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1810 Esplanade
Chico, California 95926
530-895-1151

Useful Information  


Listed below are several short articles that may be helpful.


Auto Accidents


Some would have you believe that there are secrets that insurance companies (carriers) keep from you regarding collecting benefits when you’ve been involved in a MVA (motor vehicle accident).  The truth is, except for a minimal number of cases, the carriers will work with you.  One thing that you should review with your agent is if you have medical pay on your policy.  For a few dollars more in your premium this coverage will cover most treatment needed after a MVA.  The important thing to remember is that even if you have no apparent immediate pain you may have injuries that will haunt you in the future.   With over 35 years experience, our office staff have been trained to evaluate your need for care, if any, and give you recommendations to prevent long term problems.

Whiplash is most commonly experienced in a motor vehicle accidents, even at low speeds, when the head is suddenly jerked back and forth beyond its normal limits, the muscles ligaments and dics (soft tissues) supporting the spine and head can be stretched or torn. Vertebrae can be forced out of their normal position, reducing motion. Seatbelts, and airbags save lives, and prevent passenger  from hitting the window, however seatbelts restrain the torso, but not the head allowing for “whipping” and airbags explode with such intensity that they can also inflict significant injury. 
The resulting instability of the spine and soft tissues can result in headaches, dizziness, blurred vision, pain in the shoulder, arms and hands, reduced ability to turn and bend, and even low back problems. As the body attempts to adapt, symptoms may not appear for weeks or even months later.
The chiropractic approach to these types of injuries is to use specific chiropractic adjustments to help return spinal function. After a thorough case history and examination, the doctor will recommend a series of visits to help restore proper motion and position of spinal bones.


Consult our office  before enduring constant headaches, depending upon addictive pain medication.

 

Caffeine


Have you ever wondered why there are so many coffee “spots” in Chico?  Seems like there’s one on every corner.  **One reason is that many like the taste of the beverage, but others would say it’s their “pick-me-up”**.  For centuries, people have used coffee with  additional sweeteners to give them a lift. Part of this lift comes from adrenal stimulation. Hans Selye, (the Canadian Physiologist who coined the word Stress) found that animals placed in “stressful” situations i.e. overcrowding, poor diet, toxic environment, too little sleep, and lack of exercise, developed significant adrenal changes. The Adrenals help us produce the energy to momentarily “fight or escape danger”.  As stress continues our adrenals loose their ability to cope (hypoadrenia) and we start to experience fatigue, digestive disorders, neck, back, and extremity pain.  We start looking for ways to help maintain the pace and many will turn to caffeine and sugar (also found in soft drinks).

If  the above sounds like you call our office.  We have gentle, effective methods to determine if you have hyporadrenia.
 

Carpel Tunnel


Many cases of wrist and forearm pain are heaped into the Carpel Tunnel Syndrome.  Oftentimes doctors focus only on the area of pain, but frequently elbows shoulders or neck problems are the underlying cause.  Individuals who do repetitive work with one arm or hand, such as using a computer mouse or using screwdriver etc., are most susceptible.  If there is a minor non perceivable weakness in the lower arm caused by previous neck injuries (i.e. whip lash) the repetitive arm movement irritates the wrist and hand leading to pain and disability.  Wrist braces seldom correct the condition and prolonged usage can lead to additional weakness and further injury.
We have treated hundreds of these cases in our office successfully without the need for surgery. Usually a brief, consultation will determine if we can help your condition.

 

Colon Health


Daily dose of vitamin D cuts colon cancer risk: study

LOS ANGELES (AFP) - The risk of colon cancer can be slashed by 50 percent by taking a daily supplement of vitamin D, researchers at a California cancer institute said.
Scientists at the Moores Cancer Center of the University of California at San Diego said their studies showed that taking 1,000 international units, or 25 micrograms, of vitamin D every day would sharply reduce the chance of a person getting colon cancer, which is diagnosed in about 145,000 Americans each year.
According to UCSD professor and cancer epidemiologist Edward Gorham, the preventative link between vitamin D and colon cancer has been known for over two decades.
But scientists did not know the specific amount of the vitamin needed to have a clear impact.
Their study "establishes the target level of vitamin D that could reduce the incidence of colorectal cancer by half," Gorham said.
"Preventing approximately half of colorectal cancer incidence by a program that would ensure vitamin D adequacy could save an estimated 20 billion dollars per year," he said.
"Annual supplementation of all Americans with 1,000 international units per day of vitamin D would cost about $5 billion."
Such a program could prevent possibly 28,000 deaths each year, according to the study's results.
The study, which has just been published in the Journal of Steroid Biochemistry and Molecular Biology, was based on a review of 18 scientific papers dealing with vitamin D and colon cancer.

