Wellness Archives - Apple Health and Wellness

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18/Dec/2018

Did you wake up with a scratchy throat?

Maybe you’ve just starting coughing or feel extremely tired for no reason?

Are your kids or people from work getting sick around you?

Well, it’s cold and flu season, which means you might want know the difference between cold and flu symptoms, along with what your treatment options might be. Here are the symptoms, treatment options, and prevention plan for both illnesses:

Symptoms

As the common cold and the flu are both respiratory illnesses, their symptoms are very similar, which can make distinguishing between them very difficult without seeing a medical professional. 

  • Cold: On average, cold symptoms are far milder than flu symptoms. You will develop symptoms gradually and will likely involve a runny or stuffy nose, but will rarely run a fever or suffer from more serious conditions. Other symptoms include a sore throat, sneezing, cold, mild tiredness, and headaches. Colds do not usually result in further complications and will resolve themselves in a few days.  
  • Flu: In general, flu symptoms are more severe and last longer than the common cold. Usually, you will have a fever, cough, sore throat, running nose, body or muscle aches, intense fatigue, headaches, and chills. Unlike a cold, the symptoms come on quickly and can last up to a week or more, though most people start feeling better after two to five days. Severe tiredness can last up to two weeks. It’s important to seek out a help from a medical professional with a flu because this illness can have serious associated complications, such as sinusitis, pneumonia, bronchitis, or ear infections.

Treatment Options

If you think you have the flu instead of a cold, it is essential to get to a medical professional early for testing! The first 24 hours from the onset of flu symptoms is crucial for diagnosis and treatment, as catching it early could significantly shorten the time you are feeling poorly. While you don’t need to seek out medical help for a cold, it is just as important to start treating your cold early as this might shorten the length of the illness. If your cold hasn’t resolved itself in 7-10 days, you should see a doctor. Because the common cold and flu are viral infections, antibiotics are not effective in treating either illness. Here are a few treatment options:

  • Cold: The best treatment option for a cold is getting plenty of rest, lots of fluids, and taking decongestants, pain relievers, or fever reducer medicines. Some people find relief from natural treatment options like vitamin C, zinc, and saline rinses. Hot honey or lemon tea are great for sore throats, while cough drops can help relive cough and throat irritation.
  • Flu: Like having a cold, fluids, rest, and the previously mentioned natural remedies are the best treatment options, along with decongestants, pain relievers or fever reducers. Sometimes, you may be given prescription antiviral drugs in certain cases, but these must be taken within the first 48 hours to work. Talk with a medical professional for more information about treatment options.

Prevention

To avoid catching the common cold or flu this year, practice good hygiene and avoid being around others who are sick. It’s also best to prevent the flu by getting a flu shot, which not only benefits you, but will protect vulnerable populations around you, such as young children, older adults, pregnant women, and people with weakened immune systems. Other prevention options include adopting healthy lifestyle habits by getting plenty of sleep having a well-balanced diet, managing stress, and exercising.

If you or a loved one is sick with the cold or flu, remember to frequently clean any surfaces you or they touch, which include door knobs, the refrigerator door, remote controls, and toilet handles. This will keep the illnesses from spreading to others or giving it back to yourself once you are better!

Take Action

Feel like you’re developing a cold or the flu? Make sure to call Apple Wellness Group at (865) 769-9685 to schedule an appointment today.  Follow us on FacebookTwitter, or Instagram, or subscribe to our Newsletter for more information.

 


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18/Dec/2018

Does your throat feel itchy when you eat certain foods? Maybe you avoid eating milk products or bread because they hurt your stomach? Possibly, you aren’t sure what is causing you to feel so badly after you eat?

You might be suffering from a food allergy and should consider getting tested to improve your quality of life and avoid suffering from a bad allergic reaction in the future. To know what to test for, here are a few common and uncommon food allergens you should know about.

