Archive for the ‘Uncategorized’ Category

The Old Way is Not Always the Right Way

Thursday, November 4th, 2010

“This is the way it’s always been done,” proclaimed the senior
doctor.

I had graduated a few years before and was working in another
doctor’s office.  A patient complained of pain in his lower
back. He had not had any injury or trauma to the area.  Talking
with the patient, I learned that he had recently participated in
a two-week-long intensive baseball camp.  While there, he had
twisted his ankle, but didn’t feel any ankle pain and thought
that it was a minor incident.  I felt that it was important to
evaluate the ankle as well as the lower back area.

The senior doctor told me to “leave the ankle alone” and treat
the patient’s back. I explained to the doctor that I had
recently attended a seminar where some new concepts about lower
back dysfunction, particularly with respect to other possible
injuries or problems, had been presented.  My thoughts did not
matter to the doctor, who continued to insist that I treat only
the lower back.

I ultimately left the practice for greener pastures. The patient
continued treatment with the doctor for a bit.  When his
condition did not improve, he tracked me down and I treated him
for both the ankle and the resultant lower back condition.

The doctor was stifled in his thought process. He wasn’t willing
to learn anything new. He was in a rut because he would not
consider modifying his outlook on things.

Today we have to be willing to accept that “things” change.  In
fact, they change at a much more rapid pace than ever before.
We must be willing to learn and challenge ourselves daily.

Reading, attending workshops and seminars, listening to CD’s,
watching instructional DVD’s, taking classes, and doing research
are some ways that we can learn.  Knowledge is at our
fingertips; we just have to reach out and grab it.

In the words of Peter Drucker, writer and management consultant,
“Knowledge has to be improved, challenged and increased
constantly, or it vanishes.”

What will you do this week to improve, challenge and increase
your knowledge?
Here’s to learning something new!

Dr. Michael Kaye
Knowledge, Action, Results
www.drmichaelkaye.com
www.aboomersguidetochronicpain.com

P.S. If you would like to participate in my Wellness & Success
Coaching Program please e-mail me at
Michael@frompaintopersonalgain.com

Regrets

Tuesday, September 28th, 2010

What do I regret?  Are there things that I wanted to do that I
have not done?  What is my biggest regret?

These are tough questions – definitely not ones that you want to
wait to ask yourself on your deathbed.

Ask yourself these questions right now.

We may regret some things that we can’t change. We might wish
that we had spent more time with an ailing parent who has passed
or with our children before they grew up and moved out.

Unfortunately, we can’t go back in time. We do, however, have
the opportunity to change the future.

Are there things you haven’t had a chance to do that you would
like to do now?

Make a list of all the things you want to do. Begin to set out a
game plan to achieve those things so you don’t have regrets when
your number is called.

Your game plan will consist of some habit-forming action steps.

For example, if you have always wanted to travel, make a list of
the action steps you need to accomplish to get where you want to
go. Determine how much it will cost and create a budget.  Set a
timeline—perhaps one, two or even five years. It’s important to
have a deadline because deadlines will keep you on track.

Divide your action steps into those things you need to perform
daily, weekly, monthly, and yearly. I am sure you are saying to
yourself, “This sounds a lot like goal-setting.”  It is, but I
prefer to call the process Goal Actions. It’s important to write
down your goals, and it is more important to act on your goals.
It’s just easier to meet your goal when you take one small step
at a time.

Your assignment this week is to choose one thing you have not
done but would like to do. Perhaps you have always wanted to
travel or drive a race car or ride in a hot-air balloon or build
a greenhouse. Perhaps you have been meaning to reconnect with a
long-lost friend.  Or perhaps you want to say that you are sorry
or to offer forgiveness to someone in your life.

The sooner you get going, the better chance that you will not
have regrets.

Wishing you the power to eliminate any regrets you may have!

Dr. Michael Kaye
Knowledge, Action, Results
www.aboomersguidetochronicpain.com
www.drmichaelkaye.com
www.boomer-living.com

P.S. If you would like to participate in my Wellness & Success
Coaching Program, please e-mail me at
Michael@frompaintopersonalgain.com (Only 3 spots left)

What are You Willing to Trade?

Monday, August 9th, 2010

What are you willing to trade?

Are you willing to trade love for money? Is it more important
for you to love someone or to make a lot of money? Would you be
willing to accept ten million dollars with the stipulation that
you would always live alone?

