Health, Mind & Body - July 2019

July 2019

Medical Guide A SPECIAL SUPPLEMENT TO

Shenandoah Women’s Health Midwifery Care

Local Midwives have kept up with the National trend over the last 20 years

2

July, 2019 • DAILY NEWS-RECORD

Did you know?

3 Audiology 6 Chiropractors 8 Dental 11 Local Midwives have

People looking for a good cardiovascular or aerobic exercise may not need to invest in a gym membership or treadmill. According to Rally Health®, a digital health experience that helps you make simple changes in your daily routine, walking can be an effective cardio exercise if one goes at a brisk pace of at least three miles per hour. Walking at this pace can effectively push the heart and lungs to work hard without adversely affecting the joints in the way that other aerobic exercises might.

Harvard Health says that walking of any kind can help people maintain healthy weights, lower their risk for various diseases, keep blood pressure in check, lift mood, and strengthen bones.

A number of studies also show that walking can help people improve memory and avoid age-related memory loss.

kept up with the National trend over the last 20 years

12 Obstetrics/Gynecology 15 Orthopedic & Sports Medicine

16 Senior Care 18 Wellness

Tips for Living with Low Vision

V

isual impairment affects people of all ages and all walks of life. The American Foundation for the Blind defines visual impairment, often referred to as “low vision,” as any vision problem that is severe enough to affect an individual’s ability to carry out the tasks of everyday living. Millions of people have some degree of visual impairment that requires corrective lenses, and some still struggle even while wearing glasses or contact lenses.

People with low vision can experience difficulty performing daily activities, such as cooking, shopping, reading, watching television, and more. Some practical solutions can help people address changes in their vision.

• Use more light. After about age 60, many people require additional light to perform most indoor tasks as well as outdoor activities. After age 60, the pupil no longer opens as widely as it once did, which affects the amount of light that reaches the retina, where vision processing occurs. Brighten areas of the kitchen, garage, crafting table, and other areas where fine details are examined.

• Rely on darker contrasts. Contrasting colors can make it easier to see edges and lines of demarcation. For example, use a dark tablecloth and white dishes to see table settings and food more clearly.

• Label items. Bold-colored labels or those of different shapes can help set items apart when reading containers or boxes becomes challenging.

• Use filters and shields. Certain devices, such as lens filters and shields, can reduce glare and improve vision. Individuals also can invest in shields for their computers or tablet screens to reduce glare.

• Choose “large print” formats. At local booksellers, seek books that are available in large print. This makes it easier to enjoy reading.

• Switch bulbs at home. The eye care resource All About Vision suggests swapping fluorescent and incandescent light bulbs with warm-toned LED bulbs. These

bulbs emit less blue light and can be more comforting with reduced glare.

• Invest in adaptive devices. Large-button phones with speed dial, large-print calendars, watches that speak the time, and digital home assistant devices also can help men and women overcome vision loss.

Low vision impacts daily living, but there are ways to counter the effects of impaired vision.

DAILY NEWS-RECORD • July, 2019

3

Audiology How Audiologic Rehab Can Help People With Hearing Loss

H

earing is easily taken for granted. Unless a person has experienced temporary or permanent hearing loss, it can be hard to imagine a life in which hearing is compromised or completely lost. But that is precisely the life hundreds of millions of people across the globe live every day.

According to the Hearing Health Foundation, 360 million people across the globe suffer from hearing loss. Within the United States, the number of people with hearing loss doubled from 2000 to 2015.

Coping with hearing loss can be difficult. Hearing loss sufferers may feel disconnected from family and friends because they can’t engage as fully in conversation as they once did. In addition, adjusting to simple pleasures like listening to music after hearing loss can be difficult.

Audiologic rehabilitation services can help people adjust to hearing loss. The American SpeechLanguage Hearing Association notes that the following are just some ways that audiologic rehab can help people adjust to hearing loss.

Learn about the causes of adult hearing loss

H

earing loss is quite common and can impact people’s lives in profound ways. Although there are some treatments that can improve one’s ability to hear and communicate, many people are interested in learning about the ways they may be able to prevent hearing loss in the first place.

Medical experts from the American SpeechLanguage-Hearing Association advise that hearing loss can be caused by different factors. Learning about these causes can help individuals make smart decisions at a young age to prevent future hearing loss when possible. In certain circumstances, hearing loss may be unavoidable. In such instances, audiologists, or doctors specializing in hearing, can help.

Conductive hearing loss refers to problems with the ear canal, ear drum or middle ear and its bones, states the Hearing Loss Association of America. Some of

• Rehab helps families understand their loved ones’ hearing loss. Audiologic rehab will help people and their families adjust to hearing loss by discussing that loss with family. Family members are often frustrated by conversations with relatives who have hearing loss because many simply don’t understand what their loved one is experiencing. Audiologists may play a recording for families that simulates their loved one’s hearing loss so they can understand exactly what their relative is going through. That can help family members become more patient as people adjust to hearing loss.

• Rehab can help people understand their hearing aids. Audiologists explain how hearing aids work and how to maintain them. Various hearing aids are available to people with hearing loss, and audiologists will be able to explain how each type works and answer any questions patients have now and in the future.

• Rehab can help people with hearing loss and their families communicate more effectively. Audiologists

the causes of conductive hearing loss include: • Otitis media is an infection of the middle ear in which fluid accumulation can interfere with the movement of the eardrum and ossicles.

• Impacted earwax also can cause hearing problems.

• Fluid in the middle ear may obstruct hearing.

• Otosclerosis, which is a middle ear disease, can make it difficult for the tiny bones in the middle ear to move. Surgery can correct the problem.

• Malformation of the outer ear, ear canal or middle ear structure can impact hearing as well.

Sensorineural hearing loss, or SNHL, occurs due to problems of the inner ear. It is often referred to as nerve-related hearing loss.

• Aging is a common cause of hearing loss that may not be reversible. Age-related hearing loss is called presbycusis and is marked by muffled or unclear speech. Treatment with assistive hearing devices can help improve hearing.

• Trauma to the ear or head may impact hearing.

Wearing protective gear during sports or other activities can protect against neurological damage

can provide tips on how to improve families’ listening and how to communicate more effectively.

Such tips can make it easier to transition to life with hearing loss.

• Rehab can teach those with hearing loss to use visual cues. People without hearing loss may not recognize it, but the ASHA notes that everyone uses his or her eyes to get visual cues about what people are saying. Rehab can help people with hearing loss fine tune these skills to make up for their loss of hearing.

Audiologic rehab can help people adjust to life after hearing loss. Learn more at www.asha.org.

that may cause hearing loss.

• Damage to the inner ear can result from prolonged exposure to loud noises, states the Mayo Clinic. These noises cause wear and tear on the hairs or nerve cells in the cochlea that send sound signals to the brain. When these hairs or nerve cells are damaged or missing, electrical signals aren’t transmitted as efficiently, and hearing loss occurs. Using hearing protection and turning down the volume can help.

