Dr. Kyle: Can Changes in Weather Predict Pain?

 

 

I always thought my grandma was crazy when she’d say I can “feel” a storm coming as she’d rub her knees. To my surprise, her knees were often better at predicting the weather than our local news. How come?

It’s believed that changes in barometric pressure can lead to increases in musculoskeletal pain. In particular, for individuals suffering from osteoarthritis. But what’s surprising is most of the research is either inconclusive or there’s little evidence to support these claims.

After hearing a number of my patients describe similar changes in pain levels due to the changes in weather, I thought I’d take a further look at these claims.

In one survey by Von Mackensen et al., one to two thirds of patients with rheumatoid arthritis believed their symptoms were weather-sensitive (1).

Other studies found an increase in barometric pressure or a drop in ambient temperature are both associated with an increase in pain (2).

At first glance it appears there may in fact be some credible evidence to support this strange phenomenon, but why?

Joint Pain in Scuba Divers

Have you ever swam to the very bottom of a pool in the deep end and felt your ears pop? This sudden change in pressure is similar to what scuba divers experience but on a smaller scale.

Sudden changes in tissue gas tension surrounding the joints can cause fluid shifts and interference of joint lubrication. When divers go deep, their joints may hurt as there’s not as much fluid surrounding their joints. This becomes worse if severe osteoarthritis exists (3).

Why Your Joints Hurt More on Colder Days

Colder temperature and its association with increased pain is much easier to explain. We know that cold temperature reduces inflammatory markers, changes the viscosity of the fluid in our joints, and can decrease the strength and support of our muscles around joints (4). Patients tend to experience more severe joint pain during the cold winter months.

Show Me Your Search History and I’ll Diagnose Your Pain

I still recommend an in-person consultation but we’re close to this becoming a reality. A recent study found an association with local weather and rates of online searches for musculoskeletal pain symptoms.

Searches for arthritic related symptoms are significantly more common in climates closer to -5 degrees Celsius than 30 degrees Celsius. Although this doesn’t explain WHY osteoarthritic patients suffer more pain, it gives us a better idea of WHEN they experience worse symptoms and under WHAT conditions (5).

Well there you have it folks. There are still many uncertainties and unknowns on why joint pain increases when the temperature drops or pressure rises. But if you can sense the next snow storm or torrential downpour from your knees and not the news, you may be experiencing some underlying osteoarthritis.

1. Von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D.
Prevalence of weather sensitivity in Germany and Canada. Int J
Biometeorol. 2005;49(3):156-166.

2. McAlindon T, Formica M, LaValley M, Lehmer M, Kabbara K.
Effectiveness of glucosamine for symptoms of knee osteoarthritis:
results from an internet-based randomized double-blind controlled
trial. Am J Med. 2004;117(9):643-649.

3. Compression pains. In: US Navy Diving Manual. Revision 4 ed. Naval
Sea Systems Command; U.S. Government Printing. 1999:3-45.

4. Golde B. New clues into the etiology of osteoporosis: the effects of
prostaglandins (E2 and F2 alpha) on bone. Med Hypotheses. 1992;
38(2):125-131.

5. McAlindon T, Formica M, Schmid CH, Fletcher J. Changes in barometric pressure and ambient temperature influence osteoarthritis pain. The American journal of medicine. 2007 May 1;120(5):429-34.

Tips to Improve Your Running

Do you want to run farther? Run faster? Or simply run with greater ease? These tips are for you!

 

 

Cadence

• Try to run at a rate of 180steps/min. This will help decrease the force per stride on your knees, reduce risk of injury and minimize wear-and-tear on the joints.

Mid-foot Strike

• Leading foot should land under your center of mass. When you heel strike ahead of your center of mass it creates a backwards “braking force” that makes each stride less efficient and will slow you down.

Hip Stability

• The pelvis needs to be stable and hips should remain at the same level. If the hips are moving up and down with each stride, this may be an indication of glute weakness and poor muscular control.

Rotation

• Core should be stable and prevent rotation through the torso. Arms should swing straight back and forward and not side-to-side across the body.
TIP: your feet will follow the direction you swing your arms.

