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Dr.
Frisch’s E-News
A Publication of Dr. Glenn Frisch
4137
Woodland Road
•
Lexington
,
MN
• 55014
763-784-5304 •
763-784-5349 (fax) •
drfrisch@qwest.net • ©
2005, Dr. Frisch. All Rights Reserved
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Happy
Holidays!
As we put 2005 to bed, I hope that it has been a rewarding
year for each of you!
With the onset of the Holiday Season, we will once again be
bombarded by Chia Pets, Pocket Fisherman, and other novelty treats
that always show up on store shelves around Christmas. I think that half of the fun
is trying to predict which items will be the most popular at next summer's
garage sales.
One disturbing trend of Christmas this year, however, is the blatant
disregard of the word 'Christmas' by some of our largest and most
respected retailers! They are having holiday sales, holiday
season sales, and let's not forget happy holidays sales.
These retailers are refusing to use the word 'Christmas'
in any marketing or advertising. They are intentionally ignoring the fact that
Christmas is a celebration of the birth of Jesus and the joy that his
birth promised each
of us.
I personally love Santa Claus and the whole idea of gift-giving
and the 'good little girls and boys'. We need more of that! Only the
ignorant observer would be unable to understand the difference between
Jesus and Santa!
People do get the point! I
think that retailers should be more responsible than to try and change
Christmas because it might bring more shopping profits. It is said that most retailers make between 40-60% of their
yearly profits during the Christmas buying period. I think that their
recent marketing attempt might end up under the category of "What
were we thinking"? Time will tell if
making Christmas a generic holiday will bring larger profits and from
who! I personally feel that they should take an
example from the 2 year old girl in the Christmas picture below, and once again,
enjoy the Holiday for what it really is!
(Mmm....I wonder who it could be?)
Have a Great Holiday! Dr.
Frisch |
Why Santa Doesn't Ice Fish
Raynaud's Phenomenon
This condition has many names. Some people call it
'cold-hand syndrome', 'frozen toes', or the famous one, 'chill
blains'. No matter what you might call it, there is usually a
classic onset of Raynaud's phenomenon (Raynaud's Syndrome).
ONSET In Minnesota
we are accustom to being outside in the winter time. As a result, we
are exposed to temperatures below 0 degrees for extended periods.
This can result in reddening and even a whitening of the hands and
feet. When we return indoors, we are often faced with the
uncomfortable, and sometimes painful, task of trying to warm up. How
many of you remember, as a child, having your mother hold your hands under
warm, running water to regain feeling and color into your hands?
There is often itching as the extremities begin to warm that can be quite
painful. (I know that I'm not the only one to have ever experienced
this!) Most of the time, the hands and feet warm up and things are
back to normal in 20-30 minutes. Problems Some
people become sensitive over time to cold and in some instances, after one
good 'freeze', they may become hypersensitive to the cold. Their
hands and feet may turn white very quickly on exposure and the pain is
significant, forcing them back into warmer conditions. This
sudden 'blanching' of the skin on exposure to cold is a direct result of
trauma to the blood vessels of the hands and/or feet. The damage
is not only because of cold, but also because of the warming
process. This means that it is the change of temperatures over
time1 or an exaggerated vasoconstriction and vasospasm
of the cappilaries2 at one time that induces this syndrome. Aren't
Blood Vessels Suppose to Constrict? Yes they are,
but the vasospasm of the arterioles may cause injury to the nerves
that control the vessels. This nerve damage may be permanent and
forever alter circulation to the skin and musculature of the hands.
A similar phenomenon can occur with vibrational trauma (jack hammer, eg.). Why
not Rub the Skin? If the hands or feet have been too
cold for too long, ice crystals can actually form in the cells! If
you rub the frozen area, you can further damage the already expanded
cells. This can lead to future episodes of blanching and pain
because the individual cells no longer function properly, even if the
nerves to the area are spared. What
to Do If you or a child has been expose to cold for
long periods and the hands (especially) are red or white here are some
simple help aides:
-
Warm the area by placing it next to a warm body part
or placing it in a warm bath. Do not try to warm the area, unless
you can keep it warm. If the area re-freezes, the problem is
worse than if you did nothing!
