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.

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Page 1: Arizona Pain Monthly May 2011
Page 2: Arizona Pain Monthly May 2011

Arizona  Pain  Monthly  |  May  2011Page  2 Strength

Copyright  2011  Arizona  Pain  Specialists

Page 3: Arizona Pain Monthly May 2011

Page  3Arizona  Pain  Monthly  |  May  2011 Strength Page  3Arizona  Pain  Monthly  |  April  2011

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Copyright  2011  Arizona  Pain  Specialists

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Arizona  Pain  Monthly  |  May  2011Page  4 Strength

Page 5: Arizona Pain Monthly May 2011

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]  

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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

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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.

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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

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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.

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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.

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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

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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 15: Arizona Pain Monthly May 2011

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!

Page 16: Arizona Pain Monthly May 2011