• Ménière’s disease is an inner ear problem of unknown origins. It usually starts in people between the ages of 30 and 50. Dizziness and ringing of the ear are common, and hearing loss comes and goes. Some loss can become permanent.

• Viruses and diseases as well as family history also may play a role in SNHL. In some instances, hearing loss may be the result of a combination of factors. Anyone finding their hearing has become less acute should visit with an audiologist. One resource to visit is www.asha.org/ profind. The doctor can then prescribe a treatment plan to help improve hearing.

4

July, 2019 • DAILY NEWS-RECORD

Don’t Let Misleading Sales Tactics Discourage You From Healthy Hearing

I

t seems impossible to escape hearing aid ads. They promise huge discounts off MSRP and free hearing screenings... but only if you act NOW! These colorful ads pop up in mailboxes across the country and wind up in the same place: the trash bin. That’s because most people know better than to trust a sales gimmick. Hearing loss , which can directly lead to other serious mental and physical ailments, is the third most common health problem in the United States, and it should be treated as such.

MSRP is an inflated number that no honest business would use as a price structure, and gimmicks and sales pitches have absolutely no place when it comes to your health. Seeking treatment for

suspected hearing loss is not anything like buying a car, and the flashy rhetoric commonly seen in ads are a giant red flag.

A true medical professional does not resort to questionable sales tactics, and when it comes to hearing loss, audiologists are the most knowledgeable resource. A Doctor of Audiology has the highest level of credentialing in the field, which makes them the most qualified professional to handle your hearing concerns; they are trained and educated to accurately evaluate and diagnose the hearing of adults, infants and children. They are also uniquely suited to provide counseling and treatment options to maximize hearing and communication.

If you suspect hearing loss, do not rush into a simple screening in order to be fit with hearing aids as soon as possible because you do not want an underlying medical condition to go undetected. For the best chance of success, the first step should be to get a thorough diagnostic hearing test by a certified audiologist to determine the type and severity of your hearing loss, the integrity of your residual hearing, and to find out if a medical referral is needed.

Dr. Diane Schwalbach and Dr. Scott Murray, Audiologists.

Audiology Associates O F

H A R R I S O N B U R G

Pediatric and Adult Hearing Evaluations

1452 Brookhaven Dr. Rockingham, VA 22801 Diane Schwalbach, Au.D. 34 years of experience

“Better Hearing Care”

Scott C. Murray Au.D. 21 years of experience

Auditory Processing Testing/Therapy

How Healthy is your hearing?

Tinnitus Evaluation and Treatment

Hearing loss is a serious health problem.

You want the best qualified and most competent person to care for you.

Digital Hearing Aids* for Every Budget

Our patients not only care how much we know, they know how much we care.

All Make/Model Hearing Aid Cleanings & Repair

*Hearing aids are medical devices and are only as good as the person programming them

Call today for an appointment: 540-574-4327

Ask us about BrainHearingTM by Oticon

DAILY NEWS-RECORD • July, 2019

AUGUSTA AUDIOLOGY ASSOCIATES, PC

5

AUGUSTA AUDIOLOGY ASSOCIATES, PC

Licensed And Certified Clinical Audiologists

Licensed And CertiÄ ed Clinical Audiologists

Julie Farrar-Hersch, PhD Lauren Matsko, AuD

Julie Farrar-Hersch, PhD Lauren Matsko, AuD any people of all ages experience hearing loss and tinnitus.

Tinnitus is that annoying ringing, buzzing, or any other sound that is particularly noticeable when everything is quiet. If there is no medical solution for the hearing loss and/or tinnitus, what is the next step?

M

Technology today offers many options for managing hearing disorders. Most people are familiar with hearing aids but may not be aware of the many advances for improving sound quality and meeting listening needs. Most hearing aids have digital chips that are programmed based on the speciÄ c hearing loss and can be modiÄ ed in the event the loss changes. Hearing aids may have more than one microphone to improve directionality in background noise which allows improved ability to understand speech in difÄcult listening situations.

STATE-OF-THE-ART HEARING AID TECHNOLOGY We Follow You Every Step of the Way to Ensure Your Hearing Aids are Comfortable, Beneficial and Meet Your Communication Needs, During and After Your Trial Period.

SERVI

25

LEY AL

THE V NG

YEARS

OUR SERVICES ALSO INCLUDE Assistive Technology for Personal listening, T.V., And Telephone

SPECIALIZED EARMOLDS FOR Musicians • Mobile Devices Hunters • Swimmers Nascar Fans • Industrial Employees and More

Many listening environments are challenging such as family dinners, religious services, restaurants and auditoriums.

Accessories are available for transmission of signals using blue tooth, frequency modulation, infra-red or electromagnetic Äelds.

Remote microphones may be given to friends and family members in noisy situations so that speech is picked up by the microphone and transmitted directly to the hearing aids. There are accessories for streaming (sending) auditory signals from electronics such as televisions, telephones, and computers directly to the aids allowing for improved signal clarity.

One of the most effective tinnitus management strategies is the use of sound to provide stimulation to the brain. Sound aids in distracting the brain from the tinnitus signal and provides more interesting auditory stimulation. Some hearing aids also have special sounds that are FDA approved for managing tinnitus.

In our 21st Century, we have so many technology choices that improve our quality of life. Why not explore the options for maximizing your listening experience!

Augusta Audiology Associates, PC Augusta Health Medical Off. Bld. Suite 204 www.AugustaAudiology.com 70 Medical Center Circle 540-332-5790 Fishersville, Virginia 22939

Augusta Audiology Associates is a locally owned practice founded in 1994. Dr. Julie Farrar-Hersch and Dr. Lauren Matsko, audiologists, are highly qualiÄ ed to guide you through the assessment of your hearing and developing a rehabilitation plan speciÄ c to your needs. Please give us a call at 540.332.5790 to arrange an appointment. We look forward to hearing from you!

6

July, 2019 • DAILY NEWS-RECORD

Chiropractic Chiropractor Dr. Dennis Da Ponte Chiropractic Solutions 171 Neff Avenue Harrisonburg, VA 22801 (540) 432-5577 www.qualitychiro.com contact@qualitychiro.com Medical School: Life University Specialties: Neck Pain, Back Pain, Headaches, Sports Injury, Auto Injury, Shoulder Pain, Hip Pain, etc.

Functional Nutrition with Dr. Fierro

O

Chiropractic Health Services

ur office provides for the diagnosis and treatment of many muscle and joint related problems. The more frequent conditions treated are spinal pain (neck, upper back, lower back), leg pain, and headaches.

Going beyond food and standard tests to find a CAUSE of a health issue rather than suppressing symptoms is the goal of Functional Nutrition.

Dr. Fierro also treats auto injuries, job injuries and accepts referrals.

Treatment options Dr. Fierro may use are massage therapy, physiotherapy, ultra sounds, manipulation, exercise protocols and adjunctive support such as nutrition.

Dr. Fierro is one of only a handful of physicians who is Board Certified in nutrition by the American Clinical Board of Nutrition (ACBN), an accreditied agency recognized by the National Commission for Certifying Agencies (NCCA).

