Apex Sports Medicine, Carlsbad, California

Doctor, as a title, originates from the Latin word of the same spelling and meaning. The word originally came from the Latin verb doce-re which means to teach. This section of the website is focused on teaching healthcare strategies on the topics of chiropractic health, sports medicine, and nutrition..

Researchers have discovered that people who obtain more education live longer and healthier lives, and that education is even more critical to longevity than wealth. Better-educated individuals are more likely to avoid health-damaging behaviors than their less-educated counterparts, even though public health campaigns have ensured that most people understand the dangers of certain behaviors.

Carlsbad Chiropractor Dr. Joe Viggianelli’s blog and health presentations are designed to help bridge the healthcare gap and provide you the knowledge necessary to stay healthy.

Jun 15 2012

The Down Side of MRI’s

Published by under Sports Medicine

Shoulder-MRI-Sports-Medicine1I found this great article written by Gina Kolata which appeared in the April 2012 edition of the Men’s Journal.  This article was too good to summarize so I have pasted the entire arcticle below.  To see the original article go to: http://archive.mensjournal.com/the-downside-of-mris.

Each year, more than 28 million MRIs are performed in the U.S. to detect everything from tumors to brain aneurysms. They’re also widely used in sports medicine to diagnose torn or damaged tendons, ligaments, and muscles. And while the scans — which use powerful magnetic fields to produce detailed images of the body — are vital to identifying serious injuries, many orthopedists have come to believe that MRIs are overused and often detect issues that lead to unnecessary treatments and surgeries. Continue Reading »

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Jun 12 2012

Cold Laser Therapy Speeds Up Healing

Published by under Sports Medicine

Sports-medicine-cold-laser1What if you could make a wound heal faster?  Would you be interested?  Europe has been on the cutting edge of a relatively new form of therapy and it is finally starting to take hold in San Diego, and across the USA.  The basic premise is to provide a unique type of energy to an injury to help speed up the recovery process.

Laser therapy (also known as phototherapy, low level laser therapy and cold laser) involves the application of low power coherent light to injuries and lesions to stimulate healing and reduce pain.  The effects of laser therapy are photochemical. Photons enter the tissue and are absorbed into your cells powerhouse (mitochondria) which in turn creates energy (ATP).  Continue Reading »

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May 20 2012

Coffee May Reduce Stroke Risk

Published by under Nutrition

Coffee-and-strokeStroke is the 3rd leading cause of death in the US.  So what if coffee could help lower the risk of this killer?  To find out, researchers pooled the results of 11 studies that tracked nearly 480,000 people in six countries for up to 24 years.  Compared with those who drank no coffee, the risk of stroke was 8 percent lower in those who drank one cup a day and from 13 to 17 percent lower in those who drank two to six cups a day.  The researchers couldn’t determine whether regular coffee, decaf or both led to lower risk. 

Here’s the catch though, this does not mean that some of the popular coffee drinks are healthy.  In fact certain iced coffee drinks can have upwards of 1,000 calories plus inflammatory fats.   Coffee is also a natural diuretic and lowers your pH.  Finally, coffee does tax certain liver detoxification pathways which I will be covering in more detail later.  I suggest drinking coffee in moderation with these possible health tips:

  1. Sugar in the raw instead of table sugar or artificial sweeteners
  2. Cinnamon instead of syrups
  3. Whole milk creamer instead of non-dairy creamer

Am J. Epidemiol. 2011, doi: 10.1093/aje/kwr226

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May 16 2012

Sick of Being Sick?

Published by under Functional Medicine

Chicken-Soup-FluBoth colds and various influenzas are caused by a wide variety of viruses (not bacteria).  This leads to that frustrating visit to a medical doctor in which he or she says let’s wait and see what happens in the next two weeks. Hmmmmm????  Having two children myself this answer can be pretty frustrating.  So today’s blog is designed to give researched back natural protocols to combat a flu or cold.

Just being exposed to a cold virus does not mean you are going to catch a cold or suffer for weeks. If your immune system is operating at its peak, it should actually be quite easy for you to fend off the virus. If your immune system is impaired, on the other hand, they can easily take hold in your body. So, it’s important to understand that the reason you catch a cold or flu is because your immune system is impaired. Continue Reading »

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May 13 2012

Breast Cancer and Pasteurized Dairy?

Published by under Nutrition

Breast-CancerThis is a long post but worth a good read as it may change the way you grocery shop.  Researchers at a breast cancer conference stated that up to one-third of breast cancers could be avoided by making different lifestyle choices, such as the foods you choose to eat.  There is one food you may be surprised to learn, that is directly linked to breast cancer—and that is pasteurized dairy in the form of milk or milk products.

