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5 Steps For Better Health If You Have a Chronic Illness or Pain

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Today, medical care is a highly specialized and compartmentalized business, and many physicians are pressured by significant time constraints. When your health problems are complex, it can be difficult and frustrating to find answers. Be your own advocate, don’t be afraid to ask questions, and seize control of your health.

5 Important Steps For Better Health When You Have a Chronic Illness or Pain

  1. Find An Expert. Chronic pain can undermine every aspect of your life – your work, relationships, recreational activities, self-esteem, and hope for the future. You want – and need – a pain specialist who is going to investigate the causes of your particular pain problem, strive to understand exactly how it has affected your life, and work with you to create and implement a personalized and comprehensive treatment strategy that fits the context of your life. You don’t have to just live with it. Chronic pain or illness should not define who you are and what you do.
  2. Understand Your Diagnosis. A diagnosis is not just a label; expect your doctor to provide you with resources to help you better understand your own condition; and expect him or her to lay out clear recommendations for your short and long-term treatment, including steps that you can take to assist with your own healing process.
  3. Understand the Value of Non-invasive Manual Therapies to Your Recovery. Seek out a physician who is knowledgeable about non-invasive manual therapies that will support your recovery. Ideally, you want a doctor who can recommend highly skilled manual practitioners who will communicate with your doctor about your progress and the need for adjustments in your ongoing medical care.
  4. Be Careful about Using Pain Medication. While medications may help with pain, some also have the potential to cause other problems with your health and quality of life. Be confident that the medication your doctor has prescribed for you is truly the most effective and least invasive way of treating your chronic pain problem.
  5. Understand All the Factors that May Be Contributing to Your Condition. Many times there are underlying, undiagnosed factors that may be contributing to your pain. Nutrition, emotional issues, hormone imbalances, biotoxicity or neurotoxicity, and sleep disorders can all cause inflammatory reactions in the body which can lead to a cascade of painful symptoms.

Chronic pain is a multi-faceted problem that requires a multi-disciplinary approach to diagnosing and treating your pain.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Updated September 16, 2024

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Listen Now: How Chronic Inflammation is Silently Destroying Your Brain and Body with Dr. Gary Kaplan

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Dr. Gary Kaplan was a recent guest on Rupa Health’s Root Cause Medicine Podcast hosted by Dr. Carrie Jones and Dr. Kate Henry.

Topics of discussion include

  1. Autoimmune diseases and chronic illnesses
  2. The impact of chronic inflammation on the brain and body
  3. The role of sleep in brain health
  4. PANS, PANDAS, and POTS
  5. How to find a doctor that listens to your symptoms

 

Episode: How Chronic Inflammation is Silently Destroying Your Brain and Body with Dr. Gary Kaplan

Labs mentioned

  • The Cunningham Panel
  • Lyme disease tests

Timestamps

00:00 – Intro
02:28 – Why are you still sick?
04:51 – Autoimmunity, infections, and chronic diseases
14:24 – Unveiling the inflammation mystery
24:15 – The Foundation for Total Recovery annual conference
25:43 – How brain inflammation shapes who we are
29:07 – Meditation, exercise, sleep, and brain health
34:08 – PANS, PANDAS, and POTS
36:49 – The Cunningham Panel
39:53 – Testing for tick-borne illnesses
44:56 – Holistic healing and the insurance dilemma
53:14 – Dr. Gary Kaplan’s key tip for well-being

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Lifestyle Medicine and Chronic Disease

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Changing behavior is hard. Changing the way we think about a topic, an issue, or a pattern that we routinely engage in is hard. In fact, making change is so difficult that there’s an entire field of psychology dedicated to it. It’s the science of behavioral change and it looks at how we make change successfully and why.

Whether it’s the ability to start exercising, eating healthier foods, or just doing things to reduce stress levels, change takes effort. For example, study after study shows that after starting a new diet, most people will eventually regain the weight they lost. Experts think that as many as 80 to 95% of dieters gain back the weight they worked so hard to lose. Although that’s a bit disheartening, the point is that making meaningful and lasting change is a process and not a quick fix. This is true for many things, but it is especially true for lifestyle habits that impact our health. And this is where lifestyle medicine enters the picture.

What is Lifestyle medicine?