Also reffered to as “Functional Medicine”, many health issues can be resolved with nutrition intervention. Of the ten leading causes of death in the United States, at least half are attributed to nutrition issues. This includes diseases of the heart, some forms of caner, stroke, hypertensions, and type II diabetes.

Often organic disease is the end stage of metabolic dysfunction; something not working correctly in the body. Specialized nutrition tests may unveil the true cause of the symptoms so that a real treatment can be started rather than taking medication to supress the symptoms.

Dr. Fierro is Board Certified in nutrition* and is a past president of the American Clinical Board of Nutrition.

4159 Quarles Court Rockingham, VA 22801

540-434-2495 Toll Free 877-434-2495 *Certified by the American Clinical Board of Nutrition

DAILY NEWS-RECORD • July, 2019

7

UNLOCK YOUR POTENTIAL

M

y name is Dr. Dennis DaPonte and I have dedicated the past twenty years of my life to helping others unlock their potential. Chronic pain is what drove me to pursue a career as a Chiropractic Physician. For many years, I suffered with low back pain and for many years I have searched for the answers to relieve it.

Our Functional Movement System begins with the Functional Movement Screen which I would personally like to offer you for FREE because I appreciate you taking the time to read this.

Check out WWW.MOVEINTEGRAL.COM for more details or call (540) 432-5577 to schedule now!

Functional Movement is the most advanced approach to musculoskeletal care which considers the whole body when diagnosing and treating acute and chronic pain. Healthy movement depends on the proper function of your spine and extremities. These joints function on an alternating sequence of mobility and stability. For instance, to perform a squat safely, the low back and pelvis have to remain stable, the hips must be mobile, the knees must be stable and the ankles must be mobile. Any reversal of this sequence will result in a dysfunctional squat which adds significant stress to your joints and muscles causing pain and injury.

MoveIntegral is the premiere Functional Movement Clinic in the Shenandoah Valley. Our Certified Specialists will evaluate your movement patterns and the joints and muscles that perform them to determine the cause of your pain.

The Functional Movement Screen tests seven fundamental movement patterns that are key to identifying your functional movement quality. The process provides a reliable baseline for actionable and effective steps to improve your performance and recovery.

7 SEVEN MOVEMENTS

CUSTOM PROGRAMS

FREE FUNCTIONAL MOVEMENT SCREEN ARTICLE DOWNLOAD http://bit.ly/introtofms

TRACKABLE PROGRESS

YOUR NAME HERE CREDENTIALS STREET ADDRESS Phone: (540)432-5577 CITY, STATE ZIP CODE www.moveintegral.com 171-F Neff456-7890 Ave. Harrisonburg, VA 22801 (123)

www.FunctionalMovement.com

8

July, 2019 • DAILY NEWS-RECORD

Dental Did you know?

According to the U.S. Centers for Disease Control and Prevention, dental caries, or tooth decay, is five times more common than asthma and seven times more common than hay fever in children. The American Academy of Pediatrics notes that children with dental caries in their baby teeth are at much greater risk for cavities in their adult teeth. Fluoride is a naturally occurring mineral that can strengthen tooth enamel and make it more resistant to the acids that can contribute to tooth decay. Parents, even those whose children do not yet have any teeth, can discuss fluoride drops or chewable fluoride tablets with their youngsters’ pediatricians. The CDC notes that more than 40 percent of children have tooth decay before reaching kindergarten, but dental caries is often preventable. Parents who are diligent about their children’s oral care and mindful of potential problems, such as stains on the teeth, can reduce their sons’ and daughters’ risk of tooth decay.

Breathe Easier Concerning Bad Breath

D

igging into a bowl of pasta topped with a garlicky scampi sauce certainly may fill the belly, but such a meal also can lead to bad breath. Halitosis, or bad breath, is often the catalyst for jokes. But for many people, bad breath is no laughing matter. Many things may contribute to bad breath, and some causes may signal serious underlying health conditions.

Strong foods Foods with strong odors, such as onions or garlic, tend to contribute to bad breath. That’s because the foods are initially broken down in the mouth, but then they have to travel through the digestive system until they are passed through the body. These odoriferous foods may leave their mark in the mouth, get carried to the lungs through blood in the circulator system and then be excreted through the pores on the body. Some may even linger on the skin after washing. Avoiding these types of foods can prevent bad breath, as brushing or rinsing one’s mouth may only temporarily staunch their power.

Poor oral hygiene Food and beverage particles can linger on the teeth and gums if proper dental hygiene is not practiced. The Mayo Clinic says that a colorless, sticky film of bacteria can form from the breaking down of food particles, which can cause tooth decay, periodontal disease and possibly bad breath. Daily brushing and flossing as well as routine dental cleanings are necessary components of proper oral hygiene.

Dehydration Failure to drink enough water can cause food — and the bacteria that feed on it — to stay in the mouth much longer. Drinking water helps flush away food particles.

Similarly, dry mouth can contribute to bad breath. Saliva works all day and night to wash out the mouth. The American Dental Association says inadequate saliva

Dental Dr. Curtis G. Dean, DDS Dean Family Dental 2575 Evelyn Byrd Ave. Harrisonburg, VA 22801 (540) 432-2315 www.deanfamilydds.com office@deanfamilydds.com Medical School: West Virginia University Specialties: Family/Cosmetic Dentistry, Pediatric & Adolescent Quantum ALF Appliance

production can cause bacteria to multiply.

Sore throat disease Diseases of the throat, such as strep or tonsillitis, may cause bad breath. The same bacteria that can cause halitosis may also infect the tonsils and throat, causing the foul aromas, advises the American Academy of Otolaryngology, Head and Neck Surgery.

Gastrointestinal distress The Journal of Medical Microbiology says that bad breath may originate in the gut. Bad breath may be a symptom of gastrointestinal reflux disease, or GERD, ulcers or other conditions of the stomach and intestines. If persistent bad breath is accompanied by heartburn and stomach pain, it’s worth a consult with a doctor.

Oral infections Surgical wounds from oral procedures like tooth extractions can become infected and produce bad breath. Gum disease and mouth sores also may be to blame. A dentist or doctor can rule out infections as a cause for halitosis.

Tobacco Smokers and oral tobacco users often have bad breath. Quitting smoking or oral tobacco can be an easy way to freshen up one’s breath.

Disease The gases that are excreted through the mouth and causing bad breath may be tied to everything from liver and kidney damage to diabetes to asthma, say researchers at the University of Colorado at Boulder.

Bad breath is more than just a nuisance. In fact, bad breath may indicate the presence of a serious health problem.

DAILY NEWS-RECORD • July, 2019

Smiles for Life Drs. McIntyre, Whiting, Rockey and Ash

9

“I love my new teeth! They feel so natural. I knew I would never wear a denture.

Dr. Mac and the staff are great. Totally pain free process with the oral sedation.

