Friday, January 2, 2015

CrossFit Training and the Spine in Naples, FL

 
Founded in 2000, CrossFit is one of the newest strength and conditioning exercise movements that has been gaining intense popularity in recent years. The goals of CrossFit are simple—increase strength and aerobic conditioning—and are met by performing various exercises in a structured hour-long program with a focus on high intensity movement and aerobic conditioning combined with Olympic type weightlifting, gymnastic's calisthenics, and other forms of strength training. Another unique aspect to CrossFit is that the exercises are varied so the same exercise is not repeated over a 30-day period. A typical one-hour session includes a warm-up, skill development period, the exercise/workout of the day (WOD), and a period of stretching.
Benefits
  • CrossFit tends to focus on performing high intensity exercises in a limited time period and has been proven to be very effective in increasing aerobic conditioning and calorie expenditure.
  • Another benefit is the sense of camaraderie, which participants often list as a top motivator in helping them accomplish their fitness goals.
CrossFit Pros and Cons
As CrossFit has grown immensely in recent years (there are now more than 9,000 CrossFit-affiliated gyms in the United States), there has been increased awareness of both the pros and cons of the training regimen. On the positive side, it seems clear that the program is successful at getting people in improved physical shape. On the negative side, there are increasing questions of some of the exercises and the increased risk of injuries, most notably rhabdomyolysis (muscle breakdown from prolonged, excessive muscle strain).
The most notable injury that has resulted from CrossFit is that of Kevin Ogar, who was paralyzed from the waist down while trying to lift 200 pounds during a competition. Although this was a freak accident, and could have occurred with any other type of weight lifting exercise, it has become a lightning rod for those reporting on the negative effects of CrossFit.
Recommended CrossFit Precautions
Discounting the Ogar injury, and from a spine perspective, I would recommend the following precautions for people participating in CrossFit:
  1. Know your limits and your fitness levels
  2. Progress at a pace that you are comfortable with; although it is often said, “there is no gain without pain,” too much pain during a workout can be counter-productive and might even signify a serious injury, such as rhabdomyolysis.
  3. Progress slowly with any weight training that involves axial (top) loading of the spine (eg, back or neck). This includes: dead lift, snatch or lunges with shoulder weights. It is best to increase leg and torso strength before advancing to these exercises.
It seems that despite the recent negative press surrounding CrossFit, and excluding any marketing hype around the exercise philosophy, CrossFit is sound if the principles are applied with common sense and with the understanding that getting and staying in shape is a long-term proposition.

Total Health of Naples and Dr. Michael Paralovos are the leading facility in Naples, FL for Crossfit injury rehab.  Dr. Paralovos is a Level 1 Crossfit Trainer and Crossfit Mobility Trainer.  Call us at 239-260-1426 or go to www.totalhealthnaples.com for more information or to schedule a consultation with our Naples, FL Crossfit chiropractor.

Article courtesy of Spine Universe and Dwight Tyndall, MD, FAAOS

Sunday, December 28, 2014

Sports Chiropractor in Naples Florida, Total Health of Naples

Many things come to mind when choosing of the right chiropractor for your condition. Naples Florida is a very active sports community, that is why Total Health of Naples treats many conditions as a result of athletic injuries. Our office is equipped with state-of-the-art chiropractic and physiotherapy equipment specifically designed for sports injuries. Whether you're a once a week golfer, avid tennis player, runner or even a kayaker injuries may arise as a result of repetition, egregious injury or simply not being prepared for your sport with proper warm-up.

Our doctor of chiropractic has proficiency in diagnosing and treating with conservative care athletic injuries. As a former junior 'A' and college hockey player our doctor knows what it takes to play at the top and what it takes to overcome an injury. Interestingly enough our philosophy here at Total Health of Naples is not to take you out of the game but make you better for the next time you return.  Too many times so-called experts in the medical, physical therapy and chiropractic communities tend to take the easy path and sideline player not only for short duration but even suggest to never play the sport again. That is why we work with the athlete to assist with a speedy recovery and prepare them for future competition.

Conditions that we see from athletic injuries range from muscle strains, ligamentous sprains, disc herniations, concussions and joint subluxations.  Depending on the condition our therapy department can assist with these conditions using our resources that include nonsurgical spinal decompression, muscle stimulation,  heat packs, cryotherapy, ultrasound therapy, rock tape applications, myofascial/soft tissue treatments to name a few.   Chiropractic adjustments are also top of the list when it comes to spinal and extremity joint subluxation injuries.

 You can trust Total Health of Naples with your athletic injuries as our chiropractic physician is the official chiropractor of the Florida Everblades hockey team ( minor-league affiliate to the Tampa Bay Lightning and the Carolina Hurricanes of the National Hockey League), we are a Titleist performance Institute certified facility as well as USA weightlifting sport performance coaching center.  Dr. Paralovos has had and continues to treat NCAA Division I athletes, PGA Tour golfers, major-league baseball players and NFL football players .

Call today 23 2260 1426 to schedule your appointment on how you can overcome your chronic or acute athletic injuries in Naples Florida. Go to www.totalhealthnaples.com  for more information that our clinic and our doctor.

Monday, December 15, 2014

What is Non-Surgical Spinal Decompression?

Spinal Decompression Therapy involves stretching the spine, using a traction table or similar motorized device, with the goal of relieving back pain and/or leg pain.
 