Bounce

• The force you generate should be propelling you forward and not upward. Reducing vertical oscillation will limit wasted energy.
TIP: less ground contact is optimal.

Hip Extension:

• Hips must be mobile enough to extend the leg back past your body. Proper glute activation will help extend the hip back and save the stress on your low back.

Try to incorporate one tip at a time into your daily or weekly run. If you have any questions on proper running technique feel free to email me at drkyle@forwardhealth.ca!

Dr. Laura: Organ System Screening

Organ System Screening

Detection of internal events by electrical changes in the skin is a well accepted tool in medicine.   Most are aware and have used one or more of the following medical measurement devices:

Electrocardiogram (EKG) – electrical conduction of the heart

Electroencephalogram (EEG) – electrical conduction in the brain

Oximeters- pulse-rate monitors- electrical conduction at the finger tips/ nail bed

Digitized blood pressure devices- electrical conduction at the arteries

 

Electrodermal Screening

There are also numerous points on the skin that correspond to other organs.  Acupuncture uses this theory regularly as small openings in the fascia expose a wealth of nerve fibres that can be stimulated to correct imbalances in the corresponding organ. This system of medicine has been used to bring balance in health for thousands of years.

Dr. Reinhold Voll helped advanced this theory in the 1950’s when he applied a small electric current to acupuncture points and received a similar response to acupuncture. Dr. Voll mapped numerous sites on the skin to their corresponding organs  and called the process electro dermal detection, or electrodermal screening (EDS); electromagnetic waves transferred from the site of origin of the frequency, to the detection site on the skin.

Electrodermal detection is simply a biophysical method of measuring skin resistance and electromagnetic conductance. 

In his practice and research, Dr. Voll noted that when the current passed through the body without interference, the indicator stayed balanced. While most people balance at fifty units, some may balance higher or lower, based on individuality. Generally when measuring the skin conductance at a site related to a particular organ, an indicator rising above seventy suggests inflammation, and an indicator below 40 suggests organ degeneration. A measurement that comes through but cannot be held and continues to drop indicates disruption in the cellular health of the corresponding organ. A indicator drop suggests a withdrawal of electrons. There are over 500 points where organ health can be measured on the skin. Even using the top 40 main detection sites can give a strong over all organ system screening.

Identify causes, restore balance

Introducing different electrical signals to a point can also reveal a change in conductance, which can be helpful to detect both the substance responsible for the indicator drop, and the substance that may help restore balance.

Identifying the disruptor and the balancing signals has become easier to attain through digitized codes of thousands of signals. Coded signals include pharmaceuticals, herbals, homeopathics, sarcodes and nosodes, metals, toxins, nutrients, foods, metabolic substances and many others.

Food Sensitivity Testing

One form of food sensitivity testing is to use electrodermal screening. A wave form of the food is passed through the acupuncture meridian to see if there is resistance in the body. A number of foods can be introduced and corresponding measurements and indicator drops noted. A food that measures in excess of seventy, or declines past forty should likely be avoided for one to three months, then reintroduced one at a time. Foods that fall between sixty-six and seventy should likely be reduced for a period of time to help bring balance back into the body. Foods measuring between forty-eight and sixty-five can, in general, be eaten regularly without causing strain on the body.

Electrodermal screening is a clinically useful tool in a guided elimination diet.

Knowing your food sensitivities can help reduce:

  • headaches
  • joint pain
  • heartburn
  • bloating
  • gas
  • pain
  • nausea
  • fatigue
  • constipation
  • diarrhea
  • anxiety
  • brain fog
  • skin rashes like eczema, psoriasis, hives

References:

Speckhart, V. 2004.  An Electrodermal Analysis of Biological Conductance. Biological Conductance Inc. Virginia Beach, VA

Dr. Laura M. Brown, ND 

Dr. Laura: Wheat & Gluten Sensitivity Testing

WHEAT & GLUTEN SENSITIVITY TESTING

There are over 100 proteins in wheat, which includes gluten, but is not limited to gluten.