Would you be willing to trade friendship for money? You can pay
a car service to pick you up when your car breaks down, but
when you break down you can’t cry on the shoulder of your
mechanic, can you?

How about trading time for money? How much value will your
money hold when you are long gone? Do you ever consider the
time you spend away from your family working extra hours? I
know how important it is to work hard to keep up with the
family overhead. Striving to meet your monetary goals is
important, but spending time with your children is just as
important, sometimes more so.

We all work very hard and spend a lot of time making money. And
of course, we need money to pay for food and shelter. Is it
possible that we can live on less money? I have read about and
have even known people who have down-sized their way of living.
They did this by moving from a big house to a smaller house or
by selling off one car and using public transportation. Some
people may think that down-sizing is bad, but many who have
done so have been happy to realize that maintaining their lower
overhead has allowed them to have more time and less stress.

We spend so much of our time in the quest for the almighty
dollar that we forget to live. When was the last time that you
sat with a friend, your significant other, or your children
without watching the television, reading your e-mail, or
texting?

I’d like to end this broadcast by offering you a question to
ponder. On your deathbed will you say that you wish you had
made more money or that you wish you had more time?

Here’s to your finding at least one hour of time this week to
spend with a loved one.

Dr. Michael Kaye
Knowledge, Action, Results

It’s a Matter of Change

Sunday, August 1st, 2010

Do you feel that you need to change your life? How would you go
about doing that?

In the words of William James, “To change one’s life: 1. Start
immediately. 2. Do it flamboyantly. 3. No exceptions.”

Sticking with the above formula, let’s take a look at my
favorite three components of life: health, wealth, and
happiness.

Health
1. Nutrition and exercise are very important to your health.
Start immediately by eating half of everything that you would
normally eat and start walking.
2. Let everyone know what you are doing so they can support you.
Tell those who do not support you to take a hike. When you walk,
sing out loud. That will get people’s attention! Or wear a crazy
outfit when you walk.
3. Exercise every day regardless of the weather.

Wealth
1. Start saving $10 each week. If you get paid every two weeks,
set aside $20 per paycheck. By the end of the year, you will
have $520 added to your savings.
2. There is no reason to be flamboyant with your wealth, plain
and simple.  Just save it.
3. There are no exceptions to saving money from each paycheck.
If for some reason you can’t afford the full amount, at least
put something into savings.

Happiness
1. Happiness starts in the mind, so begin thinking happy
thoughts now.
2. Each morning when you wake from your beauty sleep, take 10
minutes to write down five things you are grateful for. Mail the
five things to ten of your friends. If the mornings are tough
and you roll out of bed like an old grizzly bear waking from a
winter’s hibernation, perform this task at night.
3. Do this every day. If you don’t write it down, say it out
loud to yourself.

As they say, the ball is in your court.

What are you willing to do now?

To Change!

Dr. Michael Kaye
Knowledge, Action, Results

P.S. If you would like to participate in my Wellness & Success
Coaching Program please e-mail me at
Michael@frompaintopersonalgain.com

Exercise Excuses

Tuesday, July 6th, 2010

I don’t have the time. I am too tired. I am in pain. I can’t
afford a gym membership.

These are some of the excuses I hear on a daily basis from
patients and clients when I recommend that they exercise at
least five times a week.

Let’s look at these excuses one at a time.

“I don’t have time.” If your goal is conditioning, you need to
exercise 30 minutes five times a week. If you can’t afford
thirty minutes in one block of time, I recommend performing
exercise movements throughout the day adding up thirty minutes.
If you don’t take time to exercise, your body will show signs of
further wear and tear and you will begin to experience pain.

“I am too tired.” Exercise can actually be used to manage and
combat fatigue and tiredness. Exercising daily may provide a
better night’s sleep. Try exercising in the morning for one week
and in the evening the following week. Keep an exercise journal
and record your energy level. If you decide to exercise at the
end of your work day, consider eating some fruit or a protein
bar to boost your energy prior to the workout.

“I am in pain.” Exercising may indeed be difficult for those who
suffer with chronic pain. It’s important to take your time and
to find exercises you can perform without increasing your pain
level. Your exercise program should be no longer than 20 minutes
if you are in pain. Some days you may be able to exercise better
than other days. If your pain is above a 5 on a scale of 1 to 10
(10 is hospital-bound), skip exercise for that day or perform
just those movements that do not hurt. For those in chronic
pain, it’s especially important to take the time to properly
warm up and cool down.  To view exercises for chronic pain,
please log on to www.aboomersguidetochronicpain.com .