Common Food Allergens

Did you know that only eight allergens are responsible for around 90 percent of all food allergic reactions? In 2004, The Food and Drug Administration passed the Food Allergen Labeling and Consumer Protection Act (FALCPA) to require food manufacturers to label their packaging to let consumers know if their products contained one of these eight foods.

Known as the “Big Eight,” these common food allergens are:

  • tree nuts
  • milk
  • eggs
  • soy
  • wheat
  • shellfish
  • peanuts
  • soybeans.

Despite their prevalence, some of these allergens do go away with time, as 68 percent of children with egg sensitivities and 70 percent with soy allergies outgrow them by the time they reach adulthood. Even so, it’s important to get tested for the “Big Eight” as an adult to avoid encountering potentially dangerous allergic reactions.

Uncommon Food Allergens   

Unlike the previously mentioned “Big Eight,” there are plenty of other less-common, yet still problematic food allergens. According to the Centers for Disease Control and Prevention, over 160 foods have been known to cause some allergic reactions, which is why it is important to get tested and be aware of how you feel after you eat certain items. Some of the stranger, more uncommon food allergies include:

Avocados, Bananas, and Kiwis
The American Latex Allergy Association has found that up to 50 to 70 percent of individuals with a latex allergy also have sensitivities or allergic reactions to certain fruits, which include avocados, bananas, kiwi, and more. While this cross-reactivity isn’t a guarantee, it would be wise to get tested for these foods if you already suffer from a latex allergy.

Red Meat

Though relatively rare, this allergy is usually related to beef, lamb, pork, and goat products. Some experts believe this allergy is closely related to a ticket bite from the Lone Star tick, which is found in the Southeast. Many people who develop an allergy to one type of meat, develop an allergy for other meats, as well.

Sesame Seeds
Much like the nut allergy, people who are allergy to sesame seeds have very severe reactions, yet only around 0.1 percent of the population suffers from this condition. The problem is, however, that it can be difficult to spot these seeds in your food and many dishes involve cooking with sesame oil, which can result in the same or similar allergic reaction.

Citrus
This allergy may relate to any citrus fruit ranging from oranges to lemons to grapefruits. Many experts believe there is also cross-reactivity between these fruits, meaning that, if you are allergic to one, it is highly likely that you are allergic to another citrus fruit.


Additionally, it is also important to be aware of a few “hidden triggers” for certain processed foods. For example, some packaged hot dogs contain milk proteins, salad dressings are made with soybean oil, and water-packed tuna may have added milk products. Always closely read food labels if you know or suspect you may have a food allergy.

Call us at (865) 769-9685. Follow us on FacebookTwitter, or Instagram, or subscribe to our Newsletter  for more information during Food Allergy and Sensitivity Month.

 

 

 


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18/Dec/2018

Have you ever had a “knot” or “tight muscle” that you felt like if someone just massaged, pushed on, or injected it with something it would feel a lot better? If you answered “yes,” then you suffer with trigger points.

Trigger points are defined as “discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. These spots are painful on compression and can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.” (Alvarez & Rockwell, 2002)

Many people suffer with recurring trigger points due to improper body mechanics during every day activity. Poor body mechanics from working at a computer, reading, studying, exercise, playing on our cell phones, and other repetitive motion injuries can cause the muscles in our neck, upper back, shoulders, low back, and pelvic girdle to become tight and tense causing a “knot” to form. This “knot” can then cause referral pain (pain that hurts in one place but is really coming from somewhere completely different) to other locations in the body causing things like headaches or a sore elbow.

 

Treatment Our nurse practitioners are trained to feel the tight muscles to find the trigger points and then inject them with an anesthetic like Lidocaine or Marcaine (medications typically used during surgery and dental work for the numbing effect). When injected into the tight muscles, the medication helps the muscle to relax and makes you feel less tense. Trigger point injections are a wonderful tool to try for overall well-being and maintenance of pain and work with a variety of condistions such as headaches/ migraines, fibromyalgia, and chronic pain.

