Stay Safe During Hot Weather Exercise

If you are a regular reader of these blogs you know that I definitely advocate exercising on a regular basis, but when the summer months turn really hot and humid, you need to be careful to avoid heat related illnesses like heat stroke or heat exhaustion.

Whether you’re running, playing tennis, working in your yard or garden, or going for a power walk, please be careful when the temperature rises.

Exercising in hot weather puts extra stress on your body. If you don’t take care when exercising in the heat, you risk serious illness. Both the exercise itself and the air temperature and humidity can increase your core body temperature.

To help cool itself, your body sends more blood to circulate through your skin. This leaves less blood for your muscles, which in turn increases your heart rate. If the humidity also is high, your body faces added stress because sweat doesn’t readily evaporate from your skin. That pushes your body temperature even higher.

Under normal conditions, your skin, blood vessels and perspiration level adjust to the heat. But these natural cooling systems may fail if you’re exposed to high temperatures and humidity for too long, you sweat heavily, and you don’t drink enough fluids.

The result may be a heat-related illness. Heat-related illnesses occur along a spectrum, starting out mild but worsening if left untreated. Heat illnesses include:

  • Heat cramps.Heat cramps, sometimes called exercise-associated muscle cramps, are painful muscle contractions that can occur with exercise. Affected muscles may feel firm to the touch. You may feel muscle pain or spasms. Your body temperature may be normal.
  • Heat syncope and exercise-associated collapseHeat syncope is a feeling of lightheadedness or fainting caused by high temperatures, often occurring after standing for a long period of time or standing quickly after sitting for a long period of time. Exercise-associated collapse is feeling lightheaded or fainting immediately after exercising, and it can occur especially if you immediately stop running and stand still after a race or a long run.
  • Heat exhaustion.With heat exhaustion, your body temperature rises as high as 104° F, and you may experience nausea, vomiting, weakness, headache, fainting, sweating and cold, clammy skin. If left untreated, heat exhaustion can lead to heatstroke.
  • Heatstroke is a life-threatening emergency condition that occurs when your body temperature is greater than 104° F. Your skin may be dry from lack of sweat, or it may be moist.

You may develop confusion, irritability, headache, heart rhythm problems, dizziness, fainting, nausea, vomiting, visual problems and fatigue. You need immediate medical attention to prevent brain damage, organ failure or even death.

During hot-weather exercise, watch for signs and symptoms of heat-related illness. If you ignore these symptoms, your condition can worsen, resulting in a medical emergency.

WARNING SIGNS:

  • Muscle cramps
  • Nausea or vomiting
  • Weakness
  • Fatigue
  • Headache
  • Excessive sweating
  • Dizziness or lightheadedness
  • Confusion
  • Irritability
  • Low blood pressure
  • Increased heart rate
  • Visual problems

If you develop any of these symptoms, you must lower your body temperature and get hydrated right away. Stop exercising immediately and get out of the heat. If possible, have someone stay with you who can help monitor your condition.

Measuring core body temperature with a rectal thermometer is essential to accurately determine the degree of heat injury. An oral, ear or forehead thermometer doesn’t provide an accurate temperature reading for this purpose. In cases of heatstroke, due to confusion and mental status changes, you won’t be able to treat yourself and you’ll require emergency medical care. The most effective way of rapid cooling is immersion of your body in a cold- or ice-water tub.

In cases of heat exhaustion, remove extra clothing or sports equipment. Make sure you are around people who can help you and assist in your care. If possible, fan your body or wet down your body with cool water.

You may place cool, wet towels or ice packs on your neck, forehead and under your arms, spray yourself with water from a hose or shower, or sit in a tub filled with cold water. Drink fluids such as water or a sports drink. If you don’t feel better within about 20 minutes, seek emergency medical care.

IF YOU HAVE SIGNS OF HEAT STROKE- SEEK MEDICAL TREATMENT RIGHT AWAY

If your core temperature is less than 104° F, but it doesn’t come down quickly, you’ll also need urgent medical attention. In some cases, you may need fluids through intravenous (IV) tubes if you’re not able to drink fluids, or not able to drink enough fluids.

Get cleared by your doctor before you return to exercise if you’ve had heatstroke. Your doctor will likely recommend that you wait to return to exercise or sports until you’re not experiencing symptoms. If you’ve had a heatstroke, you may require many weeks before you are able to exercise at a high level. Once your doctor clears you for exercise, you may begin to exercise for short periods of time and gradually exercise for longer periods as you adjust to the heat.

