If i hear one more colleague, patient or doctor say, “show me the data,” I am going to puke.

This short post will hopefully give you an ‘ah ha!’ moment concerning your doctors’ need for the ‘data’ before supporting a particular type of therapy of intervention to our ailments and how sticking to “the data” can be on ill-outcome for you.

The problem with EBM is four fold:

1. The body of collaborative knowledge that is used to make decisions is lacking certain data.

Google low back pain.  You will probably not find muscle dysfunction or muscle pain as a cause of back pain at web MD or similar sites.  Why?  Its not on their radar because its not taught in med school nor researched much nor included in the meta analysis’ being referenced by medical professionals.

The widely used reference site “uptodate” is the go to site for clinicians and doctors when wanting more info about a particular problem.   When its low bak pain or neck pain the uptodate researchers will not include soft tissue therapy or massage or manual therapy as its not included in their data scouring of the research on back pain and neck pain.

2. Confirmation bias.

Lets take the idea that  lowering cholesterol is always good for health. Cardiologists did a meta-study and found that men with higher cholesterol lives longer than those with lower cholesterol and concluded that they should consider recommending getting cholesterol even lower instead of asking the question, “Maybe we are barking up the wrong tree?” “Maybe cholesterol is not the killer we thought it was?” These cardiologists cannot take a step back as their confirmation bias towards cholesterol being the killer on heart disease is too powerful and blinding them.

I will even state that people with higher cholesterol live the longest!    Sounds nuts right according to what the media and American Medial Association tells us (and our docs)?  Read this here to prove my claim and that of the meta study mentioned in the previous paragraph:

 http://www.ravnskov.nu/2015/12/27/myth-9/

And I used to think most pain was muscular (as a soft tissue guy) but have since learned umm, that ain’t the case Marty.  Confirmation bias is very very strong.

4. Corporate influence on research has left the research world a big QUESTION MARK as to can you believe the results are accurate and truthful?

Research is more and more funded by the corporation wanting an outcome supporting their drug or intervention of technology.   Dr. Gerger, MD does a amazing job of explains this and the “data” to back it here:

https://www.youtube.com/watch?v=ludhja7sW0I.

He explains how independent research on cell phone radiation shows a correlation to illness while cell phone company and telecommunication industry funded research does not!

And corporate interests are messing with studies and their outcomes – https://www.drugwatch.com/manufacturer/clinical-trials-and-hidden-data/

And Companies mislead doctors – https://www.nature.com/nature/journal/v429/n6992/full/429589a.html

In summary:
Data is two fold: Informed base and data based.  What goes on in my private practice as well sa data should influence what does on in my office. Not just one or the other.

I suggest asking broader questions to you therapists and doctors and ask them to think outside the “data box” concerning treatment for pain or what ever ails you and not make a decision on the “data” pooled from data based that are lacking in scope and outcomes of trials and research is skewed by bias and corporate financial outcomes.

Don’t just get two opinions get different expert opinions.

The father of EBM, David Sackett said it best. EBM is “integrating individual clinical expertise with the best external evidence”.

And this perspective is lost in the rush for “show me the data.”

You can read more about Sackett here:  http://retractionwatch.com/2016/03/16/evidence-based-medicine-has-been-hijacked-a-confession-from-john-ioannidis/

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Posted by: ensomabodyworks | January 21, 2015

Heterotopic Pain

Heterotopic Pain: What is it and why you need to know about it.

Heterotopic pain (HP) is a phenomenon where the source of pain is not where you experience it, commonly called “referred pain”. HP can have several causes: diseased organ (e.g., a dysfunctional gall bladder) expressed through right shoulder blade pain, or dysfunctional infraspinatus (shoulder blade) muscle, expressed as deep shoulder joint pain and/or nerve like tingling sensations down the arm.

