The Link Between Obesity and Chronic Pain

Could Diet and Exercise Be The Solution?

What’s an everyday activity that brings you joy? Is it playing with your kids? Walking your dog? Having a dance party while loading the laundry? When suffering from chronic pain, these ordinary moments can seem impossible to enjoy.

Solutions to Chronic Pain

Chronic pain isn’t necessarily curable, but physical therapy and massages may help reduce it. However, the best ways to decrease chronic pain are following a healthy diet and regularly exercising.

Exercise improves your body’s muscular and skeletal health and releases your body’s pain-fighting molecules. It also improves your mental health, boosting your mood and releasing endorphins. Several ways to lose weight and treat back pain include:

 

1. Exercising consistently

Regular physical activity may reduce chronic pain by building muscle strength and by decreasing fatigue, pain sensitivity and inflammation. Going for a walk or taking the stairs each day are a few ways to add a bit of exercise to your schedule.

2. Eating smaller portions

The saying “you are what you eat” applies to chronic pain. Chronic pain is partially linked to inflammation. Reducing portions and eating foods rich in polyphenols like whole fruits, dark green leafy vegetables, nuts, legumes and whole grains may help reduce inflammation.

3. Maintaining proper posture

It may be more relaxing to slouch, but when you practice proper posture, your bones and joints stay in alignment and help relieve chronic pain. Sitting up straight reduces stress on the spinal joints’ ligaments and allows your muscles to work more efficiently.

4. Trying water therapy

When the body is submerged to the chest, about 80% of the body’s weight is afloat. This allows a patient to retrain muscles and joints in a soothing setting where the body can heal faster and exercise more easily. Warm water also works directly on the skin as a pain reliever while exercising.

5. Setting an earlier bedtime

Getting adequate rest on a regular basis helps the body function to the best of its ability. Sleep reduces levels of stress, and sleep decreases levels of stress. Try getting at least seven hours of sleep each night and set a consistent bedtime to help ease chronic pain.

What Is Chronic Pain?

Chronic pain lasts three months or longer and may not improve with typical medical treatment. Although it’s most commonly felt in the back, hips, knees or feet, it can be experienced in any part of the body.

About 50 million U.S. adults reportedly experience chronic pain every year. They often describe having “good days and bad days.” One day, they may feel fine and the next, their pain may flare up again unexpectedly. Chronic pain lowers your capacity to work, participate in social activities and maintain interpersonal relationships. It also negatively impacts your mental health and may increase feelings of isolation, frustration and anxiety.

 

Dr. Austin Horrocks, DO

What Causes Chronic Pain?

According to Dr. Austin Horrocks, DO, common causes of chronic pain include poor eating habits and a lack of exercise. “Processed food and foods high in sugar can directly trigger or worsen inflammation that may already be present,” Dr. Horrocks says. “By eliminating or significantly decreasing these foods in your diet, you can decrease the level of inflammation in your body.

How Obesity Affects Chronic Pain

Due to obesity’s ability to increase mechanical stress on your body, obesity is associated with an increased risk of chronic lower back pain. By nature, body fat is pro-inflammatory, and an unhealthy diet may cause even more inflammation. Obesity also increases fatigue and suppresses normal hormone levels.

Extra weight adds strain to the back’s muscles and ligaments. As a result, the spine may tilt to compensate for the extra weight. Excess stomach weight typically pulls the pelvis forward, which increases lumbar lordosis and may lead to aggravated lower back pain, herniated discs or osteoarthritis.

 

 

 

 

If you or a loved one are experiencing chronic pain, Coryell Health’s team of physicians can help you manage or lessen the symptoms. We help patients lose weight every single day through our Ideal Protein program, bariatric surgery and other services. Consulting a doctor to establish weight loss goals is a great place to start. Call (254) 865-2166 today to schedule an appointment!

Can Vitamins Help Minimize Your Knee Pain?

