leaf
Issue No. 8
August 2010
Conde Center Logo
Greetings!

Back to School
Backpack safety

Using Backpacks Wisely

To help kids prevent injury when using a backpack:

kids backpack

  • Lighten the load. No matter how well-designed the backpack, doctors and physical therapists recommend that kids carry packs of no more than 10% to 15% of their body weight - but less is always better. If you don't know what that 10% to 15% feels like, use the bathroom scale (for example, the backpack of a child who weighs 80 pounds shouldn't weigh more than 8 to 12 pounds).
  • Use and pick up the backpack properly. Make sure kids use both shoulder straps. Bags that are slung over the shoulder or across the chest - or that only have one strap - aren't as effective at distributing the weight as bags with two wide shoulder straps, and therefore may strain muscles. Also tighten the straps enough for the backpack to fit closely to the body and sit 2 inches (5 centimeters) above the waist.

The American Academy of Pediatrics (AAP) recommends that parents look for the following when choosing the right backpack:

  • a lightweight pack that doesn't add a lot of weight to your child's load (for example, even though leather packs look cool, they weigh more than traditional canvas backpacks)
  • two wide, padded shoulder straps; straps that are too narrow can dig into shoulders
  • a padded back, which not only provides increased comfort, but also protects kids from being poked by sharp edges on objects (pencils, rulers, notebooks, etc.) inside the pack
  • a waist belt, which helps to distribute the weight more evenly across the body
  • multiple compartments, which can also help distribute the weight more evenly

Although packs on wheels may be good options for students who have to lug around really heavy loads, they're extremely difficult to pull up stairs. Check with the school before buying a rolling pack; many schools don't allow them because they can pose a tripping hazard in the hallways.


Tennis Injuries: Cutting Edge Treatments
and Prevention Strategies

 


Tennis 1        Tennis elbow (lateral epicondylitis) is by far one of the most prevalent injuries in tennis.  It is caused by the micro-tearing of the extensor group muscles of the elbow.  These muscles are located on the thumb side of the elbow and allow us to bring our wrist back and side to side.  Scar tissue can form in the muscle belly which can compress important nerves and blood vessels.  It typically occurs secondarily to the use of an aluminum racquet, incorrect grip measurement, improper backhand technique, excess weight of the racquet, and due to too much tension in the strings.   
      Rotator cuff tendonitis is also caused by micro-tearing in the belly of the muscle. The muscles involved are the rotator cuff muscles of the shoulder which originate in the shoulder blade (scapula) and attach to the upper arm (humerus).  Typically we see this occur with players who serve with an elbow to side angle of less than 90 degrees.  Due to the improper mechanics of the serve it typically also requires the player to serve repeatedly.
      A byproduct of the constant running and cutting in tennis is anterior (front) tennis injuryknee pain located deep, beneath the knee cap (patella).   The patella fails to track or move correctly within the knee resulting in frictional forces applied to the lower femur bone and subsequent braking off of small pieces of cartilage. This can lead to a condition called chondromalacia patella.  Pain is usually experienced when going up stairs and stopping abruptly while running. 
      The primary goals in treating these disorders are to reduce inflammation, break up the fibrotic adhesions (scar tissue), strengthen surrounding musculature and neurological pathways, and restore proper joint motion.  This entails some simple procedures including myofascial release, passive and active mobilization, isometric and isotonic strengthening, and joint manipulation (adjustment).  New cutting edge procedures involve the use of mirrors in a technique termed mirror imaging technique which attempts to strengthen the neurological and immune pathways in the affected limb.  In addition, cross cord applications and eccentric fast stretching are novel procedures which decrease healing time. 

Ab Crunches        In terms of nutrition, supplementing with proteolytic enzymes and essential fatty acids will help to reduce inflammation and break down scar tissue.  Sticking to an anti-inflammatory, low glycemic index diet will also help to reduce inflammation and insulin surges which can promote neurological degeneration

Lastly, prevention is the key to avoiding injury all together. Here are some key tips to increase your longevity and effectiveness on the court:

1.      Utilize a ceramic or graphite racquet which reduced vibration.
2.      Choose a lighter racquet-10.5-11.5 oz.
3.      Make sure you have a correct grip measurement.
4.      Use natural gut strings, tension is 3-5 lbs below what an athlete is used to.
5.      Use proper backhand technique.
6.      Warm up prior to playing.
7.      Focus on core muscle training.
8.      Keep your spine in correct alignment.
9.      Strengthen lower extremity musculature.
10.    Take a multivitamin with plenty of anti-oxidants.

