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pregnancy Gentle poses can help ease discomfort
ALSO INSIDE: • Maui spas offer plenty of pampering • Physical therapy for cancer treatment side effects
PLUS: Hui No Ke Ola Pono provides free health screenings A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T1
WOMEN’S HEALTH | AUGUST 2015
Taste the rainbow: Colorful diet a simple way to ensure nutrition
ome people complain about how difficult it is to eat healthy food because of all the conflicting information on what exactly is good for you. How much iron do you need? What about antioxidants? How about folic acid? You can drive yourself crazy trying to micromanage your diet to ensure you are getting the right stuff. If you’ve got a family, you’re probably even
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Berries contain a variety of nutrients and antioxidants.
more concerned. One simple way to consume a variety of nutrients and ensure a balanced diet is to choose your food by color. Different-colored foods get their color from different pigments, which arise from different nutritional elements. Red foods Red fruits and vegetables have either lycopene or anthocyanins. Lycopene has been
shown to reduce the risk of some cancers, while anthocyanins serve as antioxidants that can protect cells from damage. Red foods include apples, grapes, potatoes, raspberries, tomatoes and watermelon. Orange and yellow foods Orange and yellow foods are colored by carotenoids, which get converted into vita-
min A in the body. Carotenoids have also been shown to reduce the risk of heart disease and cancer and improve the body’s immune system. Oranges and nectarines obviously qualify as orange and yellow foods, but so do sweet corn, sweet potatoes and
See RAINBOW on the next page
Many health benefits found in massage therapy Regular massage therapy can play a key role in overall health and well-being. Massages can help reduce pain and muscle tension and overall stress levels and can improve circulation and increase range of motion. At Green Ti, located in Wailuku for the past eight years, a wide variety of massage therapy techniques are offered, customized to suit individual clients’ needs.
A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T2
Acupuncture and facial and waxing services are also available. The business specializes in therapeutic, healing work and accepts some no-fault insurance and workers compensation claims. Appointments are recommended. Services are $75 for 50 minutes or $115 for 80 minutes, with special pricing available for combinations. For more information, call 242-8788.
WOMEN’S HEALTH | AUGUST 2015
Support & Screenings
Erika Fabian, Physical Therapist Welcomes patients in Kahului • Musculoskeletal conditions • Post-surgical rehabilitation • Pediatric orthopedic conditions • Pregnancy and postpartum conditions • Urinary incontinence-stress, urge, overactive bladder
Hui No Ke Ola Pono offers free checks for breast, cervical cancer omen who don’t have insurance or who are underinsured can find comfort in knowing they have Hui No Ke Ola Pono to turn to for important health screenings. The Women’s Health Program at the nonprofit health center based in Wailuku offers free cervical cancer screenings and mammograms to those who qualify. The program aims to complete the screenings in a culturally sensitive setting, providing education on the importance of these preventive steps and information on how to do self breast exams, among other services. Dr. Heather Haynes, the organization’s medical director, said screenings for cervical and breast cancer are vital, as these cancers can be caught before symptoms arise, giving patients a better chance of survival. “Once people find out about the program, they’re thrilled that the service is there for them,” she said. In addition to the Women’s Health Program, the organization focuses on overall health enhancement and disease prevention and also provides primary care services at its general clinic. According to the organization’s website, staff members work within a standard of conduct that reflects Hawaiian values. The organization is one of five Native Hawaiian Health Care Systems created under the Native Hawaiian Health Care Act of 1988 and was reauthorized under the Native Hawaiian Health Care Improvement Act of 1992. Along with educational opportunities, Hui No Ke Ola Pono offers health monitoring and wellness classes, and Simply Healthy Cafe is under its auspices. The free annual health screenings for women are made available through the state Department of Health and the Breast and Cervical Cancer Control Prevention program. Haynes said that, thanks to more women gaining insurance through the federal Affordable Care Act, fewer are hav-
FABIAN PHYSICAL THERAPY
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Rainbow Continued from Page 2
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Quality affordable • Massage Therapy • Acupuncture • Facials • Waxing and more …
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GIFT CERTIFICATES AVAILABLE • 40 N. Market St., Wailuku (808) 242-8788 Mammograms can help spot breast cancer early ing to take advantage of the free services. “It should continue to decrease as more people are getting insurance through the Affordable Care Act,” she said. “But we want to catch everybody we can . . . We know that there are still women out there that don’t have insurance.” For information on cervical cancer screenings and mammograms, call 442-6856. For more information on the organization’s clinics, located at the J. Walter Cameron Center in Wailuku and the Hana Community Center, call 244-4647 or visit www.hnkop.org.
Open Daily 10-6 pm • Thursday & Fridays until 7 pm www.greentimaui.com
White foods White fruits and vegetables get their color from anthoxsome watermelon. anthins. Some are good sources of potassium, while others Green foods may help lower blood pressure and cholesterol. Onions, The green family is larger than most, and it has a variety parsnips, bananas, garlic and potatoes all fall into the cateof benefits. Cruciferous vegetables like broccoli may help gory of white foods. to protect against cancer, while leafy greens contain An added benefit of eating a variety of foods is that sources of B vitamins and vitamin C and have a high iron you’ll get a variety of flavors. When people eat a variety of content. Some green vegetables like peas, peppers and cel- flavors, they tend to eat less food. Of course, any food can ery contain lutein, a chemical that helps maintain eye make you obese. Even if you eat only vegetables, if you eat health. too many of them and don’t control your portion size, you Blue and purple foods will gain weight. If you want to eat healthy, you don’t have Like their yellow counterparts, blue foods contain antho- to spend all of your time calculating micronutrients or becyanins. Blueberries, figs and plums have powerful antiox- ing swayed by the latest report on the evening news. All idants and have been shown in some studies to reduce risk you have to remember is that a healthy mixture of colors of cancer and stroke. will help you get a good mix of nutrients. A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T3
WOMEN’S HEALTH | AUGUST 2015 Spa Montage offers specials, new program
pa Montage at Montage Kapalua Bay is offering a number of specials to encourage a little extra pampering. Moms are invited to spend some motherdaughter quality time with the Mommy & Me Nail Package, featuring a Little Miss Montage Manicure & Pedicure for children 4 to 12 years old and an Island Lomi Pedicure for moms. The 75-minute service, which includes a “lollypop� bath bomb to take home, costs $220 and is available through Dec. 31. Ladies looking for an all-day escape can indulge with the spa’s Serenity of Hawaii Spa Package. For $285 per person, re-energize with an outdoor/beachside personal training session and rejuvenate with a Hawaiian Lomi Lomi massage. Refresh-
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ments are provided from the Spa Montage Juice Bar, serving local fruit and vegetable blends. Participants can take advantage of the spa facilities including a state-of-the-art fitness center, ocean-view movement studio, saltwater ocean-view infinity pool, relaxation lounge, bamboo rain showers, Hawaiian sea salt and steam room, cascading waterfall hot tub, cedar wood sauna, and locker room with shower and bath amenities. The package is available through Sept. 30. This week, Spa Montage also launched a wellness membership program, featuring access to fitness and spa facilities as well as a variety of bonuses and discounts. For information the wellness membership program and additional promotions, or to make a reservation, call 665-8282. Photo courtesy Montage Kapalua Bay
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WOMEN’S HEALTH | AUGUST 2015
Treating the treatment: Physical therapy can help after cancer id you know that there are expected to be 1,658,370 new cancer cases in the United States in 2015? Among those, 231,840 will be female breast cancer cases, and of those, 1,140 will be in Hawaii, according to information at www.cancer.org. If this is hitting home, just know that you’re not alone. There are many side effects that can arise from the treatment of cancer. You probably think it’s pretty common to have physical therapy after a rotator cuff or an ACL (anterior cruciate ligament) surgery, right? It is just as important to seek out specialized physical therapists who treat the type of injuries that are common to the lymphatic system when the system is overwhelmed by cancer treatment. The body goes through the same type of healing stages, and early intervention and treatment can help decrease swelling and assist the lymph system to begin its own healing, even as soon as a few weeks post surgery. Women may go through so many different treatments to get rid of the cancer, such as surgery, radiation therapy, chemotherapy, hormone therapy, targeted therapy and bonedirected therapy. Most women with breast cancer usually have some type of surgery, either a lumpectomy or a mastectomy. Sometimes, lymph nodes need to be removed as part of this surgery, depending on how far the cancer has spread. Normally, women have 30 to 40 lymph nodes in their axilla, or armpit area. Some options for checking the nodes to see if they have been invaded by cancer include a sentinel lymph node biopsy and an axillary (armpit) lymph
the usual healing process. Early treatment also assists the lymph system to begin its own healing. There is no better time to optimize the healing of both the tissues and the lymphatic system than during the early stages of recovery. Another treatment that may be used, usually in combination with the other treatments, is radiation therapy. Radiation therapy is treatment with high-energy rays or particles that destroy cancer cells. Radiation to the
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breast is often given after breast-conserving surgery to help lower the chance that the cancer will come back in the breast or nearby lymph nodes. During radiation therapy, there is often tissue trauma, as well as inflammation of the tissues. Local inflammation eventually leads to the formation of scar tissue, which can then cause feelings of tissue tightness and
See THERAPY on the next page
Photo courtesy Tiffany Prangnell
Tiffany Prangnell owns Imua Physical Therapy.
node dissection. The surgeon will then take out any nodes that have cancer spread to them, and sometimes more depending on what the surgeon believes is necessary. When lymph nodes need to be taken out, the lymph system may not be able to function as well as it did before. Because the lymph system has a vital role in the defense of the body’s immunity, this can affect the normal healing processes in the area of surgery. Early intervention and treatment can help reduce the local inflammation that often slows down
Take charge of your health. Don’t forget your mammogram.
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A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T5
WOMEN’S HEALTH | AUGUST 2015 Therapy Continued from Page 5 loss of mobility and flexibility in the area of radiation. In the arms and upper body, this can lead to range-of-motion problems and postural dysfunction. If a patient has radiation to the lower body, this can lead to rangeof-motion difficulties, as well as functional difficulties with walking, running, balance, etc. Physical therapy can start even in the early stages of radiation. This will help reduce inflammation and in turn, lessen scar tissue fibrosis. Another significant side effect of cancer or cancer treatment is lymphedema. Everyone who has had cancer treatment should know what it is, and know what they can do to minimize the risk of getting lymphedema. Initially, the lymph system can be affected when part of it is damaged or blocked, such as dur-
ing surgery to remove lymph nodes or radiation therapy. Cancers that block lymph vessels can also cause lymphedema. A challenge to the cancer survivor is that lymphedema may not appear right away, but at times, even years after treatment. Lymphedema is defined as an abnormal collection of high-protein fluid called lymph, which is made up of white blood cells, especially lymphocytes, which can attack bacteria in the blood. Lymphedema usually is first seen as mild swelling that starts anywhere in an arm, breast or chest wall (if the patient has had breast cancer) and can progress to severe swelling if untreated. The gold standard of treatment for lymphedema is therapy with a certified lymphedema therapist who is skilled in teaching the patient how to improve and decrease the swelling and give them strategies to minimize the risk of swelling returning. Chemotherapy is another treatment with
UPLIFTING DOWN TIME Plunge into the healing power of the sea with an Ocean Ritual at Spa Helani, a Heavenly Spa by Westin™. This three-step aquatic and sensorial experience includes an Ocean Memory Scrub, a massage with Sea Salt Stamps and a Tingling Algae Mousse Wrap. OCEAN RITUAL 80 minutes - $250 110 minutes - $300 For more information or to make a reservation, visit westinkaanapali.com/spa or call 808.662.2644.
cancer-killing drugs that may be given intravenously (injected into a vein) or by mouth. The drugs travel through the bloodstream to reach cancer cells in most parts of the body. Chemo is given in cycles, with each period of treatment followed by a recovery period. Sometimes, it can be given before surgery. To be most effective, more than one drug is usually used. Physical therapy can help with the effects of chemo-toxicity. Chemotherapy affects the body in so many ways, including decreasing the quality of your heart’s contractions, its oxygen and nutrient delivery to tissues. It causes breakdown and atrophy of muscle tissue leading to weakness. It decreases your coordination and motor function. It also decreases your total lung capacity and your intake of oxygen and removal of carbon dioxide. It can affect the blood by causing anemia and making the heart work harder due to decreased hemoglobin. Exercise can counteract all these problems. It increases contractility of the heart and also increases oxygen and nutrient delivery to the tissues. It can increase protein synthesis to help rebuild tissues, and it stimulates the release of hormones that can increase
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muscle cell growth and development, thus leading to increased strength. It can help optimize lung capacity, improve ventilation and transport of air in your body, increase nutrient uptake, increase red blood cell production and increase blood volume and hemoglobin concentration. Pretty amazing, right? With four locations on Maui, Imua Physical Therapy’s Lymphedema & Oncology Rehabilitation Treatment Program specializes in helping to address all of these side effects of cancer treatment. Programs can improve motion, flexibility, strength, balance and coordination, and can decrease pain, swelling, tightness, fatigue and postural dysfunction. This means getting you back to what you love — your sport, your work, your everyday activities — and most importantly to those who love you. For more information, call 879-0077 or visit www.imuapt.com. • References: www.cancer.org; www.uncoedu/rmcri; www.lymphnet.org
—Tiffany Prangnell, licensed physical therapist and certified lymphedema therapist, owner of Imua Physical Therapy
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Other Speakers to Be Announced! Onsite Resources!
TO REGISTER, COMPLETE FORM BELOW AND MAIL BY NOV 7 WITH PAYMENT TO Maui County Office on Aging J Walter Cameron Center, Room 20 95 Mahalani Street, Wailuku, HI 96793 Please Make Checks Payable to MAUI COUNTY OFFICE ON AGING NAME __________________________________________________________________ PHONE ( _______ ) _______________________________________________________ MAILING _____________________________________STATE____ZIP_____________ AGENCY _______________________________________________________________ EMAIL __________________________________________________________________
A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T6
WOMEN’S HEALTH | AUGUST 2015
Yoga for mind, body and belly Gentle poses can relieve discomforts of pregnancy, ease day-to-day ailments regnancy is a time of great excitement and anticipation, but unfortunately for most women, it is also a time of terrible discomfort and potential disease. It’s easy to give in to lethargy and just let go, but “infanticipation” is no excuse not to stay fit. For one, exercise helps you maintain your weight even as your belly grows. It also helps you to strengthen your muscles, especially your back and legs, which most certainly take a beating during childbearing and birth. While lifting weights and other rigorous activities like aerobics and running are not advised, there are other lowimpact exercises you can
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choose from: walking, swimming and yoga. Yoga provides many benefits for women in general, not only easing the way for those who are pregnant but also assisting with day-to-day issues. For pregnancy Yoga is most especially favorable for pregnant women not only because of the physical benefits one can get from it, but also because of the mental advantages it offers. Breathing and relaxation are two key points to master for childbirth, and these are principles taught in the practice of yoga. (They will come in handy, too, all throughout motherhood.) During labor, while in
pain, the body has the tendency to shut and tighten, which may delay the birthing process and stress both mother and baby. Learning the breathing techniques of yoga and doing them properly will ensure that you can ward off whatever fear you have of pain or of childbirth itself. The stretches and movements of yoga also tone and strengthen your body, and if you’re a first-timer, you should have no problem with the activity, as headstands and other inverted positions are turf of the advanced student. If you’ve long been doing yoga and are capable of such movements, know that pregnancy is a time to modify your routine. Steer clear of
poses that may lead to an accident — no sudden, jerking movements. You should also avoid poses that require laying on the back or belly. Yoga can also minimize common pregnancy symptoms like morning sickness and constipation, and can help ensure easier labor and smooth delivery by relieving tension around the cervix and birth canal and by opening the pelvis. After childbirth, yoga can help in restoring your body shape, uterus, abdomen and pelvic floor, and in relieving upper back tension and breast discomfort.
