From losing weight to looking younger to feeling fit, there are many reasons to focus on one’s health. Choosing the right way to maintain a healthy lifestyle can be a daunting task, but the Southwest Orlando Bulletin’s 15th annual Health & Fitness Guide provides advice from local experts to help readers achieve and maintain their varied health goals.
The
Mouth-Body Connection
by Maria A. Kashlak, D.M.D. & Anthony F. Oswick, D.M.D.
Bay Hill Dental Associates
www.myorlandosmile.com
407-345-5620
Many individuals do not realize it is periodontal disease, not tooth decay, that is the major cause of tooth loss in adults.
Dental health can be safeguarded by knowing the warning signs of periodontal, or gum, disease. The following signs and symptoms should be called to a dentist’s attention:
— Gums that bleed during brushing
— Gums that are red, swollen or tender
— Gums that have pulled away from the teeth
— Pus forming between teeth and gums when the gums are pressed
— Permanent teeth that are loose
— Any changes in the way teeth fit together when biting
— Any changes in the way partial dentures fit
— Bad breath
There are nonsurgical and surgical treatments for periodontal disease, depending on the degree to which the disease has progressed, but prevention is key.
Brushing teeth two to three times a day and flossing are essential to removing food particles and plaque along the gumline and between teeth.
Researchers are providing more and more evidence of important connections between periodontal disease and overall health. Recent research has suggested that up to 85 percent of heart patients studied also had gum disease. Plaque and bacteria from the mouth enter the bloodstream and contribute to the inflammation and thickening of coronary arteries. Diabetics are more likely to have gum disease, which can make it difficult to control blood sugar. Also, pregnant women with gum disease are more likely to give birth prematurely because of an increase in certain biological fluids that can induce labor.
Finding a Way
to Relieve Headache Pain
by Steve Harrison, D.C.
Central Florida Rehab & Wellness
www.centralfloridarehab.com
407-522-5858
Living with headaches is tough.
Day after day, headache sufferers are miserable, irritable and looking older than they really are. Their frustration grows because friends and family members do not understand what they are going through. On top of that, MRI and CT scans often come back with normal results. Trying one medication after another often creates the feeling of being on a merry-go-round of drugs. It is enough to make a person scream.
Studies have shown that about 22 million women in the U.S. are affected by migraines. Medical science has discovered that most headaches are caused by structures around the neck, such as joints, ligaments, muscles and cervical disks, all of which have complex nerve endings. Research has proven certain natural treatments have great success with headaches, some that are even better than massage and medications — all with no side effects.
Those who have felt as if their head is in a vice, drowsy with eye pain, the need to lie down, muscle tension in the neck or pain in the shoulders, and those who have had migraines since childhood may benefit from chiropractic or other natural health care methods.
The Boline Study compared two groups of headache patients — one-half received chiropractic adjustments, and the other one-half took amitriptyline, a medication often prescribed for the treatment of severe tension headache pain. After six weeks, researchers found that the chiropractic patients experienced almost no side effects, and they were the only headache sufferers in the study to report fewer headaches when treatment ended.
In a Duke University study, medical experts concluded that spinal manipulations resulted in almost immediate improvement for headaches. Patients also had significantly fewer side effects and longer-lasting relief from headaches, compared to commonly prescribed medication.
Recurring headaches are not normal. Pain is the body’s way of saying something is wrong. Finding the problem and fixing it has to be a top priority.
Avoiding Ingrown Toenails
by Duane McRorie, D.P.M., F.A.C.F.A.S.
Celebration Orthopaedic
& Sports Medicine Institute
www.celebrationorthopaedics.com
407-303-4270
When a toenail is ingrown, it is curved and grows into the skin, usually at the nail borders. The curving causes the nail to irritate the skin. This often creates pain, redness, swelling and warmth at the toe.
Causes of ingrown toenails include trauma, improper trimming, improperly sized footwear and nail condition. In addition, they are often hereditary.
Ingrown toenails can be treated with Epsom salt soaks, oral antibiotics and surgical excision at the nail border. The surgery can be safely performed with local anesthesia in a physician’s office.
Ingrown toenails can be prevented through proper trimming of the nail. Toenails should be cut in a fairly straight line and should not be cut too short. A fingernail should be able to fit under the sides and end of the toenail. Improper footwear also should be avoided.
Minimally Invasive Orthopedic Surgery
by Ayman A. Daouk, M.D.
Orthopedic
Institute of Central Florida
www.orthocf.com
407-355-7478
Most people would prefer to undergo surgery with the least possible damage and fastest potential recovery time. Minimally invasive surgery can provide these results, and it is important that surgeons be able to perform this procedure.
Minimally invasive surgery is a surgical procedure that is performed with less tissue trauma by exposing the joint without cutting or moving as much muscle or tendon tissue. Specialized instruments are often used to achieve this goal. Minimally invasive surgery achieves everything that traditional surgery does, but through a smaller incision or multiple small incisions. Because there is less damage to the tissue around the joint, most patients experience less postoperative discomfort, minimized blood loss, less scaring, shorter hospital stays, quicker rehabilitation and fewer potential complications. Numerous studies have shown promising short-term results utilizing this method.
Maintaining safety and quality is crucial for minimally invasive surgery, as it requires specialized surgical training in order to obtain the best short- and long-term outcomes for patients. Minimally invasive surgery should be performed only by a well-trained, highly experienced orthopedic surgeon who does the procedure frequently. Most patients can be candidates for minimally invasive surgery. In the hands of a trained, skilled surgeon performing the operation on a properly selected individual, the technique has much to offer.
The Facts About
Breast Enhancement
by James A. Matas, M.D.
Advanced
Centre for Plastic Surgery
www.yournewlook.com
407-345-8145
Women may be considering breast enhancement but are just not sure of its safety. Plastic surgeons have been performing breast surgery with implants for almost 50 years. Breast enhancement remains close to the top of all procedures performed by plastic surgeons.
Safety always should be a main concern. Patient safety begins with the selection of a surgeon. Breast augmentation can be performed by many different specialists. Board-certified plastic surgeons offer patients the highest degree of training and qualifications for cosmetic breast surgery. The other area of concern regarding safety is the necessity of an accredited surgical facility. As members of the American Society of Plastic Surgeons or The American Society for Aesthetic Plastic Surgery, plastic surgeons perform all surgical procedures requiring anesthesia in an accredited facility.
There have been many different breast implant styles and materials through the years. Today, plastic surgeons can perform this surgery with either saline- or silicone-filled implants. Saline implants are composed of a Silastic (a type of
silicone) shell and sterile saline fill. Silicone implants have undergone many improvements and changes through the years. Today’s implants are soft and feel natural, yet the shells are quite durable. The silicone fill is no longer a liquid, but rather a gel with cohesive properties similar to the consistency of gelatin.
The question remains, are silicone implants safe? The Food and Drug Administration conducted investigations for many years on the currently available implants, and, in December 2006, they were approved for human implantation with some restrictions. For silicone implants, patients must be age 22 or older. Studies on these implants continue, but there have been no issues with them since approval.
Today, patients select silicone implants at almost the same frequency as saline.
The exact approach and type of implants require a complete examination and consultation.
Determining if
Veins Are at Risk
by Samuel P. Martin, M.D., F.A.C.S., medical director
Vascular Vein Centers
www.vascularveincenters.com
877-244-8558
Many people suffer from vein disease without even knowing it. One out of three people older than age 45 has some form of vein disease. Vein disease occurs when veins have trouble carrying blood from the legs back to the heart. Healthy veins have one-way valves to ensure blood flows in one direction toward the heart. When valves fail or leak, the blood flows backward, causing a reflux of blood that pools in the veins.
The increased pressure from the pooling of the blood stretches the vein, which can result in varicose veins. Risk factors include pregnancy, family history, being overweight, standing or sitting on a daily basis, hormonal factors and clots in the superficial or deep system.
Veins are controlled and never completely cured. However, there are steps that can be taken to improve leg health.
People should exercise daily using the leg muscles to help veins pump blood. Being overweight puts extra pressure on the veins, and high sodium intake can cause water retention and increase swelling. To minimize these risks, one should maintain a healthy weight. Elevating the feet can also protect against vein disease by keeping the blood from pooling in the lower legs. Maintaining healthy skin by moisturizing also prevents symptoms, and compression stockings are a useful tool. Graduated compression stockings are designed to help the vein walls. Because the pressure is greatest in the ankle area, it pushes the blood up out of the legs and back to the heart.
A Gift That Keeps Giving
by Joy McGinty
SouthWest Aquatics
www.southwestaquatics.com
407-905-0999
Everyone knows swimming is important for health, fitness, safety and more. But when parents are searching for another toy to give that special child in their lives, they should stop and think. Kids today have plenty of toys, gadgets and electronics. Parents should instead give a gift that will ensure children can swim. It will change their lives.
Mastering a new environment gives children an incredible sense of accomplishment that spreads into their lives in the most positive way.
It opens the world of aquatics. Swimming, snorkeling, boating, skiing and fishing become possible. Trips to the beach, river and pool become much more fun when a child can swim.
When faced with the difficult task of finding a perfect gift for a child, parents should give the gift that lasts a lifetime — swimming lessons.
Understanding Creatine’s Potential Dangers
by Bonnie Muzenic Dean, M.D.
Longenix Health & Aesthetics
www.longenix.com
407-355-7759
Pumping up at the gym has become a national pastime. Unfortunately, many bodybuilders choose to enhance the effects of weightlifting with potentially dangerous supplements, such as creatine.
Americans buy more than 1 million pounds of creatine each year, seeking to sculpt the perfect physique. Creatine is a chemical that occurs naturally in the body, mostly in muscles. It is made by the body and also can be obtained through certain foods. Fish and meats are good sources of creatine. Creatine also can be made in a laboratory.
Creatine is most commonly used for exercise performance and increasing muscle mass. It works best for those younger than 60.
Creatine is involved in making the energy muscles need to work. But when creatine is mixed with some common medications and nonprescription substances, it can produce deadly consequences. When creatine is taken with Advil or Aleve, especially during periods of dehydration, kidney toxicity can result. When creatine is mixed with caffeine, the muscle-building benefits of creatine are blunted. When it is taken with ephedra or pseudofed, cardiac rhythm disturbance and stroke can occur, both of which can be fatal. When creatine is mixed with fenofibrate, muscle damage can occur.
Though creatine by itself is relatively safe, when combined with other substances, many interactions can occur.
Learning to Deal With Anger
by Jennifer Magbanua, L.M.F.T.
