Orthopedic Devices

Orthopedic devices play a crucial role in enhancing the life of patients that need them, providing pain relief, improving mobility, among other of those suffering from musculoskeletal disorders.The global orthopedic devices market size was valued at $36.1 billion in 2017 and it is anticipated to expand. High prevalence of orthopedic conditions such as degenerative bone disease coupled with rising geriatric population also the number accidents (car, falls, etc). Sadly nowadays also the early onset of musculoskeletal conditions triggered by obesity and sedentary lifestyle are expected to boost the growth. 

An orthopedic implant is a medical device manufactured to give support and or replace a missing joint or bone. From simple braces to prosthetic implants. According to an article from Medical Devices Journal:  The USA devotes roughly $200 billion (6%) of annual national health expenditures to medical devices. sStudies have shown that thanks to new technology in this field surgeons have new opportunities to reduce hospital readmissions and improve the quality of patient care.

Orthopedic surgeries that incorporate robotics are less invasive and offer reproducible precision, resulting in shorter hospital stays and faster recovery times. It is now estimated that up to 80% of orthopedic procedures are amenable to the outpatient setting and many orthopedic practices.The shortened recovery and associated disability with less invasive and more stable and rigid fixation have allowed patients to be more functional sooner, and reduced the morbidity of some of the previous approaches. 

Orthopedic devices have allowed thousands of people around the world to live a “normal” life. Been able to walk without crutches, less pain…from the non athletic to professional athletes like: Aimee Muller, veterans like soldier Scott Schroeder, Olivia Jackson an actress and stunt performer, Model and pop star Victoria Modesta. List goes on and on. Something that decades ago (losing a limb) will deteriorate your life forever and for some would crush goals (like an athlete) now it’s so advanced that let you do all the things in life you would do with all your limbs…some will even say that even better!

Pic:  Lance Grandahl 


Joints are where one bone connects with another. They are the space that
allow for proper movement and function. When the joints move properly, your muscles and ligaments function at an optimal level. This affords you proper function and no pain. When the joints do not work properly, the muscles and ligaments cannot function properly either. They will tend to either shorten or elongate, depending on the joint problem. When this occurs, they leak toxins that irritate local tissues and nerves.

Osteo Arthritis (OA) most common joint disorder: results from breakdown of joint cartilage and underlying bone. The most common symptoms are joint pain and stiffness. Degenerative Joint Disease (DJD) you might develop small bone spurs, can become enlarged, achy, stiff and numb. OA is the most common type of arthritis, and the percentage of people who have it grows higher with age. An estimated 27 million Americans age 25 and
older have osteoarthritis. OA most often occurs in the hands (at the ends of the fingers and thumbs), spine (neck and lower back), knees, and hips.

The tissues involved most are the cartilage and underlying subchondral bone. The cartilage is the smooth white material that forms over the ends of the bones and forms the moving surface of the joint on both sides.
Cartilage is tough, elastic, very durable, and comprised of collagen and water molecules. Cartilage does not have a blood supply and receives its oxygen and nutrition from the surrounding joint fluid by diffusion. When
we move a joint, the pressure across the joint expresses fluid and waste products out of the cartilage cells, and when the pressure is relieved, the fluid diffuses back, together with oxygen and nutrients. Over many years and with activity and use of a joint, the cartilage may become frayed, injured, torn, and may even wear away entirely. When this occurs, the bone surface on one side of the joint tends to rub or glide against the bone on the opposite side of the joint, providing a less elastic joint surface, and generating higher contact pressures at the end of the bone.The bone then become hardened and ‘sclerotic’.

Here are some recommendation to maintain your joints healthy:

-Stay hydrated: joints act like a cushioning, lubrication, shock absorption… Keep in mind, they are like a sponge. For the sponge to be “full” an “cushiony,” it needs to be filled with water.

-Healthy lifestyle: eat a balance diet, choose anti inflammatory foods, avoid process foods.

-Visit your chiropractor regularly!!!! Will help with your posture, giving movement to the joints, help body function, nervous system, at its maximum capacity without pain or discomfort.

-Exercise: As little as 30 minutes 3-5 days a week, helps joints stay limber and strengthens the muscles that support and stabilize. Movement is life!

–Healthy weight: Extra pounds put additional pressure on weight-bearing
joints, such as the hips and knees, which will accelerate the degeneration


-Knee surgery: takes 3-6 months for rehab, no guarantee, high percentage of fail, 50% will need more surgery, average cost is $55,000

-Shoulder surgery: 6-12 months rehab, risk of infection is 4/100, cost $5,300-22,000

Let’s try to stay healthy and avoid those!

