Tag Archives: knee pain

Help! Gotta have chocolate now!

Gentle reader,

How are you doing with those plans to take a few inches off?  Are you starving yet?  Are cravings getting the better of your will power?  What’s this got to do with arthritis and joint pain, anyway?

The research has been done and is conclusive beyond a doubt that losing even 15 pounds (you may have 50 to 100 to lose) in any body will make a difference in the joints.  Even people with severe osteoarthritis will experience relief from joint pain with the loss of 15 pounds.  You may have lost that much and noticed.  You may have put it back on again, and noticed an increase in arthritis pain.

A recent article in our Seattle based natural market, Puget Consumer Coop gives us a good understanding of cravings and why they are so difficult to eliminate.  We are hard-wired as humans from the beginning of time to go for high-calorie food for our survival.  When a bee hive was discovered in a high tree, no attempt was made to save it for tomorrow.  The whole tribe ate all the honey they could harvest until it was gone.  Just like that plate of cookies sitting on the counter.  Or that pint of Ben and Jerry’s we were going to split into at least 5 servings spaced out over the next two and a half weeks.  Gone in one sitting.

Then we beat ourselves up for lack of self control.  Blame it on our chemistry.  Salt, fat and sugar were scarce.  We love eating them because they increase the feel good chemicals in our brain.  For example, dopamine is neurotransmitter that high-fat foods increase regulating our reward and pleasure centers and making us happy.  Who wouldn’t want that? Bring on the ice cream and the French fries.

Or maybe it’s the theobromine (found in chocolate) that gives us a pick me up when our brain and tail drag around 3 in the afternoon.  That mocha latte is just the thing delivering caffeine, sugar and chocolate all in one gulp—feel good and get energized.  I used to advise clients to eat a magnesium supplement to supply what chocolate cravings demand.  The scientific thinking a few years ago was that cravings indicated a nutritional or emotional deficiency and something less unhealthy could be substituted for the same results.

You’re in luck, and so am I.  Turns out it is wiser not to deprive yourself completely of these craved for foods.  The more you deprive yourself, the more you crave.  Once you give in to the craving, you can’t stop until the plate is empty. You may even head for the store to get a refill, more cookie dough that you might not even bother baking, or, let’s just pick up a gallon of that Rocky Road ice cream.  I know a guy who holds back with great effort from eating peanut butter and then gives up with a great sign and is face down in the Adams jar with two cereal spoons.  OMG I’ve been there and done that.

They even found that people who practice severe and rigid dietary restraint are more likely to be obese.  That’s a yo-yo from deprivation to over-consumption.

<———————————–The Hunger Scale——————————->
0 1 2 3 4 5 6 7 8 9 10
Empty Ravenous Over hungry Hunger pangs Hunger Awakens Neutral Just Satisfied Completely satisfied Full Stuffed Sick

Thanks to Kelly Morrow, MS, RD, registered dietitian and Associate Professor in the School of Nutrition and Exercise Science at Bastyr University for much of this information and the Hunger Chart.  and 2 equate to excess hunger and 9 and 10 are excess fullness.  Start eating around 3 or 4 and stop when at a 7-8.

Two strategies can make a big difference in how these cravings get handled.

1. Ease up.  Have a taste.  Savor it.  Before the cravings are so great they can’t be handled without an all-out binge.  Be gentle with yourself and eat small portions of your comfort food.

2.  Keep a food diary so you can really understand how moods, physical location, memories influence the desperate need for comfort foods.  Once you have a clearer understanding of your body’s response to certain trigger situations, you can plan ways to disarm your craving, like take a walk.

My sugar craving was severe and the results caused me so much misery.  I could not stay awake in an important lecture or concert any time of the day or evening after eating sweet rolls, cookies, muffins, toast and jelly.  I would get up during a talk and walk around the back of the room to stay alert after a couple Costco bran muffins put me sound asleep.  To this day when I go to an all day meeting or conference and they serve sweet bread-y things with juice and coffee, I don’t touch any of it.  Instead I mix a protein smoothie in my room and drink it before showing up for the pre-event sugary snacks.  They still tempt me.  They look so good.  But I’m not hungry because I have taken in a high protein drink and it’s easier to resist what I know will keep me from being alert to the content I want so much to hear.