Recently a young woman entered the office with the following history.  While pregnant with her first child she developed severe ansthma.  She received steroid therapy with initial improvement, but then developed lung infection for which she was given antibiotics.  After the birth of her baby she also developed severe digestive distress followed by severe constipation with only week bowel movements.  As her condition worsened she could not eat without nausea and vomiting.  When she entered our office she could only drink small amounts of water, and had lost 30lbs.  She had developed severe anxiety, skin eruptions, abdominal and back pain. 

We gave her a diet, supplementation and spinal manipulation, with home care instructions. In one week she was significantly improved.  She was released from active care shortly thereafter.
 

Cost of Health


The cost of health care in the United States is at an alarming high and rising. The cost of health care per capita is twice as much in the US than in England.
One might think that it is worth whatever it takes to have a high level of health. But are the people of the United States getting results for the high cost of health care? NO! The Journal of the American Medical Association reports that Americans have twice the rate of diabetes as the English, and almost twice the rate of cancer. In the words of the study, "The US population in late middle age is less healthy than the equivalent British population for diabetes, hypertension, heart disease, myocardial infarction, stroke, lung disease, and cancer." 
The answer is simple but multifold. Americans either do not know how or are to lazy to take responsibility for their health.
1) Processed foods are modified with trans fats, additives, and are depleted of vitamins and minerals. Many subsist on fast foods whether from a restaurant or bought in a grocery store to be reheated in a microwave.
2) In general Americans do not get enough of the proper type of exercise. Our lifestyle is one of using modern conveniences that reduce the workload.
3) Stress in one's life is inevitable. There are two types of stress, eustress and distress. Eustress is the good type of stress that gives a person the ability to meet the demands or challenges of day to day life. Distress is the type of stress that is detrimental to health. Distress has many causes. Among them may be in the person's lifestyle, injuries, toxins, or work challenges.
4) Over reliance on medication as an answer to health problems. The use of NSAIDs is at an all time high and they are the cause of many health problems. Stress is often treated with antidepressants rather eliminating the cause of the stress. The ordinary doctor is educated by the pharmaceutical companies to treat most everything by medication rather  than looking for the cause of the problem.
The doctor using applied kinesiology examination techniques is an answer to finding the cause of health problems. All of the items mentioned above fit in the triad of health that the applied kinesiologist investigates during an examination. S/he is looking for the cause not just treating symptoms.

 

Decompression


Recently there has been a great deal of “hpye” for a form of treatment known as decompression..  A “blitz” of infomercials and newspaper articles announce this as breakthrough “spaceage” technology.  The fact is that although “decompression” is successful in certain low back disc conditions it is a variation of technology that has been available, for some years, under various names i.e. traction or long axis distraction.  The equipment is very expensive and necessitates the practitioner to charge prices that are often considered above and beyond what insurance companies consider reasonable and allowable placing the cost back on the patient. At our office during our evaluation we consider the need for decompression along with the other effective methods that have made Chiropractic the gold standard for back care.

 

