Friday, August 20, 2010

Brain Trauma In Sports May Cause A New Disease That Mimics ALS

So you may have heard about Lou Gehrig's disease. Lou Gehrig being one of the most famous of New York Yankees who in the prime of his baseball career retired from baseball after he started getting tremmors and losing motor control of his arms, hands and legs.

The disease called ALS (Amyotrophic Lateral Sclerosis) is of unknown etiology. No familial or genetic links, it kind of just happens. But what scientists at Boston University School of Medicine have shown is the first pathological evidence that repetitive head trauma experienced in collision sports is associated with motor neuron disease, a neurological condition that affects voluntary muscle movements - just like ALS.

So parents, it may be a good time to re-think your kids choice of sports. This is hard evidence that those repetitive bumps on the head can have a devastating long term effect.

To read more, click here

Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.


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Tuesday, August 17, 2010

Chiropractic Care - Proving Itself Again & Again,

Miami Beach Chiropractor - Sports Medicine Physician - Dr. Todd Narson

The past 12 months have been good - very good - for the chiropractic profession in terms of data supporting the efficacy of chiropractic care
Thank you to the folks at The ChiroCode Institute &Peter W. Crownfield, Executive Editor of Dynamic Chirorpactic for putting all this info together into one nice article. Reprinted from the ChiroCode newsletter

  • The Milliman USA analysis that concludes, "[S]pinal patients who seek chiropractic coverage have materially lower health care costs than those who do not";
  • The Consumer Reports reader survey that found "hands-on" therapies, led by chiropractic care, were the top-rated treatments for back pain sufferers, with chiropractic receiving the highest satisfaction-with-care ratings (significantly higher than MDs);
  • The "Mercer Report" that suggests chiropractic compares favorably to most therapies covered by health benefit plans and is "likely to achieve equal or better health outcomes";
Click here to read more.

References

  1. "Study Suggests Chiropractic Reduces Health Care Costs, Need for Surgery." Dynamic Chiropractic, Aug. 26, 2009.
  2. "Cost-Effective Care: The Evidence Mounts." Dynamic Chiropractic, Sept. 9, 2009.
  3. "Consumer Reports Survey Rates DCs Higher Than MDs." Dynamic Chiropractic, May 20, 2009.
  4. "How Chiropractic Helps the Insurance Industry." Dynamic Chiropractic, Dec. 2, 2009.
  5. "Medicare Patients Give Chiropractic High Marks." Dynamic Chiropractic, March 26, 2010.
  6. Kanodia AK, Legedza ATR, Davis RB, et al. Perceived benefit of complementary and alternative medicine (CAM) for back pain: a national survey. J Am Board Fam Med 2010;23:354-62.





Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.


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Monday, August 16, 2010

Athletes And Their Rituals - Sound Strategy or Simply Superstition ?

Miami Beach Chiropractor - Sports Medicine - Dr. Todd Narson

As sports sports medicine physicians we get to see this all the time. Rituals athletes go through in the time leading up to & during a competition. Tiger Woods is well known for (amongst other things now) wearing a red shirt on the final day of competition. Baseball players put on their "rally caps" when trying to change their luck and start a batting rally. Other athletes make sure they wear their "special" underwear, socks, hats, shorts etc, etc, etc. Runners and other sports involving running, then it's all about the sneakers buying many pairs of the same sneakers just in case they change or discontinue the model. In general, athletes will go through a specific ritualistic routine - the same one each and every time.

Some of this may seem like head games or just psyching themselves out but maybe there's something to it.

This past weekend I was invited by the Miami Beach Rotary Club to be a part of their Sprint Triathlon Men's Relay Team and do the swimming leg of the competition. Since having done my first triathlon about a month earlier, I caught the "triathlon bug" so of course I was going to do it. The race went off without a hitch. This time I was a bit more aggressive in the water and cut my 1/4 mile time down by 45 seconds. The rest of the relay-tri team did pretty well as we ended up taking 1st place in the men's relay.

A few other friends were doing the triathlon that day and I met up with one as we were cheering on the other racers as they Finished. I had an interesting conversation that led me to believe there may be a very good reason for these rituals.

One of my good friends (let's call him Mike) a very experienced marathoner and triathlete came up to me after the race. Looking a bit more pale that I would have expected from an athlete with his experience and training I was surprised by what he told me next.

Mike told me something strange happened to him during this triathlon. He has done dozens of these and never had a problem until now. He came out of the swim just fine, transitioned into his bike and while on the bike he ripped open a Hammer Gel for some added fast acting and ready to use carbs to fuel his cycling. As he came back into the bike to run transition he felt very strange. Light headed, strange feeling in his chest as his heart was racing and he had no energy, almost feeling "sick". He said he felt like he had run out of gas. Had he not been such an experienced athlete I would have just thought it was lack of race prep & training or over exertion, poor hydration or maybe he just wasn't ready for the race. But this was a sprint triathlon and he was too experienced, so I started asking him what was different about this race.

