Friday, April 27, 2012

Suggestions for Pain Free Sleep


Gentle Reader,
I subscribe to Johns Hopkins Health Alert.  They frequently publish white papers on various topics.  Some of this information I have passed on to you previously.  Today I recommend taking a look at their most recent article on The Latest Back Pain Relief Strategies: Learn How to Fight Osteopenia and Osteoporosis.  


I just ordered my pre-release copy and with it came a down loadable document called OH, MY ACHING BACK!

Practical ways to minimize pain and protect against injury.  This little pamphlet is worth the $19.95 plus shipping that I paid for the book.  I especially like the discussion of Nighttime Back Protection



For years now I have been following this suggestion.  "The best way to sleep if you have a bad back is on your side with your
knees bent and a pillow between your knees. This position helps to maintain the natural curves of your spine."


I actually incorporate the next suggestion as well: "When sleeping on your back, keep your knees slightly raised by placing a pillow underneath them. This prevents your lower back from overarching by supporting the weight of your extended legs."


This one, not so much, but I've never been a stomach sleeper.  I suppose they needed to include a suggestion for those who prefer this position.  Ask your massage therapist to put a pillow on the table as in this photo.  "If you can’t break the habit of sleeping on your stomach, place a pillow underneath your abdomen to keep your spine aligned."


My preferred strategy is to use 2 pillows, one with a hollow in the center for my head and one of those lumbar pillows they sell at the chiropractor's office.  In fact both of my pillows came from a chiropractor's office.  I hope this picture helps:  


I begin the night lying flat with my head in the hollow and the little pillow under my knees.  Rolling onto the side, it is easy to pull the lower pillow between the knees and shift to the edge of the head pillow if you want more height.  Some people use much larger pillows, but I find this smaller ones do the job and are easy to maneuver in the night.  They don't get in the way as much if you are sleeping with a partner.




I bought a couple camping pillows from Big 5 and made cases for them from an old pillow case.  These roll up and fit in one of Rick Steve's travel bags.  This way I never have to deal with the giant boulders of bed pillows in European hotels.  I tuck my night gown and slippers and even a wash cloth in on top. These little zipper draws hold an amazing amount of stuff.  I have even crammed in a silk dressing gown for when the bath room is down the hall.


I hope these suggestions help you if travel is in your future, or if simply lying on your own bed is not as restful as you would like. 


All the best,
Be Well, Do Well and Keep moving!


Betsy


Betsy Bell's Health4u
206 933 1889
http://HiHohealth.com
betsy@HiHoHealth.com
previous nowheelchair blogs can be found at www.nowheelchair.wordpress.com 