When you exercise in hot weather, keep these precautions in mind:

  • Watch the temperature.Pay attention to weather forecasts and heat alerts. Know what the temperature is expected to be for the duration of your planned outdoor activity. In running events, there are “flag” warnings that correspond to the degree of heat and humidity. For example, a yellow flag requires careful monitoring, and races are canceled in black flag conditions.
  • Get acclimated.If you’re used to exercising indoors or in cooler weather, take it easy at first when you exercise in the heat. It can take at least one to two weeks to adapt to the heat. As your body adapts to the heat over time, gradually increase the length and intensity of your workouts.
  • Know your fitness level.If you’re unfit or new to exercise, be extra cautious when working out in the heat. Your body may have a lower tolerance to the heat. Reduce your exercise intensity and take frequent breaks.
  • Drink plenty of fluids.Dehydration is a key factor in heat illness. Help your body sweat and cool down by staying well-hydrated with water. Don’t wait until you’re thirsty to drink fluids. If you plan to exercise intensely, consider a sports drink instead of water. Sports drinks can replace the sodium, chloride and potassium you lose through sweating. Avoid alcoholic drinks because they can actually promote fluid loss.
  • Dress appropriately.Lightweight, loose fitting clothing helps sweat evaporate and keeps you cooler. Avoid dark colors, which can absorb heat. If possible, wear a light-colored, wide-brimmed hat.
  • Avoid midday sun.Exercise in the morning or evening, when it’s likely to be cooler outdoors. If possible, exercise in shady areas, or do a water workout in a pool.
  • Wear sunscreen.A sunburn decreases your body’s ability to cool itself and increases the risk of skin cancer.
  • Have a backup plan.If you’re concerned about the heat or humidity, stay indoors. Work out at the gym, walk laps inside the mall or climb stairs inside an air-conditioned building.
  • Understand your medical risks.Certain medical conditions or medications can increase your risk of a heat-related illness. If you plan to exercise in the heat, talk to your doctor about precautions.
  • Choose and alternative form of exercise. If you are a runner – maybe try cycling as you create your own cooling effect by moving air over your body – or maybe give swimming a go – but beware of swimming laps in a hot (> 84° F) pool – as you can quickly overheat swimming in water that warm.

I do recommend that you continue to exercise on a regular basis even through this hot month of August, just be smart about it by following these recommendations.

If you have any questions about this blog or your health in general, please feel free to contact me at:  drtomball@performancehealthcenter.com

 

TURMERIC, Not Just a Spice Anymore…It’s So Much More!

I have been seeing Turmeric pop up everywhere these days, whether it be in the natural root form at many grocery stores, or all over at pharmacies and health stores.  There is a big push being made for being one of the best anti-inflammatories out there!

 

If you are someone that has or takes Advil, Ibuprofen or NSAIDS (non-steriodal anti-inflammatory drugs).   more often than not, this may be worth reading through… These over the counter (OTC) medications are really not that good for you and can bring about serious health complications.  That being said, these are the most common over the counter drugs used for chronic pain and out there these days!  Chronic pain can be very debilitating, as well as acute pain and injury, and can have detrimental and adverse effects on one’s quality of life.  However, a majority of people trying to find a “reasonable and workable” solution for pain, usually end up reaching for a bottle of NSAID’s.

 

Most of the population doesn’t know how NSAID’s really work when ingested to help target and decrease pain in the body.  NSAIDS TEMPORARILY block the overflow of production of inflammatory cells/chemicals to the site of pain.  NSAIDS basically “trick” the body into overriding its inflammatory response to an injury.  When this happens the pain also lessens or subsides too.  With inflammation comes pain, if inflammation is removed or “blocked” more realistically, the pain is most likely “blocked” from getting to the area as well.  This helps people to feel better, so therefore they continue to take more of it to feel better.  It also gives false interpretation that the person may be “feeling better” due to having less pain, but the NSAIDS have only “masked” the symptoms and the pain usually returns, but more importantly with the possibility that the person has done more damage to the area injured thinking it was feeling better because of the NSAIDS.  We see this all the time with patients in our office, and it is our job to help educate them about the pros and cons of taking OTC NSAIDS, and when it really is or isn’t necessary.  Aside from this, use of NSAIDS can cause stomach pain, stomach ulcers, indigestion, internal bleeding, constipation, headaches, dizziness, ringing in the ears, and allergic reactions such as hives, vomiting, throat swelling etc.  I mean, why would someone not look for more natural ways to help decrease inflammation, pain and swelling?