Thank you SMILES FOR LIFE!” - Regina

“So unfortunately I had terrible teeth. I was blessed with this big obnoxious personality but I would only show a kind of like ‘polite stranger in an elevator’ grin. I would never want to show my teeth to anyone and it was just kind of odd.

So my husband and I were watching TV and saw a commercial for Smiles for Life and he said ‘you know what, we ought to just give them a call.’ The people at Smiles for Life, the entire team, treats every patient like they’re the only patient.

I mean they take patient care to a whole new level. To say that Dr. McIntyre and his team is incredible feels like an understatement. They’re just phenomenal. I have three year old twin boys and one of After Before the things, when they were born, I thought I can see myself in all the family photos with these horrible teeth and now I’m so excited for those family photos because I don’t have to be ashamed of my smile anymore. I can’t stop smiling. Getting these dental implants, especially at Smiles for Life, completely changed my life.”

- Tara

“My full dental exam and X-rays went well. The hygienist (Cathy) was patient, very pleasant, and moved through the X-rays and cleaning like the pro that she clearly is. I appreciated that. Doctor Rocky is fantastic as well, she carefully explained everything and answered my questions thoroughly. This organization will be my dentists for now on—I have found my dental home!”

- Sharon “I’ve been with Smiles for Life about a year and a half now. I could not be happier with their care! I truly feel they have my health, well-being, and best interests at heart in the dental care they provide! I also feel that my individual concerns and needs are respected there. VERY Highly recommend!”

- Sarah “For years I have lived in fear and pain of the dentist due to a traumatic experience years ago. When it came to really needing a dentist especially with sedation I chose Smiles for Life. Dr. Rocky rocks!!. They have a way of making you comfortable and at ease. After 2 visits with 6 fillings my 6 month check up was a breeze with a “ See ya in 6 months” yesss!!!!. My next visit is in a few weeks and I’m not feeling that dread I recommend anyone who lives in fear of the dentist to try Smiles for Life you won’t be disappointed” - Kathy

10

July, 2019 • DAILY NEWS-RECORD

CELEBRATING 20 YEARS OF SERVING THE COMMUNITY Everything a Woman Needs Under One Roof!

Gynecology Obstetrics Preventative Care

Surgical Care Nurse Midwifery Care Spa Services

Soon to be offering in office mammography!!

Follow Us

540-438-1314 240 Lucy Drive Harrisonburg, VA 22801

DAILY NEWS-RECORD • July, 2019

Local midwives have kept up with the national trend over the last 20 years

By Bridget Manley

I

t used to be seen by some as “old school” or maybe even rather “granola” to use a midwife when giving birth.

But expecting women are increasingly relying on midwives. In 2017, for instance, the percentage of babies delivered by certified nurse midwives was up to 9.1 percent, according to the U.S. Centers for Disease Control’s data. That’s a full percentage point higher than in 2009, which inspired TIME magazine to declare “More U.S. babies than ever are delivered by midwives.”

In the Valley, that has kept the midwives Midwife Melody Mast checks a pregnant and doctors at Shenandoah Women’s patient. (Photo by Bridget Manley) Healthcare steadily busier since it began providing that service in 1999. The Harrisonburg-based health center is celebrating it 20th anniversary, in fact, this month.

During those two decades, Brookhaven Women’s Health and Natural Birth Center also began providing such services in the area.

The Shenandoah Women’s Health midwives are different from some: they do not practice home birthing. Instead, they work in conjunction with OB-GYNs and deliver babies in hospital.

“Our doctors are a little bit different than other doctors,” said Tammie McDonaldBrouwer, a full scope certified nurse midwife and nurse practitioner who has been at Shenandoah Women’s Health for a decade. “What my experience was when I was still a nurse was a doctor would come when the baby was crowning, catch a baby, give the baby to the momma, clean up, and leave the room. We and our doctors are usually there all the time during the whole pushing process, our doctors are checking in and we sit at the bedside.”

Melody Mast, a full scope certified nurse midwife and nurse practitioner, said because Harrisonburg has such a diverse community, the center’s personnel have expanded services and educated themselves on different cultures.

“Things that we’ve had to start getting educated on is with populations that come from eastern Africa, with female circumcision, also certain Latino cultures that breast and bottle feed,” Mast said.

And the health center offers translation services.

“We have interpreters available so we always have someone that speaks your language, or as close as we can to that.”

She said when she told friends about

seeing a midwife for her pregnancies, some were apprehensive. Now she said it feels more commonplace for pregnant women to see a midwife for care.

“When I first went, I had several friends who were a little bit surprised and thought some of those things: ‘Oh, you’re going to have the baby at home’ or ‘what if you need a doctor?’” Berkey said. “They didn’t really understand. Especially the partnership that Shenandoah Women’s Health has with the midwives and the doctors. And it’s so interesting because now so many of my friends are hoping to have a midwife.”

The partnership Berkey appreciates most is that the doctors and midwifes work side-by-side.

The nurses and doctors say that’s essential, especially because they see women in every stage. They help mothers through the celebration of new life and, sometimes, through painful moments like infertility and loss.

“The highs in OB are the highest,” said Bobbi Cherrywell, a full scope certified nurse midwife. “The lows are the lowest. Not only do we help women through the best day of their life, we also sometimes have to help them through the worst day of their life.”

Another reason why some mothers choose a midwife is the postnatal care they receive. Postpartum depression is on the rise, both locally and nationally. The midwives credit the time they spend with mothers before and after birth to make sure if they see a problem, they can address it.

“I think there’s a lot of people — not necessarily in this area but in other areas — they just don’t know where to go [for postpartum depression],” said Kaya Norton, a full scope certified nurse midwife. “I think we do a really good job of ‘hey, you know, we’re here if you need us’ – we are a a place where you can start and if you need more we can get you the help you need.”

Berkey said that was the case for her.

“I did have some postpartum struggles,” Berkey said. “That was pretty shocking for me because it took me a while to figure out. I’d never dealt with blues or anxiety before, so it actually humbling and humorous looking back. It took me so long to figure out what was going on, and it was so clear to the midwives what was going on.”

That extra time spent with patients is a big reason for why the practice expanded over the last 20 years, said Dr. Leonard Aamodt, who helped found it. After working with many diverse populations around the U.S., he settled in Harrisonburg with the intention to start a practice that married the two methods.

“The original midwives and I had a strong belief that women could get the best of both worlds,” Aamodt said. “That’s what I think we’ve done at Shenandoah Women’s Healthcare. Not only are the women exposed to the advantages of midwifery care, but they have physician backup.”

Caitlin Berkey, a mother of three with a fourth on the way, switched to Shenandoah Women’s Health after the birth of her first child, when a friend told her about the midwives. She said the appointments immediately seemed different. She was allowed more time to talk with the midwives about how she was feeling.

11

The midwives agree.

Caitlin Berkey with her daughter, Heidi, delivered by midwives at Shenandoah Women’s Healthcare. (Photo provided)

“Having these OB-GYN’s and midwives talk and do things to get on a much higher national level has also helped us to become more accepted,” McDonald-Brouwer said.

