In an effort to find a more accurate predictor of successful induction, two relatively new methods are now being used: transvaginal sonography of the cervix and comparative levels of fetal fibronectin.

The length of the cervix can be measured by transvaginal sonography. In expectant mothers with an unfavorable Bishop score (typically less than 7), a cervical length of less than 26 mm is associated with a lower risk of cesarean section and a shorter duration of labor. In several independent studies, when the Bishop score has been as low as 3 and the cervical length was 28 mm, successful induction has been achieved.

To measure the cervical length, an expectant mother goes to an office or radiology department of the hospital. It is an outpatient procedure, where the mother’s bladder is empty and she wears a hospital gown. A transducer (roughly the size of a tampon) is used to transmit ultrasound/ sound waves, which bounce back to produce an image that can be recorded. The transducer is inserted into the vagina and the image is noted on the monitor or it can be printed. This information is reported back to the physician for evaluation.

Fetal fibronectin is a protein that can be found in fetal membranes and amniotic fluid. When present in cervical and vaginal secretions, fetal fibronectin can be useful in determining a woman’s risk for preterm labor and may be predictive in estimating when the mother is ready for labor.

The test for fetal fibronectin is simple and painless, involving only the swabbing of the vaginal and cervical area for a sample of secretions.

It is important to note that expectant mothers showing signs of preterm labor should be tested at 24 to 25 weeks’ gestation, while high-risk women without symptoms can be tested as early as 22 weeks’ gestation and continually tested as appropriate.

Is there, then, a relationship between cervical length, fetal fibronectin and the increase of oxytocin receptor sites on the uterus? We will be anxiously awaiting research on this!

From Birthsource.com

This may be especially common after sitting or standing for long periods of time. Here are some tips to follow to loosen up the joints. Always remember to come and get a spinal tune-up. Our clinic is conveniently located in Leesburg. You don’t have to live with neck or back pain.

Muscles and ligaments are sort of like playdoh, they are both elastic and plastic. This means that our ligaments are stretchable (elastic), but also stay in the position that they are in for long periods of time (plastic). When you’re in pain the lower back ligaments become irritated.

They lose their elasticity, but still maintain their plasticity.When you try and stand up after sitting, your ligaments and muscles don’t want to stretch. In order to help them stretch and regain their elasticity,you must first regain low back motion. Pelvic tilts and hula hoops will help regain motion in the lower back.

Do the following to avoid pain upon standing:
While still sitting, do a few pelvic tilts. First arch your lower back, then tuck your tailbone under (flatten your arch). Be careful when arching as this may increase your pain. Only stay in the pain free range of motion. Notice as you’re tucking your tailbone, that you’re contracting the muscles in your buttocks. Furthermore, notice that as you tuck, you’re also using your abdominal muscles. Arch and flatten your lower back three times. On the third time, tuck your tailbone (flatten the arch) and hold it. Put your hands on your thighs and stand up slowly.

There are few phrases in the English language that can inspire such joy and stress at the same time. How can you cope?

Here are some facts and tips:
Over the holidays be mindful of what you eat and drink, as well as both how fast and how much you consume. Though your liver can process alcohol, and though exercise and New Year’s diets can help pay for Holiday sins, you’re better off limiting decisions that will make the battle tougher later on. Try a little pace in your Holiday frenzy, and reap the rewards.

Holidays can bring financial stress, family stress, even physical stresses as we hang decorations and clean and cook. These stresses can make us achy, grumpy, or worse. Mental stress not only can make us irritable, it can also make us sick. In one study of medical students, exam time clearly correlated to decreased immune function. i Another study ii showed that high “job strain” increases heart attack rates FOUR TIMES over those with lower job strain. This is equal to the elevated risk of smoking or high cholesterol.

Mark Twain once said, “I am an old man and have known a great many troubles, but most of them have never happened.”

