Thursday, May 30, 2013

Does Januvia cause Pancreatic Cancer?

Dr. Peter C. Butler initially declined a request by the drug maker Merck to test whether its new diabetes drug, Januvia, could help stave off the disease in rats.


 

“I said, I’m not interested in your money, go away,” Dr. Butler recalled.
Merck no doubt now wishes it had. When Dr. Butler finally agreed to do the study, he found worrisome changes in the pancreases of the rats that could lead to pancreatic cancer. The discovery, in early 2008, turned Dr. Butler into a crusader whose follow-up studies now threaten the future of not only Januvia but all the drugs in its class, which have sales of more than $9 billion annually and are used by hundreds of thousands of people with Type 2 diabetes.
 
Read the entire article...
 
Work Smarter, Not Harder!
 
Dr David Marcon
Marcon Chiropractic & Wellness Center
www.marconchiropractic.com
 

Tuesday, May 28, 2013

Painkillers for Back Pain Linked to Erectile Dysfunction

 

Painkillers for Back Pain Linked to Erectile DysfunctionMen regularly using prescription painkillers for back pain are more likely to have erectile dysfunction, according to a new study from the journal Spine.
Long-term use prescription painkillers, known as opioids, have been linked to a number health of problems, and researchers sought to understand the effects the drugs on men with back pain. They analyzed the medical records of more than 11,000 men with back pain and examined how often they received prescriptions for opioids, testosterone replacements or ED medications.
Only 7% of men not using opioids were prescribed ED medications, compared to 19% of men using high-dose opioids for at least four months. Even after adjusting for age, men taking high-doses of opioids were 50% more likely to have ED prescriptions.
Although this doesn’t mean that opioids caused ED, the association is still something that doctors and patients should be aware of, said lead researcher Richard Deyo, MD, MPH, of the Oregon Health and Science University.
The use opioids more than quadrupled from 1999 to 2010, according to the CDC. One recent study from the journal Pain estimated that as many as 4.3 million American adults are regularly taking opioids.
Deyo explained that while opioid use is appropriate in some cases, there is “increasing evidence” that long-term use can trigger addictions, fatal overdoes, sleep apnea, falls in the elderly, decreased hormone production, and now, erectile dysfunction.
For the study, Deyo and colleagues identified 11,327 men from Oregon and Washington who received medical care for back pain in 2004. They analyzed the patient’s pharmacy records for the six months before and after visiting their doctor for back pain.
Men taking opioids for less than three months were considered to have “acute use”; while those taking opioids for more than three months were categorized as “episodic use” and those using opioids for four months or longer had “long-term use.” Taking more than 120 mg of morphine equivalent was considered high-dose use.
While men receiving high-doses of opioids for extended periods of time had the greatest risk, those taking lower doses of opioids also had a higher risk of ED than men not using the drugs ( 12% vs. 7%). Men between the ages of 60-69 were more than 14 times more likely to have ED than men aged 18-29 years. Depression, use of sedative hypnotics, and other health conditions besides back pain were also associated with an elevated ED risk.
Earlier research has suggested that opioids may also worsen disability in back-pain patients. Men with back pain can avoid the potential risks of painkillers with conservative treatments like chiropractic care. Rather than masking the symptoms, chiropractic care can address the root of your pain to provide long-term relief. In fact, studies suggest that chiropractic  is more effective for back pain than some medications.

Reference
Deyo RA, et al. Prescription opioids for back pain and use of medications for erectile dysfunction. Spine 2013; 38(11):909-15. doi: 10.1097/BRS.0b013e3182830482.

Friday, May 17, 2013

Will your back pain become chronic?


Back pain, like other health problems, should now be “considered as a chronic recurring condition” argue the authors of a new study on acute low-back pain. The authors found that symptoms of acute and persistent low-back pain are likely to last longer than six weeks, and can even last up to a year. Since acute-low back pain is typically treated as a temporary problem, the research could significantly alter the way patients receive care.

