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Osteoporosis & You

Tuesday, September 28th, 2010

Osteoporosis occurs in 1 in 4 women and 1 in 20 men.  Osteoporosis is a major cause of morbidity and mortality in the elderly.  Both sexes show gradual bone loss throughout life but women start to lose bone more quickly in post-menopausal years.  Men lose bone density throughout life but because they start out with higher bone density, they exhibit osteoporotic levels at later ages than females.

Accelerated bone loss in post-menopausal years is known as Primary Osteoporosis.  Secondary Osteoporosis is accelerated bone loss as a result of certain lifestyle habits or existing disease such as long term corticosteroid and anticonvulsant use, inactivity, smoking, heavy alcohol consumption, Cushing’s syndrome, hyperthyroidism, gastrointestinal disease, excessive weight loss or low body weight, and never having children.

Osteoporosis is inarguably a multi-factoral disorder involving the inorganic (mineral) and organic (protein) components of bone.  Most people think of calcium loss or low calcium intake when concerning Osteoporosis but it is much more than that.

Stomach acid: the absorption of calcium is in part dependant upon ionization in the intestines.  The most commonly used form of calcium supplementation is calcium carbonate which must first be solubilized and ionized by stomach acid.  Those with low stomach acid production will obviously have a harder time with this form of calcium.  It’s been shown those with low stomach acid may only absorb 4% of an oral dose of calcium carbonate where as those with normal stomach acid can absorb 22%.   Calcium citrate, lactate or gluconate are the better forms of calcium supplementation to use.  Upwards of 45% of calcium lactate can be absorbed even in those with low stomach acid.

Vitamin D3:  Lack of vitamin D can interfere with calcium status.  Many patients with Osteoporosis, one may find high levels of 25-OHD3 (the common Vitamin D test used) yet low levels of 1,25-(OH)2D3 which reveals an issue of converting cholecalciferol (whether via supplementation or sunlight) to the usable form of Vitamin D because of poor kidney or liver function.  Boron has also been theorized to play a role in this conversion.

Hormonal Factors: decreasing estrogen production increases the amount of calcium taken from bone to maintain blood calcium levels.  This in turn decreases certain hormones that are necessary for proper Vitamin D utilization.  Simply replacing estrogen is not the solution.  The best approach is to seek out a professional who can analyze your system correctly and make recommendations for healthy lifestyle habits and supplementation so you can regulate hormones naturally.

Vitamin K: found in green leafy vegetables.  Osteocalcin (a protein found in bone) anchors calcium to hold it in place within the bone structure.  Vitamin K has a primary role in converting the inactive form of osteocalcin into it’s active form.  Green leafy vegetables are also a source of calcium and boron.

Magnesium: magnesium deficiency as associated with osteoporosis plays a role in a couple of ways.  One, the enzyme responsible for converting inactive Vitamin D into it’s active form is dependant upon Magnesium.  Two, magnesium plays a role in the mediation of certain hormones that regulate blood calcium levels.

Environmental: Cadmium causes calcium loss within hours of exposure. Bone is a long term storage site for lead.  Lead and calcium have the same transport sites for absorption and transportation within the body. Lead also has a direct (affects the way bone cells tear down and build bone) and indirect (kidney function) influence on bone turnover.

Do you have bone loss?  How do you know which one of these is causing your problem?  Some simple tests can help you zone in on exactly what you need to do to reduce your bone loss.  The best place to start is with a Dexa scan.  This is the diagnostic tool for osteoporosis or establishing if you have bone loss.  A point to remember, is that it doesn’t tell you “why” you have bone loss but it s a very effective marker to use to monitor bone loss and treatment for bone loss.

Next, you need a comprehensive blood panel performed.  A good foundational panel is going to check for diabetes (hemoglobin A1C), mineral levels, thyroid, liver, pancreas, gall bladder and kidney function, inflammatory markers such as C-Reactive Protein and Erythrocyte Sed Rate, Complete Blood Count to check for infections and anemias, and heart disease markers.  When ordered properly, if you are experiencing bone loss, your tests may reveal low mineral levels and low Vitamin D.  Poor liver function or kidney function will affect your body’s ability to make the active form of Vitamin D.  Alkaline phosphatase is a marker for bone formation.  Low alkaline phosphatase among other things can indicate decreased bone formation. High levels can indicate bone cancer.  Low creatine kinase indicates low muscle mass.  Low muscle mass can contribute to decreased bone density.  In older populations, if this can be maintained it translates into longer, healthier life.

