## Joint Pain

Congratulations !  If you’re like me you are one of the 30 million adults in the United States who suffer with joint pain, you know the pain often is debilitating. It can keep you from staying active and limits your mobility and it even makes daily chores seem impossible. What you might not know is that many doctors can treat joint pain with more than just pills or surgery. Beware though some doctors will tell you about one procedure and then change it once they know your insurance example Medicare I felt one doctor thought less of me as a patient because I am disabled so he changed or tried to change the procedure. It pissed me off because I was all set to get the procedure we discussed and then he changed it.

Both procedures were covered under Medicare so I felt betrayed as if I wasn’t good enough for the other injection.

Newsflash people ….  on Medicare pay for the insurance hell I pay more than when I was working.

Make sure this doesn’t happen to you.

Depending on the severity of your pain, injections can be another option for easing your joint pain and help to get you moving again.

Doctors use these injections to try to reduce inflammation and pain in your joints some come with side effects and some risks.

The injections range from corticosteroids, which have been around for decades, to newer ortho-biologic injections like platelet-rich plasma (PRP) , Stem Cell and placental tissue matrix (PTM)

You and your physician will decide which one is best based on your individual needs. The issue is finding doctors qualified to do these.

Not every injection is right for every patient, in my case I hate steroid injections, not only did it make my pain worse it also comes with the risk of developing osteonecrosis. Something I already have. I have noticed that it seems like doctors are quick to prescribe and inject steroids. I stand my ground and refuse. But that’s me.

Corticosteroid injections

Use: This injection is the first line of defense against osteoarthritis symptoms and other joint pain in shoulders, knees and hips. Corticosteroids can offer relief for two to three months, and reduce inflammatory cell activity in the joint. In some people.

Side effects and Risks : As with all injections, there’s a small chance of infection about one in 1,000 as well as Joint infection.

Nerve damage.

Thinning of skin and soft tissue around the injection site.

Temporary flare of pain and inflammation in the joint.

Tendon weakening or rupture.

Thinning of nearby bone (osteoporosis)

Osteonecrosis lack of blood supply to the bone

Raised blood sugar level

Whitening or lightening of the skin around the injection site

Cost: Most insurance covers the $100 -$200 usd cost of these injections. Your insurance provider may require that you try at least one corticosteroid injection first to see whether it works. If not, you may move on to a different therapy.

Hyaluronic acid injections

Use: Hyaluronic acid (HA) injections often are used when corticosteroid injections don’t work. But they usually are approved only for use in the knee.

In some instances, doctors consider an HA injection first if you don’t have obvious signs of inflammation. HA also is a better option if you have diabetes, as corticosteroids can raise blood sugar levels.

Also known as gel injections, HA injections are chemically similar to your natural joint fluid.

When you have osteoarthritis which is different than osteonecrosis lucky me I have both, the joint fluid becomes watery.

So, this injection helps to restore the fluid’s natural properties and works as a lubricant and a shock absorber.

HA is a cushion or a buffer against inflammatory cells in the joint.  In some cases, it can stimulate the knee to start producing more natural HA.” Some physicians also believe that HA helps reduce pain by coating nerve endings within the joint.

One treatment, which may consist of between one and three injections, usually offers symptom relief for four to five months, but sometimes up to one years. However, pain and stiffness will return. Most insurance companies only approve one HA injection every six months.

In knees with osteoarthritis, the joint fluid (called synovial fluid) can break down and not provide the cushioning your knee needs

Durolane

Euflexxa

Hyalgan

Orthovisc

Monovisc

Supartz

Synvisc, Synvisc-One

Depending on which type your doctor uses, you may get a single shot. Or you’ll get three to five injections spaced a week apart.

Side effects: There’s a 1-in-100 chance of an inflammatory reaction, The most common short-term side effects are minor pain at the injection site and minor buildup of joint fluid. These get better within a few days.

Cost: HA injections cost more — about $300 to$850 per injection, but most insurance companies cover the cost for knee injections.

Platelet-rich plasma (PRP) injections

Use: Platelet-rich plasma (PRP) injections can treat osteoarthritis joint pain, and are being thoroughly researched to understand their effects.

These injections use your own blood and platelets to promote healing. Platelets contain growth factors and proteins that aid healing in soft tissues. Research shows PRP injections can alter the immune response to help reduce inflammation,

Side effects: Side effects include a very low risk of infection and pain at the injection site. You must stop oral anti-inflammatory medications for a short amount of time if you get a PRP injection.

Cost: Insurance companies don’t generally cover PRP injections and you will pay between $400 and$1,300 per injection out-of-pocket.

Stem Cell Injections

The world’s most advanced regenerative injection treatments for treating knee pain due to arthritis, meniscus tears, traumatic ligament injuries, overuse conditions and other degenerative conditions.

Side effects : mild discomfort associated with the procedure. There is a very small risk of infection whenever aspirations and injections are performed. Nerve damage, vessel damage, and injury to other important structures are exceedingly rare

Placental tissue matrix (PTM) injections

Use: Placental Tissue Matrix (PTM) injections can very profoundly decrease the pain related to osteoarthritis.

These are injections of placental tissue, which is obtained after a healthy baby is delivered from a healthy mother. Research has discovered that there is a large number of growth factors in placental tissue that promote healing, Dr. Genin says.

Side effects: Side effects include a  low risk of infection and pain at the injection site. The placental tissue is “immune privileged,” which means the body would not have an adverse reaction to it.

Cost: Insurance companies don’t generally cover PTM injections; you will pay around $1,800 -$2500 per injection out-of-pocket.

Many of these injections often are effective in reducing or stopping your joint pain, but it’s important to remember that they may not keep the pain from returning, Dr. Schaefer says. In fact, they’re most effective when used with other therapies.

As a patient who has Osteonecrosis, Osteoarthritis, and other stuff I consider surgical options as a last resort only if other treatment options have failed. Unfortunately some treatments I cannot even afford to try. I wish the FDA would get a move on and approve some things so insurance companies can have this as a form of treatment.

Stem Cells

BONE MARROW AND FAT CELLS

The stem cells used in this point of care clinic are Autologous Cells that we take from your own body.  These cells are taken from your own Bone Marrow or Fat Cells.  The cells are your own Stem Cells and will not be rejected by your body.

Taking the Bone Marrow or Fat Cells from your body is relatively painless as a mild local anesthetic is used prior to harvesting.  These cells are processed to receive the most stem cell gain and then injected into the area of your body where you need the growth factors to go to work the quickest.  Your blood is also drawn and your platelet rich plasma is added to the Stem Cells taken from your Bone Marrow or Fat Cells to increase the activity of the growth factors.

It is important that these cells are used the day they are extracted from your body in order to insure they remain alive and active.  Our clinic does not grow extra stem cells from your Bone Marrow or Fat Cells to ensure that they are alive and active.  It is an FDA requirement that you receive your cells the same day they are harvested.

You get only the stem cells we extract from your body and there is no other manipulation used except extraction and preparation of the samples taken from your own body.  The cells are taken in a procedure that creates only mild discomfort or none at all.  Ninety nine percent of our patients experience no pain obtaining bone marrow or fat cells.

CORD STEM CELLS:

Embryo and Placenta stem cells can create certain types of cancers.  The cord blood Stem Cells should only be used if they are obtained from a healthy relative and you are a good match.  Cord Stem Cells that are used outside of the country or shipped to this country are illegal.  The FDA has found diseases in these grown cells and states that most of them are dead.  Even though the physicians supplying these Cord Cells claim they are safe to use, you should use extreme caution before considering these procedures.