We spoke for a few minutes about his training over the past couple weeks, his quality and quantity of sleep, his diet and nothing seemed to have changed. To me it sounded like how I feel if I happen to have a cup of regular coffee (except I also get jittery) including the crash after the caffeine wears off; and I told him so. Just then he said he took the hammer gel from the race "'goody bag" during the bike portion of the triathlon, telling me it was the Hammer Gel Espresso. Not thinking it was different from the other Hammer Gels he had taken in previous races, the Hammer Gel Espresso contains 50mg of caffeine. Mike didn't realize it and said he is sensitive to caffeine.

Some people who are sensitive to caffeine will experience:

None of which is what you want to feel before, during or even after training or a competition.

So now Mike knows one more component of his race ritual: Be careful of what you put in your mouth. Know your food, know your fuel. Amongst other things, now Mike is going to be reading labels more carefully because he knows how sensitive he is to caffeine and how it effects him during competition. Now he has one thing he needs to be ritualistic about - No Caffeine.

I used the Hammer Gel Vanilla during my previous race . I actually love the stuff and most of their gel fuels do not have caffeine. It worked well in my first triathlon but I knew to double check for caffeine or other stimulants. because the typical race "GU" sold out there does have caffeine and I know how that effects me so I specifically look out for it. I personally love Hammer's race nutrition and their philosophy behind how they make their products. Like anything else, some are good for some people and not for others. It's up to the athlete to know themselves and their needs. I found Hammer specifically because of their natural ingredients and a large selection of race fuels that do not contain caffeine or artificial anything.

A pre-race or pre-competition ritual in a case like this can be a very good thing. In the future it will keep Mike safe, healthy and competing at his best. The moral of this story is know yourself and your needs and make a routine that works for you.

If you have allergies or sensitivities you need to check and re-check the ingredients on the stuff you use. Know if it goes by other names. Are you on medications? Check with your physician or pharmacist if your medications have any interactions with your race nutrition BEFORE you run into problems.

Or, don't pay attention to your nutrition and give the local paramedics something to do at the race.

'nuff said.

Dr. T

_____________________________________

For those who are caffeine sensitive, here's a list from www.ineedcoffee.com that shows relative amounts of caffeine in various drinks:

How much caffeine is actually in coffee?

Unlike soft drinks or foods with set caffeine levels, there is no set concentration of caffeine in coffee. Different varieties of coffee beans contain different levels of caffeine. Arabica beans range from 1.2% to 1.8%, Robusta beans can reach as high as 2.4%, and some relatively non-commercial beans such as Excelsa (aka Chari) can have almost no caffeine at all, making them a perfect component for naturally low-caffeine coffee bean blends. Also, many processing factors can increase or decrease the amount of caffeine in coffee. See the table below to see a comparison of the amounts of caffeine in various type of coffee and other products.

Approximate caffeine levels in coffee and other products (for similar portions):

Robusta coffee (drip brewed)140 - 200 mg caffeine per 6 ounce average cup
Arabica coffee (drip brewed) 75 - 130 mg average 6 ounce cup
Arabica/Excelsa blend coffee (drip brewed)40 - 60 mg average 6 ounce cup
Espresso (typical serving)30 - 50 mg average 1 ounce shot
Instant coffee40 - 100 mg average 6 ounce cup
97% decaf coffee 3 - 6 mg caffeine per 6-7 ounces average cup
99.92% Euro decaf standard coffee 8 - 16 mg caffeine per 6-7 ounce average cup
Hot cocoa 10 - 15 mg caffeine per 6-7 ounce cup
Dark chocolate candy bar 50 - 100 mg caffeine per 6 ounce bar
Milk chocolate candy bar30 - 50 mg caffeine per 6 ounce bar
Coke, Pepsi, Mountain Dew soda20 - 26 mg caffeine per 6-7 ounce drink
Green tea (brewed)12 - 30 mg per 6-7 ounce average cup
Black tea (brewed)40 - 60 mg per 6-7 ounce average cup
Note: These are averages and do not reflect specific teas or chocolates, nor are they adjusted for brewing times, etc. They are presented here just as a rough comparative guide.) Sources: USFDA and Nat. Soft Drink Assoc.
___________________________________________________


Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.

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Friday, August 13, 2010

Guess Who Else Has a Sweet Tooth??? CANCER!!!

Without the sugar, life would be sweeter...

Why?

Because reducing sugar in your diet could reduce your risk of cancer (as well as a host of other diseases and conditions). I've heard about this a lot over the past few years....apparently Cancer has an affinity for sugar. Fructose to be specific.