If you have any questions regarding trigger points or want to see if trigger point injections might help you, feel free to contact either Jessica Cantwell FNP-BC or Sue Wheeler FNP-BC at Apple Health and Wellness.

References

Alvarez, D. J. and Rockwell, P. G. (2002) Am Fam Physician. Trigger Points: Diagnosis and Management. Retrieved Feb. 4, 2016 http://www.aafp.org/afp/2002/0215/p653.html#afp20020215p653-b4


18/Dec/2018

Bulging, herniated, or degenerative discs are fairly common conditions in today’s society. The damage to the disc then causes spinal compression (any excess pressure applied to the spinal cord) and often pinched nerves causing pain to radiate into the arm or leg (sciatica). It has long been thought that multiple factors contribute to these conditions including: poor sitting posture, faulty bending and lifting techniques, and trauma. Treatments for these conditions vary from physical therapy, chiropractic care, decompression therapy, spinal injection, and surgery. Surgery is the last resort and is often not recommended for low back disc issues if the leg pain is not worse than the back pain. Common practice is for all conservative measures (i.e. physical therapy, chiropractic care, spinal injections) be exhausted before considering surgery.

Decompression therapy has been shown to be a very effective treatment for degenerative, bulging, and herniated disc in both the cervical (neck) and lumbar (low back) spine. Decompression therapy gently distracts the spine, separating the vertebrae, to help restore the disc and take pressure off the nerve root. Studies have shown that for a single level herniated disc, there is a 82% success rate. Studies have also shown that if the patient feels relief from the initial treatment that success is probable.

Decompression therapy is also combined with exercises designed to strengthen the core muscles around the spine. The goal is to off load the spine and on load the muscles that are designed to support and protect it. Spinal stabilization and strengthening can be started immediately. Short term goals include lowering the patient’s pain by 50% within the first 2 weeks. Long term goals include minimizing the risk of re-occurrence or re-injury. The physicians at Apple Health & Wellness are available to consult with anyone wishing to consider this type of treatment.

Written by Dr Andy Hosenfeld, DC


18/Dec/2018

If you haven’t signed up for our upcoming event, you are missing out!
We are so excited to be partnering up with Dr. Tom Rogers and Performance Medicine so that we can share the latest research in integrative medicine with you! Dr. Rogers is a leader in his field and at next week’s lecture, he will be breaking down hormones and explaining how they affect your entire body.

Healthy hormones are one of the key ingredients to a healthy body. If you have trouble with mood swings, weight loss, chronic fatigue, persistent acne, headaches, or digestive issues, it may symptoms of a larger hormone issue.

This event is completely obligation-free and open to the public. We just want to educate you about your body so that you can make educated health decisions in the future. All of our patients who attend will receive 200 Core Card points for attending!

Understanding Hormones and Weight Loss

September 24th, 2015

6:00-7:30PM

Pinnacle Bank Media Room

1111 N. Northshore Dr., Knoxville, TN 37919

Space is limited so call 691-3155 to RSVP! Dr. Rogers is a true gift to the Knoxville community. Everyone who attends will walk away learning something they did not already know about how their bodies work. Call today!


18/Dec/2018

Dr. Rogers is pictures on right. He is accepting the Doctor of the Year award from the Tennessee Men's Health Network
Dr. Rogers is pictured on right. He is accepting the Doctor of the Year award from the Tennessee Men’s Health Network

We are excited to announce Dr. Tom Rogers MD, MBA as the Medical Director of Apple Health and Wellness. Dr. Rogers has over 28 years of experience as a board-certified family doctor in the East Tennessee area. Dr. Rogers is also board-certified in sports medicine and anti-aging medicines, and operates his own medical practice called Performance Medicine.

Performance Medicine is an integrative medical practice based on preventative care and a commitment to treating the root causes of health problems. Dr. Rogers and his staff are dedicated to helping each patient reach optimal health through exercise, nutrition, stress management, and hormone restoration. They support patients in making lifestyle changes necessary for the prevention of diseases.