ARE YOU A CANDIDATE FOR THESE STEM CELL PROCEDURES

REBUILDING JOINTS & SPINE: The Stem Cells that are obtained from your body are placed into all joints and spine to rebuild and regenerate new tissue growth as determined by the clinic physician.   There has been clinical evidence that new cartilage can be grown within your joint provided you are determined a candidate by the clinical physician.  Not all patients will be a candidate and may require joint replacement.

TORN TENDONS:  If the patients tendons are not completely torn this procedure will produce new tissue growth to regenerate torn tendons. Our clinic physician can only determine this with an initial visit and evaluation.

How Does PRP Therapy Work?

To prepare PRP, a small amount of blood is taken from the patient. The blood is then placed in a centrifuge. The centrifuge spins and through a multi-functional process separates the plasma from the blood producing the PRP. This increases the concentration of platelets and growth factors up to 500% also increasing hMSC (human stem cells) proliferation as a function of 8-day exposure to platelet released concentrations 10x. (x= increase above native levels)

When PRP is injected into the damaged area it stimulates the tendon or ligament causing mild inflammation that triggers the healing cascade. As a result new collagen begins to develop. As this collagen matures it begins to shrink causing the tightening and strengthening of the tendons and ligaments of the damaged area.

What is Platelet Rich Plasma?

Platelet Rich Plasma or PRP is blood plasma with concentrated platelets. The concentrated platelets found in PRP include growth factors among the huge reservoirs of bioactive proteins that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins increase stem cell production to initiate connective tissue healing, bone regeneration and repair, promote development of new blood vessels and stimulate the wound healing process.

PRP Regenerates Tendons & Ligaments

Tendons connect the muscle to the bone making it possible for you to do many everyday physical activities. Overuse or damage to the tendon over a long period of time causes the collagen fibers in the tendons to form small tears, a condition called tendonitis. Damage to tendons most often occurs in the knees, ankles, hips, spine, elbows, shoulders, and wrists.

Ligaments are composed of collagen fibers that hold one bone to another, stabilizing the joint and controlling the range of motion. When a ligament is damaged, it is no longer able to support the bones in the joint, which often leads to pain symptoms. The instability causing the pain in your joints does not always show up on high tech imaging equipment. Through a thorough neurological and orthopedic evaluation Dr. Baum can determine which ligaments and tendons are unstable due to injury, wear or tear.

Tendons and ligaments have a poor blood supply and they do not usually heal from damage. Combined with the stress of day-to-day activities tendons and ligaments become inefficient causing degeneration of the joint which leads to chronic pain and weakness. Patients who experience chronic pain may not even remember when the injury occurred.

How Does PRP Compare With Cortisone Shots?

Studies have shown that cortisone injections may actually weaken tissue. Cortisone shots may provide temporary relief and stop inflammation, but may not provide long term healing. PRP therapy is healing and strengthening these tendons and ligaments and in some cases thickening the tissue up to 40%.

Treatment Plan

PRP injections with guided ultrasound can be performed on tendons and ligaments all over the body. Cervical, thoracic and lumbar spine, degenerative disc disease, arthritic joints shoulder pain, hip pain, and knee pain, even the smaller joints of the body can all be treated effectively with PRP. Dr. Baum will determine whether prolo solution, Platelet Rich Plasma or a combination of both will be the most effective form of treatment for you during his initial consult and evaluation.

Frequency Of Treatments

While responses to treatment vary, most people will require 3 to 6 sets of injections of PRP. Each set of treatments is spaced 4 to 6 weeks apart.

Is PRP Right For Me?

If you have degenerative spine or joint disease, a tendon or ligament injury, laxity or tear and traditional methods have not provided relief then PRP therapy may be the solution. It will heal tissue with minimal or no scarring and alleviates further degeneration and builds new tissues. There will be an initial evaluation with Dr. Baum to see if PRP therapy is right for you.

What Can Be Treated?

Platelet Rich Plasma injections helps regenerate all areas of the body including the cervical, thoracic and lumbar spine, wrists, elbows, shoulders, hips, knees and ankles as well as tendons and ligaments all over the body.  Dr. Baum is one of the few physicians performing PRP procedures to all areas of the spine.  Our clinic treats patients with sports injuries, arthritic and degenerative joints and degenerative disc disease. More specific injuries including tennis elbow, carpal tunnel syndrome, scoliosis, ACL tears, shin splints, rotator cuff tears, plantar faciitis and iliotibial band syndrome may all be effectively treated with PRP.

What Are The Potential Benefits?

Patients can see a significant improvement in symptoms as well as a remarkable return of function. This may eliminate the need for more aggressive treatments such as long-term medication or surgery.

Special Instructions

You are restricted from the use of non-steroid anti-inflammatory medications (NSAIDs) one week prior to the procedure and throughout the course of treatments.

Initially the procedure may cause some localized soreness and discomfort. Most patients only require some extra-strength Tylenol to help with the pain. Ice and heat may be applied to the area as needed.

How Soon Can I Go Back Regular Activities?

PRP therapy helps regenerate tendons and ligaments but it is not a quick fix. This therapy is stimulating the growth of new tissue requiring time and rehabilitation. Under Dr. Baum’s supervision patients will begin an exercise program immediately following the first procedure. During the treatment program most people are able to resume normal activities and exercise.

Platelet Rich Plasma (PRP) Matrix Graft by David Crane, MD and Peter A.M. Everts PhD

PRP application techniques in musculoskeletal medicine utilize the concentrated healing components of a patient’s own blood—reintroduced into a specific site—to regenerate tissue and speed the healing process

PRP INJECTION APPLICATION SITES

Spine

Cervical/Thoracic/Lumbar/Sacral

Shoulders & Elbows

Wrist & Hand

Hip/Pelvis

Knee & Lower Leg

Ankle & Foot

Fingers & Toes

Arthritic Joints

Osteoarthritis

Some Osteonecrosis

Information

http://www.prolotherapy.com/PPM_JanFeb2008_Crane_PRP.pdf

Important Videos Everyone Should watch on Biologics

https://drjamesbaum.com/2013/07/the-science-of-mesenchymal-stem-cells-and-regenerative-medicine/

Scientific Papers on Research of Stem Cells

https://drjamesbaum.com/stem-cells/scientific-papers/

I will be posting this in my other blog section also

## WEGOHealth Awards and How to Nominate Others

I’m honored to say I’ve been nominated for the #WEGOHealthAwards! These awards seek to recognize Patient Leaders who are making an impact with their advocacy. Learn more – nominate today.

Here’s how you can also nominate others who educate, advocate and make a difference!

WEGOHealth Awards and Nomination Info

Patient Leaders have started non-profits, published podcast episodes, and authored books – there is no shortage of Patient Leaders’ contributions to the world, so let’s recognize as many of them as we can for their talents, contributions, and commitment.

Feel free to add their names and web info also in my comment section! And they can get some recognition here to !

Have a Great Day Everyone

## The Cost Of Knee Replacements

If you’re having trouble with your knees, you’re not alone.

I also have knee issues. I have Osteonecrosis and osteoarthritis and a torn meniscus all in the same knee.

And doctors are basically waiting for my knee to collapse to replace it.

Me I’m looking to avoid a collapse but at the 10k out of pocket cost it’s almost impossible. I’m talking stem cell injection.

Many people young and old alike are having many problems with their knees and ready to stop the pain.

Can you believe knee replacements have doubled in the United States from 2004 to 2014!

People want to have relief from their knee pain. The shouldn’t have to pas on a treatment that will work becz it’s not covered, or be stuck to live in pain until the knee collapses, then be forced to pay for a replacement.

One option that often comes up is knee replacement surgery.

However, it’s a very expensive surgery that includes a lot of pain and extensive physical therapy. And come on now let’s not forget they remove the end of the knee and replace it with artificial parts.