But you say you don't eat high fructose corn syrup, or (the even higher fructose content) Agave Nectar, you just use table sugar, brown sugar or organic turbinado, so you don't have to worry about the fructose....right?

Nope... that would be wrong.

When typical table sugar (including brown sugar and turbinado sugar, organic or not, doesn't matter) hits your system, it's broken up into its 2 main components, (1) Fructose & (2) Glucose.

Glucose is the main fuel for our cells, but is use to (and supposed to) get it from vegetables and fruit. Our metabolism creates the glucose gradually from those raw materials when our body needs it. So yes, our bodies need glucose, but not directly from sugar.

And when the glucose is broken off from fructose, guess whose coming to dinner? Cancer!!

Cancer feeds off fructose! Want to make a bigger better tumor, feed it fructose.

Click here for a nice article that explains it in simple terms. It's worth the read and then take some time to rethink what you and your family eats on a daily basis.....

Now read the packages of your food and start to realize how much sugar is added to just about everything you eat.... even the rice your sushi is on.

'nuff said

Dr. T





Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.


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Friday, August 6, 2010

Miami Beach Sports Chiropractor Gets A Spring Back In His Step at 45

So at 44½ years old I decided to give myself an unconventional birthday present and do my first triathlon. The goal was to focus on getting in the best shape of my life by my 45th birthday (July 3rd). Since getting licensed in Florida in 1991, I have been one of the physicians in the medical tents at many triathlons over the years. I was always in awe over the triathletes and always wanted to do one but there was just one thing holding me back – Running.

I hated running. Now don’t get me wrong, I use to love to race my friends or hit a baseball and run around the bases. But running at any length was just not my thing. I’d get knee pain, hip pain and sometimes foot and ankle pain. I loved to bike and loved to swim, but running, just not for me.

In November of 2009 I was leading a group of 50 people through a 21-day nutrition detox & weight loss program and decided to kick my own detox and weight loss up a few notches and give running another chance. After a couple weeks on the detox program I was running (and quite happily) without any pain. But, being a sports physician, I knew it was just a matter of time. I’ve seen it in all my patients who were runners, eventually the miles and miles of pounding on their joints just take their toll. There’s a local orthopedic surgeon that loves runners because he said eventually, they’ll need either meniscus surgery or a total knee replacement. With that in mind, I began searching the internet for any new technologies that would help me run and train at a higher capacity and reduce the inevitable knee, hip or foot/ankle pain.


After a few days I stumbled onto a couple articles about a sneaker company that was only a few years old, called Spira Footwear. They created a technology called the “wavespring”. Spira’s wavesprings were in the heel and forefoot of their sneakers and the wavesprings give some tremendous benefit. The wavesprings reduce impact by 20%. This I thought was pretty substantial. If I could reduce the impact of my foot hitting the ground step after step, mile after mile, this would be a great way to help reduce the impact of running on my knees and hips – exactly what I was looking for. As an added benefit, testing performed at Michigan State University in 2001 showed that 87% - 96% of the energy is returned from the WaveSpring®. Ultimately, the Spira sneaker could reduce the impact forces on my body and return some energy back into my stride reducing the overall stress of my training. I had to try them.

I sent an email to the company and to my surprise, I got a return email from Andy Krafsur, Spira’s CEO. I told him about my little challenge to myself and my concerns with running & prolonged run training on my joints. I ended up getting 2 pairs: The Spira Del Sol and the Spira Competition. I started my training in March and was running 2-3 days per week, swimming two days per week and biking 2 days per week. One day I was stacking a running workout right after my cycling workout (what triathletes call a “brick” workout). I was a little casual during this time and would let my training succumb to my work and personal life”. But during the 3rd week of May I started kicking my training up a few notches. I began training at 5am so I can fit everything in, my workouts, my work and still have time to do my normal every day family stuff.

The training continued to intensify as the July 18th triathlon date got closer. With a 6 day per week training schedule, not one bit of knee, ankle, foot, hip or back pain. I was thrilled that I could keep up this level of intensity and not be plagued by those aches and pains from the past. I continued to up the intensity. My distances all increased in the swim, the bike and the run. My Saturday brick workouts were getting easier and my running after the bike transition more natural.

So finally the weekend was here. It was one heck of a weekend. As if the triathlon wasn’t enough, I was also attending a nutrition seminar about 60 minutes north in Del Rey, FL. Nee dless to say, I had a lot on my mind. I had been training in my Spira Del Sols throughout and then with 8 days out, I started with the Spira Competitions sneakers. I couldn’t believe how light these things were. When I 1st picked up the box, I truly doubted there was anything in the box it was so light. I did 3 runs on the sneakers as I tapered down that last week. I felt extremely comfortable in the Spira competition and decided to use them in the triathlon.

