Author Archives: Dr. Sara Mays, D.C.

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About Dr. Sara Mays, D.C.

I practice chiropractic in Beaverton, OR.

Need a PCP?

Under the new healthcare laws, everyone needs a primary care physician (PCP).  Increasingly, MDs are not pursuing the field of primary care in favor of specializing, which means that the increased demand for primary care physicians will only be amplified as the Affordable Care Act rolls out in the coming year.   Those of us that arechiro symbol ‘healthy’ typically don’t go and see a PCP regularly…or do we?  Did you know that chiropractors are considered PCPs in Oregon?

The job of a PCP is to manage the healthcare of their patients, and as such are required to: diagnose conditions based on history and physical exam, order and interpret basic medical tests such as blood work or medical imaging, determine the need for and refer to specialists, and counsel on healthy behaviors such as diet, exercise, weight loss, and health screenings.  In chiropractic school we are trained in all of these areas and more.

Dr. Mays does regular re-exams that include a physical exam typically every month for injured patients and every six months for patients that are doing well.  That exam will always include a taking your vital signs, including blood pressure.  If indicated, she will order blood work or medical imaging.  As chiropractors we treat the whole person, feel free to ask Dr. Mays about not only your musculoskeletal complaints, but also your heart health, smoking cessation, how to start an exercise program, if a diet you are considering is safe, and any other health questions you might have.  Chiropractors are not only the primary source to manage your pain and stiffness, but a doctor you already know who is there to manage your whole health!

What is chiropractic?

Chiropractors are primary care physicians, as such we are highly skilled in diagnosis of all types of conditions and your chiropractor will be able to recommend the appropriate care for whatever ails you.  Chiropractors are conservative physicians that will always recommend the least invasive solutions.  Unlike an MD family care physician, who is best at managing internal conditions, chiropractors are neuromusculoskeletal experts.  Musculoskeletal conditions are the most common pain generators.

Chiropractic treats: Back pain & stiffness, neck pain & stiffness, headaches, extremity pain & dysfunction, TMJ syndrome, disc herniations, as well as carpal-tunnel and sciatic-like symptoms.

Chiropractors get your stuck stuff moving, stiff joints & tight muscles.  A chiropractic adjustment works on the similar concept that if you have a stuck door you need to give it a quick bump to get it moving again.  Adjustments can be performed on any synovial joint; it’s much more than just your spine!  We adjust everything else that moves, including your jaw, arms, and legs if indicated.  Chiropractic soft tissue therapies break up adhesions in your myofascial tissue to get the muscle moving smoothly.  How does that treat pain? The pain pathways in your neurologic system are located very close to the mechanoreceptors, and neighbors talk; if the mechanoreceptors are cranky they stir up the pain response.

Chiropractic treatments typically include chiropractic adjustments & soft tissue therapies.  Very often you will be sent home with exercises that will continue your healing progress while you’re not in office.  Your participation is the key to accelerated healing and needing fewer office visits to reach your goals.

Dr. Mays’s goal is to give patients the tools & support they need to live their best, most healthy life.  Make an appointment if your body is limiting you from achieving your best life possible.

No butts about it…how & why to quit smoking

Ja no fuma

(Photo credit: Wikipedia)

Smoking causes 4.83 million premature deaths worldwide annually; 19% of American adults are currently smokers, 23.9% of American high school students, and 7.1% of U.S. middle-schoolers.  That does not include the 7.3% of high school students and 2.2% of middle school students who are chewing tobacco.  11.4% of pregnant American women smoke and 34.4% of American kids have significant second-hand smoke exposure.

Tobacco addiction is a lot like ‘harder’ drugs in that you can become addicted with just one cigarette…and quitting is just as hard as getting off any other drug.

Smoking doesn’t just increase your risk for lung cancer, heart disease, and wrinkles.  It goes further than that, in fact, smoking increases your risk for ALL cancer types.  It is the only identifiable risk factor in bladder cancer.  It increases your risk of ALS (Lou Gerig’s disease), diabetes, and hot flashes.  It decreases your mental function, and increases your risk of dementia…so much for having a cigarette to ‘clear your head’.  Smokers have higher rates of erectile dysfunction, which blows the ‘smoking is sexy’ claim right out of the water.  Not to mention the problems I see every day as a chiropractor; smoking increases healing time, decreases ability to fight infection, and smokers are one of the top 3 risk groups for low back pain!

Smoking cessation tips

Safe Sun

English: The sun in the sky of Scauri Italiano...

