Copyright 2011 Arizona Pain Specialists
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Arizona Pain Monthly | May 2011
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Arizona Pain Monthly | A Mpril ay 22011 011
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Arizona Pain Monthly | May 2011
Strength Welcome to Arizona Pain Monthly Magazine
Welcome to the May issue of Arizona Pain Monthly! This month, we celebrate strength. As huge sports fans, May means the end of basketball and the beginning of the true base-‐ ball season. It is also the time of year when our Arizona golf courses look their best and the heat hasn’t quite yet ruled out a round carrying your own bag. What do the world’s best athletes who play these sports require? The same thing we all need: strength. In this issue – we talk in detail about how strengthening your core muscles and your dietary discipline can make a world of therapeutic change for those experiencing physical pain. A local physician, Dr. Joseph Rotella, explains that a proper diet will not only help reduce chronic pain but will also help you lose weight, “Inflammation and chronic activation of the immune system due to food intolerance has been linked to digestive disorders, migraines, arthritis, obesity, chronic fatigue and many other illnesses.”
In Chiro Corner, Dr. Chance Moore explains tips for golfers to get on the course and leave their pain behind. “The golf swing requires the spine to rotate, bend laterally and extend. This requires flexibility and strength that are golf-‐ specific.” This month, we hope you are feeling strong – of mind, spirit and body. We want you to consider all options for reducing your pain. This can including your diet, exercise, chiropractic care, massage therapy, acupuncture, or seeking a pain management physician for an individualized treatment plan. We want each patient to leave Arizona Pain Specialists knowing they have the strength to eliminate their pain. This month, we hope you are able to enjoy the weather playing sports, having a picnic on a sunny day and dancing on Cinco De Mayo. We believe you can be pain free. Blessings to you and your family! Dr. Tory McJunkin and Dr. Paul Lynch
Read about Jeff Grabosky’s positive outlook and strength in overcoming pain and the amazing progress in his run across America. Jeff has already run more than 2500 miles and is scheduled to finish in New York in late May! We are incredibly proud to be a part of his journey.
Arizona Pain Monthly | May 2011
Feedback? Email: news-‐ letter@arizonapain.com
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Ask the Expert With Dr. Gabriel Bonilla What is a Electromyography (EMG) used for?
Electromyography (EMG) is a diagnostic procedure used to record the electrical activity of muscles and the nerves that control them. Nerves controlling the muscles, called motor neurons, use electrical signals to contract muscles throughout the body. In order to test this electrical signal, an EMG is used. An EMG consists of inserting very thin needles called electrodes into the muscles to record the electrical activity emitted when the muscle contracts. The recorded activity will then be translated into graphs, sounds, or numerical values that are interpreted by a specialist to determine a diagnosis and treatment plan. Individuals suffering from various nerve or muscle damage may be candidates for EMG. common diagnoses of an EMG include; nerve compression, nerve injury, nerve root injury, or other injuries involving muscles and neuropathies. ϐ inserted into the muscle, the results are immediately avail-‐ able. If an abnormal result is found, a diagnosis usually falls under one of the following categories: Ȉ Pinched nerves Ȉ Neuropathies Ȉ Carpal tunnel syndrome Ȉ Nerve root compression Treatments for medical conditions in one of these categories vary and are usually treated on a case-‐by-‐case basis. An EMG also includes nerve conduction studies. These studies help evaluate how well your nerves are working and determine if there is any compression of the nerve in the extremi-‐ ties, such as your hands or legs.
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Arizona Pain Monthly | May 2011
Herb Pork Loin
Serves 4-‐6 Ȉ ʹ Ȉ ʹ Ȉ ʹ Ȉ ʹ Ȉ ͳ Ȉ Ƭ Ȉ ͵ȀͶ Ȉ ʹ Ȉ ͳ Ȉ ͳȀʹ Ȉ ͳȀͶ Ȉ ͳȀͶ Ȉ ͳȀͶ Use a food processor or blender to combine parsley, oregano, rosemary, thyme, garlic, salt, and pepper. Mix in the vegetable oil thoroughly. Coat tenderloins with ͵Ͳ min. Preheat grill to low. Combine apri-‐ cot preserves, mustard, honey, sug-‐ ar, and vinegar in a blender or food proccessor. Grill tenderloins over ʹͲǦ͵Ͳ brushing the apricot preserves mixture onto the tenderloins.