Heartburn linked to Diarrhea - By LINDSEY TANNER, AP Medical Writer

Holiday revelers beware: Seasonal indulgences like eggnog and fruitcake might give you heartburn, but the acid-fighting medicine you take for relief might lead to something worse, researchers say. People on popular prescription heartburn drugs — Prilosec, Prevacid and Nexium — seem more prone to getting a potentially dangerous diarrhea caused by the bug Clostridium difficile, new research shows. C-diff, as it's known, can cause severe diarrhea and crampy intestinal inflammation called colitis.  Dr. Sandra Dial and colleagues at McGill University in Montreal examined data on more than 18,000 patients in the United Kingdom from 1994 to 2004. During that time, 1,672 cases of C-diff were diagnosed, and the numbers increased from less than 1 per 100,000 in 1994 to 22 per 100,000 last year.  Patients with prescriptions for powerful acid-fighters called proton pump inhibitors, which include Prilosec and Prevacid, were almost three times more likely to be diagnosed with the bug than those not taking the drugs. Those on less potent prescription drugs called H2 receptor antagonists, which include Pepcid and Zantac, were two times more likely than nonusers to get C-diff infections.  The widely used and heavily promoted drugs reduce levels of gastric acid that can keep C-diff germs at bay.  Dr. L. Clifford McDonald, a researcher at the federal Centers for Disease Control and Prevention, said proton pump inhibitors recently were implicated in a C-diff outbreak at a hospital and nursing homes in Maine.  "It's not surprising in my mind that there could be some association" with acid-fighting drugs, said McDonald, who was not involved in Dial's study. If there is, "I do think it would be very important because, boy, everyone and their brother seems to be on them."  Most study patients hadn't been recently hospitalized and weren't taking antibiotics, which both can increase risks for C-difficile infections.  Also, most patients hadn't been diagnosed with ulcers or acid reflux, so it's possible many simply had heartburn, Dial said.  "Heartburn in and of itself isn't dangerous," and can often be treated with less potent drugs, Dial said.  Her study appears in Wednesday's Journal of the American Medical Association.

A spokesman for Wyeth, which markets Protonix in the United States, said the company hadn't seen the research and declined comment.
AstraZeneca spokeswoman Cindy Callaghan said patient safety is the company's top priority and that the findings are not the final word.
"Further research is needed in this particular area to determine the validity of a potential link," she said.
C-diff bacteria historically have been found in patients on antibiotics or with underlying illnesses, especially those in hospitals or nursing homes, but infections increasingly have been reported in the community.
Doctors think the growing trend is due in part to overuse of antibiotics but the new data suggest overuse of acid-fighting drugs may be another reason, said Dr. Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago, who was not involved in the study.
The drugs are popular because they are so effective at fighting stomach acid, and are generally very safe, Brown said.
Brown said short-term use of potent acid-fighting drugs for occasional over-imbibing is unlikely to increase infection risks in otherwise healthy people, but that the results suggest doctors and patients "have to think twice about using such heavy acid suppression" over the long term.

http://http://jama.ama-assn.org
http://www.cdc.gov/ncidod/hip/gastro/ClostridiumDifficile.htm

 

Iatrogenic Disease


Ask the average person what iatrogenic disease is and rarely will the term be known.
Iatrogenic disease is a health problem induced in a patient by a physician's activity, manner, or therapy, especially as a complication of treatment.
Iatrogenic disease is responsible for 250,000 deaths per year making it the third leading cause of death in the United States. This information comes from the Institute of Medicinereport condensed and reported by Barbara Starfield, MD, MPH in the Journal of the American Medical Association (1).

  • Cause of hospital iatrogenic deaths per year:
  • 12,000 from unnecessary surgery
  • 7,000 from medication errors in hospitals
  • 20,000 from other errors in hospitals
  • 106,000 non-error adverse medication effects

250,000 iatrogenic deaths per year is about equivalent to two 747 jumbo jetliners crashing per day. Just one or two jetliners crashing in a year because of an airline's error would be splashed all over the news, yet hardly anyone knows of the iatrogenic problem. Only cancer and heart disease are more common causes of death. The number one and two causes of death. Cancer and heart disease, can largely be reduced by diet, exercise, and lifestyle changes.
As bad as the quarter million deaths is, it is only part of the problem because the figure is mostly from hospital studies of deaths.  The figures do not include negative results in hospitals resulting in disability or pain.

Further, there is no reporting of iatrogenic deaths, disease, and disability from in office treatment and prescriptions. Still adding to the problem is disease and death from over-the-counter non-prescription drugs. This too is not well understood by the general public. (See NSAIDS)

1. Is US Health Really the Best in the World, Starfield, B, JAMA, July 26, 2000 - Vol 284, No 4

 

Insurance


Is your insurance good?