Take a stroll down your grocery store’s pharmaceutical aisle and you’re sure to see them. Hundreds of bottles of dietary supplements—vitamins, minerals, herbs and amino acids—line the shelves at most grocery stores, convenience stores and even online storefronts, and they’re there for good reason. Americans spent almost $50 billion on dietary supplements in 2021! For those suffering from knee aches and pains, many vitamin brands use ingredients like Glucosamine and claim their supplements improve bone or joint health and can help reduce discomfort. But before you add supplements like vitamins to your own cart for knee pain, it’s important to know if they actually reduce knee pain.

Many people claim dietary supplements can help strengthen bones, joints or muscles. A lack of strength in these parts of the body often contributes to common knee problems you might suffer from. 

According to Dr. Lance Ellis, a board certified orthopedic surgeon at Coryell Health who works with patients suffering from joint pain, the most common knee issues he sees can range from “osteoarthritis to meniscus cartilage injuries to knee sprains and more serious fractures, depending on the patient’s age and the casuse of the issue.”

Based on his experience treating patients, Dr. Ellis knows that joint health vitamins including vitamin D, C and E are popular supplements. The question is, do they actually help with common knee problems? Dr. Ellis explained that they can.

“They’re essential for maintaining strong bones and health joints, and the anti-inflammatory properties of these vitamins can help prevent joint damage,” said Dr. Ellis.

There are a couple of lesser-known vitamins that Dr. Ellis often recommends to patients with joint pain and osteoarthritis: glucosamine and chondroitin. Both supplements have been shown to reduce inflammation, promote cartilage growth and improve joint function, making them a valuable addition to any joint health regimen.

Naturally occurring vitamins help your body promote healthy bones and bone density, but supplements are not the end-all-be-all of staying healthy. If you’re looking to prevent knee problems or manage your pain at home, here’s what Dr. Ellis suggests:

“Maintain a healthy diet and engage in regular exercise to promote overall joint health and a healthy weight. Low-impact exercises such as swimming, yoga and cycling can be particularly beneficial for those looking to protect their knees from injury.” 

While surgery may be necessary in some cases, there are a few at-home remedies that might be effective in helping you manage pain, including exercises that strengthen the muscles around the knee, hot and cold therapy and over-the-counter pain relievers.

What Are Vitamins?

Vitamins are nutrients the human body needs to function healthily. Your body only needs small amounts of vitamins and minerals, and most people obtain all their vitamins from their day-to-day diet if they’re consuming balanced meals. Some people might have vitamin deficiencies or aren’t meeting their body’s needs through their regular diet. For these people,  vitamins provide convenient doses of important nutrients their bodies may be missing.

If you’re taking vitamins or looking to add them to your diet to manage knee pain, Coryell Health physicians can recommend relief beyond supplements. Give us a call at (254) 865-2166 to start on the path to overall health and wellness.

Pillar of Gatesville Medical Community Retires After Four Decades of Service

Tim Maynard, MD, retires after more than forty years of serving his patients and the Gatesville community as a family practice doctor.

 

Tim Maynard always knew he wanted to follow in his father’s footsteps. Dr. Billy Joe Maynard, practiced in Crane for over forty-five years. So, in 1983, when Coryell Memorial’s Dr. Wendell Lowery, Dr. Bruce Watson, and Dr. Stephen Norris recruited him to join their practice in Gatesville, Dr. Maynard set out down the path toward fulfilling his dream to practice small-town medicine like his father.

 

Born in Crane, Texas, Tim graduated from Crane High School in 1972 and went on to receive a Bachelor of Science degree from Texas Tech University. He earned his Doctorate of Medicine from the University of Texas Southwestern in 1980. He completed his residency at the John Peter Smith Family Practice Program, followed by additional training at the Jefferson Davis Hospital Obstetrics High-Risk Training Program, which certified him to perform cesarean deliveries (C-sections).

 

During his forty years in Gatesville, Dr. Maynard provided care to old and young alike. He delivered over five hundred babies while helping adults battle chronic diseases such as high blood pressure and diabetes. As a small-town physician like his father, he saw patients with different types of illnesses and injuries, even treating fractures and assisting with surgeries.

 

Dr. Maynard’s tireless approach to patient care led him to leadership roles throughout his career. He served as Chief of Staff and has been a board member of Coryell Health since 1987. “During his time on the Coryell Health Board of Directors he provided direction from his role as a physician,” said Coryell Health Board President Ronnie Sullins. “He provided invaluable guidance as we have built Coryell into what it is today.”