We are happy to have Dr. Rogers join our team. He will ensure our patient’s receive individualized, high quality health care. If you would like to schedule an appointment with our medical team, contact our office at 691.3155.


18/Dec/2018

GENERAL EXPECTATIONS WHEN RECOVERING FROM AN INJURY*

Your body wants to heal. It is designed with a particular process to repair itself!
This course of healing occurs whether you’ve experience a major trauma (car accident, fall, or sports injury) or a minor insult (such as soreness from “overdoing it” at the gym or in the garden).

The following 3 phases of healing must occur after any kind of soft tissue insult.
*Disclaimer: Every body is unique and many factors will affect the natural healing process. For individual expectations, consult your medical professional.

Phase 1) Inflammation 

↑ Pain
↑ Swelling
↑ Temperature or Redness

Phase 2) Tissue Repair 

↓ of acute phase symptoms
↑ mobility
Weak scar tissue formation

Phase 3) Tissue Remodel 

↓ pain
↑ function
↑ stability and power

Note: Pain free does not necessarily mean all is well. The pain will usually begin to subside in the second phase of healing. Make sure you do not short change your recovery. Take the time now to invest in getting strong and stable so that you reduce the risk of re-injury.

Factors that will prolong the healing process:

MODIFIABLE Risk Factors: (these deterrents to healing are within your control to change!)
• Delay in appropriate care (The sooner you pay attention to an injury, the more control you have over reducing the duration of painful symptoms & avoiding repeated aggravations.)
• Poor Nutrition (Stay hydrated. Fuel your body with lean protein & Vitamin C for tissue repair.)
• Smoking (Reduce the frequency & quantity of tobacco exposure per day.)
• High stress levels (Find appropriate tension outlets and focus on what you CAN still do.)

NON-Modifiable Risk Factors: include a history of ongoing illness, heart disease, circulation problems, or diabetes. The severity and complexity of an injury can also prolong your recovery, but remember that there are still activities you can control to facilitate general health.

TREAT YOUR BODY RIGHT! (It’s the only one you’ve got!)
• Warm it up nice & easy –Give love to sore muscles by pumping blood through the body. This is done best through active muscle movements, but you can prep yourself with a heating pad or gentle massage before beginning your workout.
• Perform Perfect Technique! –Once you lose form, it’s easier to get injured. Remember to ALWAYS engage the “core” muscles & keep good alignment from start to finish.
• Support Yourself! –Offload an injury with bracing, taping, and appropriate footwear.
• ICE, ICE BABY! Chilling out for 10-20 minutes after strenuous activity helps reduce potential swelling & inflammation. For new injuries (phases 1 & 2) use ICE while elevating the limb.
• Remember to refuel with the good stuff… Pre & post nutritional adherence is essential for proper recovery. KEEP HYDRATED & seek out fresh foods that are good source of lean protein, and high in fiber, vitamins, & minerals.

The following are tips to keep you on track towards your ultimate goal- LONGEVITY!

Rehabilitation can be a complicated process. Choose a care team that will take your body and needs into consideration. If you would like more information about our clinic, contact us at 865.691.3155.

-Written by Jamie Ligon, PT, DPT


18/Dec/2018

“Tell me, what is it you plan to do with your one wild and precious life?”-Mary Oliver

So many people walk into our office from injuries they have acquired just by living. Every day we see patients who hurt themselves sneezing, tying their shoes, or getting our of a car. The mundane daily activities of life are hurting us! In our office we do our best to get those people back to their daily routines. We work tirelessly to help reduce pain and inflammation and increase flexibility and strength. However, I am here to tell you that there is more to it than that and if you haven’t committed to total body wellness yet then you are missing out of a huge part of what we offer at Apple.

Our clinic has evolved. We are no longer interested in just getting you from day to day. We want to see you change your health and your life for good and there is no time like the present. Our clinic looks at your body as a whole.

IF you suffer from seasonal allergies THEN you most likely have systemic inflammation which is making your joint pain worse.