The research was based on a meta-analysis of 11,000 patients with acute and persistent low-back pain gathered from several studies in a dozen countries.  In all countries, patients with acute and persistent low-back pain experienced substantial improvements in the first 6 weeks but often suffered from ongoing pain and disability thereafter. While the majority of acute low-back pain patients had recovered in 12 weeks, those with persistent pain were unlikely to recover within a year.*
This is the latest in a string of recent studies questioning the conventional notion that acute-low back pain is temporary. The authors suggested that patients be better educated about the likelihood of recurring episodes of low-back pain, and that doctors should reconsider how they manage back pain. Since back pain may be a long-term issue, the authors wrote that “a one-off visit when [the pain] is bad is not likely to provide the best outcome.”
Chiropractic has been shown to reduce the frequency of recurring back pain and may help you avoid developing chronic pain.

* In this study, acute low-back pain participants were defined as patients who had low-back pain for less than 6 weeks at that time they enrolled in a study; persistent low-back pain patients had pain for longer than 6 weeks at the time they enrolled in a study, but their pain had not yet become chronic.

Reference
Costa OP, Maher C, Hancock M, McAuely J, Herbert R, and Costa L. The prognosis of acute and persistent low-back pain: A meta-analysis. Canadian Medical Association Journal 2012; DOI: 10.1503/cmaj.111271.

Work Smarter; Not Harder!

Dr David Marcon
Marcon Chiropractic & Wellness Center

Wednesday, May 15, 2013

Ultra-low salt intake may not boost health: U.S. panel

"The influential Institute of Medicine, in a report to U.S. health officials, reviewed the latest data on the link between salt intake and health.
While blacks, diabetics and others more likely to have heart problems are urged to slash their salt intake, the IOM review showed there was limited evidence such a diet helped, and that too little salt might increase the risk of heart trouble."


Read more: 


Dr David Marcon
Marcon Chiropractic & Wellness Center
www.marconchiropractic.com

Thursday, May 9, 2013

Headaches & Chiropractic


If you have a headache, you're not alone. Nine out of ten Americans suffer from headaches. Some are occasional, some frequent, some are dull and throbbing, and some cause debilitating pain and nausea.

What do you do when you suffer from a pounding headache? Do you grit your teeth and carry on? Lie down? Pop a pill and hope the pain goes away? There is a better alternative.
 
Research shows that spinal manipulation – the primary form of care provided by doctors of chiropractic – may be an effective treatment option for tension headaches and headaches that originate in the neck.
 
A report released in 2001 by researchers at the Duke University Evidence-Based Practice Center in Durham, NC, found that spinal manipulation resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than a commonly prescribed medication.
 
Also, a 1995 study in the Journal of Manipulative and Physiological Therapeutics found that spinal manipulative therapy is an effective treatment for tension headaches and that those who ceased chiropractic treatment after four weeks experienced a sustained therapeutic benefit in contrast with those patients who received a commonly prescribed medication.
 
Headache Triggers
 
Headaches have many causes, or “triggers.” These may include foods, environmental stimuli (noises, lights, stress, etc.) and/or behaviors (insomnia, excessive exercise, blood sugar changes, etc.). About 5 percent of all headaches are warning signals caused by physical problems.
 
Ninety-five percent of headaches are primary headaches, such as tension, migraine, or cluster headaches. These types of headaches are not caused by disease. The headache itself is the primary concern.
 
“The greatest majority of primary headaches are associated with muscle tension in the neck,” says Dr. George B. McClelland, a doctor of chiropractic from Christiansburg, VA. “Today, Americans engage in more sedentary activities than they used to, and more hours are spent in one fixed position or posture. This can increase joint irritation and muscle tension in the neck, upper back and scalp, causing your head to ache.”
 
What Can You Do?
 
The ACA suggests the following:
  • If you spend a large amount of time in one fixed position, such as in front of a computer, on a sewing machine, typing or reading, take a break and stretch every 30 minutes to one hour. The stretches should take your head and neck through a comfortable range of motion.
  • Low-impact exercise may help relieve the pain associated with primary headaches. However, if you are prone to dull, throbbing headaches, avoid heavy exercise. Engage in such activities as walking and low-impact aerobics.
  • Avoid teeth clenching. The upper teeth should never touch the lowers, except when swallowing. This results in stress at the temporomandibular joints (TMJ) – the two joints that connect your jaw to your skull – leading to TMJ irritation and a form of tension headaches.
  • Drink at least eight 8-ounce glasses of water a day to help avoid dehydration, which can lead to headaches.
What Can a Doctor of Chiropractic Do?
 