Getting to this place was an arduous process for me.  I had to eliminate all sugars, even fruit, for a while.  Grapes still set me off as though I were eating Sugar Pops or M & M’s.  Once I thoroughly re-programmed my craving buttons, I just don’t think about those trigger foods.  I was just in Mexico for a couple weeks.  One of the great pleasures all those years visiting at my parents’ lovely beach house in Manzanillo was the morning “pan dulce” delivery.  Mother would buy several little cakes for each person.  They were heavy with lard, flour and sugar, almonds and icing.  This Christmas holiday spent in Puerto Vallarta, someone in our party bought a half dozen for the group. I had one small mouthful and remembered the pleasure of the past family gatherings AND the sluggish, heavy feeling those cakes produce.  One bite was enough.

Another strategy I try to follow is eat by the clock and not by my hunger.  Eating with cravings as the signal for meals can be difficult for a person devoid of normal hunger pangs.  I can go for hours after breakfast and suddenly realize my brain is not functioning.  I’m getting crabby.  I must have something to eat RIGHT NOW.  Keeping a nutritional protein bar in my purse or planning lunch as I finish breakfast is the best way I know to stay comfortably on the path of good eating.

Was the chocolate cake and flan in the Botanical Garden restaurant ever good!  Sharing one serving with my sister-in-law was all I wanted.  We ate steak fajitas before the desert.

I know many of you readers will have your own stories about how you have managed a healthy balance of sugar, fatty, salty foods in your life without becoming fanatic or over powered.  Tell us your strategies.  I have shared mine.  They are not universal.  We’d like to hear yours.  The comment place is just below.

If this has been useful, feel free to share.

BTW I am having a brunch at my house in West Seattle on Saturday, Jan. 19th at 10:30-12n. and would be happy to have you join us.  We’ll be presenting the 180 Turnaround weight management program.  Better yet, we’ll be tasting the Smoothies, the bars, the tea and describing all the support material available to help you end the  grip cravings have on your brain and consequently your health.  A program that helps you feel satiety while your are changing your food habits can make a world of different in whether or not you are successful.  I’d be glad to do the brunch vitually.  Call me and we’ll set it up.  Thanks in advance for your comments.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

 

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Resolutions, hell-o-lutions. How to keep them.

Gentle Reader,

Here we are again at the first of the New Year.  2013 is going to be IT.  That last doctor visit convinced me once and for all that I must do something about my weight/exercise program or I will die sooner than later.

How many people do you know who begin again to take control of their health?  A tiny voice elbows its way to the front ridiculing this resolve with a stream of

“You can’t change, so don’t even try.”

“You tried every diet know to man and woman already and look where it got you.”

“You have no will power and that’s what it’s all about:  WILL POWER.”

“You are sure you will starve if you eat the way you have to when you’re on a diet.”

“It’s no fun and you won’t be able to stay with it anyway, so why bother.”

“It’s too expensive and you don’t get results, so save your money.”

There are so many reasons, excuses to keep on the way we are.  But we really want to feel better, live longer, move more easily.

What if there were a program that addresses all the issues, offers products that are tasty, filling and keep the fat off?

What if there were a support system and lessons on how to fix those vegetables you know you should be eating instead of Stouffers frozen dinners?

What if you actually save money when you enroll in this program?

What if the snacks are tasty?

What if it is easy to monitor your exercise progress?

I am here with you for not one month, or two, but 6 months, 180 days to help you turnaround your diet and exercise patterns into life sustaining, never-look-back healthy habits.  Follow this program and you will never yo-yo again.  Your taste buds will crave beets and kale, water and tea. Your nose will turn up at fries and burgers, cookies and sandwiches, thick gooey dressings.  Don’t believe me?  Hundreds have discovered this program to work.  The side benefits nourish your body to better health while the extra pounds of fat disappear.

Give me 180 days and I’ll give you a healthy body.

Call for a consultation or go on line to sign up.  www.betsybellfatloss.com

Guess what?  If you suffer from arthritis either from trauma or the chronic osteoarthritis, if you struggle with joint pain, knee pain, hip pain, shoulder pain, this program will help reduce inflammation and give you relief.  Will all these promises work for every person who signs up?  I can’t guarantee anything.  We are all different.  But what if it does work for you the way it has for others, countless others?  Isn’t it worth a try?