So let’s walk you through the true cost of knee replacement surgery so you have an idea of what to expect.

Pre-Surgical Consultation Fees

Individuals having knee replacement surgery can expect to incur costs long before actually being admitted to the hospital.

A pre-surgical evaluation or consultation must be completed by your orthopedic surgeon in order to see if an individual can even have the surgery. I think they do this for every surgery to make sure we are strong enough to handle the surgery and not die in the table.

I had umbilical hernia surgery in 2017 and had a cut scan , then a stress test, blood work. All for a 40 minute hernia repair.

Anyway………

This consultation will involve imaging X-rays and MRI’s ,then there is blood work, cultures, and panels.

Patients can expect their providers to also do the following:

Determine bone mineral density

Issue a liver function test

Do an EKG or EC

Possibly a stress test

Conduct a urine test

The consult determines what type of knee replacement surgery will be required PKR or TKR partial or total knee replacement.

Then the cost of the hospital stay and surgery costs.

Those who gave a knee replacement should expect to be in the hospital for at least 2-6 days.

During this time, the patient will require the help of many healthcare professionals.

The cost of the inpatient stay will largely be dependent upon the following:

Length of time in the operating room

Any preexisting conditions that require extra care

Type of implant

Surgical approach

Complications

Number of days in the hospital

Be prepared while in the hospital you will be paying for everything, every pill, glass of water, meals, physical therapy, nurses all of it

Many knee surgery candidates elect to have surgery overseas due to the large difference in cost. In some countries, knee replacement surgery is 50 to 80 percent cheaper than they are in the United States. But no always covered by insurance and it can be risky.

So say you have an 80/20 plan and your knee replacement is 45,000.00 your 20 percent is 9000.00

Now a stem cell injection is 8-10,000usd. Would it not be more cost effective and save the patient pain , and the actual loss of their own joint to just even cover a stem cell injection if the patient meets the criteria?

Even 60/40 would be a plus.

We have get insurance companies, medicare and Medicare to come into the real world. We have great medical technology it’s time the average person has access to it.

Living a life waiting for your knee to collapse is no fun, it’s poor quality and when there are alternative options that could help if you qualify why are we forced to suffer.!!

## Body Confidence

Can you be body confident when suffering from chronic pain? Do these two things even mix? Can I live in harmony again in a body that seems to work against me? I’ve been living with chronic pain for 4 years now. Some days I am in more pain than others .

I had to retire for now from my optometric tech -optician duties because of all the pain I have had and the limited mobility drives me crazy because I don’t like to be limited.  I mean my knee just wont move the way it should. My goal is to get back to work someday.

Overall I am  happy with myself, I am pretty, I am smart, I am good hearted , kind, compassionate giving person. I’m happy with my life, in spite of the challenges I deal with daily but I feel as if I’m struggling to be happy with my actual body. I mean I have a few things that are keeping me from dropping some weight which in turn will help my bones.

Dealing with adrenal fatigue and hashimoto’s on top of hypothyroidism , osteonecrosis , osteoarthritis and spondylolethesis just some days is well challenging.

My body is changing constantly, with new aches and pains.. It hurts a persons confidence sometimes. Don’t get me wrong, I am, confident  but I’m not 100%. like I used to be.

How can I be? My body stops me from being able to do things,like hiking which I miss and love, I cant roller skate anymore , I cant work like I used to . I also can’t  wear things because of the pain like my spike heels.

My fashion choices have changed as I have gained weight and when my pain gets worse,

If you were looking to me for some magical answers with this post, I don’t really  have any.

I’m exploring it all myself.

Yes I try many things some help a little , some help a lot but all seem to be temporary.

I do things like take curcumin for my pain, I make sure I eat healthy.

I am a Flexitarian who eats mostly plant based. I take my vitamins, I do exercise as best as I can.

Chronic pain affects people in different ways, but I really don’t think people understand how it can effect our body confidence.

I just cannot sit for 1-2 hours everyday to curl my hair & put on makeup, nor do I really want to.  I am now a eyeliner – lipstick kinda woman now and of course I still curl my hair just not with all the products in my hair

Can I wear a bra around the house? Mmmm I could but why LOL.

I try to ride my recumbent bike a few miles daily

Some days I walk some but its really a pain because depending on where I walk my knee will either love it or hate it.

My new thing is using dumbell’s every other day they are 8 lbs each ,

I have to keep the muscles somehow. And I am hoping I can build more muscle lose more fat.

I only use them for a few moves because I cant squat due to the knee problem and if I tried my knee pain would have me on the floor.

I don’t care if i lose 50 lbs but a good 25 would be nice. I dont even mind being a plus size curvy girl, I just know for my height and health of my bones dropping 25-30 lbs would be a real plus .I know I would feel so much better if I could drop some of this weight, I love me ,I love my body, I just want to love it more again.

Now Some Facts :

Here’s a look at what fat does to arthritis, as well as some tips to put you on the road to losing weight.

## Fat and Osteoarthritis

Osteoarthritis, OA, is the most common type of arthritis, affecting approximately 27 million Americans. It is characterized by the breakdown of cartilage – the flexible but tough connective tissue that covers the ends of bones at joints. Age, injury, heredity and lifestyle factors all affect the risk of OA.

Why Obesity Matters

OA has a logical link to obesity: The more weight that’s on a joint, the more stressed the joint becomes, and the more likely it will wear down and be damaged.

“Weight plays an important role in joint stress, so when people are very overweight, it puts stress on their joints, especially their weight-bearing joints, like the knees and the hips,” says Eric Matteson, MD, chair of the rheumatology division at the Mayo Clinic in Rochester, Minn.

Every pound of excess weight exerts about 4 pounds of extra pressure on the knees. So a person who is 10 pounds overweight has 40 pounds of extra pressure on his knees; if a person is 50 pounds overweight, that is 200 pounds of extra pressure on his knees. “So if you think about all the steps you take in a day, you can see why it would lead to premature damage in weight-bearing joints,” says Dr. Matteson.

That’s why people who are overweight are at greater risk of developing arthritis in the first place. And once a person has arthritis, “the additional weight causes even more problems on already damaged joints,” says Dr. Matteson.

But it’s not just the extra weight on joints that’s causing damage. The fat itself is active tissue that creates and releases chemicals, many of which promote inflammation.

“These chemicals can influence the development of OA,” explains Jeffrey N. Katz, MD, a professor of medicine and orthopaedic surgery at Harvard Medical School and Brigham and Women’s Hospital in Boston.

This effect can be seen in the numerous studies that have linked extra weight to hand OA. “Obviously, you don’t walk on your hands, so there may be something that is produced by fat cells in the body that causes the joint to break down more rapidly than it might otherwise,” says David Felson, MD, a professor of medicine and epidemiology at Boston University School of Medicine.

For both reasons – excess joint stress and inflammatory chemicals – fat should be kept in check among all people, especially those who already have OA.

For more info on how Excess fat can Affect The Bones with various conditions click >>>  How Fat Affects Bones

## Breathing and Prayer For Wellness

Are on the verge of a meltdown, your feeling an impulsive urge to yell, scream, cry,? Do you know that every time you lose your cool, you are giving away your power.  I know it’s often easier said than done But, when we react impulsively and unconsciously we become a victim of the circumstances; we become a passenger in our life rather than a driver.

When you give away your power, you become completely dependent on external circumstances to regulate your emotions. Life often becomes like a roller coaster – when things are going well, you will feel good, yet when your circumstances change, your behavior and feelings will shift.

The more emotional you feel, the less rational you’ll think Don’t try solving any problems when you’re feeling overly emotional. Distract yourself with an activity, like walking or reading, or deep breathing to help you calm down. Getting your mind off whatever is  bothering you, even for a few minutes, can help you calm down so you can think more clearly and rationally.