This procedure is called nonsurgical decompression therapy (as opposed to surgical spinal decompression, such as laminectomy and microdiscectomy).
This article provides an overview of nonsurgical spinal decompression therapy and its role in treatment of lower back pain and neck pain.

Spinal decompression devices use the same basic principle of spinal traction that has been offered by chiropractors, osteopaths, and other appropriately trained health professionals for many years.
Both traction and decompression therapy are applied with the goals of relieving pain and promoting an optimal healing environment for bulging, degenerating, or herniated discs.

Spinal decompression is a type of traction therapy applied to the spine in an attempt to bring about several theoretical benefits including:
  • Create a negative intradiscal pressure to promote retraction or repositioning of the herniated or bulging disc material.
  • Create a lower pressure in the disc that will cause an influx of healing nutrients and other substances into the disc.1
While the fundamental theory of spinal decompression is widely accepted as valid, there is a lack of evidence supporting decompression therapy as being efficacious. Additionally there are some potential risks.
Although some studies that do not include control groups conclude that decompression therapy is efficacious, the few that do generally conclude that mechanized spinal decompression is no better than sham decompression. [Schimmel JJ, et al. European Spine Journal 18(12):1843-50, 2009] Thus, there is insufficient evidence that spinal decompression therapy is as effective, or more effective, than less expensive manual methods in treating back pain or injured herniated discs.2

A review of medical literature to date indicates that most clinical trials examining the efficacy of spinal decompression therapy or traction were lacking in one or more areas, such as inadequate numbers of subjects to make a statistically valid conclusion, lack of blinding (the patient or provider is unaware of the treatment given), no comparison to a placebo group (called a sham controlled study), or lack of comparison to a treatment alternative.3 At the time of this article, few clinical studies of spinal decompression therapy have been published in peer reviewed medical journals.

References:
  1. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. Journal of Neurosurgery 81:350-353, 1994.
  2. Wang G. Powered traction devices for intervertebral decompression: Health technology assessment update. Washington Department of Labor and Industries, June 14, 2004.
  3. Daniel DM. Non-surgical spinal decompression therapy: Does the scientific literature support efficacy claims made in the advertising media? Chiropractic & Osteopathy 15:7, May 18, 2007.

If you're looking for non surgical spinal decompression therapy in Naples, FL check out www.totalhealthnaples.com.  Dr. Paralovos is a board eligible chiropractic neurologist.  Through his advanced training he is able to free people of pain associated with cervical and lumbar disc herniations, stenosis, numbness, tingling, pain and extremity weakness.  Call 239-260-1426 today to schedule your consultation with the doctor to see if non-surgical spinal decompression could help you.

Article courtesy of www.spine-health.com

Wednesday, October 29, 2014

Winter Months and Vitamin D Levels

Winter Months and Vitamin D Levels

It should be no surprise that winter months with limited sunlight leads to lower levels of Vit. D., the sunshine vitamin. However, even summer months are not optimal for Vit. D synthesis in the skin.  This is largely the result of very effective sun blocking agents that can decrease the synthesis of Vit. D by as much as 90%.  World wide, well over 1 billion people have low Vit. D levels.
Until recently, Vit. D was thought to primarily regulate calcium and phosphate absorption and help build and maintain strong bones.  Now we know that being deficient in Vit. D may not only increase the incidence of osteoporosis and hip fractures but may increase heart disease, MS, and infectious diseases including season flu and tuberculosis.

Your Vitamin D Level Affects Your Health

For example low Vit. D levels are associated with a 2X increase in heart attacks.  Low Vit. D is associated with an increase in colon cancer and possibly other cancers. Further, MS and diabetes (autoimmune diseases) are increased in patients with low Vit. D levels.  Vit. D also appears to increase muscle strength.  Some associate these benefits with anti-inflammatory actions.

What Is An Optimum Vit. D Level?

Clearly you should be concerned about your Vit. D levels.  The question is do we really know the optimum levels of Vit. D in our blood?   The current guidelines are very conservative.  For example 30 ng/ml would be considered more than adequate. However, levels as high as 60 or even 90 ng/ml may be even more effective.  The recommended daily allowance for Vit. D is in the range of 600-800IUs.  That said many health care providers recommend 1000 to 5000 IUs /day.   The reason for wanting to go high in dose is that there is little data to suggest side effects below huge doses such as 50,000 IU/day for multiple months.
Based on the above science, it is reasonable  to combine Vit. D and omega 3 oils.  Both are fat soluble.  For general health benefits we recommend, SFH high potency omega 3 oils with 1000 IUs of Vit. D 3 /teaspoon.
 
For MS, see JAMA 296,3832
For Heart Disease see Circulation 117, 503, 2008
For Flu and Infectious Disease see Am J. Clinical Nutrition   91, 1255  2010
For general information: see www.hsph.harvard.edu/nutritionsource/vit-d/
     Original blog courtesy of www.sfh.com

On a side note Dr. Paralovos of Total Health of Naples always recommends high quality fish oil to help support a general wellness lifestyle and combat bouts of inflammation.  Using SFH fish oil and receiving chiropractic adjustments has been shown to aid with the healing response of most musculoskeletal injuries and dysfunction.  Go to www.totalhealthnaples.com or call 239-260-1426 to book your appointment on how our protocols can help you.

Wednesday, August 20, 2014

Stronger Faster Healthier Fish Oil Benefits....