Dr. McClelland says your doctor of chiropractic may do one or more of the following if you suffer from a primary headache:
  • Perform spinal manipulation or chiropractic adjustments to improve spinal function and alleviate the stress on your system.
  • Provide nutritional advice, recommending a change in diet and perhaps the addition of B complex vitamins.
  • Offer advice on posture, ergonomics (work postures), exercises and relaxation techniques. This advice should help to relieve the recurring joint irritation and tension in the muscles of the neck and upper back.
“Doctors of chiropractic undergo extensive training to help their patients in many ways – not just back pain,” says Dr. McClelland. “They know how tension in the spine relates to problems in other parts of the body, and they can take steps to relieve those problems.”

Work Smarter; Not Harder!

Dr David Marcon
Marcon Chiropractic & Wellness Center

Tuesday, May 7, 2013

Why Chiropractic Works: Research Explains Biology of Spinal Adjustments


Studies show that chiropractic can reduce musculoskeletal symptoms, and new research is beginning to explain why.
Musculoskeletal conditions like back pain and whiplash can affect your body’s ability to sense itself and its surroundings. Sensorimotor integration describes how our brain organizes and processes information, allowing it to detect changes in the environment and in ourselves. Without proper sensorimotor integration, we would not instinctively know how much effort to use when grasping or lifting an object, or where to turn when we hear a sound. In multiple studies, people with whiplash, fibromyalgia, neck pain, and back pain showed signs of sensory dysfunction, which has been linked to increased disability and pain.
Sensory dysfunction can cause a negative feedback loop in the way people process and experience pain. Joint dysfunction within the spine can alter how the central nervous system processes information, leading to poor muscle control and function, which increases disability and pain and contributes to more joint dysfunction.
Chiropractic spinal adjustments may disrupt this negative feedback loop to correct sensory dysfunction, according to a new study.1 In the study, the authors analyzed 15 years of research investigating the effects of chiropractic spinal adjustments on sensory function.
Scientists can assess sensory function by using tests that measure sensory-evoked potential (SEPs). The test involves placing small electrodes on a person’s arm and legs which generate electrical signals. Electrodes are also placed on the person’s head and spine that record how their central nervous system responds to these signals. This allows scientists to track how the brain transmits and processes information.
In three studies using these SEP tests in patients with neck pain, researchers found that spinal adjustments of the neck actually altered the nature of the electrical signals being fired off by the central nervous system. This suggests that that spinal adjustments do indeed impact how the central nervous system perceives and responds to pain.
In another study, patients with neck pain had reduced elbow joint positioning compared to healthy participants. Sensory dysfunction can impact your body’s ability to sense the position of limbs and joints, also known as proprioception. After receiving spinal adjustments, the neck-pain patients had more accurate elbow joint positioning, suggesting improvements in proprioceptive processing.2
Sensory dysfunction can also affect motor control, or your body’s ability to use muscles accurately. When performing a motion like throwing a ball, the central nervous system must activate several postural trunk muscles to help you maintain postural stability as you throw. Studies show that people with low-back pain have delayed reaction time when activating these muscles. In one study of people with back pain, chiropractic spinal adjustments reduced this delayed response time to improve muscle reflex and motor control.3
The authors suggested that chiropractic spinal manipulation may alter somasensory processing, sensorimotor integration, and motor control, which may correct sensory dysfunction in patients with musculoskeletal conditions. This could improve joint and motor function while reducing disability and pain. Although more research is needed to understand these complex biological processes, the findings suggests that changes in sensory function may be a central mechanism behind the pain-alleviating effects of chiropractic spinal adjustments.
In addition to altering the central nervous system, recent research suggests that chiropractic spinal adjustments can affect the immune system which may improve your response to inflammation and infection.

