Did you know that one in four Americans suffer from pain per the National Center for Health Statistics? Pain is the primary reason for seeking health care services. In 2010, the annual cost of pain was greater than the annual cost of heart disease, cancer and diabetes COMBINED. This pain is often caused by chronic inflammatory conditions like arthritis.
Common treatments for painful and inflammatory conditions includes Non-steroidal Anti-Inflammatory (NSAID) medications like Advil or Motrin or Celebrex. The mechanism of action to decrease pain is in the NSAIDs ability to block the COX-1 or COX-2 pathway which is why it reduces inflammation and pain. A common side effect of NSAIDs is gastrointestinal disruption especially with chronic use. More recently there was a study published demonstrating an increased risk of cardiac arrest with the use of NSAIDs.
The importance of Vitamin D cannot be ignored. Vitamin D is a natural conversion of blood cholesterol in the presence of UVB spectrum sunlight hitting the skin. Specifically related to intestinal permeability, Vitamin D3 has been shown to preserve epithelial barrier function in the presence of intestinal injury, be it Crohn’s disease or ethanol-induced or poor lifestyle choices. The free source of vitamin D3 is full sun exposure to a majority of your skin, without burning. Yet, during certain times of the year or even job requirements, it is not possible to get the needed skin exposure to produce adequate and therapeutic amounts. You can check your area for when the sun is above the 50 degrees altitude in order to provide UV B exposure for Vitamin D conversion. Spending five to ten minutes for fair skin during peak UV B exposure on a large portion of skin is the most effective and efficient. It’s important to gauge your skins response to avoid burning.
It's finally here….the ONE and only recipe you can’t live without.
I am sharing it here exclusively for YOU.
Now, before you get too excited, I am going to give you a dose of honesty.
It is NOT a recipe for brownies (paleo or not) nor ice cream nor some alternative version of your favorite pasta dish (you would only be disappointed with anyways since you didn’t want to give up gluten in the first place until I suggested you should give it a try). It is NOT a free pass to throw all caution to the wind and just “enjoy” life frivolously eating candy bars and drinking alcohol because you can. Technically, it isn’t really a complete recipe, only partial.
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.”
Metabolic Syndrome (Met S) affects nearly 47 million Americans. 1 The prevalence of arthritis is 52.5 million US adults between 2010-2012. This is estimated to rise to 78 million for Americans aged 18 years or older by 2040 per the Centers for Disease Control and Prevention. 2 These numbers are staggering in so much as it would seem lucky for you not to get either Met S or some form of arthritis. The question becomes whether or not having Met S may increase your risk of developing arthritis and how to avoid both problems.
Now that you know what detoxification is, how it works and the potential benefits based on SOAR principles, let’s talk about how to put this into action and what you should expect.
Detoxification, how does it work and how to support it naturally using the SOAR principles
In today’s world, illness has become common and health is a rarity. Many degenerative disease like Alzheimer’s disease, arthritis, atherosclerosis, asthma, cancer, chronic liver disease, Type 2 Diabetes, heart disease, metabolic syndrome, osteoporosis, stroke, depression and obesity are all considered lifestyle diseases. (Wikipedia.com) Meaning, that diet and lifestyle factors have strong links to causation of these conditions, and thereby treatment and prevention.
Diet and lifestyle factors associated with disease or poor health 1:
Recently I completed my first CrossFit Open…Scaled of course at 39 years old, mother of three young kids, married and small business owner/entrepreneur. It was pretty awesome. I ranked 43,615 (0f 56,166) worldwide and 2,551 (0f 3,233) regionally. That’s not super, but I do get bragging rights now. Best part is, I am proud that I completed the five workouts without injury. See I only crossfit officially twice a week, other days I live my life. Don’t believe me search me on the leaderboard.
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.
Life requires movement.
What Is Movement?
Movement is defined as an act of changing physical location or position. For me as a physical therapist, the movement you do throughout the day must include full range of motion of the joints. Our standard American life tends toward spine flexion in the form of sitting in front of a computer, in a car, on a couch watching TV, and lifting, which is all flexion. It is not that sitting alone is a problem as much as chronic sitting means you are not moving your joints through their full range of motion.
A healthy joint is a flexible joint. When you stop moving joints, the tendency is for them to get stiff, soft tissue shortens, and you lose range of motion. Once the motion is lost, the strength of the muscle supporting that joint begins to weaken. It is a vicious cycle.
This blog was written as a summary for a talk given to young female volleyball players on December 12, 2015.
Many things have changed since my athletic days. I’d argue that my Crossfit participation reminds me of my athletic days, yet I don’t consider myself an athlete anymore. Why? Because I only do Crossfit twice a week and I don’t compete. It is a means to stay fit and healthy. A majority of my time is spent on mothering and physical therapy “performance.” However, I will argue that my ability to participate in Crossfit at my young age of 39 years old, is directly related to a few things that I WAS NOT doing when I was actually competing in high school and college athletics.
With age comes wisdom, right? What I know now, I wish I knew then? What might I have been able to accomplish athletically?
It doesn’t matter because what I know now helps me stay fit and healthy enough to participate in Crossfit, mother three kids, run a physical therapy practice, work towards a Master’s of Science in Holistic Nutrition, write a blog every once in a while….. My optimal performance in these tasks requires optimal nutrition.
(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.
As a physical therapist, many of my patients have arthritic disease of the joints. During my traditional education I received minimal education related to the importance of vitamin D and calcium except that they are important for bone strength, and deficits are in part what lead to osteoporosis (thinning of the bones). However, I am interested in what role vitamin D and calcium play in arthritic conditions, and if there is a link to joint health and vitamin D and calcium.
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.