Pic: Scott Broome

Why Try Functional Medicine?

For some people this may be the 1st time reading about Functional Medicine, although it has existed for decades and have had great results. Lost of people have try it when is their last resource and often mentioned “I wish I knew about this before”The difference between conventional medicine and functional medicine is that in functional medicine the body is
look/study/treat as a whole, not in different parts or systems. Sadly, physicians are often trained to diagnose by symptoms, NOT by their underlying causes.

With Functional Medicine Practitioners (FMP) you have access to functional lab testing, which allows them to be able to have a greater understanding of where the imbalances are occurring in your body, instead of just guessing according to symptoms or only looking at one lab marker (like
TSH for Thyroid but don’t see T3, Free T3, T4, Free T4 etc).

FMP they don’t just deal with symptoms. The functional laboratory testing and experience allows them to understand why a body is out of balance and what needs to be done for the body through diet, exercise, stress management, chiropractic, proper sleep and supplementation to help bring
your body back into balance. They help you to change your lifestyle in a way that promotes optimal health.

They will tailor a plan according to who you are as an individual, what is the problem, and what your body needs are. There are plenty of different dietary theories to choose from, exercise plans to participate in and ways to reduce stress. There is no cookie cutter, “one size fits all” approach when
it comes to getting healthy. We are all unique individuals and have different needs. A FMP will tailor a plan to YOU! Of course there are certain things that everyone will benefit, but your body, your case, is not treated as the same for the person next door.

A FMP makes health changes safer for you. With all of the questionable fad diets and supplements out there, backed by millions of dollars of slick marketing, it can be easy to get sucked into ways of trying to help yourself get healthy that are really not so healthy! A functional health coach will help
you to find the ways to gently nourish and support your body’s return to health in ways that are safe for you. And they will work with your primary provider if necessary to ensure your best results. A FMP is also a teacher, they have extensive training, have also knowledge of foods that can help
your body, exercises that are optimal for you, stress management techniques that will reduce stress so that your body can heal and nutrients that you need to rebalance and restore your body to optimal health. They can help to guide you and answer questions that you may have so that you don’t become so overwhelmed with all of the information available online. They will educate you so that you can ultimately make the best choices to support your health. They will work with you as a team and make you accountable too. Sooo, you are also responsible of the good results you can obtain.

If you are looking for a natural way of taking care of your most valuable asset, your health, and you want to work as a team with a customize program…you should try Functional Medicine.

Pic: Loius Reed

Pregnancy and Chiropractic

During pregnancy, there are several physiological and endocrinological changes that take place in preparation to create a suitable environment for the baby. The average weight gain for a pregnant woman is between 20-35 pounds, which increases the pressure exerted by the baby to some organs, like stretch of the adnexa, parietal peritoneum, bladder, urethra, rectum, and pelvic structures; another change in the woman’s body is the segregation of hormones to soften the ligaments, which causes vertebral displacements and even uterine restriction, all these can cause pain and
discomfort in the mother. In fact, several scientific studies have found that more than half of women who are expecting a baby experience waist or back pain at some stage during the course of their pregnancies.
Chiropractic care is a good alternative to improve your health without using medical prescriptions that can be harmful to the baby. Some chiropractors take a specific interest in prenatal and postnatal care and seek additional training, they use gentle techniques that avoid unnecessary pressure on the abdomen area. The doctor in chiropractic can help you establish pelvic balance and vertebral alignment.
The vertebral column protects the nervous system, which is the main communication system to all systems of the body, including the reproductive system. Keeping the spine aligned helps the entire body to work more effectively.Chiropractic care during pregnancy goal is to assure the patient a comfortable pregnancy and to help facilitate an uncomplicated labor and delivery. Recent report showed results from a chiropractic and medical collaborative study indicating that 75% of pregnant patients who received chiropractic care during their pregnancies stated that they found relief from pain. Prenatal Chiropractors have cared for pregnant women for many years. However, recently, with the increased interest in natural birthing, and in an effort to avoid having a C-section, a growing number of mothers have incorporated chiropractic into their prenatal care obtaining great results. Visit your Chiropractor and check your spine, you will be grateful. Chiropractic is not intended to replace your OBGYN!