There are many natural supplements out there now that help to decrease pain and inflammation (which I will write about in some future articles), but turmeric by far seems to be one of the most powerful.  Turmeric is a plant, and not only one of the most popular spices around, but one of the most powerful super foods.  The root is what is most commonly used in medicine.  Medicinal use of turmeric is dated back over 4,000 years ago, wow!  Today there are many uses for turmeric such as detoxification, promoting radiant skin, mood balancing, supporting cardiac health, decreasing inflammation, etc.  A few of the most important uses of turmeric are reducing pain, being a very strong anti-inflammatory and antioxidant.  Turmeric helps to lower the levels of two different enzymes in the body that cause inflammation, not “block” the inflammation to the area of injury.  Antioxidants also help to fight free radicals that can even potentially reduce some of the damage these free radicals cause in the body.  This helps in regards to the level of inflammation in the body as well, or when responding to inflammation from an injury.  I figured this was a good month to help remind our patients and many others that read the newsletter about Turmeric and its health benefits.  Being that spring, well maybe even summer is possibly here (though, I will believe it when I see it), everyone is getting outside doing yard work, and starting to exercise more, and we have seen an increase of injuries in the office, and wanted some other ways to help our patients feel better naturally when not in the office.

Many turmeric supplements, like other vitamins and supplements, are not absorbed well into the body, so it is important to make sure you are buying turmeric from a reputable company.  As we always say, please be sure to speak to your naturopathic doctor, chiropractic physician or nutritionist in regards to any questions concerning the quality of the supplement you may be taking.  At Performance Health Center we carry a very popular and reputable brand of vitamins and supplements by MetagenicsMetagenics makes a supplement called, Inflavinoids (which I know I have probably mentioned several times over the years in practice), that has turmeric in it as well, along with some other natural anti-inflammatories.  We prescribe this supplement primarily to decrease inflammation in the patient’s body if a patient is dealing with an injury.  It almost acts like a “natural Ibuprofen”.   A patient can take 2-4 capsules 2-4 times a day, just as someone taking some other type of NSAID would.  This supplement helps when people are dealing with chronic back pain, ankle sprains, and even whiplash from an accident, but even helps in many acute situations and injuries as well.  I personally take 1-2 capsules a day for preventive measures to help keep levels of inflammation lower in my body.  I also keep it on hand as it has helped decrease symptoms when I get a headache as well.  There are some other supplements by Metagenics we offer as well that help to decrease inflammation, and that are more helpful with acute injuries, that I will discuss another time.  Until then, this is something you may want to speak to one of us about in the office during your next visit.

Many other chiropractic facilities and medical offices carry the Metagenics brand as well. Should you have more questions in regards to this topic, please feel free me at DrV@PerformanceHealthCenter.com.

 

 

Share This With Your PCP!

Unfortunately the following saga is way too typical in our office. Last month I saw a new patient who had severe low back pain (LBP) for over 2 years. The pain was so severe she was living on pain meds, going right home from work and going to bed. She was not participating in life and was extremely frustrated. She had seen her Primary Care Physician (PCP) from the onset of her pain. She was referred to multiple specialists for advanced testing, injections and more medications, none of which gave her any real relief or hope.

Finally after two (2) years, at the repeated encouragement of Lyn Rome, her hair stylist, she came into my office, explained in detail all she had been through and the frustration of living with pain. My exam ruled out all the “red flags” or pathological causes of her pain. My diagnosis was dysfunction of her left Sacro-iliac joint and sciatic nerve entrapment. Simply put, the largest joint in her body (in the butt area) was stuck and the longest and thickest nerve in the body which goes from the low back to the toes was not gliding properly. Of course she also had muscles spasms because her muscles were short and tight to protect the joint that was not moving, setting up a visors cycle of pain that kept perpetuating itself.