As an SFH advocate, you are more than likely aware of the major benefits of Omega-3's: Reduced inflammationtriglyceride levels and risk of heart disease and improved blood flow and brain function.

 

Listed below are a few of the relatively unknown benefits of Omega-3's:

 

* Increased Protein Synthesis & Fat Loss

* Decreased Protein Breakdown

* Improved Insulin Sensitivity

* Improved Nutrient Delivery to Cells

* Increased Metabolic Rate

* Increased Immune System Function

 

Here are a few quick facts and tips regarding fish oil:

 

Dosage: In studies related to muscle growth and fat loss and reduced inflammation, participants took 3-4 grams of EPA/ DHA per day. That is 3-4g of EPA/ DHA, not total Fish Oil. The actual Omega-3 content in most pills is 20%-60% and required 6-10 pills to reach a therapeutic dosage (3-4 grams). SFH Fish oil has over 3.1 grams per teaspoon with the option for 1,000 IU of added Vitamin D3.

 

Essential vs. Non-Essential:  Omega-3 and -6 are both essential fatty acids, meaning that they are not produced by the body and must be obtained through food/ supplements. Omega-6 does not need to be supplemented due to the abundance found in today's diet. Omega-9 is a non-essential fatty acid and is produced by our bodies.

 

Sources: There are very few Omega-3 sources, the best being wild-caught, cold water fish like anchovy, sardines, herring and mackerel. Flax chia, hemp and echium are not viable sources as they are primarily ALA. Only a very small percentage of ALA is converted to EPA/DHA.


Total Health of Naples is proud to be partners with SFH, if you have any other questions regarding this product, fish oil or anti-inflammatory protocols go to www.totalhealthnaples.com or call 239.260.1426 to schedule your consultation with Dr. Paralovos.

*SFH is a professional company and is not an MLM.  They formulate pharmaceutical grade supplements with the purest ingredients, check out their website www.sfh.com

Wednesday, April 30, 2014

Corrective Chiropractic vs Relief Care Chiropractic in Naples, FL


Many patients that have come into our office often ask about other chiropractors that they were solicited by at local grocery stores, gyms and other social events of how they are “different” or that they perform “corrective chiropractic care”.   Well the truth is, all chiropractors strive to correct the under lying problem that is causing the patient’s ailment.  Though each provider may have a different approach or method of delivering their treatment the end goal is always the same….CORRECTION!!  The whole phrase of “corrective chiropractic care” is more of a marketing/solicitation ploy to gain the attention of future patients or even drive existing patients out of the care of their current provider by using these subordination tactics.  As a clinician that is trained in structural rehabilitation of the spine through Chiropractic Biophysics, one may consider this technique to be of a corrective protocol as it tends to focus on structural integrity of the spine rather than just the resolution of symptoms.  On the other hand, if the goals of the patient are to just eliminate their symptoms then correction could be considered the time of pain relief.  Therefore how the term correction is used by providers is very subjective and can be misleading for an individual not familiar with the practice of chiropractic.  I encourage people to be aware of chiropractors trying to sell the concept of corrective chiropractic care to entice patients into treatment and long term care plans that usually aren’t any more effective than just resolving the mechanism causing their symptoms.  It is important to understand that following through with your chiropractors recommendations are key with any level of spinal correction and relief of pain, but also realize that you need to be released from care when you have reached an optimal level of medical improvement.

Total Health of Naples is the premier chiropractic and functional rehab center in Naples, FL. Whether your goal is to restore spinal structure or alleviate the symptoms of a herniated disc, Dr. Paralovos makes every effort possible to exceed the patient’s expectations.  Call 239.260.1426 or go to www.totalhealthnaples.com to schedule your appointment to see what type of care is best for you!!

Friday, April 18, 2014

What's a Herniated Disc, Pinched Nerve, Bulging Disc...?

There are many different terms used to describe spinal disc pathology and associated pain, such as "herniated disc," "pinched nerve," and "bulging disc," and all are used differently by doctors.
Unfortunately, healthcare professionals do not agree on a precise definition of any of these terms, and patients may be frustrated when they hear their diagnosis referred to in different terms. A variety of interchangeable terms (ruptured disc, torn disc, slipped disc, collapsed disc, disc protrusion, disc disease, black disc) can add to the confusion.
Rather than caring about which term is used, it is more useful for patients to gain a clear understanding of the precise medical diagnosis.
    The medical diagnosis identifies the actual cause of the patient’s back pain, leg pain and other symptoms.
The medical professional determines the cause of the patient’s pain through a combination of a review of the patient’s medical history through a combination of:
  • Review of the patient's medical history
  • A complete physical exam
  • One or more diagnostic tests (if needed)