Pic: Anna Civolani

Functional Medicine

Functional Medicine model is an individualized, patient-centered, science-based approach that empowers patients and doctors to work together as a team to address the underlying causes of a disease and promote optimal wellness. It relies on a detailed understanding of each patient’s
genetic, biochemical, and lifestyle factors and leverages that data to direct personalized treatment plans that lead to improved patient outcomes. The doctor performs a consultation, detail patient history, examination and laboratory testing like blood, saliva, stool among others if necessary and according to the results an individualized program will be made for the patient.

In Functional Medicine we look for the root cause of the disease not only to the symptoms. By addressing root cause, rather than symptoms, practitioners become oriented to identifying the complexity of disease. They may find one condition has many different causes and/or one cause
may result in many different conditions. Functional Medicine treatments targets the specific reflection of the disease in each individual.
It deals with primary prevention and underlying causes instead of symptoms for serious chronic diseases, including, but not limited to endocrine disorders (Diabetes, thyroid…), autoimmune disorders (like Hashimotos…), hormonal imbalances (infertility, PCOS…) and
inflammatory disorders. Functional Medicine integrates traditional Western medical practices with what is sometimes call “alternative” or “holistic” medicine, creating a focus on prevention through nutrition, diet, and exercise; use of the latest laboratory testing and other diagnostic
techniques; and prescribed combinations of botanical medicines, supplements, therapeutic diets, detoxification programs, or stress-management techniques.
Take control of your health in a natural non invasive way. Prevent future damage, live a longer and healthier life. Stop living in pain, with health issues progressing overtime no matter how many medications and diets you go through. Look for the root cause of your health problems, address them and enjoy the life you deserve.

-Chronic diseases account for 86% for all healthcare cost.
-50% of adults have at least one chronic condition.
-1 in every 3 kids are overweight. Obesity is linked to chronic conditions like heart disease,
asthma, high blood pressure among others.
-50% higher risk of earlier death for people with diabetes, and medical costs of people with
diabetes type 2 are twice as high as people without diabetes type 2.
-24 million people are affected by an autoimmune disease.
-#1 cause of death in USA are heart diseases, 2 nd cause of death cancer.
-Malnutrition (lack of proper nutrition either due to unhealthy diet or not absorbing the nutrients)
is a global phenomenon.

Why Detox?!

Every day, millions of molecules from different compounds enter our bodies. These chemicals come from foods, beverages, medicines, food additives, personal care products… Excessive pollution from foreign and toxic chemicals in a system may result in malfunctioning or serious degeneration. These foreign chemicals are known as “xenobiotics.” Numerous research scientists have demonstrated that xenobiotics are
among the major causes of many acute and chronic health problems that have become widespread in our society. These compounds, if not cleared from the system, can interfere with normal biological processes and become hazardous to one’s health. In addition, a variety of other factors related to our stressful modern life has increased the number of allergy problems tenfold in the last few decades. That is one of the reasons why it is important to detoxify our bodies. Cleansing the body from the accumulated xenobiotics is known as “detoxification.” Detoxification has been
shown to be extremely beneficial to support good health. The removal of these toxins from the system supports the organs’ ability to better absorb nutrients and supports healthy biological functions and healing.
In fact, there are only 5 root causes of all diseases:
• Toxins
• Poor diet
• Stress
• Allergens
• Microbes or the imbalance of the bugs in your gut
All of the above can trigger symptoms and create thousands of diseases, including autoimmune diseases. If you want to decrease inflammation in the body, you must first find and detoxify the cause.
Patients with a wide variety of conditions can benefit from it, including: diabetes, fibromyalgia, heart conditions, IBS, autoimmune disorders, hormonal issues among others. Even if you feel “ok”, a cleanse can be beneficial. Many of you probably have symptoms of chronic toxicity that you don’t label as being toxic. If any of these sounds familiar, keep in mind that detoxifying might be critical for you to get healthy and feel good again:
• Fatigue

