We do not often consider that a healthy personal lifestyle – relating to fitness and nutrition – has an impact on the environment and the global biosphere. But our personal choices and actions do matter. Our life-affirming choices to get fit, be fit, and eat right affect everyone and everything around us. How you get to work is a perfect example.

Of course, most of us drive to work, as it is a lifetime habit, and we don’t even think about it. But, driving always produces greenhouse gas (GHG) emissions – every gallon of gas burned pumps 17 pounds of carbon dioxide into the atmosphere.

Biking to work and walking to work are fitness-promoting activities that have a double benefit.1,2 You are exercising on your workdays and you’re actively helping to reduce GHG emissions and stabilize the Earth’s climate.

If it’s too far to walk or bike to your place of employment, arrange to car pool with co-workers and walk or bike to their house on the days when you’re not the designated driver. Planting a garden or participating in the activities of a community garden is a health-promoting action step that has a triple benefit.

First, you’re producing or helping to produce foods that are grown locally. Foods consumed in the United States travel an average of 1500 miles to reach your local supermarket. Foods grown locally eliminate almost all of the fossil fuel resources required to transport non-local items.

Second, you are adding really fresh vegetables to your family’s diet, providing vitamins, minerals, and phytochemicals required for abundant good health.

Third, gardening is exercise – the kind of exercise people used to get when they did not sit in chairs at desks all day long.

The benefits of health-promoting activities keep on coming.3 For the most part, healthy people don’t wind up in the local hospital emergency room. Resources saved include fossil fuels burned by high-speed ambulances, fossil fuels burned to produce electricity used to power life-saving medical devices, and energy utilized to produce the vast amounts of medical supplies consumed in an emergency procedure, including syringes, IV set-ups, and towels, wipes, and disinfectants.

To be a healthy individual as a member of a healthy family has a huge multiplying effect. Your chiropractor knows that all body systems are deeply interconnected and must work together to produce good health. So too are the many different living systems that make up Planet Earth. Your chiropractor can provide you with detailed information about good nutrition and good exercise that can help make a real difference in your health and the health of your community.

1Villegas R, et al: The cumulative effect of core lifestyle behaviours on the prevalence of hypertension and dyslipidemia. BMC Public Health 13(8):210, 2008 2Christie BR, et al: Exercising our brains: how physical activity impacts synaptic plasticity in the dentate gyrus. Neuromolecular Med 10(2):47-58, 2008 3Booher MA, Smith BW: Physiological effects of exercise on the cardiopulmonary system. Clin Sports Med 22(1):1-21, 2003

For additional information on health and nutrition please contactDr. Jason Fowlerwww.lakestlouisdc.com

The statistics are alarming. Sixty-five percent of Americans –0 million in 2001 – are overweight. Fifteen percent of American children are overweight (up from four percent only 20 years ago). Health care costs related to overweight Americans has ballooned to $117 billion (that’s billion) in 2003. And the numbers keep going up. The scales do not lie.

And yet, diet and weight-loss books fill our nation’s bookstores. Low-carb diets. High-protein diets. The cabbage soup diet. The grapefruit diet. The raw foods diet. Most people we know have tried one or more of these. The new diet works for a while, then we can’t take the deprivation any longer and break the diet. Then, horrifyingly, all the weight we lost comes right back, and we’re right back where we started. Or possibly even a few pounds heavier. The very good news is that a real, long-lasting solution exists. The basics of this healthy approach to long-term weight loss have been known for decades. This solution is not a diet. It doesn’t have a catchy name. There are, though, a few “magic” secrets to this food plan that works.

