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follow suit, reports a study in the Journal of Abnormal Child Psychology. Helpful books, websites and programs for both teens and adults can be found at SelfCompassion.org, operated by Dr. Kristin Neff, an associate professor of educational psychology at the University of Texas at Austin who was a pioneer in the concept.

3Engage them with creative activities. As teens can seek independence, making sure they spend quality time with the family is also important for their well-being, research shows. “Find ways to connect, converse and unwind together as a family,” advises Crissy Fishbane, of RaleighDurham, North Carolina, co-founder of HER Health Collective, an online community for mothers. “Teens need to see their parents engaging in self-care behaviors themselves, and it’s even better if you can engage in self-care as a family.” She suggests taking a virtual or outdoor yoga class together, playing a board game, having sudoku competitions, learning deepbreathing techniques or starting a family book club.

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4Encourage reaching out to help others. A study in the Journal of Adolescence suggests that altruistic behaviors, including large and small acts of kindness, may increase teens’ feelings of self-worth, especially if it involves helping strangers. In Poland, the more teens helped out others in a flood, the more supportive and proactive they became, another study found. Depending on their interests, teens may be drawn to local environmental, social justice, religious or political activities. DoSomething.org offers useful ideas and links, and environmental projects for teens can be found at EarthForce.com, SierraClub. com and GlobalClimateStrike.com.

Ronica O’Hara is a Denver-based health writer. Connect at OHaraRonica@gmail.com.

Other Helpful Resources

Making Friends with Yourself:

A Mindful Self-Compassion Program for Teens and Young Adults: centerformsc.org/mscteens-adults

Seven Expert Tips for Talking

with Teens: ParentAndTeen. com/keep-teens-talking-learn-tolisten/tal

How to Communicate with Your Teen Through Active

Listening: Psy-Ed.com/wpblog/ communicate-with-teen The Kid’s Guide to Service Projects: Over 500 Service Ideas for Young People Who Want to Make a Difference

Kindness is the language which the deaf can hear and the blind can see. ~Mark Twain

Strong and Supple Joints How to Keep Hips and Knees Happy

CHANGE can do you good Join the Natural Awakenings Franchise Family

For more info, visit: NaturalAwakenings.com

by Ronica O’Hara

Occasional knee or hip pain affects tendons and ligaments include fatty fish, almost everyone, keeping us from lentils, nuts, vegetables like spinach and daily tasks, making sitting pain- broccoli, and colorful fruit like strawberries ful and walking difficult. Causes can range and oranges. from over-exercise to injuries, obesity and arthritis as we age. By the time we reach 65 Practice tai chi, qigong or hatha yoga. The years or older, 69 percent of women and 56 gentle, low-impact movements and stretches percent of men have arthritic symptoms, associated with these approaches get synoviaccording to Boston University research- al fluid flowing in the larger joints, effecting ers. Costly joint replacement surgery which smoother mobility and increased flexibilcarries a high risk of adverse effects is ity; numerous studies document that they often recommended for advanced cases, reduce joint pain and stiffness. “The key is but by taking simple, natural preventive not just to stretch, but to balance strength and remedial measures proactively, we can and stretching in a safe, mindful way,” says strengthen our knee and hip joints, handle Andrea Trank, a health coach and yoga related problems if they arise and remain teacher in Fort Myers, Florida. Although physically strong and active. personal or class instruction is best, how-to Ways to Strengthen videos can be found on YouTube. Hips and Knees Walk every day. In a four-year NorthwestConsume foods that nourish bones and ern University study, people at risk of knee connective tissues. For strong bones, eat osteoarthritis that walked at a moderate or foods rich in calcium, magnesium and brisk pace for at least 10 minutes a day, one potassium, such as dark leafy greens (bok hour a week, had one-eighth the disabled choy, Chinese cabbage, kale and collard mobility of those that walked less. Posgreens), figs, nuts, tofu, avocados and bone ture helps: Walking straight and tall while broth. Six prunes a day boosted bone den- extending each leg back as far as it’ll go will sity in women over 70 with osteoporosis, “really let your glut muscles work,” advises research shows. Foods that support flexible chiropractor Aaron Rossi, of Marietta,

Georgia—an important compensation for the time we sit with knees and hips flexed.

Ways to Lower Pain Levels

Consider the right supplements. Obtaining 1,000 milligrams daily of calcium and 600 international units of vitamin D is essential for bone health, according to the National Institutes of Health; consider taking a supplement if the diet is not adequate. In addition, studyproven options that reduce joint pain in the knees and hips include glucosamine and chondroitin, S-adenosyl-L-methionine (SAMe) and avocado soybean unsaponifiable.

The benefits of bodywork. A massage can loosen up tight muscles and realign structural issues in the knees and hips while also lowering stress-producing cortisol and raising levels of pain-reducing serotonin. A study at Canada’s McMaster University found that massage works on the cellular level to reduce inflammation and promote the growth of new mitochondria in muscles. Useful styles are Swedish, deep tissue, myofascial release and shiatsu. Ask for references from friends, medical practitioners, fitness centers and natural health stores or find online a certified practitioner with at least 500 hours of training.