I felt confident I could help her, but since she was skeptical and nervous from her prior medical treatments I recommended a 2 week trial of chiropractic care to see how she would respond. I wish all of my patients responded so quickly, but after 2 treatments she had significant decrease in pain, stopped the pain meds and didn’t have to go right to bed after work. Obviously the trial of care was successful and she is on the road to recovery.

Two (2) years of her life was wasted because of ignorance (or bias) on the part of her PCP. Unfortunately this is a scenario I see all the time at our office, but it shouldn’t be that way. Any competent medical doctor who keeps up with the literature should know that chiropractic care has been well documented as an effective treatment for LBP. (It is not the only condition we treat, but the most researched). There really is no excuse for collaboration between your PCP and the chiropractic profession for the best interest of the patient, especially for the treatment of LBP.

Now there is even more proof! In the May 2018, on-line edition of the JAMA (Journal of the American Medical Association), a new studies found that “usual medical care plus chiropractic care reported a statistically significant improvement in low back pain intensity and disability at 6 weeks compared with those who received usual care alone.” In a study of 750 people, from the ages of 18-50, the addition of including chiropractic care documented statistically significant improvement included less reported pain, less disability, more patient satisfaction and less pain medications used. Across the board including chiropractic care reduced pain and suffering.The conclusion of this study states, “this trial provides additional support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines”. Note the words…as currently recommended in existing guidelines.

The number one cause of disability worldwide is LBP! At least 20% of Americans will have LBP lasting at least 1 day over the next 3 months. LBP is the 2nd reason why patients visit their PCP. The direct cost of LBP in 2010 was $34 billion, and adding in lost work and productivity costs the US economy up to $200 Billion. At the present time only 8-14% of the US population receives chiropractic care annually. So why aren’t PCPs referring to chiropractors. Getting historical, there have been excellent studies validating chiropractic care and multiple government reports recommend a greater utilization of chiropractic care.

As far back as 1993 the Ontario Ministry of Health published what is called the Manga Report. The Manga Report’s conclusion was to make chiropractors the gatekeepers for treating LBP for many reasons concluding: “On the evidence, particularly the most scientifically valid clinical studies, spinal manipulation applied by chiropractors is shown to be more effective than alternative treatments for low back pain. Many medical therapies are of questionable validity or are clearly inadequate; there is no clinical or case-control study that demonstrates or even implies that chiropractic spinal manipulation is unsafe in the treatment of low back pain. Some medical treatments are equally safe, but others are unsafe and generate iatrogenic (doctor-induced) complications for low back pain patients. Our reading of the literature suggests that chiropractic manipulation is safer than medical management of low back pain; and there is an overwhelming body of evidence indicating that chiropractic management of low back pain is more cost-effective than medical management.”

Then in 1994, the US Agency on Health Care Policy and Research (AHCPR) released Clinical Guidelines for Management of Acute Low Back Pain. These Guidelines were created an expert panel to provide PCPs with recommendations on the assessment and treatment of LBP. Again the conclusions included:
• Conservative treatment such as spinal manipulation should be pursued in most before cases considering surgical intervention;
• Prescription drugs such as oral steroids, antidepressant medications and colchicine are not recommended for acute low back problems.

The benefits of chiropractic care both in human suffering level and economic savings is well documented and recommended by multiple government agencies. I still don’t understand why the chiropractic profession is not getting more referrals from the medical profession. Going back to the patient in the first paragraph, in her words she lost 2 years of her life and had lost hope of ever being able to function and doing the most basic activities like walking with her husband or sitting in a restaurant. My bias is that she should have been referred for chiropractic care after the pain lasted for 2 weeks while following her PCPs advice. When the pain persisted and multiple therapies failed, at the very least her PCP could have said I don’t know much about chiropractic health care, but since you are not feeling better why don’t you give it a try.

I don’t fault the present generation of medical doctors. Chiropractic care is not part of their educational curriculum. I have seen this first hand. For eight (8) years family practice residents first at University of Vermont and then Tufts had a one (1) day rotation at my office. I asked each resident in all your years of medical school and residency how much did they learn about chiropractic health care. The answer across the board was “nothing”. Then I’d ask how much did they learn about the musculoskeletal system? The answer across the board this time was “not much”. Then I’d ask my final question which was how many vertebrae are in the spine? In 8 years only 1 Family Practice Resident was able to rattle off the correct answer which is 24.