A hair analysis is an effective tool to use for checking environmental exposures to heavy metals and most importantly, your ability to excrete these metals.  There is no way to eliminate exposure to these toxic metals but you can reduce your exposure.  The hair analysis will help you identify what you’re being exposed to in your environment and is good tool to use to make sure you are excreting as you should.  Are you being exposed to lead or cadmium?  You won’t know until you test!

If your are experiencing bone loss or want to find ways to prevent possible bone loss, the only way to know what you need to do is to get tested…and tested properly.  The cause of your bone loss could be any number of reasons explained in this newsletter.  Call our office today to set up an appointment and we can help you get these tests performed and make nutritional and lifestyle recommendations based upon your test results to help you have stronger healthier bones to last your lifetime!

Get your comprehensive blood panel here at RB Spine Center. We do more than just take care of your spine! We care for the whole system!! Call 858-345-4114

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What Is Degenerative Disc Disease?

Tuesday, September 14th, 2010

Many people that are diagnosed with degenerative disc disease may be a little confused to what exactly they are in for. The term degenerative usually means long term bone troubles that can be crippling. This is why you need to know what exactly this disc condition is about.

The spine is made up of bones called vertebra. In between these bones are cushions called discs. The discs are made up of fibrous tissue around the outer edges. These outer edges are named the annulus. This is where the degenerative process in this disc disease begins.

The aging process causes the discs between vertebra to become damaged and worn out. Injury also incurs damage as well, sometimes being more serious than that of aging. When the annulus experiences damage to it, the fibrous tissues it is made of tears. When these tears heal, they form scar tissue. Too much injury and too much scar tissue weaken the it and allow the inner core if the disc to lose the water in it that actually provides the cushioning for the bones.

When there is not enough water in the disc, it simply collapses. This is when the trouble and pain usually start in this disease. The bones are then able to rub together. In many cases this cause the formation of bone spurs. Bones spurs are sharp and can cut into the nerves in the spinal cord, causing great and severe pain.

When the disc has gotten this far and the bones have formed spurs, some movements can be excruciating. This causes major interruptions in the daily activities of the sufferer. Most times, the only position that can help to provide pain relief is lying down.

Patients with this condition should consult with their doctor about disc replacement surgery. Although it is a fairly new procedure, it may the very answer to spinal fusion and non surgical procedures that only treat the symptoms of pain.

Seeking help with our spine specialists at RB Spine Center can help you stay pain free and maintain what you have. Visit  rbspinecenter.com and for more information.

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Do You Suffer From Bulging Discs?

Tuesday, September 14th, 2010

Have you heard the term bulging discs? Some call it a herniated disc, which refers to the same condition. It is basically a term that refers to the discs in the spine that for one reason or another become inflamed and bulges out and cause pain.

Many people have this condition and are limited in movement because any time they bend over or reach up; they are met with a lot of pain. But the problem is not always very serious and can be relieved with anti inflammatory medication.

Also, many people find relief after a visit to their chiropractor. Many people become worried or even frightened when they hear that they have a problem with their spine. They start thinking the worse case scenario. They think that they might need surgery or that they might end up paralyzed.

This is only natural, because most people know how delicate the spinal cord is. But if you have a disc problem, in many cases, all you need to do is rest your back and allow your back to heal itself.

There are many ways that you can injure your back. But a disc problem can occur simply from sitting down all day at work. You have to realize that the human body was not meant to sit down for extended periods of time. The sitting position puts extra strain and stress on the spine which can cause inflammation in the discs which leads to the bulging of the gel like material in the spine which leads to pain.

Your chiropractor can suggest stretching exercises that will help the blood circulate in the area of your spine so that the inflammation will be relieved. In fact, in many cases, if you practice the right type of exercise for your back, you might avoid bulging discs altogether.

