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The time is always right to begin returning to good health. Regardless of whether your issues involve weight, exercise, diet, blood pressure, diabetes, or chronic pain, now is the time to begin taking action on your own behalf.

You are not alone. Literally hundreds of millions of people worldwide have various chronic complaints and illnesses.1,2,3 Some problems are more serious than others, but everyone eventually wants to find a better way to manage their health problems. Eventually everyone wants to actually begin to be healthier and feel better.

Of course, a healthy diet and regular vigorous exercise are the key elements in any process of returning to good health. People know this, but for the most part this knowledge alone does not do any good. The deep truth is that feeling good and actually being healthy takes a lot of effort. It's much easier to pick up dinner from a fast food restaurant than to spend precious time planning and shopping and preparing meals. It's much easier to sit on your couch and watch people on TV trying to lose weight than to actually do the work of losing weight yourself. It's much easier to spend 30 minutes watching the news for the third time that day than to put on your workout clothes and go for a brisk 30-minute walk.

We are all slaves to our habitual ways of thinking and habitual ways of living. Just as in physics, people have inertia. Newton's First Law of Motion states that a body at rest stays at rest and a body in motion stays in motion, unless it is acted upon by an external unbalanced force. We will do the same things we have always done, achieving the same results we have always achieved, unless we make an active choice to engage in new thinking and new activities.

By the way, no one is going to make any lasting changes in their lifestyle - for example, by choosing a healthy diet and daily exercise - merely because someone told them they needed to do it. If you're chronically overweight, your doctor has told you every year that you need to make changes. Every year at your annual physical she tells you to begin regular, vigorous exercise and adopt healthy eating habits. Do any of these admonitions ever make a lasting difference? They don't, not becauses they are bad advice, but because they were not a match for your own world view. Real change, lasting change, has to come from within, from your own personal choice.

When a person is actually ready to choose to revamp her lifestyle with respect to achieving good health, there are many possible steps to take. Chiropractic care can be an important and critical component of an overall health improvement strategy.

1Temple R, Murphy H: Type 2 diabetes in pregnancy - An increasing problem. Best Pract Res Clin Endocrinol Metab 24(4):591-603.
2Li S, et al: Genetic predisposition to obesity leads to increased risk of type 2 diabetes. Diabetologiz Jan 26, 2011 (Epub ahead of print)
3Urquhart DM, et al: Increased fat mass is associated with high levels of low back pain intensity and disability. Spine Jan 25, 2011 (Epub ahead of print)

Most of us have undergone some type of screening exam in the last several years. Depending on your age, personal history, and family history, you may have needed to go for a periodic mammography, colonoscopy, or cardiac stress test. If everything was fine, you have probably been instructed to follow-up next year, in three years, or in five years or more. As treatment is usually more effective and easier to accomplish in the early stages of illness, screening procedures are an important component of a public health and health care policy. Most people are generally aware of the usefulness of periodic screening exams for chronic diseases such as cancer and cardiovascular disease. Spinal screening, performed by your chiropractor, is an additional important service to assist you in maintaining your long-term health and well-being.1,2

Your spinal column is designed for two primary purposes: to provide for an extensive range of motion in three directions (forward and backward, side-to-side, and rotation) and to house and protect the spinal cord. Both of these functions are critical to ensuring ongoing health and wellness. A chiropractic spinal screening exam analyzes your spine to identify localized regions of limited mobility and to detect the presence of nerve interference.

First, if your spine is not freely movable, you will likely begin to experience neck, mid back, or low back pain. People often wonder why they have such pains. A person will typically say, "I didn't do anything, really. I was driving and just looked around to make sure I could change lanes safely. Now I can't move my neck." Another person might say, "All I did was bend over to pick up the mail. My back really hurts." The problem causing their pain wasn't the simple twisting or bending motion. The problem was an underlying one - a lack of full mobility in the affected region of the spine.3

Next, your spinal cord is a direct extension of your brain. Your spinal cord connects your brain with the rest of your body through numerous pairs of spinal nerves. These spinal nerves branch out and create a complex communication network, sending signals from your brain to your body and from your body back to your brain. A mechanical problem in the spinal column can cause irritation to local spinal muscles, ligaments, and joints, which in turn can irritate spinal nerves and cause nerve interference. Nerve interference can cause disturbances in your body's neural network, delaying nerve signals or causing information to be transmitted incorrectly or at the wrong time. Over time, symptoms develop in the affected region or regions as cells, tissues, and organs no longer do their job effectively. Eventually, symptoms may develop into full-blown chronic diseases.