I wouldn’t claim to be able to tell you if it is, and the sad thing is that you’ll seldom know unless, you have a claim or you’re in an accident.
Insurance companies are always trying to cut cost, but my rates seldom lower how about yours?  It’s good business, but can affect the amount of care you might be able to receive in the case of an accident. For years carriers have generally paid what was considered reasonable, but now they have a new plan to reduce your benefits.
A new gimmick they pursuing is writing a policy…. They put a clause in your auto insurance that says they’ll pay only after your medical insurance pays.  So what’s the benefit?  None to you, but big saving to the insurance carrier.  You see most doctors are contracted to carriers to take substantial cuts with the idea that they’ll make up the loss in volume of treated patients insured by that carrier i.e. Blue Cross.  So your doctor is forced to accept this lowered payment
 

Which usually translates into difficulty getting all the care you might need for your condition, and possibly paying some out of your own pocket,  So take a minute and ask you agent if you insurance is going to make you health insurance pay first.  If you have an accident call our office where we specialize in injuries sustained in a vehicle accident.

 

Neck and Back - PAIN


Headaches are an unfortunate and painful part of life for many Americans. In fact, an estimated five percent of adults in this country suffer from chronic migraines or severe headache pain.
We spend billions of dollars each year on over-the-counter and prescription pain medication for relief from those nagging headaches. But these drugs have the potential to cause even more pain. Nonsteroidal anti-inflammatory drugs (NSAIDs), a type of medication including OTC brands such as Advil, Motrin, and Excedrin, have been associated with side effects like stomach bleeding and ulcers, and even liver failure. In fact, one possible side effect of many NSAIDs is a headache!
And if you manage to avoid the side effects, these medications really only mask or diminish symptoms. But it’s the cause that counts and that's where chiropractic comes in. Here’s how: The nervous system is the “master system” in the body, controlling and coordinating all other systems – respiratory, immune, circulatory, etc. Sometimes, there are areas in the spine where one or more of the vertebrae may have experienced a loss of function, creating pressure on, or otherwise irritating, spinal nerves. This irritation interferes with the signals, or “communication,” traveling over those nerves, which can compromise the health and proper function of every system in the body. Regular adjustments by your chiropractor can positively affect the nervous system, aid nerve transmission and thus, the body’s ability to heal itself.
Still a skeptic? Scientific research indicates chiropractic is an effective, natural answer to headache pain. During a major 1995 study comparing several weeks of drug therapy to several weeks of chiropractic care, 82 percent of patients given drug therapy reported side effects including drowsiness, weight gain and dry mouth. Heart-related problems and glaucoma also were associated with the drug therapy. On the other hand, chiropractic patients reported no side effects. And after four weeks of treatment, patients who used drugs began having headaches again, while members of the chiropractic group continued to express headache relief, as well as higher levels of energy as compared to the drug therapy group.
So put down the pain-relief medications, talk to your chiropractor about your chronic headaches, and experience a natural, drug-free approach to headache relief, today!

Low back pain...

There are more that 100 million back pain suffers in the U.S. each year resulting in millions of dollars of lost work. Improper sitting, lifting, over-exertion, i.e. gardening, trauma i.e. auto accidents can be the cause.
Many of the pain-sensing nerves of the spine are in the facet joints, the two interlocking "fingers" at the back of each spinal bone. The normally smooth surfaces on which these joints glide, can become rough, irritated, and inflamed.
Surgical treatment often involves removing these facet joints along with fusions.
Another cause of lower back pain can be a bulging disc putting pressure on the spinal cord or a nearby nerve root. The result is often numbness, tingling, or pain down the leg. Cutting away the bulging disc tissue can permanently alter its ability to separate and cushion the adjacent bones. This rarely addresses the underlying structural cause(s) of the problem. 
The chiropractic approach is to help restore a more normal motion and position of affected spinal bones by specific chiropractic adjustments. The simplicity and success of this approach has been documented in numerous research projects and has helped many patients avoid risky surgery.

Lifting and Back Strength

Lifting something heavy?  First note that if you’re off balance, any wrong move can cause painful, even serious back distress.  Try to minimize back strain by consciously assuming a correct lifting position in an unstrained manner.  Keep the load close to your body.  Bend you legs.  Straighten you back slightly.  To turn when lifting, pivot your feet instead of twisting at the waist.
Back strain? Any slight pain?  Have an immediate chiropractic checkup.  Never wait until a serious problem develops.  All office exam can get to the cause of your problem quickly.  You may have a misalignment of one or more spinal bones (vertebrae)) that causes the pain, irritation or “crick”.
Gentle spinal adjustments and manual traction will or decompression will relax over-tense muscles and ligaments.  Vertebrae replacement quickly eases irritation.