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Do not rub the area during the warming period, even if
it itches.
-
Research shows that cold does much less damage than
does the repetition of cold-warm-cold-warm, etc.
-
Wear proper cold-weather clothing. With the
fabulous winter wear we can now buy, there really is little reason for
Raynaud's syndrome to be a result of cold!
-
If there is a darkening to an area that you have
exposed to frigid temperatures, do seek medical care. There may
be external tissue damage to deal with.
-
If you already have this syndrome, be sure to bundle
up, layer clothing, and limit your exposure. The damage is
already done.....but it can get worse!
1. J Cardiovasc Surg. 1977. Mar-Apr;18
(2): 151-4. 2. Am J Nurs.
2005. Aug; 105 (8): 56-65.
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I Fell Down & I Can't Get Up
“Tips
on How to Avoid Winter Back Injuries”
- If possible, wait until you are warmed up to shovel. Many disc injuries
occur in the morning when there is increased fluid pressure in the
disc.
- You
may want to wear a pair of 'Yaktrax" grippers on your
shoes. They are really cool, easy-on/ easy-off traction
devices. They are cheap too!! You can buy them online at www.yaktrax.com
- Lift smaller shovel loads of snow, rather than heavy ones. You
can lift more using short levers than long-levers, therefore bend your
knees, rather than your waist.
- Keep your back as straight as possible while lifting. A shovel that
is too short will cause you to bend more to lift the
load. A shovel that's too long, however, also makes the weight heavier.
- The spine cannot tolerate twisting as well as other movements.
To avoid excessive twisting and bending, use your knees and keep your back as
straight as possible. Lift with your legs. Step in the
direction in which you are throwing the snow to prevent the low back
from twisting. You may even try 'separating your feet' with one
in front of the other when shoveling. This allows a fluid glide
to the motion, rather than a ratcheting motion.
- If
you do injure you back shoveling, use cold-packs for 20-minutes, 2-3
times a day for the first several days with rest. If the pain is
present with forward or sideways bending and knee-buckling. Call
your chiropractor ASAP. Most snow injuries can be corrected
quickly if gotten to fast enough. Time may heal a broken heart,
but it won't heal an injured spine.
Remember to take breaks when shoveling. It is harder
than you think! Your spine, muscles and even your organs are
stressed with shoveling snow. If you feel faint, you need to stop
until you have regained your strength. If you continue to become
light-headed and dizzy with shoveling, you do need a medical examination
to have your heart checked!
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Reindeer the Other White Meat
WHAT IS A REINDEER?
Reindeer (Rangifer tarandus) are semi-domesticated caribou. Although
similar, there are fundamental differences between reindeer and their wild
cousins, caribou. Reindeer are shorter and stouter. Reindeer bulls are
smaller than caribou bulls, but cows may weigh the same as caribou cows.
It is believed they have been domesticated in Eurasia for at least 7,000
years, which is longer than the horse (Edwards, 1994). In Eurasia reindeer
are classified as either domesticated or wild. Only in North America are
“wild reindeer” called caribou. Their
life expectancy is about eight years.
Reindeer Facts:
·
Reindeer and caribou are the only deer (Cervidae) where
males, females, and calves produce antlers. The primary function of antler
is for gaining social dominance.
·
Reindeer hair is extremely dense.
The hollow guard hair provides buoyancy facilitating their swimming
ability.
·
Reindeer hoofs are large relative to their body. This load
factor and wide splaying of their hoofs, acting like snowshoes, helps them
to walk on snow.
·
Reindeer physiology is specialized to eat and digest lichen
(sometimes called reindeer moss) as an energy source in winter. Lichen is
produced by a symbiotic relationship between algae and fungi.