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Stress Management

Wednesday, July 28th, 2010

Stress Management

What is Stress?
Stress is the “wear and tear” our bodies experience as we adjust to our
continually changing environment; it has physical and emotional effects on us
and can create positive and negative feelings. As a positive influence, Stress
can help compel us to action; it can result in a new awareness and an exciting
new perspective. As a negative influence, it can result in feelings of  distrust, rejection, anger, and depression, which in turn can lead to health problems such as headaches, upset, stomach, rashes, insomnia, ulcers, high blood pressure, heart disease, and stroke. With the death of a loved one, the birth of a child, a job promotion, or a new  relationship, we experience stress as we readjust our lives. In so adjusting to different circumstances, stress will help or hinder us depending on how we react to it.

How can I eliminate stress from my life?
As we seen, positive stress adds anticipation and excitement to life, and we
all thrive under a certain amount of stress. Deadlines, competitions,
confrontations and even our frustrations and sorrows add depth and enrichment to our lives. Our goal is not to eliminate stress but to learn how to manage it and how to use it to help us. What we need to do is find the optimal level of stress which will individually motivate but not to overwhelm each of us.

How can I tell what is optimal stress for me?
There is no single level of stress that is optimal for all people. We are all
individual creatures with unique requirements. As such, what is distressing to
one may be a joy to another. And even when we agree that a particular event is distressing, we are likely to differ in our physiological and psychological
responses to it. It has been found that most illness is relevant to unrelieved stress. If you are experiencing stress symptoms, you have gone beyond your optimal stress level; you need to reduce the stress in your life and/or improves your ability to manage it.

How can I manage stress better?
Identifying unrelieved stress and being aware of its affect on our lives is not sufficient for reducing its harmful effects. Just as there are many sources of stress, there are many possibilities for its management. However, all require work towards change; changing the source of stress and/ or changing your reaction to it. How do you proceed?

1.    Become aware of your stressors and your emotional and physical reactions
Notice your distress. Don’t ignore it. Don’t gloss over your problems. Determine what events distress you. What are you telling yourself about meaning of these events? Determine how your body responds to the stress. Do you become nervous or physically upset? If so, in what specific ways?

2.    Recognize what you can change. Can you change your stressors by avoiding or eliminating them completely?
Can you reduce their intensity (manage them over a period of time instead of
on a daily or weekly basis) Can you shorten your exposure to stress (take a break, leave the physical premises)? Can you devote the time and energy necessary to making a change (goal setting, time management techniques, and delayed gratification strategies may be helpful here)?

3.    Reduce the intensity of your emotional reactions to stress. The stress reaction is trigger by your perception of  danger…physical danger and/ or emotional danger. Are you viewing your stressors in exaggerated terms and/or taking a difficult situation and making it a disaster?
Are you expecting to please everyone? Are you overreacting and viewing things as absolutely critical and urgent? Do you feel you must always prevail in every situation? Work at adopting more moderate views; try to see the stress as something you can cope with rather than something that overpowers you.  Try to temper your excess emotions. Put the situations in perspective. Do not labor on the negative aspects and the “What if’s.”

4.    Learn to moderate your physical reactions to stress. Slow, deep breathing will bring your heart rate and respiration back to normal. Relaxation techniques can reduce muscle tension. Electronic biofeedback can help you gain voluntary control over such things as muscle tension, heart rate, and blood pressure. Medications, when prescribed by a physician, can help in the short term in moderating your physical reaction. However, they alone are not the answer. Learning to moderate these reactions on your own is a preferable long time solution. Our preventative management focuses on the individual not the disease.

5.    Build your physical reserves.  Exercise for cardiovascular fitness three or four times a week (moderate, prolonged rhythmic is best, such as walking, cycling, swimming, or jogging). Eat well-balanced, nutritious meals.
Maintain your ideal weight. Avoid nicotine, excessive caffeine, and other stimulants. Mix leisure with work. Take breaks and get away when you can.
Get enough sleep. Be as consistent with your sleep schedule as possible.

6.    Maintain your emotional reserves. Develop some mutually supportive
friendship/relationship, Pursue realistic goals which are meaningful to you, rather than goals others have for you that you do not share. Expect some frustration, failures, and sorrows. Always be kind and gentle with yourself- be a friend to yourself.

How integrated medicine can help you achieve your goals? Health care is about choices, your choices. At our facility we offer you options for choosing natural and allopathic treatment methods. Our health professional takes a cooperative approach to your need by integrating the best of both worlds and offering you the utmost in quality healthcare choices.