IF you have sleep apnea and aren’t getting quality sleep at night THEN you are more prone to migraines.

IF you carry a lot of extra fat around your midsection THEN you will most likely experience knee and low back pain.

IF you have untreated flat feet THEN there is a very good chance that you will experience hip and low back pain at some point.

These are things that we know because we have been studying the body as a whole for the last 30 years. We want to help you become healthy and independent and they only way to do that is to treat the whole system instead of just the symptoms.


This summer I want to challenge you.
Step back and take a good, hard look at your health. How are you feeling? Does your body limit you in any way? What could you do if your health issues weren’t getting in the way?

Bring those answers to your next appointment. Our team of providers is the best equipped team in Knoxville to help you deal with those questions because we are the only ones willing to take the time to root out the source of your ailments and limitations. We want you to be an active participant in your own care and we have a well-stocked toolbox of wellness tools to help you do that.

Are you ready to take back your health? Contact our office today by calling 865-691-3155. Let our experienced care team free you from your health limitations and get you back to the activities you enjoy!

-Written by Hope Ealey, CTA


18/Dec/2018

The shoes on your feet are more than just fabric stitched and glued together, they have a life cycle. Whether you are a runner, walker, on your feet working, or simply going from point A to point B, what you wear on your feet is very important. Choosing the right shoe for your biomechanics and knowing the life expectancy of your shoes is crucial for staying injury free and maintaining proper gait.

You, as the consumer, have hundreds of shoe brands to choose from- as if choosing a decent shoe wasn’t hard enough! Focus on comfort, stability, and the overall shape of your foot, not the color or cost- function over fashion! This is a valuable investment and you will save money by preventing injuries which is more beneficial in the long run. Going to a store with a free foot analysis or being fitted by trained employees that put you in the right shoe is a good place to start.

It is important to remember that your feet are your foundation -keeping your feet healthy can help keep you healthy. Our body goes through the complex set of steps that make up our gait (or walking cycle) and the energy from the ground is absorbed and transferred up through the ankles, knees, hips, spine, to the head. If your gait is off you are sending that imbalance all the way up your skeletal structure and causing your body extra strain. Some injuries may come from ignored care to your feet such as shin splints, plantar fasciitis, Iliotibial band syndrome, low back pain, runner’s knee, or joint pain from extra stress.

With every step while walking your shoe is getting an impact of 2-3 times your body weight, and while running, your shoe is getting an impact of 4-5 times your body weight. When your shoes are worn down they are less able to absorb that impact efficiently. This is why most shoes are only projected to last 350-500 miles. Don’t wait until your shoes look like they are on their last leg because by then it is too late.

Signs your shoes are dead:
-Sole tread pattern worn down
– Heel worn more on one side
– Compressed midsoles
– Uppers broken down around the ankle
– Also: try the twist test – if you hold a shoe at both ends and twist, a shoe with no support or even an old shoe will twist easily while a shoe with support and rather new will feel firm. The shoes that twists should be replaced.

So where can you send those old, retired shoes? Nike started the Reuse-a-Shoe program in 1990 and have recycled over 28 million shoes. Just drop off your pair of shoes at a Nike store (7 stores in Tennessee-2 being in Pigeon Forge), and each layer of your shoes donated will be shredded and used for playgrounds, basketball courts, running tracks, and football goal posts! Also, another option if your shoes don’t have too much wear and tear on them is donate them to the Nashville based charity, Soles4Souls, or any other groups with a mission of giving in mind!

If you have any questions about your shoes, don’t be afraid to ask someone in our office! Our providers assess shoes on a daily basis and can give you some great tips for picking out your next pair. We can also build custom orthotics for those who may need a little more support than your regular shoes can provide. Contact our office at 865-524-1234 for more information today!

-Written by Audrey Springer, CTA, CXT


18/Dec/2018

hope pregnantAt 32 weeks pregnant, I get asked a lot of questions about my pregnancy. Everyone who comes into our office wants to know how far along I am, whether it’s a boy or a girl, what her name is going to be, and finally, how am I feeling?