Often, mechanical problems in the spine are not immediately obvious. The effects of nerve interference and back pain on a person's health take time to develop. As with other chronic health issues, prevention is the best strategy. A spinal screening performed by your local chiropractor is the best way of detecting underlying problems. Chiropractic care then corrects nerve interference, helping your body perform effectively and helping you to enjoy long-lasting health and well-being.

1Goertz CM, et al: Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: the results of a pragmatic randomized comparative effectiveness study. Spine (Phila Pa 1976) 2012 Oct 10 [Epub ahead of print]
2Morningstar MW: Outcomes for adult scoliosis patients receiving chiropractic rehabilitation: a 24-month retrospective analysis. J Chiropr Med 10(3):179-184, 2011
3Bishop PB, et al: The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Spine J 10(12):1055-1064, 2010

Many people - adults and children - are familiar with the marvelous animated feature "The Lion King". Most have found themselves humming the film's theme "The Circle of Life" long after they've stopped actively thinking about the film itself. "The Circle of Life" is not only a terrifically catchy tune, but is also a powerful metaphor. And as is often the case, what we find in our outer experience is also true in our inner experience.1

In our outer experience, the circle of life suggests that all life is multiply interconnected. Forests, for example, convert carbon dioxide into oxygen and release oxygen gas into the environment, providing a life-giving source of energy for all animals, including humans. Forests provide shade, shelter, and habitat, nurturing and supporting the growth of countless plant and animal species. Forests reduce soil erosion, purify air and water, and influence local and regional climates. Forests are one among an almost limitless number of examples of the web or circle of life on our planet.

Human physiology demonstrates the circle of life in a microcosm, mirroring planet-wide interconnectedness on an individual, internal scale. For example, actively exercising skeletal muscle creates a cascade of effects across many other body systems, affecting far-flung cells, tissues, and organs. Vigorous skeletal muscle work requires extra glucose and extra oxygen for energy.

If the oxygen supply provided by circulating blood is insufficient, the heart will pump harder and faster and the respiration rate will increase. More oxygen will be taken in by the lungs and blood will flow more quickly to the working muscle tissue. If the glucose supply provided by circulating blood is insufficient, liver cells will break down stored glycogen into glucose. Elsewhere, fat stores may be converted to glycogen, further increasing the potential supply for usable glucose.2

Other systems are required to complete the circle. Muscle activity produces metabolic waste, resulting from the burning of oxygen and use of glucose for energy. The end-products of metabolism must be removed and eliminated. Increased circulation sweeps up these substances which are then disposed of by the kidneys and the large intestine.

This single example of your internal circle of life is repeated throughout the day whenever you do physical work.3 Innumerable physiologic circles of life are constantly engaged in the perpetual motion machine that is the human body. The nervous system is the master controller of all these complex and interrelated activities. Chiropractic care helps ensure a free flow of information back and forth between the brain, the spinal cord, and the rest of the body. Chiropractic care helps ensure the ongoing health, welfare, and well-being of your personal Circle of Life.

1Tyreman S: The happy genius of my household: phenomenological and poetic journeys into health and illness. Med Health Care Philos February 15, 2011 (Epub ahead of print)
2Lazarou C, et al: Lifestyle factors are determinants of children's blood pressure levels. J Hum Hypertens 23(7):456-463, 2009
3Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental well-being than physical activity indoors? A systematic review. Thompson CJ, et al: Environ Sci Technol February 3, 2011 (Epub ahead of print)

What animates us? In other words, what is it that causes us to be living matter? For example, what distinguishes a living orchid from a tissue-paper-and-paint model of an orchid? Or what distinguishes a hawk from an airplane? What is it that causes the material that is us to hold together and function in an organized fashion, rather than falling apart and decaying as all other non-living matter eventually does?