Every time any of us eats gluten, some damage is done to the small intestinal lining. For most, it recovers and repairs in about twenty minutes . For those who are genetically susceptible it may take up to five hours. Then the next meal comes. Over time, repeated meals containing gluten repeat the damage, with little time of repair and recovery and eventually the body cannot keep up. Some trigger point of stress or illness may make it more difficult for the recovery. Then the signs and symptoms may show up. Not everyone has traditional symptoms of fatigue, weight gain, bowel issues, pain, gas, or bloating. Some have apparently no symptoms at all.

Gluten sensitivity plays a role in things like:

  • Attention Deficit Hyperactivity Disorder (ADHD)
  • autism
  • schizophrenia
  • cerebellar ataxia
  • depression
  • anxiety
  • fertility
  • autoimmunity
  • celiac disease
  • dermatitis herpatiformis
  • polymyalgia

 

A lot of gastroenterologists know how to screen for celiac disease, they’ll typically test for antibodies to alpha-gliadin, transglutaminase-2, maybe if they’re current with the scientific literature they’ll also screen for antibodies to deamidated gliadin and endomysium.

If some of these tests are positive, then they might do a biopsy to determine if there is damage in the small intestine. If the tests are negative, the patient’s generally told that they don’t have celiac or gluten intolerance and that’s as far at it goes.

However, research shows that people can and do react to several other components in wheat above and beyond alpha-gliadin, the fraction of wheat that is involved in the pathogenesis of celiac disease, and these include other epitopes of gliadin like beta-gliadin, gamma-gliadin and omegagliadin; glutenin, which is the other major half of the wheat protein; wheat germ agglutinin, which is a lectin in wheat; gluteomorphin; and deamidated gliadin. What’s more, people can react to other types of tissue transglutaminase, aside from tGT-2, including type 3, which is primarily found in the skin, and type 6, which is primarily found in the brain and nervous system tissue.

If this is you, the gluten you eat may affect your brain or your skin, or maybe your muscle, but you will be completely missed by conventional testing. I emphasize – just because the two markers your conventional doc tests your for come back negative, it does not mean you are not free from wheat related damage. Also, just because you do not have symptoms you think are related to wheat, doesn’t mean you are free from its (potential) body-wide damage.

How do I find out?

Enter Cyrex Array 3 testing. It is the most comprehensive form of wheat sensitivity testing available today. It involves a simple blood test and will test for the two markers your conventional doctor sends for plus 22 other markers.  You’ll have to confirm this at time of testing as pricing can vary. You will need an appointment with Dr. Laura M Brown, ND, Certified Gluten Practitioner, before and after your test. Dr. Laura will help interpret the test and proved direction for next steps. Dr. Laura has extended training in diagnosing and treating gluten related disorders.

Now it is important to note that Cyrex Array 3 will not diagnose Celiac, only the gold standard of positive intestinal biopsy will prove that, but it can tell you how strong the markers related to Celiac or other forms of non-celiac gluten sensitive (NCGS).

 

Here’s what the test results look like:

 

Test Prep:

 

This is a blood test that measures antibodies. As such, in order to improve the accuracy of

your test results, you must ensure adequate exposure to wheat beginning 25 to 30 days

before you schedule your blood draw.

Exposure to wheat allows your body to form antibodies if you do have sensitivity. Avoiding wheat before this test could cause a false negative result, meaning that the test states you are not sensitive to wheat when you actually are intolerant.

 

 

For more information visit www.cyrexlabs.com or book an appointment with Dr. Laura M. Brown, ND at Forward Health.

 

Dr. Laura: 6 Causes of Hip Pain

Slow to move, can’t get up out of the chair, or have pain or stiffness in the hip when walking?  You may have one of these six hip concerns.

What causes pain in the hip?

  1. ™Bursitis
  2. Tendinitis
  3. ™Osteoarthritis
  4. ™Rheumatoid Arthritis 
  5. ™Ankylosing Spondylitis
  6. ™Systemic Lupus Erythematosus
athritisresearchuk.org

What can be done about hip pain?