Know someone who struggles with weight and has tried everything?  Pass this post along to them.  They’ll appreciate you for how much you care.

Found your own tools for getting your exercise and weight where you want it?  Please share them here.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

 

 

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Can we eat pie this Thanksgiving?

Gentle Reader,

Are you shopping for Thanksgiving yet?  Tell me about your resolve to eat so your joints don’t hurt, the achy knees don’t creak, the back doesn’t twinge when you go from sitting to standing?  Have you been eating a dinner plate big on greens with a small portion of meat or fish and the starch in the form of a boiled new potato or rutabaga? I thought I’d better show you one in case you never bought or cooked it.  Really tasty, better than turnips.

Most especially, have you tried gluten-free?  And I don’t mean picking up those prepared foods that say gluten-free on them.  I believe, because I have tried it consistently over time, that a gluten-free diet helps with arthritis.  You’ll also lose weight which will help with arthritis pain.  At this time of year with your favorite recipes coming out of the box for your traditional offerings, you buy a big sack of white refined flour, white refined sugar and pounds of butter and plan your day of baking.  Unless you have greater resolve than I do, you’ll be eating some of those goodies and not just giving them to friends and family.  There will be more than one kind of pie on the table and it will be challenging.  Right?

Today I am passing on a web site I came across this week.  This gal, Christie Bessinger, has a serious celiac problem and has taken the time to research ways to identify hidden gluten.  Celiac is a hard condition.  Your body reacts with bloating and sometimes even more severe nutrient absorption shut down when you get yeasty things in your stomach.  Breads, pasta, lots of canned soups, other prepared foods.  Most of us who struggle with achy, congested joints are not severely impacted by gluten grains, at least not in the digestive area.  However, getting gluten-free for a few months would tell you a lot about how your body functions in a gluten-free atmosphere.  Two things will happen for you:

1.  You will lose weight

2.  You probably will have less joint pain, even if you have severe osteoarthritis or spinal stenosis.  Any of the problems affecting the joints will most probably improve with a gluten-free diet.

Enjoy Christie’s blog.  Here’s a nice place to start with her delicious cupcakes made from a company she trusts.  http://celiac-scoop.blogspot.com/2011/11/gluten-free-cake-bites.html  You can even order their mixes from her web site.  How sweet is that?  Christie has suggestions for eating out gluten-free in New York City, too.

Live in Seattle? We are lucky.  Here’s a web site for people who want to avoid gluten when they eat out.  http://www.urbanspoon.com/t/1/1/Seattle/Gluten-Free-Friendly-restaurants   and here is a retail store for delicious foods in Seattle http://www.wheatlessinseattle.net/ .

Before I go, dear Reader, a day or two of lovely indulgence never sent us to surgery for a knee replacement.  You know that, don’t you?  It’s the change we make over the long haul in diet and exercise that makes the difference long-term and keeps us moving.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

 

 

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What helps when sitting around all day: Italian workshop

Gentle Reader,

This is the view from the grand guest house bedroom window at the Villa Lina, a working 80 acre farm in Lazio, just minutes north of Rome in Italy.  I was there to write with Natalie Goldberg, the guru I’ve been following for several years.  She begins each day with sitting in a meditation room large enough to hold 45 people in a square.  Breakfast is after that and then sitting again before instruction and writing begin.

Without daily stretching and exercise, I am toast.  Full of pain in the hips and knees.  Why we have to keep moving to keep from hurting, I explained in a lot of detail in my last post.  Let me tell you a couple techniques I used faithfully every day while away for the month, even when on the over night train from the Netherlands to Zurich Switzerland.

1) Use the theraband, towel, shirt, scarf to stretch those calves.  Lie on the bed/floor/rug first thing in the morning one leg straight along the surface, the other up over head.  The scarf is over the ball of the foot, and end in each hand.  Relax the ankle and let the toes be drawn toward your nose.  Hold it no matter how much it hurts, easing off and then drawing down again for 20 breathes at least.  Then take the ends of the scarf in the outside hand and draw the foot and outstretched leg to the side, not too far down, and pull the toes toward the nose for another 15 or so breaths.  Change hands and extend the leg across the body. This probably hurts a lot.  It certainly hurts when I do it.  It’s the T-band on the outside of the thigh that gets so tight.