One of the additional benefits of exercise is that it reduces
anxiety. This can be helpful for those in chronic pain. In an
article printed in LiveScience (February 22, 2010), staff writer
Rachael Rettner writes, “Exercise may benefit the mental
well-being of those with chronic illnesses such as heart disease
and cancer, a new study suggests. Herring and his colleagues
analyzed the results of 40 so-called ‘randomized clinical
trials,’ a type of study that is often looked upon as providing
the highest quality research evidence. The studies involved
nearly 3,000 patients with chronic conditions, including heart
disease, cancer, multiple sclerosis and chronic arthritis pain.
The largest reductions in anxiety were seen in patients who
exercised for more than 30 minutes during a single session.”

My favorite excuse is “I can’t afford a gym membership.” Local
health clubs and gyms do have a place, but you don’t have to
join one to exercise.  You may find a gym helpful if you do not
have the discipline to exercise on your own.  You may also enjoy
the variety of classes and equipment.  Many people join a club
and stop using it after a month or two, so you should be sure
you want to do it before making a commitment.  Exercising at
home can be easy. To exercise at home consider DVD’s, dumbbells,
bands/tubing, a wooden dowel for flexibility maneuvers and
balance exercises, and a jump rope. Although it is quite
possible to spend a great deal of money on home exercise
equipment (again, I would advise you to make sure you are going
to use it before doing so), it is not at all necessary. And, of
course, walking remains an excellent exercise. Your exercise
program should consist of movements for flexibility, balance,
core, strengthening, and conditioning.
To Your Health!

Dr. Michael Kaye
Knowledge, Action, Results

A Green Thumb and a Smart Body

Monday, July 5th, 2010

This article is also featured at www.Boomer-Living.com

Part of my responsibility as a doctor is to take a good medical history. My job is to learn the cause of the patient’s pain. Last week I must have dictated the same history of injury for 75% of my patients.

These injuries were sustained in the pursuit of the perfect garden. The weather here on the east coast has begun to change. Warmer days have a tendency to bring out the gardener in many people.

Think about this for a moment. We’ve been cooped up all winter long. If you’ve been food shopping lately, I am sure you have seen the high prices. To combat the winter blues and to save some money, many of my patients have decided they are going to grow their own veggies, herbs and even some fruits in addition to the regular garden chores of cleaning up flower beds, mowing the lawn, and picking up all the storm debris on the grounds.

All this sounds good in theory. In reality, though, many of my baby boomer patients don’t properly prepare for the task of gardening. Gardening is an activity which requires bending, twisting, pushing, pulling, lifting, reaching, squatting, and kneeling.  The result of all these activities on those unaccustomed to doing them has been pain in the lower back, knees, shoulders, mid-back and neck. Some patients have even reported arm and leg pain.

My advice is to treat gardening as an athletic event. Take the time to warm up and cool down properly. I recommend walking for at least 15 minutes prior to gardening, followed by stretching movements for the spine and arms. After gardening, take 10 minutes to cool down with more walking and stretching.

Here’s an excellent gardening exercise routine:

  • Warm up by taking a 15-minute walk.
  • Single knee to chest stretch: Lie on your back and bring one knee to your chest; hold for 10 seconds. Return leg to floor.  Repeat with the other leg.
  • Double knee to chest stretch: Lie on your back and bring one knee to your chest; hold for a second while you bring the other knee to the chest. Hold both knees together towards your chest for 10 seconds. Then let one leg down at a time.
  • Hamstring stretch: Lying on your back, keep leg straight and raise leg towards your chest. Hold for 10 seconds and repeat with the other leg. Repeat this maneuver three times.
  • Cobra stretch: Do this exercise only if your back can handle it.  Lie on your stomach. Keeping your pelvis on the floor, push upwards (like a push-up) so your back is in extension. Repeat five times and on the fifth repetition hold for 5 seconds.
  • Neck stretch: Looking straight ahead, let your head/chin fall towards your chest. Roll to one side, then to the other. Do not roll your neck all the way around. Repeat five times.
  • Shoulder shrugs: Shrug your shoulders towards ears 10 times.
  • Arm circles: Raise your arms away from your body. Face your palms toward the sky with your thumbs pointing back. Perform arm circles in the direction of your thumb (going back) for 10 repetitions. Then face palms down to the floor, thumbs pointing forward and perform 10 arm circles going forward.