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See YOGA on the next page
Free Pap Smears & Mammograms Hui No Ke Ola Pono (BCCCP) is currently serving women who do not have medical insurance
Gentle yoga poses can provide numerous benefits during and after pregnancy
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A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T7
Call for more information
442-6856
WOMEN’S HEALTH | AUGUST 2015 practice so that the menstrual flow can continue unobstructContinued from Page 7 ed. Twists and inverted posiFor menstrual pain tions are not suitable as this Several yoga poses have may reverse the flow or been proven to ease menstru- squeeze the abdominal area. al pain. The practice can also Enjoy a help your mind and body Other benefits taste of adapt with stress, anxiety and Yoga balances the ensummer depression, making you feel docrine system, which conwith fruitrelaxed and calm, and en- trols your body’s production inspired abling you to cope with psytreatments chological symptoms of pre- of hormones, and it calms the nervous system, reducing at Spa menstrual syndrome. stress and aggravation of hot Helani. Having a generally relaxed flashes. mind and body can also help Photo Yoga is a weight-bearing in alleviating menstrual pain. courtesy exercise that strengthens Westin The healthy yoga diet can alKa‘anapali your bones and prevents osOcean Resort so help by supplying the body teoporosis. It can massage Villas with the necessary vitamins the reproductive organs, reperson. The Maui Rainbow and minerals to counteract lieve pelvic congestion and Spa Package is $375 per per- the symptoms of PMS. How- headaches, boost the imson (some restrictions apply). ever, it is important to recog- mune system, reduce fatigue For more information, vis- nize the need to slow down and even out mood swings. it www.westinkaanapali.com and practice yoga gently. The Deep breathing oxygenates /spa or call Spa Helani at abdomen should remain soft the blood, which cleanses the and inactive throughout the 662-2644. organs and respiratory system and nourishes the nervous system. Practicing creates more strength and flexibility in your body, calms your mind and creates a more centered feeling in your Dr.C handy Lopes,N D heart. It soothes, balances and rejuvenates all our parts, Alternative & bringing us to wholeness, alNatural Medicine lowing us to shine.
Tasty treatments offered at Spa Helani
pa Helani, a Heavenly Spa by Westin at the Westin Ka‘anapali Ocean Resort Villas, has added new fruit-inspired treatments to its spa menu that celebrate the sweetness of summer. Through Sept. 30, spa guests can enjoy a Sweet Clementine Massage, a Creamy Coconut Body Wrap and Mini Facial and/or a Tropical Fruit Manicure & Pedicure. You can also indulge in all three for an exclusive price with Spa Helani’s Maui Rainbow Spa Package. “We are delighted to offer our spa guests three, new treatment options,” said Sarah Hisey, the resort’s spa director. “With tropical fruit flavors and special pricing, these menu additions are a
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sweet summer treat.” The Sweet Clementine is a 50-minute massage that is offered at both Spa Helani and in the spa’s ocean-view cabanas. It is also available for couples.
The Creamy Coconut Body Wrap and Mini Facial is also a 50-minute treatment, while the Tropical Fruit Manicure & Pedicure is a 90minute treatment. Each of these treatments is $135 per
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Piilani (Safeway) Shopping Center (Across from Round Table Pizza) Mon-Sat 9am - 7pm | Sun 9am - 5pm
A Supplement of THE MAUI NEWS – Friday, August 7, 2015 – Page T8