Monthly Archives: August 2017

08.08.17
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Restless Legs at Night – Here is the Cause

RLS

RLSWhen you try and lay down at night to fall asleep do your legs start moving and twitching involuntarily? This is what is known as Restless Leg Syndrome. It can range from uncomfortable to incredibly annoying, even painful and lead to insomnia, which in turn can bring about other lack of sleep related health problems.

 

Restless leg syndrome is a chronic disorder that affects up to 10 percent of Americans and twice as many women as men, according to the Cleveland Clinic. The movements make it difficult to sleep or sit comfortably for long periods of time and can lead to insomnia or trouble staying awake during the daytime.

While restless leg syndrome can have several underlying genetic and health causes, those suffering from venous insufficiency may have symptoms consistent with RLS. Venous insufficiency is typically the result of blood clots and varicose veins and occurs when there is inadequate blood flow through the veins, which causes blood to pool.

The most common treatment for sufferers of venous insufficiency is a compression stocking or an elastic stocking that creates pressure around a target area on the leg. Compression stockings can improve blood flow and reduce swelling. Additional relief may be achieved by keeping your legs elevated, keeping your legs uncrossed when sitting, avoiding dietary triggers and, of course, regular exercise.

Some physicians may prescribe medications, such as an anticoagulant to thin the blood or a diuretic to draw fluid from the body.

More serious cases of venous insufficiency may require surgery to repair or remove veins. Those procedures could involve minimally invasive endoscopic surgery to tie off varicose veins, laser surgery to close a damaged vein or sclerotherapy — the injection of a chemical into a vein to shrink and permanently close it.

For those with a family history of venous insufficiency, medical experts recommend staying active, not smoking or quitting smoking and maintaining a healthy body weight. Talk to your healthcare provider about what type of treatment is best for you.

For a vein specialist referral, or for more information on vein disorders and treatments, visit http://www.westfloridaveincenter.com/contact/

08.08.17
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Jaw Pain – Is it TMJ?

TMJ

TMJTMJ can be caused by your genetics, trauma to the jaw or even arthritis. Nocturnal tooth grinding and clenching can also play a role, though tooth grinders don’t always develop TMJ.

TMJ (Temporomandibular Joint Disorder) is an incredibly painful condition that is situated within the muscles of the jaw and cheekbone. The temporomandibular joint acts like a sliding hinge which is the connection from your skull to the jawbone.

Whiplash from auto accidents can be an initial cause of an onset of TMJ. When ligaments tear or stretch it can pull the jaw out of position. Other injuries involving the facial area can have the same results.

Common complaints include pain, stiffness, clicking sounds that are audible to others and even having your jaw lock up from time to time. It may even extend to a dull ache around the ear and back of the head. Chewing may cause pain as well. These are all a result of the jaw itself becoming misaligned. Over time if not corrected adhesions can form in the muscle keeping the jaw out of place.

If not treated properly, over time degeneration of the disc between the jaw and the skull can occur, wearing away which leaves only bone on bone to rub together wreaking havoc on the nerves located in that area.

Visiting your Chiropractor for jaw pain can be a tremendous help. They take an overall approach to well-being and help to determine the cause and the resulting best course of action.

Manual adjustments may be used as a treatment for the jaw disorder. Your doctor may press on areas of your skull, jaw and upper spine in order to help relieve irritated inflamed nerves increasing your jaw’s range. The active release technique which is a soft tissue based therapy is likely to be used. This manipulation can help your body break up the adhesions as well as scar tissue on the muscles and ligaments. When combined with regularly scheduled chiropractic treatment it has proven to be a very effective method to obtain healing and pain relief.

Leading experts at The National Institutes of Health recommend these treatments as the best course of action. Noninvasive treatments should always be tried first, rather than automatically leaning towards aggressive treatments such as surgery and implants, which penetrate the tissues of the face, jaw or joint.

If you have facial pain, jaw pain or grind your teeth in your sleep come in and talk to us at Nutrition Specialists of Florida ChiropractorBonitaSprings.com or give us a call at 239-947-1177.

08.07.17
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Vitamins, Supplements that are Good for Your Heart

vitamins

A healthy diet could aide in saving your life. By eating balanced, nutritious meals, you are fueling the body with what it needs to keep your cholesterol and sugar levels in check, while fighting off harmful diseases. Instead of thinking about what to take out of your diet, focus your attention on what foods you should be adding in to your daily eating habits. Lean meats, fruits, vegetables, “good” fats, and whole grains are essential to your health, especially heart health.

However, no one has the perfect diet. Life gets in the way sometimes, and you could have a few days in the week in which you didn’t get in enough vitamins. Whether you were too busy or just not in the mood for a salad, your diet can sometimes fall short. That’s OK. If your consistently eating healthy over time, your body will reap the benefits. Since we cannot have the perfect diet, it can be good for you to supplement your diet with vitamins, but talk to your doctor about what you should or can take daily, especially if you think you may have a vitamin deficiency.

For this article, I wanted to share with you some vitamins and supplements that you can take to help with your cardiovascular health. Whether you currently have a heart condition or not, it’s always a good idea to try and keep your heart at its healthiest, since heart disease is the #1 killer in America. The following list are supplements and vitamins that can help keep heart conditions at bay, or keep your heart from further deterioration.

Magnesium – Magnesium helps sodium move throughout the cells in the body, supports relaxation and dilation of vascular arterial walls and stabilizes heart rhythm.

Omega-3 – Omega-3 helps the body balance cholesterol and triglycerides, which is great for people who are at risk for heart disease. Omega-3 is also known to lower blood pressure and slows down the buildup of plaque in the arteries.