That is when my job at Apple really has its perks. When you work in a physical medicine clinic surrounded by top-notch medical professionals, it is easy to find solutions for my pregnancy pains.

In the past we have written articles about the benefits of chiropractic care for pregnant women. Research has proven that women who are regularly adjusted suffer from less back and joint pain, have easier deliveries, and have reduced symptoms with regards to fatigue, headaches, heartburn, and swelling. What I didn’t know was just how much I would need the rest of our team as well.

If someone you love is pregnant, I would highly recommend you connect them with one of our providers so they can get the Apple Care Team treatment. Here are a few of my personal highlights from the last eight months:

1. Gene Testing: Before getting pregnant, our nurse practitioner tested me for a gene mutation in the MTHFR gene and I came back positive. The gene mutation is heavily associated with miscarriages, poor fetal development, and birth defects. Because I had the test, I was able to switch my prenatal vitamins to a vitamin that is compatible with my genes which has led to a perfect healthy pregnancy. The test was easy and the solution is simple. Every woman hoping to get pregnant should consider this test to ensure healthy pregnancies and healthy babies.

2. Exercise Regimen: Let’s face it, everyone knows that pregnancy will change your body but I wanted some exercises that I could do without harming the baby. Jamie gave me a customized pregnancy exercise routine that I can do to target my core, kegels, and hips. There is so much mixed information on the internet about what is safe for pregnant women. I found out from a trustable source just what I should be doing to stay in shape during and after my pregnancy from a doctor of physical therapy (and recently pregnant mama) who understands exactly what it takes survive pregnancy.

3. Massage: Your body changes so quickly when you are pregnant that your musculoskeletal system has a hard time keeping up. That is where the massages come in really handy. The therapy team gives short massages to trouble areas like my low back and shoulders where my muscles are adapting to my changing body. Our office even has a massage chair with special pads for pregnant women so that you are comfortable the entire time.

4. Pregnancy Gear: The clinic is fully stocked with everything you could need supply-wise. I picked up a green massage stick to help with tight leg muscles and a pregnancy back brace and Biofreeze for the times that my back would hurt. Unlike maternity stores, I was able to try the brace on before purchase to make sure it was a good fit which leads to better support when I needed it most.

5. Walk-In Care: One of the things I was not expecting when I got pregnant was a weakened immune system. My white blood cells are doing double duty trying to protect me and the baby. That’s why it was so nice to have Sue and Jessica available for same day appointments. On two separate occasions, I needed medical care during my pregnancy and they were more than accommodating. The best part about our medical team is the attention to detail. On both occasions, they took the time to educate me about my body and find the best solution for my ailments based on my changing body. Sue even took the time to call me at home a few days after my appointment to make sure I was back to normal. You will not get this kind of service at walk-in clinic anywhere else in the city. Guaranteed.

6. Adjustments and Wellness Care: Last, but certainly not least, is the chiropractic care. Dr. Vaughan and Dr. Cole work on me almost every week to keep my body aligned and to answer questions about my pregnancy. I was worried that my treatment would be harmful to the baby but they were able to adjust their methods so that it was perfectly safe for both of us. The adjustments have helped my hips to open up and have kept me as mobile as possible for being so late in pregnancy. They also used trigger point treatments to help my round ligaments expand properly and stretching techniques for tight muscles in my back, legs, and hips. Dr. Cole even brought in my husband and taught him things he can do at home to help ease my pregnancy pains and make labor and delivery easier.

If you are pregnancy and living in the Knoxville area, do yourself a favor and connect with a provider at Apple Health and Wellness today!

So many women wait until the last trimester but they are missing out on so many of the other incredible benefits that the clinic has to offer. The Apple Care Team wants to be your partners in health, from the beginning to the end of your pregnancy.

Now as I round the last bend towards delivery, I go with the confidence that I have done everything possible to prepare my body for delivery because of the incredible Care Team at Apple.

-Written by Hope Ealey


Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

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