Friday, April 20, 2012

Nicaragua: How it went from a body perspective


Dear Reader,
From yoga to Central America and back.  I am happy to report that I needed very few of my Shaklee herbal Pain Relief tablets.  I packed about 18 in my little emergency pill-box, plus 6 Aleve.  In the airport back here in Seattle after sitting on the airplane for 10 hours and hauling the 2 rolling suit cases along miles of hall ways, I swallowed the last herbal remedy.  There are still 4 Aleve in my box!  I was amazed.
Exercise: practically impossible to get the usual exercise.  Unconventional exercise opportunities came along frequently.  In Managua, we all stayed in various homes clustered around the Cultural Center in the barrio of Batahola.  After a 36 hour trip (we missed our plane leaving Seattle and had to re-book 18 hours later), Alicia (my granddaughter of 13) and I joined our group for tours of two collectives in which Nicaraguans produce products from local materials for sale locally.  From there we headed for our home stays where, after meeting the family and unpacking my suitcase, I showered and washed the clothes I had on so long. This is the first exercise.  One washes standing over a double sink, the washing side of which has an old-fashioned rubbing surface.  You wet the clothes by dipping water from the larger of the two tubs and splashing it over the clothes and then scrubbing.  Of course my delicate ExOfficio sports clothing wouldn't tolerate that kind of treatment.  I used my laundry soap from home and gently got the sweat and grime out, rinsed over and over with dips from the water tub and finally hung the clothes on the lines strung in the patio over the concrete floor and potted plants all around the edge.  Open to the sky, everything was dry in the morning.
There was no early to bed for us.  Around 8:15 after dinner of rice and beans, fried bananas and steamed beets and a strange new root vegetable that had been boiled and mashed with butter (yummy), the family announced they were going to a concert.  Would we like to come?  Exhausted as we were, we chose to go along.  We walked--three children, grandma and grandpa and daughter--to the main road (about 1/2 mile) and hailed a cab.  Four adults and 3 children sat in the back seat with Don Encarnacion Nicaragua in front with the taxi driver.  What a ride!  The concert was a first gig for a talented young group with a clear, warm tenor; a rich sultry contralto and our family's friend, Ana, the back up singer, violinist, flute player, castanet shaking beauty.  The rhythm section included every sort of Latin drum and vibs, acoustic and electric guitars.  The music rocked.  The audience knew the words of all the popular songs from the Misa Campesina and their original tunes were haunting and worthy of a CD.  The place was an outdoor bar, tables and people filling the concrete slab just below the stage area which was right in front of the serving bar.  We were a bit late at 8:45 and sat at a table on the dirt slightly sloping floor along side the stage and right in front of the powerful sound system.  No chance of nodding off.  Huge bottles of Tona, the Nica beer, fried cheese and fried bananas and coke for the kids arrived.  By mid-night I pleaded total exhaustion and the mother and children took us home in a cab while the seniors, Mr. and Mrs. Nicaragua stayed to the end.  Amazing.
The next day, real exercise presented itself in a dance lesson at the cultural center led by probably one of the best group class exercise leaders I have had.  We practiced the salsa, merengue, and several other steps I can't name.  She had us stretching.  Washing out those clothes and showering all over was a necessity after that work out.  And no pain.
Was it the heat?  Was it the vacation?  Was it the clean diet of corn, beans, rice, vegetables and no wheat at all?  Who knows.  I was grateful.
Not to give you an entire travel log, but I want to mention a couple more exercise moments.  We stayed a night in the lovely hill city of Matagalpa, where like Seattle, to get anywhere you have to walk up and down.  At one moment I was able to take off alone and walk up hill.  We would never permit that steep an incline for normal driving.  On my way back down from a high point in front of a lovely house, I passed a woman about my age carrying 2 sacks of groceries, her face contorted in pain, breathing hard and resting often.  I thought how fortunate I am to have all the self-care and practitioners to keep me in such good shape.  I can elect to walk the hills of Matagalpa.  She cannot.
