The 10 Warning Signs of Serious Low Back Pain

By “serious” back pain, I mean potentially life-threatening or disabling.

The warning signs in no particular order:

  1. recent trauma
  2. recent intravenous drug abuse
  3. unexplained weight loss
  4. osteoporosis
  5. history of cancer
  6. prolonged pain
  7. disabling symptoms
  8. immunosuppression (compromised immune system for any reason)
  9. age over 70
  10. progressive focal neurologic deficits, such as loss of bowel or bladder control, numbness, weakness on one side, impaired gait
A position you'll see in the Five Tibetan Rituals for prevention and treatment of back pain

A position you’ll see in the Five Tibetan Rituals for prevention and treatment of back pain

Low back pain is the most common musculoskeletal disorder worldwide.  Eighty percent of us will suffer from it at some point.  For most, a specific cause cannot be established with certainty.  But if you have one of the 10 warning signs of serious back pain, be sure to see a doctor soon.

Steve Parker, M.D.

Mass Murder and Mental Illness

“Taking guns away from single women who live alone and other law-abiding citizens without mental illnesses will do nothing about the Chos, Loughners, Holmeses or Lanzas. Such people have to be separated from civil society, for the public’s sake as well as their own. But this is nearly impossible because the ACLU has decided that being psychotic is a civil right.

Consequently, whenever a psychopath with a million gigantic warning signs commits a shocking murder, the knee-jerk reaction is to place yet more controls on guns. By now, guns are the most heavily regulated product in America.

It hasn’t worked.”

– Ann Coulter

189 Reasons to Set Up a Home Gym

Health on Today reports on a survey of gym gross-outs.

I have a home gym: Schwinn Air-Dyne stationary bike, treadmill, weight bench, and a set of dumbbells.  No gym fees, travel time, or gross-outs.  

Should You Wear a Lumbar Weight Belt When Strength Training?

“…weight belts seem to provide one major benefit (limiting rotation). On the other hand, they provide no protection from another vulnerable movement (flexion), pose an additional threat for the cardiovascular system, and provide a sense of overconfidence that could increase orthopedic or muscular injury risk.”

Read the rest at Sean Preuss’ blog.  He’ll remind you how to lift heavy objects more safely.

Is Sugar Replacing Fat as the Cause of Heart Disease?

In the 1950s, John Yudkin wrote a book, Pure, White, and Deadly, blaming sugar as the primary cause of heart disease (coronary heart disease).  The idea didn’t gain enough traction and the dietary fat theory of heart disease became the reigning dogma.  Now that the latter theory has been discredited, researchers are looking at sugar again.

The British Medical Journal has a pertinent article you may enjoy, if you enjoy these sorts of things.  I quote:

“In recent years, and slowly, the sugar hypothesis has been making a comeback, driven in part by the emerging perception of heart disease as a consequence of what’s now described as the metabolic syndrome: obesity, dyslipidaemia, raised blood pressure, and insulin resistance. Although there is still no consensus about the causes of the syndrome, an excess of fat in the liver—a response to dietary sugar—is one of the acknowledged possibilities.  Fructose, found in large quantities in nearly all added sugars, is known to increase lipogenesis in the liver and the synthesis of hepatic triglyceride.”

 

Eggs Don’t Cause Heart Attacks or Strokes After All

At least in the general population according to a new meta-analysis reviewed at Forbes. We still have a question about high egg consumption linked to heart attacks in diabetics.   

Resistance Versus Aerobic Training

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Resistance or weight training may be just as effective as, or even superior to, aerobic training in terms of overall health promotion.  Plus, it’s less time-consuming according to a 2010 review by Stuart Phillips and Richard Winett.

I don’t like to exercise but I want the health benefits.  So I look for ways to get it done quickly and safely.

Here’s a quote:

A central tenet of this review is that the dogmatic dichotomy of resistance training as being muscle and strength building with little or no value in promoting cardiometabolic health and aerobic training as endurance promoting and cardioprotective, respectively, largely is incorrect.

Over the last few years (decade?), a new exercise model has emerged.  It’s simply intense resistance training for 15–20 minutes twice a week.  It’s not fun, but you’re done and can move on to other things you enjoy.  None of this three to five hours a week of exercise some recommend.  We have no consensus on whether the new model is as healthy as the old.

More tidbits from Phillips and Winett:

  • they hypothesize that resistance training (RT) leads to improved physical function, fewer falls, lower risk for disability, and potentially longer life span
  • only 10–15% of middle-aged or older adults in the U.S. practice RT whereas 35% engage in aerobic training (AT) or physical activity to meet minimal guidelines
  • they propose RT protocols that are brief, simple, and feasible
  • twice weekly training may be all that’s necessary
  • RT has a beneficial effect on LDL cholesterol and tends to increase HDL cholesterol, comparable to effects seen with AT
  • blood pressure reductions with RT are comparable to those seen with AT (6 mmHg systolic, almost 5 mmHg diastolic)
  • RT improves glucose regulation and insulin activity in those with diabetes and prediabetes
  • effort is a key component of the RT stimulus: voluntary fatigue is the goal (referred to as “momentary muscular failure” in some of my other posts)
  • “In intrinsic RT, the focus and goal are to target and fatigue muscle groups.  A wide range of repetitions and time under tension can be used to achieve such a goal.  Resistance simply is a vehicle to produce fatigue and only is adjusted when fatigue is not reached within the designated number of repetitions and time under tension.”

Our thesis is that an intrinsically oriented (i.e., guided by a high degree of effort intrinsic to each subject) program with at minimum of one set with 10–15 multiple muscle group exercises (e.g., leg press, chest press, pulldown, overhead press) executed with good form would be highly effective from a public health perspective.

The authors cite 60 other sources to support their contentions.

These ideas are the foundation of time-efficient resistance training of the sort promoted by Dr. Doug McGuff, Skyler Tanner, Fred Hahn, Chris Highcock, James Steele II, and Jonathan Bailor, to name a few.

Only a minority will ever exercise as much as the public health authorities recommend.  This new training model has real potential to help the rest of us.

Steve Parker, M.D.

Reference:  Phillips, Stuart and Winett, Richard.  Uncomplicated resistance training and health-related outcomes: Evidence for a public health mandate.  Current Sports Medicine Reports, 2010, vol. 9 (#4), pages 208-213.

Women Cut Risk of Heart Disease With Berries

“Young and middle-age women whose diet included high levels of anthocyanins — the flavonoids present in red and blue fruits such as strawberries and blueberries — had a significantly reduced risk for myocardial infarction (MI), a large prospective study found.”

Read the rest at MedPageToday.

The protective dose  seems to be “over three servings” strawberries or blueberries per week.  Does it work for men, too?  This report didn’t address that.  I’m eating my berries!

Berries are part of all my diet programs (Advanced Mediterranean, Low-Carb Mediterranean, and Ketogenic Mediterranean).

 

Fast Food Linked to Allergies in Kids

“Children and teens who ate fast foods multiple times a week were at an increased risk for severe asthma, rhinoconjunctivitis, and eczema, researchers found.”

Read the rest at MedPageToday.

This is likely related to the improvement in asthma seen in followers of the Mediterranean diet.  Do ya’ think it’s something in the food?

QOTD: Bryan Goldberg on Generational $ Transfer

“Finally, young people need to understand how much their grandparents’ generation has ruined things for them. The average American retires with less than $70,000 in savings, but an elderly man and woman receive about $275,000 in medical care during that time — and you kids are paying for it by inheriting trillions upon trillions in Medicare bills that granny and grandpa never intended to pay and will be too dead to worry about soon.”

– Bryan Goldberg