These are deep inquiries, presenting issues that most of us never take time to consider. We take our existence for granted, although the mental exercise of wondering where we came from and how we got here might prove very useful. In fact, pondering these questions may provide us a bit of insight as to our real nature, and the answers we get may help us become healthier, happier, more self-fulfilled human beings.

Scientists have been engaged in investigating these and related questions for more than 2000 years. Philosophers, writers, and artists have done likewise throughout the ages. Most recently, particle physicists working at the Large Hadron Collider near Geneva, Switzerland, have been attempting to prove the existence of a hypothetical elementary particle known as the Higgs boson. If identified, the Higgs particle would help support the Standard Model, which in turn provides deep knowledge of the structure and workings of the our universe.

The renowned paleontologist and philosopher Pierre Teilhard de Chardin proposed in "The Future of Man" that life is a directed, intended consequence of the development of matter in the universe. Further, he states many times that human consciousness is the intended culmination of the evolution of life on our planet. There are many astounding implications to Teilhard's philosophy, but what is one practical takeaway that we can use today?

Practically speaking, consciousness is a gift. What we do with it is up to us. One very useful path to take is to use our consciousness to manage the state of matter in our bodies. That is, we can make conscious choices about the food we eat,1 the healthy activities we engage in,2,3 and the methods of health care we use to help keep us well.

One such conscious choice is to get regular chiropractic care. In fact, chiropractic care may be directly related to the timeless inquires of philosophers and scientists. Chiropractic care "throws on the switch" that enables clear, optimal communication between your brain and your body. Doing this creates a powerful pathway between the consciousness that is you, the "light within", and your physical body, allowing both to work together in seamless harmony.

1Krajcovicova-Kudlackova M, et al: Selected biomarkers of age-related diseases in older subjects with different nutrition. Bratisl Lek Listy 112(11):610-613, 2011
2van Dijk JW, et al: Both resistance- and endurance-type exercise reduce the prevalence of hyperglycaemia in individuals with impaired glucose tolerance and in insulin-treated and non-insulin-treated type 2 diabetic patients. Diabetologica 2011 Nov 29 [Epub ahead of print]
3Awad AB, et al: Vitamin D and metabolic syndrome risk factors: evidence and mechanisms. Crit Rev Food Sci Nutr 52(2):103-112, 2012

The natural world functions very well on its own. Left to their own devices, members of the tens of millions of species on our planet thrive and prosper without relying on outside agencies.

In order to grow abundantly, plants consume carbon dioxide, water, and nutrients from the soil. Likewise, herbivorous animals consume plants whereas carnivorous animals consume other animals. Insects eat a wide variety of foods, including plants, fruit, other insects, detritus (dead leaves, stems, and twigs), and even blood. Many types of bacteria and fungi recycle decomposing matter. Whales, the top predator in the oceans, may consume more than a ton of plankton per day in addition to fish, squid, and other crustaceans.

Every member of every species excepting humans (Homo sapiens sapiens) obtains everything it needs from the environment. Modern humanity is the only species for which the abundance provided by the global ecosystem is insufficient.

For instance, mountain lions, raccoons, and coyotes don't need sleeping pills. But humans spend more than $1.5 billion per year on the sleep aid Ambien. Dolphins, antelope, and bluebirds don't have problems with blood glucose levels. In stark contrast, the annual cost of diabetes medications in the United States was $12.5 billion in 2007. In the wild, oak trees, tuna, and elephants don't need nutritional supplementation. Humans, however, spend more than $23 billion annually in the United States alone. What is wrong with this picture?

As a species, humans have the unprecedented ability to manipulate and drastically alter the world in which we live. Also aside from epidemic infectious disease, there exists no natural check on human population growth. As populations expand, resources become scarce. Populations flocking to urban enclaves not only leave behind the countryside but also local sources of fresh fruits, vegetables, meat and poultry. Canning, packaging, and transportation of food over long distances become necessary to supply the energy needs of cities. But only calories and not much else are obtained by these methods. Energy is provided but food quality is substantially reduced.