 

Non-steroidal anti-inflammatory drugs (NSAIDs)


Using antibiotics more than 10 times in childhood increases the likelihood of developing non-Hodgkin's lymphoma (NHL), a cancer that affects the body's lymphatic system, new research suggests.
Dr. Ellen T. Chang of the Northern California Cancer Centre in Fremont and her colleagues also found a marginally increased NHL risk among heavy users of non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Motrin, Advil), but no association between the disease and any other types of medication
Given the rising incidence of NHL, Chang and her team note in the American Journal of Epidemiology, a number of studies have investigated whether certain medications increase the risk of the disease. But results have been inconclusive, with only strong immunosuppressive drugs consistently being tied to NHL. Because a number of medical conditions also may be associated with NHL, they add, the question of whether the drug or the underlying condition is involved has complicated matters further.
To investigate, the researchers looked at data from the Scandinavian Lymphoma Etiology study, which included 3,055 patients with NHL who were compared with 3187 healthy subjects drawn from Danish and Swedish population registers.
The "striking" association between antibiotic use and NHL was seen for all subtypes of the disease. High NSAID use increased overall risk of NHL and of diffuse large B-cell NHL, but did not increase the likelihood of any other type of NHL.
The increasing use of antibiotics in the 20th century could explain the rise in NHL cases, if the drugs are in fact responsible for the association observed, Chang and her colleagues note. However, they add, their study was unable to determine if antibiotics and NSAIDs affected risk apart from the underlying inflammation, infections or susceptibility to infection.
"Biologic data more strongly support the hypothesis that antibiotic use is an indicator of infection and consequent inflammation, which may increase the risk of NHL, and that high cumulative NSAID use is a marker of chronic inflammation," they conclude.
SOURCE: American Journal of Epidemiology, November 15, 2005