So what Marty? Your MD or Yoga teacher and Massage and Physical Therapist may not know that there are at least 24 dysfunctional muscles that create HP. Dysfunctional muscles are routinely mistaken for other medical conditions, misdiagnosed, and then mistreated, often with prescription medications and lots of diagnostic testing ($$$$$ out of your pocket). Here are some examples:

  • Didn’t know about the gallbladder symptom? Many therapists will just mash away at the shoulder blade area while Yoga and Pilates teaches will strengthen the scapula stabilizers in an attempt to strengthen the area instead of asking, “Are you also experiencing nausea? A “Yes” maybe a gall bladder issue while “No” may equal muscle. And 4 different ones can refer to that exact spot!
  • How many medical doctors know that a dysfunctional scalene muscle group (deep front of the neck muscles) can refer pain down the arm and into the hand, confusing the sick muscle with a cervical pinched nerve, or into the chest mimicking a cardiac event.scalene tp (See this image here)
  • Have complaints of pain that shoots from the top of the foot into the big toe. It could be an L4-5 disc / nerve impingement or a trigger point at the top of the shin in the tibialis anterior.
  • Ligaments can refer pain consistently much like muscles. Your iliolumbar ligament can refer pain down the hip and around towards the trochanter (and even the testicle!)
  • Dysfunctional muscles are often misdiagnosed as strains or rotator cuff issues

See what I mean? Lots of reasons for referred pain and muscle is overlooked and mistaken for other problems.

Now what? If you read this far either you are a health info type person or maybe you have an ache or pain for a while that’s not going away. Drop me a line…let’s talk. Maybe I can direct you to more resources to read up or help with your issue.

Best,
M

IT Band issue or a dysfunctional Quadricep causing Your lateral knee and thigh pain?

This blog is the first installment of clarifying common misconceptions of specific pain and functional body issues.  If I got a dollar for every client who comes in and says, “I have been foam rolling (for months) and stretching my IT band and the side of my leg (or knee) is still hurting,” I would be rich these 17 years in practice.

The problem with foam rolling your IT band to allievate thigh and knee pain has many layers:

  • First the IT Band is NOT stretchable. “N” as in never, “O” as in ‘Oh it hurts to foam roll it’ and “T” as it is tinselly rated stronger than steel.  If you have done a cadaver study you would know that the IT bands fibers are interwoven, in cross layers, and VERY thick in order  to provide support for the knee and hip upon heel strike.  When you stretch your IT band you are actually stretching your gluteus maximus, medius and maybe a little TFL, the vastus lateralis quadriceps muscle.
  • Secondly most people use the foam roller too aggressively causing micro trauma on top of an already damaged soft-tissue structure.  (which is why it never seems to heal).
  • Thirdly and most importantly your lateral thigh pain and possibly your lateral knee is pain is being causes by a dysfunctional  Vastus lateralis (one of your quadricep muscles).   Look at this picture of thevastils lateralis and it band pic
    Quadricep – it lives underneath, in front of and behind the IT band. The red X’s represent the myofascial trigger points that develop over time from mechanical stress and cause pain up and down the side of the leg.   Your IT band and knee diagnosis may not be the issue and also misdiagnosed when the real culprit is a sick quadricep.

    vastis lateralis tps
    This second picture shows all the possible X’s that can develop and their pain patterns in red. These trigger points also “trigger” pain elsewhere so the X on the middle thigh may send pain down and onto the side of the knee.

The solution:   

  • Treat the quad: Use the foam roller gentler than you are used to and work in front of and behind the IT band up and down the leg SLOWLY followed by a good quad stretch.   (When foam rolling use pain levels of 3-5 and breathe deep.  Hold on spots that are sore for several breaths, move on and come back.  Do this for 5 min per side).
  • Foam roll your gluteus maximum and TFL muscles followed by your “IT band” stretch.  If you must roll your IT band please be nice to it. It works very hard to prevent your knee from buckling all day. (Your TFL and Glute maximus muscles converge and blend into the IT band. The IT band is merely a tendon and just following orders for those two muscles).
  • Be scientific about it.  It is quadricep trigger points or actual IT band dysfunction?  Just treat the quadricep as described above and not the Maximus, TFL, and IT band for a week or so and see what happens.