You are now ready to create the garden of your dreams!

To watch this routine please click on to:   Gardening Exercise Routine

If you’re a catalog junkie like me, I’m sure you know there are some really cool gardening tools out there. Shears and clippers with spring-action features and special stools equipped with shelves to hold your garden tools are indeed helpful.  Even if you are using these kinds of aids, I strongly recommend taking breaks every twenty minutes. Limit your actual time gardening.  Start slowly and increase this time as your body adapts to the demands placed on your muscles, joints, and tendons.

The cool-down process is just as important. When you finish gardening, take a 10-minute walk to loosen up the muscles. Then repeat single and double knee-to-chest stretches, hamstring stretches, and the cobra stretch.  Follow all of this with a hot shower.

If you experience soreness the same evening or the next day, alternate between applying ice and moist heat to the sore or injured areas. Remember that if any pain lasts more than three days, it’s time to see your doctor.

Some of you may say, “Dr. Kaye, the stretching takes too much time.” Here’s the deal. You don’t have to stretch, warm up and cool down.  But if you don’t, you greatly increase the likelihood of injuring yourself.  It’s worth the time so you don’t experience so much soreness that you won’t be able to enjoy gardening.

Be safe and have fun!

To Your Health!

Dr. Michael Kaye

The Good Old Days

Wednesday, April 28th, 2010

Have you ever tried to fit a square peg into a round hole? It
doesn’t work. It can’t work. There are just some things in life
that unfortunately fall into that category.

Many of my patients, especially the baby boomers (those born
between 1946 and 1964), think that their bodies should be able
to do what they did when they were in their twenties.

For example, this week I met a patient who is in her late 60’s.
Her primary issue is back and leg pain. But she also complains
about gaining 40 pounds over the last five years. She was always
very skinny so the first year the weight gain really didn’t
bother her.  However, the gains continued and her clothing no
longer fits and she has become quite unhappy with the situation.

Here’s what she said, “I want to look like I did 20 years ago. I
want to be skinny again.” I said, “Well, you can definitely lose
the 40 pounds and have more energy, but you probably won’t be
able to look like you did 20 years ago.”

Men are also interested in turning back the hands of time. Many
wax nostalgic about the “good old days” and their prowess in the
gym. They often tell me how much weight they could bench press
or dead lift. I ask, “How long ago were you able to lift heavy
weights?”  They usually respond with something like “30 years
ago.” “That’s great,” I say, “but you’re not as young as you
were then. Your body has changed.”

These conversations remind me of Al Bundy, the character played
by Ed O’Neill in the show Married… with Children. Al is a
middle-aged man who often reminisces about scoring four
touchdowns in the city championship game against his high
school’s rival, including the winning one in the final seconds.

Well, boys and girls, we can’t go back.

Plain and simple, our bodies change over the years. Injuries,
genetics, stress, poor nutrition, lack of exercise and sleep,
surgeries (especially those such as hysterectomies which alter
hormone function), and the aging process itself all contribute
to a worn-out body. No matter your current age, that body just
doesn’t repair itself the way it did 10 years ago.

But it really isn’t all gloom and doom. If you change your
concept of health and accept that you’re not in your twenties
anymore, life will be easier. We shouldn’t dwell on what we
can’t change or can’t do; we should concentrate on our
strengths.

Regardless of your age, improving your nutrition, beginning and
continuing an exercise program, and decreasing your stress will
improve your health.

Remember, we can’t fit a square peg into a round hole.  But we
can accept the changes in our bodies and do our best to keep our
bodies functioning as well as possible in the future.

To Your Health, Wealth & Happiness!

Dr. Michael Kaye
Knowledge, Action, Results

The Power of the Second Opinion

Monday, March 29th, 2010

For the last few weeks I have had the opportunity to treat a
very pleasant man who had unfortunately fallen on ice.

He complained of pain throughout his lower back, left hip, and
knee.  When he came to my facility he was using a walker because
he could barely walk. He could not shower or dress without help.
I developed a treatment program to help him walk better and to
decrease his pain.

This man had been examined by an orthopedic surgeon before
coming to my facility. The surgeon took X-rays of his hip,
prescribed anti-inflammatory medication, and told him to return
a couple of weeks later.  When he returned, the doctor told him
that he needed a hip replacement because he has osteoarthritis
(loss of cartilage of the joints). He was escorted to the front
desk and scheduled for pre-operative blood work and a complete
cardiology workup.

As you can imagine, the patient and his wife showed up in my
office significantly distressed about the idea of having a hip
replacement.

I asked him two simple questions. Did you have this pain six
weeks ago? His answer was “No.” Are you getting better?  The
answer was “Yes.”

I referred the patient to another orthopedic surgeon. After a
careful evaluation, he did not recommend the surgery.  He felt
that the patient should continue with treatment since he was
improving.

What do you think would have happened if the patient had not
gone for a second opinion? He probably would have had an
unnecessary surgery.

I have often referred patients for second opinions (and
sometimes third opinions, if necessary).  If you do not feel
comfortable with a doctor’s recommendation, it’s time to get a
second opinion. If a doctor is treating you and you are not
getting better (experiencing a decrease in the frequency,
intensity, and duration of your pain or managing your
condition), it’s time to get a second opinion.  You can’t depend
on your doctor to refer you to another doctor for a second
opinion; sometimes you just have to get one on your own.

Doctors are extremely busy and overworked. Quite often they have
a tendency to rush in and out of an appointment without focusing
on the patient’s needs.

When doctors are rushed, they may fail to answer patients’
questions.  Sometimes patients think of other questions after
the visit.

I suggest that you prepare a list of written questions for your
appointment. When you get home, write down any further questions
that you may have thought of after the appointment. If the
questions are urgent, call the office and speak with the nurse
or physician’s assistant.

If you do not feel comfortable with the answers and
recommendations of your doctor, get another opinion. It’s always
helpful to have a second pair of eyes look at and evaluate your
situation.

To Your Health, Wealth & Happiness!

Dr. Michael Kaye
Knowledge, Action, Results

P.S. Would you like a second opinion? Do you find yourself
struggling with your goals, nutrition, exercise program, or your
business? If you would like another pair of eyes to take a look
at what you’re doing (or not doing), please feel free to e-mail
at Michael@fromnpaintopersonalgain.com to learn more about the
Success & Wellness Coaching Program.

My Body is Changing

Thursday, March 11th, 2010

As baby boomers, our bodies are changing at a faster rate than we would. Many patients tell me. “Doc, don’t get old”. My usual reply is, “Well, I am not really happy with the alternative.”

Given the fact we are going to live, how can we live with less pain? To do so it’s important to look towards nutrition. Many studies have linked pain and inflammation to our nutritional intake.

I don’t want to go into length about the biochemistry of inflammatory components so I’ll do my best to simply summarize the importance of deleting some foods from your diet.

Fatty acids (omega-6 and omega-3 families) can lessen inflammatory responses in the body. In an article written by James Gerber, D.C. contributor to the Journal of American Chiropractic Association writes, “One of the omega-6 family, arachidonic acid can be converted to a variety of powerful promoters of inflammation while conversion of gamma-linolenic acid (GLA, another omega-6 fatty acid) and eicosapentaenoic acid (EPA, long-chain omega 3 fatty acid does not help promote inflammation to any considerable degree”.

Right now you may be thinking, “English please”.  To make it easy, here is a list of foods you should avoid if you are experiencing chronic pain, regardless of the source of the chronic pain.

Foods to avoid: Meat, High fat milk, Cheese products, Eggs

Food to improve your nutrition: Salmon, Sardines, Herring, Trout

To improve the health of your heart and to mediate inflammatory processes in your body add a fish oil supplement to your diet, at least 500 mg to 1500 mg of EPA/DHA per day.

That’s it for now.

To Your Health!

Dr. Michael Kaye

It’s About the Patient

Sunday, December 6th, 2009

Welcome to the first blog post for A Boomer’s Guide to Chronic Pain.

In these posts I will share relevant information for the Boomer who suffers with chronic pain. Additionally, I will also post any relevant information and links regarding health issues from nutrition to exercise to the latest in pharmaceutical management. You’ll also find video downlinks and articles for your viewing and reading pleasure.

One of the goals for this site is to have a home for patients who suffer with pain regardless of their age. Hopefully, together we can create a community where we can share ideas, experiences and tips to managing life in spite of pain.

Please feel free to comment on these blogs. If we aren’t sharing with each other, we are not helping each other.

Let’s hear your voice!

Dr. Michael J. Kaye