The day of the triathlon arrives and I woke up at 4:30am without an alarm. My bags and bike were already packed from the night before and I loaded the car up and hit the road. I stopped by my trainer Adam Cronin’s house at 5:15 and picked him up and off to Crandon Park we went. Arriving at 5:45am I went over and got my timing chip, then Adam took the large Sharpe and wrote my race numbers on my arms and legs. I took my bags and bike and entered the transition zone to set up my stuff and rack my bike. As I laid everything out, I took out my bright red Spira Competition sneakers and put them just off my towel. I put a couple puffs of baby powder in them and my cycling shoes, did a double check and then off to the beach where we start the race.

The walk to the beach at Crandon park is quite a distance. That meant more running for me from the swim transition into the bike. So 7am rolls around and the different waves start the race. Eventually the 44-49 wave comes around and we line up along the beach. The horn blows and it’s a mad rush into the water. Having trained 90% in a pool, the extra buoyancy of the salt water was a nice bonus. I got into my rhythm and to my surprise I actually passed a bunch of people on the swim. Keeping my eyes on the buoys I made it to the ¼ mile mark and began my exit. I ran out of the water and jogged to the transition area. Luckily it had rained earlier that morning so there were some puddles just before the transition. I ran through the puddles and it washed all the beach sand off my feet. I found my bike, strapped on my helmet, put on my socks and my pre-powdered cycling shoes and took off with my bike. The bike went smooth, the ride on Key Biscayne is absolutely beautiful as your just surrounded with blue bay and ocean water throughout the 1- mile ride. The ride was spectacular but uneventful. The only thing on my mind was the run. I re-entered Crandon Park and transitioned off my bike jogged with the bike back to the rack, off with the helmet and cycling shoes, on with my Spira Competition sneakers (pre-powdered of course), my running visor and my race belt and I ran out of the transition area.

Although I was extremely excited at this point to have made it though 2 of the 3 events, this was the one that weighed the most on my mind. I got into a rhythm and went for it. Step after step, stride after stride I ran. By this time it was started to get quite humid out. The run was nice though, running through the park, along the beach at one point then around the paved gigantic parking lots and all of a sudden I saw a sign that said ‘2’. I thought to myself, “where the heck did ‘1’ go? I ran right past it without even realizing. Suddenly, the run seemed a bit easier. I guess not seeing the 1 mile marker made me think I was still on mile 1. But now the excitement grew. I literally got a spring back in my step. The run course took us back toward the path along the beach where some friends were with their cameras. A short distance ahead I saw the 3-mile mark and I knew I was home free. I picked up the pace and heard the music playing at the finish line. At this point I didn’t even feel my feet, I just started running. I ran past the 3 mile marker and .1 mile to go, around the turn and crossed the finish line. I was handed a cold bottle of water and gulped it down. I felt incredible and knew I wanted more.

I have to say, after having done the swim and the bike, the run wasn’t nearly as bad as I thought. My training, my nutrition and my spira sneakers got me across that finish line and I’m proud to say, I’m now a triathlete. Little did I know how addicting the entire triathlon thing is. Because as soon as I crossed the finish line, the last step of my first triathlon became my first step towards me 2nd triathlon.


Since completing my triathlon, several of my friends have been telling me their stories about the Spira shoes I recommended to them. One in particular is an incredible 65 year old man named Bill Hansen. Bill owns the largest catering company in Florida. He’s catered for 3 U.S. Presidents and the pope. He began running back in the late 1970’s and ran regularly until 2005 when he stopped due to constant knee pain. Bill has done triathlons and marathons and even after physical therapy, medications and surgery, he gave up running completely. I suggested he try a pair of spira sneakers with the wavespring technology. At the age 65 Bill is back on the road running again without any knee pain.

I can’t say enough about Spira’s sneakers. They work and made this non-runner into someone who actually enjoys and appreciates running. I feel like a kid again!
A special thanks go out to the following:

Adam Cronin of Soma Fitness & Performance in South Beach for setting up my weight training routine and mapping out my 6 month plan to the triathlon

Shiloh Harper of Soma fitness & Performance in South Beach who evaluated and tweaked my swimming biomechanics

Jaime Rojas who further tweaked my swimming.

Armando Cruz of Cruz Country Fitness who added valuable knowledge to my approach to the triathlon, transitions and to my running.

Andy Krafsur, DJ Vickers and the rest of the Spira Footwear team who helped to take the shock and fear out of running with their incredible running sh oe technology.

Here's a picture I took with another guy who was in on the big secret. He ran in the bright yellow Spira Elite running shoes -------->


Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine. And now....He's a Triathlete too! Dr. Narson is available for lectures in the areas of sports medicine and nutrition





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