Questions or comments?  Call or email me please

Reader challenge:  Why do  we bipeds (humans) have 7 external  rotators of the leg and just two internal?  Get it right win a free 30 min treatment.

Next episode:  The IT band friction fallacy!

Posted by: ensomabodyworks | May 15, 2013

The Myth of ART or “Active Release Tecnique”

I am writing to educate the uninformed and clarify for those readers who know what ART is and is not.  The quick version is ART is massage for chiropractors.   ART is touted on the official ART website as “patented state of the art therapy.”  Its not.  It’s pinning and stretching muscle. Something Massage and Physical  Therapists and Osteopathic physicians have been doing long before ART was “invented” by a very business savvy and GOOD chiropractor back in the 80’s or 90’s.  He has stated that he created ART since most health care professionals do not address muscle injuries but focus on joint and tendon ad was filling a need for consumers.  I fully agree with him but want you the reader to know that any well trained Massage therapist with training in medical or sports or orthopedic massage  already does what he describes as “patented state of the art therapy.”

For the full story please read on:   Below is my email reply to the editor at a mens magazine which highlighted ART as the thing to do for muscle injuries.
I am writing to reply to the information concerning muscle injury treatment with “ART” in the article on “Optimizing Mark Teixeira.” The end of the article describes the various modalities Mark uses to stay healthy and recover faster from injuries. One such modality is “ART” or Active Release Technique.
I am happy to see that you are promoting soft tissue therapy for muscle injuries, since muscle is widely overlooked  by doctors, while being a major source of pain and dysfunction in muscles and joints.

I would like to see you promote Massage Therapy as a more comprehensive soft-tissue system than ART, for these reasons:

1. Massage Therapy has a growing body of knowledge validating its effectiveness, while ART does not. 

2. More importantly,  when it comes to muscle therapy, ART is the “sizzle” and Massage Therapy is the “steak.”   A competent massage therapist with training in deep tissue, sports, trigger point, medical, myofascial or orthopedic massage therapy will provide a much more comprehensive session in addressing the injured and dysfunctional muscle and muscle groups.

What is ART? ART is limited to using your hand, finger or thumb to pin a muscle down while putting the muscle and associated joint through a series of range of motion movements.  Massage Therapists have been going far beyond “pinning and stretching” muscles long before there was a “patented and state of the art soft tissue system/movement based massage technique” as described on the ART official website. ART is easily mastered by chiropractors with limited experience with massage. However, good Massage Therapists utilize a much wider arsenal of techniques as part of a therapeutic progression to address muscle injuries, while an ART-trained chiropractor has a very limited toolbox of  soft tissue therapies.   I think the combination of ART and spine and extremity adjustments for athletes is a good start, but when you have a muscle injury and dysfunction why not go to the muscle expert?  This is where a trained Massage expert shines.

In addition to taking a broader and more comprehensive approach to muscle inquiries, a well-trained Massage expert will look for and treat trigger points (a.k.a. myofascial pain and dysfunction), another ignored cause of muscle pain and dysfunction that is discounted by most medical professionals. Many massage and physical therapists and most chiropractors know of trigger points, but most do not know how to effectively treat them.

If you already covered Massage Therapy in your magazine, I may have missed those articles as a new reader. Your readers will appreciate information on sport and muscle injury focused Massage Therapy to address and prevent injuries. Explaining to them in simple terms what a Massage Therapist can do for them (just like the ART piece) will allow them to make better informed decisions and receive the best possible care from the ART-trained chiropractor or / and a well-trained Massage Therapist.

Massage Therapy is growing as one of the most widely used CAM (complementary and alternative medicine) therapies today. I am honored to be an educator and professional in its ranks, and would love to share some of my knowledge with your readers.  Would you be open to a discussion on how I might contribute via an article, quick fact chart or blurb? You can reach me via email or phone number below.

If you have any articles on massage therapy can you please direct me to them.? I look forward to sharing more should this interest you.