Midwives Kaya Norton, Tammie McDonaldBrouwer, Melody Mast, and Bobbie Cherrywell.

(Photo by Bridget Manley)

12

July, 2019 • DAILY NEWS-RECORD

Obstetrics/ Gynecology Pregnancy and Heart Disease

P

regnancy is a happy time for many women, but during the nine months of gestation, conditions can develop that put moms-to-be at risk a higher risk of heart disease and stroke. According to the Heart and Stroke Foundation of Canada, preeclampsia and gestational diabetes can develop during pregnancy, potentially putting women’s long-term health at risk.

• Preeclampsia: There is no known way to prevent preeclampsia, a condition related to increased blood pressure and protein in expecting mothers’ urine. An increase in protein is indicative of a problem with the pregnant woman’s kidneys.

How to prevent preeclampsia may remain a mystery, but women who have high blood pressure or are obese before giving birth may be prone to the condition. Age also may affect the likelihood that a woman will develop preeclampsia, as women younger than 20 and those older than 40 are considered to be at greater risk of developing the condition than those between the ages of 21 and 39. The risk for preeclampsia is also greater among women who are expecting twins and those who have diabetes, kidney disease, lupus, rheumatoid arthritis, or scleroderma.

Safe medication use during pregnancy

W

omen who are expecting are understandably cautious about what they put into their bodies. From the foods they eat to the beverages they drink, expecting mothers tend to take nothing for granted.

Expecting mothers also exercise caution about medication. Women typically have questions about medication use during pregnancy, including how current medications can affect a fetus or one’s ability to conceive. Women who take prescription or over-the-counter medications for conditions like diabetes, seizures or depression may be hesitant to continue doing so while pregnant, but unsure of how to continue their treatments without medication. It’s important to note that pregnancy can affect medications much in the same way that medications can affect pregnancy. The American Pregnancy Association says that when women are pregnant, their blood volume increases, and the heart and kidneys both work harder. This means that medications have the potential to pass through the body more quickly than usual, potentially affecting their efficacy.

The U.S. Centers for Disease Control and Prevention says that about two-thirds of women in the United States take one or more prescription medications during pregnancy. Some medications have been adequately studied for their safety during pregnancy, while others have not. Therefore, it is important for women to pay careful attention to any medicine or herbal remedy taken while pregnant, raising any questions they have with their physicians. Keep a careful eye on substances taken during the first trimester of pregnancy, a crucial time of development for the embryo and fetus, and one when medications may have the most impact.

The CDC urges women who are pregnant or thinking of becoming pregnant

Physicians can treat preeclampsia, and women who develop the condition can have successful pregnancies and give birth to healthy babies.

• Gestational diabetes: Pregnancy hormones can interfere with the ability a pregnant woman’s body has to use insulin efficiently. As a result, women must produce extra insulin while pregnant. If that cannot happen, then blood sugar levels can rise and lead to gestational diabetes. Gestational diabetes produces no warning signs, so women must ensure their glucose levels are monitored throughout their pregnancies. The long-term ramifications of gestational diabetes can be significant, as the condition can raise both mother and baby’s risk of developing diabetes later in life.

• Stroke: Women can suffer from stroke at any time during their pregnancy, though the Heart and Stroke Foundation of Canada notes that their risk is high during childbirth and in the first few months after childbirth. Preexisting conditions, such as blood vessel malformation or eclampsia, are often the culprits when pregnant women or new mothers suffer strokes.

to speak with their doctors about medications and dietary products. Some medications should be stopped, while others may be safe to use or should be gradually declined. Doctors can help women weigh the risks and benefits of taking medications while pregnant and point out which ones have the potential to be harmful.

Physicians and pharmacists have listings of medications and their risks to the unborn fetus. The U.S. Food and Drug Administration, the Organization of Teratology Information Specialists and pharmaceutical companies collect information about the risks of taking medications during pregnancy or while breastfeeding.

No drug is 100 percent safe to use during pregnancy, but many have no known harmful effects. When in doubt, pregnant women should always address medication concerns with their obstetricians prior to taking a particular drug, herbal remedy or dietary supplement.

Alternative therapies, such as chiropractic treatment, massage, acupuncture, and nerve stimulation also can be addressed during prenatal visits.

13

DAILY NEWS-RECORD • July, 2019

“A Better Way to Give Birth”

B

rookhaven Natural Birth Center opened its doors on Labor Day 2010. Our Licensed Certified Professional Midwives provide skilled and compassionate care to women and newborns during the prenatal, labor/delivery, and postpartum periods. The midwives are proud to offer waterbirth, homebirth, and birth center birth, in-house ultrasounds (3D/4D), childbirth education and lactation consultations with our IBCLC. Brookhaven maintains a network of massage therapists, physical therapists, chiropractors, acupuncturists, mental health counselors, and other professionals to meet the dynamic needs of our clientele. The practice seeks the best possible outcomes by collaborating with pediatricians, physicians, and maternal-fetal medicine specialists. The birth center’s cesarean delivery rate of 6% is less than one-fifth of Virginia’s 2017 rate of 32.6%. Brookhaven’s low-intervention statistics and safe outcomes demonstrate their excellent quality of care.

A Welcoming Environment

When a client walks into Brookhaven they are greeted by our friendly office staff with a cup of herbal tea. The earth-toned walls, artwork, fireplaces, and comfortable furniture contribute to a home-like atmosphere that can be felt throughout the center.

Brookhaven’s staff prides themselves on a short wait time and attends to patients promptly. The 45-60 minute appointments leave plenty of time to address concerns and develop a trusting relationship. In addition to routine labs and vitals, midwives discuss exercise, nutrition, mental health, breastfeeding, preparing for a baby, postpartum expectations, and much more. Decisions throughout pregnancy are made with consideration to each family’s unique situation. Clients’ preferences, culture, financial situation, safety, and happiness are at the center of the decision-making process.

A Comfortable Birth As a laboring client arrives the birth suite of their choice will be prepared with a midwife ready to greet them.

The birthing pool will be filled with

warm water and the lights dimmed.

Both of the luxurious birth suites have a full-sized bed, birthing pool that easily accommodates two adults, private toilet, and many amenities to help birth progress physiologically. The birthing pools are not just for labor relief but are an option for delivery as well. Both feature bubble massage jets, heaters, and chromotherapy lights.

The center even has a birth stool that is waterproof! The delivery team provides as many options for pain relief as possible including birth balls, aromatherapy, aqua-therapy, birthing stools, TENS unit, and birthing hammock. Clients are encouraged to move freely about the center, eat, drink, and change positions as much as they would like. The facility is wellsuited for partners, family members, including siblings, doulas, birth photographers, or any combination of those to attend the birth and provide support. There is even a “Community Classroom” and working kitchen available to the birth support team to rest and nourish themselves. Quality coffee and healthy snacks are always on hand. Clients are even encouraged to bake a cake at the center to celebrate their baby’s birth!