Learn to just…. Breathe

Anxiety, frustration and anger cause physical reactions within the body  you will experience  elevated heart rate. Shallow, upper chest breathing is part of the typical stress response. Stop and take slow, deep breaths can relax your muscles and decrease your physiological response, which in turn can decrease your emotional reactivity.

I use Dr Weil’s 4-7-8 Breathing  Dr. Weil MD 4-7-8 Breathing  after I  practiced this 2x a day after about 3 days I felt more peaceful, and after a couple weeks I felt this inner calm.

I do this even when I am not stressed, and then when I get stressed or angry I use it and it helps  calm me so much. I even use it to fall asleep, or when I am getting a medical test like an mri .

Trying to maintain complete control in everything that happens leads to increased anxiety. Efforts to manage your anxiety by trying to control everything in your environment will backfire. Attempting to control everything wastes time and mental energy.

When we are overly stressed we operate from a fight-or-flight response  your heart beats faster, your blood pressure rises, and your breathing quickens as adrenaline rushes through your body. By changing the rate, and pattern of breathing, we can change the messages being sent from the body’s respiratory system to the brain. Slow and controlled breathing can reduce the heart rate, reduce levels of stress hormones, and increase the feelings of calm and well being, bringing us back to a place that we can feel less likely to overreact.

I have Adrenal fatigue, and I was told my “fight or flight” response has been activated far too often in the past. So I am learning to relax, let go of stuff I cannot control and breathe…..I also pray I pray several times a day. I don’t ask for things I give thanks even when I am stressed, have fear, depressed, I have faith things will come to pass.

We have to learn stress will come, sometimes life is heavy and we will get over whelmed, we may get an illness, or disorder, deal\in chronic pain, or just not know how to cope in certain situations……stressing out will not solve the problem…..

#### Philippians 4:13New King James Version (NKJV)

13 I can do all things through [a]Christ who strengthens me.

### Greeting

Paul, an apostle of Jesus Christ by the will of God,

To the saints who are in Ephesus, and faithful in Christ Jesus:

Grace to you and peace from God our Father and the Lord Jesus Christ.

### Redemption in Christ

Blessed be the God and Father of our Lord Jesus Christ, who has blessed us with every spiritual blessing in the heavenly places in Christ, just as He chose us in Him before the foundation of the world, that we should be holy and without blame before Him in love, having predestined us to adoption as sons by Jesus Christ to Himself, according to the good pleasure of His will, to the praise of the glory of His grace, by which He [a]made us accepted in the Beloved.

In Him we have redemption through His blood, the forgiveness of sins, according to the riches of His grace which He made to abound toward us in all wisdom and [b]prudence, having made known to us the mystery of His will, according to His good pleasure which He purposed in Himself, 10 that in the dispensation of the fullness of the times He might gather together in one all things in Christ, [c]both which are in heaven and which are on earth—in Him. 11 In Him also we have obtained an inheritance, being predestined according to the purpose of Him who works all things according to the counsel of His will, 12 that we who first trusted in Christ should be to the praise of His glory.

13 In Him you also trusted, after you heard the word of truth, the gospel of your salvation; in whom also, having believed, you were sealed with the Holy Spirit of promise, 14 who[d] is the [e]guarantee of our inheritance until the redemption of the purchased possession, to the praise of His glory.

### Prayer for Spiritual Wisdom

15 Therefore I also, after I heard of your faith in the Lord Jesus and your love for all the saints, 16 do not cease to give thanks for you, making mention of you in my prayers: 17 that the God of our Lord Jesus Christ, the Father of glory, may give to you the spirit of wisdom and revelation in the knowledge of Him, 18 the eyes of your [f]understanding being enlightened; that you may know what is the hope of His calling, what are the riches of the glory of His inheritance in the saints, 19 and what isthe exceeding greatness of His power toward us who believe, according to the working of His mighty power 20 which He worked in Christ when He raised Him from the dead and seated Him at His right hand in the heavenly places, 21 far above all principality[g] and [h]power and [i]might and dominion, and every name that is named, not only in this age but also in that which is to come.

22 And He put all things under His feet, and gave Him to be head over all things to the church, 23 which is His body, the fullness of Him who fills all in all.

## Healthy Eating

Developing healthy eating habits isn’t as confusing or as restrictive as many people imagine. The essential steps are to eat mostly foods derived from plants—vegetables, fruits, whole grains and legumes (beans, peas, lentils)—and limit highly processed foods.

For most of my life, I ate the standard American diet and meals that were heavy in meat and processed foods. I went to a vegetarian lifestyle in high school for a couple years then back to the old way.

When i was diagnosed with Osteonecrosis, Osteoarthritis HBP etc and especially when my husband had a heart attack in 2016 I thought enough was enough.

I got rid of a lot of processed foods, potato chips, convenience meals, and loved Oreo’s and Nutter Butter cookies. There was a lot of sugar, oil, and junk in my diet.

We quit smoking 2 years ago almost. and we as a team decided to go part time but mostly vegan .

Me having a few issues from Osteonecrosis, Osteoarthritis, Hashimot’s and Hypothyroidism and Adrenal Fatigue left me in pain and always exhausted.

I had been dealing with pain in my knee and back for a few years. My mind wants to go go go like it did 25 years ago, my knees say oh hell no slow down woman. And this extra weight is just hard on the bones. But when your limited by many bone issues its really hard to just walk 3-4 miles a day. I bike 3-4 miles a day but its not the same as a good hike in the woods. I do go now and then walking in the woods but hiking I’m afraid for now all that has been on hold.

Going to mostly plant based has helped my pain. And my energy.

So its working and I am feeling better slowly …..

Its a process…

Don’t just go all I went to 65 percent of eating all veggies daily  then added more from there. Some days i eat no meat or fish and some days i will. I Slowly cut out animal products, starting with the easiest and leaving barrier foods to the end. Slowly lessened  my consumption of animal products while simultaneously increasing the number of plant-based foods in our diet.

I spoke to my doctors and I will post tomorrow just how i got started

## Hashimoto

I was diagnosed with hypothyroidism in 1996 I was 34 and I really have never felt myself since then.

I always try to live a decent life kind to others , help in my community and I’d rather be happy than mad or sad.

But ….. I still always felt fatigued, more tired than I should be.

Actually if I’m honest with myself it seems as if the symptoms just get worse more intense.

I have asked countless doctors over the last 20+ years to check me for Hashimoto Disease because the countless adjustments to synthroid , levothyroxine and now armour just isn’t helping , it helps for a couple months then adjustments happen and I just feel worse .

Finally tested and diagnosed

April 2018 w/ Hashimoto

Sure everyday I wake up happy

But I soon feel

exhausted

fatigued

sluggish

winded

My skin is dry, my eyes are dry, my mouth is dry, my hair is dry and thinning.

I have this constant feeling on my throat as if a thumb is pressing on it.

We won’t talk about the weight gain over the last 20 years. I mean really between this and osteoarthritis -osteonecrosis I just get overwhelming-some days

But what sucks is the inability to lose the weight

So time to change the way I eat again ….

I have already gone to mostly plant based now I have to try and go gluten free.

As Hashimoto is linked to gut as is most auto immune conditions.

Hashimoto vs Hypothyroidism

This common question can be confusing to even veteran thyroid patients.

Let’s clear up the main difference: Hashimoto’s thyroiditis is a disease; hypothyroidism is a condition.

In the United States, hypothyroidism is most commonly caused by Hashimoto’s thyroiditis, but the two terms are not interchangeable.