Then the medical resident spent the day with me watching me interact and treat my patients. At the end of the day across the residents would say how impressed they were. They didn’t realize the scope of chiropractic practice and the benefits of manipulation. My advice was always the same. When you finish your residencies and hang up your shingle to practice, meet a few chiropractors in your community, find one or two that you feel comfortable with and refer your patients to them. Unfortunately this type of rotation at a chiropractic office was and still is a rare event in the training of medical residents.

Hopefully you have read down this far. The only way your PCP is going to know about this new study (and historical guidelines) is if you share this article with them. Please email your PCP and attach this article. Ask if he/she has read the new JAMA study on the significant benefits of including chiropractic care in collaboration with “usual medical care” for patients with low back pain? If not the link is here: Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial

Sharing this article with your PCP this will help build bridges between the two professions and the winner is you, the consumer of health care.

For more information please contact me at drbradweiss@performancehealthcenter.com

The Concussion Muscle

Concussions are awful. There are close to 4 million sports related concussions in the U.S. every year. Your brain gets shaken up like an egg inside its shell. The skull doesn’t crack but the brain gets rattle around. You might lose consciousness, balance, ability to talk, have a headache and the world appears fuzzy. You go through concussion protocol testing and spend anywhere from a few days to weeks resting.
Slowly you start to feel better and eventually get on with life. 15% of concussion suffers have lingering effects which last beyond 3 months which is labeled “post-concussion syndrome. Persistent symptoms include inability to concentrate, memory issues, fatigue, dizziness, irritability, anxiousness, insomnia, blurry vision, noise and light sensitivity, and headache.

A recent study from the American Journal of Neuroradiology (AJNR) tried to determine if there was correlation between the suboccipital muscles and recovery time from post-concussion syndrome. The suboccipital muscles connect the upper neck vertebrae to the back part of the skull called the occiput. There are seven (7) muscles that make up the suboccipital muscles. An MRI of sixty-four consecutive patients with post-concussion syndrome was performed and symptoms were tested using standard concussion protocols.

Of the seven (7) suboccipital muscles only one (1) muscle’s cross-sectional diameter proved to have a direct association with post-concussion symptoms. That muscle is the Rectus Capitus Posterior Minor. (RCPMinor). There was a direct correlation with the RCPMinor and “greater symptom severity, longer recovery time, poor verbal memory performance and headache”. None of the other suboccipital muscles had a direct correlation.
What is so special about the RCPMinor muscles that it effects the recovery time ofpost-concussion syndrome? The RCPMinor is the only suboccipital muscle that has a ligament bridge that connects to the dura mater of your spinal cord right where your brain and spinal cord join. The dura mater is the outer protective membrane of the spinal cord. The theory is that the RCPMinor tugs on the spinal cord covering contributing to post-concussion symptoms.

I am only aware of one soft tissue technique that can isolate, evaluate and treat the RCPMinor muscle. That technique is called Active Release Techniques® or (ART). ART is patented and consists of over 500 specific protocols which differentiate, isolate, evaluate and treat the individual muscles in the body. The goal of ART is to release adhesions or scar tissue in muscles, ligament and nerve pathways in the body, in essence the soft tissues of the body. ART is cutting edge and is becoming the gold standard in treating soft tissue injuries. ART is done by hand. In order to become certified in ART you need to go through a certification course. Certification needs to be renewed every year. There are only 40 +/- certified ART providers in Massachusetts.

In the suboccipital region it is possible to isolate and evaluate the RCPMinor muscle using ART. If the RCPMinor is found to be short & tight, a specific tension is applied to the muscle which can normalize the tone and function. I have been an ART provider for 20 years. I have helped many patients suffering from whiplash injuries, headaches and post-concussion symptoms. Even before this study was published I have found that clinically the RCPMinor is a key muscle to treat to resolving post-concussion symptoms.

It’s not important to remember the name of the Rectus Capitus Posterior Minor muscle, but it is important to know that ART is one technique that is very effective in finding, evaluating and treating this muscle. If you, a family member or friend has been frustrated due to post-concussion syndrome, chronic headaches or whiplash injury, please get evaluated by an ART certified provider.
To find a certified ART provider anywhere in the world clink this link: http://activerelease.com/find-a-provider.asp

If you would like more information please contact me at: drbradweiss@performancehealthcenter.com

“Rest and Relax” vs “Fight or Flight”

“Rest and Relax” (PNS) vs “Fight or Flight” (SNS)…. I am writing this Blog the week before Super Bowl LII, while most sports fans are thinking AFC vs NFC and which is stronger and who will over power the other.  Well, I want you to consider in your own mind which system in your body is overpowering the other?