Most
animals don't eat moss. It's hard to digest, and it has little
nutritional value. But reindeer fill up with lots of moss,
because the moss contains a special chemical that helps reindeer keep
their body fluids warm. When the reindeer make their yearly
journey across the icy Arctic region, the chemical keeps them from
freezing, much like antifreeze keeps a car from freezing up in winter.
Finally, Reindeer really can't fly because they don't
have wings! What happens is that they run so fast that the air under
them vibrates them up into the air. That's why their legs are always
moving as they goes over the houses, pulling Santa's sleigh!!!
(Gotcha..I knew what you were thinking!)
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Eileen's Corner
Sticking with the reindeer theme, I would like to
thank Land-O-Lakes for this fun, family recipe!
Reindeer
Chow
This is a sweet and easy
recipe the kids can help make. Place the Chow in a canning
jar with a liner of holiday fabric
and the recipe attached (hand written by your child) and give as a gift.
5 cups honeycomb-shaped
cereal or cereal squares
2 cups thin pretzel
sticks, broken in half
½ cup butter or margarine
½ cup creamy peanut
butter
1 (11.5 ounce) package (1
½ cups) chocolate chips
1 cup powdered sugar
1cup red and green
candy-coated milk chocolate candies
2 (1 gallon size) zip-top
plastic food bags
Combine cereal and
pretzels in 4-qt. bowl; set aside. Place butter, peanut butter and chocolate chips
in medium microwave-safe
bowl. Microwave on HIGH for 45 seconds; stir. Continue
micro waving until butter and chocolate are melted (15-45 seconds).
Stir until smooth. Immediately pour chocolate mixture over
cereal in bowl.
Stir until well
coated and then spread the mixture evenly in one, single layer, on two
waxed paper lined cookie
sheets.
Refrigerate 20 minutes to set.
Break into bite-size pieces; place
half of mixture in a plastic food bag. Pour ½ cup powdered sugar into
the bag; close bag. Shake bag until mixture is well coated.
Repeat with the other half of the mixture in a separate bag.
Place ½ cup
candies in each bag. Store in sealed bags or an
airtight container in
refrigerator up to 4 weeks. Makes 9 - 12 cups.
Tips: Add more powdered
sugar if needed after storage. For longer storage, freeze in airtight
container or freezer bags up to 2 months.
Nutrition Facts (½ cup)
Calories 260, 5g protein, 53g carbohydrate, 2g fiber,
13g fat, 15mg cholesterol,
280mg sodium
Have a Great Holiday!
Eileen
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Snow and Ice & All That's Nice
Winter slips and falls occur suddenly and can be quite
debilitating. Everyone has heard a story about an elderly lady
slipping and falling on the ice, resulting in a broken hip. What
usually happens in that case, however, is that due to osteoporosis (bone
density loss), the bone actually broke FIRST and then the senior
fell. This has been well documented.
How many of you have ever fallen on the ice, landing on an
outstretched arm? I suspect that there are a whole lot of hands in
the air right now! These types of winter falls often do result in a
fractured arm or hand. If the radius or ulna (arm bones) are
fractured there is usually a deviation or deformity of the arm that is visible
to the naked eye. This usually means a trip to Urgent Care or the
local ER for x-rays, a fracture reduction, and finally a cast!
Hand fractures as the result of a fall, however, can be
much harder to detect and the treatment may also be much more
involved. You have 8 bones in your wrist, set in 2 rows with each
row having 4 bones.
Falling on an outstretched arm means that you are landing
on the hand with your full body weight. This places the greatest stress on
the end of the radius and ulna and the first row of hand bones, primarily
the SCAPHOID bone. A scaphoid fracture may be acute
and show immediately on x-ray or it may be subtle and not show on initial
testing. It can take up to 14 days for some fractures to be visible because
it can take that long for the bone to resorb out of the crack. This
is called an occult fracture and they are very common. This
is why after a fall, it may take several weeks before the doctor finally
finds the break! It isn't the doctor's fault because it really wasn't
visible to start with. The unfortunate complication with this type
of hand break is that it usually requires surgery to fix the little
bone. They don't usually grow back together on their own!