Hashimoto’s thyroiditis is an autoimmune disease that affects your thyroid gland. It is sometimes known as Hashimoto’s disease, autoimmune thyroiditis, or chronic lymphocytic thyroiditis. In Hashimoto’s, antibodies react against proteins in your thyroid gland, causing gradual destruction of the gland itself, and making it unable to produce the thyroid hormones your body needs.

Diagnosis

I had to insist on this test because I was blown off for years by several doctors when I asked for this test.

High levels of antibodies against thyroglobulin (TG) and thyroid peroxidase (TPO), detected via blood test

Hashimoto’s typically involves a slow but steady destruction of your gland that eventually results in the thyroid’s inability to produce sufficient thyroid hormone—the condition known as hypothyroidism. Along the way, however, there can be periods where your thyroid sputters back to life, even causing temporary hyperthyroidism, then a return to hypothyroidism. This cycling back and forth between hypothyroidism and hyperthyroidism is characteristic of Hashimoto’s disease.

So, for example, periods of anxiety/insomnia/may be followed by periods of depression/fatigue/weight gain.

In some cases, the onset of Hashimoto’s and elevation of antibodies will be accompanied by a variety of symptoms, including anxiety, difficulty sleeping, fatigue, weight changes, depression, hair loss, muscle/joint aches and pains, and fertility problems, among others.

Ultimately, however, the autoimmune attack on the thyroid typically makes the gland slowly less able to function, and eventually, the thyroid becomes underactive.

So I wonder in 1996 did i have Hashimoto? When i was diagnosed with hypothyroidism ? Or did it morph into this…..

More to come as I learn to get this under control……

## Sunshine Blogger Award

I am always humbled and honored when someone nominates me for a blogger award.

Out of so many bloggers, you thought of me.

Thank you, Christine , for nominating me for the Sunshine blogger award.

Thank you for sharing your information and knowledge to the world. I hope you enjoy your retirement

Here are the rules:

• Thank blogger(s) who nominated you for the blog post and link back to their blog if possible.

• Nominate 5 new blogs to receive the award and write them 5 new questions.

• List the rules and display Sunshine Blogger Award logo in your post and/or blog

1. Is it sunny where you are today? Today no it’s raining in Ohio

2. Why did you start your blog? I started blogging to bring awareness to disorders like Osteonecrosis-Osteoarthritis-Hypothyroidism-Now Hashimoto and how eating healthy can combat pain and inflammation

3. How long have you been blogging?

About 2 years but I’m still learning as I go.

4. Give us some information on your platform. I wrote about my health challenges and how I am changing how I eat to feel better.

5. What food reminds you of sunshine? Anything made with lemons.

## Bones

It still looks like winter out in NE Ohio today even though it’s

07 April 2018.

This is what I woke up to . But I also woke up to pain as well. I mean every bone in my body hurts today.

It’s weird hearing the birds of spring singing away while there is a fresh 3 inches of snow on the ground.

Still be chilled to the bone during winter and now spring is bad for the bones , very little sun, less exercise outdoors, and the drastic swings in the temperature are also painful. One day it’s rainy and 50 today it’s snowy and 30.

I try to stay moving in spite of the weather by riding my recumbent bike.

But I would really like to get outside and breath some fresh air.

On average Ohio has 60 sunny days a year and about 90 partly sunny days a year ( I think that’s a bit high as well)

And Orlando Florida has 233 sunny days a year. That’s a big difference.

No wonder why we have to take vitamin D supplements here.

I’d still prefer to get my vitamin D the natural way.

Less sun means that your body is making less Vitamin D. Vitamin D is produced when sunlight hits the skin and triggers a series of chemical reactions to produce Vitamin D.

People like me in northern latitudes with less year round sun exposure have to be very mindful of the fact that our bodies do not produce this essential vitamin in large enough quantities. In order to counteract the lack of sunlight, more Vitamin D supplements should be consumed during the winter months in order to keep the bones healthy and strong.

A healthy balanced diet will help you build strong bones from an early age and maintain them throughout your life.

We need sufficient calcium to strengthen our bones and vitamin D to help your body absorb calcium.

Poor bone health can cause conditions such as rickets and osteoporosis and increase the risk of breaking a bone from a fall later in life.

You should be able to get all the nutrients you need for healthy bones by eating healthy.

A good diet is only one of the building blocks for healthy bones, we need physical activity and a little bit of weight lifting.

### Food for Strong Bones

A healthy balanced diet will help you build strong bones from an early age and maintain them throughout your life.

Poor bone health can cause conditions such as rickets and osteoporosis and increase the risk of breaking a bone from a fall.

### Good sources of calcium include:

• milk, cheese,yogurt eggs and other dairy foods

• green leafy vegetables, such as broccoli, cabbage and okra, collards,asparagus, artichokes , peas.

• soybeans

• tofu

• nuts

• fish like tuna and salmon and also fish where you eat the bones, such as sardines and pilchards

Although spinach might appear to contain a lot of calcium, it also contains oxalic acid, which reduces calcium absorption, and it is therefore not a good source of calcium.

It is difficult to get all the vitamin D we need from our diet and we get most of our vitamin D from the action of the sun on our skin.

Winter and early springs temperatures can bring on a gloomy mood, sending your body into chronic stress and that triggers the production of cortisol . Cortisol destroyer of bone

Clouds the mood buster.

So yes I can’t wait for sun and warmer temperatures

Warm weather improves more than just your mood.

It turns out that warm, sunny weather actually boosts brain function in multiple ways. The study found that the more time people spent outdoors in the spring, the better their memory, cognitive function, and mood.

So I am anxiously awaiting spring to finally arrive. My bones will be so glad when the weather gets warmer.

At least the Sun is out today.

Just remember if you have bone problems take care of yourself and eat healthy.

I will probably have a heating pad on my knee later but for now I am just going to try and keep busy.

And enjoying the beautiful winter/spring day hopefully for the day until next winter.

#Osteonecrosis

#Osteoarthritis

#Spondylolisthesis

#BoneHealth

## Reasons Why The Cold Weather Can Affect Your Body

As we finally approach the end of winter the pain has probably began to increase in regards to spondylolisthesis, or any other bone or joint problem.

I have been blessed to have several bone issues.

Bone pain is always worse in winter and long rainy cool spells.

This may just be some odd coincidence, but I believe there are a few possible factors for this increase in the cold months.

Pay attention to the following reasons and see if you also have experienced any of them.

If you have or if you do feel an increase of pain with the cold weather, try to make a few adjustments to combat the following possibilites.

1. Cold weather leads to lazziness.

For me personally, when I sit around more often than not I get extremely tight in the hips and low back area.  I lose stability and strength in areas that are crucial for maintaining good health and providing relief for my low back.

I don’t always want to be active because besides having spondylolisthesis, which alone is so painful I have osteoarthritis and osteonecrosis.

I guess it’s the universes way of saying hey Deb your bones are jacked!

When the temperature drops, those outdoor activities disappear and unfortunately they are replaced by lots more sitting.  Sitting is not good. Our bodies were not meant to sit. Especially if it’s hours at a time.

Daily walks long or short are replaced by computer activities.

Many other outdoor activities are replaced by sitting and watching them on TV.

Solution:

I try to stay active as much as possible considering I have several bone issue challenges

Trips to indoor malls , the library, or bookstore , museum Instead of sitting is best.

I haven’t been able to do my favorite outdoor activity hiking since I was diagnosed with osteonecrosis in my knee 4 years ago and I miss it terribly. I hope someday I can get back to it. I have faith.

One of the main things I do is to stay disciplined with my daily workouts well I call them workouts.

I stay as conscientious as I can of how much I sit and try hard to not sit for long periods of time.

Yes there’s days I do but mostly I don’t.

When I work on the computer, I try to get up every 15 minutes or so even if it only involves a quick hip stretch or movement.