Reference
1. Haavik H, Murphy B. The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology 2012; 22: 768-776.
2. Haavik H, Murphy B. Subclinical neck pain and the effect of cervical manipulation on elbow joint position sense. Journal of Manipulative Physiological Therapeutics 2011;34:88–97.
3. Marshall P, Murphy B. The effect of sacroiliac joint manipulation on feed-forward activation times of the deep abdominal musculature. Journal of Manipulative Physiological Therapeutics 2006;29(3):196–202.

Thursday, May 2, 2013

Cabeza de Vaca: Supernaturalism and psychosomatic disorders

Some doctors command respect with their confidence and unwavering conviction that they alone hold the key to the patient's recovery.  The "God Complex" has been villainized but does the Doctor's demeanor have an effect on patient outcomes nonetheless?  Ed Kock recently posted this piece that has me wondering how much a patient's mental state can create or correct physical ills.  And if this has some bearing in health, does the proliferation of information on the internet and other forms of media cause us to doubt our physicians when healing doesn't come immediately?


Dr. David Marcon

Marcon Chiropractic & Wellness Center




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Andrew Weil, a major proponent of the idea of self-healing ( 1), has repeatedly acknowledged the influence of osteopaths such as Robert C. Fulford ( 2) on him, particularly regarding his philosophy of health management. Self-healing is not about completely autonomous healing; it is about healing by stimulation of the body's self-repair processes, which in some cases can be achieved by simply reducing stress.

Interestingly, there are many reported cases of osteopaths curing people from various diseases by doing things like cranial manipulation and other forms of touching. We also have much evidence of health improvement through prescription of drugs that don’t appear to have any health benefits, which is arguably a similar phenomenon.

The number of such reported cases highlights what seems to be a reality about diseases in general, which is that they often have a psychosomatic basis. Their “cure” involves making the person affected believe that someone can cure him, a healer, with or without drugs. The healer then cures the person essentially by her power of suggestion.

Paleoanthropological evidence suggests that this healer-induced phenomenon has always been widespread among hunter-gatherer cultures, so much so that it may well have been the result of evolutionary pressures. If this is correct, how does it relate to health in our modern world?

I am very interested in hunter-gatherer cultures, and I have also been living in Texas for almost 10 years now. So it is only natural for me to try to learn more about the former hunter-gatherer groups in Texas, particularly those who lived in the area prior to the introduction of horses by the Europeans.

There are parks, museums, and other resources on the topic in various parts of Texas, which are at driving distance. Unfortunately much has been lost, as the Plains Indians of Texas (e.g., Comanches and Kiowas) who succeeded those pre-horse native groups have largely been forcibly relocated to reservations in Oklahoma.

Anthropological evidence suggests that the earliest migrations to America have occurred via the Bering Strait, initially from Siberia into Alaska, and then gradually spreading southward to most of the Americas between 13,000 and 10,000 years ago.

Much of what is known about the early Texas Indians is due to Álvar Núñez Cabeza de Vaca, a Spanish explorer who survived a shipwreck and lived among the Amerindians in and around Texas between 1528 and 1536. He later wrote a widely cited report about his experiences ( 3).


(Cabeza de Vaca and his companions; source: Biography.com)

In Spanish, “cabeza de vaca” means, literally, “cow’s head”. This odd surname, Cabeza de Vaca, clearly had a flavor of nobility to it in Spain at the time.

You may have heard that early American Indians were uniformly of short stature, not unlike most people at the time, but certainly shorter than the average American today. Cabeza de Vaca dispels this idea with his description of the now extinct Karankawas, a description that has been born out by anthropological evidence. The male members “towered above the Spaniards”, often 6 ft or taller in height, in addition to being muscular.

The Karankawas were a distinct indigenous group that shared the same environment and similar food sources with other early groups of much lower stature. This strongly suggests a genetic basis for their high stature and muscular built, probably due to the “founder effect”, well known among population geneticists.

Cabeza de Vaca and three companions, two Spaniards and one Moroccan slave, were believed by the Amerindians to be powerful healers. This enabled them to survive among early Texas Indians for several years. Cabeza de Vaca and his colleagues at times acknowledged that they were probably curing people through what we would refer today as a powerful placebo effect.

Having said that, Cabeza de Vaca has also come to believe, at least to a certain extent, that he was indeed able to perform miraculous cures. He repeatedly stated his conviction that those cures were primarily through divine intervention, as he was a devout Christian, although there are many contradictory statements in this respect in his reports (possibly due to fear from the Spanish Inquisition). He also performed simple surgeries.