Worry is one of the great enemies of an otherwise tranquil spirit. Buddhist spiritual traditions refer to “mindfulness,” defined as “the development of nonjudgmental awareness of thoughts and feelings.” iii Published studies, as well as anecdotal evidence, suggests the effectiveness of mindfulness meditation strategies. iv,v,vi Rather than being the helpless victim of seemingly ingrained reactions to seasonal stresses and family dynamics, individuals may benefit from
learning to recognize their feelings as real (I feel a tightness in my shoulders, I’m not breathing as deeply as I do when I’m experiencing happiness, there’s a feeling in my chest like a tightness or blockage) yet transient (“this too shall pass”) human experiences. By experiencing the emotions non-judgmentally we may come to value them as part of life,
rather than as forces that control our ongoing capacity for happiness.

Wise doctors will recommend exercise to combat stress, depression, and anxiety. Exercise is a very powerful tool that not only protects your heart and blood vessels, it also protects your brain and is a natural mood elevator. The American College of Sports Medicine recommends regular exercise as a part of a healthy lifestyle vii (see box).

Doctors of chiropractic are far more than neck and back doctors. They focus on function, on quality of life, and on the nervous system’s role in guiding optimal health and well-being. A well-balanced frame and nervous system affects your entire day, and life. What may seem like a subtle modification to your frame or lifestyle may literally save your life by preventing
a fall, a hip fracture, or the more subtle and insidious stress and/or chemically-mediated diseases of the heart, brain, and other major organs.

As partners in your exercise plan, doctors of chiropractic are uniquely trained to help you live and exercise, safely. That’s “good medicine” for your entire body, and your spirit too.
For more information about health and well-being, give us a call.

Guidelines for Healthy Adults Under Age 65
Moderately intense cardio 30 minutes a day, 5 days a week;
OR vigorously intense cardio 20 minutes a day, 3 days a week;
AND 8 to 10 strength-training exercises, 8-12 repetitions of each exercise, twice a week.

Guidelines for Adults Over Age 65 (Or Adults 50-64 with Chronic Conditions Such as Arthritis)
Moderately intense aerobic exercise 30 minutes a day, 5 days a week;
OR vigorously intense aerobic exercise 20 minutes a day, 3 days a week;
AND 8 to 10 strength-training exercises, 10-15 repetitions of each exercise, 2-3 times per week;
AND if you are at risk of falling, perform balance exercises;
AND have a physical activity plan.

References:
i Kiecolt-Glaser JK. Brain Behav Immun 1999; 13:61-72. ii Karasek R, et al, Am J of Public Health 1981; 71:694-705. iii Bowen, 2006, as cited at http://clearinghouse.missouriwestern.edu/manuscripts/863.asp. iv http://www.acsm.org/AM/Template.cfm? v http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7XMX-4JWMSF2-4&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221& _version=1&_urlVersion=0&_userid=10&md5=239b9068104bfe1ac33fb2b78c1d6665. vi http://www.springerlink.com/content
/vv02132w61118887/. vii http://www.acsm.org/AM/Template.cfm?Section=Home_Page&TEMPLATE=/CM/HTMLDisplay.cfm&CONTENTID=7764.

Here are some facts and tips, courtesy of the Virginia Chiropractic Association. Be proactive. Do a survey, whether it’s for your office, your home, or a loved one’s home.

Safety strategies include: 

• Beware mats and rugs on hard surfaces. Be sure to put a non-slip surface beneath any stepping surface that may otherwise slip.
• In the bathroom, be especially aware (and see the above tip on carpets and mats). Deaths in the bathroom exceed those due to handgun accidents.2 If safety “grab bars” are present, check them (or have them checked) periodically for stability.
• Secure electrical cords. Be sure cords are out of the way when possible, and secure them when re-routing is not an option. Consider hiring an electrician if necessary; or make a simple trip to the hardware store for a conduit strip that mounts to the floor, safely.
• Mind toys and pets. Be sure kids clean up after themselves. If you have pets, walk with care.
• Take an extra moment on the stairs… especially the top and bottom one.