Bursitis: Bursae are jelly-like sacs that provide cushion between tissues such as bone, muscles, and tendons. Sometimes bursae get irritated with repetitive activities that overwork the joint.  Inflamed bursae are very painful. Classic symptoms are pain when rising from a chair and pain down the front of the thigh. Homeopathy, acupuncture topical ligaments and anti-inflammatories may all be helpful.

Tendinitis may be in just one side of the body, or both. Tendons are thick bands of tissue that attach muscles to bones. Exercising too hard without a proper warm up, or overuse of the joint can lead to pain and immobility. It is important to have the concern addressed as soon as possible to prevent long term mobility issues from the scar tissue from build up. Tissue work, natural anti-inflammatories and acupuncture can be very helpful.

Osteoarthritis (OA) doesn’t have to be a right of passage of aging. There are things that can be done to slow the wear and tear on the joint and actually help restore the proper function of the cartilage that cushions your hip bones. OA can happen on just one side of the body in one joint. Treatment is longer term and can involve diet and lifestyle adjustments and possibly some supplementation.

Rheumatoid Arthritis (RA) is an autoimmune condition. This means that the body is attacking its own tissues. Classic symptoms are worse in morning on rising and better with movement. RA usually happens equally on both sides of the body.  One way it can be diagnosed is with blood work to see if there is a rise in the RF (Rheumatoid Factor). Anti-inflammatories will be helpful, but it is important to address the root cause of the autoimmune condition, and this often begins in the gastrointestinal tract. Naturopathic medicine is fantastic for getting to the root cause of an issue.

Ankylosing Spondylitis (AS) is another autoimmune condition. Ankylosing means fusing and spondylitis means inflammation of the spine. Symptoms include  a stiff, inflexible and painful spine and/ or hip area. In AS, ligaments and tendons as well as the bones are damaged. New bone is often formed in response which is thin and fragile and may grow together. Diagnostics include ANA blood factor and HLA_B27 genetic testing. Acupuncture and botanical medicines can be very helpful to reduce the immune system response in tissue, reduce inflammation and maintain strength and mobility.

Systemic Lupus Erythematous (SLE). The classic presentation is a triad of fever, joint pain, and facial butterfly type rash in a woman of childbearing age should prompt investigation into the diagnosis of SLE. Since SLE is an autoimmune disease affecting  many different tissues, something the symptoms can be body wide and unique for the individual, but one of the most common reasons at first is joint pain, including the hip. Diagnostics for SLE involve multiple factors; more information may be found here.  As many factors in SLE present, the naturopathic doctor can piece together the picture and begin the process based on clinical presentation and blood work. Many factors in natural medicine can reduce symptoms of SLE.

From the heart and research of Dr. Laura M. Brown, ND.

Carb Cravings? 5 easy tips

Craving carbohydrates and don’t know how to get them under control?

Here are 5 easy steps to help put you back in control.

  1. Test your Candida levels.
  2. Eat a meal with protein and healthy fats
  3. Eat within your 30 min glycemic window after exercise
  4. Eliminate processed foods
  5. Deal with your stress.

Candida?

If your Candida abicans levels are out of balance, you will find you have an insatiable sweet tooth, always need something sweet after a meal and suffer from a mix of possible symptoms like brain fog, headaches, sinusitis, join pain, skin rashes, bloating, gas and diarrhea. These crazy critters can actually yank on your nervous system chain, send messages to your brain saying “I want sugar”!! So, don’t blame your self wholly, however it is you who has to take responsibility. Just like saying to a child “no, you can’t have a cookie right now” you have to put your foot down and say the same to yourself. Or those terrible little Candida critters who are running your world right now. How do you know if it’s you or them? How do you get rid of them?

A simple 15 minute test in our clinic will help you get a sense for your levels of Candida. Email drlaura@forwardhealth.ca. Getting your micro biome back in balance will also reduce inflammation and restore nutrient absorption. With scientifically proven therapies, my patients are able to reduce Candida albicans levels and re-set many micro biomes within 1-3 months of therapy.

Boost Nutrient Density

Sometimes when we crave sweets we actually need to eat something with protein and healthy fat to increase nutrient density and satiation. For example, try eating a handful of almonds and an apple or a slice of chicken or turkey with some avocado – then wait 5-10 minutes and see if you still crave the sweets.

