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9+1: Derrek’s Patient Experience

Derrek is a patient of mine who has left a lasting impression – he recently ran his first half marathon after having a 2 level spinal fusion (see his xray to the left).  He is a great example of patients who become more physically active after a spinal fusion than they were before, which is a common experience in our practice. Derrek’s back pain began eleven years before his surgery, when one day he woke up with terrible pain in his back. Over the course of the eleven years, after all else failed, his condition deteriorated to the point where he considered surgery. Failing to get the answers he was looking for after speaking to a doctor specializing in psychosomatic symptoms, Derrek came to my office. Here’s what he had to say about his experience: “Dr. McCance really did a great job explaining everything to me and my wife. He told us that surgery is what needs to happen now, or something much worse will happen later. “What I’m most impressed by is that Dr. McCance even explained the differences between psychosomatic therapy and surgery to my wife. He answered all of our questions and gave us two solid options.” Derrek’s options were

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Now What? Post-Marathon Recovery

This past weekend, over 50,000 runners participated in the New York City Marathon, the largest race in the world. Months of rigorous training went into those 26.2 miles, but what happens after you cross the finish line is just as important when it comes to preparing for your next race. You may feel ready to take on the world after your marathon, but your body needs a break. You’ve likely iced your joints and muscles immediately after the race, but be sure to wait a few days before any sort of major heat. A session in the sauna or a hot tub will relax muscles, but adding heat too soon after the race will further inflame them. Instead, take a break and schedule a massage. These activities bring blood flow to areas that need repairing. Don’t get right back to running. In the first week post-marathon, focus on stretching and low-impact cross-training activities, like easy bike rides, or walking. Swimming is especially easy on the back. Gentle yoga poses such as child’s pose are great for helping muscles heal. Then, try an easy 30-minute run at the end of the week to gauge how your body is feeling. If, at

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Exercising in Cold Weather: Stay on Track This Winter

You may have been able to stick to an exercise routine during the warmer months, but when temperatures drop, we all have the urge to hibernate. When figuring out the best way to continue exercising in cold weather, the obvious answer is to join a gym. But for those who can’t take things indoors (for instance, if you’re training for a marathon), there are some important exercise and equipment adjustments you can make so you can safely brave the cold. In winter, warming up is more important than ever. Consider adding time to your warm-up, and starting indoors so you already feel warm when you step outside. After you warm up, don’t stop to stretch, as your body will cool down again quickly. Similarly, it’s best to cool down inside. The biggest enemy of warmth during winter workouts isn’t the cold air; it’s moisture. Peripheral vasoconstriction, a process where the body slows the amount of blood reaching the skin’s surface and heat leaving the body, is your natural defense against cold temperatures – but it’s not enough. Stay dry as you exercise by wearing moisture-wicking clothing for the layer closest to your body, as cotton will stay wet. Over this,

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