Our philosophy:

We believe that the highest priority in health care delivery should be good
health through disease prevention, not disease treatment. Disease treatments reflect system failure. Often it is possible to restore good health by making behavioral and life changes even after disease has developed.

Dr. Kancilia D.C believes in correcting the cause of a patient’s condition and doesn’t advocate “long term non specific treatment programs.”
The RB Spine Center is built on the close relationship between staff and our patients. We take pride in getting to know you and how you lived your life prior to your injury or condition and how it had affected you. Due to
this limit the number and type of patients we accept into our practice.

Contact us for free consultation.

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Natural Method of Health Care

Saturday, June 12th, 2010

Perhaps this article is your first introduction to chiropractic as a health care profession.  If this is the case, we are sure that you have some questions pertaining to what chiropractic is, and how the natural approach of chiropractic may aid in revealing many health ailments. Since these questions are normal and commonplace for a new patient, we will explain to you about chiropractic’s approach to health. We will also explain to you the application of chiropractic to your specific health problem.

Chiropractic is a branch of the healing arts, and as a science is based on the premise that good health depends, in part, upon a normally functioning nervous system. When body structures such as cells and organs are functioning normally, a state of health or normal physiology is said to exist.  However, when the body’s physiology is abnormal, a disease state begins. Thus, we begin to understand that abnormal physiology leads to abnormal function, predisposing the body to disease process.

Your spinal column, or vertebral column, is a series of movable bones which begin at the base of your skull and end in the center of your hips. Although the spine is composed of 24 individual vertebrae, it functions as one dynamic organ upon which the structure is dependent for support and movement. These vertebrae are stacked up like building blocks, and between them are located fibrocartilages (or discs).  These discs help o cushion shock, reduce friction and allow movement to occur.

The examination of your spine to evaluate structure and function is what makes chiropractic different from other health care procedures. Accidents, falls, uneven stress, tension, over-extension or any other factor may cause an inability of the spine to move as a dynamic organ, can result in minor displacements or derangements of one or more of these vertebrae, causing irritation to spinal nerve roots directly by pressure or indirectly through reflexes.

These irritations, in turn, may cause malfunctions in your body. Chiropractic teaches that nerve pressure, or nerve reflex can cause a disturbance of delicate body functions resulting in an increased susceptibility to disease processes. Alleviating the irritation to spinal nerves by re-establishing normal spinal mobility, the doctor of chiropractic seeks to cause your body to operate more efficiently and more comfortably.

Chiropractic can help with new innovations of treatment that can be found at RB Spine Center. We are the leader in progressive treatment of disc bulges, disc herniation,  sciatica, low back pain and neck pain in Rancho Bernardo. Our San Diego specialists have technology and knowledge to help you out of pain fast and drug free.  Our Rancho Bernardo Chiropractor has over 25 years experience in treating complicated spinal conditions from injuries related to auto accidents, sports or work injuries.

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Chiropractic Study

Thursday, May 6th, 2010

Chiropractic is More Effective Than
Medication And Acupuncture!

A study in the July 15, 2003 issue of Spine reports that in a clinical study of patients with chronic spinal pain, patients receiving chiropractic care responded much more favorably and with better results than patients who went through a regimen of medication or acupuncture.

The study involved 115 patients admitted to an Australian multidisciplinary spinal pain outpatient clinic. Each patient was randomly assigned to receive either chiropractic care, needle acupuncture or medication. Each patient was initially assessed with the Oswestry Back Pain Disability Index (simply known as Oswestry), the Neck Disability Index (NDI), the Short-Form-36 Health Survey questionnaire (SF-36), visual analog scales (VAS) of pain intensity and ranges of movement. The same tests were given again at 2, 5 and 9 weeks into their respective care programs.

According to the results, 27.3% of the patients under chiropractic care experienced early pain relief. Only 9.4% of the acupuncture patients and 5% of the medication patients experienced early pain relief.

The chiropractic patients also had the most improvement when measured by the other tests with improvements of 50% on the Oswestry, 38% on the NDI, 47% on the SF-36 and 50% on the VAS for back pain.

This study concentrated on the early relief of pain, obviously an important concern for the patients experiencing it. And as important as your pain relief may be, your chiropractor is also concerned about the long-term correction of your spinal problems.