Lifestyle medicine is a field of medicine that uses behavioral change psychology to help tackle the rising levels of chronic disease. Chronic problems like heart disease, obesity, stroke, hypertension, cancer, and diabetes are among the most prevalent and costly health conditions in the United States. Consider that approximately 60% of all Americans suffer from at least one chronic disease; and this number is only increasing.

Lifestyle medicine can play an important role in the management of chronic disease because many of these conditions revolve around the same lifestyle issues – exercise, healthy eating, restful sleep, ideal body weight and reducing the esposure of harmful substances. Furthermore, promoting healthier habits and reducing stress can serve as an important tool for lowering inflammation and mitigating pain and depression – components of many chronic diseases. We know from research that engaging in certain positive lifestyle changes early on can dramatically lower the risk of developing these illnesses in the first place.

Lifestyle medicine focuses on these key aspects of health:

Physical activity

Study after study shows that regular and consistent physical activity is one of the best ways to improve mood, health, and longevity.

Stress

Periods of stress that come and go are natural but if stress becomes a constant part of an individual’s life, it can have negative impact on health. Ongoing stress can affect heart health, digestion, mental wellbeing (mood, focus), and physical health.

Nutrition

Research has highlighted the benefits of a healthy and nutrient-rich diet in lowering inflammation and reducing the risk of heart disease, high blood pressure and other medical conditions. The role of good nutrition in overall wellbeing cannot be understated.

Restorative sleep

Good sleeping patterns and habits can help bolster the immune system, remove waste products from the brain, improve focus and physical energy, and help lower the risk of stroke, obesity, heart disease and high blood pressure.

Mental health

Human beings are social creatures and meaningful social connections make up a large part of one’s mental and spiritual well-being. Research has shown that individuals who have stronger social connections are more resilient and less likely to develop cognitive impairment.

Lifestyle medicine attempts to address all of these areas. It does not mean that all of these items need to be fixed in a jiffy; it just means that the importance of these factors and their role in good health should be recognized. If there is a particular area where changes can be made to improve your health, then a discussion should be had with your provider.

Where do you begin?

The first step is being open to change; self-motivation is key. You should educate yourself and be open to understand the benefits of the change you want to make to keep you motivated and focused on your goals. Can you foresee some challenges? Try o identify any barriers that are keeping you from moving forward and be prepared to deal with setbacks because they will happen. Be forgiving and keep moving forward.

For many, having an accountability partner or being a part of a structured program that considers the key aspects listed above can be the difference between success and failure. Lifestyle program teams are trained and experienced in these challenges and are supportive to those who are ready to embrace these changes.

Lifestyle medicine is relatively new as a field of practice and its principals are very similar to those of functional medicine (functional medicine also investigates and treats the root cause of disease and dysfunction). It sheds light on the importance of the day-to-day activities that we undertake, how they impact us, and why small changes can make a huge difference. Although change is hard, it is possible, and lifestyle medicine speaks to the tools and resources that we can use to help bring those positive changes about.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

 

References

https://www.acpm.org/initiatives/lifestyle-medicine/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876976/

https://health.clevelandclinic.org/why-people-diet-lose-weight-and-gain-it-all-back/

https://www.cdc.gov/chronicdisease/index.htm

https://pubmed.ncbi.nlm.nih.gov/21056174/

https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-science-of-sleep-understanding-what-happens-when-you-sleep

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985951/

 

 

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5 Ways to Strengthen a Weakened Immune System

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We have heard it a million times before. One of the keys to maintaining a robust immune system is lowering inflammation. An article published on MDLinx online mentions several ways we may unknowingly be weakening our immune system. Factors discussed in the article include:

  1. Eating foods that contain too much fructose
  2. High daily stress levels
  3. Lack of adequate sleep (…starting to sound familiar?)
  4. Sunburn
  5. Loneliness

None of the items above are particularly surprising – we know what’s good for our bodies (not fructose!) and our minds (definitely not stress) – so how does the immune system become compromised?

When inflammation goes awry

Inflammation is one of our body’s defense mechanisms; it’s a normal, healthy, and necessary biological function. When the body identifies a threat or a foreign invader, it releases inflammatory chemicals to initiate the repair process. But under repeated “assaults” it can remain in a state of heightened inflammation and this is when the trouble begins.

When the body is constantly producing inflammatory chemicals, the function of the Central Nervous System which controls most bodily functions is undermined and can compromise other systems like the immune system. When the immune system is weakened, the cells that are meant to help fight infection become damaged, and the body’s ability to fight disease is diminished. One can literally get caught in a debilitating cycle of cellular degeneration and dysregulation.

