This spring, Dr. Miller is determined to give up her sweet, sugary snacks! Breaking bad habits can be difficult, but she knows that strength comes in numbers. She wants to challenge YOU to make a healthy living pledge, in her Spring Fling Challenge!
HERE'S HOW IT WORKS:
1. Post your pledge on our wall, in a comment on our blog posts, or @drtmiller on Twitter. It can be any healthy living goal you choose - whether you'd like to shed a few extra pounds, exercise more or simply eat healthier!
2. Inspire and be inspired by everyone who has made a pledge to live healthier! Beginning February 1st, 2014 post a picture to our wall (or @drtmiller on Twitter) and show everyone that you're going the extra mile, a few steps at a time, to become a happier and healthier YOU!
3. Who doesn't love a little friendly competition? Every pledge post and every picture, will be entered at the end of the month, for a drawing to win some fabulous prizes! There is no limit to the number of posts per day. Winners will be announced on March 1st, 2014.
Why wait, when it comes to your health? Post your pledge today and make 2014 your happiest and healthiest year yet!
...Stay tuned for more updates!
Please join us for a Charity Event benefiting The Repairers of the Breach.
Sat. Dec 7, 2013
10 am- 2 pm
3400 S 103rd St #300
Greenfield, WI 53227
Holiday Shopping that supports a great cause!
*Each vendor has agreed to donate a portion of their sales to the cause as well as raffle items.
*A silent auction with a variety of interests and items all valued greater than $75!
*Chair massages and gift wrapping for donations!
Would you like to get involved? Here are a few ways you can help:
*Help us spread the word!
*We are still looking for silent auction donations. Any items are appreciated- if the value is less than $75, items will be combined into baskets.
*Monetary donations will be used to cover any non-donated operational expenses; any funds above operational costs will be contributed directly to Repairers of the Breach.
SPECIAL THANKS TO OUR CO-SPONSORS:
*Central States Insurance
Please contact us at:
firstname.lastname@example.org or 262-366-3655 for more information!
Several important edits have been made to the last post. Although seemingly small details, it is important that T4/T3 testing for Thyroid include not just total T4 and T3, but rather FREE T4/T3.
Check out the updated information in the link below!CHANGING THE FACE OF THYROID DISEASE
by Angela Michalski
I wanted to share this with all of you. Please pass it along to friends and family! This was prepared by a friend who really understands the battle of receiving an accurate diagnosis and the all too-common story of receiving incomplete testing and therefore not a complete picture.
Read below, or better yet, click the link below for the handout!
Did you know: thyroid disorder may present itself with 300+ symptoms! Thyroid disease is often misdiagnosed. The TSH test alone is NOT the gold standard for detecting thyroid disorder. All of these Tests are required to check thyroid function:
(Thyroxine) – Inactive form of thyroid hormone. T4 is a storage hormone and requires iodine to convert to T3, the usable form of the hormone.
(Triiodothyronine) - Active form of thyroid hormone. Every cell in our body has receptors for this thyroid hormone.
(Thyroid Stimulating Hormone) – Hormone released by the pituitary gland
. Stimulates the thyroid gland to release hormone. The TSH value rarely correlates to how a patient feels!
§ Reverse T3
(rT3)- The inactive form of T3 that doesn’t get used by the body. A high rT3 is indicative of inflammation in the body caused by stressors.
§ Thyroid antibodies
(TPO AB, TgAb -TSI for Graves’ Disease)- Presence determines autoimmunity. Be sure to insist your doctor run ALL of these tests. If not, find another doctor that will! Other important tests to monitor when diagnosed with thyroid disorder:
(4 tests: Ferritin, % Saturation, TIBC and serum (or total) iron)
§ Cortisol salvia test (only)
(for adrenal issues)
§ Sex hormones
§ B12 & folate, Vitamin D3
§ Magnesium and Potassium, & Calcium, Sodium, Glucose
§ MTHFR gene
: if you have high levels of mercury, or iron, or B12 and family history of cancer, heart disease or stroke. Prescription hormones:
- T4-only: Synthroid, Levoxyl, Levothyroxine, etc
- T3 medications: Armour, Naturethroid, Westhroid-P, etc.