    Two Causes of Pain: Pinched Nerve vs. Disc Pain

    In identifying the cause of the patient’s pain, there are two general types of spinal disc problems used by physicians:
      Pinched nerve
      When a patient has a symptomatic herniated disc, the disc itself is not painful, but rather the leaking disc is pinching a nerve. This produces pain called radicular pain (e.g., nerve root pain) leading to pain that may be referred to other parts of the body, such as from the low back down the leg or from the neck down the arm. Leg pain from a pinched nerve is usually described as sciatica.
      • On Spine-health.com, this nerve root pain is called a herniated disc. (Other common causes of a pinched nerve may include spinal stenosis and bone spurs from spinal arthritis.
      Disc pain
      When a patient has a symptomatic degenerated disc (one that causes low back pain and/or leg pain), it is the disc space itself that is painful and the source of pain. This type of pain is typically called axial pain.
    In This Article:
    Either of the above two conditions can occur in the cervical, thoracic or lumbar spine. They tend to be most common in the lower back because the lower back bears the most torque and force on a day to day basis.
    It should be kept in mind that all the terms – herniated disc, pinched nerve, bulging disc, slipped disc, ruptured disc, etc. – refer to radiographic findings seen on a CT scan or MRI scan. While these test results are important, they are not as meaningful in determining the cause of the pain as the patient's specific symptoms and the doctor's physical exam results.
Total Health of Naples offers state of the art non-surgical spinal decompression to help correct and alleviate the pain and suffering associated with disc pathology.  Our chiropractor has advanced training in the diagnosis and management for these conditions.  Call 239-260-1426 to schedule a free consultation, MRI review or second opinion if you have any of the above conditions.  You can also visit us at www.totalhealthnaples.com to learn more about the leader in spinal decompression in Naples, FL.

Article courtesy of spine-health.com

Wednesday, April 9, 2014

Naples Fl Chiropractor - Understanding Spinal Manipulation

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.
The common goal of most chiropractic techniques is to restore or to enhance joint function, with the general goals of resolving joint inflammation and reducing pain. Some approaches use some force (spinal manipulation), while others are more gentle (spinal mobilization).
The original chiropractic adjustment approach is generally referred to as spinal manipulation, and may also be called the diversified technique or the high-velocity, low-amplitude (HVLA) thrust. New chiropractic adjustment approaches typically evolve as a variation from an existing technique and are often named after the chiropractor who developed it.
This article reviews a number of the most commonly used spinal manipulation and spinal mobilization techniques currently used by chiropractors.


Understanding Spinal Manipulation

There are well over 100 types of adjustment techniques used by chiropractors throughout the world. Typically, chiropractors will focus on and utilize 8 to 10 different approaches in their practice.
The common goal of most chiropractic techniques is to restore or to enhance joint function, with the general goals of resolving joint inflammation and reducing pain. Some approaches use some force (spinal manipulation), while others are more gentle (spinal mobilization).
The original chiropractic adjustment approach is generally referred to as spinal manipulation, and may also be called the diversified technique or the high-velocity, low-amplitude (HVLA) thrust. New chiropractic adjustment approaches typically evolve as a variation from an existing technique and are often named after the chiropractor who developed it.

Chiropractic Manipulation Techniques

Chiropractors adapt treatment plans to meet the specific needs of each patient. Typically, chiropractic treatment plans involve some forceful and less forceful spinal adjustment techniques during the same visit or over the course of treatment (6 to 10 visits for a typical patient).
    Spinal Manipulation (High-Velocity Low-Amplitude Thrust)
    The most frequently used chiropractic technique, spinal manipulation, is the traditional high-velocity low-amplitude (HVLA) thrust. The manipulation often results in an audible "pop," as chiropractors use their hands to apply a controlled sudden force to a joint while the body is positioned in a specific way.
    Spinal Mobilization (Low-Force or Gentle Chiropractic Techniques)
    Some conditions (such as osteoporosis), pathology, the patient's size, patient comfort, or patient preference, may require a gentler approach generally referred to as spinal mobilization. In addition, some patients and/or clinicians prefer mild spinal mobilization techniques that do not involve twisting of the body or a forceful thrust.
In addition to manipulation, many chiropractors will employ adjunctive therapy, such as ice or heat or physical therapy modalities (such as electric stimulation, ultrasound, etc.), as part of an overall treatment plan. Patients should discuss their symptoms and preferences with their chiropractor, whose role it is to perform a thorough examination to determine the best course of treatment.

 
Chiropractic Videos
 
 
Dr. Michael J. Paralovos, DC and Total Health of Naples are the leaders in correcting neck pain with spinal manipulation in Naples, FL.  Don't suffer anymore call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.
 
Article written by: Steven G. Yeomans, DC and published by spine-health.com
 

Sunday, March 16, 2014

Cervical Spine Manipulation/Adjustments in Naples, Fl 34109

Manipulation of the cervical spine or neck region is a common technique utilized by doctors of chiropractic for many patients complaining of neck, upper back, and shoulder/arm pain, as well as headaches. Similar to the treatment for many conditions affecting the low back, chiropractic is considered as a first line of treatment for a range of cervical spine conditions.
The chiropractic treatment goals for cervical spine complaint management include (but are not limited to) some combination of:
  • Reducing pain
  • Improving motion
  • Restoring function to the head and neck region
These goals are usually accomplished by the use of a number of different approaches. The primary focus of this article is on chiropractic manipulation.
Patients should be advised that the application of this treatment approach only occurs after a full patient history, physical examination, review of past, family, social histories, and review of systems have been completed. Tests resulting from this process may include X-ray, CT, MRI, EMG/NCV, laboratory blood and urine analysis, referral to a specialist, and/or possibly more, depending on each individual case presentation.