Thank you for your time,

Posted by: ensomabodyworks | July 6, 2012

Being “Fit” may not equal being “Healthy.”

I was talking to my friend and acupuncturist Abe Rummage of Accu-care clinic about health.  He pointed out  from the traditional Chinese medicine (TCM) perspective  that having good muscle tone,  good cardiovascular capacity and flexibility does not necessarily equate to health.  Say What?

  • It makes sense since TCM is not symptom based and compartmentalized as the western medical model is.  TCM looks at the entire person for a global perspective and not just symptoms (or the lack of them).  This is a key point. If you do not have any symptoms you are healthy but we also know this is not true. Cancer, arthritis,  muscle dysfunction and heart disease takes years to develop and show up as a “symptom,”  and you say that it “came out of no where!”  But the truth is your body and maybe your emotions were not in balance from the get go.
  • I feel Abe’s comment to me behooves us to look at our health from a larger perspective. than just the old western health model. And I use “old” here as many doctors and practitioners see the larger view and the need to integrate body, mind and spirit.
  • Physical fitness has several components: Muscular strength, muscular endurance, muscular flexibility and cardiovascular capacity.  But this does not mean you are healthy. Why?  Health is more about your entire body, all its organs and systems, including your mind, emotions and also  your spirit. Health is about these elements working optimally, connected and  integrated.  Achieving good health also means  giving your self time to relax and renew regularly.
  • One synonym for “health” is well-being.  I like this. It denotes you, a being, is well, which is synonymous with the word “glowing.” You know that look of a person who is glowing-they radiate peace, health and vitality.
  • I wonder how many people that work out, stretch, run or bike that also take an antacid or purple pill, or anti-inflammation or anti-anxiety or sleep prescription? Or how many people who identify themselves as religious or spiritual are very out of shape (and also on these medications).   And I wonder how many Americans actually take time to relax and restore? (which does not include T.V., a few glasses of wine, exercise or sleeping. How many of you have heard the story of the executive in his 50’s who drops dead of a heart attack? (And they did not find a heart defect afterwards in autopsy).  I hear this story once every few years at the fitness center or at synagogue.
  • I urge you to consider adding in some relaxation into your health model and also into the exercise regimen: An easy thing to do would be take 10 minutes after vigorous exercise and laying on your back deep breathing or  stretching slowly with deep breathing for 10-15 minutes (both would be ideal).
  • What aspect of the larger “health” model are you needing to address more? Exercising more, connecting to your community more?  Starting a meditation or breathing practice? Carving out time to rest more often?  For example I need to spend more time with people and less time at my computer! (and meditate more regularly).
  • Our bodies (and minds) need multiple forms of movement, stimuli, rest and integration to achieve well-being.  Not sure where to start? Drop me a line 🙂
Posted by: ensomabodyworks | November 28, 2011

Yogi Tea – The All Around Best Tonic for Health and Well-Being

I first heard of Yogi Tea practicing Kundalini Yoga.  I have since brought the tea to my Anusara Yoga community to raving reviews.  Not only does it taste great (like chai but better) it has wonderful healing affects on your body.   The tea recipe and comments come from http://kundaliniyogabootcamp.com/yogi-tea/

Yogi Tea is great cold in the warmer months and all Fall and Winter to warm your bones (but not this Fall….too hot!)

 

Yogi Tea

1 Gallon Water
30 cloves
30 whole green cardamon pods
30 whole black peppercorns
1 large finger of fresh ginger, thinly sliced (Marty uses mini food processor)
5 sticks cinnamon
1 teabag, Black Tea
*Milk and Honey to taste which is optional. (Marty ads honey after simmering is done so no need to do each single serving).

Bring water to boil.    Add all spices except black tea bag. Boil 30 -45 min. Longer is stronger.

Finally, add black tea bag and boil another 2-5 min(then remove) . **The black tea is added last because it amalgamates the spices and sort of seals them. Also the tannins help assimilate the spices into the body.