No matter how cold it gets outside, I try to stay as active as I can by replacing old outdoor activities with new indoor activities that involve movement.

This has really helped me to avoid cold weather setbacks with my back and often my knee. But don’t get me wrong I still will get some bad days it’s just not everyday or all day.

The worst is when we have long days of extreme cold or that dreaded all day rain that chills you, the back hurts the knee hurts and the entire body hurts .

Sometimes it’s exhausting.

But I try to keep somewhat busy.

Thank goodness for my recumbent bike.

Some days I just do a mile 1-2x a day and that’s ok. Other days I do 3 miles 1-2 x a day.

2. Cold weather can lead to poor eating habits.

Just like in the first example, when you sit around more and become lazy you usually begin to eat poorly.

Often times shear boredom leads to bad eating habits. That bag of chips or chocolate cake that you usually would ignore in the summer begins to work its way back into your diet.

The cold weather months typically cause people to put on a few more pounds.

I haven’t put on weight but I can never seem to lose it no matter what I do……thanks hypothyroidism

For many holidays do not help either.  Large amounts of sitting around and eating during Thanksgiving, Christmas and New Years are often to blame for excess pounds.

This leads to a snowball effect of being lazy.  You sit around more which creates the sense of boredom.

Many people replace being bored with the feeling of hunger , I used to do that.

You then overeat causing the body to feel lethargic and lazy and the cycle continues.

Before you know it you plow through a box of cookies and a bowl of ice cream while you sit and watch six hours of re-runs of your favorite TV show.

Talk about creating a perfect storm!

The entire body then becomes inflamed at least for me it did.

So I changed

I stopped most not all of the processed snacks.

I started eating more plant based but I am not a vegan as I do have fish or chicken 1x a week and eggs a couple times a week.

My pain level dropped a lot but I feel healthier still waiting for the weight to fall off.

The sitting and excess weight reduces the ability to move properly which could create instability, weakness and eventually painful spondylolisthesis episodes.

These habits take the place of the activities you are used to in the warmer months wher you spend more time being active and not thinking about food.

Solution:

I tend to fight this cycle by paying close attention to what I eat and I’m learning to drink-extra water.  I find that providing my body with plenty of water helps to fight those boring food craves.

This in combination with staying active helps to keep away the extra cold weather added pounds but more important the inflammation that throws pain scale off the chart.

3.Cold weather makes working out and exercising much harder.

I find that when the weather drops workouts tend to become much harder.

Those quick trips to the park or walk in the plaza get harder when you have to scrape ice off of your car for fifteen minutes. It’s a pain to put on 2 layers of clothing just to stay warm on your way to the store really sucks.

My daily workouts are crucial to staying pain free. Without them my body gets weak, tight and doesn’t move the way it should. IPain is quick to follow.

Mentally I do not let myself get down or lazy. If the temperature is freezing outside I stay in and ride the bike more do gentle stretches.

More often than not if I feel like skipping a workout and I just tell myself to replace the workout with a good warm-up and stretch, I get through the stretch and I am suddenly motivated to workout. That workout that I wanted to skip then turns into a great stretch and workout.

I just know when I have pain or have no pain I feel better when I am moving . I can’t do many things I used to but I can learn new ways.

I have noticed that when we stay mindful and not become stagnant in my life i feel better.

And for that

I am grateful

Here’s some stretches I do to help my spondylolisthesis

Spondylolisthesis Exercise

How I get the kinks out

Shoulders and Back

Hmmm love these guys.

Can meniscus tear heal

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The purpose of this website is to promote broad consumer understanding and knowledge of various health topics.

Based on my own health issues.

It is not intended to be a substitute for professional medical advice, diagnosis or treatment.

Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Thank you.

## Relax and Help Pain & Anxiety Through Various Techniques

I used to be stressed all the time. Especially when trying to manage life with one or two chronic conditions.

Now it’s occasional stress and pain all depends…..

But I have found some relief and I believe it’s because I have learned to relax using a variety of methods. My favorite is breathing 4-7-8 I read about this from Dr Andrew Weil .

This is followed by the five-step procedure listed below:

1 Exhale completely through your mouth, making a whoosh sound.

2 Close your mouth and inhale quietly through your nose to a mental count of four.

3 Hold your breath for a count of seven.

4 Exhale completely through your mouth, making a whoosh sound to a count of eight.

5 This is one breath. Now inhale again and repeat the cycle three more times for a total of four breaths.

Dr Andrew Weil emphasizes the most important part of this process is holding your breath for eight seconds. This is because keeping the breath in will allow oxygen to fill your lungs and then circulate throughout the body. It is this that produces a relaxing effect in the body.

I personally find it relaxing and you can use it anytime you feel stress and or anxiety.

I’ve tried a few things and this is the topic for today.

Daily I use

I use breathing 4-7-8i

I also am grateful for everything

Weekly

EFT Tapping (more about that below)

I also practice mindful meditation a few days a week when I walk especially.

I want to share with you ways that helped me, and maybe they can help you.

Make sure you get the ok from your doctor before starting anything new.

Relaxation Techniques
Using the Relaxation Response to Relieve Stress

For many of us, relaxation means zoning out in front of the TV at the end of a stressful day. But this does little to reduce the damaging effects of stress that add to disease and poor health. To effectively combat stress, we need to activate our body’s natural relaxation response.

You can do this by learning and practicing relaxation techniques such as deep breathing, meditation, rhythmic exercise, and yoga.

Adding one or all of these activities into your life can help really reduce your everyday stress, and it will boost your mood, and improve your mental focus and physical health.

What is the relaxation response?
When stress overwhelms your nervous system, your body is flooded with chemicals that prepare you for “fight or flight.

Your stress response can be lifesaving in emergency situations where you need to act quickly. But when it’s constantly activated by the stresses of everyday life, it can wear your body down and take a toll on your-health both physical and emotional.

I was at my Naturopath’s a few months ago and she did what she called tapping. I felt this sense of peace and relief, like a huge weight was lifted from my shoulder.

If you’re like me and many other people, you feel trapped, whether it’s due to daily stress , work or school stress, family stress , stress that comes with having a chronic condition etc…we all can get caught in this cycle. The Stress Cycle

You’re tired of feeling sad, depressed, anxious, discontent, and unwell. You’re sick of the expensive and ineffective treatments. You’re fed up with relinquishing the power over your health and happiness to doctors.

You want to be your best, living a life that is filled with peacefulness, joy, and fulfillment, from day to day and moment to moment.

Tapping

Meditation

Yoga

Deep Breathing

No one can avoid all stress, but you can learn to how to counteract its detrimental effects in the body mind and spirit.

The relaxation response puts the brakes on stress and brings your body and mind back into a state of equilibrium.

When the relaxation response is activated, your:
heart rate slows down
breathing becomes slower and deeper
blood pressure drops or stabilizes
muscles relax
blood flow to the brain increases

In addition to its calming physical effects, the relaxation response also increases energy and focus, combats illness, relieves aches and pains, heightens problem-solving abilities, and boosts motivation and productivity. Best of all, anyone can reap these benefits with regular practice.

There is no single relaxation technique that is best for everyone. The right relaxation technique is the one that resonates with you, fits your lifestyle, and is able to focus your mind and interrupt your everyday thoughts to elicit the relaxation response.

You may even find that alternating or combining different techniques provide the best results.
How you react to stress may also influence the relaxation technique that works best for you:

The “fight” response. If you tend to become angry, agitated, or keyed up under stress, you may respond best to stress relief activities that quiet you down, such as meditation, progressive muscle relaxation, deep breathing, or guided imagery.

The “flight” response. If you tend to become depressed, withdrawn, or spaced out under stress, you may respond best to stress relief activities that areenergize your nervous system, such as rhythmic exercise, massage, mindfulness, or power yoga.

The immobilization response. If you’ve experienced some type of trauma and tend to “freeze” or become “stuck” under stress, your challenge is to first rouse your nervous system to a fight or flight response (above) so you can employ the applicable stress relief techniques. To do this, choose physical activity that engages both your arms and legs, such as running, dancing, or tai chi, and perform it mindfully, focusing on the sensations in your limbs as you move.

Deep breathing
With its focus on full, cleansing breaths, deep breathing is a simple yet powerful relaxation technique. It’s easy to learn, can be practiced almost anywhere, and provides a quick way to get your stress levels in check. Deep breathing is the cornerstone of many other relaxation practices, too, and can be combined with other relaxing elements such as aromatherapy and music. All you really need is a few minutes and a place to stretch out.

How to practice deep breathing

The key to deep breathing is to breathe deeply from the abdomen, getting as much fresh air as possible in your lungs. When you take deep breaths from the abdomen, rather than shallow breaths from your upper chest, you inhale more oxygen. The more oxygen you get, the less tense, short of breath, and anxious you feel.
Sit comfortably with your back straight. Put one hand on your chest and the other on your stomach.
Breathe in through your nose. The hand on your stomach should rise. The hand on your chest should move very little.
Exhale through your mouth, pushing out as much air as you can while contracting your abdominal muscles. The hand on your stomach should move in as you exhale, but your other hand should move very little.
Continue to breathe in through your nose and out through your mouth. Try to inhale enough so that your lower abdomen rises and falls. Count slowly as you exhale.
If you find it difficult breathing from your abdomen while sitting up, try lying down. Put a small book on your stomach, and breathe so that the book rises as you inhale and falls as you exhale.

Mindfulness meditation
Rather than worrying about the future or dwelling on the past, mindfulness meditation switches the focus to what’s happening right now, enabling you to be fully engaged in the present moment.

By focusing your attention on a single repetitive action, such as your breathing, other forms of mindfulness meditation encourage you to follow and then release internal thoughts or sensations. Mindfulness can also be applied to activities such as walking, exercising, or eating.
A basic mindfulness exercise:
1. Sit on a straight-backed chair or cross-legged on the floor.
2. Focus on an aspect of your breathing, such as the sensation of air flowing into your nostrils and out of your mouth, or your belly rising and falling.
3. Once you’ve narrowed your concentration in this way, begin to widen your focus. Become aware of sounds, sensations, and thoughts.
4. Embrace and consider each thought or sensation without judging it good or bad. If your mind starts to race, return your focus to your breathing. Then expand your awareness again.

Rhythmic movement and mindful exercise
The idea of exercising may not sound particularly soothing, but rhythmic exercise that gets you into a flow of repetitive movement can be very relaxing. Examples include:
Running
Walking
Swimming
Dancing
Rowing
Climbing
While simply engaging in rhythmic exercise will help you relieve stress, if you add a mindfulness component on top, you’ll get even more benefit.
As with meditation, mindful exercise requires being fully engaged in the present moment—paying attention to how your body feels right now, rather than your daily worries or concerns. In order to “turn off” your thoughts, focus on the sensations in your limbs and how your breathing complements your movement.
If you’re walking or running, for example, focus on the sensation of your feet touching the ground, the rhythm of your breath, and the feeling of the wind against your face. If your mind wanders to other thoughts, gently return to focusing on your breathing and movement.
Visualization
Visualization, or guided imagery, is a variation on traditional meditation that involves imagining a scene in which you feel at peace, free to let go of all tension and anxiety. Choose whatever setting is most calming to you, whether it’s a tropical beach, a favorite childhood spot, or a quiet wooded glen.
You can practice visualization on your own or with a therapist (or an audio recording of a therapist) guiding you through the imagery. You can also choose to do your visualization in silence or use listening aids, such as soothing music or a sound machine or recording that matches your chosen setting—the sound of ocean waves if you’ve chosen a beach, for example.
Practicing visualization
Close your eyes and imagine your restful place. Picture it as vividly as you can—everything you can see, hear, smell, taste, and feel.

Just “looking” at it like you would a photograph is not enough. Visualization works best if you incorporate as many sensory details as possible.
For example, if you are thinking about a dock on a quiet lake:
See the rise or set
Hear the birds singing
Smell the pine trees
Feel the cool water on your bare feet
Taste the fresh, clean air
Enjoy the feeling of your worries drifting away as you slowly explore your restful place. When you are ready, gently open your eyes and come back to the present.
Don’t worry if you sometimes zone out or lose track of where you are during a visualization session. This is normal. You may also experience feelings of heaviness in your limbs, muscle twitches, or yawning. Again, these are normal responses.
Yoga and tai chi
Yoga involves a series of both moving and stationary poses, combined with deep breathing. As well as reducing anxiety and stress, yoga can also improve flexibility, strength, balance, and stamina. Since injuries can happen when yoga is practiced incorrectly, it’s best to learn by attending group classes, hiring a private teacher, or at least following video instructions. Once you’ve learned the basics, you can practice alone or with others, tailoring your practice as you see fit.

If you’re unsure whether a specific yoga class is appropriate for stress relief, call the studio or ask the teacher.
Tai chi
If you’ve seen a group of people in the park slowly moving in synch, you’ve probably witnessed tai chi. Tai chi is a self-paced, non-competitive series of slow, flowing body movements. By focusing your mind on the movements and your breathing, you keep your attention on the present, which clears the mind and leads to a relaxed state.
Tai chi is a safe, low-impact option for people of all ages and fitness levels, including older adults and those recovering from injuries. As with yoga, it’s best learned in a class or from a private instructor. Once you’ve learned the basics, you can practice alone or with others.
Self-massage
You’re probably already aware how much a professional massage at a spa or health club can help reduce stress, relieve pain, and ease muscle tension. What you may not be aware of is that you can experience many of the same benefits at home or work by practicing self-massage—or trading massages with a loved one.
Try taking a few minutes to massage yourself at your desk between tasks, on the couch at the end of a hectic day, or in bed to help you unwind before sleep. To enhance relaxation, you can use aromatic oil, scented lotion, or combine self-message with mindfulness or deep breathing techniques.

Start a regular relaxation practice
Learning the basics of these relaxation techniques takes regular practice to truly harness their stress-relieving power.

Most stress experts recommend setting aside at least 10 to 20 minutes a day for your relaxation practice I mean we surely can find 10 minutes….If you’d like to maximize the benefits, work toward 30 minutes to an hour…I am still working on this myself. I’m good for 15 minutes.

Tips for making relaxation techniques part of your life
Set aside time in your daily schedule. If possible, schedule a set time once or twice a day for your practice.

If your schedule is already packed, remember that many relaxation techniques can be practiced while you’re doing other things.

Try meditating while commuting on the bus or train, taking a yoga or tai chi break at lunchtime, or practicing mindful walking while exercising your dog.

Just don’t practice this stuff when you’re sleepy. These techniques are so relaxing that they can make you very sleepy I have fallen asleep many times when learning to meditate or use sounds to help me relax.

However, you will get the most benefit if you practice when you’re fully alert.

Expect ups and downs. Don’t be discouraged if you skip a few days or even a few weeks. Just keep trying.

If you exercise, improve the relaxation benefits by adopting mindfulness, try focusing your attention on your body. If you’re resistance training, for example, focus on coordinating your breathing with your movements and pay attention to how your body feels.

Now tapping this provides relief from chronic pain, emotional problems, disorders, addictions, phobias, post traumatic stress disorder, and physical diseases. I read Tapping is newly set to revolutionize the field of health and wellness, the healing concepts that it’s based upon have been in practice in Eastern medicine for over 5,000 years.

Like acupuncture and acupressure, Tapping is a set of techniques which utilize the body’s energy meridian points. You can stimulate these meridian points by tapping on them with your fingertips – literally tapping into your body’s own energy and healing power.

The basic technique requires you to focus on the negative emotion at hand: a fear or anxiety, a bad memory, an unresolved problem, or anything that’s bothering you. While maintaining your mental focus on this issue, use your fingertips to tap 5-7 times each on 12 of the body’s meridian points.

Tapping on these meridian points – while concentrating on accepting and resolving the negative emotion – will access your body’s energy, restoring it to a balanced state.

You may be wondering about these meridians.

Put simply, energy circulates through your body along a specific network of channels. You can tap into this energy at any point along the system.

This concept comes from the doctrines of traditional Chinese medicine, which referred to the body’s energy as “ch’i.” In ancient times, the Chinese discovered 100 meridian points. They also discovered that by stimulating these meridian points, they could heal.

Call it energy, call it the Source, call it life force, call it ch’i… Whatever you want to call it, it works.

In some ways, Tapping is similar to acupuncture.

Like Tapping, acupuncture achieves healing through stimulating the body’s meridians and energy flow.

However, unlike Tapping, acupuncture involves needles! “No needles” is definitely one of the advantages of Tapping.

Here is a video of how to begin tapping to ease pain another video is to help anxiety

For Pain Relief. https://youtu.be/5hYE0Wt4Sxs,

Tapping PainRelief

Pain relief Tap version 2

Tapping helps to heal-many parts of your life TEDx

Yoga for beginners with disabilities Yoga if disabled https://youtu.be/tyeMFy9KkTY

## Walking With God

Make sure you are doing what is important to God—not just what is important to everyone else you know.

We gave a tendency to worry more about what other people think vs what God thinks

From an early age we work to get the approval from others,whether it was proving to our parents that we could ride a bike without training wheels, or struggling to get that C to an A.

Through the years it can become a problem for us as it can cripple us emotionally and spiritually.

We need to get to the point where we don’t care what the media says, how colleagues feel about us, or live in state of constant fear or agony of what others think.

The other person is not going to worry about it, or stay awake at night upset that you’re offended. You can’t be responsible for other people’s words, actions, or decisions as hurtful as they can be.

We all want to be congratulated for a job well-done from even acquaintances, but what happens when they don’t, or you are not acknowledged in some way.

Some think it’s painful not to always be told great job ….. for me personally I learned a long time ago you can’t please everyone and more often it’s our family and friends that seem to be the most critical.

They always feel the need to judge you in some way.

But learn to regroup, refocus, and rise above petty people, sin, and caring what others think of you.

They don’t really know your story, but Christ does.

So, where do we begin and do we need to take ownership?

Look if you are working hard doing or trying to do the right thing , being a good citizen, being kind, respectful to all people. And taking good care of yourself . Be proud of yourself and always strive to do better. But realize you will never please everyone.

Maybe just don’t worry so much about those critical people in your life and certainly lose those who are bad for you. You know those few co workers or friends that egg you on to do shit that you know is wrong or unproductive or unprofessional.

It’s really better to mind your own business and focus on work or school verses having to be someone your not.

In Philippians 4:6-7, we are told to relax, and go to God for relief and strength. “Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.”

Our minds can dictate our feelings and vice-versa, so every time we are worried about what others think switch to a scripture, prayer or praise.

You can say “I trust the God not my feelings.”

1 Peter 5:7: “Cast all your [insert your name] anxieties on Him, because He cares for you [insert your name].”

Worrying about what others think is human, but when it’s to a point where our joy is being choked, then we need to become proactive, not reactive.

Take people out of your courtroom of justice, and offer them to God, and also humble yourself.  It’s simply not worth it for your health, or hindering your walk

## Pain Chronic Pain

Once we accept the reality of the current moment (no matter how unpleasant it may be) for what it is, and not what we wish it were, we can turn our attention to ways to improve it. This I find true in any situation.

Living with chronic pain can throw your life upside down.

It’s hard to believe that I can and have managed my rare disease Osteonecrosis (knee) pain. And my Osteoarthritis pain.

But the pain of spondylolisthesis somedays is truly unbearable. It can just take a fabulous day day and screw it all up.

Today is one of those days.

I try to stay busy , and positive when I really would like to go somewhere and just scream at the top of my lungs.

I don’t think my neighbors would appreciate it. So I bang away at the keyboard.

Since the weather in NE Ohio has changed I am having more and more days in pain.

And in the days when all the above hurt I’m down right miserable. Thank Hod that hasn’t happened yet , but then fall and winter have only begun….

I’m grateful today it’s just my back although it feels as if I have been kicked in my L5S1 several times.

Besides having spondylolisthesis I also for the past decade or longer been dealing with osteoarthritis and osteonecrosis since 2014.

If you don’t know what they are I will explain below.

Osteoarthritis

Sometimes called degenerative joint disease or degenerative arthritis, osteoarthritis (OA) is the most common chronic condition of the joints, affecting approximately 27 million Americans. OA can affect any joint, but it occurs most often in knees, hips, lower back and neck, small joints of the fingers and the bases of the thumb and big toe.

In normal joints, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In OA, the cartilage breaks down, causing pain, swelling and problems moving the joint. As OA worsens over time, bones may break down and develop growths called spurs. Bits of bone or cartilage may chip off and float around in the joint. In the body, an inflammatory process occurs and cytokines (proteins) and enzymes develop that further damage the cartilage. In the final stages of OA, the cartilage wears away and bone rubs against bone leading to joint damage and more pain.

Who’s Affected?

Although OA occurs in people of all ages, osteoarthritis is most common in people older than 65. Common risk factors include increasing age, obesity, previous joint injury, overuse of the joint, weak thigh muscles, and genes.

One in two adults will develop symptoms of knee OA during their lives.

One in four adults will development symptoms of hip OA by age 85. Lucky me I developed Osteoarthritis at age 45.

One in 12 people 60 years or older have hand OA.

Osteonecrosis What it is….

Osteonecrosis of the Knee. Osteonecrosis of the knee (also known as avascular necrosis) and if in the knee from a meniscus tear also called Ahlbacks Disease is a painful condition that occurs when the blood supply to a section of bone in the femur (thighbone) or tibia (shinbone) is disrupted.

I have Osteonecrosis of the medial femoral condyle due to a meniscus tear in 2014. Strange no one wanted to fix it or have any treatment plan.

This pain is like no other. Your area of Osteonecrosis is ice cold yet it often can feel like it was hit by a lightening bolt.

Weather plays a huge factor for me and my pain. I used to love winter now I can barely tolerate a cool fall day. I dread winter.

I get sick of being in pain. If it’s not the knees it’s back or hands it’s just enough to jack up my day or make things more difficult than they already are.

I have found that plant based lifestyle has helped my osteoarthritis and osteonecrosis a lot. I can’t understand why I haven’t lost a ton of weight though. I mean I don’t eat half the unhealthy calories I used to . But hey the doctors says it’s a slow thyroid.

I just wish these 40 lbs would come off it would also help my bones.

But maybe that will just take time.

If you haven’t tried a plant based lifestyle I would highly recommend it.

My cholesterol numbers are fantastic and all my doctors are impressed especially since I rarely need pain medication vs taking 2 a day like I did 3 years ago.

I truly believe that food can be your medicine or your poison.

The choice is yours.

I will be posting a lot of info and recipes

I don’t always eat perfect but life is about compromise and I follow a 90 / 10 rule.

It’s ok to have a cookie or small cupcake just make sure you eat as best as you can most of the time .

Living food is the way to go.

It may not take away all your pain but wouldn’t it be a benefit if it took away a lot of it ? And made it more managed?

Absolutely!!!