Types of Chiropractic Manipulation

There are two general chiropractic manipulation approaches for cervical spine complaints:
The combination of the various approaches varies from patient to patient depending on the chiropractor's preferred techniques and preferences, the patient's comfort and preferences, and the patient's response to the treatment, as well as both past experience and observations made during the course of treatment.
Chiropractors may also use adjunctive therapy to treat cervical spine complaints. Typical adjunctive therapies may include massage, therapeutic heat and/or cold application, and gentle stretching and strengthening exercises, and more.
While this article focuses on chiropractic treatment, osteopathic physicians (or other appropriately trained healthcare practitioners) may also use these or similar types of manipulation and adjunctive therapy to treat cervical spine pain.


Dr. Michael J. Paralovos, DC and Total Health of Naples are the leaders in correcting neck pain with spinal manipulation in Naples, FL.  Don't suffer anymore call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.


Article courtesy of: spine-health.com, authored by: Steven Yeomans, DC






 

Injuries in Professional Golf - What's Going On?



There’s been a lot of talk about injuries recently. If you follow golf regularly, this topic is all over TV and social media, as almost every week we hear about a player dropping out or missing a tournament due to an injury. But how can this be since more players now have medical specialist and physical fitness programs that are there to help them prevent these problems in the first place?
Well, it’s impossible to answer that question with one blanket statement, as I firmly believe each injury is unique to each player. However, I do feel there have been some fundamental changes that have occurred within professional golf that when taken in the aggregate, may help to explain why injuries appear to be on the rise.
First of all, the number of professional players competing on an international stage has increased dramatically over the past ten years. This is due to the fact that we’ve seen a dramatic rise in the number of official professional tours globally. Since there are more professionals competing on a daily basis, it only makes sense that there would be more total injuries now than ever before. Additionally, the media coverage that these players receive is relentless. Any injury or withdrawal can set the 24-hour news cycle and blogosphere into overdrive.
Second, the length of the competitive season for professional golfers is increasing. Starting last year, players who want to play a full season on the PGA Tour were only given one month off for recovery. Currently, the official 2014 season started in October of 2013 and will end with the Tour Championship in September of 2014. That is eleven months of straight competitive golf with no rest. It is not unusual to see a young player compete five to six weeks in a row without taking a break. That is a lot for any athlete to handle.
Third, if you haven’t noticed, elite level players seem to be getting younger and younger each year - from a 14 year old boy making the cut at the Masters to a 15 year old girl winning the LPGA Tour’s Canadian Open. Many parents start their kids in golf at a very young age and then have them specialize only in golf. They spend hours a day hitting golf balls without any other physical activity. In the past, most players had a good athletic background. They played baseball, soccer, tennis, track and many other sports throughout the year. Golf was just one of the sports they played, not the only sport they played. This trend towards early specialization and the lack of full athletic development could be a major cause of injury or breakdown in the modern player.
Fourth, we have to look at trends in teaching the game. Over the past 30 years, there has been a fundamental shift in teaching technique towards something called the  “Modern Golf Swing”. This is where the player is taught to minimize the movement in their lower body during the backswing and create a large separation between the upper and lower body. In the past, players would allow their lower body to turn and rotate with the upper body, even to the point where their lead heel would come off the ground in the backswing. Could this teaching philosophy or style be a reason for more injuries in the game now?
Lastly, let’s talk about fitness programs that players perform on a daily basis.  Many players understand the importance of keeping their bodies physically fit to stay competitive for as long as possible. This involves getting physically assessed to find their specific limitations and working with an exercise coach to help eliminate these problems. The vast majority of players who engage in a regular supervised fitness program have less injuries, perform at a higher level of competition, and compete for a longer period of time. The Champions Tour is loaded with players who would not be competing at such extraordinary levels without dedicated golf fitness programs.
There is a difference between “fitness” and being “fit to play golf.” These two concepts often get incorrectly lumped together. Some people not only appear to be incredibly fit but are very fit in a traditional sense of the word. For example, they may be in exceptional cardiovascular heath, have explosive strength, eat well and train often. But that does not mean their bodies are properly prepared for the repetitive demands of the golf swing. Properly developed golf fitness programs target specific areas that need work. It may be stability for one player, mobility for another, power in the third and injury rehabilitation in somebody else. This is not to say golf fitness is the magic pill that will prevent all injury, far from it. But I am convinced that a properly assessed player who is actively engaged in the right training program has a far better chance of playing for more years and at a higher level.
Now of course there are scenarios where a fitness program can cause an injury versus help prevent one. I’ve seen this first hand. First, if the player is doing something beyond their capabilities an injury is always a possibility.  Many high level players are extremely competitive individuals in every aspect of their lives. If they treat the gym as a competition and try to “win” in the gym, with more weight and more repetitions, then injury is only a matter of time. Secondly, if a player blindly works out on their own, without any initial screening process or supervision from a trained fitness expert, it is easy to put themselves at risk. Finally, the “No pain, no gain” rule is just asking for trouble. My saying is, “Pain equals no gain!”
So is the incidence of injury increasing over the past 10 years across professional golf? Well, the answer is probably yes. I say probably because we do not have definitive data yet. But if so, the reason may be different than what you think.
  1. There are more professionals playing the game today. 
  2. They have very little down time for rest and recovery during the season.
  3. They early specialize exclusively in golf to the detriment of their long-term athletic development.
  4. Players are taught the modern golf swing technique which can place more demands on the body.
  5. Players might bring their competitive mindset into the gym and engage in fitness programs that are ill advised or unsupervised. 
If I could give just one piece of advice to golfers of all levels, it’s to be physically assessed by a competent professional. A well-trained professional can identify key areas of weakness or imbalance and develop highly effective exercise or rehabilitation protocols. It’s no guarantee that you’ll remain injury free, as the golf swing puts incredible forces on the body, but it puts the odds in your favor.