A Supported Postpartum Period Once the client and baby are stable and ready, they are discharged to rest and

heal in the comfort of their own home.

We provide a 24-48 hour postpartum home-visit where we do keepsake footprints, file birth certificates, perform state-mandated newborn screenings, assist with breastfeeding, and monitor vitals. This means that clients can rest in bed while a midwife comes to them! Our midwives continue well-baby and postpartum care with routine visits at two and six weeks and remain on-call for questions and problem visits during this time. If there is a general question or concern, clients have direct access to a midwife 24/7.

It is never too late to pursue personalized care in a comfortable setting.

Please visit www.brookhavenbirth. com or call 540.437.9850 to learn about how Brookhaven can serve your family. Serving HarrisonburgRockingham, Page, Shenandoah, Augusta, Rockbridge, Albemarle, and surrounding counties. Free Consultations and Tours. Insurance billing and flexible payment plans are available to make quality care accessible to all. The convenient patient portal gives clients direct access to records.

Better Birth

www.brookhavenbirth.com | 540.437.9850 | 1461 Brookhaven Drive Rockingham VA, 22801

14

July, 2019 • DAILY NEWS-RECORD

The Benefits of Exercise After Giving Birth

P

ain in the lower extremities may be indicative of a condition called peripheral artery disease, or PAD. The National Heart, Lung, and Blood Institute says PAD occurs when plaque builds up in the arteries that carry blood to the limbs, head and organs, contributing to atherosclerosis, or a hardening of the arteries. Blocked blood flow and eventual limited oxygen supply to these areas can cause pain and numbness. When severe enough, PAD may lead to tissue death.

Discomfort due to PAD usually occurs when a person is walking or exercising, because the muscles are not getting enough blood during these activities to meet their needs, says the American Heart Association. Those with diabetes may confuse pain with neuropathy, and the elderly may think pain from PAD is a normal sign of aging and stiffness.

When undiagnosed, PAD can lead

to further complications, including increased risk for heart attack, stroke, and coronary artery disease.

Even amputation of a limb may be necessary. However, PAD is preventable when taking a few steps to improve diet.

According to new research published by the American Heart Association, eating more fruits and vegetables may reduce the risk of developing PAD, which affects an estimated 8.5 million people in the United States alone. Researchers examined dietary data from roughly 3.7 million men and women, with an average age of 65. Approximately 6.3 percent of the subjects had PAD, and 29.2 percent indicated they ate three or more servings of fruits and vegetables each day. The discovery was those who reported eating three or more daily servings of fruits and vegetables had an 18 percent lower risk of PAD than

those who reported eating less of these foods. The association between fruit and vegetable consumption and lower PAD risk remained even after accounting for age, gender, race, smoking status, and various cardiovascular risk factors.

Saturated fats, trans-fats and sodium can contribute to the formation of plaques that lead to PAD. Replacing these foods with more vegetables and fruits that are naturally lower in

saturated fats can help, as can increasing dietary fiber consumption.

One way to incorporate these types of foods is to adhere to a Mediterranean diet, which offers high proportions of legumes, fruits, vegetables; moderate amounts of fish and dairy; and limited meat and meat products.

Peripheral artery disease can be a warning sign of cardiovascular trouble.

Altering one’s diet may help naturally prevent or treat this condition.

Keeping Breasts Healthy While Breastfeeding

B

reastfeeding is a natural, costeffective and healthy way to provide sustenance to a growing baby. The American Academy of Pediatrics and Health Canada advise that mothers should breastfeed their infants exclusively until around six months of age. While the U.S. Centers for Disease Control and Prevention says eight in 10 American women initiate breastfeeding right after childbirth (the Canadian Women’s Health Network says nine in 10 Canadian mothers do so), many mothers do not make it to six months.

Breast health and overall health may affect mothers’ abilities to continue breastfeeding. Women who want to make sure they continue breastfeeding for six months or longer can learn about the various ways to facilitate breastfeeding, including how to care

for the breasts and body.

Some of the more commonly cited reasons women give up on breastfeeding include problems with milk supply and difficulty with breastfeeding techniques. According to the Cincinnati Children’s Hospital Medical Center, 95 percent of breastfeeding problems are reversible with adequate support.

bath to keep breasts clean. Baths and showers also can help with any breast discomfort. Do not use soap, as this can remove the natural oils produced by the Montgomery glands located in the areola. These oily secretions keep the areola and the nipple lubricated and protected. Compounds in these oils may also spark a newborn’s appetite. After washing or nursing, apply lanolin or a little breast milk to keep nipples supple. Breast pads can help control leaking breasts, but pads should be changed regularly.

Massage: Massaging the breasts can help clear milk ducts and cause milk to flow more freely. This helps empty the breasts and trigger a higher milk production.

Breast massage may also improve skin tone of the breasts by increasing blood circulation within.

Wash and moisturize: Use warm water in the shower or

Eat plenty of healthy foods Many breastfeeding women report feeling more hungry than usual. The Canadian Women’s Health Network says to choose the higher end of serving sizes and select nutritious foods to help boost energy. The body needs extra calories to make breast milk. Also, drink plenty of fluids to replace the liquid the baby has nursed.

Proper latch and positioning Make sure the baby is well positioned and latches on correctly to alleviate nipple soreness. Vary positions throughout the day. Allow the baby to empty each breast sufficiently. Break the suction of the baby’s mouth by placing a finger in the corner of his or her mouth before removing the infant from the breast. Speak with a doctor or lactation consultant for tips on promoting proper latch and positioning.

Breastfeed regularly It’s good to feed babies between eight and 12 times per day so that breasts have a chance to empty fully. Both breasts should be fed upon equally.

Regular feedings can help prevent plugged milk ducts, engorgement and an infection called mastitis.

DAILY NEWS-RECORD • July, 2019

15

Orthopedic & Sports Medicine Daily Steps to Keep Your Heart Healthy

H

eart disease is a formidable foe. According the Centers for Disease Control and Prevention, heart disease accounts for nearly 25 percent of all deaths in the United States each year.

Issues relating to the heart affect both men and women, and an estimated 15 million adults in the U.S. have coronary heart disease, the most common type of heart disease. And heart disease is not exclusive to the United States, as the Heart Research Institute says that every seven minutes in Canada someone dies from heart disease or stroke.

Such statistics are disconcerting, but they can serve as a wake-up call that compels people to prioritize heart health. Fortunately, heart disease is often preventable and people can employ various strategies to reduce their risk.

• Stop smoking right now. One of the best things to do to protect the heart is to stop smoking. The Heart Foundation indicates that smoking reduces oxygen in the blood and damages blood vessel walls. It also contributes to atherosclerosis, or a narrowing and clogging of the arteries.

• Eat healthy fats. When eating, choose polyunsaturated and unsaturated fats and avoid trans fats as much as possible. Trans fats increase one’s risk of developing heart disease by clogging arteries and raising LDL (bad) cholesterol levels. Read

food labels before buying anything at the store.

