medicine, gym surfaces were found to be infected with a bacterium that can cause acne, boils and folliculitis. Ensure your gym kit is clean and made of breathable a€?wickablea€™ materials that hold moisture away from your body such as Nikea€™s Dri-Fit or Adidas Climacool.If you prefer natural fabrics, look for bamboo and cotton mixes which do the same. High blood sugar stimulates insulin which can worsen inflamed acne.a€™Milk may also be troublesome. But this can make matters worse.Cosmetic doctor Mervyn Patterson says the wrong cleansers will dry the skin, causing acne.
Be sure to tell your doctor about your other health conditions and whether you’re pregnant or planning to become pregnant. In diabetes, your body either does not make enough insulin or does not respond to the insulin it makes in the usual way.
Obesity can also cause osteoarthritis of the spine, which wears away at the spine and decreases mobility.
Losing weight is one of the most important things you can do to preserve your lower back health. If you are suffering from obesity and lower back pain, visit your local Bluestone Chiropractic Group office today and look forward to a healthier, pain-free tomorrow. For those who are not able to exercise, the sauna may provide a convenient alternative through increased blood circulation. For others, it may be intense sharp shooting pains all the way down the leg into the foot and toes. In severe cases, Surgery (such as microdiscectomy or lumbar laminectomy) is used to help relieve both pressure and inflammation. If you are after a firm diagnosis of any condition you are faced with then you will need to see someone other than a massage therapist (although your masseur should be able to advise who to see for diagnosis).
These blocked pores can then become infected by bacteria that feeds on sebum.In just the same way that hormones wreak havoc on our skin during the teenage years so, too, are they the main culprit as we hit middle age. The irritation increases sebum production in pores, which leads to whiteheads, blackheads and pimples.
Folliculitis is an infection of the hair follicles which causes a nasty acne-like attack of red spots. Make sure nothinga€™s too tight so sweat doesna€™t get trapped and the skin isna€™t irritated. While all types of milk are linked with increased acne, a 2007 study found skimmed is the worst.Women who drank the equivalent of two or more glasses of skimmed milk per day were 22 per cent more likely to develop ordinary acne, and 44 per more likely to develop cystic acne, which causes painful, large and deep spots that dona€™t come to a head.Why? This is because healthy skin is protected by the a€?acid mantlea€™, a fine, slightly acidic film on the surface.Acne-causing bacteria cannot thrive in an acid environment, but if the skin surface is disrupted by excessive cleansing, the skin becomes alkaline, allowing the bacteria to flourish. An enzyme (a substance that causes a chemical reaction in your body) called DPP-4 quickly breaks down GLP-1 in the blood. Your dose of sitagliptin or saxagliptin (but not linagliptin) may need to be adjusted if you have kidney problems. Carrying extra weight around your midsection can pull your pelvis forward, causing a condition known as Lordosis, or a curved lower back.
This is because testosterone triggers higher sebum production, and as we get older, we produce less oestrogen to balance our bodya€™s production of testosterone.
Have several sports bras of different styles and use a different one each time so you dona€™t get rubbing in the same place.Afterwards, always shower to remove sweat and bacteria, and put on clean clothes. This is a particular problem for older women because collagen loss makes their skin thinner, more fragile and naturally less acidic.a€?Alkaline soaps and harsh cleansers can easily disturb older skina€™s natural barrier,a€™ explains Dr Patterson.
Lordosis causes strain in the lower back causing the muscles to contract and tighten, which leads to extreme chronic pain. Also switch to unsweetened almond milk which does not contain hormones.a€?I recommend cutting out sugar and all starchy, grain-based foods, including bread, pasta, and breakfast cereals. People with a high BMI are also more prone to developing Diffuse Idiopathic Hyperostosis (DISH), a hardening of the ligaments in the spine.
Instead, eat unprocessed protein such as fish, meat and eggs, lots of vegetables and fruit in moderation,a€™ says Dr Williams.



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