The items mentioned above, as well as any of the following, can contribute to a cycle of sustained inflammation when left untreated:

  • Undiagnosed bacterial or viral infections
  • Exposure to mold or other toxins
  • Physical trauma/concussions
  • Surgery
  • Undiagnosed food intolerance
  • Nutritional deficiencies
  • Anxiety disorders/ PTSD
  • Narcotic medications

Questions? Give Us a Call!

703-532-4892 x2

Reversing the cycle

If you notice that you’re often sick, fatigued, or have frequent digestive issues, it may be a red flag that your immune system is weakened. With a better understanding of how inflammation may be contributing to your condition, the next step is to initiate practices and, if necessary, seek treatments that will calm the inflammatory cycle. Here’s what helps:

  1. TRY AN ELIMINATION DIET. For six weeks, avoid all foods with wheat, soy, milk, and milk products (foods that often trigger allergies or sensitivities that promote inflammation). Eat only fresh fruits, vegetables, brown rice, fish, chicken, and eggs—these foods, in general, are the least likely to cause inflammation. After six weeks, add back one category of food—such as dairy—per week. Note whether these foods have a negative effect on your energy, mood, or level of pain. If so, eliminate that food from your diet entirely.
  2. MEDITATE. A 2020 review looking at the effects of mindfulness meditation on the immune system concluded that “mindfulness meditation appears to be associated with reductions in pro-inflammatory processes, increases in cell-mediated defense parameters, and increases in enzyme activity that guards against cell aging.”
  3. SLEEP. Make adjustments to your sleep environment and aim for at least 7 hours of sleep per night. This is at minimum what your body needs to be able to carry out important repair functions like reducing inflammation, tissue repair, and hormone production.
  4. CUT BACK ON OTC MEDICATIONS. Non-steroidal anti-inflammatory drugs (NSAIDs) like Advil, Motrin, and Aleve can cause gastrointestinal issues like intestinal ulcers and bleeding when taken chronically to manage pain. NSAIDs can also increase the risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. Taking pain relievers routinely to manage pain may actually cause your pain to worsen; the body begins to forget how to fight it on its own. Use OTC medications sparingly and try alternative therapies such as yoga and acupuncture as well as anti-inflammatory supplements* like turmeric.
  5. WHEN YOU NEED TO SEE A PHYSICIAN, CONSIDER ONE WHO PRACTICES FUNCTIONAL MEDICINE (FM). In looking for clues that may be contributing to symptoms of illness or disease a Functional Medicine physician will systematically assess and optimize six major areas of health, including the immune system. In doing so, FM doctors have a more complete picture of one’s overall health and underlying conditions or deficiencies that may be causing inflammation. FM doctors utilize several modes of treatment, including stress reduction & management, mind-body tools, improving nutrition, healing your gut, supporting detoxification, exercise, acupuncture, herbs/botanicals, IV Therapy, supplements, manual medicine, and when needed, medication.

*Ask your physician about any potential side effects or interactions before taking any new medicinal herbs and supplements.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

4 Ways We Can Keep Your Immune System Strong

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Now is the time to cultivate healthy living strategies like improving your diet, getting better sleep, losing weight, quitting smoking or vaping, cutting back on alcohol, or starting a regular exercise routine. Any of these changes will make a positive impact on your health, but sometimes the anxiety of making them can get in the way of getting started. If you need help setting and reaching any of your health goals, here are some ways we can help.

IV Therapy

Long-term vitamin and mineral deficiencies can wreak havoc on anyone’s health, not just the chronically ill (yes, that means you too!). IV Therapy is a highly effective way to deliver vital nutrients to the body whether you are looking to improve or maintain your health.

By restoring optimum levels of key nutrients, like Vitamin C (Modified Myers Cocktail), magnesium, glutathione, or NAD +, our IV patients see benefits that include an increase in energy, a decrease in stress, and improvements in mental focus and clarity. And unlike oral supplements, IV solutions are infused directly into the bloodstream and available for immediate use by your body.

IV Therapy is a natural and effective way to keep your immune system strong, keep your body hydrated, and minimize the negative health effects that come with life’s stressors.

More info →

Nutritional Counseling

Your body mirrors your diet. So, when you feel pain, fatigue, and anxiety, your body is trying to tell you something.

