Category Archives: Oxygen Therapy

NOW ACCEPTING MEDICARE

We are finally enrolled in the Medicare reimbursement system.  This means that our expanding list of patient case types now includes ALL Medicare patients.  If you are on Medicare, WELCOME to Advanced Injury Center.  Call us now for your first appointment to get acquainted.

Sincerely,

Dr. Mike Trudeau

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Everyday Office Ergonomics

ergonomics2

Nearly anyone who has used a computer has experienced discomfort in the neck at some point. The most common cause is overuse of the neck musculature to hold the head up, instead of letting the spine do the job. This occurs when the worker juts the head forward while viewing the screen. People are rarely conscious they are doing this. When a screen is too far away for the eyes to see properly our heads move closer to the screen to fix the problem. Unfortunately, this creates other problems such as neck strain.

Adjusting the Monitor

In general the screen should be about an arm’s length away; it can be moved within a six-inch range, either way, depending on the worker’s vision. Monitors should always be placed where the user can look straight at them. Constantly looking off to one side to view the screen creates static load in the neck musculature, as well as muscle imbalances that can add up to significant injury. Adjustable monitor arms allow the screen to be placed in front of the worker and then slid out of the way for other tasks.

For users without glasses or for those who use single-vision lenses, the top of the glass screen should be at eye height. This position will let the eyes gaze down on the screen at the preferred angle. Workers who have bifocals will often tilt the head up to view the screen through the lower part of the lenses. The best solution is to discuss single-vision computer glasses with an optometrist. Otherwise, workers should lower the screen a few inches, so they can view the monitor with the head in a straight forward position, without the chin pointing up or down.

Positioning the Chair

A properly adjusted office chair is the most important tool that allows an office worker to work efficiently and safely. If there is insufficient lumbar support, patients can compensate with a back support, rolled towel or small pillow. If the seat is too deep—keeping the workers from being supported—they can use a back support or full-length pillow to take up the extra room.

In addition, educate your patients about how to adjust their chairs:

*Lower the chair until feet are well supported on the ground. If they are not firmly planted, use a footrest to provide support.
*Adjust the seat depth so there is one-to-three-fingers’ space between the front of the chair and the back of the knee.

*The seat angle and the backrest should allow for approximately a 105-degree angle between the torso and thighs. Sitting too upright increases the pressure in the lumbar intervertebral discs. Leaning too far back will cause the neck to compensate, putting it at risk.

*Adjust the armrests so they are one inch below the forearms. If the patient has any neck issues, bring the armrests up to provide support, without reaching down or up to use them.

Choosing a Keyboard

Design
Most keyboards have a standard design copied from typewriters with a number pad thrown on the right side for increased efficiency. Users typically plop down in front of the computer and center themselves between the side of the keyboard on the left and the mouse on the right. Now the right arm is externally rotated and reaching to use the mouse and then reaching across the mid-line of the body to type, so it is never in a good position.

The best solutions are to move the mouse to the left or use a keyboard that has the number pad on the left side. Workers can then center themselves by lining the bellybutton up with the “B” key.

Angle
Due to the variability of people’s shoulder widths and forearm lengths, many workers cannot use a standard keyboard without sustained ulnar deviation at the wrists. This causes static use and overload of the forearm muscles. A keyboard that allows angle and pitch adjustments is the solution to this problem.

Reach
Reaching to use a keyboard that is too high forces the upper traps to fire continuously, creating tension, fatigue and pain. A keyboard tray is the most helpful of the ergonomic tools, as it can fix problems ranging from excessive reach for the keyboard and mouse to improper wrist angles when typing. Since the proper writing height is several inches higher than the proper typing height, the tray will allow both functions to be performed safely.
office break
Rest Breaks and Task Rotation

To work properly over time, muscles need a break to rid themselves of lactic acid and waste products while delivering oxygen to the tissues to prevent overuse and damage.

Teach patients to take a 15-second micro-break each hour. This is an easy solution for employers to accept, which helps gain compliance. During the micro-breaks, the office workers should shake their arms out or do simple stretches you can provide for them. Computer users should also frequently look away from their screen to focus on something about 20 feet away. This allows a break for the eye muscles. If they can’t seem to remember to take breaks, an egg timer can serve as a reminder. A software program such as RSI Guard can also help workers tailor breaks to the amount of work.

People are always concerned about how it will look if they seem to be taking too many breaks or are unproductive. By spreading tasks, like going to the fax and copier, returning phone calls and meeting with co-workers throughout the day, they can still be productive while giving their body a break from the computer.

Starting with these simple adjustments, your patients who work in an office should feel happier and healthier at their jobs in no time.