& Dolores Vigil, registered clinical social worker intern
Holy Family Counseling Center
www.jmcounseling.com
www.dvigilcounseling.com
407-876-7369
Mad, upset, ticked, livid, annoyed, irate and irritated are ways of describing anger. In today’s society, anger is one of the most commonly expressed emotions. Sometimes anger is a “mask emotion” that covers the true emotion underneath. Sadness is a common hidden emotion. If a person thinks that it is weak to show sadness, and anger seems tougher, he might choose anger as a mask to cover the sadness. Although this appears to be effective in the short term, it can cause relationship problems in the long run.
Each person who experiences anger may attempt to diffuse it in a different way. For some, finding a way to relax or ease daily stress and tension may help curb outbursts. Some may find a physical activity, such as boxing, running or walking, to release anger. There are ways to control anger before it starts, including expressing emotions as they happen, rather than letting them build up; being aware of anger trigger; or letting go of past hurts. If a person continues to hold on to past hurts, it is like a bottle of water with sand added. Eventually, the sand settles; however, if something shakes up the bottle, the sand disperses again and creates mud. Some people may find it helpful to speak to a counselor to learn coping skills to address anger difficulties or “scoop out the mud.”
The Irritable
Bowel Challenge
by Nasir Alar, M.D.
407-345-7990
Antacids, laxatives and other digestive aids can be found in almost every household. Often triggered by today’s fast-paced lifestyles, digestive problems are one of the most common problems addressed at a visit to the doctor. While some symptoms can signal more serious diseases, such as cancer or inflammatory conditions, many times they are the manifestation of functional digestive disorders.
Irritable bowel syndrome can only be diagnosed after a complete clinical and, at times, endoscopic evaluation by a physician. The diagnosis is made by excluding other disorders with similar manifestations, such as lactose intolerance or celiac disease, and categorization based on the patient’s symptoms, predominantly constipation or diarrhea.
While IBS may not be considered serious or life-threatening, it can significantly affect a person’s quality of life. It is estimated that one in five Americans suffer from IBS. Symptoms such as gas, bloating, irregular bowel movements and abdominal pain are often left unresolved after treatment with medication. In recent years, several studies have shown that probiotics — supplements that contain live strains of bacteria and yeast, with or without dietary enzymes — may be another option for restoring “the harmony of the gut.”
These products are widely available on the market; however, it is best to check with a physician first. Some of the health claims of probiotic supplements have not yet been supported by clinical evidence. Lifestyle modifications, stress management and dietary changes can significantly improve IBS symptoms, even though the condition itself may be lifelong.
Antioxidants & the Skin
by Christopher P. Crotty, M.D.
Sand Lake
Dermatology Center, P.A.
www.sandlakedermatology.com
407-352-8553
Antioxidants on the skin provide protection against ultraviolet-light damage, radiation, cigarette smoke and air pollutants. Two excellent antioxidants available in food are vitamins E and C, but there are others contained in food. These include lycopene in tomatoes, genistein in soybeans, resveratrol in wine, as well as polyphenols and coenzyme Q10, among others.
There is no question that vitamins E and C on the skin provide photo protection. Unfortunately, both vitamins E and C tend to be unstable, and their absorption into the skin is highly unpredictable unless the concentration is very high and multiple applications are used. It is important to remember that antioxidants are preventive. They will not actually reverse the effects of sun damage.
The study of antioxidants is in its infancy. While the understanding of the science behind topical and oral antioxidants is increasing rapidly, the ideal delivery system and appropriate concentration are yet to be determined. The effectiveness of antioxidants is still the subject of ongoing research. Since antioxidants are predominately preventive, it may take up to 10 years of oral and topical use to see actual benefits. Despite these limitations, antioxidants, also known as cosmeceuticals, can and should be part of a daily regimen for preventive skin care. This also includes daily sunscreen use in conjunction with eating foods containing antioxidants and supplemental vitamins C, D and E.
Bikram Yoga Is Hot
by Maria Canela
Bikram Yoga West Orlando
www.bikramyogawestorlando.com
407-238-0755
Bikram yoga is a hatha yoga class practiced in a heated room. The room is heated to between 100 and 105 degrees with 40 percent humidity to warm the muscles and encourage sweating. Warm muscles are able to stretch further and are less prone to injuries. Sweating detoxifies the body by eliminating toxins and encouraging rehydration with fresh water.
Bikram yoga is a 90-minute class that consists of 26 postures and two breathing exercises. The postures are done in a specific order to prepare the body for each new posture.
Bikram yoga has many health benefits, including lowering blood pressure, weight loss, relief from back issues, stress management, more energy and overall general wellness. Bikram yoga works every muscle, organ, joint and ligament in the body, providing a complete workout. Bikram yoga holds isometric postures, encouraging the body to balance, gain strength and burn fat.
Yoga is the only exercise in the world in which energy can be gained instead of lost. Bikram yoga can improve flexibility, balance, strength and cardiac muscles and is a good class for old and young alike.
The Kettlebell Craze
by Sara Acioli
Zero Gravity Fitness
www.zerogravityfitness.net
407-654-2600
Originally used in Russia as a cross-training tool for military personnel and Olympians, kettlebell training has recently made its way into the mainstream fitness population. Everyone from athletes to homemakers are discovering the benefits of kettlebells.
The kettlebell is a weight with a U-shaped handle that allows momentum to work with the natural force of the body’s weight, thus creating a dynamic, functional workout for both strength and cardiovascular endurance. It is a unique workout that makes a great addition to any routine. Kettlebells improve balance, coordination, stamina and flexibility, while toning the body from head to toe.
With the supervision of a trained professional, this method can be just what is needed to spice up a routine. It is a fun, energetic workout for all levels. Kettlebell training can be taught privately or in a group setting.
Is It a Cold or Hay Fever?
by Steven Rosenberg, M.D., F.A.A.A.A.I.
Allergy & Asthma
Associates of Central Florida
www.aaacfonline.com
407-678-4040
During spring and fall, many people experience symptoms of head congestion, nasal discharge, sneezing, eye irritation and headaches. These symptoms may feel secondary to a head cold, when in fact, they are symptoms of allergic rhinoconjunctivitis, commonly known as hay fever or rose fever.
At the start of the 20th century, physicians practicing in New York observed that many farmers working with hay and grass would begin to experience these coldlike symptoms. It was discovered that they were not experiencing a head cold, but were having allergic reactions to hay and weed exposure, hence the term hay fever.
It is thought that more than 20 percent of the U.S. population has some type of allergy. Individuals with allergic rhinoconjunctivitis will experience a hypersensitive reaction to airborne pollens from trees, grasses, weeds, dust, animals and molds. During the spring and fall, these allergens may be elevated, which explains why many have a flare up at that time of year.
Allergy treatments include avoidance or environmental control measures. In addition, many can be helped by over-the-counter medications, such as decongestants (pseudoephedrine) or nonsedating antihistamines (loratadine). If necessary, a family physician can prescribe stronger medications, such as nasal corticosteroid, which is sold under the brand names Nasonex, Veramyst and Flonase. Allergists also can administer allergy injections that can make sufferers more tolerant to allergens.
Those suffering symptoms of a head cold seasonally or who experience chronic or severe head colds should consult with an allergist.
The Initial
Orthodontic Evaluation
by María C. Méndez, D.M.D., M.S.
All About Smiles Orthodontics
and Dentofacial Orthopedics
aas@allaboutsmilesortho.com
407-855-6305
Orthodontics is devoted to building beautiful smiles by bringing teeth, lips and jaws into proper alignment. Today, it seems like everyone, from children to seniors, is taking advantage of orthodontics. Straight teeth function better, are easier to clean, and are more likely to last a lifetime.
The American Association of Orthodontists recommends that all children have a checkup with an orthodontist no later than age 7. An orthodontist has two to three years of specialized training beyond dental school and is a specialist at straightening teeth and attaining proper form and function.
At age 7, the posterior bite is already established after the first, or six-year, molars come in. The front teeth have also begun to erupt. The orthodontist can evaluate the front-to-back relationship of the jaws, as well as their width, and discover any functional shifts, underbites or crossbites. Crowding, habits, deep bites, overbites and open bites can also be detected at this age.
Comprehensive orthodontic treatment is never advocated for very young patients. However, for some patients, a timely evaluation will lead to significant treatment benefits. For most other patients, the principal immediate benefit is a parent’s peace of mind.
Health Savings Plans
by Susan Hartman
Insurance Coverage 4 You
www.insurancecoverage4you.com
407-888-4980
Health savings plans can be paired with any qualified high-deductible health plan to allow the use of these tax-advantaged savings to help pay for current medical expenses, save for future expenses, or by letting the health savings account grow and earn interest.
Money not used for medical expenses rolls over to the next year. Each year, the Internal Revenue Service sets the maximum contribution limit for individuals and families.
HSA plans allow people to have more control over how their health care dollars are spent. If preventive care is not part of the deductible, it is 100 percent covered by the plan.
The savings can be spent tax-free to help pay for deductibles, coinsurance and qualified medical expenses as allowed by the IRS.
More interest and savings for employers and individuals is contributing to the growth of these plans.
For more information about allowable expenses, visit www.irs.gov on the Web.
Pregnancy
& Venous Reflux
by John D. Horowitz, M.D.
Central Florida
Vein & Vascular Center
www.cfvein.com
407-293-5944
Pregnancy, leg swelling and symptomatic varicose veins seem to go hand in hand. The damage during pregnancy is irreversible and often follows women throughout their lives, worsening over time. With venous reflux, there is a movement of blood from the deep veins to the superficial veins, pressurizing varicose veins and causing them to swell and become symptomatic. This causes the pain, aching, swelling, tenderness, tiredness and heaviness of venous reflux.
Pregnancy causes problems for the venous system in many ways. The hormonal changes of pregnancy have been said to have a negative impact on the vein valve leaflets, making them fragile and susceptible to rupture. Also, during pregnancy, a woman’s blood volume is increased three-fold. This extra blood volume puts a strain on the valve leaflets and may cause them to rupture. The pregnant uterus also creates pressure in the abdomen, causing venous outflow obstruction and blood to pool in the lower extremities. The changes that occur in the vein valve leaflets are irreversible and lead to lifelong battles with swelling, aching legs and symptomatic varicose veins.