2) No matter what keep moving.  At the Villa, I got up a little early and walked for an hour before the sitting began.  It was a spectacularly beautiful place.   There were ripe grapes waiting for harvesting. I picked a whole bunch and ate them as I walked.  I had my shoes with me that I could get wet in the morning dew. Don’t leave home without them even if they make your bag heavier.  The hotel consierge can tell you a safe route to walk in the early morning.  Even in Las Vegas when I was at the Shaklee convention in August and it was blazing hot, early morning walks saved me.  And there are always stair cases in the city.

pre-dawn, one of the pools at Villa Lina

3) diet is the hardest.  At the Villa our food was incredible, but still not enough vegetables to please me.  Or fiber.  I bought a package of prunes at a grocery store.  Helpful.  This is where you are glad to have your multivitamins with you and perhaps extra special vitamins that concentrate the good stuff found in fruits and vegetables.  The ones I like are here.  

4) Drink plenty of water.  Some people worry about water in a foreign country or different city.  You know your own body and how it reacts to digestive changes like different water.  Personally I don’t bother with bottled water.  If the locals drink from the tap, so do I.  I keep my system functioning with some friendly bacteria that comes in a little capsule.  These millions of little guys keep my bowels functioning and protect me from catching every little bug that comes along.  Did you know that your immune protection is mostly in the lower intestine?  Keep that area healthy and strange water and other bad bugs probably won’t bother you.

5) one last thing, at the end of a busy day either sitting and writing or tromping around as a tourist, stick your feet up on the wall behind your bed.  This restorative pose drains all the aches and pains out of your tired legs.  This is good for any person who has tired achy legs at the end of the day.  It’s hard to get into the position.  Here’s how to do it.  Sit next the wall on the floor (or at the head of the bed where the pillow have been cleared away).  Your left hip is against the wall, your bunt on the floor.  Swing your torso down to the floor (bed) and your straight legs up the wall.  Here’s a funny picture of me doing just that on a picnic table bench when spending a day with my grandson tromping around Montreal.  It embarrassed him, but not me.  Don’t let your pride get in the way of comfort.

Happy travels,

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

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The Nutritional Management of Chronic Pain

Gentle Reader
Are you like me, suffering from chronic pain?  Do you wake up every morning and check to see which joints are hurting?  A friend of mine describes sitting on the edge of the bed wondering if she can actually stand and walk to the bathroom.  I’m better off than that, but the first ½ hour each day is loud, you know the groaning and moaning.  Too bad there’s no one around here but the cats to sympathize.

I when it was announced that Dr. Frank Painter would give a seminar on Chronic Pain management.  This post contains careful notes from that seminar.

Dr. Painter is a major research and practicing chiropractor and maintains the research pages for the Chiro.org online resource for his profession.  It gets thousands of hits a month and is the most go-to site for alternative health care regarding chiropractic treatment.  You can look him up here.

He began with shocking statistics (sometimes I glaze over with too many statistics, but I know professionals quantify results so bear with me.) Chronic pain causes UNBELIEVABLE suffering, disrupts careers and lifestyle, and brings about unimaginable financial drains on our society. It’s now estimated that 24 percent of Americans (or approx. 48 million people) suffer from chronic pain. More than one-third of them regularly take pain medicine to manage their suffering. Those statistics are very frightening.

Pain is caused by tissue injury, surgical procedures, and a variety of illnesses. The common pain we experience from a cut or bruise is very well understood.  It is referred to as acute pain, and is accompanied by the inflammatory response, which involves local swelling, increased temperature, redness, and loss of function.

Damage to cell membranes during an injury releases two substances that initiate the inflammatory response. They are called prostaglandins and bradykinins.  These molecules cause nearby nerve cells to transmit pain information to the brain.  Following the formation of a stable clot, fibroblasts migrate to the site of injury to repair the damaged tissues. That is when acute pain is normally extinguished.  This explains how the acute pain and swelling when I hurt my wrist hiking gradually stopped hurting.  The body rushed repair mechanisms to the place where it was most damaged and in a few hours the acute pain was gone; in a few days all pain was gone.