Coenzyme Q10 (CoQ10) – Coenzyme Q10 is an antioxidant that fights off free radicals, and manages blood pressure and cholesterol. It also helps with keep the arteries healthy and muscle cells optimally utilizing energy.

L-carnitine – L-carnitine helps transport fat into the mitochondria to be used and burned as fuel by cells.

Arginine – Arginine is an amino acid that helps improve vascular function.

Phospholipids– are necessary to “prime” the HDL particle thus allowing it to sop up cholesterol.

If you’re looking for help with your diet or have concerns about your heart health, Dr. Kordonowy of Internal Medicine, Lipid & Wellness of Fort Myers offers comprehensive dietary consults to his patients. Dr. Kordonowy also offers vitamins and supplements for you to purchase online here.   Dr. Kordonowy offers direct patient care membership and concierge services including the unique Inpatient Advocate Service™. To schedule an appointment with Dr. Kordonowy, call 239-362-3005, ext. 200 or click here.

08.01.17
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Will The Side Effects of Medication Simply Go Away?

Side effects

Side effectsOddly, the answer may be “yes”.

The lists of possible side effects can be over whelming. While it is only a small percentage of people who will experience side effects – but what if you happen to be in that small percent?

You have spent the money and taken the time to go see a doctor in hopes of feeling better. They have assessed your situation and made recommendations based on your personalized health profile.

After filling your prescriptions you head home and hope for the best popping the medication into your mouth with some water. Now, you wait. While it’s good to be informed, reading the enclosed pamphlet or print out from your pharmacy can be unnerving. The list of possible side effects is generally not a small list. You push it from your mind and move on with your day.

What if you begin to notice that you just aren’t feeling “quite right”? Is it a side effect of the new medication or just an off day? It isn’t easy to know. Should you call your doctor? Wait it out? Keep taking the prescription? Stop all together?

Doing a little research on your particular medication may help put your mind at ease and allow you to make a sensible decision.

What you generally aren’t being told:

If you really don’t know what to expect as far as an experience with a specific drug, you might give up on it right before it begins its intended function.

Most side effects are temporary. (unless you are experiencing a side effect that is life threatening – in which case, seek medical attention immediately).

If you take a new medication and feel something that makes you uncomfortable the natural reaction is to stop taking it. The medical community calls this “non-adherence”. Stopping a medication abruptly can sometimes be detrimental to your health.

The reason many side effects are temporary:

When ingesting a new drug it takes some time to reach what is known as a steady state. Steady state is reaching a balance point where the medication coming in is equal to the amount going out. This is why it is important to take them at the same times daily so that the concentration levels in your blood stream stay on track.

Once your body adjusts and reaches this optimal steady state, many side effects will dissipate to tolerable if not completely gone entirely.

Never hesitate to call and talk to your doctor, pharmacist, nurse practitioner or even many insurance companies have nurse help lines. You should always feel comfortable with what you are taking and if there is a serious side effect, your doctor can change the dose or the medication entirely.

If you are looking for a physician in Lee County, Florida please use our free resource by going to www.ipalc.org/find to search by specialty and location.

08.01.17
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Dealing with IBS

ibs

ibsIrritable bowel syndrome – and the uncomfortable abdominal pain, gas and chronic diarrhea or constipation that goes with it – can be a mild inconvenience or a severe impediment to daily life, affecting an individual’s social and professional habits. Two out of every three people with IBS symptoms are female, according to the International Foundation for Functional Gastrointestinal Disorders.

This disorder is estimated to affect as many as 45 million Americans. The symptoms are tough to deal with, painful, uncomfortable and if you don’t happen to be at home when an attack strikes, embarrassing as well.

Experts say emotional stress can aggravate symptoms, but stress alone doesn’t cause IBS. Hormonal changes and reactions to certain types of foods or beverages also play a role in the severity or frequency of symptoms.

While the root cause of IBS isn’t known and a cure doesn’t exist, experts believe that poorly coordinated signals between the brain and the gut are to blame, along with abnormalities in the gastrointestinal nervous system. A family history of IBS may increase the risk of symptoms, which can affect each person differently.

A gastroenterologist can help with the management of IBS symptoms and can recommend prescription medications or over-the-counter drugs. Those experiencing discomfort may the reduce the severity of symptoms by:

 –Slowly increasing the amount of soluble fiber in your daily diet.  Digestible fiber promotes regular bowel movements and reduces constipation. Soluble fibers are commonly found in oats and beans.

–Keep track of the type of symptoms you’re experiencing, how long they last and any triggers that may be associated with them, including sources of emotional stress. Also, note any medications or supplements you’ve been taking.On the other hand, insoluble fiber – which is found in cabbage, lettuce, onions, and peppers — may increase symptoms, so pay attention to which fruits and vegetables precede discomfort.

–Reduce the consumption of caffeine and alcohol, known triggers of IBS symptoms. Spicy meals, rich dairy products, and foods that are high in fat can also trigger irregular bowel movements.

It’s worth noting that physicians recommend those with IBS symptoms get checked for Celiac Disease, an autoimmune disorder that’s triggered by the consumption of gluten – a protein typically found in wheat and grains.

Gastroenterologists Brent M. Meyers M.D., Evelyn R. Kessel M.D. and Irma Cruz M.D. in Fort Meyers and Cape Coral are members of the Independent Physicians Association of Lee County, a network of independent physicians committed to maintaining high-quality medical care in southwest Florida. For help selecting an independent physician or for more information on the IPALC, call 239-314-0791 or visit http://www.ipalc.org.