Much has been written about Cabeza de Vaca’s life among the early Indians of Texas and surrounding areas, including the report by Cabeza de Vaca himself. One of my favorites is the superb book “A Land So Strange” ( 4) by Andrés Reséndez, a professor of history at the University of California at Davis ( 5).

The Spanish explorer’s experiences have been portrayed in the film “Cabeza de Vaca” ( 6), which focuses primarily on the supernatural angle, with a lot of artistic license. I must admit that I was a bit disappointed with this film, as I expected it to show more about the early Indians’ culture and lifestyle. Juan Diego, the Spanish actor portraying Cabeza de Vaca, was razor thin in this film - a fairly realistic aspect of the portrayal.

It is quite possible that modern humans have an innate tendency to believe in and rely on the supernatural, a tendency that is the product of evolution. We know from early and more recent evidence from hunter-gatherer societies that supernatural beliefs help maintain group cohesion and, perhaps quite importantly, mitigate the impact that the knowledge of certain death has on the mental health of hunter-gatherers.

Homo sapiens is unique among animals in its awareness of its own mortality, which may be a byproduct of its also unique ability to make causal inferences. Supernatural beliefs among hunter-gatherers almost universally address this issue, by framing death as a threshold between this existence and the afterlife, essentially implying immortality.

Yet, supernatural beliefs seem to also have a history of exploitation, where they are used to manipulate others. Cabeza de Vaca himself implies that, at points, he and his companions took personal advantage of the beliefs in their healing powers by the various indigenous groups with which they came into contact.

Modern humans who are convinced that they have no supernatural beliefs often perceive that to be a major advantage. But there could be disadvantages. One is that they may have more difficulty dealing with psychosomatic disorders. The conscious knowledge that they are psychosomatic could possibly pale in comparison with the belief in supernatural healing, in terms of curative power. Another potential disadvantage is a greater likelihood of suffering from mental disorders.

Finally, those who are sure that they have no supernatural beliefs; are they really correct? Well, subconsciously things may be different. Perhaps a good test would be to go to a “convincing” movie (i.e., not a laughable “B-level” one; for lack of a better word) about supernatural things, such as possession or infestation by evil spirits, and see if it has any effect on you.

If the experience does have an effect on you, even a small one, couldn't this suggest that your subconscious belief in the supernatural may not be so easy to control in a conscious way? I suspect that having no supernatural beliefs is unnatural and unhealthy. In most cases it probably creates a conscious-subconscious conflict, and a fairly pessimist view of the world.

My guess is that it is better to have those beliefs, in some form or another, and be on guard against exploitation.



Ned Kock
Ned Kock
Ned Kock is a college professor, business consultant, inventor, and software developer. He is the original developer of WarpPLS and HealthCorrelator for Excel (links above). He is the author of several books including Systems Analysis & Design Fundamentals and Compensatory Adaptation. He is also the editor of several books including Information Systems Action Research and Evolutionary Psychology and Information Systems Research.

His degrees are in electronics engineering (B.E.E.), computer science (M.S.), and business management (Ph.D.). Two of his main areas of formal academic research are nonlinear variance-based structural equation modeling, and evolutionary biology as it applies to the study of human-technology interaction. He also conducts independent research on health-related issues. Selected publications and contact informaton are available from his academic page, on the link above.

 He started developing software while in high school, and has developed software tools to automate various processes, including business analytics and data mining, detection and correction of deformities in metal axles, error detection and correction in telecommunication devices, health data analysis, inventory control, invoice management, optical character recognition, stock price analysis, structural equation modeling, and travel management.

His views expressed in blogs and elsewhere are his own and do not represent the views of his employer or any organization funding his research. He is not a medical doctor, and thus readers of his Health Correlator blog and other health-related writings should consult with their own medical doctors about their health.

Wednesday, May 1, 2013

Food Variety, Calorie Intake, and Weight Gain



"Increased variety in the food supply may contribute to the development and maintenance of obesity.  Thirty-nine studies examining dietary variety, energy intake, andbody composition are reviewed. Animal and human studiesshow that food consumption increases when there is more variety in a meal or diet and that greater dietary variety is associated with increased body weight and fat."
  

