Movement for Mind and Body

Tired? Stressed? Depressed? In Chronic Pain?

 

Get moving. No matter your physical capacity, there's an activity suited for you. 

 

Of course, you can buy expensive exercise equipment for your own home gym, or when you feel it's safe, make use of that gym membership. In the meantime, don't let a pandemic keep you in couch-potato mode. You have plenty of options: 

• Take a walk in nature or your neighborhood.
• Ride a bike.
• Challenge your young 'uns or spouse to a friendly game of tag or basketball or what have you.
• Pull up a chair, if being seated is the best way for you to get in a workout. YouTube has just about every kind of movement/exercise video you can imagine.
• Take a dip in the pool, if one is available to you.
• Choose the stairs over the elevator. 
• If you're in the right climate, consider converting your summer garden into a field of greens for fall and, just maybe, winter.
• Dare to take up yoga or tai chi.

How often and how much? 

That depends. Researchers, including those at the famed Mayo Clinic, say, "Any amount of activity is better than none at all." Start out with 5 to 10 minutes a day and gradually increase to at least 30 minutes a day. Feel free to break your 30 minutes into three 10-minute blocks; you'll still be building strength and endurance. Especially in this period of pandemic-related stress, make sure you do something. A brisk walk around the corner might be just what you need to take a break from your workplace computer or overseeing your kids' distance learning.

 

What are the benefits? 

Physical activity gets your blood flowing-literally. And when more oxygen-carrying blood gets to your brain, your heart, every part of your body, you think more clearly, you act more purposefully and mindfully. You simply feel better. Oxygen is what we breathe. It gives us energy. In addition to more mental clarity and energy, activity can

• Improve mood.
• Boost confidence and self-esteem. 
• Help you sleep better.
• Stir your libido.
• Make you more relaxed.
• Reduce chronic pain. 

 What are the potential hazards? 

Of course, going beyond your limits or improperly using exercise equipment could result in an injury. So, know your limits. If you have a physical disability or a major health problem, do check with your primary medical provider before starting any exercise routine. 

 

Also, forget that "no pain-no gain" myth. For sure, pain may be a sign that you have injured yourself. But discomfort is different than pain, and is more likely a sign that you have not exercised or been physically active enough. When muscles and joints get re-activated, you can expect to feel some discomfort. Additionally, that surge in blood flow sometimes causes minor itching - keep moving, it will pass.  

 

How to track your renewed physical activity? 

There's the old-fashioned way: jot it down in a journal. If you're more high-tech than that, download any among a host of digital apps that clock miles ridden, steps taken, et cetera and flash what you've achieved on your cell phone or one of those fancy wrist watches. Johnson Space Center even has a conversion chart for translating time in the garden-or hauling clean clothes from your laundry room to your clothes closet-into steps taken. And steps turn into miles and … well, you get it.

 

So - get moving, keep moving. 

If you have any questions about movement for mind and body, please log into your account and send us your question. We are here to help.

Dr. Joe Banken PhD

Can Flossing Your Teeth Prevent Dementia?

We all know that taking care of your teeth is important and we have all been told that we need to brush and floss our teeth regularly for good oral health.  Flossing your teeth regularly is an important factor to help prevent gum disease.  Did you know that taking good care of your teeth and gums can also improve your overall health?  Let's talk about some of the general health benefits of maintaining good dental health.

 

What is the connection between oral health and general medical health?

 

Your mouth is just teeming with bacteria.  Most of them are harmless, and some are even beneficial to you.  However, your mouth is the entry point to your digestive tract and your respiratory tract.  If these bacteria get out of control or into other locations, they may not be so harmless.

 

When you take good care of your teeth with regular brushing and flossing, the bacteria levels are kept in check, and your body's natural defenses keep the bacteria under control.

 

If you don't take good care of your teeth, the bacteria can reach higher levels that can lead to infections within your mouth, and can cause tooth decay and gum disease.  These high levels of bacteria can more easily spread to other areas of your body, leading to general medical health problems.

 

Sometimes the reverse is true as well, with general health problems leading to oral health problems.

 

What general health conditions can be linked to or caused by poor oral health?

• Dementia or cognitive impairment - Several studies, including a large study just published in July 2020, have shown that people with higher levels of tooth and gum disease have a significantly higher risk of developing dementia or mild cognitive impairment as they get older.
• Endocarditis - This is an infection on the valves of your heart.  It typically occurs when bacteria from other parts of the body, often the mouth, spread through your bloodstream and attach to the valves of your heart.  This is a very serious condition that can lead to death if not treated.  It can cause damage to heart valves even if it is treated.
• Cardiovascular disease - Studies suggest that heart disease, stroke, and blocked arteries are linked to the inflammation and infections caused by high levels of bacteria in the mouth.
• Pregnancy and birth complications - Infections in the mouth have been linked to premature birth and low birth weight in newborns.
• Pneumonia - Bacteria can be pulled into your lungs under certain circumstances and cause pneumonia or other respiratory diseases.
• Poor control of Diabetes - Research shows that diabetics with gum disease have a harder time controlling their blood sugar levels.  Regular periodontal care can improve diabetes control.