30 Minute Glycemic Index

After an intense workout, you have depleted the glycogen stores in the muscles. To optimize energy for your next workout and balance your carb intake later, eat something with carbohydrates in it within thirty minutes of working out. For some this means a quick protein drink with some carbs in it, an orange or a banana or a healthy homemade nutball. Eating a full balanced meal with in two hours of your workout will also help balance your blood sugar and keep you from craving carbohydrates.

Ditch the Processed Foods

Processed foods often have little fibre and a lot of sugar. This means the sugar from the food gets quick access to your blood stream. what results are spikes in your blood sugar levels, triggering an influx of insulin to quickly get the levels under control. Consequently,   your blood sugar quickly drops and you feel like you need to have more to eat. On it goes, the sugar craving roller coaster. Instead, try to eat foods high in fibre, with some proteins and healthy fats so your blood sugar levels are more regulated.

Get Stress Under Control

Serotonin and dopamine are feel good neurotransmitter which get depleted in stress. Eating carbohydrates helps boost these neurotransmitters. This is why, when we feel stressed, we crave comfort foods, which are carbohydrate based. Secondly, elevated cortisol will increased the demand for carbohydrate consumption because it blunts the desire for proteins and vegetables. Learn how to emotionally regulate and manage your stress and you will find it easier to naturally make healthier food choices.

From the heart and mind of Dr. Laura M. Brown, ND

 

Joint Pain? March 29th Seminar

Move past your pain! Complimentary seminar on Wednesday March 29th.  Dr. Laura M. Brown, ND shares some of the natural approaches to manage the inflammation that causes joint pain and what therapies may be considered to repair and reverse the damage.

Many different conditions can lead to joint pain:

  • osteoarthritis
  • rheumatoid arthritis
  • bursitis
  • gout
  • food sensitivities
  • strains and sprains

Joint Pain Educational Seminar:

Wednesday March 29th, 2017 2:30- 3:30pm 

Nature’s Signature Guelph (Seminar to be held at the Starbucks inside the Metro store at the corner of Edinburgh and Stone – 500 Edinburgh Rd. S. Guelph)

Call 519.822.8900 to Register. 

This seminar is intended for educational purposes only and does not provide individual medical advice.

 

Free Meal!

Well, free of gluten and perhaps more…

When Gluten Free Is Not Enough

Are you or someone you know sensitive to gluten and have cut it out and still have issues with pain, headaches, bran fog, joint pain, diarrhea, constipation, or general fatigue?

Not so nice…

Gluten is known to cross react with cow’s milk, milk chocolate, milk butyrophilin, whey protein, casein, yeast, oats, corn, millet, instant coffee and rice. That means if you eat any of these foods, even if you are gluten free, your body could be reacting to those foods as well.

Gut Permeability

If you have a gluten related disorder or Celiac disease and you have cut out gluten but not worked on healing the gastrointestinal lining, then you may have what is called “Leaky Gut”. There are steps to take to heal the lining and restore the natural mucosa. Sometimes once you heal the leaky gut, you are able to tolerate some of the foods to which you grew sensitive. If you are Celiac or gluten sensitive, gluten free will always be a part of your lifestyle.

Food Sensitivity Testing

Food Sensitivity testing is a great way to find out the resistance your body has to different foods. It provides the means for a guided elimination diet. Or you can simply cut out the potential offenders and re-introduce them one at a time and see how you feel.

 

Move forward with your health.

Dr. Laura M. Brown ND is trained and certified to help those with gluten related disorders, Celiac disease and the related testing, diagnosis, lifestyle design, education and nutritional support.

 

References:

A. Vojdani and I. Tarash, “Cross-Reaction between Gliadin and Different Food and Tissue Antigens,” Food and Nutrition Sciences, Vol. 4 No. 1, 2013, pp. 20-32. doi: 10.4236/fns.2013.41005.

5 things you might not know about levels of toxins in your body.

 You will know if toxins are overflowing in your body if you experience things like frequent headaches, joint aches, bloating, digestive discomfort, diarrhea or constipation, multiple chemical of food sensitivities, rashes, irritability, fatigue, repeated injury, brain fog, or troubles concentrating.