Chronic pain is differentbecause chronic pain persists.

Dr. Painter focuses on safe supplementation as an alternative to pain medication.  He also talks about our diet and why chronic pain is so much more common today than in the past.

He reports on a recent study involving hundreds of patients who underwent surgery on their ankle or knee.  The patients who took 1000 mg. of vitamin C for 46 days after their surgery reported 80% reduction in what is called complex regional pain, compared to patients who did not take vitamin C.  If you are planning surgery, especially in a limb (knee or hip replacement for example) begin taking 1000 mg of Sustained Release Vita C before surgery and continue for at least 46 days to prophylactically avoid pain.

Can you believe that more than a 3rd of all people with pain take medication?  When we suffer acute pain from surgery or an injury, the inflammatory response, loss of function, redness and damage to the membrane is alleviated by medication.  And then you stop taking it.  With chronic pain, the wound never heals.  Chronic pain keeps on going.  Any pain that lasts more than 6 months and has no end in sight, like  arthritis, cancer is chronic.

A chiropractor once explained to me that injury sustained in a car wreck creates a pain path in the nervous and muscular system.  The next fender bender is nowhere near as traumatic, but the pain is worse.  This pain path is reactivated, familiar and more challenging to cure.  Believe me, I had a series of car accidents each one less violent than the previous one.  Funny how the pain increased with each one.

How does our diet contribute to chronic pain?

Because of radical changes in the American Diet since the 1950’s, our diet is now pro inflammatory and contributes to both chronic pain and autoimmune system diseases.  I’ll remind you what these changes were:  milling of wheat and other grain to make a ‘whiter’ end product, ie. refining our food; manufacturing foods with high amounts of hydrogenated oils.

Let’s see what’s going on here.  In a plain food diet (no processing), the oils—omega 3 and omega 6 fatty acids are in equal balance.  Dr Painter points out that there are 49 known essential nutrients—nutrients our body cannot make but must get from food.  These two oils are among them.  They work in concert in the body regulating thousands of functions through the prostaglandin pathways.  I created a link here in case you, like me, are curious about these babies, prostaglandins, which I’ve been hearing about for all these years of studying nutrition’s effect on our body.  Check it out.  Fascinating.

Omega 3 (we eat salmon and buy fish oil for this one) helps the prostaglandins with inflammation, cardio health, allergies, immune response, mylin sheath protection, hormone modulation, and behavior.  Omega 6, found in borage oil, evening primrose oil, initiates the chemical cascade in the inflammatory response to any injury or infection.

Here’s the problem with this duet.  We used to eat a balance of the omegas 3 and 6, short and longer chain fatty acids:  one to one.  Now, with all these refined foods the balance has changed to twenty to one, omega 6 over omega 3.  Think of the Omega 6 as the gas pedal on your car i.e. body, and omega 3 as the breaks.  Omega 6 turns on the inflammatory response.  Omega 3 (fish) turns it off.

The car is headed for the cliff, folks and the brake pedal is too weak to stop us from hurtling into a world of pain.

We need both Omega 3 and Omega 6.  We need them in the correct ratio.  Omega 6 comes from hydrogenated oils which are found in virtually all processed foods.  Removal of the grain coatings (brown rice, wheat), increased sugar consumption (sugar interferes with synthesis of these fatty acids) and the increase in consumption of deep fried foods and margarine prevent with the healthy marriage of the two fatty acids.  The 1:1 synthesis isn’t happening.

What’s the ratio in your life between corn, sunflower and sesame oils (which appear is most processed foods as hydrogenated oils) and cold water fish, sardines, salmon and anchovies?  Too many Omega 6’s = chronic pain.

Impact of chronic pain

 People hurt too much to get up and go to work.  We lose $3 billion in income each year because of pain. Stuff doesn’t get done because we hurt too much to do it.  $60 billion a year in lost productivity.  Sixty million of us have arthritis, 1 in 3.  Family members living with someone in chronic pain have to deal with the frustration, anxiety and misery of the suffering person.  How disruptive to family life it is to have all this depression and a sense of helplessness caused by pain!