• Muscle aches/fibromyalgia/joint pain
• Autoimmune diseases
• Sinus or fluid congestion
• Headaches
• Bloating
• Gas
• Constipation
• Diarrhea
• Foul-smelling stools
• Heartburn
• Insomnia (especially early morning awakenings like 1-4am)
• Difficulty concentrating/ Brain fogginess
• Food cravings
• Water retention
• Trouble losing weight (mostly increased belly/visceral fat)
• Rashes
• Skin problems (acne, psoriasis, eczema…)
• Puffy, dark circles under your eyes
• Premenstrual syndrome
• Other menstrual disorders
• Bad breath, white or yellow coated tongue
• Moodiness
In a healthy body, the process of detoxification runs smoothly. When we are toxic, however, the mechanism for detoxification in the liver gets sluggish, and certain toxins can remain active longer than we want or than our systems can handle. This makes us sick and impedes normal metabolism. To understand toxicity, you must understand the concept of total load, or a total amount of stressors on your system. Think of total load like a glass filling over with water. It takes a certain amount to fill the glass and then, after a certain point, you put more in and it overflows. When our detoxification system becomes overwhelmed and overloaded, we start
developing symptoms and get sick, but it may take years of accumulated stress and toxins to get to that point.
The total load includes things like:
• Heavy metals, mercury and lead, petrochemicals, residues, pesticides, and
• Food allergies, environmental allergies, molds and toxins from molds.
• Our standard American diet (SAD)
• Stress — the mental, emotional and spiritual toxins that affect us; isolation, loneliness, anger, jealousy, hostility— which all translate into toxins in our

• Medications can sometimes be toxins; often we need medications, but the reality is that most of us are over-medicated and use medications for things for which there are better solutions, such as lifestyle and diet
• Internal toxins, like bacteria, fungus, and yeast that are inside our gut and may be affecting us, as well as hormonal and metabolic toxins we need to eliminate.

Now why aren’t we all sick given this incredible load of toxins? Because each of us is genetically and biochemically unique, which means some of us are good at getting rid of toxins and waste while others are not. Everyone can benefit from a detoxification, like mentioned before sometimes it can take years of toxins to accumulate for your body to give you a sign of toxicity. Don’t wait until too late. Take control of your health in a natural way!


Chiropractic can help!

The spine houses thirty-one different sections of nerves that are responsible for pretty much everything that goes on in your body. Proper spine alignment is essential for healthy and accurate nerve communication, which can affect everything from your digestion to cognitive function. Because the nervous system controls every cell and organ in your body, chiropractors focus their attention on the health of the spine being
properly aligned. If the spine shifts out of its proper place, then adjustments are used to help bring the spine back into alignment.
It is crucial that this flow between the brain, nerves and rest of the body, is uninhibited and able to carry messages that affect how we function. Chiropractic care can improve a variety of conditions and disorders, like help decreasing inflammation and release of toxins out of the body.
Chronic inflammation is caused by an imbalance in the immune system. Your acquired immune system develops over time via exposure to our environment and exposure and the more successes it has, the stronger it becomes. Studies have shown that adjustments help reduce the production of two inflammatory cytokines, which can reduce inflammation throughout the body. However, your chiropractic team can assist you in the fight against chronic inflammation in other ways too.
Chiropractic adjustments actually release toxins that have built up in the body over time. The chiropractor does this by manipulating your joints and spine in order to achieve proper alignment. When this happens, the spine and joints can release toxins that have accumulated in there as a result of the body’s wear on this improper alignment.
Essential part of your body and its overall function is having your nervous system working correctly, get adjusted! Remember having a healthy lifestyle may be hard at the beginning but you will obtain rewards.

AUTOIMMUNE DISORDERS: basic information

There’s been a rise in autoimmune (A.I.) disorders over the past years: Hashimoto’s, Multiple Sclerosis, Chron’s, Celiac Disease, among others, But; what is an autoimmune disorder? It is complicated, this is only basic information, your immune system is hardwired to differentiate between what belongs in your body and is good and what doesn’t. When it “finds” an intruder, such as a virus, bacteria, or parasite, it shoots to kill. Unfortunately, the system is not perfect. Sometimes it targets healthy tissues and that can lead to an autoimmune disease. With A.I. disease, the body accidentally creates antibodies that identify not only foreign proteins, but the body’s own proteins, called auto-antibodies (antibodies that target “self”). The formation of antibodies to the body’s own tissues is the first crucial step in the development of autoimmune disease. A.I. is estimated to affect more than 50 million Americans and it affects more women than men. There are more than 100 confirmed autoimmune diseases, scary! Sadly diagnosing an A.I. disease can be a long road, early symptoms often present as vague signs that can be misdiagnose, like headaches, brain fog, skin problems, gut issues, fatigue… It can take about five years to receive an official autoimmune diagnosis.

The thing is that there is no medical specialty devoted to them and traditional medicine does not offer a cure. Evidence is accumulating for the inclusion of natural and holistic approaches to managing A.I like removing foods and factors that damage the gut, repairing with specific supplements, and rebalancing the body and treating it as a whole not just different systems and parts. Gladly people are becoming more aware of them.
Rise of research, books, programs, seminars and studies have been surging, which is good news for the A.I. community. Some of my favorites websites are: