Friday, May 17, 2013

Low Back Pain and Bacteria. What's the gut have to do about it?

Recently, as I have been studying about brain based chiropractic treatments I realized everything keeps coming back to nutrition. I've always believed that nutrition is the best way to stay and be healthy, but this revelation really clicked. Over the past couple of days, while studying Andy Barlow material, a brilliant neuro-based chiropractor, he stated that when the brain has conflicting tests look to metabolic treatments. What that means is the more messed up the brain is, the more you should look to the gut health.

Now a couple days later I stumbled upon a new study linking bacterial infections and chronic low back pain. After reading through the article and a couple of reviews of the article is dawned on me that this all comes back to gut health.

The study found that around 50% of chronic low back pain cases are the result of invading bacteria. The bacteria invades the disc and moves into the surrounding bone causing irritation and pain. More interestingly, when the patients in the study were given a course of antibiotics 80% of them improved drastically. Some of them were even called 'cured' in the article. By far the most interesting part of the article was the invading bacteria. It was the same bacteria present in common acne.

As any natural medicine practitioner will tell you and knows from clinical experience the most common reason people have regular acne is diet. Improper diet, foods you are intolerant or allergic too, GMOs, conventional foods, dairy, gluten, and corn all cause acne. Another thing a crappy diet causes is leaky gut. Dairy causes excessive mucus production clogging the pores inducing acne. Gluten has skin conditions associated like atopic dermatitis. GMOs and toxins all have the ability to cause acne. What I tell patients who ask about acne is this. 'Acne is toxins trying to get out of the body. They want out so fast they are breaking through the skin. Imagine what your intestines look like.'

A common 4 R gut healing program usually always clears up the common acne. Now what does this mean for low back pain cases. Well since the invading bacteria in chronic low back pain seems to be the same as with common acne, wouldn't it make sense that this is a gut issue? How does conventional medicine clean up a bad gut? Antibiotics. How does a natural medicine practitioner do it? With soothing nutrients. With nutrients that kill bad bacteria, yeast, and fungus, while at the same time increasing the good bacteria and nourishing the gut. By reestablishing proper digestion with HCl, enzymes and gallbladder support, healing the gut lining and providing the right probiotics, and most importantly improving the diet. 'Leans, greens, nuts and seeds' is a great easy way to look at food. Michael Pollan stated, "Eat food. Real food. Mostly plants."

So combine what we already know works for low back pain, chiropractic, and now add a gut healing program and we will be eliminating chronic low back pain for millions. All at the same time helping people get healthier!

In good health,

Dr. Kurt

Sources:
Eur Spine J. 2013 Apr; 22(4): 697-707. PMID: 23404353


Monday, May 6, 2013

Ask Dr. Kurt: Do you have metabolic syndrome?

Ask Dr. Kurt: Do you have metabolic syndrome?: Many people hear this term all the time and know that it is part of the diabetes spectrum. First you get metabolic syndrome then you get dia...

Do you have metabolic syndrome?

Many people hear this term all the time and know that it is part of the diabetes spectrum. First you get metabolic syndrome then you get diabetes. How many people really know that they have metabolic syndrome, let alone are full fledged diabetics?

Metabolic syndrome is not just one symptom but a combination of a bunch. High blood pressure, abdominal obesity, increased blood sugar, increased cholesterol levels, high triglycerides, ect. A lot of these markers are pretty easy to see (obesity) or test for. So why is metabolic syndrome and diabetes running rampant?

The reasons for metabolic syndrome and diabetes being so prevalent are the topic for another blog, or weekend seminar (for that matter). But a glaring fact at the time of diagnosis for type II diabetes is the pancreas is at 50% function. This corresponds to a problem 10-12 years in the making to reduce pancreatic function to 50% before type II diabetes is diagnosed.

There is an even drearier outlook for type I diabetes is at the time of diagnosis the beta cell mass of the pancreas is 10%. Type I diabetes also has a huge autoimmune component, as well as a glutamate link. This is all discussion for another time. For this blog is it simply stating the pancreas has to have extensive damage in order for diabetes to be diagnosed.

The positive side of this is that the pancreas is an organ that can withstand a lot of abuse and still work. If the pancreas has to lose 90% of the beta cell mass for DM1 and 50% of function in DM2 to show overt diabetes than that gives us lots of room to improve.

The easiest way to assess and see if you are at risk for metabolic syndrome, or DM2 is the measure your waist and make sure it is equal to or less than your height. This is called the waist to height ratio. It has been extensively studied and proves better than other measurements including the famed waist to hip ratio. One simple reason, 'a big butt cancels a bit waist'.

A study done in 2009 found that for men with a waist greater than 1/2 their height had a 92% increased risk of getting metabolic syndrome. Women were found to have a 87.4% increased risk.

A new study gave the exact ratio that implies metabolic syndrome. 0.59. So if your waist is 60% of your height than you probably have metabolic syndrome, and in the next decade will probably have diabetes.

This is a lot of science to simply say, keep your waist 1/2 your height and have a really good chance of avoiding diabetes and metabolic syndrome. Now for those of you who do have metabolic syndrome, or at worst have diabetes, than it is time to find a natural medicine practitioner and make an appointment. The time was 10 years ago to get this problem in check and start living healthier.

Leans, greens, nuts and seeds is a great way to view food. Avoiding excessive carbohydrates, exercising hard (burst exercises, heavy weight training, sprints, total exhaustion exercises), eating organic foods (especially meats and fats), avoiding all dairy and gluten, and most importantly supporting the pancreas with proper nutrients will help fight diabetes. The side effect is a healthy fulfilling life.

To beat a lifestyle disease we must positively change lifestyle. We can through drugs at diabetes all we want. We are doing that in this country and what effect is it having?

In health,

Dr. Kurt

References:
Metab Syndr Relat Disord. 2009 Oct;7(5):477-84. PMID: 19492953;

Nutr Res Rev. 2010 Dec;23(2):247-69.  PMID: 20819243
Metab Syndr Relat Disord. 2011 Jun;9(3):183-90. PMID: 21226621
Nature. 2010 Apr 22;464(7292):1149-54.
Endocr Rev. 2007 Apr;28(2):187-218. Epub 2007 Mar 12. PMID: 17353295