OUCH! For this reason, be sure of the surfaces that you
are walking on this winter. It will lessen the risk of a fall, a
break or a surgery!
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I
Prefer Powder!

Skiing can be fun for the whole family, but a fall on the
slopes often puts a damper on the Holiday!
When skiers fall, they achieve a unique position that is
hard to reproduce any other way. Skiers have been trained from an
early age to first, hang on to the poles while descending a hill and
second, to use the poles for balance. For this reason, the last
thing that a skier thinks about when falling, is letting go of the poles!
When a skier falls, they do want to brace themselves to
lessen the impact. As they prepare to meet the ground they will
usually open their hand. This means that there is now a 'wedge'
(pole) under the thumb. This 'wedge' acts like a long lever on the
thumb and often results in a tearing of the supporting ligaments of the
thumb. It is not uncommon, due to the force of impact, that a small
part of the bone breaks off along with the ligament.
The most common ligament injured in the thumb is the ulnar
collateral ligament (as shown above). When injuring this ligament,
you may get lucky and only suffer a mild to moderate sprain. If the
pain is severe and you do notice a finger deformity, please don't take the
'wait and see' approach. Go see your doctor as soon as
possible. The healing process begins immediately after trauma.
If you wait too long to have this trauma repaired, there may be
limitations to your recovery!
Although falls are common with skiing, you can limit your
risk of trauma by following a these simple rules:
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Fall backward or sideways, rather then forward (if possible).
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Hang on to the poles.
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Don't over-ski your ability.
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Take lessons, even the pros have coaches!
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If you do get hurt, don't put off seeing your doctor!
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End of the Year Housekeeping
As we wrap up the year 2005, I would like to thank each of
you who are patients at my clinic. This completes my 20th year as a
chiropractor and I can say with confidence, that each year has held new
surprises. Some good, some bad. The one thing that remains
constant, however, is a patient's need for care of his or her injuries and
diseases. I hope that I have not failed in my attempt to
educate each one of you during the course of your care. I preach
'structure and function' so much that I do actually have dreams about
structure and function of the body! I hope that, even by osmosis,
some of that has rubbed off on you! Your kind referrals of family members and friends shows me that you do understand my mission for
health and how to achieve it. Thank you! This year
has been exciting, but stressful as well. Performing research while
still in active, clinical practice is a lot like juggling knives. You
can never take your eye off of the task at hand. The fallout would
be disastrous. The good thing about performing research is
that each of you will benefit from the time that I spend adding validity
to every aspect of the practice. For example, from clinical use we
knew that the Habitack® Smoking Cessation Program was
successful, but who could have guessed how successful it really is.
At this time, I am waiting to hear back from the peer review committee of
a major medical journal. My research evaluated some
parameters of the smoking behavior that had never been tested
before. Even they were excited at what they saw! I will keep
you posted on the progress. The next step that I take with this
program will be phenomenal, I promise!!!! I recently
released the My Fibro™ program. Fibromyalgia is a distinct entity
that is not chronic pain. I developed a method of analysis that
incorporates standardized medical testing to first determine if someone
even has Fibromyalgia (That has always been a stumbling block.), and then
objectively track their progress during treatment. So far, the
results are beyond what I could have even expected. As patient
successes rise, so does the opportunity for a full clinical trial on the My
Fibro™ program. The future of this program is bright . Both
men and women are affected by Fibromyalgia and the process begins without
your conscious awareness. I rarely use the word 'cure', but for
those completing the program, that is just what is happening! As
we close out 2005 and look ahead to 2006, I would like to wish each of you
a joyous and rewarding holiday season. "Each
moment is its own lifetime, so remember to revel in the moments that you
share with others"! See you next year! Dr.
Frisch
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