“Secret” Number 1 – eat six small meals throughout each day, separated by 2.5 to 3 hours “Secret” Number 2 – combine protein and carbohydrates in each meal “Secret” Number 3 – drink plenty of water (eight to ten glasses) throughout the day “Secret” Number 4 – eat two portions of vegetables each day “Secret” Number 5 – take one day off each week (a “free” day) and eat whatever you want, whenever you want Why combine protein and carbohydrate at each meal? This critical combination feeds our muscles by providing the amino acids (from protein) necessary to build and maintain muscle tissue, and the carbohydrate needed to shuttle the amino acids into the cells. If the carbs are not there the protein doesn’t get used. There’s also a human performance benefit – eating balanced meals enables better cognitive/mental function. So we’re not only getting healthier on this food plan, we’re getting smarter!1

Why eat six times a day? Studies have shown this approach results in a faster metabolic rate, a lower percentage of body fat, and reduced “bad” cholesterol levels, all while maintaining lean muscle mass.2,3 Each meal contains approximately 300 calories (proteins and carbohydrates in each meal are in “portion” sizes). That’s it! This sensible, easy approach to food allows you to eat everything – there are no restrictions. And, on your free day you can indulge, or not, letting your natural instincts guide you.

1Fischer K, et al: “Carbohydrate to protein ratio in food and cognitive performance in the morning.” Physiol Behav 75(3):411-423, 2002 2Jenkins JD, et al: “Nibbling vs. gorging: metabolic advantages of increased meal frequency.” NEJM 321(14):929-934,’89 3Verboeket WP, et al: “Influence of feeding frequency on nutrient utilization in man: consequences for energy metabolism.” Eur J Clin Nutr 43(3):161-169,’91

For additional information on health please contact Dr. Jason Fowler Dr. Jason Fowler

Our practice sees our patients are more than just names on our extensive list of patients on a given day. They are more than dollar signs, as we care about making sure their lives are back pain-free. We go to great lengths to perfect our techniques, and use only natural methods of eliminating back pain.

Headaches, back pain, and neck problems are simply a drop in the bucket against what we are able to accomplish for many patients, and we look forward to the opportunity to get rid of these and other problems for every patient that we see. Our goal is to eliminate downtime completely by using these natural and effective methods of chiropractic.

We want to make sure that patients do not have to return in the near future due to pain, and we know that, in the medical community, chiropractic still has much to learn and prove. However, O Fallon Chiropractic Care can guarantee that we will always be among the practices most dedicated to excellence in our field so that patients can return to us if they feel that is necessary.

Our choice of back pain relief is natural spinal manipulation, and we make sure that anyone who deals with patients does so in a suitable manner. Whenever ground-breaking methods are discovered, we train our staff to use them effectively and to each patients’ benefit whenever possible.

A pain-free future is our goal, so we at O Fallon Chiropractic Care do promise to always give one hundred percent of our efforts to each and every patient we see each day. We want all patients to live with no back pain, and to be able to tell everyone they know that they got the best care imaginable at O Fallon.

The help you need for your back pain is as close as your O Fallon Chiropractic office. Head to http://ofallonchiro.wordpress.com/ for a location near you. Get rid of the pain in a natural way!

Most recently, and quite dramatically, vitamin D has been strongly associated with reduced cancer risks, preventing autoimmune diseases such as rheumatoid arthritis and lupus, preventing cardiovascular disease, and even helping to prevent diabetes.2 Vitamin D seems to be a one-stop shop for helping combat many serious chronic diseases, and yet vitamin D deficiency is common in the United States.3 Very few foods are natural sources of vitamin D. The primary source of vitamin D for humans is sunlight – sunlight causes cells in the skin to produce vitamin D.

But most of us don’t spend enough time outside to get sufficient sunlight to provide us with our normal daily requirement of vitamin D. Supplementation is needed, in the form of fortified foods such as milk and in vitamin/mineral tablets. Interestingly, meeting our vitamin D and calcium daily requirements is only one step on the road to healthy, strong bones. Vitamin D helps the body absorb calcium from the intestinal tract. Also, vitamin D helps bone cells utilize calcium to build new bone. But in adults, new bone will only be built if there’s a need for it. Mechanical stress causes the body to produce new bone – and the best source for this kind of bone-building mechanical stress is exercise.

Yes, the E word. It is not enough to passively swallow a bunch of supplements every day. We need to exercise regularly to get the most out of the nutrition we’re providing our bodies. When we exercise – particularly when we do strength training and other gravity-resisting activities such as running, walking, and bicycling – our bodies react not only by building new muscle but by building new bone as well. This response follows a physiologic principle known as Wolff’s Law – bone remodels along lines of physiologic stress.