During pregnancy, it is important to give external support to the venous system and wear at least knee-high compression stocking. Nightly elevation and swimming pool therapy also can help. Swimming pool therapy consists of walking in the shallow end of a swimming pool to promote venous return. If symptoms arise, the help of a phlebologist, a vascular specialist trained in the treatment of vein problems, should be sought. Women should not wait until they are finished having children to correct the problem.
How to
Become Emotionally Fit
by Yolanda Brailey, M.A., L.M.H.C., N.C.C.
Life Skills Resource Group
www.lifeskillsresourcegroup.com
407-620-7855
Those who allow their surroundings to dictate their moods, talk themselves out of having a good time, have a questionable balance between positive thinking and self-defeating thoughts, and worry whether they cope with stress in a healthy way should consider their emotional fitness.
Some common stressors are finances, careers, weddings, college deadlines, spring cleaning, family schedules and planning vacations.
The above topics have a positive value, and that gain is what is held onto while going through stressful times.
So why do people feel stressed if they are happy to be planning their weddings or vacations? It is called eustress. This is the stress evoked by positive emotions or events in one’s life. The body cannot physically discern between distress and eustress. The mind is so powerful that it convinces the body that all the planning and sacrificing is worth it, and it is right. People need to take vacations and participate in healthy activities that have a relaxation benefit or happiness sensation. Emotional health affects physical health, and both contribute to the quality of life.
If people believe they may not be balancing their thoughts or emotional health very well, they should discuss the topic with a counselor.
Exercising Discipline:
The Solution to
the Country’s Health Crisis
by J. Restrepo
Victory Martial Arts
www.victoryma.com
877-797-7988
First Lady Michelle Obama has stated that obesity in the U.S. is nothing short of a public health crisis that is threatening children, their families and the country’s future.
Today, two out of three adults and one-third of all children in the U.S. are overweight. Experts have warned that children could be on track to live shorter lives than the generation before. The problem is clear. The solution is also clear, and it is simple. According to Surgeon General Regina Benjamin, the solution is to eat nutritious foods, exercise regularly and have fun doing it.
The nutritional aspect is very straight-forward. People should avoid fast foods, snacks, drinks with high caloric content, sugars and processed foods. This leaves room for natural, organic foods; fresh juices; and water. Having the discipline to refrain from bad foods and consistently choose good ones is key.
When it comes to exercising regularly and having fun, there are many activities that fit the bill. Again, having the discipline to remain consistent is essential.
For children and adults, team sports can be very effective. For those who prefer one-on-one activities, there are golf, tennis, racquetball and other sports. A great choice for the whole family is martial arts. With martial arts, families can train together in an environment that expressly reinforces the discipline needed to succeed.
It would seem that as a country, this is a battle that must be won. The problem is evident, and the solution is simple.
Women & Their
Eyes: A Basic Outline
by Mont J. Cartwright, M.D.
& Brian Burry, O.D.
Medical Eye Associates
www.medeyedoc.com
407-423-2400
The eyes, as well as every other organ in the body, are often taken for granted until something goes wrong. There are many conditions that affect the eyes with little to no warning. Some of these conditions are easily treated, while others require great effort to slow down or halt their progression. Research has shown that females are two to four times more likely to acquire eye-related problems, as compared to their male counterparts. This is mainly because of the longer life expectancy of women.
Cataracts are a clouding of the lens within the eye, resulting in blurred vision. Almost everyone will develop cataracts if they live long enough.
Today’s cataract surgery has developed into a procedure that is typically performed in less than 10 minutes. In addition, the newest technology of lenses implanted into the eye has evolved into allowing the patient to function without the use of glasses after surgery.
Glaucoma is called “the thief of sight.” It is described as a painless, symptomless loss of sight. It is a disease that damages the optic nerve within the eye. The optic nerve is the wiring that carries the signals from the eye to the brain for processing. Glaucoma can be treated with the use of lasers, medications and surgery to slow down the progression of visual loss.
One of the most debilitating eye diseases that affects women more than men is age-related macular degeneration. It is described as a loss of the pigment cells that the retina uses to see fine detailed images. In other words, the film (retina) in the camera (eye) is damaged. The type of ARMD determines the type of treatment, which can range from medications to lasers.
The most common complaint with female patients is dry eye. As patients age, the composition of the tear film starts to change and become less stable,
especially in women. This is partially due to the hormonal changes associated with aging. There are many ways to combat this condition. The use of dietary supplements, artificial tears, medications and punctual occlusion of the tear drainage system are ways to decrease the symptoms of dry eye.
Last but not least, there are the cosmetic issues of droopy eyelids and loose skin around the eyes. Whether cosmetic or functionally hindering vision, the lids can be lifted with simple plastic surgery techniques. In addition, precancerous lesions, as well as small growths that are cosmetically unappealing, can be removed through minor in-office procedures.
Benefits of Therapeutic
or Diabetic Shoes
by C.J. Liebsch, licensed certified pedorthist
Florida Home Health
Equipment & Supplies
www.fhhes.com
407-843-2777
With diabetes, the body does not produce enough insulin or does not process it properly, leading to a surplus of sugar in the body. If not regulated, it has the power to damage the kidneys, eyes, nerves and blood vessels.
These risk factors increase diabetics’ chances of developing foot disorders, including foot ulcerations, infection and even the need for amputation. People with decreased feeling in their feet may have a false sense of security as to how at-risk their feet actually are. An ulcer under the foot can develop in a couple of hours, and with poor circulation, there is poor healing, and major wound care may be needed.
Studies show that proper footwear consisting of well-fitted shoes with sufficient width and depth, along with protective molded insoles, prevents complications such as strain, pain, ulcers, calluses or the need to amputate.
To provide feet with uncompromised fit and protection, a doctor can prescribe a pair of shoes with insoles yearly. Prescriptions for diabetic shoes must be filled by a qualified individual such as a pedorthist or podiatrist.
Many insurances, including Medicare, will cover the cost of shoes and insoles for a medical need.
Proper foot care is an important part of diabetes management. By starting
preventive measures, it is possible to avoid later foot complications and enable patients to maintain independent, active lifestyles.
Coping With Stress
in Modern Times
by Daciana Phillips, president
Phillips Medical Center
www.phillipsmedicalcenter.com
407-240-0062
Stress is defined as: pressure, strain; a force that tends to distort a body; a factor that induces bodily or mental tension.
Although life has always been stressful, the relentless pace of modern day life can be continuous, and a person may find it very difficult to relax, even when there is a moment to rest.
Stress is another form of anxiety. Stress may be heightened when one is faced with an illness, or it can derive from incessant worrying about the future or obsessively reflecting on the past.
The brain predicts the future based on past experiences; it checks all its files; it searches for similar experiences and what an outcome was, then it concludes with “certainty” what the outcome will be for the upcoming event or situation. This is the brain’s attempt to prepare for what is to come so that anxiety levels will diminish. But in most cases, it is just the opposite, and the anxiety level increases. The key is to find a way to be aware that the past does not equal the future and bring attention to the present. Old, outdated, negative thought loops can be replaced.
Meditation has been used for millennia as a way to calm and relax the mind. The concept of meditation can appear foreign to many, thinking that meditation is for the few that mastered sitting in silence for prolonged periods of time. But the good news is that meditation and relaxation can be practiced by anyone anywhere. There does not need to be a spiritual retreat; all that is needed is a quiet place.
Meditation can start with one minute of silence per day by observing the breath for one minute or focusing on one word for one minute.
From there, the time can be gradually increased to five minutes, then 10 minutes and, eventually, 15 minutes.
In order to be in the present moment, meditators must consciously slow down their minds, and to do this, the first step is to decide to not be in a hurry.
The following relaxation exercise can help one start a trend of meditation:
While breathing in and out, become aware of any tension or tightness in the body. Relax all muscles, starting from the top of the head, slowly moving to the neck muscles, the shoulders and the arms. Then relax the chest muscles, abdomen and legs, all the way down to the toes. Make sure to do this in a relaxed way, so breathing remains free and easy.
Meditation helps people find a sense of joy, allowing them to feel better and enjoy life to the fullest.
Abnormal Uterine Bleeding
by Robert F. Lemert, M.D., F.A.C.O.G.
Celebration
Obstetrics & Gynecology
www.celebrationobgyn.com
407-566-2229
Abnormal uterine bleeding can be a frustrating condition for women to face. It often comes on gradually, getting worse until medical advice is sought.
A woman’s menstruation cycle involves a complex series of hormonal events. A normal interval between menstrual cycles is considered to be 28 days, plus or minus seven days. The normal duration of flow is between two and seven days.
Menorrhagia, or excessive bleeding, is most commonly caused by anovulatory menstrual cycles. Occasionally, it is caused by thyroid dysfunction, infections or cancer.
It is normal for menstrual periods to be irregular at certain times of life. When a girl begins to have periods, they are often irregular. As menopause approaches, periods may once again become irregular. Menstrual cycles that are longer than 35 days or shorter than 21 days are not normal. Women with such cycles should be evaluated.
To diagnose AUB, doctors obtain a health history. The doctor must also do a physical exam. Blood tests may be needed based on symptoms.
Treatment for AUB depends on the cause. Hormones that will cause periods to be more regular and improve other symptoms may be prescribed. Some medications, like Aleve, may be helpful for bleeding and menstrual cramps. Some women have to undergo surgery to remove growths, such as polyps or fibroids, that are causing the bleeding. Definitive
treatments, like a hysterectomy, may be used to treat AUB.
There is no way of telling why bleeding is abnormal until the symptoms have been evaluated by a physician. Once the cause is found, AUB can often be treated with success.
Causes of Bad Breath
by Gerald M. Levine, D.M.D.
407-294-0067
More than 90 million people suffer from chronic halitosis, or bad breath. In most cases, it originates from the gums and tongue. The odor is caused by bacteria from the decay of food particles and other debris in the mouth. The decay and debris produce a sulfur compound that causes an unpleasant odor.
Bad breath is primarily caused by poor oral hygiene. Proper brushing, including brushing the tongue, cheeks and roof of the mouth, will remove bacteria and food particles. Flossing removes accumulated bacteria, plaque and food that may be trapped between teeth. Mouth rinses only offer a temporary relief from bad breath.
Bad breath also may occur in people who have a medical infection, gum disease, lung disease, diabetes, kidney failure or liver malfunction. Dry mouth and tobacco also contribute to this problem, as well as stress, dieting, snoring, hormonal changes and postnasal drip. Halitosis originating in the stomach is considered to be extremely rare, but possible.
