Top Tips for Managing Back Pain

According to the CDC, lower back pain is the most common type of disability globally. In the US, one in four adults reported having back pain in the last three months. Lower back pain is classified based on the type and duration of clinical symptoms: acute (lasting less than 4 weeks), subacute (lasting 4-12 weeks) and chronic (lasting more than 12 weeks). What is alarming is that even with the lack of evidence to support its efficacy, almost 14% of insured patients who sought care for lower back pain were prescribed pharmacological drugs like opioids and/or benzodiazepines. These addictive narcotics and sedatives have severe consequences which can lead to overdose, mis-use and death (nearly 50,000 people died in the US from opioid mis-use in 2019). So in this blog, I’ll share some evidence-based complementary approaches for back pain that are non-invasive and non-pharmacological treatments. In this review of 45 clinical trials, participants exhibited significantly lower chronic back pa...

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How to Measure the Value of Virtual Health Care

The pandemic spurred a huge increase in the use of virtual health care. To help policymakers, payers, providers assess the various ways in which virtual care programs could have a positive impact for patients, clinicians, payers, and society going forward, the American Medical Association and Manatt Health developed a framework.

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Promoting Weight Loss by Demoting Inflammation

If you are like many Americans that struggle to lose excess weight, there’s comfort in knowing that you are not alone and all the odds are stacked against you. As our hormones decline with age, our food choices, the toxic environment and the sleep-deprived world we live in tell the cells in our body to hold on to the fat for dear life. In this series of blogs on weight, I’ll cover some evidence-based ways on what NOT TO DO and DO to boost weight loss without counting every calorie we eat and every step we take. I have personally tried just about every diet in the book and realized after many years that it’s not a one-diet-fits-all approach and that some diets will make you feel better where others will not. Because we live in a world full of gourmands and almost infinite food choices, it’s become even more complicated to know what works and what doesn’t. For example, I don’t do well with wheat and dairy but it took me many years of eating the Western diet to figure that out. You probab...

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Optimizing Sleep with Diabetes

If you are like a third of American adults, you are probably not getting enough sleep or quality sleep. When I was younger, I used to envy those who thrived on five hours of sleep (or claimed they did) but now, I wish I could sleep more so I can feel more vibrant during the day. If you have diabetes, proper rest is critical so in this blog, I’ll share evidence and tips on the importance of sleep in diabetes management.Did you know that lack of sleep (less than seven hours per night) can have the following negative impacts:Make you hungrier and more likely to reach for caloric foods that are high in sugar, fat and carbs. I remember the desperately needed pizza runs during college while studying/cramming through the night – which led to the “freshman 15”. Lack of sleep decreases hormones promoting satiety and/or increases hormones promoting hunger so you get a double whammy of eating more and not being satisfied.Studies have shown the impact of sleep deprivation on Increased insulin resi...

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