Try Chiropractic To GET and STAY Healthy!

call us for an appointment

858-345-4114

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Records High Pollen Count

Thursday, May 6th, 2010

Record High Pollen Counts!

Across the nation, pollen counts are setting record highs. In many areas, especially the South, Midwest, and the Plains, pollen is visible in the air and leaves a yellow-green dust on nearly everything that is left outside.

With an extended winter freeze, many trees did not pollinate during their usual time. When April began, many areas saw record-breaking high temperatures. This resulted in a sudden burst of pollination from trees and plants of many varieties.

What causes allergies?

An allergy is caused by an oversensitive immune system, which leads to a hypersensitive immune response. If the immune system is out of balance, it will treat harmless substances as hostile irritants and attempt to expel them from the body. Symptoms such as runny nose, sneezing, itchy and watery eyes are the result of the body reacting to these irritating substances or allergens.

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Diabetes and You

Monday, March 29th, 2010
Nutrition , Exercise and Diabetes

What is diabetes?

Over seventeen million Americans  have diabetes. Almost 6 million Americans are unaware they have the disease. There are two main types of diabetes. Both types are caused by problems in how a hormone called insulin (that helps regulate blood sugar) works. Type 1 diabetes most often appears in childhood or adolescence and causes high blood sugar when your body can’t make enough insulin.

Over 90% of all diabetes cases are what we call type 2 diabetes. Type 2 diabetes is usually diagnosed after age forty; however it is now being found in all ages including children and adolescents. Type 2 diabetes is linked to obesity and physical inactivity. In this form of diabetes your body makes insulin but can’t use its insulin properly. At first, your body overproduces insulin to keep blood sugar normal, but over time this causes your body to lose its ability to produce enough insulin to keep blood sugar levels in the normal healthy range. The result is sugar rises in your blood to high levels.

Over a long period of time, high blood sugar levels and diabetes can cause heart disease, stroke, blindness, kidney failure, leg and foot amputations, and pregnancy complications.

Diabetes can be a deadly disease: over 200,000 people die per year of diabetes related complications.

Does  being overweight effect  type 2 diabetes?

Carrying extra body weight and body fat go hand and hand with the development of type 2 diabetes. People who are overweight are at much greater risk of developing type 2 diabetes than normal weight individuals. Being overweight puts added pressure on the body’s ability to properly control blood sugar using insulin and therefore makes it much more likely for you to develop diabetes. Almost 90% of people with type 2 diabetes are overweight. The number of diabetes cases among American adults jumped by a third during the 1990s. This rapid increase in diabetes is due to the growing prevalence of obesity and extra weight in the United States population, and may also be related to the poor nutritional habits of the population today.

Prevention ?

Yes, type 2 diabetes is largely preventable. Research studies have found that lifestyle changes(nutritional) and small amounts of weight loss in the range of 5-10% can prevent or delay the development of type 2 diabetes among high-risk adults. Lifestyle interventions including diet and moderate-intensity physical activity (such as walking for 150 minutes per week) were used in these research studies to produce small amounts of weight loss.

Managing your weight is the best thing you can do to prevent the development of diabetes. The best alternative for balancing your body and shed those extra pounds are by evaluating your blood for nutritional deficiencies, and correcting those with natural nutritional measures.

Natural Treatment of  diabetes?

You can have a positive influence on your blood sugar and your overall health by choosing foods wisely, exercising regularly, reducing your stress level, and making modest lifestyle changes.. Overall better nutrition, physical activity, and control of blood glucose levels can delay the progression of diabetes and prevent complications. A blood based nutrition program can greatly reduces your body weight, naturally and prevent the risk of diabetes if treated at an early stage.

Call our office  for further information and how we can help you with our Blood Nutrition Services. Visit RBALTHEALTH.COM for more information on how to feel up 10 years younger in up 10 10 weeks!

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Work Out 101

Friday, January 15th, 2010

Warm up and flexibility:  If you are only doing weight training on your workout day, a 5-10 minute aerobic warm-up is suggested prior to beginning your weight training workout for the day. One of the most over looked parts of working out is flexibility/stretching. Stretching is VERY important when it comes to injury prevention, balancing muscle groups, improving physical performance, reduction of muscle soreness, and improving posture.  It gets the blood pumping! Do a few minutes of total body stretching before every workout.  And in between sets, stretch whatever muscle you are working out at the time, stretch it in between every set.