Chronic disease becomes widespread. Diabetes, cardiovascular disorders including high blood pressure, heart attacks, and stroke, and obesity are all the direct result of a severely compromised food supply.1,2,3

Our disconnect from the natural world poses many additional challenges. Our bodies were designed to meet the demanding physical requirements of a hostile environment. But for the most part we don't do physical work anymore. If we don't find satisfactory substitutes for strenuous physical activity our musculoskeletal, metabolic, and endocrine systems easily deteriorate. The consequences include osteoporosis, chronic aches and pains, gastrointestinal problems, and anxiety and depression.

It takes a lot of effort to maintain good health when we're so far removed from the natural world. We need to make sure our diets are healthy and we need to get sufficient and regular strenuous exercise. The short- and long-term benefits include happiness, self-esteem, and ongoing well-being.

1Kesse-Guyot E, et al: Adherence to nutritional recommendations and subsequent cognitive performance: findings from the prospective Supplementation with Antioxidant Vitamins and Minerals 2. Am J Clin Nutr Nov 24 2010 (Epub ahead of print)
2Wolfe AR, et al: Dietary protein and protein-rich food in relation to severely depressed mood: A 10 year follow-up of a national cohort. Prog Neuropsychopharmacol Biol Psychiatry Nov 22 2010 (Epub ahead of print)
3Pekmezi DW, Demark-Wahnefried W: Updated evidence in support of diet and exercise interventions in cancer survivors. Acta Oncol Nov 24 2010 (Epub ahead of print)

In April 2010 the BP Deep Horizon drilling rig exploded in the Gulf of Mexico, resulting in a catastrophic offshore oil spill. Millions of barrels of oil have spilled into the Gulf since the explosion, representing an unprecedented environmental disaster. Many complex ecosystems are affected by the oil spill, ranging from the Louisiana bayous and associated wetlands to as-yet-unexplored deep ocean ecologies.

The Deep Horizon explosion has focused public attention on ocean, gulf, and wetlands ecologies. The grave threats posed to these environmental ecosystems can also focus attention on our own internal ecosystems.

We tend not to think of our human physiology in terms of ecosystems. But in fact the analogy is a close one. For example, water comprises approximately 70% of the earth's surface. The amount of water in the adult human body is estimated at between 60 and 70%. This is a startlingly similar correspondence. Water is the basis for human physiology, as it is the basis for the existence of life on earth. Our physiologic water is subject to the same ecologic stresses as is the water in our external environment.

Human blood is composed of approximately 90% water by volume. Your body attempts to control certain characteristics of blood very closely. For example, the acid-base balance of blood is maintained within a very tight range - a pH between 7.35 and 7.45. Blood levels of calcium are also tightly controlled, within a range of 8.5 to 10.5 milligrams for every 100 milliliters of blood. Lower calcium levels will cause calcium to be leeched out of bone to restore blood levels to within the normal range.

Just as oil has been washing up on the shores of the Louisiana coastline for many months during 2010, your body's internal coastlines can be similarly breached. Prolonged elevated blood levels of cholesterol, for example, will cause cholesterol to "wash up" on the surfaces of cells lining the walls of small blood vessels. These endothelial cells normally constitute an effective barrier, protecting the structures of arterioles and capillaries. But these cardiovascular coastlines can be damaged by cholesterol "spills", resulting in formation of arteriosclerotic plaque and narrowing of small blood vessels.1

Similarly, high levels of blood glucose (as in diabetes) can cause these simple sugars to wash up on the shores of small blood vessels in the kidney, retina, and nerves. Serious damage to kidneys, the eyes, and nerves can result.2,3

Failure to take appropriate precautions and heed warning signs is the likely cause of the Deep Horizon explosion. In order for us to ongoingly maintain a healthy inner ecology, we need to do what was not done in this oil-drilling operation. Making proactive lifestyle choices is a key to creating and supporting an inner ecology that will reward us with long-term health and well-being.