How do we manage this pain?

 Standard medical management:  pain meds, the most popular, aspirin, NSAIDS.  We spend $2.6 billion a year on prescription NSAIDS and another $6 billion on over the counter pain meds.  Most of us are unaware of the lethal side effects of these pain killers. Stanford University reviewed Inflammatory rheumatoid  Arthritis (IRA) drug use in 15,000 patients. Projecting the findings from this well controlled study to the entire US population, they found that 107,000 rheumatoid Arthritis patients were hospitalized for complications from these drugs,  a large number of whom never left the hospital alive.  They bleed out before anyone can help them.  16,500 a year die this way.  That’s only the IRA sufferers.  What about everyone else who takes these meds?

You get no warning signs for the stomach trouble that results from taking these medications.  You just bleed to death.

People with osteoarthritis and IRA are more likely than the regular population to be hospitalized because of GI bleeds.  The risk of Non-steroidal anti-inflammatory drugs or NSAIDS is constant but increases over time with continued use.  The longer you take these drugs, the higher the risk becomes.  Drugs used to coat the stomach do not lower this probability.  The only way to prevent this stomach damage is to stop taking the non steroidal pain medication.  Dying from bleeding to death because of taking too many NSAIDS is the 15th cause of death in America.

By the way, when’s the last time you picked up a bottle of aspirin, ibuprofen or naproxen and stopped by to chat with your pharmacist about possible interactions with any other drugs you are taking? No?  You are not alone.  Of all the readers of Consumer Report magazine who answered their survey, only 38% who picked up these drugs when prescribed by their doctor talked to the pharmacist about dangers or interactions.  Only 29% who bought the OTC versions checked with their pharmacist.  We used to be more cautious, before usage became so common.  Eight years ago, Consumer Report did the same survey and over 50% of the people purchasing these medications checked for side effects, dangers and interactions with other medications.  Our pharmacists are trained in drug, supplement and food interactions (not our doctor) and should be used for their expertise.  Avoid risk.

Two neurosurgeons at U of Pittsburg Medical Center decided to explore natural substances to use as a substitute for NSAIDS.  They gave their IRA patients fish oil and after 75 days, 60% of the people had been able to completely discontinue their NSAID usage and were also able to drop off their other pain meds.  88% were extremely satisfied with their pain reduction from taking fish oil.  They would continue to buy fish oil even though it costs more than the medication.

Natural relief

 I am going to shamelessly talk about Shaklee’s pain management products.  Dr. Painter is specific about Shaklee as the manufacturer in his presentation.  This company’s large staff of medical scientists studied the problem of prostaglandins and pain, created biochemical models and searched until they found herbs and safe substances that would interrupt the pain path.  I was blown away by the slide presentation Dr. Les Wong made at the annual conference the year Pain Relief Complex was introduced.

Pain Relief Complex.  A compliment of medicinal herbs designed to treat pain. The primary ingredient Boswellia extract has been used in India for a long time for joint and arthritic pain as it contains very powerful analgesic properties.  In a study people with severe osteoarthritis knee pain where able to get more flexibility and much less pain with Boswellia extract, and thereby increase their walking distance dramatically.  The frequency of swelling in the knee joint decreased.  Boswellia has also been used to heal the stomach from ulcerative colitis.  In other words, it helps heal a stomach damaged by Celebrex or other NSAIDS.

Jt. Health Complex.  When in pain we develop pain avoidance behaviors like limping.  Other daily activities are avoided because you know its going to hurt too much to do it.  I know I leave stuff lying on the floor and put off raking leaves because I know I’m going to hurt when I bend over too often.

When we stop moving to avoid pain, we actually increase the likelihood of increased pain.  Why is that? Joint tissue—ligaments, bone, have no blood supply of their own.  They eliminate their waste products through a pumping motion when the joint moves.  Nutrition to the joint also depends on pumping, or moving.  Waste products out, nutrition in, through motion.  Without motion, waste products build up around the joint which inhibits the nutrition from being absorbed.  Nutrients move from the high concentration in the blood to diffuse themselves into the joint. This process requires movement.  If your joint is smothered in waste products, the nutrients don’t go there—too crowded—and the cells start to die because there are no nutrients to feed them.  The cartilage begins to degrade and then the bones start to get closer and closer together.  The body tries to stabilize that joint by importing minerals like calcium and magnesium to build extra protection around that joint.  If you took an x-ray of the joint, you’d see little growths where they should not be.  The objective is to reduce the pain so you get more motion in the joint and clear the waste and allow nutrients to enter.  Joint Health Complex provides dramatic and speedy pain relief to get you moving again.