Arizona Pain Monthly | May 2011
Orzo Salad Diablo Serves 8-‐10
Salad Ȉ ͵ Ȉ ͳ ǡ ͳ Ȉ ʹ Ǧ ȋ seeds) Ȉ ͳ Ȉ ͳ Ȉ ͳȀʹ Ȉ ͳȀ͵ Ȉ ͳͲ Vinaigrette Ȉ ͳȀ͵ Ȉ ͳȀʹ Ȉ ͳ ͳȀʹ Ȉ ͳ ͳȀʹ Ȉ ʹ ǡ Ȉ ͳ ͳȀʹ Ȉ ͳ Ȉ ʹȀ͵ Cook orzo for 8-‐10 minutes until just tender. Remove water and Ȁ Ǥ ingredients except the oil together and then drizzle in the oil while wisking. Add orzo and toss. Then add the rest of the ingredients and toss once more.
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Meyer Lemon Sorbet
Makes 8 half cup servings Ȉ ʹ Ȉ ͳ ͳȀ͵ Ȉ ʹ Ȉ ʹȀ͵ Ȉ ͳȀʹ Mint springs (optional) Lemon rind strips (optional) ϐ ϐ -‐ solves. Pour mixture into an ice cream maker and follow the manu-‐ facture instructions.
This months recipies are contributed by Chef Mary. Chef Mary’s passion for ͵Ͳ ǡ smiles she creates with her food are pricless to her. If you would like to have your recipes featured in our magazine please contact us at 480 245 6122.
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POSSIBLE PAIN CONDITIONS GOLFERS MAY EXPERIENCE Ȉ Low back pain Ȉ Elbow tendinitis Ȉ Knee pain Ȉ Shoulder injuries Ȉ Ȁ Ȉ ϐ Ȉ Ȁ Ȉ Ȁ Ȉ Hip pain Ȉ Sunburn
GOLF PAIN FREE Although golf is considered a leisurely sport, injury and pain related to golf is extremely common. On the golf course, physical exertion is intermittent, but the forces generated swinging the club are significant. A golfer will attempt between 50-‐70 violent swings approximately every five minutes while playing 18 holes. The average amateur will swing the club at 80-‐ 100 miles per hour. This force is enough to cause significant pain when performed repetitively. There are fundamental causes of golf injuries: poor posture, poor swing mechanics, lack of flexibility, and ill fitting equipment. Page 8
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In the U.S. there are roughly 26 million golfers, and because of the unilateral move-‐ ment in the golf swing, nearly every golfer, at some point, experiences some form of injury or pain. The golf swing requires the spine to rotate, bend laterally and extend. This requires flexibility and strength that is golf-‐specific. Putting posture places the spine in a sustained bent position that is aggravating for the lumbar spine. Low back pain is the most common cause of pain re-‐ lated to golf and is followed by elbow ten-‐ dinitis (irritation and inflammation of the tendon tissue). Arizona Pain Monthly | May 2011
RECOMMENDATIONS FOR GOLFERS WITH PAIN 1. Seek evaluation and treatment for your symptoms. Even though you may be able to play through the pain, most conditions are a lot easier to treat and will respond better with early intervention. 2. Take lessons. ϐ during your swing. ͵Ǥ ϐ Ǥ There is a reason why belly put-‐ ters are more popular on the Champions tour. A longer putter keeps you more upright and Ǥ ϐ make adjustments to the lie angle of your clubs and suggest appropriate equipment changes. 4. ϐ Ǧ ϐ Ǥ Golf is a unique sport that requires a complex coordination of muscles that are not normally used in everyday life. Core stability exercises, in combination with shoulder and hip stretching, can make a re-‐ markable difference in a pain free performance. -Chance Moore, D.C.
Arizona Pain Monthly | May 2011
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ϐ from maintaining an active, healthy lifestyle. A nutritional-‐ ly balanced diet coupled with a practical exercise program not only provides an overall improved sense of well-‐being, but also decreases the chanc-‐ es of developing preventable medical conditions.
According to HealthyPeople. gov, an active lifestyle de-‐ creases the occurrence of cardiovascular disease, hyper-‐ tension, diabetes, and mental depression. Physical activity has also been shown to pro-‐ vide relief for those experi-‐ encing the painful side effects of arthritis. Lastly, individuals who lead a sedentary lifestyle will achieve considerable ϐ increases of physical activity. Studies have shown that 80% of Americans will experience low back pain to some degree in their lifetime. Chronic pain conditions can be quite costly for Americans. For example, approximately $50 billion is spent each year to treat low back pain. As noted on HealthyPeople. gov physical activity is an underutilized interven-‐ tion for many chronic health conditions. Healthcare providers agree that an active life-‐
style plays an important role in the management of many chronic pain conditions. At Arizona Pain Specialists, we advocate for an active lifestyle. The ϐ -‐ sential to the holistic approach we take when treating individuals with chronic pain. At Arizona Pain Spe- cialists, we encourage our patients to participate in their treatment goals by leading an active lifestyle. This is a sensible way to engage in the multidisciplinary process of chronic pain management. According to HealthyPeople.gov, physical activities used to facilitate an active lifestyle for those with chronic pain conditions include: aerobic exercise, muscle strength-‐ ening, posture control and simple stretching. A goal of 2 hours of moderate activity per week is rec-‐ ommended to obtain the best out-‐ come. Since certain exercises may be too strenuous for those dealing with chronic pain conditions, it is recommended that individuals consult their health care provider before starting any physical activity routine. Maintaining an active lifestyle is essential for individuals living with chronic pain conditions. Again, consideration should be taken when planning an activity program; therefore, initially consulting a health care provider is advised. In combination with medical thera-‐ pies, an active lifestyle serves as a low cost option for the manage-‐ ment of chronic health conditions. Individuals experiencing chronic ϐ -‐ tidisciplinary, holistic treatment regimen. Maintaining an active lifestyle can provide immeasurable ϐ ǡ physically, for individuals seeking to manage their chronic pain condi-‐ tions.