(Photo credit: Wikipedia)

Welcome to summer, the season of fun in the sun!  Skin cancer is a serious public health problem in the US; it is the most common form of cancer with 1/5 Americans having some form during their lifetime!  Read on to determine risky behaviors to quit and things you can do to prevent skin cancer this summer.  Don’t just rush outside all day on the first nice day either because intense & intermittent sun exposure is actually WORSE than the same amount of sun as a steady dosage (think indoor working and dwelling human outside all Memorial Day weekend vs. outdoor worker)

Risk factors:

  • UV light including the sun, tanning beds, and sunlamps
  • Cigarette smoking
  • Large/multiple moles
  • Light skin/eye/hair color

Prevention:

  • Decrease sun exposure…especially for those under age 24
  • Use sunscreen, and reapply regularly!
  • Higher SPF does NOT mean that you can stay out longer
  • Use a sunscreen with titanium dioxide or zinc oxide because they block UVB, UVA 1, and UVA 2
  • Wear a hat
  • Wear sun protective clothing instead of going shirtless or in just your swimsuit.
  • Limit your time in the sun…especially during peak hours 10-2

More info:

Seasonal Allergy Relief

Its a Pink World... or it was at least.

Its a Pink World… or it was at least. (Photo credit: JeremyMP)

Spring is in full bloom and that means a high pollen count…and seasonal allergies begin.  What can you do besides reach for the Allegra?

Decrease your exposure by making your home a safe haven.  Dust and vacuum regularly.  Get an air filter.  Take off your ‘outside clothes’ and shower immediately after coming home for the day and change into your ‘inside clothes’.

Clean out your system.  Use a neti pot to rinse your sinuses.  Be sure to sterilize the water first to prevent any potential infections.

Consider an herbal supplement.  Butterbur has been proven to be as effective as Zyrtec & Allegra with a lower risk for side effects.  Take 1 tablet that is standardized for 8 mg petasin extract 2-3x/day for two weeks.  Do not take this supplement for longer than 12 weeks.   Just because it is a natural medicine, don’t take butterbur lightly.  It’s side effects are rare, but include belching, headaches, itchy eyes, GI upset, asthma, fatigue, and drowsiness.  Do not take this supplement in doses higher than recommended.  Raw butterbur is dangerous.  With those caveats, for most people butterbur is safe and effective.  People with allergies to ragweed, crysanthemums, marigolds, or daisies should not take butterbur.

Pass On the Package

This Earth Day and beyond do your planet and your body a big favor and pass on packaged foods.

Packaging is out of control you get little wrappers inside of a big bag.  Even if you recycle what you can, you will still end up trashing the cling wrap and wrappers of most packaged foods, they aren’t recyclable.  Recycling takes energy, which is why it’s the last of the ‘Rs’ (reduce, reuse, recycle).  Plastics are finding their way into our oceans, there is a big mass of it in the Pacific Ocean.  They are leaching into water supplies.  For more on the impact of food packaging on our environment read this article.

Let’s face it, the better food is for you, the less packaging it typically has.  Apples, carrots, and beets come naked in the produce section…or at most wearing a twist tie that you might actually reuse.  It’s the bad stuff that comes with several layers of packaging like that package of mini snickers bars, a big bag with a bunch of tiny wrappers inside.  Stick with mostly those naked, or minimally packaged foods in the produce section, the bulk bins of whole grains, minimally processed dairy, fresh meats and fish.  Avoid the processed foods like candy, cereals, soups, chips, crackers, box macaroni & cheese.  All of this stuff comes not with just excess packaging but a lot of other baggage such as added salt, sugar, preservatives, and chemicals.  Also, GMO foods won’t sell well in a produce section, so they are sold to the companies that make processed foods; avoid this controversial ingredient by buying fresh and making your own at home.

How to get out of the package for healthy options:

  • buy the big, plain yogurt:  divide it into your own containers and add your own fresh fruit and honey/maple syrup if you like
  • Avoid pre-sliced and packaged produce:  buy the bulk veggies and fruit and cut when you need it, it doesn’t take that much time
  • Cheese is a nice treat once in a while:  buy the block and slice or grate as needed.  This will make you eat those saturated fat calories less because you can’t mindlessly grab a quick pre-cut slice, cube, or stick from the fridge.
  • Bulk grains and beans are just as good as the ones in bags, and you typically have a bigger selection.
  • Take your own snacks:  buying a single serving size typically means buying lots of extra packaging too.
  • Make your own bread.  It isn’t as time-consuming as you think…especially if you get a bread machine.

Following the minimal packaging lifestyle might take some getting used to, but eventually you’ll notice a difference in your health and likely your bank account too.  And you will be making an effort to making our planet a healthier place to live too.

Dinosaur Trash

Hiking is an activity that I love.  There is nothing better than getting out into nature.  It boosts my mood more than anything else I can think of.  A fellow chiropractor who practices in Ashland, OR once posted an idea that I loved and started to practice.  I invite you all to join the effort.

fallen

fallen (Photo credit: massdistraction)

When out in beautiful natural areas, you often come across trash.  Humans couldn’t possibly have left it there because they wouldn’t want to throw trash in such a precious place.  The dinosaurs obviously left it behind.  Since they aren’t around to clean up after themselves, lend a helping hand.  Every time you go out, take a piece of dinosaur trash with you.  If everyone practices this, we’ll get rid of those messy dinosaurs’ mess in no time.

So when you’re out enjoying nature, grab a piece of dinosaur trash every time.  This is one way you can bring Earth Day into your everyday life.

Spring Fever!

Softball at the Lloyd!