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5 things you might not know

about levels of toxins in your body.

 

  1. Your body is constantly in a detox mode.  Your skin, lungs, kidneys, bowels, liver, and ability to self regulate emotions all contribute to detoxification.
  2. A baby born today has over 50-200 recognized toxins in their blood stream? Reports from Scientific American and University of Toronto.
  3. Drinking Alcohol adds to your toxic load. So could the pesticides on your food, the cosmetics you might use, renovations in home or office, cooking and freezing food in plastics, your daily commute, and the emotional stressors in your life.
  4. You can measure your levels of toxins with hair, urine and blood analysis.
  5. A naturopathic doctor can help you prioritize your actions and boost your body’s ability to naturally detoxify.

Download your Toxic Questionnaire here.

from the heart and mind of Dr. Laura M. Brown, ND

 

Food Sensitivity Testing

What are the Signs of Food Sensitivities?

People with long-term complaints who have tried many treatments and dietary interventions, with limited or no success may find it beneficial to investigate their individual food intolerance.

Do you experience any of the following?

WEIGHT: difficulties losing or gaining weight.

SKIN: eczema, skin rashes, psoriasis, dermatitis.

JOINTS: pain, inflammation, difficulties moving.

BRAIN: difficulty concentrating, fatigue.

Gastro Intestinal: “IBS”, pain, bloating, gas, diarrhea, constipation, damage to the mucosal lining, perforation & “leaky gut”. This can make it difficult for nutrients and vitamins to absorb into the body and the person over time can become deficient in things like iron, zinc, and B12.

How it works

Here’s how it works. Dr. Laura M. Brown, ND will see you for a brief 15min appointment to setup your profile, and collect your medical history prior to your food sensitivity testing. If you prefer, a regular 1 hour upfront full Naturopathic intake, is highly recommended.  In a separate (or following) 45min appointment, The Electro Dermal Screening (EDS) KORU testing will be done. No needles are involved. The testing is based on physics, rather than blood chemistry. Sometime in the following week, you will meet again for about 30 min with Dr. Laura M. Brown to receive your personalized guidance and food sensitivity report. This testing is open to any age. Unfortunately we cannot test people who have pacemakers. Call the clinic at (519) 826-7973 to arrange your KORU package and appointments. You are welcome to see Dr. Laura beyond the KORU package for further guidance on diet, lifestyle, B12 injections, acupuncture, medications and supplements however you are under no obligation to do so.

If you prefer blood chemistry analysis, Dr. Laura M. Brown, ND can line you up with this as well. In this case, please setup a regular initial assessment with Dr. Laura and she will provide you with the lab requisition that best suits your needs.

Are Food Sensitivities Real?

Food sensitivities are real. Often sensitivities go undiagnosed because the reaction is gradual and will happen 24hours- 3 days of consuming the food irritant; this makes it more difficult to pinpoint which food is the trigger. The body’s immune system can respond to food like an enemy. This stimulates inflammation, pain, bowel changes, headaches, and sometimes skin reactions. Being sensitive to a food may mean the person needs to avoid it completely, or be able to have a small amount occasionally. Sometimes after months of abstinence, a food may be reintroduced without an issue.

Who is at risk?

  • Often affiliated with autoimmune disease (SLE/lupus, thyroiditis, Rheumatoid Arthritis (RA), toxic exposure to heavy metals, molds & family history.
  • Aggravated by alcohol, extended periods of stress, strenuous exercise and NSAIDs (Advil, Ibuprofen)

What foods typically cause IgG reactions?

  • Dairy, Wheat, Egg, Corn, Sugar & Soy
  • Some with Rheumatoid Arthritis find the nightshade family harmful: (potatoes, tomatoes, bell peppers, eggplant)

How do I learn if I have an allergy or sensitivity?

IgG testing can be accessed through Dr. Laura M. Brown, ND.  Options for food sensitivity testing include electrodermal screening or blood spot or full blood draw.

 

From the heart and mind of your local Naturopathic Doctor, Dr. Laura M. Brown ND.