Our group of 10 from Saint Mark's Cathedral was organized through Matagalpa tours.  We spent two nights in the campo, staying with farm people, members of the fair trade coffee collective, Cecocafen.  Two from our group and I walked over a mile to get to our farm stay, again on gravel/dirt road that rolled with the hills up and down.  At the house, visiting the bathroom was an athletic even.  At night the doors were bolted with heavy iron bars which I had to lift and move, then removing a heavy beam holding the upper half of the door shut.  Then I had to navigate a steep stone stair case down to a dirt slope that descended to the outhouse, being careful to duck under the clothes wire set to smack me right in the eye balls.  A few stone steps up to the heavy wooden door to the two hole latrine.  I scoped out the outhouse trip during the day light and wore my head lamp.  Oh, did I forget to mention that going down the outside stone steps included trying not to disturb a pile of dogs who slept there.
I was glad I had tucked in a therma-rest mattress to help me sleep on the 2 inch thick foam pad on a ply wood sheet on 4x4 legs of a bed.
Several in our group climbed an active volcano outside Leon, the colonial city in the western part of the country.  I chose a city tour with two of the other older participants and we got to climb to the roof of the cathedral, a classic Spanish structure.  The ring of fire around Leon is impressive and most residents have experienced ash in their homes and on their faces.  It makes for very fertile soil and beautiful vegetables and fruits are produced on the mountain farms.  We learned about the complex mixed farming of shade grown, organic coffee, tucked in with bananas, fruit trees as the upper story.  Beans were ready for harvest, pineapple had just been planted, corn was bagged and carried by a yoke of oxen to a high place for winnowing the chaff.  A little mechanical help from a small John Deer tractor would ease the hardship of these farmers' lives.  They rise at 4 to shower in the dark, make tortillas and get their children ready in their blue trousers or shirts and spotless white shirts to walk the 1 1/2 miles to school by 7:30.  What a pleasure to watch the children gather from the scattered farms to form a river of blue and white, each with their back pack, the 5 year olds holding hands with the older sisters and brothers.
At night, returning from our day exploring the area as a group, we walked home to our farm on a moonless clear night. Seldom have I seen such stars, the Milky Way so brilliant as to light our way with Orion leading to the south.  Everyone was in bed by 8:30.
Our Saint Mark's group returned to Seattle last Monday and Alicia and I stayed another 6 days, she with her father and his family; I with a welcoming couple and their 40-year-old son living in Batahola, across from the Cultural Center.  Here is a link in English where you can read about this remarkable place.  I signed up for more of Carla's dance classes and met a great group of women who come twice a week to learn about nutrition, health (mini lectures between the merengue and salsa) and exercise.  They were very welcoming and chatted me up with questions about the US and plenty of sharing about their work, families and home life.  My Spanish was up to it, I am pleased to say.
My host mother is interested in prevention and nutrition and we had wonderful long conversations about herbs and vitamins and foods that help with her aches and pains.  She is 61 and not taking any medications.  She was #5 in a family of 12 and her parents both lived into their 90's.  Her grandmother lived in the mountainous countryside until her death at the age of 115.  Besides keeping visitors for a small sum (room and 3 meals $20 a day), Dona Cony made helado, a fresh popsicle sort of fruit ice cream.  She made 5 flavors: one, chopped mango, banana, watermelon, cantaloupe, and something else, vanilla and cinnamon poured into 1/2 cup sized plastic bags and tied by hand and frozen. Other flavors are coconut, cocoa, cherries ground fine and mixed with milk, and a slightly fermented concoction of pineapple and some other fruits that she first cooks to get the acid out and then skims, added a bit of rum and other flavors and largish pieces of banana.  I didn't get to try this one and had to content myself with helping.  They sold for 5 cordobas.  23 cordabas = $1.  She doesn't advertise.  There is no sign.  People come from all over the neighborhood and beyond to buy one or a dozen at a time.  I explained that such cottage industry would require an enormous amount of red tape here in the States.  They let the buyer beware and the seller maintains a spotless kitchen. One bad batch and she'd be out of business.  News travels fast, especially when it is bad.
I'll get back to the wonderful topic of preventing and managing arthritis next Monday.
Be well and Do well and most of all, keep moving!
Betsy
BetsyBell's Health4U
206 933 1889