Put another way, bone responds to mechanical challenges by building more bone. The result is more dense, stronger bones. Such bones are significantly less likely to fracture. And. logically, exercise helps prevent loss of bone mass, a primary cause of osteoporosis in postmenopausal women and older adults. Chiropractic health care helps provide assistance to these metabolic processes. All of our metabolic activities are directed by signals from the nerve system. Our nerve impulses tell our cells when to start and when to stop these complicated biochemical processes. Chiropractic care helps ensure proper flow of information throughout the nervous system, helping us maintain optimal physical health and well-being. Your chiropractor is an expert in nutritional health and will be able to recommend a program and plan that will be right for you.

1Lins P: Vitamin D physiology. Prog Biophys Mol Biol 92)1:4-8, 2006 2Cavalier E, et al:Vitamin D: current status and perspectives.Clin Chem Lab Med 47:1, 2009 3Holick Me, Chen TC: Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87(4):10805-10865, 2008

For more information on health please contact Dr. Jason Fowler at Dr. Jason Fowler

What does it take to be an informed patient? An informed patient is one who can participate in a meaningful way and not be merely the passive recipient of the doctor’s instructions and recommendations.

The first key is to identify a doctor – a chiropractor or family physician, depending on the circumstances – in whom you have confidence. Here are a few essential points you should consider:

The doctor has spent time with you on the first visit. The doctor has focused on you, and has not been distracted by all the other things happening in the office. The doctor has satisfactorily answered all your questions. The doctor’s recommendations are clear, and you understand what the next steps are going to be.

The questions you ask are not just to keep talking and capture more of the doctor’s time spent with you. An informed patient does some preparation – some homework – before the actual office visit. The Internet offers a lot of valuable information on both chiropractic and medical treatment. And, it is important to remember that not all information is accurate and authoritative – consider the source of the “information”.

You should consider the author’s background and affiliations. Consider the potential for bias. Is the site itself up-to-date – for example, are there “dead links” on the site.

Do your best to evaluate the doctor’s recommendations. First, what are the expected results? How quickly should you begin to feel better? Are there potential side-effects of the recommended treatment? What are the alternatives?

Alternatives may include other forms of therapy within the doctor’s office and may also include consultation with another specialist. The main point is not to be left with a confusing array of choices. Have enough information to go forward with a treatment plan that makes the most sense, both to your doctor and to you.

If a prescription is involved, make sure you write down the exact spelling of the medication and the exact dosage and frequency. Prescriptions are usually scribbled, and both doctors and pharmacists can make a mistake. Don’t let your doctor simply hand you an illegible piece of paper. Insist on ensuring that you understand what is being prescribed, and be sure to ask your doctor about potential side effects, risks, and interactions with any other medicines you may be taking.

As in all relationships, the doctor-patient relationship is based on clear communication and mutual trust and understanding. You can help your doctor help you by being an informed patient and participating in the decision-making process.

1Informed Consent. “Ethics in Medicine”. University of Washington School of Medicine. http://depts.washington.edu/bioethx/topics/consent.html#ques1 2″Be an active healthcare consumer”. Agency for Healthcard Research and Quality. http://www.ahrq.gov/path/beactive.htm

For more information on wellness feel free to contactDr. Jason Fowler www.lakestlouisdc.com

For the health consumer, namely us, it seems as if this annual “war on the flu” is received wisdom. We are just defenseless human beings at the mercy of the all-powerful flu virus.

What’s wrong with this picture?

What is never mentioned in the “flu warning” marketing is the versatility and adaptability of our remarkable immune system. We’re the lucky owners of a built-in state-of-the-art biowarfare system, on-the-job 24/7 to combat microscopic foreign invaders of our health and well-being. Once our immune system has detected a foreign protein it mounts an immediate defense, attacking and destroying the alien molecules. And, the memory of that particular invader is permanent, enabling a future immune response to be swift and effective.1

The big issue with influenza is that new strains appear each year. We’ve never encountered these germs before. But, the whole basis and strength of our immune system is flexibility. It is specially designed to respond quickly to new attackers. And, for the most part, it does this very well.