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Arizona Pain Monthly | May 2011
Arizona Pain Monthly | May 2011
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LOVING  MY       WEIGHT  LOSS  -Ââ€?Dr.  Joseph  Rotella
                      Obesity  is  now  recognized  as  a  serious  chronic  disease.   Approximately  65  percent  of  adults  in  the  United  States  are  overweight  or  obese.   Almost  one  half  of  the  adult  population  is  trying  to  lose  weight  at  ƒÂ?› ‰‹˜‡Â? –‹Â?‡Ǥ Ž–Š‘—‰Š Ž‘•‹Â?‰ ™‡‹‰Š– …ƒÂ? „‡ ˜‡”› †‹ˆĎ?‹…—Ž–ǥ –Š‡ ”‡ƒŽ …ŠƒŽŽ‡Â?‰‡ ‘ˆ–‡Â? ‹• Â?ƒ‹Â?–ƒ‹Â?‹Â?‰ –Š‡ ™‡‹‰Š– loss.   Many  dietary  patterns  and  programs  have  demonstrated  successful  short-Ââ€?term  weight  loss.  However,   successful  weight  loss  maintenance  is  not  so  widespread.   Research  has  shown  that  approximately  20  percent  of  over-Ââ€? weight  or  obese  persons  are  successful  at  long-Ââ€?term  weight  loss. ”‡ ˆ‘‘†• Â?ƒÂ?‹Â?‰ ›‘— •‹…Â?ÇŤ
Â?Ď?ŽƒÂ?Â?ƒ–‹‘Â? ƒÂ?† …Š”‘Â?‹… ƒ…–‹˜ƒ–‹‘Â? ‘ˆ –Š‡ ‹Â?Â?—Â?‡ system  due  to  food  intolerance  has  been  linked  to  digestive  disorders,  migraines,  arthritis,  obesity,  chronic  fatigue  and  many  other  ailments.   Making  the  right  choice  on  what  to  eat  can  make  life  changing  improvements.   With  a  simple  blood  –‡•–ǥ ™‡ …ƒÂ? •…‹‡Â?–‹Ď?‹…ƒŽŽ› ’”‘˜‡ ™Šƒ– ˆ‘‘†• ƒ”‡ ƒ ’”‘„Ž‡Â? ˆ‘” you.  Many  patients  were  on  this  type  of  treatment  to  decrease  migraines  and  chronic  pain,  however  they  also  discovered  they  had  lost  an  extreme  amount  of  weight.   Coining  the  term,  Loving  My  Weight  Loss!  ˜‹†‡Â?…‡ ƒ•‡† ‡‹‰Š– ‘••  The  Loving  My  Weight  Loss  program  developed  even  further  after  extensive  reviews  of  current  research.  Most  suc-Ââ€? cessful  weight  loss  programs  look  at  various  diets,  prescription  medications,  supplements,  b12  injections  and  exercise  pro-Ââ€? grams.   The  combination  of  these  were  put  together,  creating  the  Loving  My  Weight  Loss  program.    According  to  a  study  conducted  at  Baylor  University  ,  98%  of  people  following  a  rotational  diet  either  lost  weight  or  improved  body  mass. ‘˜‹Â?‰ › ‡‹‰Š– ‘•• ‹• Â?‘™ ƒ Ž‘…ƒŽ Š‘Ž‹•–‹… Â?‡†‹…ƒŽ ™‡‹‰Š– Ž‘•• ’”‘‰”ƒÂ? •’‡…‹Ď?‹-Ââ€? cally  designed  with  your  goals  in  mind.   Each  blood  test  and  program  is  physician  super-Ââ€? ˜‹•‡† ƒÂ?† —Â?‹“—‡ ‹Â? –Šƒ– ‹– ‹• •–”—…–—”‡† ƒ”‘—Â?† ›‘— ƒÂ?† ›‘—” •’‡…‹Ď?‹… Š‡ƒŽ–Š …ƒ”‡ ‰‘ƒŽ•Ǥ For  more  infomation  about  the  Loving  My  Weight  Loss  program  contact  Dr.  Rotella  at  Scottsdale  Medical  Center  at  480-Â614-Â5808.