What do I mean by that?  Well, we all have both a Parasympathetic nervous system (PNS) and Sympathetic nervous system (SNS), both of which are regulated by our Central Nervous System (CNS).  Which ever one is dominant in you may influence your overall health.  People who are more SNS dominant may have trouble relaxing, they may have hypertension, muscle tension, irritability, and difficulty with digestion and/or elimination.  There are a host of health-related problems from being too SNS dominant, but for the sake of this blog I will highlight how it effects our overall nutritional intake and absorption.

Have you ever switched your focus from what you are eating to how you are digesting? Are you really absorbing all the nutrients from your foods?

The parasympathetic nerves come from the cranial nerves and include the vagus nerve. The PNS nerves perform the following digestive functions:

  • Stimulate the activity of the stomach
  • Inhibit the release of glucose
  • Stimulate the release of the gallbladder to release bile needed to digest fat
  • Stimulate the activity of the intestines
  • Trigger peristalsis, which helps prevent constipation
  • Trigger enzyme production in the pancreas (pancreatic enzymes to break down carbs, protein and fats)
  • Signal if satiated
  • Signal if hungry
  • Need for more stomach acid (HCL), enzymes, bile and peristalsis

The sympathetic nerves do the opposite, including:

  • Inhibit the activity of the stomach
  • Stimulate the release of glucose (increasing blood sugar levels)
  • Inhibit gallbladder function (inhibiting the release of bile for fat digestion)
  • Inhibit the activity of the intestines

Stress impairs our digestive process. Digestion is a parasympathetic nervous system process (PNS) also known as the “rest, digest and repair” nervous system. For maximum health we should be in the PNS 80 percent of the time and the other 20 percent of the day we should be in the sympathetic nervous system (SNS), also known as the “fight or flight” nervous system. Now what percentage of the day do you think you are in PNS versus SNS? What about when you are eating? Resting? Sleeping? We should be in the parasympathetic nervous system when eating but rarely do we sit, relax and focus on eating a meal as they do in most areas of Europe.

If you are a typical type-A personality, over-doer in life, then you may struggle with taking time out of your weekday for a relaxing meal and unplugging. What is the difference? Eating in the parasympathetic nervous system versus the sympathetic nervous system. Digestion is turned off when you are in the sympathetic nervous system. Many of us are living life as a race leading us to be in the sympathetic nervous system 80 percent of the day instead of 20 percent, causing a domino effect of health problems.

So, we know the vagus nerve highly influences the PNS so our vagus nerve needs to be strong in order to help in the digestion process. Remember, we get our amino acids, essential fatty acids, vitamins and minerals from the food we digest and break down, which helps build enzymes, hormones, muscles, bones, blood and our gut biome.

We need to support our vagus nerve and (PNS) to improve our digestion and gut health if we want to be healthier, since good digestion leads to a healthy gut, which results in reduced inflammation and an improved immune system (70% of our immune system is in the gut!).

Stop, pause, slow inhales, long exhales and reset. Take some deep breathes in and out, focus and unplug. Other techniques to boost your PNS: gargling, humming, singing, cold showers, meditation, mindful yoga, and connecting with loved ones.

Our digestion is as important as our diet. To nourish ourselves, we must support our digestion, but also our brain, as the brain communicates to the gut and the gut communicates back to the brain. Anti-inflammation is key to our bodies’ repair, recovery and regeneration, but it doesn’t happen if we are not in the parasympathetic nervous system more often during the day and all night.

Chiropractic adjustments can strengthen your PNS since it deals directly with your nervous system.  Every function of your body is controlled by your central nervous system, and these functions can be disrupted by misalignments in your spine. These are called subluxations. A subluxation creates interference in the function of your spinal nerves, and this can result in impaired functioning of your organs and endocrine system.

So, slow down, take some deep breaths and get regular chiropractic adjustments to keep your vagus nerve and your PNS strong and healthy.

If you have any questions about this blog or your health in general, please feel free to contact me at: drtomball@performancehealthcenter.com