T4-only hormones are often prescribed by physicians and often leave patients sick and tired
because many people have trouble converting the T4 to T3 or have inflammatory issues in the body and too much gets converted to rT3. Also, the laboratory reference ranges are too broad and those that know how to treat thyroid disease use a much narrower range. It is important to find a physician that will treat you based upon your symptoms, not just your lab values! Signs that T4-only meds are NOT working for you include:
Low/high blood pressure, high cholesterol, depression, anxiety, weight issues, lingering fatigue, deficiencies in B12, vitamin D, magnesium, iron. Digestive issues, adrenal and hormone issues, being cold, heart palpitations, PMS, fertility issues, etc. The list is very long! Did you know: The majority of thyroid disorders are due to Hashimoto’s Thyroiditis, an autoimmune ds.
Many don’t know this because their doctors either do not order the antibody test or do not tell them they have autoimmune disease. BUT, if you have autoimmune disease, it is IMPORTANT to treat the immune system and change your diet (gluten-free at minimum) and lifestyle as well so that you don’t develop additional autoimmune diseases. Celiac disease & Hashimoto’s are often linked. Did you know: Fibromyalgia
is also contributed to low T3; undertreated or untreated thyroid disease. Most doctors will say there is no known cause or treatment and that it can only be managed. They may also say it is an emotional or psychiatric problem! Not true! References:
§ Stop the Thyroid Madness
(website and book, author Janine Bowthorpe)
§ Why do I still Have Thyroid Symptoms
? Datis Kharrazian
§ www.thyroidchange.org Prepared by: Angela Michalski, email@example.com
Written by Susan Voss. Edited by Dr. Therese Miller, DC.
What is it and why does it happen?
Iliotibial Band Syndrome is due to inflammation of the iliotibial band, a thick band of fibrous tissue that runs down the outside of the leg. The IT band begins at the hip (iliac crest) and extends to the outer side of the lower leg (fibula) just below the knee joint. The band functions in coordination with several of the thigh and hip muscles to provide stability to the outside of the knee joint, which is where the irritation usually occurs. Irritation can also occur at the hip or cause hip "bursitis" as well.
Iliotibial band syndrome is an overuse injury most common in runners and bicyclists. Runners can develop ITBS when making mistakes in their training or with poor mechanics. Roads are banked to allow for water runoff. If a runner always runs on the same side of the road, it produces the same effect on the body as having a leg-length discrepancy. Running too many hills can also inflame the IT band. Bicyclists may develop ITBS if they have improper posture on their bike and most commonly if they "toe in" when they pedal. This increases the angle of the IT band as it crosses the knee, increasing the risk of inflammation.
What are the symptoms of ITBS?
Pain on the outer side of the knee is the most common symptom but pain on the outside of the hip is also common. There may initially be a sensation of stinging or needle-like pricks that are most often ignored. Some people may feel a snapping or notice a popping sound at the knee, and there may be some swelling. Occasionally the pain may radiate along the IT band on outer side of the thigh between the knee and
How is ITBS treated?
Initial treatment for ITBS includes rest, ice cup, compression and elevation; in addition to determining the underlying cause of the irritation. Depending on each individual case, any number of techniques may be helpful including ART, Graston, Kinesiotape, Trigger Point Dry Needling, Class IV Cold Laser Therapy, or many others. Anti-inflammatory ointments can help to reduce inflammation.
After the acute phase has subsided, focus should be on correcting muscle imbalances or improper mechanics which caused the inflammation to begin with; this is different in each case. Treatment may include flexibility, stretching, and mobility or strengthening as well as gait retraining, bike adjustments or addressing other movement patterns.
An important step in recovery is to evaluate the underlying cause of the problem. ITBS often becomes a chronic concern because steps are never taken to change and address why the irritation and inflammation actually occurs.
Finally, patience is required for optimal results in healing ITBS. Whether it is waiting for mechanics changes to develop or simply returning to activity too soon-these common mistakes delay healing. Listen to your body so you can return to and enjoy the sport you love!
If there is a medical emergency, obviously an ambulance is called and the athlete is taken to the hospital for further evaluation and treatment. Concussions can cause emergenecy situations immediately after the injury or even hours later, and it is very important to recognize these signs and get the athlete the appropriate medical attention quickly.
There is significant debate in treatment options for non-emergency treatments. The one item that is agreed upon is rest. Rest may include lack of participation in sports, or in severe cases may even involve using earphones to control noise, dark rooms to reduce eye strain and rest from mental activities such as studying or working.
One up and coming technique is Active Release Technique or A.R.T. This specific soft-tissue based technique can help increase blood flow and oxygenation to the area treated as well as reduce spasm, tightness and even scar tissue. The premise behind this technique and concussion is several nerves exiting the spine in the neck have a direct connection to the dura (the fibrous covering around the brain). By reducing any compression or irritation on these nerves as well as increasing circulation and nutrients, athletes may be given a chance at faster healing and fewer lasting symptoms. While there are no published research articles currently on this topic, there are multiple case studies as well as anecdotal reports of improvement in symptoms that are awaiting publication.