Of course, no one wants their dinner companion to sneeze in their plate of pasta, as Elaine did on an famous episode of “Seinfeld”. Through a typical cascade of unfortunate events, Jerry’s and George’s comedy pilot was almost scuttled because the network executive was Elaine’s date, and he got violently ill by being on the receiving end of her blast of micro-bugs.

In the real world, our immune systems can be weakened due to life habits, circumstances, and stress. Stress is a notorious compromiser of immune defenses.2 Of course, being human, there’s plenty of stress from dawn to dusk. If worry and anxiety pile on top of not-enough-sleep or sub-optimal nutrition, getting sick is a pretty likely outcome. So, developing and maintaining healthy habits of living and successful strategies for managing stress is really the key.3

If you do the simple things that keep you healthy and well, in the winter months you can pretty much “let the flu go around you”. You can be confident, knowing you’ve done the work to fight off the latest flu threat. Someone else’s germs are their germs, not yours. If your immune system is on the job, you are far less likely to “catch” something.

And, even if you do succumb, you’ve a much better chance of getting well again quickly.

1Sompayrac L: How the Immune System Works, 2nd ed. Blackwell, 2002. 2Wein H:Stress and disease – new perspectives. NIH Word on Health, October 2000. 3The Truth About Your Immune System – What You Need To Know. Harvard Health Publications, 2007.

For more information on chiropractic feel free to contactDr. Jason FowlerDr. Jason Fowler

Benson is not alone. It is estimated that 28 million Americans suffer from migraines. As anyone who experiences these intense headaches can tell you, they can be extremely debilitating. Acute pain, possible visual disturbances and nausea, as well as sensitivity to light, sounds and odors can render a person incapable of going about everyday responsibilities, much less performing complicated tasks like surgery.

In order to cope, Dr. Benson has used Ibuprofen and heat to manage the pain, but sometimes it doesn’t work. “I used to keep a preloaded syringe of Toradol [a strong, anti-inflammatory pain reliever] in my medicine chest,” he admits, “because once my headaches get really bad, I get nauseated and can’t take anything by mouth. It saved having to go to the ER.”

Having trained as an M.D., Benson confessed that chiropractic treatment wasn’t in his knowledgebase or on his immediate list of pain-relieving measures. In fact, if he had not been visiting his brother, a doctor of chiropractic, when a bad migraine hit, he may never have received chiropractic care. “The Ibuprofen didn’t work, so my brother offered to examine me and adjust my neck,” he says. “When you’re in pain, you’re willing to try anything.” Within 10 to 15 minutes of the adjustment, his migraine had disappeared.

It is likely that Benson’s body reacts to stress by tensing muscles around the cervical joints in the neck, causing nerves in his neck to become impinged and triggering his migraines. Chiropractic adjustment alleviates this pain by relaxing muscles and promoting a full range of motion in the neck, allowing the headache to subside. And Benson’s positive experience isn’t uncommon. Recent studies at Duke University found that spinal manipulation was almost always immediately effective in relieving headaches originating in the neck and provided longer-lasting relief than commonly prescribed pain medications.

Benson’s migraines probably won’t go away completely without substantial lifestyle changes- changes that could be tough to implement with his profession. Once migraines are an established pattern, they are very difficult to get rid of, explains his brother. But he can work to minimize them with chiropractic care- a solution that doesn’t carry the potential side-effects of over-the-counter and prescription pain medication. Whenever a potentially incapacitating migraine hits and Benson gets an adjustment from his brother, “It always works,” he says.

For more information on chiropractic feel free to contact Dr. Jason Fowler www.lakestlouisdc.com

We certainly live in stressful times. It is not easy to assess whether our era is the most stressful, but we do have plenty of daily stress. The job, the home, the kids, the relatives, and the economy – all these stresses add up and yet we wonder why we have so many aches and pains.