If adding milk & honey, do so after adding the tea bag and letting it steep– OR BETTER add milk and honey to individual cup or a small batch. That way you can store the raw tea in the fridge and prepare with milk and honey as you go.   After adding milk and or honey, bring to a boil again, then shut immediately or keep on lowest flame to keep warm.

**Milk (Marty uses almond or soy milk) helps to ease the shock of the spiciness on the stomach and intestines so drink with milk if you’re sensitive. Note: for a stronger tea you can let the spices sit and sink to the bottom. If the tea gets really strong you can cut it with milk or reconstitute with a little water.

I (Marty) usually make a big batch Sunday afternoons and it makes my home smell like warm spices for two days.

When Yogi Bhajan (the late Kundalini yoga Master) was a military commander in India there was an epidemic among the troops. He ordered all of his men to fill their canteens with yogi tea and drink nothing else, not even water. His Battalion was the only unit that didn’t get sick! Yogi tea purifies the blood, lungs and circulatory system. It cleans the liver and has many more unseen benefits. It’s good to drink this tea every day.

 

L’Chaim!  (to life and your health)

Marty

 

Posted by: ensomabodyworks | October 7, 2011

SAVE YOUR SHOULDERS WORKSHOP

 THIS WORKSHOP WILL ENABLE YOU TO:

  • ·  Understand mechanics of the shoulder and shoulder joint

    ·  Perform easy self –care therapeutics and avoid expensive Physical Therapy

    ·  Prevent/ reduce / eliminate arthritis, tendonitis, and
    rotator cuff problems and prevent their return

    ·  Deepen shoulder openers and improve  athletic performance

    ·  Become the expert of your own shoulders

    Join Marty Kestin, MSW, LMBT, body worker and somatic educator in a dynamic workshop to deepen your
    understanding of the shoulder, common problems and easy solutions.

    You do not need a shot, a pill or extensive and expensive physical therapy to resolve pain or get rid of that chronic issue for good. Marty will teach powerful and simple but not widely known
    therapeutic techniques.

    TIME/DATE

    Saturday, October 22nd ,  1-4

    LOCATION

    The Bindu:  Cornelius, NC

    INVESTMENT (3 CEU’s)

    Early-Bird Discount: $35 (yogis) and $45

    (Massage professionals) registering by Oct 1.

    After October 1,  $45 (yogis),  $55 (MTs)
    BRING

    1 Tennis ball

    TO REGISTER
    By Credit Card: Go to theBindu.com – events

    Pay by Check: Mail payable to: The Bindu, 11138-C Treynorth  Dr.  Cornelius, NC 28031

     

    FOR REGISTRATION QUESTIONS
     info@thebindu.com or 704-237-3635

    FOR WORKSHOP QUESTIONS

    E-mail Marty: mkestin@ensomabodyworks.com
    or 704.335.8115

Posted by: ensomabodyworks | September 20, 2011

The Rotator Cuff Demystified:

Rotator: One who turns or gyrates.

Cuff: Restraint or shackle.

The “Rotator Cuff” is comprised of 4 tendons that encapsulate the head of the arm bone securing it to the shoulder blade-your ball and socket joint (see the circled tendons in picture below).  It’s one of the body’s most versatile joints allowing us to paint, plant, draw, farm, write, throw a ball, etc. Our shoulder joint was a major development in our evolution or, if you like,  part of the  divine plan for humans to be able to do all the things we do.  Imagine not being able to make a circle with your arm and all the things you could not do…………… Without the support of the rotator cuff tendons (which transfer tension from  muscle to bone – which keep  the arm bone in place,  the arm bone would keep popping out of the socket.

Most orthopedic problems of the shoulder can be prevented by keeping the rotator cuff healthy.

 

There is an old samurai saying, “You cannot have both beauty and comfort, I hope you understand…..”