Overtraining occurs when the volume and intensity of an individual’s exercise exceeds their recovery capacity. They cease making physical progress, and can even begin to lose strength and fitness. Overtraining is a common problem in weight training, but it can also be experienced by runners and other athletes.  Allow at least 48-72 hours rest for each muscle group.  Yes, even your abdominals [stomach muscles] need that amount of rest as well.  Your abdominals are muscles too and they need adequate rest to recuperate from the exercises in order to become stronger.  For example, if you do an abdominal workout on Monday, you should not do that abdominal workout again until Wednesday or Thursday.

Here’s how to use your journal… For each set, record the amount of weight lifted and then, after the “|”, record the number of repetitions completed.  We recommend 8-10 repetitions in each set.  Choosing the amount of weight you will use is very important to get the most out of your workout.  We recommend that you choose enough weight so that the last 3-4 repetitions are hard to do but not so hard that you lose good form and increase your chance for injury.  If you choose a weight that is too light or very easy to do, you will not get the desired effects.  Challenge yourself!

Your journal is set up to work a different set of muscle groups on each day that you workout.  Take a look at your journal, you’ll do your “Chest, Triceps, Deltoids” workout on Monday, “Legs” workout on Tuesday, and “Biceps, Back and Abs” on Wednesday.  Then start all over again for Thursday, Friday and Saturday and take Sunday off.  This method is a 6-day strength training plan.  Each day’s workout should take you about 20-30 minutes to perform.

The great thing about strength training is that is doesn’t have to be done this way to get results!  You can turn this into a 3 day program if you want!  For example, you can do the “Chest, Triceps, Deltoids, Legs, Biceps, Back and Abs” all in one day.  This workout may take you 60-90 minutes to get through.  You can implement this workout on Monday, Wednesday and Friday and have rest days on Tuesday, Thursday, Saturday and Sunday.  If you’re doing everything in one day, you will need that recovery time.

We would love to hear about your fitness success…please keep us informed of how you’re doing! RB Spine Center is here to help you stay healthy, active and support you every step of the way! Keep Moving Forward!

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Time to Get in SHAPE!

Friday, January 15th, 2010

The single biggest measure of life longevity is how much muscle mass you have. Strength training has been shown to improve bone density, increase energy levels, improve metabolism, increase muscle strength and mass, and maintain stronger more resilient bodies.  It’s been shown that seniors who strength train have fewer falls that those who don’t. RB Spine Center has a  basic strength training program for our patients and those that are interested in becoming patients.  Remember, strength training isn’t the only component of your workout routine!  It should also include a good flexibility  and aerobic training program.

Most of the exercises listed on the journal will need to be performed at a workout facility which requires a gym membership.  All workout facilities should have someone to show you how to use the equipment and how to perform these exercises recommended.  You can “Google” the name of each exercise and get a general idea of how to do each exercise.

The internet is full of videos and explanations on how to do various exercises.  As always, check with your health care provider before starting any exercise program.  You may have certain physical limitations that do not allow you to do certain exercises. If you have certain limitations that prevent you from doing one of the exercises, we advise that you skip the exercise or work with a qualified trainer to find a replacement.  Weight training is fun because there are so many different exercises you can do to work the same muscle group.  We encourage you to mix it up a bit and have fun with it.

Proper form is very important in order to get the most out of your work out and to prevent injury.  If you are a beginner, for the first 2 weeks of training, you may consider performing only two sets of each exercise.  After this beginning phase, go ahead and move up to performing 3 sets of each exercise.

Muscles soreness will be a factor.  To reduce muscle soreness, follow the warm-up and flexibility. Our office is happy to provide information on weight training so that you will always know how to do it properly and safely. Drink plenty of clean water and take 6-10 Inflavonoid per day.  Remember to drink 1 quart of water per 50lbs of body weight per day. Don’t forget to take a good multiple vitamin!

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RB Spine Center
16980 Via Tazon #100
San Diego, CA 92127
858-345-4887


Easy Access Off the 15 Freeway
Exit Rancho Bernardo Road
Building next to Sharp Rees-Stealy Medical Center

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