Total Health of Naples is the only facility in town that has a TPI certified doctor.  Our chiropractor, Dr. Michael J. Paralovos has been certified by TPI since 2009 and since then has treated hundreds of golf related injuries.  Dr. Paralovos originally sought out the TPI certification as he himself is golf enthusiast and has treated many PGA touring pros.  If your game is being limited by pain, insufficient recovery contact Total Health of Naples today to see how we can help.  Go to www.totalhealthnaples.com or call 239-260-1426 to schedule your appointment today!

Article courtesy of mytpi.com, authored by: Greg Rose, DC
 


Friday, August 9, 2013

Sciatica Exercises for Sciatica Pain Relief

For most instances of sciatica pain, a specific, controlled, progressive exercise program that is tailored around the underlying cause of the sciatic pain will be part of the recommended treatment program. The specific sciatica exercises serve two main purposes:
  • Reduces the sciatic pain in the near term
  • Provides conditioning to help prevent future recurrences of the pain
A physical therapist, chiropractor, physiatrist (PM&R, or Physical Medicine & Rehabilitation physician), certified athletic trainer (ATC), or other spine specialist who treats the leg pain and other symptoms will typically prescribe specific exercises and teach the patient how to do them.

Exercise Provides Sciatica Pain Relief

While it may seem counterintuitive, exercise is usually better for relieving sciatic pain than bed rest. Patients may rest for a day or two after their sciatic pain flares up, but after that time period, inactivity will usually make the pain worse.
Without exercise and movement, the back muscles and spinal structures become deconditioned and less able to support the back. The deconditioning and weakening can lead to back injury and strain, which causes additional pain. In addition, active exercise is also important for the health of the spinal discs. Movement helps exchange nutrients and fluids within the discs to keep them healthy and prevent pressure on the sciatic nerve.

Typical features of any sciatica exercise program include:
  • Core muscle strength. Many sciatica exercises serve to strengthen the abdominal and back muscles in order to provide more support for the back. Stretching exercises for sciatica target muscles that cause pain when they are tight and inflexible. When patients engage in a regular program of gentle strengthening and stretching exercises, they can recover more quickly from a flare up of sciatica and are less likely to experience future episodes of pain.
  • Specific diagnosis. Most exercise programs will be tailored to address the underlying cause of the patient’s sciatic pain, such as a lumbar herniated disc or spinal stenosis. Doing the wrong type of exercise can worsen the sciatic pain, so it is important to get an accurate diagnosis prior to starting a program of sciatica exercises.
  • Hamstring stretching. Regardless of the diagnosis, most types of sciatica will benefit from a regular routine of hamstring stretching. The hamstrings are muscles located in the back of the thigh. Overly tight hamstrings increase the stress on the low back and often aggravate or even cause some of the conditions that result in sciatica.
  • Exercise correctly. As an adjunct to the above point, doing the right exercises but doing them without proper form can make the exercises relatively ineffective, and possibly may lead to continued or increased pain. It is generally advisable to learn the exercises under the guidance of an appropriately trained health practitioner, such as a physical therapist, chiropractor or physiatrist.
  • Aerobic exercises. In addition to specific sciatica exercises, aerobic conditioning may also be encouraged for general body fitness. Walking is an excellent form of exercise for the low back because it is relatively low impact but can provide all the benefits of an aerobic workout. If possible, it is best to gradually progress to doing up to three miles of exercise walking at a brisk pace each day.

  • Caring for sciatica should be considered part of one's daily living, not just something to add to the routine at the end of the day. In addition to an exercise routine, patients with sciatica should minimize everyday stress on the lower back, including using appropriate ergonomics while lifting, maintaining good posture, making sure the lower back is supported while sitting, and avoiding sitting or standing for long periods of time.

    Article courtesy of Ron S. Miller, PT  and Spine-Health

    Though these exercises may provide some relief of sciatic pain, most of our patients with these types of symptoms benefit greatly from chiropractic and spinal decompression.  Total Health of Naples offers non-surgical spinal decompression treatment to alleviate the pain associated with stenosis, herniated discs and bulging discs.  Don't delay call our Naples, FL chiropractic and spinal decompression office today at 239-260-1426 or go to www.totalhealthnaples.com to schedule your consultation to see how we can help.

    Monday, August 5, 2013

    What is a TPI Certified Professional ?

    This article was originally posted on the TPI website by lead instructor Dave Phillips.  It gives a profound understanding about the different certifications offered by TPI.
    
    The TPI certification program was formed in 2005 and has many different tracks.  All TPI certified professionals take the Level one certification class that gives them the tools necessary to identify that your body is the reason you swing the way you do. The class also gives them some basic tools to help fix your problem. After level one the individual chooses their level of expertise and follows two more tracks in their level of expertise to further refine their ability to help the golfer.

    The tracks that are available are: 

    Fitness level 2 and 3: This gives the fitness professional the tools necessary to build exercise programs and progressions to build strength, speed, mobility and stability in the golfer.