What we know is that chronic inflammation contributes to several pain conditions, as well as depression and other mental health disorders and that cutting out inflammatory foods can make a big difference. But we are not always successful in making those changes.

Professional nutritional counseling is a great way to tackle your personal health goals. Using the latest scientific research, years of clinical experience, and problem-solving skills, our providers can offer you help for every health concern, whether it’s managing an illness, reducing aches and pains, losing weight, or increasing energy and overall wellness.

More info →

Acupuncture for Sleep Management

Chronic sleep deprivation can impair the body’s immune system, physical reflexes, emotional stability, and cognitive functions. Severe sleep deprivation can result in weight gain, an increase in muscle and nerve pain, and even depression.

Acupuncture has been used to treat sleep disorders for thousands of years. Research supports acupuncture’s ability to calm the nervous system, increase melatonin levels, and increase periods of deep sleep (REM) to help restore healthy sleep patterns.

More info →

Functional Medicine Assessment

If you’re not sure where to begin, a Functional Medicine (FM) assessment is a great place to start. Using a systematic approach, we’ll take a close look at 6 major areas of health, including the immune system, to identify areas of imbalance or deficiencies that may be limiting your overall health or contributing to disease. Once identified, you and your doctor are ready to set goals and create a roadmap to achieve them. Because of its whole-health approach, an FM assessment and its recommendations can help prevent illness while optimizing your current state of health.

More info →

There is a lot you can do to keep your immune system strong. To make an appointment for any of the services listed above, or for more information, call 703-532-4892, ext. 2.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

 

 

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Functional Medicine: Evidence-Based Medicine With A Whole Body Approach

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When your doctor becomes a detective.

If you’ve never heard of functional medicine (FM) before or don’t know how it differs from conventional medicine, you’re not alone. Behind functional medicine is a wonderfully simple philosophy that treats the body as a whole, interconnected system which looks at mind, body, and spirit as contributing elements to a person’s overall state of health. Functional medicine is evidence-based medicine and seeks to identify the root cause of disease by probing into the unique history of a patient’s life and genetics, as well as environmental and lifestyle factors.

In contrast, conventional medicine can be one dimensional and often results in treatment by medication. In acute cases, this may be very appropriate, but because we are not one-dimensional beings in most cases there is much more to the story. When it comes to complex, chronic disease, many physicians are, unfortunately, not adequately trained – and often don’t have time – to assess what may be the underlying cause(s) and apply diet, nutritional supplementation, exercise, and awareness of lifestyle stressors that are contributing to their patient’s illness.

As FM practitioners, we look upstream to assess the interactions of the patient’s history, physiology, lifestyle, unique genetic makeup, and mind-body-spirit that affect the function of the body as a whole.

What does this look like in an initial evaluation?

As a functional medicine practitioner, I start by asking what their story is and often that story starts with “I was fine until…” This is when we need to put on our detective hats and go back in time to reveal clues that may typically be overlooked; sometimes even going as far back as the time of mom’s pregnancy! For example: What was your mom’s pregnancy like? Was there a Caesarean section or vaginal birth? Were you breast or bottle-fed? Were there a lot of antibiotics used in childhood?  The answers to these questions may indicate alterations of the microbiome in the gut (the bacteria that support our immune system). This is immensely important as research is uncovering a multitude of new data that shows how deeply interconnected our immune system is with the gut.

Other questions may include: Were there traumatic events in childhood or later? Was there ever exposure to environmental toxins like mold in the living or working environment?  Were there ever infectious exposures or injuries? What are the patient’s diet, exercise regimen, sleep and emotional support system like? Is there ongoing stress at work or in personal life? Every answer peels away another layer of the mystery.

Besides a comprehensive history, there are a number of functional medicine diagnostic tests that may be necessary. This could include a sleep study, digestive testing (stool, urine, breath), saliva testing to assess cortisol (which can indicate stress or inflammation), thyroid and other hormone testing, nutritional testing, mold, heavy metals, and infections like Lyme or Epstein Barr. A consultation with our dietitian, psychotherapist, meditation instructor, or treatments such as acupuncture, herbal therapy, massage therapy, physical therapy or injection therapy may also be appropriate.

Fortunately, medicine as a whole is moving in the direction of functional medicine, but this approach takes time and a commitment in partnership between a patient and their physician.