 

Dr. Maynard retires as a Board Certified Family Practice physician. “Dr. Maynard’s contributions to Gatesville, his patients, and Coryell Health are too numerous to count,” said David Byrom, Coryell Health CEO. “Dr. Maynard is a compassionate person, dedicated to his faith, family, profession, and patients,” said Byrom. “He has always served his community tirelessly. Very much a team player; his knowledge and wisdom have contributed greatly to Coryell’s growth. He truly treated the whole patient, and that is the legacy he leaves.”

 

Sullins reflects on Dr. Maynard’s career and his relationship with the family doctor, “Tim has been a great friend to me and has been my physician since he began his practice in Gatesville. He delivered my two oldest children at Coryell Memorial Hospital and oversaw the health of our family of five for many years. He will be sorely missed.” Dr. Maynard was known for being committed to each patient- giving the individual his full attention. Dr. Maynard has been a wonderful part of our healthcare system, and he never took that responsibility lightly, adds Sullins.

 

Dr. Maynard’s family and plans for the future…

Tim met his wife, B.J., in Plano, Texas. They reconnected in Midland, Texas, at a movie theater by chance, and the rest is history. While he was often busy caring for patients, he made time for his wife and two boys, Casey and Cody, coaching baseball while the boys were young and attending church. He served many years as a deacon and later an elder in the East Main church of Christ. Dr. Maynard and B.J.’s sons married- Casey to Jenna and Cody to Crystal- blessing them with six grandchildren. He plans to enjoy retirement with his wife and grandkids, spending time having fun, playing sports, and especially fishing.

Color The Shivaree Fun Run/Walk

Join us on Saturday, June 3, 2023, for the annual Color the Shivaree Fun Run/Walk, hosted by Coryell Health!

Run/walk through Gatesville and get covered in color as you go. All entrants who register on or before May 14th will get an official Color the Shivaree shirt to show off all the color. Color the Shivaree is fun for the whole family-  the course is a comfortable 1.5 miles- children of all ages are welcome.

Race starts at 8:00am at the Gatesville Chamber of Commerce Deport in the upper left hand corner to the side of Vintage Boutique.

Find out more at https://runsignup.com/Race/Info/TX/Gatesville/ColorTheShivaree2021

Spilling the Tea on Sports Drinks and Sodas: What Parents Need To Know

As the temperatures in Central Texas heat up, many of us find ourselves reaching for a cool drink to stay hydrated. When is it appropriate to grab a sports or electrolyte drink, and when is it best to go with water? Rhonda Mangum, FNP, helps us understand what the best drinks are for hydration.

What Are Sports Drinks? 

Sports drinks are popular, sugary drinks that contain ingredients that claim to aid the body’s efforts at replenishing hydration. Sports drinks contain sugar as carbohydrates, like glucose, high-fructose corn syrup and sucrose. These sugars are meant to help the body hydrate and give the drinks their sweet flavor. Sports drinks also contain a small amount of sodium and electrolytes. “While it is used to improve taste, sodium also aids in fluid retention and absorption,” adds Nurse Mangum. Electrolytes help the body absorb water—a dehydrated body often lacks necessary electrolytes which can inhibit nerve and muscle function.

Sports drinks should encourage voluntary fluid consumption, stimulate rapid fluid absorption, supply carbohydrates for improved performance, augment physiological response, and speed rehydration. They should also be isotonic, meaning they’re in balance with the body’s fluids.

Our bodies respond very quickly to the ingestion of fluids. A person may stop drinking due to the disappearance of thirst, before rehydration takes place. This is why sports drinks can offer benefits that plain water alone cannot. Sports drinks have the appropriate balance of energy and electrolytes that will encourage rehydration to happen quickly, and are less likely to be discarded prematurely.

Sports drinks were designed for those performing intense physical activity. In fact, the original sports drink, Gatorade, was developed to help replenish carbohydrates and electrolytes in high-intensity athletes at the University of Florida in 1965. Over the years, doctors have often recommended Gatorade for people who are suffering from mild dehydration due to diarrhea or the flu to help replenish the body of important lost elements.