To control bad breath, it is important to practice good oral hygiene and visit a dentist regularly. Dental checkups will help get rid of the plaque and bacteria buildup on teeth. If a patient’s dentist believes the problem is from a systematic source, such as an infection, he may refer his patient to a family physician to help remedy the problem.
One-Size Diet for All
by Jose Mandry, M.D.
Endocrinology and
Metabolism of Southwest Orlando
407-331-1117, ext. 320
People are often confused by the many different types of dietary therapies addressing weight loss. Some wonder if a diet exists that will allow them to lose weight without counting calories, measuring food or buying special ingredients.
There is a diet that is a one-size-fits-all — the plant-based diet. Those with diabetes, heart disease and hypertension, and active adults and young athletes alike can benefit from a plant-based diet. It is naturally low in sodium and simple sugars, and the combination of these qualities helps achieve success in weight maintenance, blood sugar control, reduction of high blood pressure and fatty blood lipids, and providing powerful energy.
The plant-based died is high in fruits, vegetables and whole grains. Most of the necessary vitamins and minerals are obtained with these foods. This regimen concentrates on less animal products, processed foods and dairy fats. Because all the food groups are represented, there is no need to use vitamins or mineral supplements.
Many physicians are turning toward the plant-based diet, as it has been shown to dramatically reduce complications associated with chronic disease and inflammation. This diet can actually delay the onset of certain diseases associated with cardiovascular disease and diabetes and can help reduce the progression of some types of arthritis. The naturally high fiber content of this diet also helps with gastrointestinal health, reducing the incidence of many types of cancers. This diet, in conjunction with a healthy lifestyle, is the proper prescription to a long and healthy life.
Hearing Loss
by Wade W. Han, M.D., F.A.C.S.
Florida Ear, Nose, Throat
& Facial Plastic Surgery Center
www.floridaent.com
407-944-3340
Hearing loss affects more than 34 million people in the U.S. Out of those 34 million, very few seek treatment. People with hearing loss may have difficulty following a conversation in a noisy restaurant or crowded room or feel people are mumbling or they are not speaking clearly.
A hearing impairment may also make it harder to actively participate in everyday activities, such as discussing symptoms with physicians, shopping and interacting with friends and family. These difficulties are of important significance because social connections are vital for good health in all stages of life.
It is important for people with hearing loss to receive early identification and evaluation of their hearing problems because of the adverse impact it has on them and those they are close to. Often, patients have already experienced a deficit in hearing for many years before seeking treatment. Advances in digital-hearing instrument technology have been found to effectively enhance the quality of life for most types of hearing loss.
Otolaryngologists, or ear, nose and throat physicians, identify and treat any medical disease that may cause a hearing problem. If medical treatment is not necessary, an audiologist should be seen. Audiologists care for patients with hearing impairments by evaluating hearing sensitivity and auditory function and by providing services to improve conversation abilities. Audiologists assist with the selection and fitting of the most advanced digital hearing instruments, which is usually the most appropriate nonmedical treatment for hearing loss.
Summertime Healthy Living
by Robert L. Masson, M.D.
NeuroSpine Institute
www.neurospineinstitute.org
407-649-8585
This is the time of the year when many shake off the dust, pollen and leaves, and people become more active. The summer months are filled with happy times and memories of outdoors events with children, as well as golfing, boating and tubing. But this is also the busiest time of year for spine injuries.
Year after year, healthy, active people suffer from disabling spine injuries during the summer months. Fortunately, many do not need surgery. Others rupture disks in their necks or lower backs and begin the long road toward surgery.
These patients often start with pain medication and anti-inflammatory drugs. This is followed by urgent care visits or an office appointment with a chiropractor or primary care physician. Quite often, a pain management appointment for injections and a course of physical therapy follows. When all else fails, they visit a spine surgeon.
While all injuries cannot be prevented, the odds of staying healthy can be improved by following some simple guidelines and paying attention to weight, physical health and physical activity.
Every spring and before undergoing an increase in activity, it is important to honestly assess one’s weight. If someone is overweight, lifting should be moderated, traumatic activities reduced and the length of activities shortened, because the body is under more stress trying to support the burden.
If a person is out of shape, he should try to get in shape. In addition, if an activity is too straining, the intensity and severity should be reduced.
If the activity is inherently risky, and if one already has spine problems, activity should be moderated. People may regret relying on muscle memory from youthful years.
Reducing
Health Care Costs
by Thomas D. Harris, M.D.
Harris Internal Medicine
www.harrisinternalmedicine.com
407-351-9696
Insurance plans do not cover exercise, fitness clubs, diet counseling and nutrition. A daily regimen of 30 minutes of exercise, combined with a low-calorie, low-carbohydrate diet, will go far in controlling health.
Electronic health records are now standard for up to 10 percent of Orlando doctors’ offices. The office can sometimes negotiate a better price for a test or medication, sometimes saving hundreds of dollars.
Generic medications do not have the catchy commercials, but they work as well or better than brand-name medications and at a fraction of the cost. For the $120 that is spent on a brand-name medication, a doctor can treat someone’s diabetes, hypertension and high cholesterol for one year with three generic medications.
There is no antibiotic for the cold, and there is no substitute for exercise. In addition, a good mood and laughter will help with a lot of medical outcomes.
Ten Ways to Make Working Out Fun
by Nicole Irvine, fitness director
Jewish Community
Center of South Orlando
at the Jack & Lee Rosen Campus
www.jccsouthorlando.org
407-513-4226
The thought of working out can make some cringe, and many people struggle on a daily basis with finding the motivation to work out. Life gets too busy, and it is easy to make excuses. The fact of the matter is that if it is wanted bad enough, an exercise routine will happen. And there are some simple ways to make the journey more enjoyable:
Likes vs. Dislikes: Working out should not be a chore. A regimen should be built around likes and dislikes. People should not run if they do not like to run. Being physically active can be fun, but people are less likely to benefit when they are participating in something they do not like.
Buddy Up: Having a workout partner can be beneficial or detrimental. Finding a partner that is like-minded and provides encouragement, accountability and even inspires a little competition is key.
Fail to Plan & Plan to Fail: Turning over a new leaf and making a decision for a healthier life is very exciting, but it can fizzle out quickly. Making realistic and attainable goals is a setup for success. It is better to start slowly and work up to working out more often. A novice, or even a veteran, often will have high expectations and will be discouraged when they cannot meet the goals they have set for themselves.
Stylish Apparel: Feeling good about clothes while working out increases
confidence and improves the overall outcome of the workout.
Music: Listening to some favorite tunes can provide the motivation needed to get through any workout or even give a boost of energy. Upbeat songs help provide motivation.
Mix It Up: Variety is the spice of life, and there are many different things that can be done to keep exercise fresh. When boredom strikes, it is time to change it up. It is best to be open-minded and unafraid to try something new.
Quality Time: Those who have to decide between working out and spending that hour with loved ones should spend their time wisely and find an activity the whole family can participate in and enjoy together. Whether it is walking the dog, biking or playing basketball, it will be time well-spent.
Go Rec: Playing sports such as soccer, kickball and volleyball recreationally is a great way to be active, socialize and have fun. Participants can set personal goals and gain a sense of camaraderie. And it is a great opportunity to de-stress.
Reward: After goals have been met, a reward should be taken. It can be something as simple as a night out or a new pair of jeans. Meeting bigger goals means bigger rewards, such as a spa day or a weekend getaway.
Shake That Groove Thing: Dancing the night away offers a great aerobic workout. Whether it is a date night or night out with friends, it will be calories well-burned.
Great Oral Hygiene: A Life Lesson While in Braces
by Katia Ridore
Champion Orthodontics
www.championorthodontics.com
407-656-0990
A beautiful smile requires a commitment to great oral hygiene. The world of orthodontics, a particular specialty, can transform a smile.
But while wearing braces, the teeth are especially vulnerable, and oral hygiene should be a high priority. Patients should brush after each meal, with a minimum of three times per day. Keeping a smile healthy is a worthwhile cause. A smile conveys who a person really is, because it radiates the optimism and youthfulness necessary to navigate obstacles and challenges in today’s world. The essential steps to ensure optimal oral health apply to everyone, regardless of braces. Patients must visit their dentists every six moths for checkups.
Flossing is absolutely necessary and more important than brushing, because it can prevent the gums from being irritated by swelling over the braces or orthodontic appliance, bleeding and being sensitive to touch. Flossing and brushing are both crucial.
Keeping teeth in good repair and free of decay, the bite aligned and balanced, and receiving regular cleanings from a hygienist, are vital.
Nonsurgical Pain Management Techniques for Back & Neck Pain
by Diego F. Guerrero, M.D.
Center for Pain Medicine
www.centerforpain.com
321-422-7111
Back and neck pain is a symptom that affects millions of people in the U.S. It is second only to the common cold as a cause for absence from work in people under age 55 and second only to headaches as a cause of chronic pain.
The most common cause of low back pain is postural, related to muscles and tendon pathology. These symptoms usually respond to conservative therapy, including physical therapy, massage, ultrasound, cold/warm techniques and mild medications, such as anti-inflammatory drugs and muscle relaxants. In a percentage of patients, back pain becomes chronic and persists from three to six months, despite conservative therapy. This group of patients requires specialized evaluations by a board-certified pain medicine physician.
Some of the common chronic pain symptoms that are evaluated in a pain center include the following:
Low back pain and sciatica — This pain is usually caused by a disk herniation that compresses or irritates a nerve in the lower spinal area, producing the typical symptoms of sciatica, or pinched nerve. A narrowing of the spinal canal may also produce back pain and sciatica, and this is more commonly seen in elderly people. A significant number of these patients can be treated with nonsurgical
pain management techniques performed under X-ray guidance, same-day outpatient procedures, where the pain physician will target the affected nerve and decrease the inflammation in the area. These treatments, along with patient education in reference to proper body mechanics — knowing how to bend or lift and avoiding stress to the spine — and wellness guidance in eating properly and losing weight when indicated, produce the best results. There is a small percentage of patients who may not respond to these therapies and will require a referral to a spine surgeon for evaluation and possible surgical intervention. In rare cases of emergency, significant neurological deficits or severe trauma to the spine, the patient must be evaluated in an emergency hospital setting without delay.
Low back and neck pain caused by arthritis — Neck and lower back pain can be caused by arthritis of the facet joints, which are structures located in the posterior aspect of the spine that allow a person to bend, extend or rotate the lower back. When significant facet arthritis is observed secondary to degenerative changes, previous back trauma, surgery or sport injuries, interventional pain management techniques can be very effective in relieving this type of pain. Radio frequency is a cutting-edge technique used by pain medicine specialists to treat back pain secondary to arthritis. This treatment is often used in conjunction with physical modalities, patient education in reference to proper body mechanics, exercise and a wellness program, when indicated.