This article was in the magazine:
ACAnews: The Official Publication of the American Chiropractic Association
October 2009 edition pp 28-29 by Chris Sorrells

EWOT: Exercise with Oxygen Therapy

Oxygen Therapy_lady (2)
The Benefits of Oxygen

The three basic nutrients without which planet earth could not exist as a home for living things are light, water, and oxygen. Everybody knows that walking in fresh air does you good. It promotes the capacity of thinking and improved efficiency. A deep breath raises our energy levels within a short time. Even after physical exercises we feel more active and fresh although a lot of energy has been used up.

One major reason for aging is the failure of enzymatic systems that are responsible for our body’s uptake and utilization of oxygen. When our cells don’t get enough oxygen, they degenerate and die. Lack of mobility, infections and toxins make our oxygen status worse and this worsening produces illness. This degeneration is connected with a noticeable reduction of physical and mental powers, especially in old age.
Lack of oxygen causes a critical decrease of the cardiac output; less oxygen is transported through the body. For example, the oxygen supply of 80 year old person can go down as far as 66% of the maximum amount. Human beings can take a lot of punishment, mentally and physically, so these frequent drops in our ability to utilize oxygen efficiently are not going to kill anyone immediately. But each level of oxygen deprivation takes its toll, and if a few cells die here and there due to constant external (or internal) stress, it begins to add up. The end result is due to premature aging. So if a simple system can be used that constantly provides the body with additional oxygen, these stress factors can be, to a certain extent, neutralized. With EWOT that system is easily available. EWOT (pronounced ee-watt) stands for Exercises With Oxygen Therapy. This method of prolonging your life is so simple that it’s hard to believe it could work, but it does.

Exercise with Oxygen Therapy (EWOT)

EWOT was invented by Manfred von Ardenne, physicist, researcher and inventor, state award winner of the USSR, national award winner of the GDR… Von Ardenne was one of the pioneers of the television, developing the broadband amplifier and the electron ray tube in its modern form. At the Radio Exhibition of 1931 Ardenne presented the first worldwide television set. Professor Von Ardenne was also the inventor of the raster electron microscope. Later in life, he turned to medicine, and developed two classic EWOT techniques (‘Oxygen Multi-step Therapy’ and ‘Systemic Cancer Multi-Step Therapy.’)

Von Ardenne found that stress of any type can cause a decrease in the ability to absorb oxygen into the blood, which can result in decreased oxygen to the tissues. EWOT can help reverse this by increasing the amount of oxygen in the blood and plasma, and also in the tissues. This increased level of tissue oxygen has several beneficial effects. It has been used successfully for a multitude of conditions, including:
• Heart failure
• Cardiomegaly (enlarged heart)
• High blood pressure
• Cancer
• Wellness and anti-aging
• Emphysema
• Stress of all types
Outdoor aerobics

How and Why EWOT Works

Exercising while breathing oxygen dramatically increases the amount of oxygen in the blood plasma (the portion of the blood outside the red and white cells). The oxygen content of plasma fluid can be dramatically increased and oxygen pushed into the body’s cells without the aid of the red cells. It’s called the Law of Mass Action. If the concentration of a certain component in a chemical mixture is high enough, the chemical combining will take place with other elements of the mixture that ordinarily wouldn’t happen.

After 15 minutes of EWOT, there is a dramatic ‘pinking up’ of a patient’s skin. This can be seen easily by simple observation, and illustrates that the tiny capillaries (vessels tinier than a strand of hair) are carrying extra oxygen to cells in the body. Presumably every organ is being bathed in these extra amounts of life-sustaining oxygen.

EWOT technique is very simple to employ. You should wear light, comfortable clothing with EWOT. Your doctor will first determine your level of physical fitness. If you are quite fit, you might begin by exercising on an upper body ergometer (UBE) which is like a bicycle for the arms, or on an elliptical exerciser for 15 minutes while breathing oxygen from an oxygen concentrator. If you are less conditioned, you may have to work up to using the UBE or elliptical exerciser, very often by beginning EWOT with vibration instead. Before and after treatment we will monitor your heart rate, oxygen concentration, and blood pressure. For the prescribed period of time, you simply perform your exercise, all the while breathing in 90-95% oxygen from an oxygen concentrator.

After EWOT, you’ll find yourself invigorated, renewed, and clear-headed. EWOT can be used therapeutically via multiple sessions over a short period of time for acute therapy, or employed periodically over a longer period of time to treat chronic stress, injury or illness.

