Good Health December 2013

Page 1

UN W IN D W AY ST O

ME M P H I S

A healthy lifestyle publication

TAI CHI meditation

in motion The Art of Herbal Tea A Healthy Dose of Gratitude Guilt Free Comfort Food

DECEMBER 2013

+ CYCLOCROSS IN MEMPHIS


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©BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.

When it comes to

PATIENT SAFETY, We’re all on the

SAME TEAM.

That’s why the Tennessee Hospital Association and BlueCross BlueShield of Tennessee teamed up to create the Tennessee Center for Patient Safety. This program provides ongoing training and support to eliminate infections and help keep patients across the state healthy and safe. So everyone who provides care can provide it better. BlueCross BlueShield of Tennessee is for Tennessee. See how BlueCross is impacting your community at bcbst.com/impact A not-for-profit, Tennessee-based company. An Independent Licensee of the BlueCross BlueShield Association


december 2013 | ways to unwind 8 The art of herbal tea 11 Give thanks, it could make you healthier 13 5 signs of stress in kids 16 Beat the holiday blues 20 Cyclocross: A Memphis tradition 22 A massage first

departments 14 Work it out: Muscle release 17 Treat Yourself: Gifts for relaxation 23 Running Calendar 28 Guilt Free Comfort Food: Apple Cake

sponsored features 18 Do you have venous insufficiency? Memphis Vein Center 21 Listen Up! Hearing Loss and Holidays Hearing and Balance Centers of West Tennessee 25 The Mazor Robotics’ Rennaissance System for Spine Surgeries St. Francis Hospital-Memphis

14

4 cover story Tai Chi: Meditation in motion

8

13


from the editor The lights! The parties! The gifts! The stress. It’s the dichotomy of the season. We make new memories while reflecting on the year gone by. There are ups (so much food!) and downs (too much food!) and simultaneous feelings of excitement and nervousness. No matter the amount of planning, something on the list won’t get crossed. But before everything becomes overwhelming, take the time now to get your stress levels in check. Too much stress can lead to lowered immunity and The Mayo Clinic cites Sara P. Shirley Good Health Editor

health effects such as headaches, chest pain, upset stomach, sleep problems, anxiety, overeating and depression. In this issue, we explored ways to reduce stress so you can enjoy what the holidays are all about: happy times spent with those we love. If you’re a stress eater, we are dishing up a recipe for Apple Cake that won’t leave you with a guilty conscience (pg. 28). On pg. 14, we have step-by-step instructions for exercises to help relax and relieve muscle stress. We explored the practice of Tai Chi in Memphis (pg. 4) and looked into the medicinal values of herbal tea (pg. 8). If you’ve never tried massage, read about Amy Mills’ first experience on pg. 22. I’m already thinking about what my resolutions for the New Year will be, and I’d love to know about yours. Send your ideas to Patterson@commercialappeal.com with your name and age, and I’ll feature a few in the next issue. Thanks for reading, and happy holidays.

Wishing you good health,

Associate Publisher (T` 4PSSZ HT` TPSSZ'ZJYPWWZ JVT

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Contributors Jason Prater Mike Mueller

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Veronica Engle (left) leads a Tai Chi class in the student fitness center at the University of Tennessee Health and Science Center.

meditation in motion Story by Sara P. Shirley | Photos by Brandon Dill

A

t noon on a recent Thursday, peaceful

concept known by different names in several

health benefits and, in her work as a geriatric

music filled the exercise room in the

ancient cultures. In India, the same concept

nurse, has used tai chi as therapy for her

fitness center at the University of Tennessee

is called “Prana,” in Japan, “Ki,” and for Native

patients—some who couldn’t walk or stand.

Health Science Center. Students, faculty, staff

American’s, the “Great Spirit.”

and visitors entered to greet Tai chi instructor

Acupuncture and traditional Chinese

Engle is nationally certified through the Arthritis Foundation and teaches tai chi for Arthritis at UTHSC on Thursdays.

Veronica Engle with quiet hellos. S ome

medicine are based on balancing and

took off their shoes, some didn’t. Most were

enhancing chi to improve health. Tai chi is

dressed in business attire.

a type of exercise designed for relaxation,

$5 for visitors with a day pass and also

balance and health.

available to fitness center members. Tai chi for

The class of 13, some new to tai chi and some experienced, warmed up by walking,

“The free flow of chi is essential for

The class is free to students and faculty,

arthritis uses Sun-style tai chi which is one of

heel-to-toe, as Engle, a retired nurse and

good health,” Engle said. “Tai chi is healing

the discipline’s five major recognized styles.

UTHSC professor emeritus, explained the

movement—not physical exercise.”

The style includes agile steps, high stances,

concept of chi. Chi, or a person’s “life force,” is a

Engle has been practicing tai chi for 20 years. She has performed research on its

gentle movements and relaxed breathing. The style is appropriate for persons of any age


and physical level, and Engle’s class consists of a cross-section of genders, ages and experience levels. Before class begins, Engle asks participants to take stock of how they feel and several times throughout class she does “body checks” so the participants can evaluate their progression. The class involves slow, graceful movements that can feel awkward for beginners. “Where are we on the ‘awkward-o-meter’?” Engle asks first-timers in her Thursday class. “It’s always awkward for beginners, but it gets easier.” One of Engle’s regulars, Bill Brescia, is also a Tai chi instructor. Brescia fell into Tai chi after a bone spur on his knee threw a wrench in his speed-walking routine, he said. Brescia, who is the director of instructional technology at the UTHSC College of Medicine, said he teaches at St. John’s Episcopal Church in Memphis. Interested parties can call the church to find out about class schedules.

“I enjoy tai chi because it makes it easier to do a lot of other things,” Brescia said. For example, Brescia, who said he once had terrible balance, now uses his tai chi skills to climb ladders and conquer hard-to-reach tasks.

Tai Chi for health What the

research says

“You wouldn’t guess it, but I probably use tai chi most when I garden,” said Brescia. “The

Sleep Problems: In a study published in the July 2008 issue of

improved balance helps in many areas.”

The free flow of chi is essential for good health –Veronica Engle, PhD, RN, FAAN, Professor Emeritus, University of Tennessee Health Science Center fitness instructor

the journal Sleep, researchers at the University of California, Los Angeles, found that 16 weeks of tai chi improved the quality and duration of sleep of 112 healthy adults with moderate sleep complaints. The tai chi worked better than standard sleep education, the study found.

Breast Cancer: A 2008 study at the University of Rochester, published in Medicine and Sport Science, found that women with breast cancer who did 12 weeks of tai chi reported improved quality of life and functional capacity, including aerobic capacity, muscle strength and flexibility. Women with breast cancer in a control group in the

Why Tai Chi?

same stud who did not participate tai chi

1. Improved balance

areas.

2. Increased muscle strength

Stroke: A study published in

3. Greater range of motion 4. Decreased joint pain 5. Improved sleep 6. Fall prevention 7. Reduced stress 8. Boosted immune system 9. Mental Clarity

reported no improvement in the same

2009 found that 12 weeks of tai chi improved standing balance more than a general exercise program in 136 patients who’d suffered a stroke at least six months earlier. The study was published in a January 2009 issue of Neurorehabilitation and Neural Repair.

Heart Disease: A year of tai chi significantly boosted exercise capacity, lowered blood pressure and improved contd. on pg. 6


contd. from pg. 5

levels of cholesterol, triglycerides, insulin and C-reactive protein in people at high risk for heart disease, a 53-person study at National

Heart Disease is the

Taiwan University found. The study was published in the September 2008 Journal of Alternative and Complementary Medicine and found no improvement in a control group that did not practice tai chi.

Arthritis: An hour of tai chi twice a week for 12 weeks reduced pain and improved mood and physical functioning more than standard stretching exercises in people with severe knee osteoarthritis, a

#1 Killer of All Men And WoMen!

40-person study at Tufts University found. The study was presented in October 2008 at a meeting of the American College of Rheumatology. Additional studies link tai chi to improvements for people with low bone density, hypertension and Parkinson’s disease. Research also suggests

• Are you at risk for a heart • Do you have blockage in attack? your legs? • Are you at risk for a stroke?

that tai chi improves muscle strength, flexibility, balance and aerobic conditioning. To learn more, visit the National Center for Complementary and Alternative Medicine’s website at

www.nccam.nih.gov/health/taichi.

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the art of herbal tea Story by Sara P. Shirley Photos by Brandon Dill

A medicinal decoction with fennel seed, licorice root and cinnamon.

T

he first time Evelyn Mosley pulled medicinal herbs out of her cabinet for use, her son had just broken his toe. It happened on a weekend in the middle of flu season, Mosley said, and rather than wait hours in the emergency room, she decided to try one of the home remedies she had read about in an herbal medicine book. Mosley soaked a rag in a concoction of comfrey and other herbs, and placed the rag on her son’s swollen, black and blue toe. The next morning, the swelling was significantly reduced and the discoloration had improved, she said. “I couldn’t believe it,”

Mosley said. “It really worked.”

Mosley was a quick study of herbs and has since become

Q: Why drink medicinal teas?

part of the Memphis Herbalist Society. She grows her own herbs and produces teas, poultices, tinctures and tonics. Holy basil hangs to dry with the pots and pans in the kitchen of her Germantown home.

A: Drinking a medicinal tea is one of the simplest ways to receive a plant’s healing benefits. Q: Which herbs can be used for medicinal teas?

Mosley also teaches others how to brew medicinal tea, and she recently shared a few of her secrets with Good Health.

A: Almost any herb that has healing properties may be made into a tea.


Q: Where do I find herbs? A: You may grow your own and use them

fresh or dried. Bulk dried herbs can be found through online distributors. Herbal teas can be found at grocery stores or in specialty shops. Whole leaves are better than herbal tea bags because they are less processed, so the plant oils are more preserved, producing a more concentrated tea.

Q: How much herb should I use? A: For one serving of tea, use 1-2 teaspoons of

dried herbs or 3-6 teaspoons of fresh herbs per 6-8 ounces of water. For a quart of tea, use 2-3 tablespoons of dried herbs or 6-9 tablespoons of fresh herbs per quart of water.

Healing Herbs Basil – for bloating, flatulence, nausea Chamomile – for anxiety, insomnia, infant colic

How to make an herbal tea infusion

How to make an herbal tea decoction

Infusions are prepared from herb leaves, stems and flowers. Boiling water is added; the mixture is covered, then allowed to steep.

Decoctions are prepared from the roots, woody stems, barks and seeds of herbs and are gently simmered in water, covered.

1. Measure the herbs into a metal or glass container

1. Bring water to a boil in a pot

2. Bring water to a boil and then pour the water over the herbs 3. Cover with a lid and steep for 10-15 minutes 4. Strain into a cup. Sweeten with honey if desired.

2. Add the measured herbs to the pot and reduce the temperature until water is gently simmering. Cover with a lid. 3. Simmer the herbs for 15-20 minutes. 4. Strain into a cup. Sweeten with honey if desired.

Fennel seeds – for bloating, flatulence, coughs Elder flowers – for cold symptoms Ginger root – for nausea, motion sickness, migraine Lavender – for stress, nausea, insomnia Lemon balm – for anxiety, stress Peppermint – for bloating, flatulence, is a mild stimulant Sage – for coughs, cold symptoms Thyme – for cold symptoms, sore throat Valerian – for stress, anxiety, insomnia

Tea tip Fill your teacups with hot water while you are waiting on your tea to simmer or steep. Pour the water out when the tea is ready, and the warm cup will better hold heat while you sip!

Evelyn Mosley pours a medicinal tea decoction into a strainer. (Step 4).


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Give thanks it could make you healthier by Mike Mueller

F

or those looking for another reason to give thanks this

holiday season, here’s a compelling

one: gratitude leads to better health and

a brighter outlook. Research has shown that simply having

a grateful mindset engenders numerous

health benefits, from a healthier immune

system to better sleep to just feeling happier.

For example, a 2003 study found that routinely

counting your blessings can lead to lasting positive

effects. “There do appear to exist benefits to regularly

focusing on one’s blessings,” the researchers wrote in

the study, also noting that based on their research, they

believe “an intentional grateful focus is one form of cognitive

appraisal of one’s life circumstances with the ability to impact

long-term levels of well-being.” Another study found that among first-year law students,

those who maintained a grateful attitude maintained higher counts

of immune-protecting blood cells than those who focused on their

burdens instead. Susan Andrews, a psychiatric mental health nurse practitioner at

the University of Tennessee Health Science Center who treats patients at

UTHSC University Health Services, said gratitude is often part of a treatment

called cognitive behavioral therapy, in which patients learn to think in a more

positive way. “Gratitude is almost always a part of that,” she said. “Having gratitude about

things in life that are working well help people feel better about their situation and

better connect with others.” The concept of better health through gratitude is the offspring of the positive

psychology movement that began in 1990s. Dr. Robert Emmons of the University of

California-Davis and Dr. Michael E. McCullough of the University of Miami, who together


penned the aforementioned 2003 study,

Andrews, who has nearly 30 years of experience

gratitude, the key lies in consistently thinking

have spearheaded gratitude research, which

in her field. “It’s helpful for people of all walks of

about and expressing what they’re thankful for.

has yielded a long list of potential benefits. It

life.�

There are graa number of ways to cultivate Giving thanks can be easier in late

includes:

gratitude. A study published in 2011 required

Ĺž

Improved well-being well-being Improved

November than during the rest of the year

college students to spend 15 minutes before

Ĺž

happier, more moreoptimistic optimistic outlook outlook A happier,

– long Thanksgiving weekends surely help –

bed writing in a gratitude journal, jotting down

Ĺž

Improved heart heart health health Improved

but for anyone to fully reap the benefits of

things for which they’re thankful. As a result,

Ĺž

Better coping coping with with stress stress Better

the students worried less, fell asleep faster and

Ĺž

Improved mental mental alertness alertness Improved

slept better and longer.

Ĺž

stronger immune immune system system A stronger

Ĺž

Better sleep sleep Better

Ĺž

increased feeling feeling of ofbelonging belonging An increased

Ĺž

stronger desire take care care of of A stronger desire to to take yourself, mentally mentally and and physically physically yourself,

Another positive of gratitude – it can

Methods to keep gratitude-levels up Ĺž Ĺž Ĺž

benefit just about everyone. “According to research and in my

experience as well, it is helpful for most of us

just to have a time set aside to acknowledge

Ĺž Ĺž Ĺž

that we’re grateful for things going on in our

lives and for our personal attributes,� said

Ĺž

For those interested in regularly cultivating gratitude, Andrews suggests people assign themselves “homework�, be it writing down

Keep a gratitude journal Have a gratitude partner, someone to acknowledge your gratitude Focus on what you have, not what you don’t Reframe challenging situations by looking at them in a positive light Express your gratitude to others Make a list of good things you take for granted Think thankful thoughts

three to five things they’re thankful for daily or starting each day by thinking about something they’re grateful for. Whatever the method, having some structure is helpful, she said. “Some things work for one person and maybe not another,� said Andrews. “Having a few options about how you might go about this and deciding what works best for you is a good point to start from.�

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5 signs

your child is stressed by Sara P. Shirley

A

dults often look back on childhood and think, ‘Oh, it was so easy then,’ said Thomas Hobson, child life director at Le Bonheur Children’s Hospital. What adults tend to forget, said Hobson, is their mental capacity and ability to manage stress at a younger age. Sure, a 30 year old can more easily handle a third-grader’s homework than an eight year old, but that doesn’t mean that a third grader is necessarily less stressed than an adult, Hobson said.

With the holiday season upon us, Hobson reminds parents to be aware of the stressors associated with this time of year. Something as simple as rearranging furniture to make room for decorations can cause stress to a kid, he said. “There are small things that we don’t necessarily think about that can cause stress,” said Hobson. “And what you begin to see is that the stress starts to sneak up.” Tests at school, a rigorous sports schedule and jam-packed holiday activities can overwhelm kids and parents alike, said Hobson. If you’re wondering whether or not your child is teetering on the brink of a meltdown, here are some signs to watch for: 1. Not as much sleep as usual

3. Temper tantrums

“Infants and adolescents are the two groups that need the most sleep,” said Hobson. “And one of those two groups is more likely to get that sleep. Adolescents will stay up until midnight or two-tothree o’clock in the morning studying, trying to get things in. Physiologically, it takes a toll.”

“If a child is under too much stress, they’ll tend to snap—just like adults,” said Hobson. “Their tolerance of things will be down and you might see more temper tantrums or an episode where they completely fall apart.”

2. Drama at school “Drama between friends at school is pretty standard but coupled with other stressors this could become a bigger problem. It’s something to pay attention to.”

4. Distance from friends and family “Sometimes, we’ll see kids just shut down,” said Hobson. “They might be there physically, but they seem emotionally detached.” 5. Frequent colds

“One of the things we know is that the immune system takes a hit when we are under too much stress,” said Hobson. “Think about it –we’re going into cold and flu season with a lessened ability to fight it off. What’s worse is that when a child is sick, he (or she) is going to have the added stress later of making up schoolwork. It really all starts to add up.” If you’ve noticed or are worried that your child is overwhelmed, Hobson also gave some tips to help reduce stress levels. Such as: Talk to your child to find out the main stressor. Then, work with the child to create a plan to work through it. “The trick to it is engaging the child. It’s not about solving their problems for them but having a conversation. Helping a child to think through a problem and create a plan will help them have better coping techniques and feel more empowered.”

Unplug. “Give kids time to be kids. Have them drop the technology and go play.”

Free up your child’s schedule. “One thing that is really important is to have some free play time. If every moment of the child’s day is carried out according to a plan, he (or she) can become so tightly wound that everything is ruined when one thing goes wrong. “

Mind your own stress levels. “Children pick up stress from their parents. We see this all the time in the hospital, where a child will be calm until the parent comes in because the parent is so nervous. It’s the same with stress and begins to impact their lives.”

Extra sleep. “Sometimes this takes some advance planning, but if you know that the routine is going to be thrown off on a certain day, put the kids in bed thirty minutes early the night before to try and ease the break in routine.”


work it out | step-by-step moves for a healthy body

Relieve Stressed Muscles

1 Gastrocnemius/Soleus (calves)

E

Same body position as before, but place the foam roller under your hamstring. Slowly roll from back of the knee toward the posterior hip.

Photos by Jason Terrell

ver feel like your muscles are all knotted up after sitting hunched at a computer desk all day? Nanette Farris, a licensed physical therapist, personal trainer and owner of Fundamental Fitness Studio in Memphis, suggests using self-myofascial release to relax those muscles. Farris also suggests self-myofascial release to alleviate post-workout soreness. “Self-myofascial release is a form of flexibility that focuses on the body’s fascial system,” explains Farris. The fascial system is the web of connective tissues that surrounds our muscles, blood vessels and nerves. Sustained pressure with the use of a foam roller or a product called “the stick” to an adhesion in the fascial muscle can help release and promote increased flexibility of the tissue. Foam rollers and “the stick” can be purchased at the new Breakaway Athletics in Overton Square or other athletics stores.

Sit down with one knee bent and the other straight. Place the foam roller under your calf and place your arms behind your back. Lift up and slowly roll the calf area to find the most tender area. Switch legs and repeat.

1 A If you find the foam roller exercise too strenuous, sit in a chair and prop one leg on a solid surface. Roll the stick along your calf muscle slowly. Switch legs and repeat.

2 Hamstrings

2 A For a lighter release, sit in a chair, with one leg propped up, and roll the stick from your knee toward your hip.

4 Piriformis

With your arms behind you for support, and one leg crossed over the other, slowly roll on your posterior-hip area

5 Rhomboids (lower back)

Place arms to the side, palms up, and slowly roll up and down the back

6 Quadriceps

In a facedown position with elbows on ground for support, roll slowly from your pelvic bone to the knee area

6 A For a lighter stretch, sit in a chair and roll the stick slowly in the same area

Stretch 7 Pectoralis (Great for relaxation!)

Lie on the foam roller length-wise and allow your arms to relax on either side of you, with palms up.

3 IT band

Roll to your side and place one hand on the ground, the other on your hip, and your back leg crossed in front of the other. Slowly roll from hip joint (not up to the bone) to your lateral knee

3 A For a lighter release, sit cross legged in your chair and roll the stick along your IT band.

1


2

3

4

5

6

7 2a

1a

For best results

6a

With each exercise demonstrated, sustained pressure should be held for 3-5 minutes to the most tender area found.

3a

Note: The exercises provided are general but may be difficult for some individuals. If any difficulty or pain occurs with the performance of these exercises, if is recommended that an evaluation by a physical therapist be performed to modify and correct according to the individual’s specific mobility needs.


Beat the holiday blues Story by Sara P. Shirley

During the holidays, people often feel they have to be “everything for everyone,â€? said Gregg Ginn, a licensed master social worker and clinician at Lakeside Behavioral Health System in Memphis. The stress of trying to “make everything just rightâ€? for the holidays could be part of the reason why an estimated $20 million people suffer from some sort of depression during the season, Ginn said. “If you’re getting older but have a family that still expects that big, big thanksgiving dinner or Christmas meal, it’s going to get harder every year to reach that benchmark,â€? said Ginn. And an added stress factor for many during the holidays is the recent loss of a loved one. “A lot of memories are associated around the holidays,â€? said Ginn. “People experiencing their first Christmas without a spouse, mother, father, brother‌it’s so easy to fall into the trap of remembering those happier times and focusing on what is lost as opposed to focusing on the future.â€? To avoid that trap and lessen your stress load, Ginn offered a few tips: Ĺž Take one item off your plate. Whether it’s hosting a holiday party, attending several others or cooking the biggest meal of the year, do away with one obligation. Ĺž Limit alcohol consumption. If you’re feeling down or overwhelmed, too much alcohol at a holiday celebration could exacerbate the problem. Ĺž Ask for help. Whether you need a hand getting dinner on the table or a shoulder to cry on during a tough moment, that’s what friends and family are for. Ĺž Focus on creating new memories. If you look at the holidays as a clean slate, you’ll be less likely to worry about what you feel you need to be doing, or what you’ve done in the past. “Sometimes you just have to reprioritize,â€? said Ginn. “What’s most important to you and your family? Is it really the details of the dinner? No, I think most people will tell you it’s spending time with loved ones.â€?

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Before

Anti-inflammatory medication – Medications like ibuprofen (Motrin) can help alleviate symptoms Venous Treatment Laser treatment – This treatment eliminates varicose veins and is done in our office. Your lower leg is numbed with a local anesthetic. Using ultrasound, the doctor finds the abnormal vein and punctures it with a small needle. A long plastic tube, called a catheter, is then passed through the vein up to the leaking valves, usually found in the groin. Through the catheter, the laser is passed. The laser is activated and slowly pulled out of the vein, closing it down so it will no longer leak. This procedure lasts less than an hour, other than the pinches from the local an-

esthetic, is relatively painless. After the procedure, After patients can walk right out of the office. They wear a support stocking for at least two weeks and follow up in a week. If symptoms are not relieved with conservative medical treatment, most insurance plans cover the endovenous laser treatment. Kishore K. Arcot, M.D., F.A.C.C., established Memphis Vein Center with the goal of providing quality vascular care in a relaxed and convenient environment. Dr. Arcot is a board-certified interventional cardiologist with 15 years experience in interventional cardiology and management of peripheral vascular diseases. He received his cardiovascular training at the University of California, San Francisco.

Contact us for a scr eening tod ay...

Memphis ein Center

“My legs hurt all the time. They were tired and achy. I couldn’t keep them still when sitting. I had the endovenous laser treatment done and my symptoms have improved. I would recommend anyone to Memphis Vein Center.” “I had excruciating pain for 10 years! After having the varicose laser procedure with Dr. Arcot, my PAIN has gone. I can finally go back walking everyday without any pain!” “I came to Memphis Vein Center, and I had suffered from venous stasis for years. I’m a nurse, and I had constant pain in my leg. After treatment with Dr. Arcot, my leg looks really good with very little pain. I have already referred my sister to him. Great job Dr. Arcot and all your staff!”

• 45 minute procedure with no general anesthesia or hospitalization • Relief from swelling, pain, ulcers & discolorization • Covered by most insurance carriers

6005 Park Ave., Suite 225-B • Memphis, TN 38119 • Phone: 901.767.6765 • Fax: 901.767.9639


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Do You Have Venous Insufficiency? It can cause these complications.

aricose veins/veinous insufficiency are V abnormal veins that can occur in the legs. They can be small, thin purple-colored

This medical condition is called venous insufficiency. Varicose veins are very common in the United States, affecting approximately 15% of men and 25% women. LASER TREATMENT This eliminates the venous insufficiency and varicose veins and is done in our office. A long plastic tube is inserted, under local

lines (called “spider veins�) that lie just below the surface, or they can appear as thick, bulging, or knotted veins. While many people think that varicose veins are simply a cosmetic issue, there is often an underlying medical problem that causes varicose veins.

Cellulitis

Ankle Edema

Varicose Veins with Ankle Edema

Varicose Veins with Ankle Edema During Pregnancy

anesthetic. Using ultrasound guidance, the laser fiber is inserted in the leg above the origin of varicose veins. Once the laser is activated, the laser closes off the leaky valves, improving the circulation and redirecting the blood throug normal veins. This whole procedure takes less than one hour. After the procedure, the patient can return to daily activities right away.

Cellulitis with Ankle Edema

Veinous Ulcer

Kishore K. Arcot MD, FACC, FSCAI, RPVI

Hyper Pigmentation

Kishore K. Arcot MD, FACC, FSCAI, RPVI is board certified in interventional cardiology, endovascular medicine and phlebology with 20 years of experience in management of peripheral vascular diseases. He has received cardiovascular training at the University of San Francisco and has trained several cardiologists in performing laser/RF procedures for varicose vein treatment. He received most compassionate doctor award for years 2010, 2011 and 2012


Cyclocross A Memphis Tradition Story and photos by Bryant Funston

What is cyclocross? Cyclocross is a type of bicycle race that usually takes place in the fall or winter. The course typically consists of grass, hills, trails and pavement with obstacles that require the cyclist to have to dismount and run or carry his or her bike over the obstacle.

This is the longest and one of the most prestigious cyclocross race events in the USA. – Joe Royer, Outdoors Inc. Cyclocross Championship race director

K

evin Conerly, from Brandon, Miss., rode to

that the Mississippi River provides, as two of the

victory in the 27th annual Outdoors, Inc.

reasons this race has been such a success.

Cyclocross Championship elite men’s race

The Men’s Pro/Elite race started out fast, with

which took place Nov. 10 at Green Belt Park, on the

nice temperatures providing everyone with a little

banks of the Mississippi River.

extra motivation to push the pace early. Memphis

The race proved to once again serve up some great action. Joe Royer, the longtime race director and founder of Outdoors, Inc., explained that, “this is

native Boomer Leopold went to the front of the group and rode hard enough to split things up just a lap into this hard, winding race. By the time the racers came through on the

the longest running and one of the most prestigious

second lap, Matt Joiner from Jackson, Tenn., was on

cyclocross events in the USA.” He pointed to the

the front of the pack pushing things through the

fact that this race draws some of the nations top

home stretch. The pack of 20 plus was already down

cyclocross racers, as well as the amazing backdrop

to an elite group of eight racers.


By the midway point of the 50-minute race, it was clear that the winner would come from the three-person group that had distanced itself from the remainder of the racers. Joiner, who had experienced some mechanical problems earlier in the race, dangled off the back of Leopold and Conerly as they made their way up one of the marquee features of the race -- the brick staircase that most racers were forced to run up while carrying their bikes. By the next time up the staircase, Joiner had fallen more than 20 seconds back, turning it into a two-man race. With two laps remaining, Conerly came through the finish line with a 10-second gap over Leopold. According to Conerly, “I made my move on the finishing stretch with two laps to go. After I got a gap, I just did my best to hold on. Boomer is a strong competitor so I had to stay focused and keep pushing.â€? Conerly did just that, extending his lead all the way to the finish to win in solo fashion. “I’ve finished second twice here, so it was nice to finally get the win.â€? Leopold, who had raced earlier in the day and won the Single Speed category, was able to push hard and hold on for second place. Joiner, held off the remaining racers to finish third. In the Women’s elite race, Andrea Wilson from Memphis rode to victory over Ines Cooper and Lucia Colbert.  Full results can be viewed online at www.outdoorsinc.com/pages/cyclocross

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Listen Up! Hearing Loss & Holidays

The sounds of a turkey gobbling, shoppers shopping, Christmas bells ringing, carolers singing, and families gathered together are all nice sounds to hear this time of year. The holidays are filled with special conversations with family and friends. But for those who have difficulty hearing, many of these things are often missed, making this time of year stressful and isolating. Hearing loss can affect anyone. The miscommunication that occurs with hearing loss affects the person’s loved ones as well. That is why it is important to have your hearing tested and seek professional help if a problem is suspected. At Hearing & Balance Centers of West Tennessee, hearing aid recommendations are made based on the degree of loss as well as the individual’s needs, lifestyle, and budget. Digital hearing aids can be precisely fine-tuned and are available in broadly divided groups based on the level of technology, from economy to basic to premium. While economy hearing aids advertised at a cost of $995 each may be attractive, they cannot provide the best performance in speech understanding and background noise. For better performance, the more advanced hearing aids range from $2,000 to $3,200 each. Do not let your hearing loss keep you from enjoying the wonderful sounds of the holidays! For more information or to schedule your FREE HEARING SCREENING contact HEARING & BALANCE CENTERS OF WEST TENNESSEE at 901-842-4327.

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A massage first Story and photos by Sara P. Shirley

A

high-energy, hardworking mother of two, Amy Mills, who is the associate publisher of Good Health, is more accustomed to taking care of others than of herself. Mills recently received a gift card to a local massage parlor and realized that, at age 37, she had never had one.

Amy Mills prepares for her massage.

Since this month’s issue focuses on stress, Mills let the magazine tag along to document her first massage experience, which she later described as “seriously amazing.” Research backs massage as an effective treatment for reducing stress, according to The Mayo Clinic. And various clinical studies have suggested massage can ease insomnia, relieve anxiety, boost

immunity, prevent PMS and help stabilize blood pressure. In a 1996 study published in the Journal of Applied Behavioral Science, 18 employees of a downsizing organization participated in an on-site massage chair therapy program. The subjects’ stress levels were measured against a control group’s, and the study revealed significant reductions in anxiety levels for the massage group. Many of the positive health effects associated with massage are linked to an increase in the production of endorphins, or “feel good” chemicals, in the body. Seratonin and dopamine are also released through message, resulting in feelings of serenity. Mills wasn’t sure if she would be able to fully relax once disrobed and in a confined space with a stranger. After she arrived at Massage Envy in Midtown for her appointment, though, her fears quickly dissipated. Before Mills was taken into the massage room, a cheerful receptionist asked her to fill out a chart detailing her trouble areas and what she hoped to gain from the session. Mills’ problem area was in her upper back, between her shoulder blades. When she was 19, Mills fell off a ladder and pain from the injury has lingered into her 30s. The receptionist also explained that the massage was customizable. Mills

didn’t want her hands or feet massaged, and that was no problem. Massage therapist Shelisa Dorian began by dimming the lights, placing Mills face down on the massage table and opening a small bottle of essential oils formulated for aches and pains. Dorian warmed the oils in her hands and asked Mills to take several deep breaths before the massage began. Mills had Dorian focus on her back for 50 minutes, instead of going for a full body massage. Dorian noted that she immediately felt several knots in Mills’ trouble area and made sure to tailor the pressure level to Mills’ liking. In the end, Mills said she felt comfortable throughout the massage and much more relaxed after. “I am a little bit sore in my shoulders, but it’s a good sore because I can tell that she got a lot of the tension out,” said Mills. “I plan on going back.”

Hydrate Drink a glass of water immediately after your massage to rehydrate your muscles and reduce potential soreness.

Talk it out If you aren’t comfortable with a certain stroke or pressure level, tell the therapist. You don’t have to chat throughout the massage, but you shouldn’t suffer in silence.


December Running Calendar 12/7 -- St. Jude Memphis Marathon Weekend at Downtown, Memphis

12/14 -- Winter Fun Run to benefit the Bread of Life Food Pantry, Covington

12/14 -- Jingle Bell 5K Run/1Mile Walk at Aububon Park, Memphis

12/28 -- Starry 4K Run/Walk at Shelby Farms, Memphis

For more information visit racesonline.com or memphisrunners.com

Editor’s Note: Are you participating in any of these runs? Tell us about your experience. Email the editor at

Patterson@commercialappeal.com.

Campbell Clinic Orthopaedics takes me the extra mile. Or 26.2. When you love running as much as I do, injuries are bound to happen. That’s why I rely on Campbell Clinic. They have more than 45 world-class orthopaedic specialists. So good, in fact, they literally wrote the book on orthopaedic care. Plus, they go the distance to make my life easier by offering After Hours services at their Germantown and Southaven locations. That’s why I run with the world’s best.

OFFICIAL SPORTS MEDICINE PROVIDER

Collierville Germantown Medical Center Southaven | CampbellClinic.com ©2013 Campbell Clinic P.C. All rights reserved. Campbell Clinic is a registered trademark of Campbell Clinic P.C.


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good food |

wholesome recipes and nutrition tips

Calorie Conscious Comfort:

Apple Cake

Recipe by Sarah Matheny Gordon

T

he holidays are a time for celebrating with family and friends, and no gathering is complete without an array of comfort foods and delicious desserts to share. Between the constant availability of such tasty treats and the stresses of the season – hosting parties, buying gifts, and arranging holiday travel – it can be difficult to keep from over-indulging in high-calorie foods. This apple cake is packed with holiday flavors but offers a healthier alternative to a more traditional iced cake for those times you want to indulge in something sweet. While this apple cake still earns a spot on the dessert table, the recipe has been updated to replace a portion of the oil with protein-packed Greek yogurt, and a portion of the granulated sugar with calorie-free Splenda. And with three cups of fresh apples and a whole cup of chopped walnuts, this cake is more filling and will stick with you longer than some of the other options.

Ingredients: 3 c. finely chopped Golden Delicious apples (roughly 3 medium apples, peeled, cored, sliced thin, and cut into a 1/8 to 1/4 inch dice) 1 c. vegetable oil 1 c. chopped walnuts ¾ c. Splenda ¾ c. granulated sugar (can also replace with Splenda but the outside of the cake will not brown as nicely) ½ c. plain Greek yogurt (not low-fat) 2 tsp. vanilla 1 tsp. cinnamon ½ tsp. nutmeg ½ tsp. salt 3 whole eggs, beaten 3 c. all-purpose flour

Directions:

1 tsp. baking soda

In a large bowl, combine all ingredients except for eggs, flour, and baking soda. Stir well to combine. Cover with plastic wrap and allow to rest on the counter for 45 minutes, stirring occasionally. While the apple mixture is resting, preheat the oven to 350 degrees. In a smaller bowl, whisk together baking soda and flour. Coat an angel food cake pan with cooking spray. After 45 minutes, add beaten eggs to the apple mixture, and stir well. Add flour and baking soda to the apple mixture, stirring to mix thoroughly. The batter will be thick. Spoon the batter into the angel food pan and smooth the top using an offset spatula or the back of the spoon. Bake on the center rack for 1 ½ hours, until the cake has darkened in color and is pulling away from the outside of the pan. Allow to cool for 10 minutes, then remove cake from pan and finish on a cooling rack covered with tin foil.


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