NSAIDS actually accelerate the deterioration of cartilage.  36% of liver failure is being cause by acetaminophen (Tylenol) toxicity.  One out of three liver transplants is because of the use of acetaminophen.  This research and the death of children from Tylenol drove the search for anti-inflammatories with no side effects.

 Jt Health Complex leads the way.  Boswellia seratta has a long use as an herbal anti-inflammatory.  It works.  It can be used to treat osteoarthritis, inflammatory bowel disease, RA and asthma.  Boswellia was first introduced in Shaklee Pain Relief complex in 2003.  It is so powerful they decided to add it to the Jt. Health Complex.  Joint Health Complex includes as a major ingredient glucosamine.  It has been shown in clinic studies that combining chondroitin with glucosamine reduced the body’s ability to absorb the glucosamine.  In redesigning the Jt. Health Complex, Shaklee scientists made sure there was no chondroitin mixed in with it.

 

Testing

Once they had the new formulation completed, they tested it head to head with the leading pharmacist recommended product, Walgreen’s Osteobyflex.  In a clinical trial they found that Jt. Health Complex was 28% faster acting than byflex for providing pain relief.  If you were beginning for the first time to take the product, it took only 5 days to get relief with Jt. Health Complex as opposed to 7 days with Osteobyflex.  With the addition of boswellia,  Jt. Health complex gave 45% better pain relief than the Walgreen product.  Shaklee found a vegetarian source for glucosamine.  Most glucosamine on the market is sourced from shell-fish.  They also made use of a carrier molecule that does not have salt (some products on the market are as much as 30% salt!) which, if you had high blood pressure could be bad—1 third of a tablespoon of salt? I don’t think so. Jt. Health Complex uses hydrochloric acid instead of sulfate to deliver glucosamine.  It also contains zinc, manganese, copper and Vita C to nourish the developing cartilage.  Glucosamine has been researched extensively since 1970’s and has been found to be at least as effective in relieving pain and NSAIDs without any dangerous side effects.  In one study it was shown that there was an actual increase in the cartilage with glucosamine.

 

Joint and muscle pain cream.  Helps with pain from over use during exercise.  Active ingredient is menthol. Shaklee improved on the healing characteristics by improving on the delivery of the menthol with a liposome delivery system.  This liposome delivery provides prolonged release and deeper penetration.  If you’ve used Flexall 454, Icy Hot and JointFlex, your may get temporary distraction from pain, but you are probably throwing your money away.  Topical local anesthetics, topical capsaicin are basically aspirin in creamy form and could affect your stomach the way taking aspirin does.

 

I strongly recommend this trio of pain relief products for chronic pain.  I use them to great advantage.  Dr. Painter provides the scientific back drop to prove the effect is no placebo.

 

If you suffer from chronic pain that does not seem to associated with a joint, Omega guard is the #1 nutrient solution.  Shaklee’s OmegaGuard, DHA, EPA and 5 other naturally found omega 3 fatty acids provides the missing link for halting diet induced inflammation.  Get the balance back between omega 6 and omega 3, supplement with Omerga 3 so the ratio is 1:1 and you will have less pain.  OmegaGuard naturally balances the prostyglandins that prolong the inflammatory response to pain stimulus.  Rather than using drugs to suppress the inflammation, re-balance the body’s own ability to handle pain by changing your diet to eliminate hydrogenated fats and excess sugars plus taking enough OmegaGuard to change the Omega3:Omega6 dance back to 1:1.

That’s it.  Thanks for reading all the way to the end.  May you be well, pain free and able to keep moving.

What’s next?

Tell us

Do you check your meds and OTC drugs with the pharmacist?

What pain relief rubs have your tried?  Results?

Have you given up hope or are you willing to try another way to get relief?