Also, beware outdoor hazards. Be sure ladders are secure, and use them as directed. Tie shoelaces, and consider double-knotting. In colder climes, ice is a common hazard; but an oil patch in a parking lot, or spill in a grocery store aisle, can wreak havoc during any season. Be alert. Finally, address any yard hazards (holes, chunks of material, uneven ground, sprinkler heads stuck in the “up” position). The hassle of correcting the hazard will be less than the pain of a fall.

Did you know that your balance is related not only to your ears and eyes, but also to your feet, your knees, your spine, and the nervous system that controls all of these? Diabetics commonly suffer from decreased feedback from feet, and they are at corresponding risk for falls.3 Seniors may have deficits in middle ear function (“vestibular system”), as well as poor feedback from malfunctioning or arthritic knees, hips, and spines. The neck is especially important when it comes to balance, and arthritis and other motion-deficits in the neck can severely impact normal balance.4

Doctors of chiropractic are uniquely trained in assessing and normalizing joint function; and with that process, they affect the function of the nervous system. A well-coordinated nervous system means a well-coordinated YOU! And a well-coordinated you is a safer, happier you.

More than 40% of people hospitalized from hip fractures do not return home and are not capable of living independently again.5 According to the National Cancer institute, the lifetime incidence of invasive breast cancer is about 12.5% of all women.6 Compare that to the remaining lifetime risk of hip fracture for a 50 year-old, which is somewhere between 4 and 11% for a 50-year old man, and 13 – 22% for a woman.7 With the cause of breast cancer unclear, and the cause of hip fracture (osteoporosis and slip/fall accidents) more clear, it only makes sense to address the preventable.

Simple exercise routines, along with retraining of joints and the nervous system, can help stack the odds in your family’s favor. Your doctor of chiropractic is your partner in living not just long, but well. To help you minimize or prevent future problems, or to help your family live better, please contact me and make an appointment to be seen at my clinic in Leesburg.

- Misty

References:
1 http://www.stopfalls.org/
2 http://icadi.phhp.ufl.edu/2003/presentation.php?PresID=152
3 NOTE: Diabetics of both Type I & Type II varieties will benefit from a variety of exercise regimens that affects not only balance, but cellular metabolism and response to insulin.
4 Wrisley, Diane M, et. al. Cervicogenic Dizziness: A Review of Diagnosis and Treatment. Journal of Orthopaedic & Sports Physical Therapy 2000;30(12):755-766
5 http://www.stopfalls.org/
6 http://www.seer.cancer.gov/studies/surveillance/study7.html
7 Oden et al. Lifetime risk of hip fractures is underestimated. Osteoporos Int. 1998;8(6):599-603.

As of 2008 PDA’s and smart phones have exceeded sales of laptops! I found this statistic to be staggering. Technology is a part of every minute of our lives. Look around and you’ll see kids even as young as 7 texting away!

The advantages of this technology are far reaching. We can’t underestimate how it has brought us closer to family and friends and given us the ability to work away from the office. But with technology comes disadvantages as well. Repetitive injuries are on the rise. All ages and generations are affected.

Symptoms of technology overuse include pain in the elbows and shoulders; wrist pain; neck pain and headaches; lower back pain. We’re seeing more of not only carpal tunnel syndrome, and tendonitis, but also ‘blackberry thumb’, and ‘text necks’!

So what can you do to protect yourself and your children from injury? We ask you the question… are you TechnoHealthy or TechnoFoolish?

Here are some tips:
1. Avoid typing more than 3 minutes on small keyboards without a break.
2. Keep messages short!
3. Practice using another finger when your thumb is sore!
4. Don’t slouch.
5. Respect Sundays and keep your device off!
6. Get outside, exercise and enjoy nature…Balance is the key!

If you think you or someone you know is suffering from a repetitive injury, please come by our Leesburg clinic and get it checked out. Chiropractic care is the care of choice for many of the above symptoms. Both Dr. Connor and I are well versed in the suitable treatment and rehab protocols.

