Content for Thought

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Hydration

Are you ‘the worst’ when it comes to keeping hydrated? Trust me, I am too, even now with all the knowledge I have... It’s sometimes boring and even annoying.


I truly believe that not everyone requires the same amount of fluids a day as someone else. Some basic factors to consider would be: any HEALTH CONDITIONS (especially those which affect kidney function, cardiovascular function, headaches or migraines, having diarrhea), TAKING MEDICATIONS (especially those known to dehydrate tissues / be a diuretic or those that can build up in the system and become toxic), ACTIVITY LEVEL (coach potato to weekend warrior to elite athlete and everything else in between), ENVIRONMENT (especially hot and humid weather), FOOD / DIET (from high salt content foods to foods high in fluids to begin with), PREGNANCY / BREASTFEEDING (you’re drinking for two), AGE, and on... It’s important to speak with your medical professionals and come up with a fluid intake guideline right for YOU. 


A few general rules of thumb for fluid intake would be eight 8-once glasses of water a day, or 2-3 liters of water a day, or half a gallon a day. However you want to look at it, don’t forget that you get water from foods too... Food can make up around 20% of our fluid intakes a day give or take! (#MayoClinic)


Hate plain water? Again, me too... Try alkaline water, electrolyte water, carbonated water, water with fruits or veggies in it for natural flavor, plain fresh brewed tea, etc.. The key is just to find something you like. Just keep an eye out for, and try to avoid, artificial flavors or sweeteners, added sugars, chemicals (basis of using organic when possible), or overall high levels of caffeine for your tolerance. A personal recommendation of mine is Trader Joe’s brand liter bottles of ‘Alkaline Electrolyte Water’ or Wegman’s brand ‘Unsweetened Jasmine Green Tea’ bottles (of course try and save the planet and all by using reusable bottles when you can, and recycle any products which are recyclable).


If you’re the kind of person that needs to be ‘held accountable’ you can create a fluid diary in your phone or a notepad to track how much water you’re taking in, your activities, and how you’re feeling with that level. This will give you a personal gauge for the future so you’ll know how you can feel your best given X, Y, and Z criteria... Need something more fun? There are tons of apps which can track fluid consumption. A client once told me about a free app called ‘Plant Nanny’ which lets you take care of cute little plants by inputting your water intake into the app and helping them grow!


Remember, drinking water helps your mind and body stay hydrated and healthy. From a vanity perspective, staying hydrated helps you look younger and not like a shriveled walnut (water is like skin lotion for your insides (skin, joints, organs))... 


Again, obviously check with your medical professional or dietician regarding any specific requirements you may have due to health concerns, activity levels, medications, etc.. This post is meant purely as a generalized informational piece to help kickstart your investment into your own health. If you have any questions please contact your physicians as they would (hopefully) have the most accurate and in-depth knowledge of your personal health needs...


#WATER #HYDRATE #HEALTH #HYDRATETOPRETTY #THOSECELLSARETHIRSTY #LUBRICATETHOSEBODIES

Massage Therapy

Getting a massage? 


Whether for the first time, or your gazillionth, let’s take a second to get the basics out there...


FINDING ONE:


UNDERSTANDING COSTS & LENGTHS:


YOUR FIRST VISIT:


DURING THE MASSAGE:


AFTER THE SERVICE:


NEED MORE INFO?

If there’s a topic on getting a massage you’d like to hear an LMT’s point of view on, send an email, text, or call and I’ll address it to the best of my ability and as objectively as possible. If your question topic should be added to this content, I'll even add to this post.


Again, obviously check with your medical professional regarding any specific requirements  regarding pressures, areas of work, and even receiving massage in the first place you may have due to health concerns, activity levels, medications, etc.. This post is meant purely as a generalized informational piece to help kickstart your investment into your own health. If you have any questions please contact your physicians as they would (hopefully) have the most accurate and in-depth knowledge of your personal health needs...

Sleep

Chiropractic & Massage therapies can help patients get better QUALITY of sleep.

Your daily postures & tasks will be discussed to determine how you non-sleep life carries through to your sleep life.


Pillows : 

Pillows can be very expensive. If that isn't an expense you are ready to make, try beefing up your current situation by adding folded towels (for height) or rolled towels (for neck support). The pillow or roll needs to support the neck of the person sleeping on it, & that is literally different for everyone...

Make sure there is a return option for pillow buying

Feather pillows are the worst option

The Arm-Slot / Arm-Freeing pillows designed to reduce numbness & tingling from arms up & under the pillows haven't been on the market long enough for research on their effectiveness to be conclusive, but that isn't to say they are not worth giving a try...

Try using the pillow for naps you may already take before using it for full night sleeping.

A pillow that is too high will result in a flexed or side flexed neck position which will increase your stiffness.

A pillow that is too stiff will make your neck & shoulder complaints feel worse.

Try a pillow or rolled towel under your knees if you are a back sleeper.


Sleep Position Tips :

SIDE-SLEEPERS :

Pillow should be higher in the neck portion than the head portion.

Ergonomic Position would be; arms placed at 45 degrees in front of body, thighs bent at the hips to 60 degrees, & knees bent to 90 degrees.

Your spine should be aligned / horizontal from head to tailbone, without significant dipping / hiking in any specific region.

BACK SLEEPERS : 

Pillow should allow back of head to be lower than the neck & have neck support.

Head should not be flexed or extended.


Mattress Firmness :

Find the most firm mattress with which you are still comfortable.