The risk lies in consuming milk from cows treated with a synthetic, genetically engineered growth hormone called rBGH, and unfortunately, this applies to about one third of the dairy cows in America.  When you consume dairy products from these cows, every product made from their milk is contaminated with this dangerous hormone—be it cheese, ice cream, yogurt, butter—or just plain milk.

 According to Dr. Epstein, rBGH milk differs from natural milk nutritionally, pharmacologically, immunologically, and hormonally, and he cites the following differences. RBGH milk contains: Continue Reading »

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May 07 2012

The Optimist Creed – Optimism Lived and Defined

Published by under Articles

optimism2The Optimist Creed was authored in 1912 by Christian D. Larson, and appeared in his book Your Forces and How to Use Them. It was adopted as Optimist International’s creed in 1922.

It has grown to be a great inspirational piece for many: in hospitals – to help patients recover from illness; in locker rooms – coaches have used it to motivate their players. You can use it too. To live so above the worries of the world that your focus is on something bigger, better, greater than all the pettiness around

Promise Yourself . . . . Continue Reading »

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Apr 16 2012

The Power of Placebo! It Could Save Your Life.

Published by under Functional Medicine

PlaceboOver the last couple of years I have come across some interesting studies that show the power of belief and positive mood. When you have a strong belief in a medication or treatment plan, your body will help convert those beliefs and expectations into biochemical realities. While this sounds touchy feely and most docs shy away from this topic science is proving your thoughts are a powerful component in healing. In fact some placebo/sugar pills are equally effective as drugs in certain studies. I heard a great quote once in regards to this topic; “a diagnosis is what you have and a disease is how you deal with it.”

One intriguing study in the New England Journal of Medicine reveals just how much our positive expectations can influence our health and healing. In this particular study, when the authors looked at just the subset of patients who were only taking the placebo, they came upon Continue Reading »

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Apr 10 2012

Prescription Anti-inflammatory versus Natural Anti-Inflammatories

Published by under Functional Medicine

Inflammation2There is so much confusion around the topic of anti-inflammatories it’s frightening.  American’s without thinking twice take NSAIDs (i.e., Ibuprofen, Advil, etc.) like candy.  Inflammation is not always our enemy in fact inflammation is absolutely vital for proper healing.  The confusion stems from acute/short term inflammation versus chronic inflammation. 

For example in acute inflammation, the heat and redness that often accompany inflammation are signs that the body has increased its nutritive processes in order to safely and accurately meet the demands for healing. Swelling allows the body part to hold more nutritive material (blood and nutrients dissolved within the blood) and helps to dilute irritating metabolites or toxins that cannot immediately be eliminated from the body. Pain is often a symptom that there is pressure on sensitive nerves within a healing area, or that necessary biochemical reactions are occurring. Pain serves the purpose of temporarily crippling a body part to help conserve energy and allow it to better heal itself. Pain is a sign for a need to rest, as well as a need for change in lifestyle mode.  So the question is where are you in the inflammatory process?  If you are in the acute phase it might be necessary to let inflammation take it’s course!

After one popular pain-killing drug, Merck’s Vioxx, was pulled from the market and two others, Pfizer’s Bextra and Celebrex, had their safety severely questioned, many Americans are opting to leave their anti-inflammatory drugs on the shelf.  Now I don’t know about you, but I would be extremely concerned if I took a drug for several years just to learn that it was being taken off the market due to serious side effects. Continue Reading »

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Mar 28 2012

Can Vitamin D be the Missing Link in the Winter Flu?

Published by under Functional Medicine

Vitamin-DWant to fight off the common cold and flu naturally this year??? I wanted to share a chiropractic functional medicine review of a recent study.   This study revealed that as winter approaches the lack of sun exposure leads to a decline in the production of a natural antibiotic. Scientists now theorize that low vitamin D levels may be an underlying component of increased sickness during winter months.

One of the most important genes vitamin D up-regulates is for cathelicidin, a naturally occurring broad-spectrum antibiotic. Natural levels, such as those found at the end of summer in 30 young men who spent the summer working outdoors, were around 50 ng/mL; (26) however, these levels are obtained by only a small fraction of people. Continue Reading »

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Mar 22 2012

Chiropractic and Stroke Myth Busted

Published by under Chiropractic

Stroke-PicI recently read an article in Consumer Reports Health which I found rather disturbing considering the writer did not provide references.  There has been an ongoing rumor that chiropractic cervical manipulation causes stroke and there was a brief reference to this in the Consumer Reports article.  This has aggressively been perpetuated by the medical community yet there are large peer reviewed studies proving this not to be true.  The basic premise in both studies is that when people experience symptoms of a stroke they seek care whether it be from a medical doctor or a chiropractor.  Medical doctors do not perform manipulation of the neck yet when you look at the evidence they have equal if not higher rates of stroke associated with their office visits.  Please take a quick look at the studies below to get the full story. Continue Reading »

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