Similarly our shoulder joint has all this flexibility but the price for this gyrating joint is its propensity to injury if not cared for diligently. The strain on the rotator cuff (tendons) comes from chronic poor posture, repetitive overhead motion or the chronic static holding of the arms out – i.e. driving a long commute year in year out. This creates chronic muscle imbalances and dysfunction leading to tendon strain. The tendons are the anchors for muscle into bone.  Falls and accidents can also tear tendons of the rotator cuff but I wonder how bad the tear would be if the tendons were not chronically strained?

How to keep the rotator cuff healthy?

Too much emphasis is placed on treating the tendon when injured.  We should treat the tendon if injured but the idea is prevent this from happening. Keep the muscles clear of trigger points and balance its musculature. Do the exercise from the “save your shoulders blog.”  Seek out a qualified massage or physical therapist or yoga teacher and learn therapeutics for your shoulders.  Improve the ergonomics of your work station and micro break throughout the day. Merely doing strength exercises and stretching maybe exacerbating a compromised rotator cuff tendon without you knowing it. If you have any shoulder issues please get help now before it turns into a tear.

 

Your shoulders need constant functional movement to maintain healthy rotator cuffs. It’s a physical law called  “The law of stimulus and renewal” Either you are regenerating your muscles and tendons with healthy movement or degenerating them with poor movement and posture.  Do not forget “save your shoulder” workshop October 22ndClick here for more information.

Posted by: ensomabodyworks | September 14, 2011

Save your shoulders! 6 Easy Things to Prevent or Fix a Bad Shoulder

Shoulder replacement is getting to be the norm but it’s far from normal (just like hip replacement). Plus I cannot tell you how many people I have seen in my office the past five years with shoulder diagnoses of “rotator cuff,” “arthritis,” ‘tendonitis,” ‘bursitis,” or  “impingement syndrome.”

The kicker is most of these shoulders drastically improved when their owners following my suggestions. (where drugs, medical procedures and sometimes Physical therapy could not)   These suggestions are easy to implement and perform and I call them the “6 steps to save your shoulders.”

Please note that chronic or acutely painful shoulder issues need in  therapy from a qualified Massage or Physical Therapist.  But  mild -moderate issues may be resolved without professional help.  Does your shoulders  feel great?  The six steps will help keep them that way.

Here they are in no order of importance.

 

  1. Get educated:  Most shoulder problems are muscle dysfunctions and imbalances that are easily treated.  Untreated they often result in the diagnosis’ above. So learn about treating the causes and the end result (diagnosis-goes away).   You can take my upcoming workshop on October 22nd at the Bindu.  Its short and sweet and you will walk away a new understanding of your shoulders and how to keep them healthy.

 

         2. Get moving: Modern living robs us of sufficient and functional motion.  If you are not doing daily exercise that gets your legs pumping, arms swinging, and torso turning you need to do more. Two great ways are Anusara yoga (or any yoga) or the Egoscue Method of Health Through Motion.  I like these two (Anusara and Egoscue) as they both have ways of aligning the body optimally and giving the body the needed motion it needs more so than other exercise programs (with the exception of a very good personal trainer or physical therapist).  I was trained at the Egoscue world headquarters.

         3. Learn to self – treat your muscle dysfunction and pain:  A great book on self- treating is, “The Frozen Shoulder Work Book, by Claire Davies.”  He will take you through step by step muscle treatment for the entire shoulder.   And again my workshop will cover this too. Pills, procedures, stretching and strengthening is the traditional method of treating shoulder problems. If you have done this and still have an issue why not try something   different and more comprehensive.

     4. Learn to relax: Chronic stress leads to chronically tight muscles leading to muscle imbalances and dysfunction leading to muscle and joint problems.  There are too many methods of “how to relax” to list here but I assure you if you integrate a relaxation method into your daily routine your overall shoulder issue will get better.  For some clients it’s the missing piece; they release the muscles with massage, then stretch and strengthen but their shoulders are back up at their ears in no time.  Why? They have not taught their body how to respond to stress (reeducate the stress-muscle tension response) hence the body goes back on autopilot rather than a new way of responding-with breathe, awareness and the releasing of muscle tension.