Is It Smart To Consume Sports Drinks?

Studies show sports drinks can help adult athletes hydrate, but there is a lack of evidence supporting the same results in children. For children who are exercising or playing sports, providing sports drinks like Gatorade could be helpful in replenishing fluid and electrolytes, but there’s no concrete evidence that proves these drinks are helpful. Nurse Rhonda says that “Sports drinks may encourage children to drink more liquid because of their sweet flavor and bright colors—in that way, sports beverages may help children hydrate more than standard water when exercising,” adding, “For children and adults simply spending time outdoors without exerting much energy, electrolytes aren’t necessary, so you can stick to water instead of Gatorade.”

How Does Soda Play In?

It’s important to note that other popular sugary drinks, like sodas, are not recommended for hydration. “While kids may be more likely to drink soda than water, studies show that sodas actually worsen dehydration,” adds Nurse Mangum.

Let’s Not Water Down the Facts: Why is H2O So Important?

Proper hydration can help improve sleep quality, brain functions and boost your energy and mood. Besides being the best way to hydrate, water has other positive effects on the body. Water has no calories, so it can also help manage body weight and reduce intake of calories and sugar. In contrast, there are 138 calories in a single can of Coke and 80 calories in one 12-ounce bottle of Gatorade.

According to Nurse Rhonda, “Fluids should be consumed with most exercise, especially if it is strenuous/fatiguing. Generally intake is adequate if thirst is quenched. Non-caffeinated sports drinks are “safe” but could be considered “unhealthy” if the calorie content is excessive. Usually, this will not be an issue with regular exercise as calorie intake and expenditure will be balanced out.”

“We should consider our activity level when we determine which drinks we should consume to replace our fluids. If we are exerting ourselves by exercising or doing yard work, electrolyte replacement drinks are a good option. However, if we are not exerting ourselves we really only need water for replacement.”

What about other drinks, such as soda? According to Nurse Rhonda, “Soda does not replenish fluids. It can actually cause more dehydration. Caffeine is a natural diuretic which means it makes more urine, causing more dehydration. Increased sugar intake also causes the cells to make more urine, causing dehydration. Artificial sweeteners affect our hydration level negatively.”

Signs of Dehydration

Symptoms of dehydration in adults and children include:

  • Feeling thirsty
  • Dark yellow, strong-smelling urine
  • Urinating less often than usual
  • Feeling dizzy, lightheaded and/or tired
  • Dry mouth and tongue and cracked lips

1 National Library of Medicine

2 Healthline

The Bottom Line

“Save your money and drink water,” said Nurse Rhonda. Water should be the primary hydration source for children and adults. Sports drinks should only be used during times of high intensity and prolonged athletic events or if it is the only way to get your child to consume enough fluids.

If you have any questions about hydration during exercise, please make sure to consult your Coryell Health primary care provider

Dr. Hinds Blogette for National Women’s Check-Up Day

National Women’s Check-Up Day was earlier this month. Have you scheduled your routine appointments yet for 2023? Dr. Frank C. Hinds is a gynecologist seeing patients at Coryell Health Medical Clinic- Gatesville. He specializes in treating women’s health issues like irregular menstruation, common reproductive health concerns for women, administers medications and specializes in minimally invasive gynecological surgery. He has over 15 years of experience caring for his patients. Dr. Hinds is accepting new patients and offering low-wait times for appointments. Find out more here: https://coryellhealth.org/frank-c-hinds.

Don’t miss your annual wellness exam with your primary care provider by calling (254) 865-2166. 

Are lumps the only symptom of breast cancer?

Are lumps the only symptom of breast cancer? The short answer is no. Make sure you’re familiar with some of the other common, less talked-about signs of breast cancer that might alert you to the disease earlier, enabling faster treatment and a higher likelihood of treatment success. Keep your eyes out for a change in breast or nipple shape, new dimples in the skin on your chest, or new pain or redness of the skin. Coryell’s mammography services offer the latest technology and the most in-depth screenings to help you have peace of mind. Plus, when you schedule your appointment, we can get you in just days later. (254) 248-6238

Fidget Toys: Do They Actually Help Minimize Distraction?