Try acupuncture. A new meta-study of 39 studies with 20,827 patients concluded that acupuncture effectively reduces pain for as long as 12 months, and the National Institutes of Health endorses it for knee pain. “It is believed to stimulate the nervous system and in turn, the way the brain registers pain signals,” says acupuncturist Daryl Thuroff, at the Yinova Center, in New York City. Find an acupuncturist at nccaom.org/find-a-practitioner-directory.

jopanuwatd/AdobeStock.com Supplements for Suppleness Glucosamine and chondroitin. Research suggests this combo relieves pain, improves joint mobility and slows arthritic damage to the joints. One study found it benefits up to 70 percent of people with knee arthritis, and a large multinational trial found the mixture to be as effective at reducing pain, stiffness and swelling in knee osteoarthritis as the nonsteroidal anti-inflammatory drug (NSAID) celecoxib. It appears most suited for treating moderate to severe pain and takes two months to take effect.

SAMe. This naturally occurring S-adenosyl-L-methionine molecule builds strong joints by delivering sulfur to cartilage, and research shows it may be as effective as aspirin and ibuprofen at improving joint function. It takes a month to take effect, but doesn’t have the side effects of NSAIDs. It’s also been shown to lower depression.

Avocado soybean unsaponifiable (ASU). Routinely used to treat osteoarthritis in Europe, ASU improves symptoms of hip and knee osteoarthritis (OA) and reduces or eliminates the use of NSAIDs, a meta-analylsis concluded; it also appears to reduce OA’s progression.

Consult a chiropractor. People with osteoarthritic knees that underwent two weeks of chiropractic knee adjustments had substantially less pain, better mobility and fewer grinding and clicking sensations in the knees, reported a study in The Journal of the Canadian Chiropractic Association. In a small study in the Journal of Manipulative and Physiological Therapeutics, four out of five patients with hip arthritis noticed improved symptoms after nine or fewer chiropractic treatments. Many chiropractors offer not only spinal adjustments, but also a range of treatments from exercises to prolotherapy.

Explore injection therapies. Known as regenerative medicine, these therapies use injections in the knee or hip to naturally stimulate the body to produce collagen and rejuvenate tissue. In a British Medical Bulletin meta-study, 82 percent of patients with mild to moderate osteoarthritis of the knee were satisfied with prolotherapy, which uses dextrose injections. Platelet-rich plasma injections use centrifuged platelets from the patient’s body, and have been used by athletes like Tiger Woods and Rafael Nadal to treat sports injuries.

Ronica O’Hara is a Denver-based health writer. Connect at OHaraRonica@gmail.com.

National Chiropractic Health Month The American Chiropractic Association (ACA) has designated October as National Chiropractic Health Month to raise public awareness of the importance of musculoskeletal health and the benefits of chiropractic care and its natural, whole-person, patient-centered and drug-free approach to health and wellness.

This year’s theme is Active and Adaptive, focusing on helping people adapt to the new normal of the COVID-19 pandemic. The ACA states, “Many people are moving less, and some are experiencing pain as a result.” This year’s focus encourages people to adjust to the challenges of staying fit and pain-free with a smaller lifestyle footprint by becoming more mindful of movement and posture, and by highlighting tips and strategies to help them adapt in healthy ways.

Find a searchable directory of chiropractors at HandsDownBetter. org/find-a-doctor.

jopanuwatd/AdobeStock.com

Pain Relief with Chiropractic

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In addition to the traditional chiropractic focus on adjusting the spine to ease joint pain, many doctors today are using a wide array of approaches to ameliorate hip and knee pain, whether the cause is an injury, inflammation, arthritis or another chronic condition.

Determining the cause is the first step, says chiropractor Derrell Blackburn, senior manager of chiropractic relations and training for The Joint Chiropractic, a nationwide chain of 500 clinics. If both hips or knees go bad, he says, it’s probably due to aging. If the problem involves a hip or knee on one side, “the underlying truth is overuse or compensation,” which can be helped by realigning the sacroiliac joint or pelvic girdle.

Chiropractor Gil Kentof, of the Dr. Gil Center for Back, Neck, and Chronic Pain Relief, in Franklin, Tennessee, first recommends that patients with hip pain join a basic yoga class, find a good video or search “hip stretches” online and exercise according to what they research five times a week. “If there is no improvement in three weeks, or if there is more pain while doing the exercises, an examination is in order to determine the origin of the pain and the best treatment option,” he says.

The exam often includes X-rays and sometimes an MRI. Treatment options can include specific chiropractic adjustments, deep tissue laser therapy, stem cell injections into the hip joint and in severe cases, a referral for surgery, but, “Surgery is always a last resort,” he says. For knees, “Good success has been obtained with stem cell treatment and platelet-rich plasma injected into the knee,” he advises. “This procedure is performed by our medical team and is minimally invasive with very little downtime.” He also suggests that knee-pain patients stretch their hamstrings, quadriceps and calves on a regular basis and use a pull-on brace or ice packs for temporary relief.

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