• Keep your mouth clean. Studies show that bacteria in the mouth involved in the development of gum disease can travel to the bloodstream and cause an elevation in C-reactive protein, a marker for blood vessel inflammation. Brush and floss twice daily, and be sure to schedule routine dental cleanings.

• Get adequate shut-eye. Ensuring adequate sleep can improve heart health. One study found that young and middle-age adults who regularly slept seven hours a night had less calcium in their arteries (a sign of early heart disease) compared to those who slept five hours or less or those who slept nine hours or more.

• Adopt healthy eating habits. Changes to diet, including eating more fruits, vegetables, whole grains, and lean protein, can help you lose and maintain a healthy weight, improve cholesterol levels and reduce blood pressure — leading to a healthier heart.

• Embrace physical activity. Regular moderate exercise is great for the heart. It can occur at the gym, playing with the kids or even taking the stairs at work.

A healthy heart begins with daily habits that promote long-term heart health.

S E N TA R A S P O R T S M E D I C I N E C E N T E R

Less Pain, More Gain George Zimmerman, DO, Sentara Orthopedic & Sports Medicine Specialists

I

n a traditional total hip replacement surgery, the hip socket can be reached through the back of the hip, known as the posterior approach, or through the side of the hip, known as the anterolateral or lateral approach.

WE CAN’T GET YOU A HOLE IN ONE, BUT WE CAN GET YOU BACK TO THE GAME. You’re not a pro, but you love the game. At Sentara Sports Medicine Center, we work toward getting you back to you.

SENTARA RMH MEDICAL CENTER OFFERS PATIENTS: • A state of the art facility with access to onsite physical therapy and imaging • Sports medicine physicians and surgeons for every joint and bone in your body Physician referrals not required.

To schedule an appointment, call 540-689-5500.

For more information, go to sentara.com/ortho.

Follow us on Facebook and Twitter, @SentaraRMH.

Both of these approaches disrupt the soft tissues around the hip joint, since they require the surgeon to cut through the surrounding muscles and tendons. This kind of traumatic soft-tissue injury requires time after surgery for the body to heal.

More recently, an extremely safe, non-experimental alternative, known as the direct anterior approach to the hip joint, has been re-introduced. During the direct anterior approach, a small incision is made through the front of the hip and thigh region, allowing the surgeon to reach the joint by separating the muscles and keeping them intact.

Patients who have anterior hip surgery often have shorter hospital stays than those operated on with the posterior approach. Although each of the surgical approaches offers virtually the same postoperative outcomes at six weeks after surgery, the direct anterior approach appears to offer significant benefits, particularly during the recovery period. *To read the full article, see the Summer 2019 issue of Sentara RMH Magazine.

16

July, 2019 • DAILY NEWS-RECORD

Senior Care The Health Benefits of Grandparent-Grandchild Relationships

I

n the not-so-distant past, extended families were the norm, with multiple generations residing on the same street if not in the same house.

Today the family unit is largely an amalgam of different situations.

The rise of two-income families has pressured parents into finding childcare situations. Quite often grandparents once again step in to offer guidance and support for youngsters. This can be a good thing for both the grandparents and the grandchildren.

Although a bevy of psychological research focuses on parent-child relationships, new evidence points to the benefits of the grandchild-grandparent relationship as well. Close relationships between these different demographics is often a sign of strong familial ties.

A study from researchers at Boston College discovered that emotionally close ties between grandparents and adult grandchildren reduced depressive symptoms in both groups. Research at the University of Oxford among English children between the ages 11 and 16 found that close grandparentgrandchild relationships were associated with benefits including fewer emotional and behavioral problems and fewer difficulties with peers.

Adult and grandchildren alike benefit from relationships with their elders. Grandparents can provide a connection and exposure to different ideas while providing a link to family history and knowledge regarding traditions and customs not readily available elsewhere.

Nurturing grandparent-grandchild experiences may be easy for families where grandparents live in the same house or close by. For others, it may take some effort. The following are some ways to facilitate time spent together.

• Schedule regular family reunions or get-togethers. Host or plan multigeneration events that bring the family together and expose children to various members of their family.

• Promote one-on-one time. Have grandchildren spend time with grandparents in intimate settings. Alone time can be good for both and offers each undivided attention. A meal at a restaurant or time spent doing a puzzle or craft can be

interesting to both generations involved.

• Video chat when possible. If distance makes frequent visits challenging, use technology to bridge that gap. Send photos, letters and electronic communications. Tech-savvy grandparents can use Skype or Facetime to stay in touch and speak one-on-one with their grandchildren.

• Share skills with each other. Either generation can play teacher to the other.

Grandparents may have certain skills, such as baking, sewing or wood crafts, they can impart that may not be readily taught today. Children can help grandparents navigate computers, video games or sports activities. Grandchildren can help grandparents feel younger, and grandchildren can learn new experiences from their grandparents.

We’re here for your Home Care Home Health & Hospice Needs (540) 434-3916

DAILY NEWS-RECORD • July, 2019

17

Boxing as Exercise Form Proves a Winner

J

uly 15, 2019 - Harrisonburg - A non-contact boxing class geared toward people living with Parkinson’s disease has class participants praising its benefits. “It’s the best thing I have done and unlike any other type of exercise,” said Suzanne Boyer, age 68, of Broadway.

How long have you been involved with Rock Steady Boxing Rocktown at VMRC? Suzanne: I have been in the Rock Steady boxing class for two months.

What prompted you to participate in the class?

Suzanne: I was diagnosed with Parkinson’s disease two years ago and like a lot of people found it hard to digest. The idea of Rock Steady Boxing just kind of fell in my lap while I was researching what I had ahead of me. My neurologist kept telling me “Exercise, from now on it will be your best friend!”

I fought it all the way, but finally one day God said, “Suzanne it’s time.” I called VMRC, made an appointment with the coach, and by Wednesday, God and I walked into a room full of strangers.

“WOW,” was I surprised.

You said it’s unlike any other exercise. Why is that?

What makes it different?

Suzanne: We are a group of people full of life and the will to fight back. Every day our exercises are different and fun, meant to work all parts of our mind and our body. We all box every day and that is the best. For me, I laugh a lot at myself. I never realized I had forgotten my left from my right until I started exercising again!

Suzanne: This program is all about me and my

What part of the program have you found most

Tell me about the instructor(s).

Parkinson’s disease buddies all around the world. It is a way for us to live, share, love and to help each other FIGHT BACK as a team to destroy Parkinson’s forever.

Suzanne: Randy (Simpson) is just what I need in

“It’s the best thing I have done and unlike any other type of exercise,” said Suzanne Boyer.

an instructor. He is patient, he challenges me, he is empathetic, he listens, and above all he laughs with me not at me. He makes me want to fight harder to do the things that Parkinson’s disease is trying to take away.

interesting?

Suzanne: I really have to say that everything we do is beneficial to my well-being, and I wouldn’t change a thing.

What benefits have you noticed since participating?

Suzanne: Before I hated to exercise. Now, I can’t wait to get there, and it has sincerely become my Happy Place!

