arizona pain monthly may 2011
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Arizona Pain Monthly May 2011, introduces the need for strength when fighting against pain. In this issue we explain pain caused by golfing, How straying active will help reduce pain, and what an EMG is used for. Arizona Pain Monthly May 2011 also includes our regular columns such as anti-inflammatory recipes and a update of Jeff running across America.TRANSCRIPT
Arizona Pain Monthly | May 2011Page 2 Strength
Copyright 2011 Arizona Pain Specialists
Page 3Arizona Pain Monthly | May 2011 Strength Page 3Arizona Pain Monthly | April 2011
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Copyright 2011 Arizona Pain Specialists
Arizona Pain Monthly | May 2011Page 4 Strength
Page 5Arizona Pain Monthly | May 2011 Strength
StrengthWelcome to Arizona Pain Monthly Magazine
Welcome to the May issue of Arizona Pain Monthly! This month, we celebrate strength. As huge sports fans, May means the end of basketball and the beginning of the true base-‐ball season. It is also the time of year when our Arizona golf courses look their best and the heat hasn’t quite yet ruled out a round carrying your own bag.
What do the world’s best athletes who play these sports require? The same thing we all need: strength. In this issue – we talk in detail about how strengthening your core muscles and your dietary discipline can make a world of therapeutic change for those experiencing physical pain.
A local physician, Dr. Joseph Rotella, explains that a proper diet will not only help reduce chronic pain but will also help you lose weight, “Inflammation and chronic activation of the immune system due to food intolerance has been linked to digestive disorders, migraines, arthritis, obesity, chronic fatigue and many other illnesses.”
Read about Jeff Grabosky’s positive outlook and strength in overcoming pain and the amazing progress in his run across America. Jeff has already run more than 2500 miles and is scheduled to finish in New York in late May! We are incredibly proud to be a part of his journey.
In Chiro Corner, Dr. Chance Moore explains tips for golfers to get on the course and leave their pain behind. “The golf swing requires the spine to rotate, bend laterally and extend. This requires flexibility and strength that are golf-‐specific.”
This month, we hope you are feeling strong – of mind, spirit and body. We want you to consider all options for reducing your pain. This can including your diet, exercise, chiropractic care, massage therapy, acupuncture, or seeking a pain management physician for an individualized treatment plan. We want each patient to leave Arizona Pain Specialists knowing they have the strength to eliminate their pain.
This month, we hope you are able to enjoy the weather playing sports, having a picnic on a sunny day and dancing on Cinco De Mayo. We believe you can be pain free. Blessings to you and your family!
Dr. Tory McJunkin and Dr. Paul Lynch
Feedback? Email: news-‐[email protected]
Arizona Pain Monthly | May 2011Page 6 Strength
Electromyography (EMG) is a diagnostic procedure used to record the electrical activity of muscles and the nerves that control them. Nerves controlling the muscles, called motor neurons, use electrical signals to contract muscles throughout the body. In order to test this electrical signal, an EMG is used. An EMG consists of inserting very thin needles called electrodes into the muscles to record the electrical activity emitted when the muscle contracts. The recorded activity will then be translated into graphs, sounds, or numerical values that are interpreted by a specialist to determine a diagnosis and treatment plan.
Individuals suffering from various nerve or muscle damage may be candidates for EMG. common diagnoses of an EMG include; nerve compression, nerve injury, nerve root injury, or other injuries involving muscles and neuropathies.
inserted into the muscle, the results are immediately avail-‐able. If an abnormal result is found, a diagnosis usually falls under one of the following categories:
Ask the Expert
With Dr. Gabriel Bonilla What is a Electromyography (EMG)
used for?
Treatments for medical conditions in one of these categories vary and are usually treated on a case-‐by-‐case basis. An EMG also includes nerve conduction studies. These studies help evaluate how well your nerves are working and determine if there is any compression of the nerve in the extremi-‐ties, such as your hands or legs.
Pinched nervesNeuropathies Carpal tunnel syndromeNerve root compression
Page 7Arizona Pain Monthly | May 2011 Strength
Orzo Salad DiabloServes 8-‐10
Salad
seeds)
Vinaigrette
Cook orzo for 8-‐10 minutes until just tender. Remove water and
ingredients except the oil together and then drizzle in the oil while wisking. Add orzo and toss. Then add the rest of the ingredients and toss once more.
Meyer Lemon SorbetMakes 8 half cup servings
Mint springs (optional)Lemon rind strips (optional)
-‐solves. Pour mixture into an ice cream maker and follow the manu-‐facture instructions.
Herb Pork LoinServes 4-‐6
Use a food processor or blender to combine parsley, oregano, rosemary, thyme, garlic, salt, and pepper. Mix in the vegetable oil thoroughly. Coat tenderloins with
min.
Preheat grill to low. Combine apri-‐cot preserves, mustard, honey, sug-‐ar, and vinegar in a blender or food proccessor. Grill tenderloins over
brushing the apricot preserves mixture onto the tenderloins.