Engaging in regular chiropractic care is a one such lifestyle choice that helps support a healthy inner ecology.

1Gooding HC, de Ferranti SD: Cardiovascular risk assessment and cholesterol management in adolescents: getting to the heart of the matter. Curr Opini Pediatr May 17 2010 (ahead of print)
2Shogbon AO, Levy SB: Intensive glucose control in the management of diabetes mellitus and inpatient hyperglycemia. Am J Health Syst Pharm 67(10):798-805, 2010
3Stolar MW, et al: Managing type 2 diabetes: going beyond glycemic control. J Manag Care Pharm 14(5 Suppl B):S2-S19, 2008

Everyone is aware of the extremely high cost of most health care services. These costs can be measured not only in cash outlays, but also in time spent at a doctor's office. Waiting times can often be an hour or more for a comprehensive physical examination at a family physician's or internist's office. If you have a problem that requires same-day attention, the waiting time at a local hospital emergency room is open-ended and can easily range into several hours or more.

Those fortunate enough to have health insurance are able to buffer some of the monetary expenses. But even with an individual or family health insurance policy, annual out-of-pocket costs continue to rise steeply as monthly premiums, co-payments, and deductibles increase substantially year-over-year. For example, during the past five years monthly premiums for many policies have increased 15% or more annually. This means that monthly payments in 2013 would be approximately double those paid in 2008. Twice the cost for the same coverage. That's a tough situation. Of course, the fees don't stop at the monthly premium. Many policies have deductibles in the range of $5000 or more.

Thus, if we want to enjoy good financial health as well as good physical health, we might consider getting a "personal" health insurance policy. Such a "policy" requires more effort than that involved in writing a check. Your personal health insurance policy involves taking action in the two main lifestyle areas of diet/nutrition and exercise. A third lifestyle area, often ignored, involves personal well-being. This area includes building increasingly positive family relationships and friendships and developing a broader set of interests beyond one's favorite television stations and websites.

It is now well-established that lifestyle matters greatly to one's long-term health and well-being.1,2 Numerous studies have shown that one in three Americans have one or more chronic diseases - diabetes, heart disease, and cancer. The personal and family costs, the financial costs, and the costs to society of chronic disease are high. By establishing habits of good nutrition, regular vigorous exercise, and rewarding relationships and activities, we help prevent these major health problems.3 By engaging in healthy lifestyles, we are taking action that will reap many rewards for ourselves and our families down the years.

The only requirement to begin receiving the benefits of improved health is the willingness to get started. Even if you haven't done any regular exercise for many years, or if you can't remember the last time you ate a serving of broccoli, fennel, or kale, you can still start the journey to better health today. And if you begin, it's very possible that you'll look back after 12 months, 6 months, or even 3 months and be very glad you did.

1Thorgeirsson T, Kawachi I: Behavioral Economics: Merging Psychology and Economics for Lifestyle Interventions. Am J Prev Med 44(2):185-189, 2013
2Anderson AS, et al: Promoting changes in diet and physical activity in breast and colorectal cancer screening settings- an unexplored opportunity for endorsing healthy behaviours. Cancer Prev Res 2013 Jan 16 (Epub ahead of print)
3Mitra A, et al: Mechanistic studies of lifestyle interventions in type 2 diabetes. World J Diabetes 3(12):201-207, 2012

Overweight and obesity are common health problems worldwide. Food plans that work - those that help people lose weight and help them keep the weight off - embody only a few simple principles. These weight loss secrets include eating five or six small meals each day, combining protein and carbohydrates at each small meal (food combining), eating at least five portions of fresh fruits and vegetables every day, and drinking plenty of water.1,2

Water is essential to human life. In fact, our bodies are composed of about 70% water. All our biochemical reactions take place in a watery environment. Therefore, drinking plenty of water is a critical part of any healthy food plan. Actually, drinking enough water is the most important nutritional advice anyone can give to anybody.

So drinking enough water every day would seem to be a no-brainer. But hardly anyone does it. And the simple fact is that if you're not drinking enough water your internal environment is toxic. That's right - toxic.