For students and adults who have trouble focusing, the fidget spinner promised increased rates of attention and a higher likelihood of staying on task. But do fidget toys, like fidget spinners, actually provide any benefits for users? 

What Is A Fidget Toy

The objects reached the height of their popularity in 2017, but the idea for “fidget toys” has existed much longer. The toys largely gained traction due to their popularity on social media, becoming staples inside and outside the classroom setting. The most recognizable fidget toy, the fidget spinner, is usually flat, with two to three “legs” that rotate around the center of the object, but fidget toys take on many shapes and sizes. Fidget toys are promoted to help those who have trouble focusing, want to relieve nervous energy or anxiety, and retailers specifically advertise these toys to parents of children who have ADHD and autism.

Why Are Fidget Toys Popular?

Around 6 million U.S. children are diagnosed with ADHD. ADHD, or attention deficit hyperactivity disorder, manifests in symptoms that include the inability to focus, impulsivity and hyperactivity. Some small-scale studies have shown a correlation between higher levels of movement or fidgeting and increased rates of attention in children with ADHD. Studies like this have led to the rapid acceptance of fidget spinners, especially among parents of children with ADHD or other attention disorders, as a method of minimizing distraction. 

Do Fidget Toys Help Users Focus?

It’s important to note there is a lack of peer-reviewed evidence proving the legitimacy of fidget spinners and other toys—before we can prove fidget spinners are effective, more studies need to be conducted. The studies that have been done have produced mixed results. Some studies have shown immediate helpfulness, followed by an attention drop-off in children using fidget toys in a classroom setting.

It’s important to note that, though once popular in classrooms across the country, fidget spinners have been banned by many schools, from the elementary to high school levels. Teachers, administrators and parents claim these toys cause further distraction among students and actually prevent children from focusing on class work instead of encouraging it. 

While there’s not a wealth of proven, tested information on the validity of fidget toys, it may be worth trying one out for yourself or your child at home. Talk to your Coryell Health family medicine physician for more information about fidget toys, or reach out to them today to learn more about studied, verified tools or medications to increase rates of attention in children and adults.

Suffering From Plantar Fasciitis?

Put Your Best Foot Forward With These Tips From a Specialist

You’re probably no stranger to foot pain. Whether you’re on your feet all day for work or have suffered from a foot injury, heel pain is common, and most people will experience it temporarily throughout their lives. Some heel pain, however, is more than just momentary discomfort from long hours on your feet. About two million people in the U.S. suffer from plantar fasciitis, a condition that stems from inflammation in the heel. Here’s what you need to know about plantar fasciitis during Foot Health Awareness Month. 

What Is Plantar Fasciitis?

Plantar fasciitis is a condition that involves the inflammation of a thick band of tissue that runs through the bottom of the foot and connects the heel bone to the toes. Some of the most common symptoms include stabbing pain. Typically, those who suffer from plantar fasciitis notice a decrease in pain the more they move, but symptoms might return after standing for long periods of time. Board certified podiatric surgery specialist Dr. James Townson has more than 10 years of experience treating patients who suffer from foot pain.

The pain is usually most severe when standing after sitting for a long period of time, especially in the morning,” explains Dr. Townson. “This is referred to as post-static dyskinesia.

What Causes Plantar Fasciitis?

Plantar fasciitis stems from the thin ligament called the plantar fascia, which runs along the bottom of the foot. This ligament is designed to absorb pressure from walking, running or other types of movement. When too much pressure is applied to the ligament, it can become torn or injured—this injury might lead to inflammation associated with plantar fasciitis and subsequent heel pain. 

I most often see plantar fasciitis after an injury or a long day in an improper shoe,” says Dr. Townson. “The ligament gets overstretched and pulls from the heel bone slightly. That night, while you are sleeping, the ligament is trying to heal, but as soon as you step down the following morning you re-pull the ligament because it didn’t heal fully. This is the repetitive cycle that results in the condition.