  2001 May;127(3):325-41.

Dietary variety, energy regulation, and obesity.

Source

Department of Psychology, University at Buffalo, New York 14214, USA

Variety may be the spice of life, but according to the above referenced study it also makes you fat.  It use to be usual for families to eat the same meal on the same night of the week.  I could always count on Meatloaf on Thursday or Spaghetti on Sunday.  Today, with a greater variety of foods and pseudo foods we still can't seem to be satisfied.  


Food for Thought:  


Plan a menu, shop for the plan meals and


do not stray from the Plan.  Save money, Save Time, Save 


Energy, Lose Weight?



Work Smarter, Not Harder!

Dr. David Marcon

Marcon Chiropractic & Wellness Center

www.marconchiropractic.com 

May Purification Program Special


If toxins are not eliminated from your body daily, you will likely have problems with:
  • Excess Weight Fatigue, Low Energy, Food Cravings, Joint and Muscle Pain, Acid Reflux
  • Skin Problems, High Cholesterol, Allergies, Sinus Anxiety, Depression, Bloating, Cramping
  • Headaches, Constipation, Trouble Sleeping, Hormonal Imbalance, Fibromyalgia
09purifylogo.jpgA lot of people detox to lose weight which is a very safe way to do so.  But the benefits of the Standard Process Purification Program go much deeper than weight loss.  Recently, a 66 year old female who suffers with Type II Diabetes, elevated Cholesterol, high Blood Pressure and chronic headaches started the Program.  After 11 days she reported daily blood sugar readings between 85-95 mg/dl!  More than 20 mg/dl drop in just 11 days.  She also reported that she did not have a headache since day two and her energy and sleep have also
 improved.  
If you decide to eat better, lose weight or take supplements do your body and wallet a favor and clean out your system with this Purification Program.  Adding good food and supplements into a toxic environment is a losing cause.

Purchase the Standard Process Purification Program in May and SAVE 25%


(Suggested Retail Price $223 +tax) 
Most Health Savings Accounts pay for this Program, call me for Details  (513) 474-1111



Work Smarter; Not Harder!

Dr David Marcon
Marcon Chiropractic  Wellness Center
www.marconchiropractic.com

May is Family Wellness Month



Ever notice that each month the government with the help of the media promotes a cause?  May has been deemed “Family Wellness Month”.   Sadly we are well aware of many of these causes such as Breast Cancer Awareness Month. But what exactly is Family Wellness?

By definition, Wellness is the state of and the active goal of good health.  Health, in turn, is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. 
One point that I have to share is that in order to even consider making physical changes to our health and wellness we all must first SLOW DOWN.  The refrain of “you can have it all” is a fallacy that is so ingrained in our culture that we spend considerable time and effort consuming with little time to enjoy the two biggest gifts we have; personal time and relationships.   

So how can we promote family wellness? Off the top of my head I have come up with a few.  Feel free to let me know of any you can come up with.

Get Physical Together
  • ·         Go on a family hike in any of the great park trails here in Hamilton County or East Fork State Park. 
  • ·         Work on the yard and gardens together
  • ·         Dust off the bikes and hit the Anderson Trail.
  • ·         Go to the gym as a family and workout together

Change That Diet
  • ·         For the month of May cut your weekly purchase of Sugary drinks (soda, juice, sports and energy drinks) and when they run out switch to water (non- bottled preferably)
  • ·         Shop a farmer’s market together
  • ·         Cook a healthy meal as a family

Socialize as a Family
  • ·         Arrange a game night with your children
  • ·         Take in a movie or play that piques everyone interest and discuss it afterwards over coffee or ice-cream
  • ·         Try a media free night; okay how about a media free hour?  Of course everyone has to be in the same room.

Humans “ape” each other.  How else could you account for the similarities in speech, mannerisms and diets that family members share?  Family Wellness encourages us to make healthy choices not only for our sake but also for the ones we love.   

Work Smarter; Not Harder!

Dr David Marcon
Marcon Chiropractic & Wellness Center