This months recipies are contributed by Chef Mary. Chef Mary’s passion for
smiles she creates with her food are pricless to her. If you would like to have your recipes featured in our magazine please contact us at 480 245 6122.
Arizona Pain Monthly | May 2011Page 8 Strength
In the U.S. there are roughly 26 million golfers, and because of the unilateral move-‐ment in the golf swing, nearly every golfer, at some point, experiences some form of injury or pain. The golf swing requires the spine to rotate, bend laterally and extend. This requires flexibility and strength that is golf-‐specific. Putting posture places the spine in a sustained bent position that is aggravating for the lumbar spine. Low back pain is the most common cause of pain re-‐lated to golf and is followed by elbow ten-‐dinitis (irritation and inflammation of the tendon tissue).
GOLF PAIN FREE
Although golf is considered a leisurely sport, injury and pain related to golf is extremely common. On the golf course, physical exertion is intermittent, but the forces generated swinging the club are significant. A golfer will attempt between 50-‐70 violent swings approximately every five minutes while playing 18 holes. The average amateur will swing the club at 80-‐100 miles per hour. This force is enough to cause significant pain when performed repetitively. There are fundamental causes of golf injuries: poor posture, poor swing mechanics, lack of flexibility, and ill fitting equipment.
POSSIBLE PAIN CONDITIONS GOLFERS MAY EXPERIENCE
Low back pain
Elbow tendinitis
Knee pain
Shoulder injuries
Hip pain
Sunburn
Page 9Arizona Pain Monthly | May 2011 Strength
RECOMMENDATIONS FOR GOLFERS WITH PAIN
1. Seek evaluation and treatment for your symptoms. Even though you may be able to play through the pain, most conditions are a lot easier to treat and will respond better with early intervention.
2. Take lessons.during your swing.
There is a reason why belly put-‐ters are more popular on the Champions tour. A longer putter keeps you more upright and
make adjustments to the lie angle of your clubs and suggest appropriate equipment changes.
4. Golf is a unique sport that requires a complex coordination of muscles that are not normally used in everyday life. Core stability exercises, in combination with shoulder and hip stretching, can make a re-‐markable difference in a pain free performance.
-Chance Moore, D.C.
Arizona Pain Monthly | May 2011Page 10 Strength
from maintaining an active, healthy lifestyle. A nutritional-‐ly balanced diet coupled with a practical exercise program not only provides an overall improved sense of well-‐being, but also decreases the chanc-‐es of developing preventable medical conditions.
According to HealthyPeople.gov, an active lifestyle de-‐creases the occurrence of cardiovascular disease, hyper-‐tension, diabetes, and mental depression. Physical activity has also been shown to pro-‐vide relief for those experi-‐encing the painful side effects of arthritis. Lastly, individuals who lead a sedentary lifestyle will achieve considerable
increases of physical activity.
Studies have shown that 80% of Americans will experience low back pain to some degree in their lifetime. Chronic pain conditions can be quite costly for Americans. For example, approximately $50 billion is spent each year to treat low back pain. As noted on HealthyPeople.gov physical activity is an underutilized interven-‐tion for many chronic health conditions. Healthcare providers agree that an active life-‐
style plays an important role in the management of many chronic pain conditions.
At Arizona Pain Specialists, we advocate for an active lifestyle. The
-‐sential to the holistic approach we take when treating individuals with chronic pain. At Arizona Pain Spe-cialists, we encourage our patients to participate in their treatment goals by leading an active lifestyle. This is a sensible way to engage in the multidisciplinary process of chronic pain management.
According to HealthyPeople.gov, physical activities used to facilitate an active lifestyle for those with chronic pain conditions include: aerobic exercise, muscle strength-‐ening, posture control and simple stretching. A goal of 2 hours of moderate activity per week is rec-‐ommended to obtain the best out-‐come. Since certain exercises may be too strenuous for those dealing with chronic pain conditions, it is recommended that individuals consult their health care provider before starting any physical activity routine.
Maintaining an active lifestyle is essential for individuals living with chronic pain conditions. Again, consideration should be taken when planning an activity program; therefore, initially consulting a health care provider is advised. In combination with medical thera-‐pies, an active lifestyle serves as a low cost option for the manage-‐ment of chronic health conditions. Individuals experiencing chronic
-‐tidisciplinary, holistic treatment regimen. Maintaining an active lifestyle can provide immeasurable
physically, for individuals seeking to manage their chronic pain condi-‐tions.
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Arizona Pain Monthly | May 2011Page 12 Strength
LOVING MY WEIGHT LOSS -‐Dr. Joseph Rotella Obesity is now recognized as a serious chronic disease. Approximately 65 percent of adults in the United States are overweight or obese. Almost one half of the adult population is trying to lose weight at
loss. Many dietary patterns and programs have demonstrated successful short-‐term weight loss. However, successful weight loss maintenance is not so widespread. Research has shown that approximately 20 percent of over-‐weight or obese persons are successful at long-‐term weight loss.
system due to food intolerance has been linked to digestive disorders, migraines, arthritis, obesity, chronic fatigue and many other ailments. Making the right choice on what to eat can make life changing improvements. With a simple blood
you. Many patients were on this type of treatment to decrease migraines and chronic pain, however they also discovered they had lost an extreme amount of weight. Coining the term, Loving My Weight Loss!