Chiropractic Manipulation or Adjusting is another method that may have merit in treating concussion. Again, further research is needed in this area. Manipulation is used to help control or alter the nervous system, which is obviously affected by concussion. Although there are reasons adjusting is contraindicated, the examination both pre-season as well as post-concussion would determine if manipulation is safe to perform. Manipulation can then be used as a very safe and effective way to calm down the overstimulated nervous system and speed up healing of the central nervous system from a concussion. Most adjusting would address the upper cervical spine where the nerves exiting the spine are directly connected to the dura and where some very important neurological structures rest just in front of the spine, and are therefore easily stimulated.
Stay tuned for another article specifically following the treatment of a young athlete and his treatment for concussion.
The first concern when any athlete is suspected of concussion is to rule out the really serious that could be deadly or constitutes an emergency. Once this is done, evaluation can begin. There are several areas to evaluate: symptoms (what the patient reports), memory and ability to process information, and signs (what the healthcare provider can identify).
Symptoms: The patient is asked to describe their symptoms (which do not always begin immediately after the injury).
Memory/Cognitive: There are a variety of tests. Asking the patient to count backwards, recite well-known facts, remember items that will be asked approximately 5 minutes later are all common aspects of this portion of the exam.
Signs: This is often a major area of focus because these items cannot be altered or "faked." Many athletes are anxious to return to the game, and this portion of the exam gives a clear answer to some of the damage that may be present. There are 12 cranial nerves inside the skull as well as nerves that exit the spinal cord that can be tested for changes in their function. Changes in pupil size, ability to smell or hear, tracking of your eyes with movement, changes in sensation in particular areas or strength in certain muscles can be indicators of changes in your central nervous system.
These three areas will be tested at rest. If these areas are all normal under resting conditions, retesting under "exacerbation" or after performing challenging athletic tasks is used to further identify problems. For football, the athletes are likely asked to sprint 25-50 yards, perform jumping jacks, pushups, squats, etc to elevate the heart rate then are retested immediately.
Based on the findings at rest and/or during activity, we can determine the degree of injury. Treatment is based and later, monitored, by these tests.
Stay tuned for the next post on Treatment Options.
Concussion itself is defined as a "mild traumatic brain injury" and its symptoms typically last fewer than 24 hours. It is important to realize that the head does not have to "hit" anything and there does not have to be a large force to cause a concussion. Our bodies are designed to absorb forces front-back better than any other direction, so a hit from the side or a jarring from an angle may be enough even under low forces.
The severity of a concussion and the severity of the after-effect are determined by a number of factors including the severity and length of the symptoms, previous history of head injuries, and severity of past injuries. The big concerns aside from initial complications are Post-Concussion Syndrome and Second Impact Syndrome.1
Post-Concussion Syndrome is a condition that causes significant aftermath following a concussion. These can range from personality and emotional changes (changes in anger, temperament, etc) to reduced response time, headaches, chronic pain, fatigue and a host of other problems. In many cases post-concussion Syndrome is short-lived but it may be a permanent change. These changes can quite literally be life-altering and must be taken seriously and treated properly.
Second-Impact Syndrome is a condition that can be deadly and is still not fully understood. First described in 1984, it involves a second head injury (typically prior to complete healing of the first). The brain swells and bleeds more severely than expected. There is a large hole in the base of the skull that the brainstem travels through on its way to becoming the spinal cord; as the pressure increases around the brain from the swelling the brain can actually be deformed and pushed through this hole. This is known as herniation and can be deadly. While still controversial, growing evidence supports higher risk with concussions that are not managed fully. This is the primary reason concussions are gaining so much more attention.
Stay tuned for the next post on Concussion Evaluation....
Everywhere we look these days, you hear about concussions. As the Packers ended regular season this past week, there are prime examples! Alex Greene and Josh Sitton returned from concussion; earlier this season, it was TJ Lange, Johnny White, Jerel Worthy, and Terrel Manning. 6 players so far in the season have missed practice and many have missed games all for something that years ago didn't receive much attention. So what is the big deal? How are they evaluated? What treatment options are available? How is an athlete evaluated for return to play? Stay tuned for the next several posts to help you better understand why Concussions are such a big deal, how it is evaluated and how they are treated.