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ISSUE 9
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 - 10 Ways to Reduce the Risk of Back Pain - By Sue Sarko

Low back pain affects 60%-80% of the U.S. adult population at some time during their lives. Back symptoms are among the top 10 leading reasons to visit the emergency room. With statistics like these, it only makes sense to do what is necessary to prevent problems from occurring in the first place. Here are ten easy ways to help maintain a healthy back:

1. Always lift with your knees, never with your back. Squat down, knees bent, back straight and angled forward slightly. Lift the object and slowly straighten your knees as you go. 6. Keep your cool. Stress can aggravate many conditions, bad backs included.
2. Keep your back limber through exercise. When at the gym, don't overlook the importance of back exercises. Doing back exercises along with your regular routine will keep you're back strong and will help avoid injuries from back strain in the future. 7. Stretch during the day. Take a few minutes midway through the morning and midway through the afternoon and stretch your body. You'll be amazed at how refreshing this simple exercise can be.
3. Keep trim. Excess weight puts enormous strain on your back. Any woman who has ever been pregnant can tell you how the extra pounds take a toll on the back muscles, especially during the last few months. 8. If you spend a good portion of your day behind the wheel, pick a parking space farther away from the building rather than choosing the closest one you can find. The walk will do you and your back a great deal of good.
4. Pay attention to the ergonomics of your work station. Be certain that you're not crouching down to type at your computer. You should be able to maintain good posture at your desk.
9. Maintain good daytime posture. Walk with shoulders back and even with hips. Mom was right, don't slouch in your chair. Sit up straight shoulders back, low back slightly arched. Slouching can put tremendous strain on your back muscles. If you think that the assistance of a back and/or seat support would help you maintain good posture, by all means invest in one.

5. If your job requires heavy and/or repetitive lifting, consider talking to someone about wearing a lower back support. There are numerous styles available depending on your situation and needs.

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10. Maintain good nighttime posture. The average person replaces his/her mattress once every ten years. Does this make sense considering that we spend 1/3 of our lives in bed? Pay attention to your sleeping surface. It should support a good sleeping posture. Even the best, most expensive mattresses can't always provide proper support and alignment. You need something that matches your body's natural contours. Consider purchasing a mattress topper to help maintain good support and alignment.
Research Corner - Research Shows Sleep Offers a Competitive Advantage in the Business World

Do you ever have days where you feel like you're "in the zone," and think to yourself, wow! If I could be sharp and on the ball like this everyday, I'd be so much more productive. Well, sleep may have more to do with that feeling that you'd realized. For some reason, our generation seems to ignore the importance of sleep, and perhaps even frowns upon individuals who get "too much" sleep. Some brag about how they're so busy they only got 5 hours of sleep the night before. In fact, a recent poll conducted by the National Sleep Foundation, a nonprofit group in Washington, D.C., found that, on average, most adults sleep less than seven hours a night during the workweek, despite the fact that the average adult needs about eight hours of sleep per night. In fact, before the turn of the century, between nine and ten hours a night was the norm.

A number of recent scientific studies show that sleep deprivation is a leading cause of workplace inefficiency. One study shows how sleep affects things like reaction time, mathematical ability and other cognitive variables, and the results were consistent and clear: the more sleep you get, the better your performance. Other studies have shown that sleep deprivation can cause judgment and decision-making abilities to decrease by 50 percent; communication skills can go down 30 percent and memory down by 20 percent. With this type of research out there, it doesn't take a genius to make the connection between sleep and the bottom line.

Several high-profile business tycoons like Amazon.com CEO Jeff Bezos and Netscape co-founder Marc Andreessen have recently admitted that they log at least eight hours of sleep per night, further bolstering the idea that sleep deprivation should not be worn like a badge of honor. Scientific research combined with these confessions will likely cause a shift in current American culture. With the growing awareness that sleep does, indeed, affect the bottom line, it should regain the respect that it has lost over the past several decades and the idea of getting adequate rest will once again, be "cool."