    Medical Level 2 and 3: This track takes the medical professional into advanced screening to pinpoint and create a plan to find and attack injuries, they also learn how to provide rehabilitation for injured golfers of all levels.

    Golf Mechanics Level 2 and 3: Designed for the golf professional that wants to improve their dignostic skills and capabilities these classes look into ball flight, club fitting advanced biomechanics of the full swing and shortgame to help develop the golf professional that wants to enhance their ability to help any level of golfer.

    Golf Coaching Level 2 and 3: These advanced coaching classes teach golf professionals how to coach by understanding motor learning and how to create and build practice programs to prepare students for any level of competition.

    Power Level 2 and 3: Attended by Fitness, Golf and Medical professionals that are interested in learning how to develop speed and power the correct way. This explores the body, biomechanics and club fitting in order to maximize a students ability to create power. Faculty include five times world long drive champion Jason Zubak.

    Junior Coach Level 2 and 3: This class is designed for those individuals seeking to understand the science and research behind children and looks at growth velocity, bio logical age and when and what age juniors should be learning skill and training for power.
    As you can see TPI is truly a university and currently has over 10000 TPI Certified professionals in 57 countries. As of the end of the 2012 golf season, of the top 30 golfers in the world rankings 23 of them were working with TPI Certified teams. If you want to find a TPI Certified Expert to help you with your game, click on the TPI Certified tab and find an expert in your area by simply putting in your zip code. If you want to take your game to the next level, get stronger, injury free and have a better overall golf game, you owe it to yourself to get evaluated by one of the amazing men and women that are TPI Certified.

    Total Health of Naples is the only facility in town that has a TPI certified doctor.  Our chiropractor, Dr. Michael J. Paralovos has been certified by TPI since 2009 and since then has treated hundreds of golf related injuries.  Dr. Paralovos originally sought out the TPI certification as he himself is golf enthusiast and has treated many PGA touring pros.  If your game is being limited by pain, insufficient recovery contact Total Health of Naples today to see how we can help.  Go to www.totalhealthnaples.com or call 239-260-1426 to schedule your appointment today!

    Tuesday, July 23, 2013

    Functional Rehabilitation in Naples, Fl


    Many people come to Total Health of Naples with complaints of neck pain, back pain, headaches, sciatica, disc problems and the list goes on.  What many people often overlook is how did this ache, pain or dysfunction occur?  If somebody moves well and has proper mobility of their muscles and joints it is a fair assumption that they likely won’t have any musculoskeletal problems.  What we need to realize is that most people don’t fit into this demographic because of the daily stressors that we endure.  For example, sitting in front of computers, sitting in the car, sitting on the couch, sitting while texting…..did I mention sitting? Defaulting into lousy positions eventually builds neuroplasticity thus our bodies take on that bad shape and it results in horrible posture.  Fast forward and imagine someone who sits at a desk job day in and day out, from a clinical perspective we’d see the classic lower and upper crossed syndromes.  With having this dysfunctional default position it is safe to say that we won’t move optimally, causing a risk factor for injuries. 

    Total Health of Naples goes beyond the pain syndromes by restoring movement patterns back to the patient so that these problems are not recurring.  We do this by implementing functional rehabilitation.  Functional rehab is any modality that will aid in restoring normal movement patterns.  Simply decreasing inflammation and pain can increase function or PNF stretching hamstrings for greater range of motion can be examples from different ends of the spectrum.  Modalities can be as complex as specific kinetic chain exercises or even as simples as basic physiotherapies (ice/heat).  Dr. Michael J. Paralovos has developed a unique approach to correcting human dysfunction.  By specifically designing treatment programs for his patients with the latest advancements in soft tissue therapy, neurology and biomechanics coupled with home care exercises and ergonomics patients generally get well faster and better than most other chiropractic or physical rehab centers.

    If you are tired of the one size fits all paradigm for neck pain, back pain, headaches, sciatica and disc problems, it may be time to contact Total Health of Naples for a consultation.  Our doctor is the leader in functional rehab and our patients would agree.  For more information visit www.totalhealthnaples.com or call 239-260-1426.



    Monday, July 15, 2013

    Chiropractic Adjustment: Is a headache “normal?”

    The nervous system controls and regulates the entire body and all of its functions. The connection between improved health and chiropractic care is obvious to those who receive regular chiropractic adjustments. Each time you receive a chiropractic adjustment, you are improving your potential for health and wellness.
     
    Are you tired of living with headache pain day after day? Have you ever wondered why you have headaches? Do you know how many headaches you have each month? It could be four, eight, or even 20 headaches per month. Some people experience headache pain all day, every day. Are they caused by stress or tension?
     
    Is there such a thing as a "normal" headache? The answer is no! It is not normal to have headaches! However, many people endure the same type of headaches month after month, not knowing there is help available.
     
    Following an initial examination to rule out things like high blood pressure or eye strain, the doctor of chiropractic will carefully examine your spine. The cause of the majority of headaches is usually found to be an irritated nerve in the upper neck. A chiropractor can locate and correct that irritating nerve, thereby eliminating the cause of most headaches.
     
    After a gentle chiropractic adjustment, most people will notice that the frequency and severity of their headaches diminish significantly, often after the first adjustment. It is possible to live month after month free from headaches and experience an enhanced quality of life.
     