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Arizona  Pain  Monthly  |  May  2011
Jeff Grabosky – the Arizona Pain Specialist patient who is cur-‐ rently running across the United States – has surpassed the 2,500 mile run mark! Crossing Ohio in in mid April on nation-‐wide trek, Jeff continues his remarkable run of endurance. Jeff, who was treated for leg pain by our chiropractic team at Arizona Pain Specialists, has been accepting prayer requests throughout his rigorous journey. After surviving several tumultu-‐ ous events in his personal life, he thought a nation-‐wide run during which he could celebrate his renewed health and spend time in prayer was just what he needed.
have come that far in the course of 74 days of running over the past 85 days. It is amazing how so many small steps have really added up to take me so far. Well, it is off to bed as I need to get some sleep since I have many more steps yet to take!”
following and supporting his ad-‐ venture by reading more about his cross-‐country run on our website ArizonaPain.com
He has run through more than eight pair of shoes and thinks ǯ ϐ Ǧ Ǥ One of the more emotional stops he’s recently made was to his alma matter, Notre Dame.
We are so proud of Jeff and On his blog, he writes regular his passion toward others and updates of the adventure. A recent post included, “I noticed overcoming his pain. Consider that my total mileage to date is the equivalent of about 100 marathons. It is hard to believe I To follow Jeff G. GPS Tracker
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Arizona Pain Monthly | May 2011
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B S I G F I Q W T N B C V S A G B W G I C I N C I P E P N F R G E I N H E A L T H Y W I T K I B A M I R Q G S I V P A P K C Z F C M F P U Y J P J T A P Q G O I H I L Y M N I C N P O O E R N Q I N O F P H Q U P G E O E A A I I G G R D G O A G V N L C E D W C N X I N M O B I N K H B V K E E I H I Q P B T L N I T Z R F I N K K Z B E C R I I R G B G U G E I D E F A N R T Y E N G B F H B H S U N U P E X Q M E N O A T M K D V S S B M J A M R C P J A Z D K S W M P G D P U T Q I E T E K M I O Z F E O R S S C Q Y C
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Arizona Pain Monthly | May 2011
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Carissa  Frazier  has  worked  for  APS  for  less  than  one  year. Â
Â? –Šƒ– –‹Â?‡ ĥ ƒÂ? ‡Â?’Ž‘›‡‡ ‘ˆ –Š‡ ‹Â?•—”ƒÂ?…‡ ˜‡”‹Ď?‹…ƒ–‹‘Â? †‡-Ââ€? partment,  she  has  impressed  her  coworkers  with  her  ability  to  exceed  all  expectations. “Carissa  is  a  friendly  employee  who  is  always  willing  to  help  and  go  beyond  the  call  of  duty,â€?  says  Prior  Authoriza-Ââ€? –‹‘Â? ƒÂ?† Â?•—”ƒÂ?…‡ ‡”‹Ď?‹…ƒ–‹‘Â? Â?ƒÂ?ƒ‰‡” ƒ—”ƒ ‘”…‡Ǥ Dz really  appreciate  Carissa’s  can-Ââ€?do  attitude!â€? Jennifer  Gitt  has  been  with  APS  for  over  one  year  and  continually  strives  to  achieve  100%  patient  satisfaction.  She  works  with  all  three  clinics  following  up  with  new  patients  ƒÂ?† •‡”˜‡• ĥ ‘—” ‹Â?ÇŚÂ‘ÂˆĎ?‹…‡ •’‹Â?ƒŽ …‘”† •–‹Â?—Žƒ–‹‘Â? ”‡’”‡•‡Â?-Ââ€? tative.  She  is  an  Arizona  native  who  studied  business  at  The  University  of  Arizona,  and  always  has  a  smile  on  her  face.  “She  has  been  an  incredible  resource  in  getting  me  up  to  speed  with  the  marketing  department  and  everything  I  need  –‘ Â?Â?‘™ǥdz •ƒ›• Š‹‡ˆ ƒ”Â?‡–‹Â?‰ ˆĎ?‹…‡” Žƒ›–‘Â? ‡…Â?Ǥ Dz ‹–Š-Ââ€? out  her  help  I  am  not  sure  I’d  be  as  far  along  today  as  I  am,  and  I  really  appreciate  her.â€?  We  are  so  thankful  for  the  hard  work  of  both  Carissa  and  Jennifer.  You  make  APS  a  better  place  to  work! Arizona  Pain  Monthly  |  May  2011
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