VMRC is enrolling participants for Rock Steady Boxing Rocktown at VMRC. The classes offer noncontact boxing for people who are experiencing initial symptoms of Parkinson’s disease or who have a diagnosis of Parkinson’s. Contact the VMRC Wellness Center, 540-574-3850.

Why is it “the best thing you’ve done?”

Fight Back Against Parkinson’s with Rock Steady Boxing Rocktown at VMRC Learn how non-contact boxing can * Reverse * Reduce * Delay symptoms of Parkinson’s Disease Classes at the VMRC Wellness Center 1481 Virginia Ave., Harrisonburg vmrc.org Contact the VMRC Wellness Center at 540-574-3850 for details and pricing.

18

July, 2019 • DAILY NEWS-RECORD

Wellness How Much Exercise Does a Person Need?

E

xercise is an essential component of a healthy lifestyle. Exercise helps people maintain healthy weights, improves mood, reduces the risk for various health ailments, and much more. But how much exercise is necessary for optimal health? Research indicates that the answer to that question depends on the person and his or individual health goals.

According to David Bassett, Jr., PhD, a professor of exercise physiology at the University of Tennessee in Knoxville, having a clear set of exercise goals can help a person determine just how much exercise he or she needs, particularly if a person is exercising to control his or her weight or reduce his or her stress.

The U.S. Department of Health and Human Services recommends that most healthy adults get at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity, or a combination thereof, every week. Try to engage

Life out of Balance?

Let’s Talk!

"True Health is about much more than simply diet and exercise. It requires balancing all the different aspects of life to nourish your mind, body and soul."

Specializes in Stress, Digestion and Overall Health Individual, Group and Corporate Sessions available!

Let food be your Medicine!

Holistic Healing Approach NO Diet Plans or Prepackaged Foods Donna May Certified Health Coach 4159 Quarles Court Harrisonburg, VA 22801 540-271-3622 540-434-2495

in strength training for all major muscle groups at least two times per week. The Mayo Clinic says a general goal for most people is to aim for at least 30 minutes of moderate physical activity every day.

Health experts say that this exercise needn’t all occur at once, either. If a 30-minute walk is not possible, split that up into a few 10-minute walks throughout the day. Any activity is better than doing nothing at all.

For those with specific fitness goals, it could be wise to speak with a trainer or a doctor about which types of exercises (and durations) are effective. Physicians may be able to map out a fitness plan that works.

WHAT IS A HEALTH COACH ?

A

Health Coach is a mentor who guides and empowers you providing ongoing support and guidance as you set goals and make sustainable changes that improves your health and happiness. Some common areas where a Health Coach can assist includes weight management, food cravings, sleep, energy, digestion, stress, and time management, career and relationships, even your finances. A Health Coach can work side by side with your physician to work toward improving your health and life Life is a journey . . . Donna May would like to walk beside of you to make your journey healthier and happier. Donna May provides one on one sessions she LISTENS

she UNDERSTANDS

ABOUT DONNA MAY Donna May is a graduate of the Institute for Integrative Nutrition in New York City, where she received her Health Coaching Degree in 2018. She has received in-depth training in nutrition, health and wellness, coaching skills and business development. She is one of three Certified Health Coaches in the valley, and has a passion to help individuals live a balanced life, and become happier and healthier again.

Donna is a life time resident of the Shenandoah Valley and resides in Fulks Run.

DAILY NEWS-RECORD • July, 2019

19

Manage Pain with Massage Therapy

A

ddiction to opiates is a growing problem in the United States and Canada. Pain relief therapies, such as massage therapy, can be viable alternatives to the prescription pain medicines that often serve as a gateway to illegal drugs such as heroin.

Addiction to prescription painkillers is common. The National Institute on Drug Abuse estimates that 4.7 million people in the United States are dependent on painkillers, the sale of which has increased by more than 300 percent since 1999. Retail pharmacies across Canada dispensed 19 million prescriptions for opioids in 2016, which was up slightly from 18.9 million in 2015, according to the health data company QuintilesIMS. When prescriptions to oxycodone, hydromorphone and fentanyl run out, many people turn to heroin as a less expensive and more readily available means of pain relief.

NIDA says that up to 7 percent of people who are prescribed opiate or analgesic pain killers will become addicted. To help reduce the overprescribing epidemic and keep people from becoming addicted to pain meds, people can look for other ways to alleviate pain.

Massage therapy is a viable option that can work wonders to improve flexibility and offer relief from pain in different parts of the body. In addition to alleviating pain, massage therapy can promote relaxation, reduce anxiety and improve quality of life.

Research indicates that massage therapy can reduce the incidence and frequency of back pain, headache and leg pain and can even reduce stress and tension.

Massage therapy can be an asset to those with myalgia, carpal tunnel syndrome and other conditions.

Researchers at McMaster University in Canada found that massage therapy affects the activity of certain genes, which directly reduces inflammation in muscles — the same results that would occur if a person took pain medication. Researchers tested people who exercised and received massages afterward against a control group, discovering that “massage dampened the activity of proteins known as inflammatory cytokines, which cause inflammation and pain. It also increased levels of proteins that signal the muscles

Become Sub-Zero Strong

to produce more mitochondria, the cell structures that produce energy and help muscles recover from activity.”

A review published in the journal Complementary Therapies in Clinical Practice noted that moderate pressure massage can lead to decreased cortisol levels, helping to reduce stress and anxiety. Massage may help stimulate serotonin products, improving mood and feelings of well-being. Also, according to AMTA, deeper massage stimulates blood circulation to improve the supply of oxygen and nutrients to body tissues while helping the lymphatic system to flush away waste products. It also eases tense and knotted muscles and stiff joints, improving mobility and flexibility.

Massage therapy can be a viable alternative for pain sufferers who are reluctant to take potentially addictive prescription pain medications.

Cryotherapy Benefits

A

t Valley Cryo, we offer simple, sustainable solutions for your recovery and wellness! We use cuttingedge technology that targets inflammation in the body. Our cryotherapy chamber rapidly cools the body, accelerating muscle recovery, reducing inflammation, burning up to 500 calories, and activating anti-aging skin rejuvenation. It’s an ice bath for the 21st Century.

Our infrared sauna detoxes your body 7-10 times more than a traditional sauna, encouraging glowing skin and muscle relaxation/recovery - improving your performance and well-being.

- Health and Wellness - Skin Restoration - Sleep - Stress and Anxiety

Valley Cryo

- Inflammation and Pain Management - Weight Loss - Recovery and Performance

(540) 217-2831 www.myvalleycryo.com

313 Neff Ave Suite 2C Harrisonburg, VA 22801

Our NormaTec compression boots move toxins through the body and facilitate lymphatic drainage.

Resource the expertise of Founder-owner Jenny Haselhorst, a Registered Nurse of 23 years, in the selection of one or more of our treatment options aimed at helping you be your best. Recover faster so you can work harder. Feel Invincible. Look Incredible. You deserve to treat yourself to Valley Cryo.