Significant progress in interventional pain management allows pain medicine doctors to alleviate pain, improve function and return individuals back to a better quality of life.
Supplements for Success
by Jason Sensi
Platinum Nutrition
www.platinumnutritiononline.com
407-601-3975
Most people are aware that general health begins with proper diet and exercise, but depending on one’s lifestyle and schedule, dieting and exercising may not be easy, or in some cases, it may not be enough. For these reasons, more and more people are turning to dietary and nutritional supplements to aid them in reaching their nutritional or physical goals, mainly because they are effective and easily accessible.
The dietary supplements category is broad and includes vitamins; herbs; minerals; weight-loss, weight-gain, meal-replacement and workout-recovery products; and joint, heart, prostate and organ care products. They can be used simply to promote better health, whether that be improving one’s immune system or aiding in supplying the body with the necessary levels of nutrients each day. However, supplements also can be used to help achieve fitness goals, such as trimming fat, gaining muscle and increasing endurance or recovery. The majority of athletes and gym members use supplements to help maintain their strength and achieve their physical goals.
Regardless of one’s goals, the use of supplements can help produce results sooner and with less physical effort. As always, doing research and talking with experienced professionals about specific goals will help determine which products are best for each particular situation. Dietary supplements are monitored by the Food and Drug Administration and should be considered safe as long as users follow the label’s directions and check with their doctors before use.
Chiropractic Basics
by Gerald R. Mattia, D.C.
Mattia Spinal Care & Rehab Center, P.A.
www.mattiawellness.com
407-909-4788
Most people begin chiropractic care because of some kind of back or neck pain or other kind of musculoskeletal problem. The neurological component in chiropractic health care has far-reaching results. Each segment of the spinal column has nerves that reach out all over the different parts of the body. The nervous system controls all the functions of the body, whether those functions be conscious or unconscious. Examining an illustration in an anatomy book shows how each level of the spinal column affects certain areas of the body.
Someone may have a problem with a shoulder or arm, and chiropractors look to see if there is a problem in the cervical spine. The cervical spine affects these areas.
When spinal bones remain out of their proper biomechanical position for many years, degeneration of the spinal bones begins to set in. The disks between the bones become thin, creating degenerative disk disease.
Good nutrition, exercise, proper rest and a positive mental attitude are all factors that maintain health. Chiropractors remove pressure on the nervous system, improve joint function and promote better health.
The Vast World
of All-Star Cheerleading
by Jenna Lindemann
Epic Cheer
www.epiccheer.com
407-965-3365
Every day, news programs, magazines and other media outlets bombard readers and watchers with conflicting messages regarding health and fitness. Reporters comment regularly about the obesity epidemic in the U.S., but magazines are covered with airbrushed forms that are presumed to be real.
Physical activity is the common denominator to solving the obesity epidemic and maintaining a healthy physique. Unfortunately, nearly one-half of American youths are not vigorously active on a daily basis. About 14 percent claim no recent physical activity, with girls ranking higher than boys. Regular physical activity in adolescents helps build and maintain healthy bones, control weight, build lean muscle, reduce fat and prevent or delay high blood pressure.
There are many sports available to young girls and boys, but none have emerged with as much energy and enthusiasm as all-star cheerleading. From a little known sport in the early ’80s to an international phenomenon, competitive cheer has set a new standard in the sports world. Unlike other sports, it is a year-round activity, typically running from May through April. Cheerleading offers an intense cardio workout, while teaching children tumbling and dancing skills, conditioning techniques and encouraging self-awareness in terms of nutrition and physical care.
All-star cheerleading does have its critics, who claim it is not a sport, and it is too dangerous. But workouts can be multifaceted so they challenge athletes as a whole. Cheerleaders can be pushed physically by an array of specialty coaches. Cheerleaders are often some of the most physically fit people, and as with all sports, cheerleading is safe as long as well-trained, certified coaches train athletes in a supervised environment.
In the world of competitive cheerleading, the governing body that creates the rules and guidelines by which training and competitions are held is the U.S. All-Star Federation. Everything from age recommendations to level rules regarding tumbling, stunts, pyramids and tosses are fully outlined and available for any athlete, parent or potential coach to see. Complete with coach credentialing, as well as judge and safety certification, USAF strives to make competitive cheer safe and fair for everyone involved.
For those not interested in cheer, but who want a tumbling workout for their children, most cheer gyms offer recreational programs for individuals, groups or organizations, including home-schoolers and Girl Scout troops. There is a little something for everyone to explore in the world of all-star cheer.
Oral Health
& the Whole Body
by Renee Braxton, R.D.H.
Southpark Dental Group
www.southparkdentalgroup.com
407-248-0100
New research heavily supports a strong association between oral health and total body health. Improper or poor oral habits lead to a bacterial infection, called periodontis, around the teeth and below the gumline, initiated by plaque formation. This plaque causes the immune system to respond, and inflammation of the gums occurs. Inflammation presents itself as sore, puffy and bleeding gums. When gums are bleeding, the bacteria can enter the bloodstream and move throughout the body. Researchers have found oral bacteria in the plaque that builds up in the coronary arteries to be a large contributing factor of heart disease.
Diabetics are directly affected because of the fact that inflammation anywhere in the body can affect blood sugar levels. Periodontis also progresses more aggressively because of extended and poor healing in someone with diabetes. It is quite a domino effect of deterioration of the mouth and body that can be hard to control and can eventually lead to tooth loss.
When an expectant mother’s oral bacterial gets into her blood stream, it can cross the placental barrier and infect the fetus. This inflammatory response triggered by the mother’s body has been directly attributed to premature births and babies with low birth weight.
It is proven that meticulous, proper care of the mouth, along with proper diet, exercise and professional care, contributes to good overall health. That way, the only infectious thing carried around is a smile, and that is contagious in a great way.
Can Diet Fight Disease?
by Sharon Bartfield, M.S., R.D., L.D./N.
YMCA of Central Florida
www.centralfloridaymca.org
407-896-9220
These days, many people are worried about boosting the immune system to ward off cold and flu viruses. While there is no one nutrient that can magically prevent illness, the quality of a diet can certainly have an impact on the body’s ability to keep its immune system in peak condition.
While a balanced diet is the best bet, there are certain vitamins in fruits and vegetables that promote immune function. For example, vitamins A and C are great immune boosters found in high quantities in fruits and vegetables. The rich variety of colors seen in the produce department is the first clue that there are loads of not only vitamins and minerals, but nonnutrient compounds, called phytochemicals, that fight disease.
While often challenging, it would be ideal to consume five to nine servings of fruits and vegetables with a variety of colors per day. That may seem like achieving the impossible, but it really is not, when serving sizes are considered. One typical serving of cooked vegetables is one-half of a cup. One cup of leafy raw vegetables is considered a serving. It is very possible to consume multiple servings at one meal.
Another nutrient to consider is lean protein, such as soy, poultry, eggs, seafood and beans. The building blocks of protein, called amino acids, are also building blocks for cells that boost the immune system. The way to calculate a person’s estimated protein needs for maintaining the immune system is to take one’s body weight in pounds and divide it by 2.2. This gives weight in kilograms. One then takes the kilogram body weight and multiplies it by eight-tenths to one gram of protein. For example, a 150-pound man is about 68 kilograms, so his protein intake should not go below about 55 to 68 grams of protein per day.
The following are some other considerations: consume one cup of green tea per day, take an age-appropriate multivitamin, and consume friendly bacteria. Friendly bacteria means probiotics such as yogurt that contains live, active cultures. This may help the gastrointestinal tract resist bad bacteria and boost immune cells. People also should not forget to exercise. Those who exercise on a regular basis have been shown to have a boost in their immune function.
Managing
Stress in Difficult Times
by Marcia Norman, Psy.D.
Associates in
Psychology and Counseling
www.apc-orlando.com
407-523-1213
For many people, the past 18 months have been extremely stressful. Layoffs, job losses, financial difficulties, foreclosures — all have taken a toll on many families. Many marriages are stressed to the max. But there are ways to manage this stress.
Rest replenishes both the mind and body. The stronger a person is mentally, emotionally and physically, the more he is able to cope with what is causing stress.
Deep breaths in through the nose, deep into the chest, and back out will replenish oxygen stores, relax muscles and allow one to focus more clearly. For a deeper relaxation, one can close the eyes and concentrate on relaxing muscles that might feel tense.
Research shows exercise decreases symptoms of depression, anxiety and stress. As hard as it is to get to the gym on some days, no one ever said, “Gee, I wish I had not worked out today.”
People should focus on what they do have. They should slow down and really appreciate those around them. The benefits of really experiencing a person who is loved far outweigh the benefits of any purchase.
The only constant in life is change. If things are tough, people should know they will be better someday. If things are good, people should take the time to appreciate them.
If stress seems insurmountable or persistent, one should consider counseling. A good therapist can help shift perspective, deal with emotional issues that may be contributing to stress, and help increase the ability to relax and cope.
Planning for a Healthy Barbecue
by Ann Tamanini, R.D., L.D., specialty services line dietitian
Florida Hospital
Celebration Health
www.celebrationhealth.com
407-303-4000
These are great times to provide family and friends with healthy, tasty alternatives to the traditional cookout menu.
Research shows that barbecuing meat can increase the risk of some types of cancers, including breast and colorectal. Cancer-causing chemicals can be found in high concentrations in grilled meat, chicken and fish. Grilling meat at high temperatures and exposing meat to smoke and flame flares can increase the quantity of these cancer-causing substances.
For healthier cookouts, meats can be partially precooked in the oven or microwave so they spend less time on the grill. Gas grill jets should be kept on low. Smaller cuts should be used to shorten cooking time, and kabobs can be made with small pieces of chicken, turkey or fish. When making kabobs, wooden skewers should be soaked in water before grilling. Meats can be marinated or coated with olive oil before cooking, which lowers the buildup of harmful chemicals. Taking the skin off chicken and trimming excess fat before cooking reduces the chance of fat dripping onto the coals or heating elements, causing a flare of fire or smoke. All charred pieces should be removed before eating.