       5. Good nutrition and hydration: Your muscles, tendons, ligaments and bones are living tissue constantly regenerating.  Feed them fruits, vegetables, minerals, fish, and lean meats.  Lay off the fried, fast and processed foods. Most of us do not get enough fresh fruits and vegetables. Try juicing or a whole  foods supplement like Juice Plus  to ensure good nutrition.

     6. Ergonomics and micro breaking.  I have talked about this before but its importance cannot be underestimated.  Sit at work with legs and arms at right angles and pc monitor at eye level while taking frequent breaks to stretch, twist, and walk around.

  Try this easy exercise for rebooting healthy shoulder movement and range of motion.  Do it daily 25-50 reps. 

And Please contact me for more info about the upcoming workshop

 “Reverse Overhead Presses”


  1.  Preparation: arms up in air, lightly squeeze shoulder blades together and pull the head of the arm bone back into the socket.
  2. Action: On exhalation take arms over head as far as you can without pain, inhale back to start.  Each motion should be 1-2 seconds.
  3. Modification: Place a yoga block or small ball between palms and lightly press as you raise and lower arms.
  4. Modification for pain at end of motion: Place a yoga block on floor so when you lower arms they do not go all the way to the floor.
  5. Focus: Throughout the entire down and up motion you are lightly squeezing shoulder blades while pulling the head of the arm bones back into the socket.

 BE WELL!

 

Posted by: ensomabodyworks | September 9, 2011

Muscle Pain Caused by Medication

Got pain?  Are you on a bisphosphonate (Fosamax, Boniva, or Actonel)  to prevent bone density loss or a statin to lower cholesterol?  Both are prime culprits in causing muscle pain that is well documented. In my practice if a client is on one of these drugs and we remove  Trigger Points and other causes of pain, the drugs are too blame for the lingering pain.

I blog this in hopes if you are on one of these drugs to go, “hhhmmmmmmmmm, lets take a closer look at this.”  I write this as a consumer, like you, and not as a Massage Therapist.  And if you do go “hhhmmmm” please research it a bit more and make a sound decision for yourself. Both drugs are powerful and the medical and pharmaceutical systems has scared us into believing that your lack  bone density and preventing heart disease are deficiencies in a synthetic prescription.

I would like like to suggest there are ways to increase bone density and have healthy heart and arteries without these drugs.  But if you are on one please make a sound decision and talk to your doctor before reducing the dosage. The drugs are powerful and need to be taken very seriously.  (they have altered your body’s homeostasis – and not for the better).

The short version is take CoQ10 if you are on a statin.  Statins attack the same pathway used by cholesterol and CoQ10’s bio-availability.   And by the way Cholesterol is not the cause of heart disease…. Read this article by a famous MD and decide for yourself.  If you do not agree than there are ways to lower cholesterol without drugs as in MORE exercise and diet changes and supplementation.  And why has the AMA lowered the level of “high cholesterol” from 280 down to 260, the 240, then 220, etc?   MONEY for drug companies.

I can also send you a PDF based with medical research showing that  statins do not prevent coronary incidents in people who have not had one yet. (ARCH INTERN MED/VOL 170 (NO. 12), JUNE 28, 2010). BUT a statin does help those who have had a coronary incident  prevent further incidences.

If you are on a   Bisphosphonate drink a lot of alkalized (mineralized) H2O, do  resistance training (weights, bands, yoga, pilates) three  x week, eat foods that nourish your bones (not fast food, heavy meats, excessive bread intake, starches – but fruits, veggies, fish, beans, etc).   Your body maybe loosing bone density due to acidosis. The body’s Ph is too acidic (due to diet – see food choices in last sentence, and stress) and goes to fort knox (the bones) and draws calcium out to alkalize the system,resulting in bone density reduction.

Life is meant to be enjoyed, pain free, and our bodies can find balance and freedom from pain given the right tools and habits.  Drugs are not those tools but better nutrition, lots of movement and stress reduction.  Please contact me to continue this conversation.

Best! Marty

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