- Misty

- Dr. Misty Paul

After many months of winter I finally realize spring is upon us when I see the daffodils and cherry blossoms blooming.  Being a native Washingtonian I try to get to DC each spring to catch a glimpse of the cherry blossoms and (hopefully!) take a few pictures.   In addition to being a portrait photographer, I also sell custom cards and prints.  Custom cards make great Mother’s Day and teacher’s gifts.  Each card is matted on cardstock, packaged in a clear cellophane sleeve, and wrapped with a decorative bow.  I also sell custom canvas and large size prints.  I have many images available — please contact me at www.photographybybethlightbody@verizon.net for details.

MY DAUGHTER

As I look at my 2-year-old daughter asleep in her crib, I am amazed at the life that I made and carried inside of me,

I think about what life will bring her,

She will have moments of intense sadness,

She will cry because her favorite toy broke,

She will have many falls and bumps,

She will love and be hurt,

Will she have a best friend?

What will she be when she grows up?

What will her interests be?

Will she like to draw like me?

How will I protect her from everything?

What can I do to make her happy with guarantees she will never be sad?

I want to hear her laugh—I love the way she giggles when I tickle her,

I love the way she comes over to me and gives me a hug and a kiss on each side of my face,

I have never known a love like this before. How could I possibly love someone so much in just a short time?

Why was I given this special gift? I feel like I’m the luckiest person in the world to have such a joy in my life.

There is nothing more special and precious than your child.

Consider getting a posture assessment done. Basics First Chiropractic is now offering this new service in our clinic.

- Dr. Misty Paul

“Arth” refers to joints, the places where bones meet and typically move. “Itis” refers to inflammation. “Arthritis” means inflammation of joints. There are two main categories of arthritis: Systemic, which includes rheumatoid arthritis; and “wear-and-tear” or osteoarthritis. Systemic arthritis is often an autoimmune disorder with the body attacking tissues surrounding the joints. Osteoarthritis is the result of microtrauma (daily wear that adds up over the years) and macrotrauma (such as falls, car accidents, and sports injuries).

Since inflammation is implicated in both major types of arthritis, it’s no wonder Americans consume massive quantities of anti-inflammatory medications. Unfortunately, long-term use of these medications can have serious adverse consequences on the liver, kidneys, and stomach. Cryotherapy is a safe and effective alternative for most people. Cryotherapy refers to the cooling effects of ice and cold water. Ice can literally cool an inflamed area, slowing nerve conduction velocities and thus decreasing pain without negative side effects. Ice will not “fix” an arthritic joint, nor will it slow the progression of arthritis; but until you can make it to the chiropractor, it’s a good option for freshly inflamed areas. [WARNING: Overcooling an area can cause the body to actually increase inflammation! Generally 5-10 minutes of icing is safe for most people.]

Contrast therapy is another safe and effective means of self-care. Contrast therapy is the use of ice to combat inflammation, followed immediately by heat, followed again by ice. This method acts like a pump, literally pumping nutrition to stiff joints while retaining the anti-inflammatory effects of cryotherapy.

When should you use heat? Ice? Both? Doctors of chiropractic are uniquely trained in non-drug, non-surgical methods to assist your body’s innate healing potential. In addition to asking about ice and heat, you should also ask your chiropractor about spinal manipulation or spinal adjustments. A chiropractor is trained to help joints move properly, something no pill or hot/cold pack can accomplish. Spinal manipulation and joint mobilization are primary tools for reducing symptoms from arthritic changes, as well as reducing progression of the disease. Furthermore, motion blocks pain; and the Arthritis Foundation suggests joint motion to treat or even prevent arthritis. The chiropractic adjustment helps stuck or fixated joints to move more freely, and this literally oils up your body’s joints. Your joint linings produce a substance called synovial fluid, and it is one of the most slippery substances known to man. By helping your body wipe this fluid over the joint surfaces, doctors of chiropractic may be able to help you prolong your active years and function at your best.

- Dr. Misty Paul, DC