The Loving My Weight Loss program developed even further after extensive reviews of current research. Most suc-‐cessful weight loss programs look at various diets, prescription medications, supplements, b12 injections and exercise pro-‐grams. The combination of these were put together, creating the Loving My Weight Loss program.
According to a study conducted at Baylor University , 98% of people following a rotational diet either lost weight or improved body mass.
-‐cally designed with your goals in mind. Each blood test and program is physician super-‐
For more infomation about the Loving My Weight Loss program contact Dr. Rotella at Scottsdale Medical Center at 480-614-5808.
Page 13Arizona Pain Monthly | May 2011 Strength
Jeff Grabosky – the Arizona Pain Specialist patient who is cur-‐rently running across the United States – has surpassed the 2,500 mile run mark! Crossing Ohio in in mid April on nation-‐wide trek, Jeff continues his remarkable run of endurance.
Jeff, who was treated for leg pain by our chiropractic team at Arizona Pain Specialists, has been accepting prayer requests throughout his rigorous journey. After surviving several tumultu-‐ous events in his personal life, he thought a nation-‐wide run during which he could celebrate his renewed health and spend time in prayer was just what he needed.
On his blog, he writes regular updates of the adventure. A recent post included, “I noticed that my total mileage to date is the equivalent of about 100 marathons. It is hard to believe I
have come that far in the course of 74 days of running over the past 85 days. It is amazing how so many small steps have really added up to take me so far. Well, it is off to bed as I need to get some sleep since I have many more steps yet to take!”
He has run through more than eight pair of shoes and thinks
One of the more emotional stops he’s recently made was to his alma matter, Notre Dame.
We are so proud of Jeff and his passion toward others and overcoming his pain. Consider
following and supporting his ad-‐venture by reading more about his cross-‐country run on our website ArizonaPain.com
To follow Jeff G. GPS Tracker
Arizona Pain Monthly | May 2011Page 14 Strength
B S I G F I Q W T N B C V S A G
B W G I C I N C I P E P N F R G
E I N H E A L T H Y W I T K I B
A M I R Q G S I V P A P K C Z F
C M F P U Y J P J T A P Q G O I
H I L Y M N I C N P O O E R N Q
I N O F P H Q U P G E O E A A I
I G G R D G O A G V N L C E D W
C N X I N M O B I N K H B V K E
E I H I Q P B T L N I T Z R F I
N K K Z B E C R I I R G B G U G
E I D E F A N R T Y E N G B F H
B H S U N U P E X Q M E N O A T
M K D V S S B M J A M R C P J A
Z D K S W M P G D P U T Q I E T
E K M I O Z F E O R S S C Q Y C
activearizonabeachbikingemg
healthyhiking icejoggingmountainpicnicpoolrunsprinklerstrengthsummersun swimmingweight
Page 15Arizona Pain Monthly | May 2011 Strength
See what y
ou have in
common
with Crys
tal N.
Going to the
lake, camp
ing, snowb
oard-‐
ing, sporting
events, and
just hangin
g out.
Friends, Ki
ng of Queen
s, and Jerse
y
Shore-‐it’s m
y guilty ple
asure!!!
LA Lakers b
ecause they
are the best
!!
The Descen
t and Old Sc
hool. I like
anything
scary or fun
ny! Anyw
here I am w
ith my
nephews.
Lake Pleas
ant
It doesn’t sn
ow and its n
ot
freezing in
the winter.
Favorite b
ands: Link
in Park and
Jay Z
Kobe Bryan
t because h
e is the best
, why else!
I like adren
aline rushe
s -‐ I have
been skydi
ving and bu
ngee jumpi
ng and love
d them both!
In High Sch
ool I receive
d a 4 year s
cholar-‐
ship for jou
ralism but d
ecided to p
ursue nursi
ng school
instead ,so I
would hav
e to say writ
ing. I have been
told Lisa Ku
drow “Pho
ebe”
Carissa Frazier has worked for APS for less than one year. -‐
partment, she has impressed her coworkers with her ability to exceed all expectations.
“Carissa is a friendly employee who is always willing to help and go beyond the call of duty,” says Prior Authoriza-‐
really appreciate Carissa’s can-‐do attitude!”
Jennifer Gitt has been with APS for over one year and continually strives to achieve 100% patient satisfaction. She works with all three clinics following up with new patients
-‐tative. She is an Arizona native who studied business at The University of Arizona, and always has a smile on her face.
“She has been an incredible resource in getting me up to speed with the marketing department and everything I need
-‐out her help I am not sure I’d be as far along today as I am, and I really appreciate her.”
We are so thankful for the hard work of both Carissa and Jennifer. You make APS a better place to work!