Oxygen Therapy for Headache Pain

headache anatomy_back of man's head_aicOxygen Therapy for Headache Pain:
Safe and Natural Solution for Stubborn, Painful, Chronic Headaches

Michael Bennett, MB, BS, MD (University of New South Wales)
Alexander Mauskop (State University of New York in Brooklyn)

Special from Bottom Line’s Daily Health News (December 11, 2008)

Of the nearly one million Americans who suffer from cluster headaches, relief may be just a breath… of pure oxygen… away. Cluster headaches are acutely painful headaches that come in waves… with several short headaches a day over a period of weeks or months. It’s not known what causes them nor what might cure them… but a recent review of research suggests that oxygen therapy, in particular what’s known as “normobaric” (normal pressure) oxygen therapy (NBOT), can effectively relieve the pain. This is good news for sufferers of cluster headaches, as NBOT is an easy and natural alternative — and, perhaps most importantly, it works really fast.

RESEARCH FINDINGS
The lead author of the meta-analysis, Michael Bennett, MD, associate professor of medicine at the University of New South Wales in Sydney, Australia, explored the effectiveness of two kinds of oxygen therapy for prevention and treatment of headaches — NBOT, which involves breathing 100% oxygen from a portable oxygen tank with a mask… and hyperbaric oxygen therapy (HBOT), which involves breathing oxygen at higher than normal atmospheric pressure in a sealed chamber. Dr. Bennett reviewed nine small clinical trials involving 201 participants, noting that 76% of patients experienced relief when treated with NBOT for their cluster headaches and not much from HBOT. He also found evidence, though nowhere near as strong or compelling, that HBOT relieves migraine headaches. While NBOT is “cheap and easy to apply” as a therapy for cluster headache patients, Dr. Bennett expressed caution about the use of HBOT for migraines, given its “high cost, poor availability and inconvenience,” saying more research needs to be done. The study was published July 16, 2008, in the Cochrane Database of Systematic Reviews.

Alexander Mauskop, MD, a board-certified neurologist and director of the New York Headache Center, who uses oxygen therapy in his practice, explained why this treatment is helpful to people who suffer from these very particular headaches. (Note: Oxygen therapy is not currently recommended for relief from any other kind of headache and should never be attempted on your own.)

OXYGEN USE

According to Dr. Mauskop, up to 70% of cluster headache patients can attain relief within five to 10 minutes of breathing in 100% oxygen. For oxygen therapy to work, the oxygen must be inhaled through a mask at high flow (between 8 to 10 liters per minute). It is believed that oxygen helps by offsetting metabolic changes that cause pain and vasospasms due to oxygen depletion.

Effective as it is for cluster headaches, Dr. Mauskop notes that this therapy probably will not be helpful in alleviating any other kind of headache pain. Visit a neurologist for a headache evaluation if you think you may have cluster headaches and might benefit from NBOT. And by the way, it should be noted that NBOT is distinct from other oxygen therapies that are available in spas and at trendy oxygen bars. In those, the concentration of oxygen is likely to be much lower than 100% — in fact, those “oxygen treatments” are typically just a few percent points more than the usual 21% we breathe in the air.

Michael Bennett, MB, BS, MD, is an associate professor in the faculty of Medicine, University of New South Wales in Sydney, Australia. Dr. Bennett is an experienced clinician and researcher in both Anesthesia and Diving/Hyperbaric Medicine.

Alexander Mauskop, MD, is the director and founder of the New York Headache Center. He is a board-certified neurologist and has published numerous articles in scientific journals. Dr. Mauskop is author of The Headache Alternative: A Neurologist’s Guide to Drug-Free Relief (Dell) and What Your Doctor May Not Tell You About Migraines (Warner).

Oxygen and Fibromyalgia

Fibro sign_you're not alone
OXYGEN AND FIBROMYALGIA

What is fibromyalgia? Fibromyalgia (FM) is often considered a medical mystery. It need not be. I often hear all laboratory tests are negative in patients with FM. That’s not true. Most physicians are uneasy when confronted with persons suffering with FM. That need not be so. I sometimes hear FM is not treatable. Nothing is further from the truth.

Why are so many people confused about the cause of FM? Because it doesn’t fit into some neat model of a disease category. Why isn’t FM treated successfully by mainstream doctors? Because there are no effective drugs for it.

THREE BASIC FACTS ABOUT FIBROMYALGIA

1. All symptoms of fibromyalgia are caused by cellular oxygen deprivation.

2. Oxygen deprivation is caused by dysfunctional oxygen metabolism.

3. Oxygen metabolism becomes abnormal due to excessive and cumulative oxidative stress caused by sugar overload, antibiotic abuse, undiagnosed allergies, synthetic chemicals, and anger.

Dysfunctional oxygen metabolism is not merely lack of oxygen in the air we breathe, in the blood, or in the cells.