Water helps flush away waste products of metabolic activities. Not enough water means that waste products accumulate, irritating nerve endings and interfering with normal physiology. Bottom line - your skin breaks out, people start to offer you Tic-Tacs, you become irregular, you develop allergies and asthma, you don't sleep well or need extra sleep to feel rested, you are irritable and nervous, and you start having headaches. Any or all of these.

These are real problems, and the list could go on.3 The common solution - drink sufficient water. Once people begin drinking enough, they report that lots of physical problems automatically improve. They sleep better, headaches go away or are less troublesome, their skin clears up, allergies improve, and their digestive systems function more normally. All this from just taking the time to drink more water. Pretty amazing.

In terms of weight loss, drinking enough water helps support your exercise program and helps support healthy nutrition. If you don't drink enough water, you won't be able to build the new fat-burning muscle cells you're hoping to build with exercise. If you don't drink enough water, you won't be able to properly metabolize carbohydrates. Instead of being used for energy, these carbs will be stored as fat. Drinking enough water helps ensure you get the weight-loss results you want to get.

How much water is enough? Recommendations range from six to eight to ten glasses per day. However, there is such a thing as water toxicity. You don't want to overload an unprepared system. If you're used to drinking no water, which is true for many people, start by drinking two or three glasses in a day. Get used to that for a week, and then drink four glasses a day for a week, and build up to six or so glasses a day.

A very good rule of thumb is this - if you're thirsty, it's already too late. Hikers know this. If you're hiking and you become thirsty, you're on your way to feeling light-headed and getting a headache. All of a sudden you lose your footing or take a wrong turn and get lost.

Hikers know they need to drink water throughout the hike to stay alert and keep their mind sharp. So hikers continually take small sips of water, all along the way.

We want to do the same - drink water throughout the day.

1Daniels MC, Popkin BM: Impact of water intake on energy intake and weight status: a systematic review. Nutr Rev 68(9):505-521, 2010
2Dennis EA, et al: Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring) 18(2):300-307, 2010
3Roussel R, et al: Low water intake and risk for new-onset hyperglycemia. Diabetes Care 34(12):2551-2554, 2011

It's well-known that one-third of American adults are overweight and an additional one-third are obese.1 In addition, 17% of U.S. children and adolescents are obese.2 Worldwide statistics are similar. These facts are strongly associated with ongoing epidemics in diabetes and cardiovascular disease. Diabetes may cause loss of vision, kidney problems, and loss of circulation in the legs and feet. Cardiovascular disease includes high blood pressure, stroke, and heart attacks. Being overweight or obese may cause diseases which require lifelong treatment. Personal action is needed to begin to restore good health, but it's important to understand the specific nature of the actions to take.

What is not required is a drastic reduction of body weight to some idealized norm of "thinness." It is not appropriate for people to attempt to force themselves to look like runway models. What does work is applying simple techniques and strategies to encourage a gradual loss of weight. Over time persons on such a plan will achieve a body weight that is normal for them. There are two key steps to reaching your normal weight.

The first step is to reduce your overall intake of calories by eating six small meals a day. If five small meals works best for your schedule and daily needs, that’s fine. The main point involves total calories. With six small meals, each one is about 300 calories - a little less for women and a little more for men who are taller and more heavily muscled. For men the daily calorie intake is between 1800 and 2100 calories. For women, the daily calorie intake is between 1700 and 1800 calories. By experimenting a bit, you’ll find your optimal calorie level that results in consistent weight loss. Make sure to combine complex carbohydrates and protein at each small meal. The numerous benefits of food combining include maintaining insulin levels in a normal range and improved cognitive/mental function.

For many people, this reduction in daily calories will have an immediate and dramatic impact. There may be real hunger pangs, and it will be important to remember that the next small meal is only a couple of hours away. The pounds you lose in the first couple of weeks will likely provide plenty of reinforcement to help you through the times when you are really hungry.