Remedies for Plantar Fasciitis

Dr. Towson suggests these at-home remedies for heel pain that stems from plantar fasciitis: 

  • Change your shoes frequently and wear supportive shoes, not flip-flops
  • Orthotics and supportive shoe inserts (Dr. Townson recommends avoiding the “Good Feet” brand
  • Stretching
  • Icing and anti-inflammatory medication

For those with consistent, uncomfortable pain that won’t subside, Dr. Townson recommends you head into the office for an appointment.

For patients who come to see me, I’ll examine their feet fully to evaluate the mechanics that are causing the pain,” Dr. Townson explains. “Radiographs will be obtained to ensure there is no other problem occurring that is mimicking plantar fasciitis. Then I’ll develop a treatment plan that works for the patient and is effective for the pain. Sometimes a steroid injection is needed.

Are you tired of constant foot pain and discomfort disrupting your day? Dr. Townson and the rest of the podiatric team at Coryell Health can help. Schedule an appointment today by calling (254) 865-2166.

How to Properly Dispose of Medicine

Do you have unused or expired medications sitting around your home? Your medications could be harmful to your loved ones, and it’s a good idea to clean out your medicine cabinet often to prevent misuse of drugs. Check your medication for specific instructions (some medications need to be flushed down a toilet or sink) or check out this article from the Federal Drug Administration for more information and to find a drug take-back site near you. bit.ly/3mW4JHa 

April is Occupational Therapy Month

If you’re recovering from an illness, accident or surgery, you may need occupational therapy. This month is occupational therapy month and we’re highlighting the occupational therapy services at Coryell Health. Our amazing team works with patients so that daily tasks, like eating, bathing and getting dressed, aren’t just within reach, but can be easy again. Take your life back by starting your therapy journey at Coryell now. For more information, check out our website at www.coryellhealth.org/rehab.

Coryell Health Launches New Integrated Electronic Health Record (EHR) Platform

Coryell Health has begun its rollout of the OracleCerner electronic health record (EHR) to drive efficiencies across the healthcare system. Integrating a new EHR will streamline access for healthcare providers and provide the community with a better patient care experience.

“This new technology will help solve ongoing challenges in healthcare by utilizing more reliable, intuitive, and useful tools to reduce complexity and help improve the caregiver and patient experience. This state-of-the-art technology will allow us to continue to offer the community a higher quality of care,” said David Byrom, CEO.

“After more than nine months of planning and training, Coryell Health will launch the first phase of the OracleCerner EHR implementation in the hospital, clinics and outpatient departments on March 28th. The second phase of implementation will include our senior living programs on June 27th.” said Mecca Starkey, Coryell Health Information Administrator and Cerner Implementation Project Manager.  “Instead of two separate systems, we will have one integrated EHR platform, providing seamless care of patients and residents within one clinical and financial record. The OracleCerner EHR will improve efficiencies with clinical documentation, medical information, registration, scheduling and billing.

Here’s a breakdown of just a few of the highlights:

–              It will improve patient safety by having an integrated system – all patient information in one place.

–              Medication reconciliation will be achieved in one system as patients move through service areas.

–              Surveillance tools are in place for high-risk protocols, such as sepsis.

–              One source for clinical and hospital financial data

My Coryell Patient Portal – a new patient-friendly portal- will able available soon. My Coryell portal will allow patients to securely message providers, request appointments, view and settle financial balances, and access their health history.

“Once the implementation of Oracle Cerner EHR is complete, all of our service lines, including our senior living, will utilize the integrated system,” said Heather Rambeau, Chief Nursing Officer for Coryell Health. “This upgrade will allow for an enhanced continuity of care while improving the patient experience through simpler coordination of treatment, more easily accessible medical records, and a streamlined patient billing process.”

Once the new electronic health record system goes live, clinic and hospital staff will provide registration information to patients for the new My Coryell Patient Portal so they can access pertinent health information. If medical records are needed during this transition, don’t hesitate to get in touch with Coryell Health Information Management at (254) 248-6274.

“Please be patient as we transition to our new OracleCerner EHR,” Starkey adds. “Our goal is to always provide exceptional customer service, and we believe the patient experience at Coryell will improve with the new EHR.”