This is a critical distinction. I coin this term for a much deeper problem of oxygen metabolism within the cells that involves failure of enzymes involved in oxygen metabolism.

This also forms the core of my ODD theory of the fibromyalgia/fatigue complex (ODD stands for oxidative-dysoxygenative dysfunction).

3 Rs OF FIBROMYALGIA

Fibromyalgia is Real.
Fibromyalgia is Reversible.
Fibromyalgia cannot be Reversed with drugs.

That fibromyalgia is reversible is the second core point of this article. It is regrettable that many fibromyalgia “experts” emphatically state that it is irreversible. (Why would anyone become an expert in a disease that he can never effectively treat?) I strongly disagree with them.

I consider persons with fibromyalgia as human canaries whose oxygen enzymes are more easily injured than other people. They are more vulnerable to unrecognized allergies, sugar overload, excessive antibiotics, and anger, and have been poisoned by synthetic chemicals. Those human canaries are telling us something important about the shape of things to come. What injures their oxygen enzymes eventually will injure the oxygen enzymes of others, unless we find ways to protect the oxygen metabolism.

Fibromyalgia 18 tender points
FOUR MAIN SYMPTOMS OF FIBRO CANARIES

1. Persistent muscle pain and weakness.
Explanation: Oxygen deprivation causes muscle pain.

2. Disabling fatigue.
Explanation: Oxygen deprivation in tissue causes fatigue and exhaustion.

3. Brain fog (problems of mood, memory, and mentation).
Explanation: Oxygen deprivation in brain cells causes brain fog and dysfunction.

4. Air hunger.
Explanation: Oxygen deprivation within the cells causes air hunger.

The last item requires a special comment. Like other physicians, until some years ago I accepted the prevailing view that the body learns about the lack of oxygen through special oxygen sensors in the brain as well as in the walls of large blood vessels in the chest and neck. My fibro canaries have forced me to look deeper into this issue. The sense of air or oxygen hunger in fibromyalgia cannot be explained merely on the basis of those oxygen sensors. Oxygen levels in the large vessels in those locations are within the normal range in fibromyalgia. Thus, I had to look for some other mechanism. Now I believe oxygen hunger is caused by abnormal oxygen metabolism within the cells —though the evidence for my view at this point is indirect. Oxygen Therapy_lady

OTHER MAJOR SYMPTOMS OF FIBRO CANARIES

1. Symptoms of weakened immune systems, such as sore throats, swollen neck glands, and painful tissues.
Explanation: Oxygen deprivation in immune cells causes immune weaknesses.

2. Abdominal bloating, cramps, episodes of diarrhea and constipation, and problems of digestion and malabsorption.
Explanation: Oxygen deprivation in the bowel causes bloating, cramps, and malabsorption.

3. Cold sensitivity and poor circulation.
Explanation: Oxygen deprivation in skin causes cold sensitivity.

4. Sleep difficulties, restless leg syndrome, and legs.
Explanation: Oxygen deprivation interferes with functions of the sleep center and causes other problems, such as restless leg syndrome.

5. Lightheadedness, dizziness, heart palpitations, and skipped beats.
Explanation: Oxygen deprivation in the heart and vessel walls causes lightheadedness, dizziness, heart palpitations, and skipped beats.

6. Dry skin, dry eyes, dry mouth, and dry vaginal tissues.
Explanation: Oxygen deprivation in the cells of the skin, eyes, mouth and vagina muscles causes cell shrinkage and dryness skin.

7. Vaginitis, bladder spasms, and bladder infections in women and prostatitis in men.
Explanation: Oxygen deprivation in genital tissues causes vaginitis, bladder spasms, and bladder infections in women and prostatitis in men.

8. Joint and muscle stiffness and pain.
Explanation: Oxygen deprivation in joints and muscles causes stiffness and pain.

9. Lack of sex drive in both sexes and menstrual irregularities in women.
Explanation: Oxygen deprivation interferes with the enzyme functions of sexual organs and their hormones.

What Causes of Fibromyalgia?

1. Metabolic oxidants
2. Microbial oxidants
3. Man-made oxidants (Oxidants are substances that damage tissues.)

Fibro ribbon
Three Molecular Mechanisms of Fibromyalgia

1. Oxidosis (too much oxidation)
2. dysoxygenosis (too little oxygen)
3. Acidosis (too much acidity) (Oxidosis is rapid breakdown. Dysoxygenosis [dys-oxy-gen-osis] is abnormal oxygen metabolism.)