    Call Total Health of Naples today or go to www.totalhealthnaples.com for more information about the benefits of a chiropractic adjustment and to schedule an appointment. Our chiropractor has advanced training in neurology and corrective chiropractic care is committed to helping the residents of Naples, Fl live free from the debilitating pain of headaches!
    Content courtesy of McKim Chiropractic Centers
     

    Friday, July 12, 2013

    More Than Half Suffering From Untreated Back, Neck Pain

    A newly published study in the Journal of Manipulative and Physiological Therapeutics suggests that one-half to two-thirds of the population suffer from recurring back or neck pain. Researchers conducted face-to-face interviews with over 1000 Croatian participants, roughly split along male and female lines. They found that nearly 67 percent of women and 63 percent of men reported experiencing back pain. Further, 58 percent of women and 54 percent of men reported recurring neck pain. After tallying the combined results the researchers concluded that approximately half to two-thirds of the research subjects experienced frequent untreated pain that impacted the quality of their lives. Research indicates that most back and neck aliments are far better addressed by non-invasive treatments like chiropractic care than by traditional surgical remedies. Also, research has shown chiropractic care to be less expensive, far less dangerous and more effective than surgery as a treatment for the majority of these issues.

    Dr. Michael J. Paralovos, DC and Total Health of Naples are the leaders in correcting low back pain and neck pain in Naples, FL.  Don't suffer anymore call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.

    For more information on the latest research on health, wellness, nutrition and chiropractic care go to www.totalhealthnaples.com and sign up for our newsletter.


    Author: ChiroPlanet.com
    Source: JMPT. Volume 36, Issue 5, Pages 267-275, June 2013.
    Copyright: ProfessionalPlanets.com LLC 2013

    Friday, June 28, 2013

    The Fastest Way to Get Rid of Your Kids!



    Kid’s vitamins are supposed to be healthy, right? Well, then what's going on with Flintstones Vitamins, which proudly claims to be "Pediatricians' #1 Choice"?  Produced by the global pharmaceutical corporation Bayer, this wildly successful brand features a shocking list of unhealthy ingredients, including:


    On Bayer Health Science's Flintstones product page designed for healthcare professionals, they lead into the product description with the following tidbit of information: 82% of kids aren't eating all of their veggies1. Without enough vegetables, kids may not be getting all of the nutrients they need.

    References: 1. Lorson BA, Melgar-Quinonez HR, Taylor CA. Correlates of fruit and vegetable intakes in US children. J Am Diet Assoc. 2009;109(3):474-478.
       
    The implication: Flintstones vitamins somehow fill this nutritional void. But let's look a little closer at some of these presumably healthy ingredients....

    ASPARTAME: Aspartame is a synthetic combination of the amino acids aspartic acid and l-phenylalanine and is known to convert into highly toxic methanol and formaldehyde in the body.  Aspartame has been linked to over 40 adverse health effects in the biomedical literature, and has been shown to exhibit both neurotoxicity and carcinogenicity [1].What business does a chemical like this have in a children's vitamin, especially when non-toxic, non-synthetic non-nutritive sweeteners like stevia already exist?

    CUPRIC OXIDE: According to the European Union's Dangerous Substance Directive, one of the main EU laws concerning chemical safety, Cupric Oxide is listed as a Hazardous substance, classified as both "Harmful" and "Dangerous for the environment." It has industrial applications as a pigment in ceramics, and as a chemical in the production of rayon fabric and dry cell batteries. [2]

    COAL TAR ARTIFICIAL COLORING AGENTS: A well-known side effect of using synthetic dyes is attention-deficit hyperactivity disorder. There is also indication that the neurotoxicity of artificial food coloring agents increase when combined with aspartame[3], making the combination of ingredients in Flintstones even more concerning.

    ZINC OXIDE: Widely used as a sun protection factor (SPF) in sunscreens, The EU's Dangerous Substance Directive classifies it as an environmental Hazard, "Dangerous for the environment."  How can it be dangerous to the environment, but not for the humans ingesting it? 

    FERROUS FUMARATE: Ferrous Fumarate is so toxic that accidental overdose of products containing this form is "a leading cause of fatal poisoning in children under 6." The manufacturer further warns: Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.

    HYDROGENATED SOYBEAN OIL: Finding hydrogenated oil in anything marketed to children is absolutely unacceptable. These semi-synthetic fatty acids incorporate into our tissues and have been linked to over a dozen adverse health effects, from coronary artery disease to cancer, violent behavior to fatty liver disease.[5]
      

    Sources:
    [1] GreenMedInfo.com, Adverse Health Effects of Aspartame
    [2] FlinstonesVitamins.com, FLINSTONES Complete Chewable, Nutritional Info Overview
    [3] Karen Lau, W Graham McLean, Dominic P Williams, C Vyvyan Howard. Synergistic interactions between commonly used food additives in a developmental neurotoxicity test. Toxicol Sci. 2006 Mar;90(1):178-87. Epub 2005 Dec 13. PMID: 16352620
    [4] GreenMedInfo.com, Sorbitol's Adverse Health Effects
    [5] GreenMedInfo.com, Health Effects of Hydrogenated Oil


    Article originally posted by Elevation Health
     
    For quality nutrition and functional medicine care for your children and yourself contact Total Health of Naples, the premier center for chiropractic and wellness in Naples, Fl.  Total Health of Naples is located in north Naples, Fl at the Greentree Professional Center call 239-260-1426 or go to www.totalhealthnaples.com to schedule your appointment.