Softball at the Lloyd! (Photo credit: Seth W.)

Spring has finally sprung.  If the winter weather has kept you indoors, and you’ve dialed down your activity, you are not alone.  So now that the days are longer, the weather is warming, and we’re getting more sunny days we are all ready to get out and enjoy our favorite things.  Hiking, biking, softball teams, frisbee, running, you name it now is the time!

Don’t pick up where you left off last September or October!  While you may have not lost much cardiovascular fitness in a few months, your muscles have done less, or even pretty much nothing if you’ve retreated to sweatpants on the couch.  One thing is for sure; you have trained your muscles for something other than your typical outdoor activity.  You need to get back in shape for any activity: gardening, soccer, or kickball.  Here are some tips to avoid the inevitable pain from going from 0-60 in one sunny weekend.

  • Fuel up on Vitamin C.  It has been shown to reduce DOMS, which is sore muscles the day after.  Get 1000-3000 mg/day for a few days prior to beginning exercise.
  • Hydrate.  Drink 1-2 glasses of water a few hours before exercise and again after.  Have water available to drink during exercise if you are thirsty.  Dehydration is a common cause of muscle cramps and will impair your performance overall.
  • Warm up.  This doesn’t need to be anything crazy if you’re ‘not doing much’, but walking a little to get warm before your first run of the season is a good idea.  Warmed muscles are less likely to be injured.
  • Gradually build up.  Realize that it has been a few months and be okay with that.  Start with something easy, don’t push your limits the first day.  Then increase your length of time playing or distance running/hiking/walking by 10% each week.
  • Stretch.  Do some activity specific stretches, especially after activity.  If you don’t know what are good stretches for your activity, ask!

These are some simple tips to get you up and running this season.  Follow them and you will have less soreness and be less prone to injury.  If you do happen to overdo it, come see your chiropractor; yes, we are open on weekends.

Spring Detox Plan

 

Lemon water argggg

Lemon water argggg (Photo credit: César Poyatos)

It’s spring!  The ‘cool’ thing to do these days is a detox or a cleanse, these become really popular after the holidays and right around the beginning of spring.  While a juice or water fast does have some spiritual and/or mental benefits, they aren’t proven with science to get rid of toxins in your system.  If you are looking to spring clean your body, a better method is to stop exposing yourself to toxins along with optimizing your elimination systems.  Try some or all of these suggestions below to ‘detox’ this spring.  Stress is likely one of the biggest toxins that we all experience, so if you only do one or two things let it be meditation and/or sleep.

Eliminate the bad stuff:  cigarettes (including 2nd hand smoke), alcohol, drugs (including that Tylenol and Advil; but don’t stop your prescribed drugs without your doctor’s permission), caffeine, processed foods, refined sugar, white flour, saturated fats.  You might consider taking a hiatus from meat as well due to the biomagification that you don’t experience with primary producers.

Optimize:

  • liver:  get lots of antioxidants, ingest veggies with sulfur compounds like broccoli, cabbage, cauliflower, onions, and garlic,
  • kidneys:  lots of water
  • skin: sweat and shower
  • lungs:  aerobic exercise, breathing exercises
  • colon:  lots of fiber and water
  • mind:  meditate daily, start with 10 minutes a day if you are new (just sit still and focus on your breath)
  • body:  get adequate rest

Basically daily drink at least 2 quarts of water, meditate, go for a decent walk that makes you sweat a little, shower and get at least 8 hours of sleep.  As for what you should eat:  

  • make a juice to drink with your breakfast with beets, greens, carrots, and some fruit, this boosts your antioxidant intake right away, first thing
  • EAT:  not junk food, but rather foods with fiber like brown rice, veggies, and fruit.
  • If you are having caffeine withdrawal headaches, try some herbal tea with dandelion root in it.

If you want to further your detox, look at your environment at home and work.  See if you can replace any chemical exposures with natural alternatives.  Get a water purifier, your water source might be clean, but what is leaching into your water on the way from the reservoir to the facet?

I will be ‘detoxing’ in this way this week.  Join me and let me know how it works out!

The season of green

 

mustard greens

mustard greens (Photo credit: Wikipedia)

St. Patrick’s Day is this weekend, and that has everyone thinking about green…shirts, headbands with 4-leaf clovers, here in Portland there’s the Shamrock Run, and of course the ever popular green beer.

While showing your Irish spirit (whether it’s in your genes or not) is fun, take St. Patrick’s day as a way as a good sign that it’s a time to start incorporating more green into your life:  Spinach, microgreens, kale, collards, chard.  There’s more to the leafy world than lettuce and spinach, so branch out.  Try to eat greens daily.  They are rich in vitamin K and other vital nutrients and phytochemicals that you need.  Not to mention the big fiber bump you’ll get. 

Some great spring greens to explore this year are mustard greens, microgreens, and dandelion.  All three of these are great alternatives to the normal salad greens.  Cooked greens such as kale, collards, and chard are also excellent options.  If you aren’t so into eating greens try juicing them with apples, carrots, and beets, or add some to a smoothie.