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Issue 8

In this Issue
Getting Back to Basics: Why You Can't Sleep - By Amy Smith

Research Corner: Sleeping Fit, Part 5: In Good Form
-Dr. Scott Donkin

Feature Article: Back Pain Warning Signs - By Sue Sarko

Fitness & Exercise: Guidelines for Beginning A Strength Training Program - By Steven Horwitz, D.C.

Ask the Expert: You have questions, we have answers!

Sleep Solutions: Sleep and the Immune System - By Sue Sarko


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Welcome to the Backtohealth.com Newsletter, an assortment of articles, interviews, news and tips about back pain and sleep solutions.


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Getting Back to Basics - Why You Can't Sleep - By Amy Smith
USA Today recently offered a snapshot look at why adults have trouble falling asleep at night. (More than one answer allowed.)

Anxiety and anger ranked highest with 37% as a reason for a sleepless night. Uncomfortable temperature was next at 24%, followed by too much caffeine at 19%.

Pain and noise were both noted 16% of the time. Followed by an uncomfortable bed at 12%.

Rounding out the list were children and partner 10% of the time, and pets 7% of the time.
Research Corner - Sleeping Fit, Part 5 - By Dr. Scott Donkin

Healthy habits are the very foundation of getting good sleep every night. Avoid sleeping with your arm jammed under your head and neck. This can result in numbness in the arms and hands. Try to tuck your shoulder closest to the bed slightly forward with your forearm across your stomach or lying on the bed, and remember not to tuck your chin. Keep your head up with your face parallel to the side of the bed.

Side sleepers should keep their legs on top of each other with the knees bent. If you throw your top leg over toward the bed it makes your hips twist and rotates your pelvis and lower spine. Keep your knees together or the upper knee slightly behind. A pillow between your knees can help.

Dr. Scott Donkin is an expert in occupational health and wellness with a successful private practice in Lincoln, Nebraska. He is the author of Sitting on the Job, How to Survive the Stresses of Sitting Down to Work - A Practical Handbook ($15 plus $4 S&H); 1-800-552-6347.

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Feature Article - Back Pain Warning Signs - By Sue Sarko
The prevalence of back pain in our country often leads people to dismiss back problems as something that they just must learn to live with. We have a tendency to reach for whatever over-the-counter pain reliever is in the medicine cabinet and go about our daily business. Often times, back pain is no cause for concern and a trip to the doctor unnecessary. However, in some cases back pain can signal a serious problem. Here are six fairly common back pain problems that are worthy of a call to the doctor:

· Anytime you have severe back pain that lasts for more than three weeks, you should seek the help of a medical professional. While pain will often disappear with time and self-treatment, persistent pain should be considered a warning sign and should never be ignored.

· If you experience persistent and severe low back pain that extends down your leg, it could be a sign of a compressed nerve. If the pain increases when you raise your knee to your chest or if you bend over, chances are that a disc is irritating the nerve, and you should seek medical attention.

· Persistent non-specific symptoms such as low back and buttocks pain, numbness, tingling, muscle tightness or weakness in the leg that is often aggravated by standing, walking and other activities could all be signs of a condition known as Spondylolsthesis, which occurs when a cracked spinal vertebrae slips forward over the vertebrae below it. Medical attention is required and there is an array of possible treatments available.

· Numbness or weakness in the legs while walking can be caused by a narrowing of the spinal canal. This is called Spinal Stenosis, a condition that requires medical attention.

· If you have significant back pain after a fall, you may have injured your spine in some way, and a visit to the doctor is definitely in order. Individuals with osteoporosis should be particularly aware, as they are at an even greater risk of causing damage to the spine after a fall.

· Back pain that worsens during the night and is accompanied by a fever may be a sign of infection or some other type of problem and is worthy of medical attention.

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Fitness & Exercise -Guidelines for Beginning A Strength Training Program - By Steven Horwitz, D.C.

What exercises do I choose?
Select exercises that strengthen the core (abdomen and lower back), upper body (chest, shoulders, upper back and arms) and lower body (buttocks, front, rear, and inner thighs, calves, and feet).

In what order do I perform these exercises?
Since the lower body is the most important and exercises for the lower body are the most challenging, they are performed first. Upper body exercises are done second and core exercises are done last (individual needs may necessitate a change in exercise order).

How many sets of each exercise do I perform?
Perform one to two sets.

How many reps during each set do I perform?
Perform 10 to 15.

How much weight do I use?
Weight will vary considerably from exercise to exercise. To start, pick a weight with which you can perform 10 to 15 reps without straining. You should feel like you would be able to do three to five more reps.

How much rest do I take between sets?
Rest 30 to 60 seconds between sets.

At what speed do I perform each rep?
Controlling the movement of the weight is paramount! Lift the weight in one to two seconds and lower the weight in three to four seconds.

Steven Horwitz, D.C. was the chiropractor for the 1996 United States Olympic Team and has traveled internationally with USA Track and Field. He is certified as a chiropractic sports physician, strength and conditioning specialist, and practitioner of Active Release Techniques® (upper extremities and spine). He is the chairman of the Potomac Valley/USA Track and Field sports medicine committee and practices in Silver Spring (301-681-9010 or www.sports-doc.com).

Ask the Expert - Today's Expert: Dr. Scott W. Donkin

Your latest questions will be posted next week. Please bookmark this page and check back. Click here to "Ask The Experts" at www.BackToHealth.com

Sleep Solutions - Sleep and the Immune System - By Sue Sarko

For years sleep has been believed to possess some essential preventive and recuperative value. Yes, mom was right. You need to get your eight hours in the rack to feel your best and keep healthy. As it turns out mom's words of wisdom were actually based on sound, scientific fact. Recent scientific evidence confirms the strong relationship between sleep and the immune system. Research now proves that sleep does, indeed have both preventive and recuperative value. Here's why:

But wait, it gets worse. When sleep is in some way compromised, natural killer cell activity is significantly reduced. Natural killer cell activity is, to some degree, dependent on the sleep-wake cycle. These are the cells that go out into the tissues and kill off bugs and tumor cells, should there be any. Therefore, people who don't get the proper amount and type of sleep are, indeed, jeopardizing their health.

Research also suggests that sleep aids in the recovery from infectious disease and other illnesses, and that sleep deprivation actually slows recuperation. Almost everyone can relate to the undeniable desire to sleep during infection. Chalk it up to your body's way of telling you that you need rest to help cure the illness.

The relationship between sleep and the immune system is reciprocal. Sleep affects the immune system and the immune system affects sleep. Therefore it is important to maintain a good balance by ensuring good sleep habits. Facts are facts. People who sleep soundly tend to have better immunity than poor sleepers and people who often lose a few hours of sleep report more viral infections than normal sleepers.

So, all of you sleep deprived people out there, consider yourselves warned! Take mom's advice and don't skimp on your zzzz's. If you have trouble sleeping, click here for some products that can help make the difference at night.

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