The next and simultaneous step is to begin a program of regular, vigorous exercise. Of course, if you haven't exercised in a long time you'll need to start slowly. Your goal is to build up to 30 minutes of vigorous exercise five times per week.3 Ideally you'll be doing both cardiovascular exercise and strength training, and in the process you'll build lean muscle mass. The result is an elevation in your basal metabolic rate which causes your body to burn fat even while you're resting!

As you follow these two health-promoting programs, you will notice that you're steadily and gradually losing weight. There will come a time, anywhere from 6 months to a year after you've begun your new lifestyle, when your weight loss will stop. For example, you'll notice you only lost half a pound over the previous week or two. Then you'll know that you've reached your "ideal" body weight. You've reached the weight that is normal for you. It is very likely that your new body mass index (a ratio between your height and weight) is now in the normal range or very close to the high end of normal. You've taken control of your health and your life, and the very good news is that you've built new habits that will last a lifetime.

1Ogden CL, et al: Prevalence of obesity in the United States, 2009-2010. NCHS Data Brief No. 82. National Center for Health Statistics, Centers for Disease Control and Prevention, January 2012
2Waters E, et al: Interventions for preventing obesity in children. Cochrane Database Syst Rev 7(12):CD001871, 2011
3Centers for Disease Control and Prevention: Vital signs: walking among adults - United States, 2005 and 2010. MMWR Morbid Mortal Wkly Rep 61:595-601, 2012

Humans appear to be hard-wired for modest levels of anxiety as a fear-arousal warning mechanism. Anxiety may be characterized as uneasiness, fear, worry, and apprehension. Anxiety is a common psychological state in which the basic message is "get away from this situation". The state is usually accompanied by numerous physiologic components including surges of the hormone adrenaline, increased heart rate and elevated blood pressure, and increased blood flow to the major muscle groups as the body prepares for "fight or flight".

These are all normal responses to environmental threats. The overall process is orchestrated by the amygdala and hippocampus, two regions of the brain's limbic system which process memory, emotional response, and spatial navigation. But for many people, if anxiety states become frequent and prolonged by various developmental circumstances in childhood and their teenage years, they may begin to respond to perceived rather than real threats. The anxiety state may persist and even become the default condition for the individual.

Those with chronic anxiety may experience chronic back pain,1,2 chronic muscular tension, fibromyalgia,3 headaches, chest pain, shortness of breath, and heart palpitations. Chronic anxiety may cause a person to anticipate the worst, to have ongoing feelings of dread, to be constantly irritable and tense, and to experience panic attacks. Eventually the person may become worn out from the constant drain on their inner resources and a likely outcome is depression. The person simply cannot take any more stress.

Chronic anxiety has a specific impact on the musculoskeletal system. Persistently elevated levels of adrenaline create ongoing tension in the postural muscles of the lower back and the weight-bearing, antigravity gluteal muscles, pelvic musculature, and hamstrings. The long-term results may include chronic lower back pain, inflammation of the sciatic nerve, and lumbar disc disease. Of course, any of these health problems create more anxiety for the person, establishing a vicious circle of anxiety, pain, more anxiety, and more pain.

Solutions for chronic anxiety usually require multidisciplinary holsitic approaches. Nutrition, for example, is a key factor in restoring a person's homeostatic mechanisms. Significantly reducing one's intake of simple carbohydrates - soda, muffins, cookies, cake, fast food, and even juice - will often have a substantial impact. Making sure to have five servings of fresh fruits and vegetables every day will also provide great benefit.

Chiropractic care can frequently provide considerable assistance to those with chronic anxiety. By normalizing activity within the musculoskeletal system and reducing muscular stress and tension, chiropractic care helps eliminate an unnecessary source of biochemical and physiologic stress.

1Newcomer KL, et al: Anxiety levels, fear-avoidance beliefs, and disability levels at baseline and at 1 year among subjects with acute and chronic low back pain. Phys Med Rehabil 2(6):514-520, 2010
2Hurley DA, et al: Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial. BMC Musculoskeletal Disord 11:70, 2010 [11 pages]
3Silverman S, et al: Toward characterization and definition of fibromyalgia severity. BMC Musculoskeletal Disord 11:66, 2010 [9 pages]

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