As many of you already know, my husband is an orthopeadic sports medicine surgeon. He is a gem and that isn't because I am biased...well maybe a little. As we have transitioned our family and made adjustments in our careers to reflect health and wellness not only for ourselves but also our community, Chris has continued to be consistent in using his gift to offer alternatives to patients fitting for his/her diagnosis and lifestyle. His ability to contintue to do that in a surgical specialty in today's health care climate is nothing short of miraculous. Miracles aside, it is truly his commitment to what he calls the Four Responsibilities that allows him to continue to be a SOARing surgeon, husband and father. This guest blog is a gift to me, but really to all of us. Learn more about the other Dr. Dolan MD here. Enjoy.
I believe I have four responsibilities as an individual. These responsibilities are a commitment to self, family, community and profession. It is important to note that these responsibilities and commitments are in order of importance.
This is a topic near and dear to my heart. I have been hesitant to share this condition because it honestly scared me to death when I first learned about it. In time, not only have I healed, but the more I understand the condition the more empowered I become to prevent it from coming back.
This is a lengthy research report, so bear with me as the details are important. I will describe the condition leaky gut (or increased intestinal permeability), how it is linked to your immune system, why it matters, causes and solutions.
***You have been warned***
Leaky gut is more specifically described as increased intestinal permeability. It is a descriptive term related to the small intestines having a reduced barrier function. This condition is not a diagnosis alone, but has been linked to many illness and symptomology.
Osteoarthritis (OA) is the most common diagnosis that can affect any joint, but most often in the knees, hips, spine, small joint of the hand. Hallmark symptoms of osteoarthritis pain and stiffness of the joint. It is considered a degenerative disorder that results from the breakdown of the cartilage that provides the smooth surface of the joint for motion and acts as a cushion. This disease affects about 27 million Americans. Causes and risk factors for developing osteoarthritis are genetics, obesity, and overuse. 1
The pathophysiology link between obesity and osteoarthritis is related to both the direct excess of mechanical loads on the cartilage, but also the adipose tissue releasing leptin. In both scenarios, there ends up being an increase in inflammation, which helps to drive the tissue breakdown. 2 To describe this further, I often discuss with patients the “coin analogy.”
Sloths are mammals characterized by moving only when necessary. Even when they move, they move slowly. They generally live their life hanging about in trees. They eat, sleep (an average 10 hrs/day) and birth their children simply “hanging around.” They also only go to the ground to urinate or defecate about once a week. (Wikipedia.org).
Recent popularity of the sloth can be credited to Dash from the movie Zootopia. His slow delivery of jokes makes him even funnier. You already know that I only watch animated movies because…you know…the small kids and all. Watch Dash trailer here, he is actually funny.
So what do we have to learn from sloths? How is it that learning to do more of seemingly “nothing” or just “hanging around” be healthy?
Have you gone Gluten-free/Paleo and are frustrated that you still have pain?
In my integrative physical therapy and holistic health coaching practice I often get the clients who have failed other treatments to alleviate their painful symptoms. Yet, sometimes I also get those who have already gone “Gluten-free” and still have pain. Although, I will be the first to press the nutrition issue, it isn’t always the answer. Here are some common mistakes people make in going “Gluten-Free” which may be limiting your recovery of your painful condition.
It could be one of these or many of these occurring at the same time limiting recovery.
(This was a previous guest blog I wrote for my friend Dr. Kristin Prentiss Ott, MD on www.kristinprentissott.com October 2015)
My past work experience has included years working in the hospital including the surgical wards. Now, I specialize in outpatient orthopedic physical therapy. I see mostly patients who want to avoid surgery. I am a proponent of keeping the body intact whenever possible. However, there are times when accidents happen or it is necessary to have surgery in order to get back to living life.
Sometimes it happens.
You take good care of yourself and exercise regularly, but then you fall skiing and tear your ACL. Often, to keep up that same level of activity, the ACL will need to be surgically repaired.
Or you may have been a college athlete that played football and now have severe hip arthritis in your 60s that requires a total hip replacement.
Like I said, sometimes it happens. And if you are going to have surgery planned or not, here are a few tips to help you to optimize recovery, not faster, but optimally.
“How you think about something can transform its effect on you.” – Kelly McGonigal PhD
When you think about stress, what do you think? Do you think, “I have too much of it and it is causing me to be sick and tired?” Or do you think, “Stress is the ability to adapt to change and I acknowledge it when I see it?” Which is the right answer? The answer is that both are true, if that is what you believe.
Dr Carolyn Dolan DPT, Cert MDT, MSHN
Where physical therapy, nutrition and lifestyle meet, because how you live your life determines whether or not you soar. Inspiring action with information so you can reduce pain, optimize healing and improve function naturally during recovery from injury, surgery or painful condition. This is a website for the open-minded; obstinate need not apply.