Cookouts can be even healthier by skipping traditional high-fat potato and macaroni salads and potato chips. Fruits and vegetables contain vitamins and antioxidants that not only counteract the carcinogens in the body, but also can help reduce the harmful effects of sun exposure. Studies show that vitamins C and E are antioxidants that have the ability to not only prevent cell damage from ultraviolet radiation, but can also repair sun-damaged cells. In other words, these nutrients can decrease the severity of sunburn, especially when both are consumed before, during and even after being out in the sun. Vitamin C is found in citrus fruits, strawberries, broccoli, papaya, and red and green peppers. Vitamin E is found in spinach and mustard greens, avocados, almonds and sunflower seeds. Coleslaw can be replaced with guacamole with bell pepper slices. And a nice addition to any cookout is a spinach salad with orange sections, slivered almonds and sunflower seeds, topped with a light vinaigrette dressing.
Roasted vegetables are a treat during a cookout, and they provide lots of fiber, vitamins, minerals and antioxidants. Grilled vegetables are easy and fast, and almost any vegetable can be grilled. Some good choices are corn on the cob, whole mushrooms, eggplant, onion, zucchini, asparagus, red pepper and cherry tomatoes.
Roasted fruits, such as fresh peach and pineapple slices, and even bananas roasted in their peels, make a great
dessert.
Who Is an Allergist?
submitted by
Allergy Asthma Specialists, P.A.
www.allergycfl.com
407-351-4328
Many people do not realize that frequent colds, respiratory infections and bronchitis are often overlooked as causes of allergies and asthma.
Many also are unaware that immunotherapy (allergy injections) and treatment of allergic disease by an allergist leads to cost savings, better quality of life for patients, and less total steroid use, thereby decreasing steroidal side effects.
Patients with asthma treated by allergists need 76 percent fewer emergency care visits, 77 percent fewer hospitalizations, 45 percent fewer sick visits, and have 77 percent fewer missed days from school or work.
Children and adults with asthma are getting frequent steroids shots or steroid bursts in an office setting without being on controller medications. Adults and parents of children with asthma are often not knowledgeable about their potentially chronic disease, and therefore are not compliant with their treatment regimens.
Studies have shown that patients with asthma have better outcomes if treated by an allergist. This is a physician with board certification in either internal medicine or pediatrics and who underwent an additional two to three years of training and passed an additional board-certification examination. Allergists are the only specialists who get intensive hands-on training for skin test application and interpretation. They must have thorough knowledge of the immune system, and they are able to evaluate immune diseases. An allergist is trained to treat asthma and any other allergic disease.
Fall Prevention
by Vicky Thomsen, president
Lifting Hearts Senior Care, LLC
www.liftingheartsseniorcare.com
407-992-9220
Homes should be checked regularly for safety hazards that increase the risk for falls. A thorough home evaluation is a great way to prevent senior falls and serious injury.
The fastest-growing segment of the population is the over-70 age group. Seniors want to remain in the familiarity of their own homes for as long as possible. With life expectancy stretching into the 90s, the single most important thing that can be done to improve a senior’s quality of life is to identify factors that may lead to a fall.
Falls are responsible for 40 percent of admissions to nursing homes. Seventy percent of accidental deaths in people older than 75 are caused by falls. One in three older adults living at home fall each year, resulting in reported medical care.
Family members need to be vigilant for both internal and external factors that can lead to falls, then ensure the senior’s home is made as fall-proof as possible. Internal factors include slowed reflexes, balance disorders, weakness and medications. External factors are poor lighting, cluttered living spaces, unstable chairs and throw rugs. These are just a few factors that may lead to a devastating fall.
Professional assessment of the home may be the most important act that can be done to prevent fall injuries. Even the fear of falling can be reduced. Seniors can live independently longer, and their quality of life can be increased significantly in their own, safe homes.
Keeping the Back Healthy
by Jeff Shebovsky, D.C.
South Orange
Wellness & Injury Center
www.southorangewellness.com
407-857-6166
Everyone has just one back. Whether young or old, rich or poor, large or small, everyone has just one. It is irreplaceable and must last a lifetime. If the back is taken care of, treated with respect and kindness, and kept from trauma, it will be a partner in good health.
It is basic human nature to not pay much attention to the back until forced to by a fall, automobile accident, neglect or the ravages of time. When back issues appear, they are usually disk-related, and by that time, the pain is impossible to ignore.
Historically, disk-related pain was only remedied by surgery. There were no guarantees, and even when successful, the patient often had to deal with a lengthy hospital stay, long recovery period and great deal of pain. In recent years, however, other options that have been successful in the elimination of the intense pain without surgery have become available.
One of the most popular of these non-surgical options for treating severe disk pain is a new technology called spinal decompression. This technology provides the right candidates with a painless, noninvasive, nonsurgical method of retracting herniated disks and allows patients to get their lives back.
Some of the conditions treated by spinal decompression therapy, also called Vax-D, include chronic lower back pain, especially sciatica caused by herniated lumbar disks, degenerative disk disease and more.
A spinal decompression therapy system consists of a split table that is programmed by a computer to provide cycling distractive force along the axis of the lumbar spine. The intensity of intermittent force is increased gradually to help prevent muscles from contracting in reaction to being stretched. With proper positioning, traction can also be applied to an isolated spinal disk.
While “regular” spinal traction can lower the pressure within a vertebral disk, spinal decompression therapy actually creates a negative pressure within a disk, which allows disk material from a herniated disk to be pulled back. It is believed that reducing the pressure in the lumbar disks may also promote healing of the disk as fluids and nutrients enter the disk through diffusion.
Spinal decompression therapy is relatively safe when used on properly selected patients and performed by a qualified clinician. Before receiving this treatment, a patient should get properly diagnosed by a qualified chiropractor or physician. Injury could occur if a person has a medical condition that contra-indicates decompression therapy. An X-ray should be taken to rule out vertebral fractures, osteoporosis, etc. An MRI also is essential. Typically, patients who qualify for spinal decompression receive 20 treatments over one month.
As with all health-related issues, it is important to come to a well-informed decision. Patients should gather as much information as possible, investigate all options available, and ask for the opinions of respected professionals.
Protecting
Children From Heat Illness
by Keith L. Hassan, M.D., M.H.A., F.A.A.P., medical director
After Hours Pediatrics
www.afterhourspediatrics.com
877-538-0005
With summer approaching, parents should know that young children are most susceptible to heat-related illnesses. When perspiration is not enough to cool the body, the following steps can help prevent a child from becoming overheated:
— Dress in light-colored, lightweight clothing with a hat and, perhaps, use an umbrella.
— Drink plenty of water or sports drinks throughout the day; parents should not wait until the child is thirsty.
— Avoid strenuous activity.
— Take regular breaks from the heat in a cool area; stop activity if the child feels overheated.
— Stay indoors if necessary.
— Do not use salt tablets.
Heat-related illnesses occur in stages, and treatment depends on the severity.
The first stage involves cramping of the muscles, upon which the child should stop activity, rest in a cool place, and sip on water or sports drinks. Discomfort can be relieved by stretching the muscle and holding the stretch for 20 seconds, followed by a gentle massage.
More serious stages of heat illness, known as heat exhaustion, cause cool, moist, pale skin; headache; dizziness; and nausea. Children should sip water or sports drinks, remove or loosen clothing, and apply cool, wet clothes. Parents should seek medical care if the child vomits.
Late signs of heat illness, known as heat stroke, are vomiting, changing levels of consciousness, elevated body temperature, rapid and weak pulse, and rapid breathing. In this stage, 911 should be called, as heat stroke is a medical emergency and requires quick intervention.
Cold Remedies
by James G. Scelfo, M.D., F.A.A.F.P.
Personalized Primary Care
www.personalizedprimarycare.com
407-566-2454
After years of medical studies on cold remedies, the medical community is coming to understand the value of some herbal remedies for colds. With an estimated 1 billion colds in the U.S. every year, there are a lot of medicines on the market that work and do not work. Adults average two to four colds and children six to 10 colds per year. With each cold lasting five to 10 days, any help with avoiding colds or getting better faster is a desire for all.
Healthy habits, such as eating right, exercising and sleeping well, stimulate the immune system and help keep infections at bay.
Frequent hand washing throughout the day is the best cold preventive.
Colds do not start in the nose — they start on the hands.
Nasal irrigation can reduce the chances of developing a sinus infection by up to 80 percent and reduce symptoms by up to 50 percent.
Echinacea seems to work. When started within 72 hours of developing cold symptoms, evidence shows it may reduce the length of colds by one to 1.5 days.
Based on current evidence, zinc and vitamin C are not shown to prevent colds. However, they may help to decrease the length of symptoms by one to 1.5 days.
Combination nutraceuticals should be approached with caution. There are lots of testimonials about the latest and greatest mixtures of vitamins, herbs and supplements. Unfortunately, there is no medical evidence for many products.
Dental Secret:
Clear Aligners
by Jason Battle, D.D.S., C.A.G.S., A.B.O.
Premiere Orthodontics
www.bracesbybattle.com
407-381-3335
Clear aligners are a fast way to improve one’s smile without spending a fortune. Many people are reluctant to see an orthodontist because they think that they will need braces for two years. Many times, if there are only minor corrections, a clear aligner is the best and fastest solution.
Clear aligners are similar to Invisalign, but at a fraction of the price.
They are removable, invisible, worn 22 hours per day, and taken out for brushing and eating. Most tooth movement takes between six to 12 weeks. All tooth movements cannot be accomplished with clear aligners, but if patients are not looking for perfection, clear aligners are a great alternative to braces and Invisalign.
Sleep Disorders
Require Medical Attention
by Morris T. Bird, M.D., co-medical director & Robert S. Thornton, M.D., co-medical director
Florida Hospital
Center for Sleep Disorders
www.orlandosleep.com
407-303-1558
Sleep seems like a calm, peaceful activity. However, scientists are increasingly finding that poor sleep can seriously reduce quality of life. Sleep health is as important as other aspects of health, such as good nutrition, exercise and regular checkups. Just as one would contact a doctor if he found a lump or had recurring pain, he also should seek professional help if he may have potentially serious sleep-related problems.
Recurring tiredness may indicate a sleep problem such as insomnia, sleep apnea, narcolepsy or restless legs syndrome.
In sleep apnea, breathing stops during the night. This can occur in hundreds of short episodes, as well as longer periods of more than a minute. Symptoms include heavy or loud snoring, interrupted breathing, restless sleep and excessive daytime sleepiness. These can restrict quality of life. Worse, these symptoms may indicate or cause more serious problems, such as high blood pressure, coronary heart disease, stroke and diabetes.