        A real cutting edge procedure is termed motor imaging technique.  In essence the athlete visualizes in sets and repetition format, a learned movement tennis racketsuch as the various movements on the tennis court.  The visualization must be very detailed in nature. Scientifically, the neurological pathways involved in the particular movement are enhanced and other non-pertinent pathways inhibited.  This activity is gaining great notoriety as many of the top athletes in the world are incorporating this into their treatment regimen.  Please contact our office for more detailed information on how to get started with some of these revolutionary techniques.  


Question of the Month
What is Brain Based Rehabilitation?
Ab Crunches
     With the explosion in brain-based research in the 20th and 21st centuries we now know that the brain is plastic or modifiable (capable of change) at any age. We also have come to understand that the nervous system has supreme control over the musculoskeletal system as well as the organ systems in a precise manner.
     Specific parts of the brain are responsible for the well being of certain regions of the body. Dysfunction in a particular brain region will then manifest itself in symptoms in the associated body areas. For example, an under-functioning cerebellum region of the brain may produce signs and symptoms related to neck pain due to the intimate control of tiny postural muscles in the neck. With brain-based rehabilitation the chiropractic neurologist will not only manually treat the area in question itself with physical medicine but will also "exercise" the deficient region of the brain to normalize function.


Supplement of the Month
OPC-3®
Click on the picture
to order online
OPC-3
 
     OPC-3® is an isotonic-capable food supplement that is made from a combination of bilberry, grape seed, red wine and pine bark extracts, and citrus extract bioflavonoids, all found to be powerful antioxidants.
     Oligomeric proanthocyanidins (OPCs) are bioflavonoids (complex organic plant compounds) found in fruits, vegetables and certain tree barks that provide exceptional nutritional benefits to the human body. Studies have shown OPCs to be up to 20 times more powerful than vitamin C and 50 times more powerful than vitamin E in neutralizing free radicals.
  
Recipe of the Month
Garlic Basil Shrimp

Click on the picture above for recipe
shrimp garlic basil

Basil is a natural source of beta-carotene, an anti-oxidant which combats free radicals in the body, preventing damage to blood vessels and the build up of the cholesterol in the blood stream. Only the oxidized cholesterol adheres to vessel walls restricting blood flow.

Free radical action is the main factor in conditions such as asthma, osteoarthritis and rheumatoid arthritis. An array of unique flavonoids is also found in basil which protect cell structures and chromosomes from oxygen-based and radiation damage.

Click here to read the rest of this article

 
Brain Teaser of the Month
Who stole the cake?

During a recent police investigation, Chief Inspector Stone was interviewing five local villains to try and identify who stole Mrs Archer's cake from the mid-summer fair. Below is a summary of chocolate caketheir statements:

Arnold:  it wasn't Edward
         it was Brian

Brian:   it wasn't Charlie

         it wasn't Edward

Charlie: it was Edward

         it wasn't Arnold

Derek:   it was Charlie

         it was Brian

Edward:  it was Derek

         it wasn't Arnold

It was well known that each suspect told exactly one lie.

Can you determine who stole the cake?

Click here to see the answer

Contact Us:
Dr. John Conde is a Board Certified Chiropractic Neurologist.  He holds diplomate status through the American Chiropractic Neurology Board.  His office is located at the Atlantic Grove in Delray Beach, Florida.  For more information, or to make an appointment, please contact 561-330-6096  or email us at info@thecondecenter.com .
 
 
 I hope you've enjoyed the additions to this month's newsletter!  If you have any questions, you can reach the clinic at the phone number above or at our website: www.thecondecenter.com.
 
Sincerely,
 
 Ab Crunches
 
John Conde DC, DACNB

The Conde Center For Chiropractic Neurology
401 W. Atlantic Ave. Ste. 014
Delray Beach, Florida 33444
561-330-6096