A good rule of thumb is to look for a medium-firm mattress. A medium-firm mattress is always the best performing choice in research studies regardless of age, weight, or height.

FYI, the life of a mattress is ~ 9.5 years...


Sleep Area :

Minimize electronics in the bedroom for both sound distractions as well as light distractions, especially blue-light.

A Room Temperature around 65 degrees is ideal for sleep.

Lavender essential oils. though be careful of which lavender as some are actually stimulants. Lavender Angustifolia has shown in studies to increase amounts of deeper sleep. 

Insurance Jargon & Process

Is your insurance plan confusing or you don't know what all of it means?


Insurance can be amazing for some & even be basically pointless to have for others. Especially these days where premiums and deductibles are so high it's almost not even worth having the insurance in the first place... It shouldn't be that way, but unfortunately right now that's reality for a lot of people. 


This topic is to help people looking at their current or potential insurance plans & hopefully understand the basics involved.


First, your DEDUCTIBLE -

A deductible is a dollar amount you need to reach out of pocket & unrelated to your premium before your insurance covers anything... Some insurance plans even have deductibles for different things like you may have an overall deductible for your plan, but also have a lower value deductible for chiropractic care for instance. Generally speaking, you want a low deductible because that means you have to spend less out of pocket for any care you seek.

Second, your OUT OF POCKET MAX -

The out of pocket max is the total amount you would ever be responsible for out of your pocket, again unrelated to your premium, before paying nothing for your care. This means you spent enough to no longer even have a copay or deductible to reach. Generally speaking, most individuals do not hit this amount unless they require a lot of healthcare.

Third, your CO-PAY versus CO-INSURANCE -

A Co-Pay is a fixed dollar amount cost for a specific service, like a chiropractic visit for instance. This dollar amount may or may not go towards your deductible &/or out of pocket max. Generally speaking, a lower co-pay is better, especially when you require a lot of care or visits because co-pays add up quickly.

A Co-Insurance is a fixed percentage amount cost for a specific service. Again, this amount may or may not go towards your deductible &/or out of pocket max. Generally speaking, a low percentage co-insurance is better because that means you are responsible for less each visit.

Usually, insurance plans use either a co-pay or a co-insurance, not both. Neither is better or worse per say, but co-pays tend to be whole dollar amounts, & co-insurances can include cents which really only matters when paying cash.

Fourth, your ALLOWABLE VISITS -

Every insurance plan is completely different in how many visits per plan year you have. The average range is 12-20 visits per year that insurance covers. You could recieve more than your allowable limit by your doctor submitting & proving medical necessity for why you require more visits. That usually is not an issue, but may delay care.

Fifth, your 'Explanation of Benefits' (EOB's)

After each visit which is billed through your insurance company, you should receive an EOB. Sometimes you will receive them in the mail, or if you save paper, you'll receive them via your online insurance portal. The average rate in which you'll receive your EOB's will be about 2-3 weeks after submission (if via mail), or within a few days (if via portal). It is always recommended you check your EOB's from all your providers periodically in case there are any errors or confusion regarding the claims / codes / charges / etc.. Never feel uncomfortable about bringing up EOB's with providers. There is nothing for the providers to be concerned about if the practice is legitimately billing & coding, & mistakes do occasionally happen, so always do periodic scans of your EOB's for anything that looks 'off'.

The Treatment Process

Generally speaking, the care plans at Continuity Wellness follow a protocol...

Most people come in for care with a complaint already so for the purposes of discussion we will use a patient presenting with Chronic Pain as an example... Of course every patient is unique but this representation will be an overall experience...

If you've been experiencing pain for over 3 months, that is considered chronic. 

You cannot reasonably expect to completely 'fix' all your complaints from over the years in one treatment; though it is fascinating how this isn't a rare occurrence either... When you have chronic pain, that comes with chronic inflammation, & chronic muscle guarding / spasm, & chronic postural / functional habit changes... All of those aspects need to be addressed to completely 'fix' your complaint. Even when your pain is gone, you may still need care to address your posture & biomechanical movement patterns to prevent the pain from coming back. 

This is why 'just adjusting' is rarely the answer... you'll need adjustments of the joints to allow for proper alignment & reduced load, you'll need therapeutic massage to reduce inflammation & reduce spasm, & you'll need physiotherapy to 'reset' your posture & habits to their ideal setting. 

Generally, the order of treatment modalities over time are 'palliative & passive' to 'active & progressive'. 

For example, you come in with low-back pain & the first few appointments you'll receive care more based on getting you out of pain & preventing the immediate return of the pain (stim/ultrasound, massage, traction, some adjustments). 

Then, you'll start to not only get less palliative care, but also more robust home care & higher intensity in-office treatments (home care exercises for strength & stability of the core, glutes, & low-back, more intense massage & adjusting).

Eventually, you'll visit less & less frequently as you'll have the education as well to avoid poor behaviors, & prevent problems from popping up  in the first place. 

In a manner of speaking, ideally you'd never have to be seen again; however, life happens, & jobs that cause poor biomechanical behaviors have to be kept to support the family, & stressful work/family life causes tension & inflammation, & accidents happen that cause a twisted ankle leading to compensatory gait patterns that lead to pain in your other hip for example... 

Continuity Wellness, & other practitioners, are meant to be here for those times. To help you get back to you. Yes, healthcare practitioners run a business... but the ones that care, care just as much about you & your life, as they do about their own. 

Just For Fun

(*find these in the office*)