Sleep problems even can be fatal. In the U.S., falling asleep while driving kills about 1,500 people each year. Fortunately, these disorders are relatively easy to diagnose and treat. Those who suffer or know someone who suffers from severe sleep problems should make an appointment with a physician or sleep medicine specialist.
Massage Myths
by Shelly Flannery
Massage Envy Dr. Phillips
www.massageenvy.com
407-354-3689
It is a myth that a sign of a good massage is soreness the next day. The truth is that soreness is not an indication of a massage’s quality.
Some individuals will be sore after their first massage or if they have been sedentary for a while. If a massage therapist works very deeply to break up lactic acid or trigger points in the body, or if clients fail to drink enough water before massages, they may feel soreness. But, with regular massages, clients should not be sore the next day. And no one should ever be so sore that they are stuck in bed.
Many buy into the myth that if a therapist does not ask about it, there is no need to bring it up. However, massage clients should tell their therapists about their health history, including any medical conditions, surgeries and medications.
Disclosing medical information is extremely important. Therapists need to know if they are working on someone who has heart disease, is taking antidepressants, has metal in their body, etc. That information helps the therapist tailor the massage, determine the depth to use, or decide if a client should have a massage at all.
Pregnant women often hear the myth that they should not receive massages. However, massage is perfectly safe for all normal pregnancies. There are myths that massage can induce labor, but there are no points on the body that can trigger labor if touched. For normal pregnancies, it is perfectly safe.
Deep Breathing Increases Health
by Catherine R. Zelner, M.D., F.A.C.O.G.
www.drzelner.com
407-345-5055
Breathing properly is one of the most important things that can be done for maintaining health. Children breathe deeply, from their diaphragm. As people age, however, breathing shifts to the chest and becomes more shallow and rapid. People forget how to breathe correctly. Deep breathing is best, and breathing from the belly, where the abdomen rises with inhalation, is the correct way to deep breathe.
Deep breathing is important because it helps the lymphatic system work better. The lymphatic system produces and stores cells that fight infection. The channels that carry lymph are also part of this system. Blood is pumped from the heart through the arteries to the thin, porous capillaries. The blood carries nutrients and oxygen to the capillaries, where they are delivered into this fluid, called lymph, around the cells. Dead cells, blood proteins and other toxic material must be removed by the lymphatic system, which is activated by deep breathing. The lymphatic system is as essential to bodily function as the bloodstream it complements.
Some of the additional health benefits of deep breathing include a decrease in stress, anxiety, pain, aging and blood pressure. It also increases productivity and inner peace.
All that needs to be done is to take a few moments each day to focus on breathing deeply. How wonderful it would be to begin the day with quiet time breathing deeply, massaging the cells and increasing health one breath at a time.
Using Nature to Deal With Stress
by Marina Lombardo, L.C.S.W., P.A.
www.marinalombardo.com
407-578-4566
The four elements of nature — earth, air, water and fire — can be helpful resources in dealing with stressors. Stress triggers the body’s fight-or-flight response, and chronic stress is debilitating to both the body and the spirit. Psychologist Elan Shapiro created a simple four-step process using these elements to counteract the damaging effects of stress.
The first element, earth, has to do with being physically grounded in the present moment. Feeling the feet on the ground or noticing one’s surroundings are ways to access this element.
The second element, air, is about taking long, slow breaths from the stomach into the chest. One can even imagine breathing in calm and breathing out stress to promote a feeling of relaxation.
The third element, water, has to do with the production of saliva. Because of the stress response, when a person is upset, the mouth usually dries up. One can imagine biting into a juicy fruit to turn on saliva production and trigger the body’s relaxation response.
Fire is the fourth element and signifies the power of thought. Imagining a peaceful scene automatically allows the body to relax. Using all of one’s senses to create imagery will increase the effectiveness of this element.
Using these four elements — being grounded, breathing deeply, producing saliva and imagining a calm scene — can restore balance and allow one to experience greater well-being.
The Mind-Muscle Principle
by Richard Cleary,
certified personal trainer
Gold’s Gym
www.goldsgymfl.com
407-226-9996
When people say they want to develop more strength and lean muscle, one of the first things they should learn is the mind-muscle connection. This is simply the ability to engage the mind on the muscles of the body that are being exercised. It is not just a general engagement of the mind on the muscles being worked out. The purpose of focusing on the muscles is to recruit as much strength from the desired muscles as the exercise demands. If one is doing a dumbbell chest press, then the main objective is to fully use all the strength in the chest for one, two or, at most, three sets. The shoulders and arms are simply along for the ride. The shoulders and arms are supporting the objective of utilizing every chest muscle fiber possible. If one simply pushed the dumbbell in the correct motion and form but did not actually make a voluntary connection between the mind and chest muscles, then the work was not really being done. This limits the effectiveness of the repetitions and slows the journey toward fitness goals.
The mind-muscle principle is often misunderstood. Some may have been strength-training for years, and it is only when they apply the mind-muscle principle that they start to realize its effectiveness. They make a deeper connection than ever before. Not only is it more effective, but it saves time. Who would not want to get more accomplished in changing the body in a shorter period of time?
Those looking to utilize the mind-muscle principle should start to practice engaging the mind on the muscles that are supposed to be working during a particular exercise. If it is the gluteus muscle, strength trainers should think about
utilizing the gluteus strength to its potential. The purpose is to generate or recruit as much strength from the desired muscles as possible. Good form and cadence are also important. More strength means a more lean body weight, and that means fat loss.
When Exercise Hurts
by Denise Carter, M.D.
Florida Center for Orthopaedics
www.fl-ortho.com
407-292-2156
Sometimes when an exercise program is started to improve health, new workout enthusiasts end up in the doctor’s office with an aching body part or several achy body parts. But this does not mean people should not exercise.
Pain sufferers may have simply been too enthusiastic, may not have the right shoes, or may not know how to use the equipment properly.
If attention to the basics does not resolve the problem, and if swelling or decreased range of motion in particular is involved, a medical consultation may be necessary.
Reasons that joints become painful when a new activity is started include:
• The supporting muscle and tendon units have become weakened and/or inflexible with inactivity. The stress of the new activity is more than the body can adjust to.
• Biomechanical abnormalities are present. These abnormalities include foot malalignment, poor posture and leg-length discrepancy.
• Wear and tear in the joints and tendons may have been present prior to starting an exercise program. It is common for physicians to find underlying degenerative changes, or arthritis, in joints that were previously not symptomatic.
Treatment for the above problems can help athletes get back into their fitness programs. Specific exercises can be prescribed for imbalances in muscle strength and flexibility. Orthotics or a change of footwear can be recommended for foot abnormalities. Treatment of prearthritis, or overt arthritis, has improved in recent years. Topical anti-inflammatory gels and patches can be very helpful. More painful joints can be injected with a corticosteroid solution. Synthetic joint fluid injections also can improve the symptoms of osteoarthritis. Surgery to clean up the joint may be necessary in some cases.
Do Not Put Off Treatment
by Alan R. Heap, D.M.D., P.A.
MetroWest
Village Family Dentistry
407-578-3734
Visiting a dentist on a regular basis allows for early detection of cavities, cracked or leaking fillings, gum disease, causes of bad breath, orthodontic or temporomandibular joint problems, and oral cancer. With the vast loss in jobs and insurance recently, patients have been putting off regular dental checkups. It is extremely important to stay consistent with cleanings from a dental professional, especially for those who suffer from periodontal disease.
It is important, but also affordable, for patients to receive recommended treatments in a timely manner. Fillings, for example, are considered to be a basic service and are easily done at an affordable price. When fillings are not performed in a timely manner, the recommended treatment calls for a crown. Crowns are expensive, even with insurance; however, if they are not done when first diagnosed, the tooth structure will continue to break down, and the decay will escalate to the point where the tooth will require a buildup to provide retention for the crown. Unfortunately, when the decay extends into the nerve, a root canal is the only option. A tooth that has undergone a root canal still requires the tooth to be rebuilt and crown placement.
Delay of treatment only costs more in the long run. It is better to prevent big problems by taking care of the small problems when they are first diagnosed. For those who have lost insurance because of these hard economic times, there are discount insurance plans that can be found online.
The Eyes Are
the Windows to Health
by Trisha Mai, O.D.
The Eye Studio
www.eyestudioorlando.com
407-345-7979
May is Healthy Vision Month, and having a comprehensive dilated eye exam ensures that eyes are seeing the best they can and being kept healthy.
Patients should have a comprehensive dilated eye exam. An exam evaluates the need for glasses and contact lenses. But, most importantly, it allows the diagnosis of many common and visually blinding eye diseases.
It is important to know family eye and health history. This allows eye-care practitioners to determine risks for hereditary eye diseases.
Eating a diet rich in fruits, vegetables and fish containing omega-3 fatty acids has been shown to be good for eyes.
Maintaining a healthy weight also is crucial. Being overweight can increase one’s chances of getting diabetes or systemic conditions, which can lead to vision loss.
Protective eyewear should be worn during sports or certain activities at home, such as mowing the lawn.
Patients should quit smoking. Research has shown that smoking increases one’s risk for developing age-related macular degeneration, cataracts and optic nerve damage.
Eyes should be protected from ultraviolet rays and eye diseases, such as cataracts, by wearing sunglasses.
Eyes should receive a rest from the computer every 20 minutes by looking at something 20 feet away for 20 seconds.
Contact lens care also is important. Hands always should be washed before handling lenses, and doctors’ orders on proper contact lens care should be followed.
Everyone should visit an eye-care practitioner once a year to ensure their eyes are healthy, and they are seeing their best.
Prolozone: A Surprising Treatment for Pain
by Kirti M. Kalidas, M.D., N.D.
The Center for
Natural & Integrative Medicine
www.drkalidas.com
407-355-9246
Prolozone is a unique technique to encourage the healing process and has proven to be a very effective treatment for chronic pain. Prolozone uses the power of oxygen to help damaged tissues, joints, ligaments and tendons regenerate.
By injecting a combination of homeopathics, vitamins and nutrients into soft tissue or intra-articular joint spaces, followed by ozone gas in the same area, a tissue reaction is incited that allows regeneration and repair of damaged or inflamed tissues. The tissues start to heal, and circulation to the area is established. This technique provides amazing results for chronic shoulder pain, partial rotator cuff tears, chronic low back pain, knee pain, sports injuries and more. Up to 90 percent of patients can experience a resolution of symptoms and improved mobility after just three to four injections.
This technique is safe, effective and does not use steroids or strong prescription medications, which have side effects. For many patients, it has been a permanent end to pain.