It matters what we eat


Gentle Reader,
A friend sent me a TED talk by Dr.Terry Wahls  on MS this past week.  In the 5 minute screening she recounts her productive life as a research scientist up to the debilitating onset of MS.  Seeking the best care medical professionals had to offer, her condition worsened.  Driven by her inquiring mind to know as much as she could about her disease, she began to experiment with different foods and supplements.  As her condition improved, she increased her dependence on whole plant foods, greens, reds, yellows, blues, purples and lessened or stopped eating altogether all refined foods, meats, dairy, sugars, grains.  Exercise became possible.  Brain function and mobility returned to better than normal.  All drug intake stopped.  Take a minute to watch. http://www.youtube.com/watch?v=KLjgBLwH3Wc
Arthritis caused by spinal stenosis and osteoarthritis is not Multiple Sclerosis.  I realize this. I would challenge anyone suffering from the pain and loss of mobility caused by arthritis to eat the diet Dr. Wahls describes and discover how much this pain lessens and mobility increases.  Every other system in the body improves with this diet.
Now, most people will not be able to eat this way day in and day out.  I don't. For instance, yesterday I ate 1 meal on the run, getting off for choir practice with a protein shake in my car.  The next two meals I ate in the company of church members, lunch with a homeless community meal; dinner with the group of people I traveled with to Nicaragua in February.  My defense is supplementation.  The Carotanoids, Flavonoids, the Liver Cleanse, the pre and pro biotic do their best to take the place of the diet Dr. Wahls recommends.  When I am home, like today, I will eat this way.
You may have decided this blog is becoming too much of a harangue about diet and lose interest in following my Monday posts.  Before you go, just think outside the box, if you will, and consider the value to your health of a diet of fresh fruits and vegetables, natural oils and proteins from plant sources.  Think of the future you dream of with your children and grandchildren, of travel and gardening, of skiing and hiking, of knitting and sewing without pain well into your 80's and even your 90's.  What is the price you are willing to pay for a pain free future?  We pay for our health sooner or later.  A wholesome diet and supplementation put the money up front and could lessen the cost of healthcare in our later years.  Think about it.
I am too harsh and unforgiving.  I love you just the way you are and would gladly listen to your stories about ways you have found to alleviate your arthritis pain.  If you do experiment with the Dr. Wahls diet, let me know how it goes.  If you want to fill in the gaps with "foodlet" supplements that are guaranteed to make you feel better or your money back, let me know that, too.
Be well, Do Well and Keep Moving.
Betsy
BetsyBell's Health4U
206 933-1889
Seattle, WA 98116

Dear Gentle Reader,
With the strains of Vivaldi's 4 Seasons setting the tone, spring has finally come to Seattle. While so many of you are enjoying unseasonably warm weather, we have seen snow flurries, much rain and the thermometer has not climbed into the upper 50's. Until the last couple of days.  The parking lots at the nurseries were full this weekend.  I came home with 11 bags of top soil and 6 roses.  Getting these in the ground usually means an aching body.  My friend, after a day of digging, complained that she couldn't bend down to tie her shoes.  What's a person to do who nurses osteoarthritis and spinal stenosis?
Here are some suggestions:
On your hands and knees.  Perhaps you, like me, are most comfortable crawling around on your hands and knees.  My friend, catching sight of my knee pads hanging from the wall, asked what sort of art object that was.  Those are my knee pads.  I have them hung right by the back door so I grab them when I head outside to do a gardening chore, however small or brief. If they are hidden away in some garden shed, you won't put them on.  You'll be in the garden and you'll bend over to pull a weed and there goes the back.
A garden stool  I love my garden stool made of sturdy plastic. Upright I can sit on it to work in the barrels and containers, harvest pool beans and fava beans.  Inverted, I can kneel on it and use the legs as handles to lift me up.
Stretching i didn't mention this first because I stretch everyday first thing in the morning, first on the Back2Life machine and then a few Feldenkrais hip opener moves followed by yoga down dog, runner's lunge and plank.  Then while the oatmeal cooks, the seated routine with Jennifer Kreis. I blogged about Jennifer's seating wake up exercises last Feb. 12, Yoga and Arthritis. I just checked her website: The DVD I love so much is now part of a set of 4 and they are currently discounted to $29.95.
Time limit  Don't over do it.  The minute I sense a strain, I stop.  Manana es otro dia.  Tomorrow is another day.
I found this delightful forum on gardening which I'd like to share with you.  Enjoy the comments of these women as they share how they keep their bodies moving.  Together we will achieve more, and more comfortably.
Thanks for reading, and please send your suggestions so we can learn from your techniques.
Be well, Do Well and Keep Moving,
Betsy
Betsy Bell's Health4U
206 933 1889
I enthusiastically forster a person's business development in the health and wellness field.

A Complaint



Gentle Reader,

I have the feeling these blog posts are meant to be positive and uplifting.  But what about when you wake up so stiff you are hanging on to the edge of the bed, the door jam, the grab bar you installed years ago in case your husband got too feeble (not for you, of course), then with both hands on the rim of the toilet seat, settling down with relief.  No falls this morning.  