Many ailments are stress-related. Americans are notoriously overweight. Overeating is a stress-coping mechanism.1 Headaches and backaches are often associated with increased stress. There’s a strong correlation between high blood pressure and stress, ulcers and stress, and even cancer and stress.

What can we do? The external stresses in our lives are not going away. Our activity-filled lives are busy and complex – there’s always going to be stress. The key is to help avoid or ease the physical effects of stress. Interestingly, chiropractic treatment can be of great assistance in reducing the effects of stress on the body.

In general, stress causes muscles to tighten. This is an unconscious reaction. Tight muscles cause a cascade of further muscle tightening, shortening of muscles and ligaments and, as a result, a decrease of mobility in joints, particularly shoulder joints, hip joints, and joints of the spine.2,3

This overall mechanical effect of stress has a number of additional consequences. All the extra unconscious muscle activity wastes precious nutritional resources and uses up energy needed for critical body functions. Lactic acid accumulates, irritating nerve endings and further increasing muscular tightness. And, most importantly, the losses in spinal joint mobility lead directly to increased levels of pain. This, of course, leads to more stress.

This vicious circle of stress, muscular tightness, and pain can be relieved and reduced by chiropractic treatment.4 Chiropractic therapy is specially designed to improve joint mobility of the spine and pelvis. This gentle, effective treatment gradually restores maximal spinal motion. Muscle tightness is alleviated, metabolic processes begin to return to normal, and nutrients become more available to help maintain healthy functioning. Levels of pain are reduced, and we become better able to withstand the physical effects of stress.

Your chiropractor will explain the many benefits of treatment, and will provide instruction in stretching techniques and specific exercises that help maintain the positive results of therapy.

There will always be stress. We can learn how to reduce the physical effects of stress, and become stronger, healthier, and happier in the process. ——————————————————————————–

Take a Break! A few quick tips -

Get up out of your chair or leave your workbench and walk over to an open window. Change your point-of-view. Breathe some fresh air. Go for a five-minute walk in the corridors of your building or out-of-doors. Call a friend and chat for five minutes. Close your eyes, clear your mind, and take an imaginary vacation – relaxing on a warm beach, deep-sea fishing on a beautiful yacht, or skiing down a gorgeous mountain.

These short, focused breaks will help reduce muscular tightness and physical stress, and also help your brain recharge so you can be more creative and productive!

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1Marchesini G, et al: Psychiatric distress and health related quality of life in obesity. Diabetes Nutr Metab 16(3):145-154, 2003 2Weickgenant AL, et al: Coping activities in chronic low back pain: relationship with depression. Pain 53(1):95-103, 1993 3Burns JW: Arousal of negative emotions and symptom-specific reactivity in chronic low back pain patients. Emotion 6(2):309-319, 2006 4Hurwitz EL, et al. A randomized trial of chiropractic and medical care for patients with low back pain. Spine 31(6):611-621, 2006

The American Chiropractic Association (ACA), its Council on Occupational Health and ACA member, Dr. Michael Freeman, trauma epidemiologist and clinical assistant professor of public health and preventive medicine at the Oregon Health Sciences University School of Medicine, have developed the following general guidelines and safety tips to ensure proper car seat safety.

Make sure the child safety seat is appropriate for the age and size of the child. A newborn infant requires a different seat than a 3-year-old toddler. Car seats for infants should always be rear facing as the forces and impact of a crash will be spread more evenly along the back and shoulders, providing more protection for the neck. Car seats should always be placed in the back seat of the car-ideally in the center. This is especially important in cars equipped with air bags. If an air bag becomes deployed, the force could seriously injure or kill a child or infant placed in the front seat. Make sure the car seat is properly secured to the seat of the vehicle and is placed at a 45-degree angle to support the head of the infant or child. The lap harness should be fastened low, as close to the hips as possible; the harness should never be fastened around the waist. Make certain the shoulder harness is fastened securely and the straps lay flat against the body. Twisted straps can cause additional injury that might prevent the seat from working properly. Use a retention clip (if provided by the manufacturer) when securing a child safety seat with the shoulder harness. The retention or shoulder harness clip is an added safety feature and must be fastened close to the armpit of the infant or child. Borrowing or purchasing a used car seat can be dangerous; there is the possibility of unknown or undetected damage. Car seats that have been in a serious accident should never be used again. Be sure the seat meets federal motor vehicle safety seat standards. Consult the owner’s manual or contact the manufacturer for that information. All car seats should have an owner’s manual and instruction booklet. Be sure the clip between the legs of the child is fastened snugly. While car accidents can be dangerous for all passengers, small children are especially at risk, according to Dr. Scott Bautch, past president of ACA’s Council on Occupational Health. “The weight of the head of a child makes the cervical spine much more vulnerable to injury,” Dr. Bautch explained. “The infant has little control in the muscles of the neck, and the head can bounce from side to side and fall forward, which can cause serious spine and neck injuries. Children have more flexible upper bodies and shoulders. Make sure the harness comes up, way up, over the shoulders.”