Understanding Oral
Cancer & How to Avoid It
by Matthew D. McKissock, D.M.D., F.A.G.D.
Windermere Village Dentistry
www.windermeredentist.com
407-909-1099
Oral cancer is cancer that forms in the tissues of the mouth or oropharynx, the part of the throat at the back of the mouth.
Every hour, one American dies of oral cancer. Even with that staggering statistic, there seems to be a poor awareness of the disease. Maybe this is one of the reasons why, unlike many other cancers, the mortality of oral cancer has not significantly improved throughout the past 40 years. As with other diseases, early detection is important, but with oral cancer, early detection is particularly crucial, with treatment success rates around 90 percent for those who catch the disease early. When symptoms of the disease become apparent, it is often too late.
People most at risk are those older than age 40; men; tobacco users; and those with chronic alcohol consumption, a previous history of oral cancer, or the human papilloma virus. However, it is important to note that 25 percent of all oral cancers are diagnosed in nonsmokers with no other lifestyle risk factors.
Those who have any risk factors that can be eliminated should try to minimize their risks and have annual screenings. Dentists are trained to look for oral cancer and are the ones most likely to be looking for areas of concern in the mouth. In fact, many dentists perform these exams as part of routine checkups. These screenings will not prevent oral cancer from occurring, but with the success rates associated with early detection, it might just save lives.
How Does Yoga Work?
by Edely L. Wallace, E-R.Y.T., C.Y.T., master yoga teacher
Yogamatrix Studio
www.yogamatrixstudio.com
407-354-0909
It is interesting to know how the body utilizes complex biochemical interactions beyond the intellectual grasp. The body is in a constant state of balance between processes that tear down and build up. Studies show that all body cells are replaced every seven years.
If this was not enough to amaze, yoga masters perceived two other inseparable bodily phenomena: interdependency and reversibility.
Interdependency points out that every emotion or mental state affects the body. For instance, people grow pale when afraid or redden when angry, the voice changes when people are nervous, and people smile when happy.
Reversibility suggests that if thoughts or emotions can affect the state of the body, than the reverse also is true. The body can affect thoughts or emotions. This was one of the most ingenious findings of yoga masters a millennia ago. It indicates that through specific positions the body can influence mental and emotional layers as they affect the body.
Aware of these two processes, yoga masters developed specific poses and breathing techniques to heal and harmoniously integrate body, mind and spiritual levels. This is the yoga secret.
For example, the “hero” yoga pose improves back conditions and also reverses feelings of discouragement or low self-esteem into courage and confidence; the “mountain” pose improves circulation and reverses feelings of confusion to feelings of stability, peace and strength.
Yoga refines body and mind and enhances quality of life, and this sense of well-being automatically extends to
surroundings and society as a whole.
Teeth Whitening
by Ximena Aldea, D.M.D.
Windermere Center for Dentistry
www.windermeresmiles.com
407-909-1097
Teeth whitening has become popular over the past couple of years. There are many different products on the market, but not all work the same.
According to the Food and Drug Administration, the term “bleaching” can only be used when teeth are being whitened beyond their natural color. The term “whitening” applies to products that restore the tooth surface color through the removal of surface stains. Some toothpastes or certain rinses whiten teeth by removing debris. This difference is important, because for those looking to lighten the color of their teeth, these whitening products may not give the results they are after.
There are different ways to whiten teeth. Whitening strips are available over the counter in a one-size-fits-all way. These often whiten only a few of the front teeth at a time.
Another way to bleach teeth would be to have a dentist fabricate custom-made bleach trays that whiten the whole smile. Depending on the individual’s bleaching goals, a dentist will recommend a specific kind of bleaching gel and concentration.
A third way to bleach teeth is in-office bleaching. With this method, a significant change in color in a short period of time can be achieved.
Brightening the smile can make patients look and feel great. With so many products available, this process can be confusing. Those looking to brighten their smiles should talk to their dentists about what their goals are, and the doctor can develop a plan that will achieve the best results.
Dental Implants
by Hal J. Levine, D.M.D, M.D.
Oral & Facial Surgery Center
www.oralfacsurg.com
407-352-6301 • 407-852-0757
Dental implants are a safe, medically proven aesthetic alternative to traditional crowns, bridgework and dentures. Because implant restorations look and feel more like natural teeth, they offer new levels of comfort, security and confidence over traditional treatments.
A dental implant is a small anchor made of titanium that is inserted into the jawbone to take the place of missing tooth roots. After a period of time, when the surrounding bone has healed to the implant, a replacement tooth, or prosthesis, is secured to the top of the implant.
This new tooth looks, feels and performs similar to natural teeth.
Choosing dental implants as a treatment option can offer a number of significant advantages. Dental implants can help prevent deterioration of the jawbone, so the face retains its natural shape. Natural, healthy teeth are not compromised, as with other dental procedures. And prosthesis that are securely anchored to the dental implants do not slip or move. This results in superior comfort, reliability and freedom from embarrassment.
The dental implant process involves several steps that take place over a period of time that averages four to nine months. After a careful evaluation of dental health and medical health history, practitioners determine if patients are good candidates for dental implants. An oral and maxillofacial surgeon then places the dental implant into the jaw while the patient is either under local or general anesthesia. Over the next several months, bones will heal to the surface of the implant, anchoring it into position. Depending on particular cases, an additional minor procedure can create an opening through which the artificial tooth will emerge. After the implant has been appropriately restored, the dental physician guides the patient in the proper care and maintenance of the new implants. By following a regular routine of careful oral hygiene and regular checkups, implants will look, function and feel great for years to come.
Dental implants can improve appearance and self-confidence and give a new peace of mind. They look and feel similar to natural teeth, and a securely attached implant can give people the confidence to eat how they like and speak easily, and it also gives them a new sense of security.
Keeping Kids Healthy While Outside
by Kathy Adragna, A.R.N.P.
Windermere Pediatrics
www.windermerepediatrics.org
407-297-0080
While outdoor activities are a wonderful way to keep children active, healthy and fit, there is also an increased opportunity for injury. The following are a few tips for keeping children healthy while they play outside:
• Parents should be aware of dehydration. Signs of dehydration include dry, sticky mouth; decreased urination; irritability; dizziness; and fatigue. Children should have plenty of water or sports drinks available to replenish fluids and electrolytes.
• The best way to avoid sunburn is to stay in the shade, when possible, and dress in lightweight, long-sleeved shirts and pants. Children should wear brimmed hats and ultra-violet-blocking sunglasses. Sunscreen is the next best way to provide protection. According to the American Academy of Pediatrics, children should wear sunscreen with a sun-protection factor of at least 15 with both UVA and UVB protection. It should be applied 30 minutes before going outside and reapplied every two hours, or after swimming or sweating.
• Swimming and water play are great sources of exercise, but there are risks involved. The most important thing to remember is that the only thing that will prevent a child from drowning or being injured is proper adult supervision. While drowning presents the greatest risk, other risks include head and spinal cord injuries, and bites and stings from marine life. A phone should be kept handy in case of emergencies, and if swimming at the beach, children should stay in areas where a lifeguard is nearby.
• A first-aid kit should be well-stocked, and parents should become CPR-certified.
Options for Cellulite Treatment
by Ellie Mirali, M.P.A.S., P.A.-C.
Breeze Laser Center
www.breezelasercenter.com
407-370-9142
Cellulite troubles more than 90 percent of women older than age 20. And for some women, no amount of diet or exercise can get rid of cellulite.
The term cellulite is used to refer to the dimpling appearance of skin, usually around the hips, thighs, stomach and buttocks areas. Some people refer to it as the “orange peel” or “cottage cheese” look, which comes from the way lumpy fat cells cluster together, pushing against the skin’s surface. Because of the way fat is distributed in a woman’s body, it is much more common in females than males. Cellulite is caused by genes, skin thickness, diet, the amount of body fat, and the age of a person.
Cellulite comes in various stages. The beginning stage is noticeable when an area of concern is pinched and there appears to be a slight unevenness. The later stages of cellulite create a dimpling appearance while either standing up or laying down.
As women age, the skin’s connective tissue begins to wear down, which accentuates the appearance of cellulite. And although most people believe that liposuction will help cellulite, it does not.
A combination of diet, exercise and cellulite treatments are available to help smoothen that embarrassing dimpling. There are specific laser treatments, such as VelaShape, that are commonly used to help reduce the appearance of cellulite. In fact, VelaShape is the No. 1 aesthetic procedure among celebrities this year. Women can relax knowing that there are options out there.
Knowing the Skin
& Sharing Knowledge
by William A. Steele, M.D.
Associates in Dermatology
www.dermorlando.com
407-239-7546
In honor of Skin Cancer Awareness Month, people should educate themselves and their loved ones about what to look for when checking for signs of skin cancer. The more people know about the dangers of skin cancer and the more knowledgeable they become about how to be protected from this silent killer, the safer individuals and loved ones will be. Protection starts with a screening.
Learning how to check the skin for signs of cancer is the easiest, most important step in reducing skin-cancer risks. Skin should be examined at least once a month to search for any spots that seem to have changed in size, color or shape. Individuals should be sure to check the neck, chest and torso, using a bright light, full-length mirror and hand-mirror to inspect hard-to-see areas, such as the scalp and back of the neck and legs.
Melanoma is the most dangerous form of skin cancer. The entire body should be screened for moles, freckles, birthmarks or other unusual spots. Each one should be examined, and if any signs of the symptoms described below are noticed, a dermatologist should be consulted immediately.
Melanoma lesions are typically irregular in shape and often have jagged or uneven borders. Melanoma lesions often contain varied shades of brown, tan or black, and may progress to the colors red, white and blue. Melanoma lesions usually are at least the size of a pencil eraser, and any change in the appearance,
shape, borders or color of a mole or lesion should be noted.
Early detection is the key to beating skin cancer. No one is immune. But with early detection, skin cancer is almost 100 percent curable. Most of the spots on the skin — freckles, birthmarks, moles — are normal, but some may be more susceptible to skin cancers. If any freckles, birthmarks, moles or other suspicious or changing growths are noticed, a dermatologist should be seen promptly. Individuals should perform self-screenings monthly and visit their dermatologists for screenings annually. Those with a history of skin cancer or precancers need to see their dermatologist more often.
Sunscreen with a sun-protection factor of 15 or higher should always be worn, and sun exposure should be avoided from 10 a.m.-4 p.m. A hat and protective clothing and sunglasses should be worn while in the sun.
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