What the heck did I do yesterday to bring this on?  Was it the three loads of laundry?  I woke up to a blue sky in the east and, ignoring the weather forecast, carried those wet sheets, towels, terry cloth bath robe, 4 pairs of Levi's up the stairs to the line out back.  Happy as a robin establishing her territory, I hung those clothes on the line.  I felt strong, like a pioneer woman.  I love looking at the Easter egg colors of my Descent Exposures bra and panties sets that can easily double as bikini swim wear in a pinch.  

By 2:30 just as I was going to leave to take a granddaughter to gymnastics, it began to drizzle and down they all came off the line and into the drier.  That ozone smell would not grace my pillow cases nor towels.  And the basket of all three loads at once, not quite dry, felt particularly weighty.

OK, that's a reasonable cause for this amount of creak and groan.  

What did I eat yesterday?  Nothing that would produce an extra explosion of inflammation.  Two and then four Pain Relief Complex herbal supplements didn't touch it.  

I lay on the floor on the Back2Life, did the hip opener Pilates moves and headed off for the day's activities.  No, I went back inside to snatch an Aleve from the drawer.  I had to have pain free mobility for the expedition downtown with 2 grandsons out of school on spring break. I promised to take them to the Olde Curiosity Shoppe to see the mummified man and the 2 headed lambs, the Siamese calves and the ring of shark teeth hanging over head as you walk in.  Sweet boys, but I can't ask them to slow down for their Grandma who has a reputation for out walking almost all of these 16 who call me "Grandma."


The truth is that I will be better tomorrow without any special extra treatment.  Time is a healer all by itself.  My daughter Priscilla, the hard body trainer here in Seattle, said I needed to use heavier weights in my workouts.  She scoffs at 5 lb. weights.  "If you can carry in the groceries, 5 lbs in each hand is nothing more than maintenance."  I went to Big 5 and bought a pair of 8 pounders.  They caused my back to cringe went I began the curls, flies and shoulder presses, so I went back to the 5 pounders for that part of the routine.  Then I switched to 8 lbs. for the row and, lying on the eathafoam for support, 
I could to flies and shoulder presses and double dumb bell french presses.  She did say to support my back.  So I'm going up a notch, more to prevent osteoporosis than for the strength of it.  I still think I shouldn't be lifting a basket of heavy wet clothes up a flight of stairs.













You can complain here if you like. Go ahead and let us know how bad it is sometimes.  Embrace it and then get on with moving.


Be well, Do Well and most of all Keep Moving,


Betsy


Betsy Bell's Health4U
206 933 1889
betsy@hihohealth.com
www.hihohealth.comwww.hihohealth.com 
for older nowheelchair posts, go to www.nowheelchair.wordpress.com

Sunday, April 8, 2012

New Look for my blog

Gentle Reader,
I've been reaching out to you about ways to manage arthritis without resorting to strong medications and surgery if at all possible.  The postings in the past have all been through Word Press.  Now I will be using Google's blog spot.  I hope you enjoy the changes.  I'll be able to post video content more easily and provide more links.  Let me post the last one again here.