Underscoring the importance of proper car seat use, a recent article in Nation’s Health reported the findings of a study conducted in Kentucky by the Centers for Disease Control and Prevention. The study found a 37 percent drop in infant fatalities since the 1982 enactment of the state law mandating the use of child car seats. “To continue this decline, prevention efforts now must focus on the proper use of the seats to maximize their life-saving potential,” the researchers said.

The key when traveling with small children is to be aware of and follow these rules and tips to ensure proper car seat safety. And remember everyone: Buckle up!

If you or one of your children have been involved in a serious automobile accident and have noticed neck and back discomfort, you should consider a visit to a chiropractor.

For additional information on nutrition please contact Dr. FowlerDr. Jason Fowler at www.lakestlouisdc.comwww.lakestlouisdc.com

Heart disease includes high blood pressure, arteriosclerosis, coronary artery obstruction, angina, and heart attacks. Many of these conditions represent a chain of events. Left untreated, of course, high blood pressure is a leading cause of heart attack and stroke.

Most cases of diabetes develop from a pre-diabetic state which is also known as insulin resistance. Insulin – which is a hormone produced by the pancreas is necessary for cells to be able to absorb glucose from the bloodstream and use the glucose for energy. If cells become insulin resistant, glucose stays in the bloodstream, leading to a pre-diabetic condition.

Left untreated, pre-diabetes likely advances to diabetes, in which insulin resistance is combined with insulin depletion, as the pancreas loses its ability to produce this important hormone. Diabetes may lead to many severe problems, including kidney failure, and is a leading cause of death from heart failure.

Cancer is now being recognized as a chronic disease. Rather than being a mysterious disorder that occurs randomly, many cancers are now understood to have many elements in common with other chronic diseases such as diabetes and heart disease.

Pain is a common element to chronic disease. Affected persons often have to take daily pain medications. Most people become tolerant to their medication and require increasingly stronger doses. The pain of chronic disease is notoriously difficult to treat.

In recent years a holistic approach has been successfully applied in the treatment of heart disease, cancer, and diabetes. Chiropractic care is a very important component of the holistic approach.

Chiropractic care helps restore more normal biomechanical function to the spine, which in turn improves the ability of the nervous system to effectively communicate with the rest of the body. Important benefits of this restored function may be an improvement in the body’s ability to repair damaged tissues, a strengthened immune system, and reduced levels of musculoskeletal pain. Such improvements may help lead to improved daily functioning. As levels of pain decrease, a person may be able to engage in more physical activity. Multiple benefits follow.

Chiropractic care is a key part of an integrative approach to the management of pain of chronic disease. Your local chiropractor will be glad to help you determine whether chiropractic care is right for you.

1An Unhealthy America- The Economic Burden of Chronic Disease. Santa Monica, CA, Milken Institute, 2007 2Eddy DM, et al: The metabolic syndrome and cardiovascular risk: implications for clinical practice. Int J Obes 32(Suppl 2):S5-S10, 2008 3″Food, Nutrition, Physical Activity, and the Prevention of Cancer”. Washington, DC, American Institute for Cancer Research, 2007

For additional information on health and chiropractic please contact Dr. FowlerDr. Fowler at www.lakestlouisdc.comwww.lakestlouisdc.com