Three Levels of Injured Cellular and Organ Ecosystems and an Ecologic Road Map to Recovery

1. The base trio of the bowel, blood, and liver ecosystems
2. The middle trio of the thyroid, adrenals, and pancreas ecosystems
3. The top trio of the limbic system, sex hormones, and neurotransmitters.

TOXINS: Metabolic, Microbial, and Man-Made

Of the three main types of toxins identified above that lead to fibromyalgia, the metabolic toxins are the least important in the initial stages, but the most dangerous in advanced stages of fibromyalgia. The reason for that is that all kinds of metabolic havoc are wreaked on the human tissues once oxygen metabolism becomes dysfunctional.

Metabolism (the sum total of all life processes) produces many oxidants as waste products. In health, the detox mechanisms of the body neutralize and clear such oxidants. In illness, such oxidants are produced in such large quantities that the detox systems fail. Excess oxidants accumulate and cause oxidosis which, in turn, leads to dysoxygenosis and acidosis. The states of illness that lead to oxidosis and dysoxygenosis include fibromyalgia, chronic fatigue syndrome, chemical sensitivity syndrome, and others.

Microbial oxidants are produced in large quantities by microbes which live in the body in health. Those microbes multiply rapidly in the bowel and blood ecosystems with sugar overload, antibiotic abuse, pesticides, pollutants, and other toxins. All microbial oxidants cause oxidosis which, in turn, leads to dysoxygenosis and acidosis. Microbial oxidants include those produced by:
1. Yeasts (mycotoxins);
2. Bacteria (endotoxins and exotoxins);
3. Viruses (oxidants produced by damaged cells); and
4. Parasites (oxidants produced by parasites as well as by cells and tissues damaged by parasites).

Man-made oxidants include designer killer molecules (such as pesticides, fungicides, and herbicides), industrial pollutants, toxic metal compounds (such as dental mercury amalgams), and synthetic hormones. The toxic burden of chemicals has increased markedly during this century. For example, in the U.S. more than nineteen million pounds of antibiotics are fed to cattle and chicken every year.

THREE FURIES: OXIDOSIS, DYSOXYGENOSIS, AND ACIDOSIS

Oxidosis is the build-up of oxidants in the body that leads to excessive oxidative injury to molecules, cells, and tissues. Oxidosis is the basic mechanism of all cellular and tissue injury. It creates both dysoxygenosis and acidosis. Fibromyalgia cannot be understood without a full grasp of this simple scientific fact. Nor can anyone design a rational and scientific plan of recovery from fibromyalgia without grounding all therapies on this fact.
Dysoxygenosis is my term for abnormal oxygen metabolism. It is not simply a lack of available oxygen in the lungs or tissues. In dysoxygenosis, cells and tissues cannot fully utilize oxygen that is available to them. The symptom-complexes of fibromyalgia cannot be understood without a full grasp of this scientific fact. Dysoxygenosis is caused by oxidosis and, in turn, fans the flames of oxidosis as well as acidosis. Consider the following: A healthy young man sprints two hundred yards on a beach, stops to catch his breath, and within minutes is ready to sprint again. That is not the case with a young fibro canary. If he were ever to sprint (even after a lightning storm, when the beach air has been cleared of pollutants) he will not be able to get out of his bed the next day. Indeed, many fibro canaries may be bedridden for days after such exertion. There will evidently be no deficiency of oxygen in the air by the sea, nor in his lungs. His problem will be abnormal oxygen metabolism.
Acidosis disturbs the delicate balance between acids and alkalies (pH level) in the body. The changes in pH seriously interfere with the activities of enzymes involved in the digestive-absorptive, detox, neurotransmitter, and energy functions of the body. Acidosis is caused by oxidosis and dysoxygenosis which, in turn, feeds the fires of both oxidosis and dysoxygenosis.

Fibro dog FIBRO IS REAL

If you are a fibro canary, you know that fibromyalgia is real. If your physicians doubt that, they cannot help you. Be kind to yourself and find another physician who understands this problem. The road to recovery from fibromyalgia is often long and difficult. You need not make it much more difficult.

FIBRO IS REVERSIBLE

If you are a fibro canary, please be kind to yourself and shun people who insist fibromyalgia is irreversible. The road to recovery from fibromyalgia is often long and difficult. You need not absorb the negativity of others.

FIBRO CANNOT BE REVERSED WITH DRUGS

If you are a fibro canary, please know that fibromyalgia cannot be reversed with any drugs. You will learn that sooner or later. No drug at present is known to cure fibromyalgia. It seems highly unlikely that such a drug will be synthesized in the foreseeable future. In this volume, I discuss at length my reasons for that view.

Healing is an energy phenomenon. Hope is another word for healing.

Written by Majid Ali, M.D.