What general health conditions can adversely affect your oral health?

• Diabetes - Diabetes reduces your body's ability to resist infections.  This puts your gums and teeth at risk from the bacteria levels in the mouth.  Keeping the bacteria levels under control is even more important for diabetic patients!
• HIV/AIDS - These patients often have painful lesions within the mouth, which can lead to diminished oral care.
• Osteoporosis - The bone loss or weakening of bone structures associated with osteoporosis can cause tooth loss.  Some medications used to treat osteoporosis also carry a small risk of damage to the jaw bones.
• Dry mouth - Some medications and some medical conditions can cause you to have a dry mouth due to reduced saliva production.  Saliva provides an invaluable service to your body, washing away food debris, and neutralizing acid that is produced by bacteria.  Without adequate saliva production, your oral health deteriorates.
• Dementia - Patients with dementia tend not to take care of their teeth and gums, which can lead to worsening oral health.

You may have noticed there are two conditions that are on both lists!

 

What is the take-home message?

 

We should all be taking good care of our teeth and gums!  This will not only keep your teeth and gums healthy, but also help to maintain your overall health over your lifetime.

 

What can you do to protect your oral health?

• Brush your teeth at least twice a day with a soft-bristled brush using fluoride toothpaste
• Floss your teeth daily
• Eat a healthy diet, limiting foods with added sugars
• Replace your tooth brush every 3 months 
• Have regular checkups and cleanings with your dentist
• Avoid all use of tobacco, including smoking, chewing tobacco, or snuff.

If you have any questions about oral health, please log into your account and send us your question. We are here to help. 

 

Dr. Anita Bennett MD - Health Tip Content Editor

Impetigo

You might have never heard about this word, maybe you've heard it multiple times, or even heard it said differently such as Infantigo. But what is this skin infection called Impetigo?

 

What is Impetigo?

Impetigo is a very common skin infection seen mainly in children that is usually caused by a bacteria called Staphylococcus Aureus (AKA Staph). It may occur anywhere on the skin, but usually in areas that have received some cut, trauma, bite, or abrasion. The face near the nose is a very common area to see these lesions. Sometimes it can occur after a runny nose causing irritation of the skin, leading to Impetigo.

 

What does it look like? 

It can start as very tiny sores, pustules, or small blisters, and as they rupture they develop a honey-colored crust on top, very characteristic. Impetigo does have a less common variant, called bullous Impetigo. This type has large bullae, like blisters, on the trunk, but can occur anywhere too. 

 

Can it spread? 

It usually starts as one lesion that spreads very easily due to scratching. It may spread from under the nails to other areas nearby or elsewhere on the body. To prevent this spread it is important to keep the nails short and clean, also to avoid scratching and touching the lesions.

 

It can also spread to other children by directly touching them or surfaces they might touch. It is very common in certain sports due to the direct contact, such as wrestling or football.  It is highly contagious!

 

Can it be treated? 

Yes! It is treated with antibiotics. The first line of treatment, unless severe and already expanded, is a topical antibiotic cream or ointment such as Mupirocin 2%. This is used 2-3 times a day on the affected lesions for 7 days. It tends to improve within 48hrs. 

 

In certain cases, where the lesions have already spread, they are resistant to the topical treatment, or it has been diagnosed or treated late, it is recommended to take oral antibiotics, such as Cephalexin. 

 

Can it be resistant to standard antibiotics?

In certain cases, it can be MRSA impetigo. This means it is caused by a Staph strain that is resistant to standard antibiotics and needs to be treated with stronger antibiotics such as Clindamycin. 

 

Is it dangerous?

Most Impetigo is pretty benign; it heals without scarring. But it can sometimes cause complications, such as:

• Cellulitis: infection that affects the tissue under the skin and can spread to the bloodstream. This can become life threatening if left untreated.
• Glomerulonephritis (kidney problem): Impetigo can cause a reaction in the kidneys that can lead to kidney damage.

What should I do once my child has it?

1. Call your pediatrician or telehealth service for antibiotic treatment.
2. Keep nails short and clean.
3. Wash linens, clothes and towels with hot water.
4. Avoid sharing towels and clothes.
5. Keep lesions covered when in contact with other children.
6. Try to keep lesions loosely covered, the scabs need airflow to heal. 
7. If attending school, sports or daycare, always cover lesions. 
8. If not improved after 2-3 days of starting the ointment (or oral antibiotic if needed), seek medical care again.

When can your child go back to school, daycare?
24 hours after starting the antibiotic (topically or orally) kids may return to daycare, school, or sports.

 

Can they get it again?

Unfortunately, yes. Many children have this infection recurrently. They might even be colonized by the bacteria, usually in their nose, even though they may not have symptoms in their nose. This colonization can lead to a child getting Impetigo after any minor skin lesion such as insect bites. If the infection is recurrent, your pediatrician may want to swab your child’s nose to check for the staph bacteria.

 

If you have any questions about Impetigo, please log into your account and send us your question. We are here to help.

 

Dr. Valerie Hines, MD FAAP