The side effects of NSAIDs (NonSteroidal AntiInflammatory Drug) are not appreciated by the average consumer. A recent review by Wolfe et. al.1 helps put the problem in perspective for one of the problems, i.e. gastrointestinal toxicity. On the basis of conservative figures "...the annual number of hospitalizations in the United States for serious gastrointestinal complications is estimated to be at least 103,000. At an estimated cost of $15,000 to $20,000 per hospitalization, the annual direct costs of such complications exceed $2 billion." The emphasis of cost fails to recognize the more important mortality rate for patients hospitalized for NSAID-induced upper gastrointestinal bleeding which is reported by Wolfe et. al.1 as about 5 to 10 percent. They further report, "It has been estimated conservatively that 16,500 NSAID-related deaths occur among  patients with rheumatoid arthritis or osteoarthritis every year in the United States. This figure is similar to the number of deaths from the acquired immunodeficiency syndrome [AIDS] and considerable greater than the number of deaths from multiple myeloma, asthma, cervical cancer, or Hodgkin's disease."
NSAIDs cause problems in the entire gastrointestinal tract,2 ranging from peptic ulcers3,4,5 to small intestine6 and colon problems. In a study to determine the safety of low-dose daily aspirin therapy in the gastrointestinal tract, it was concluded that the safety of even 10 mg of daily aspirin is questionable,7 which is way below the typical baby aspirin dosage of 80 mg. The problems do not stop in the gut; the breakdown of the gut mucous membranes leads to leaky gut syndrome with all of its ramifications, including liver toxicity.
One of the most common reasons for taking NSAIDs is to relieve joint pain. Unfortunately the very thing that is expected to gain relief often makes the condition worse by blocking glycosaminoglycans (GAGS) production necessary for repair,8,9,10 in one in vitro study by as much as 60-70%.11 Therapeutic levels of aspirin in vitro have effects of suppressing proteoglycan biosynthesis in normal and degenerating articular cartilage similar to several other NSAIDs12 and  permeate osteoarthritic cartilage 35% more than in normal cartilage.13,14 Glucosamine is in the popular press as an aid to improve the symptoms of osteoarthritis or joint pain. It is one of the glycosamionglycans.and the more NSAIDs are taken to control joint pain the more the very thing that repairs the joints is destroyed. It is a vicious circle.
1. Wolfe, Michael M., et al, "Gastrointestinal Toxicity of Nonsteroidal Antiinfammatory Drugs" New Eng Jn of Med Vol 340, No 24 (Jun 17, 1999)
2. Roth, S.H., “Nonsteroidal anti-inflammatory drugs: Gastropathy, deaths, and medical practice,” Ann Intern Med, Vol 109, No 5 (Sep 1, 1988).
3.Gabriel, S.E., L. Jaakkimainen, & C. Bombardier, “Risk for serious gastrointestinal complications related to use of nonsteroidal anti-inflammatory drugs. A meta-analysis,” Ann Intern Med, Vol 115, No 10 (Nov 15, 1991).
4.Griffin, M.R. et al., “Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons,” Ann Intern Med, Vol 114, No 4 (Feb 15, 1991).
5.Langman, M.J. et al., “Risks of bleeding peptic ulcer associated with individual non-steroidal anti-inflammatory drugs,” Lancet, Vol 343 (Apr 30, 1994).
6.Melo Gomes, J.A. et al., “Double-blind comparison of efficacy and gastroduodenal safety of diclofenac/misoprostol, piroxicam, and naproxen in the treatment of osteoarthritis,” Ann Rheum Dis, Vol 52, No 12 (Dec 1993).
7.Cryer, B., & M. Feldman, “Effects of very low dose daily, long-term aspirin therapy on gastric, duodenal, and rectal prostaglandin levels and on mucosal injury,” Gastroenterology, Vol 117, No 1 (Jul 1999).
8.Dekel, S., J. Falconer, & M.J. Francis, “The effect of anti-inflammatory drugs on glycosaminoglycan sulphation in pig cartilage,” Prostaglandins Med, Vol 4, No 3 (Mar 1980).
9. de Vries, B.J., W.B. van den Berg, & L.B. van de Putte, “Salicylate-induced depletion of endogenous inorganic sulfate. Potential role in the suppression of sulfated glycosaminoglycan synthesis in murine articular cartilage,” Arthritis Rheum, Vol 28, No 8 (Aug 1985).
10. Hugenberg, S.T., K.D. Brandt, & C.A. Cole, “Effect of sodium salicylate, aspirin, and ibuprofen on enzymes required by the chondrocyte for synthesis of chondroitin sulfate,” J Rheumatol, Vol 20, No 12 (Dec 1993).
11. Yoo, J.U., R.S. Papay, & C.J. Malemud, “Suppression of proteoglycan synthesis in chondrocyte cultures derived from canine intervertebral disc,” Spine, Vol 17, No 2 (Feb 1992).
12. Brandt, K.D., & M.J. Palmoski, “Effects of salicylates and other nonsteroidal anti-inflammatory drugs on articular cartilage,” Am J Med, Vol 77, No 1A (Jul 13, 1984).
13. Brandt, K.D., “Effects of nonsteroidal antiinflammatory drugs on chondrocyte metabolism in vitro and in vivo,” Am J Med, Vol 83, No 5A (Nov 20, 1987).
14. Palmoski, M.J., R.A. Colyer, & K.D. Brandt, “Marked suppression by salicylate of the augmented proteoglycan synthesis in osteoarthritis cartilage,” Arthritis Rheum, Vol 23, No 1 (Jan 1980).

 

Wellness Tips


In conjunction with your, in office care, there are lots of things you can do to keep your body - especially your back - healthy. If this sounds familiar-well, we've been talking to your mother. Just so happens she was right:

  1. Sit up straight.
    Develop the habit of good posture. It makes a world of difference in the way your back feels. Sitting and standing erect improves cardiovascular function and better respiration allowing more healing oxygen into the system
  2. Eat your vegetables.
    A good diet is vital to your overall health. All those nutrients help your body repair itself. And you want to keep your weight down. It is not important what dietary philosophy you follow --only that you reduce calorie consumption.  Carrying extra weight puts extra strain on the back.and recent studies show it reduces you life span.
  3. Turn off the TV.
    Get up and move. Go for a walk. Add exercise to your regular routine using an exercise ball during T.V.commercials is better than going to the refrigerator. And when you have to sit for long periods, stretch regularly or on the road stop and walk at roadside rest.
  4. Don’t carry too much.
    Don't lift things that are too heavy for you. (And if you have to, lift with your legs, not your back.) For children and adults don't carry around a heavy backpack or a heavy bag if you can avoid it. The key is to minimize. Only take what you really need.
  5. Get plenty of sleep.
    Sleep is essential for your well being. Just don't sleep on your stomach, which can strain the muscles in your neck and back. Practice sleeping on your side or back.
 

 
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