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Feature Article - Tips for Preventing Winter Back Injuries - By Amy Smith
After an unseasonably late start, winter has arrived across the country. When snow, sleet, ice and cold are in the forecast, you should take extra care to protect your back.

Consider these tips for preventing winter back injuries:

Keep warm. Mom was right - dress in layers. Layered clothing helps body heat stay in, keeping muscles and joints more flexible and less stiff.

Dress for the weather. It's too late once you get cold and/or wet. Stay tuned to local forecasts so you know what to expect if you are going away from home.

Warm up before doing any cold weather exercise, including skating, skiing, sledding, hiking or even shoveling snow. Joints and muscles are especially vulnerable to injury in the cold.

In fact, warming up before winter sports and outdoor activities is so important that Olympic speed skater Derek Parra recommends that if you're short on time, it is better to shorten your workout so you can warm up longer.

"You can complete a good warm up in 15 - 20 minutes, and believe me, it will make your workout more pleasant and safe," says the Parra, a World Cup gold medal winner and Olympic hopeful. He suggests 10 minutes of light aerobic activity, such as jogging or biking, followed by stretches.

Finally, remember to use good technique and form when shoveling show or scraping ice. Do not twist or jerk. Bend at the knees and let your leg muscles bear the weight. Turn your body as required, instead of twisting into an awkward position.

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Fitness & Exercise -Bicycling Without Back Aches - By Sue Sarko

To reduce the risk of back strain, a bike must be set up properly for your body. Visit a bicycle shop where a professional can help you determine which bike is best for your frame. When purchasing a bike, there are four significant variables that must be addressed:

1. Correct frame size should leave at least one to two inches of space between the top bar and the rider's crotch when the rider straddles the bike with both feet flat on the ground.
2. Seat height is right if the rider's leg can almost straighten out completely when the pedal is at the bottom of its arc. When pedals are in the three and nine o'clock positions, the kneecap of the forward leg should be right over the pedal. If it's not, slide the seat forward or back accordingly.
3. Seat position should be angled so that the front part is slightly upward.
4. Handlebars should be level with or just below the top of the seat. If you place your elbow against the tip of the saddle, the tips of your extended fingers should just touch the handlebar.

The type and quality of bicycle that you buy matters a great deal. For example, a racing bicycle's low-drop handlebars place greater strain on the rider's back and neck, whereas mountain bikes have straight handlebars that allow you to sit more upright. Plus, they have fatter tires that absorb more shock and provide more cushion for the ride, a good thing for bad backs.

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 - The Power of Naps - By Sue Sarko

What do Albert Einstein, JFK, Winston Churchill, Ronald Reagan and Bill Clinton have in common? They all believed in napping, and, as it turns out, the all had the right idea.

The body's circadian rhythm, or internal clock, dips naturally in the afternoon, generally between 12:00-2:00. Evidence shows that the brain actually falls into a lull, indicating that the propensity to nap is actually inborn. Further substantiating this belief is that most people can drop off quickly and sleep deeply during this portion of the afternoon than other times of the day.

Sleep experts believe that a mid-afternoon nap of just 20-30 minutes can boost mental alertness and concentration significantly, and it can actually put you in a better mood. Fifteen minutes does not produce a measurable difference, and if you sleep much longer, you may have trouble falling asleep at night.

Studies further demonstrate that afternoon napping is an effective way for people to make up for not getting enough sleep at night. In fact, if you want to make up for lost sleep during the night, it's far better to nap than to sleep late in the morning. Too much sleep in one single stretch can throw your internal clock off and cause further sleep problems.

It's also best to keep your body on a schedule, waking up at the same time each morning and going to bed at the same time each night. The average nighttime sleep ideal seems to be from 10:00 p.m. to 6:00 a.m. That is the norm, but everyone is different. Some people require just seven hours of sleep per night, others, like me, need a full nine. This is a pre-determined factor that really cannot be changed, so it's best to find your natural rhythm and go with it. If it seems to include a mid-afternoon catnap, by all means try to fit it into your schedule. You'll likely notice a difference in your level of production and you'll feel better, too.

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