If I could tell you why some days I wake up with no pain whatsoever-- like today-- and catalog the food I ate yesterday, the stretches I made, the delicious sleep, the supplements, the aerobic activity—why surely I would have a recipe for a pain free life.  I cannot. I cross country skied on Wednesday; stayed up too late fussing over numbers; ate on the run, albeit extra nutritious homemade vegetable-drawer soup; got tied up in knots over the traffic delays.  You know the drill.  I took no herbal pain pills today and no Aleve.  Instead of analyzing the good things in life that seem to happen randomly, I suggest robust all out celebration and thanksgiving.
I will offer you some spicy advice that came to me from a good friend who faithfully reads these pages and a few others from the web which she passes on to me when relevant.  I especially appreciated her reprint from NaturalNews.  Since I harvested stinging nettles on my walk Tuesday, being careful to wear gardening gloves, I am eager to eat them and see what they do for me. See the article below for details.  Stinging nettles are abundant in the northwest right now, small plants with tender leaves.  All the sting goes away with cooking.  If you try it, let me know how it goes. It’s inexpensive to try these natural remedies from the kitchen cupboard, way-side and grocery store.
Relieve arthritis and joint pain with home remedies
 (NaturalNews) Homemade remedies for arthritis, gout and other joint pain are never farther away than the kitchen cupboard or the refrigerator. Joint disease is the result of various causes ranging from aging, to over-use and autoimmune diseases that attack joints and surrounding tissue. Pharmaceutical companies have designer drugs that reduce inflammation to help relieve pain and often cause significant side effects. The ingredients for homemade remedies can be purchased at grocery and health food stores and many may already be stocked in your pantry, offering significant savings over costly pharmaceutical drugs.
Anti-Inflammatory triad
On their own, turmeric, ginger and bromelain work as effective anti-inflammatory agents. Each works to relieve pain, stiffness and swelling. In combination, they provide a powerhouse of natural medicine. The three substances are synergistic to one another, each boosting the other's effectiveness...

Stinging nettles
Homemade remedies from stinging nettles are numerous. A traditional herbal treatment, stinging nettles are used to relieve symptoms of joint pain, arthritis and gout. A tea can be made from the dried herb or the fresh leaves. Use caution and wear gloves if harvesting fresh nettles. As their name implies, the little hairs on the plant can cause serious skin reactions including hives and other painful outbreaks. These are neutralized when heated into tea or when the plant is dried. The tea can be consumed hot or cold or used as a topical soak for painful joints.
Cayenne pepper
Found in most spice cupboards and known for its spicy-hot taste, cayenne makes an excellent topical ointment that relieves joint pain. Capsaicin, the active ingredient in cayenne pepper, tricks the brain by causing local irritation to skin where signals then travel along nerve pathways, distracting the brain from the true source of pain. In time, repeated topical applications of cayenne pepper will reduce arthritis pain significantly. To make topical homemade remedies, mix 2 tablespoons of cayenne pepper with 1/2 cup of cocoa butter, lanolin or coconut oil. Apply it directly to the sore joint. Alternatively, mix 1/2 teaspoon of cayenne pepper with 1 cup of apple cider vinegar and add to a foot bath with warm water. Soak hands or feet for 20 minutes, then rinse. Cayenne pepper can cause skin irritation.  (I have not tried this, so go forward at your own risk.)
Pectin Grape Juice
Homemade remedies made from fruit pectin and grape juice can relieve joint pain, and reduce swelling and stiffness. Pectin is found in the cells of many plants and acts as a thickener in preparations such as jellies. Grape juice is loaded with antioxidants, among them, anthocyanins, noted for its effect on reducing inflammation. Pectin regulates the flow of fluids in plant cells and is believed to act to relieve fluid buildup in the joints of arthritis sufferers. The best pectin is found at the health food stores and is free of MSG and other additives. Mix 1/2 cup of juice with 2 tablespoons pectin. Add water if needed and drink twice daily for 6 weeks. Reduce the frequency as symptoms disappear.
Sources for this article include:
Holistic Online: Tumeric
http://www.holisticonline.com
Science Daily: Turmeric Prevents Experimental Rheumatoid Arthritis, Bone Loss
http://www.sciencedaily.com/releases/2006/10/061030071152.htm
MotherNature.com: Arthritis and Alternative Medicine
http://www.mothernature.com/Library/bookshelf/Books/42/1.cfm
Joint-Pain.com: Natural Arthritis Treatments
http://www.joint-pain.com/natural-arthritis-treatments.html
The People's Pharmacy: Pectin for Arthritis Pain
/http://www.peoplespharmacy.com/2009/08/31/pectin-for-arthritis-pain/
Be Well, Do Well and Keep Moving
Betsy