 

If you decide you want to try these products, go to my blog page, http://www.grandmabetsybell.com/shop-shaklee-products/ and browse the product guide.

Get in touch via the comment section.

If you have found value here, feel free to share on your FB page or with your friends and colleagues suffering from chronic pain.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

 

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Knee Pain: an early warning sign of Osteoarthritis

Gentle Reader,

This is just in from the Johns Hopkins:

Knee Pain: An Early
Warning Sign of Osteoarthritis

Osteoarthritis is the most common form of arthritis, affecting an estimated 27 million people in the United States. By age 40, approximately 90 percent of us have at least some signs of osteoarthritis that can be seen on X-rays of the weight-bearing joints (the hips and knees, for example), but symptoms of pain and stiffness usually don’t start until later in life. 

Now, researchers from Canada report that knee pain may be an early warning sign of osteoarthritis (OA). Their study was published in the journal Arthritis Care & Research(Volume 62, page 1691).

The researchers obtained X-ray and MRI scans of 255 people with knee pain who were 40 to 79 years old. Pre-radiographic osteoarthritis (signs of cartilage damage seen on MRI but not yet evident on X-ray) was identified in 49 percent, and radiographic osteoarthritis (signs of cartilage damage on X-ray) was identified in 38 percent. Only 13 percent had a normal X-ray and MRI.

Factors linked to a higher chance of having radiographic osteoarthritis or pre-radiographic osteoarthritis included abnormal gait (nearly 11 times higher risk), older age (nearly three times higher risk for each 10-year increase), playing sports regularly after age 20 (35 percent higher risk for each 10 years), knee swelling and difficulty fully stretching the knee joint.

The bottom line: If you have knee pain, don’t ignore it. Early identification of osteoarthritis can lead to early treatment and relief. 

Duh!  This is a no brainer, isn’t it?  My question to you and to them, what are we supposed to do about it?  We have the early warning signs. Now what?

In these blog posts, I have explored various modalities of care and presented strategies for alleviating pain and slowing down the onset of severe osteoarthritis.  If you are a new reader, I suggest you explore back posts for suggestions.

The bottom line is two fold:

1.  Get to your ideal weight and stay there.  Even 15 pounds off your current weight (if you are over weight) will make a difference in your joints.

2.  Keep moving.  Find something to do that is pleasurable and that you will look forward to each day and DO IT.  Do NOT, under any and all circumstances, stop moving.

I have a great friend who was in a wheel chair with her osteoarthritis and on multiple medications to manage the pain.  A friend persuaded her to seek the counsel of a chiropractor who specializes in blood work and supplementation (primarily by Shaklee).  He analyzes the blood and makes recommendations about diet and supplements.  The most important advice to Luanne was find something to do that she loved.  She didn’t like walking, hiking, dancing, skiing, roller blading, mountain climbing.  Nothing pleased her.  Nothing made her want it more than the pain she had to endure to try out the activity.

One day she was walking near a dock where people were stepping in to sculls, single and double.  She was invited to take a turn and fell in love with sitting in the slim, fast boat down low in the water.  As she became more proficient, she got off her medications and ate the better diet along with the prescribed supplements.  She became pain free.  Luanne went on to win national championships in single scull racing.  Today she is slim, beautiful and healthy.

Find the movement of your choice.  Maybe it’s turning on the TV or radio to your favorite jazz or Latin music station.  There’s someplace in your house where you can dance to your favorite music.  Maybe you’d enjoy a little trampoline.  It takes up a tiny space and is reputed to help increase bone density.  Whatever it is, Go for it.

The doctor’s name is Dr. Richard Brouse.  I send him my blood for diagnosis and suggestions for diet and supplements.  Having his analysis and prescription for supplements makes my vitamin purchases tax deductible.  (I am not giving tax advice.  I am not qualified to do so.  This is just what I do and have done for 25 years.) It is expensive but worth it.  After all, you are going to pay for your health one way or another.  Why not pay now and avoid the steep costs looming ahead of you, not to mention the loss of work and play time.

Dr. Brouse will suggest food supplements by Shaklee. In another post, I recommend the ones that are most effective at restoring your body to good health and alleviating arthritis pain.  (You can browse the Product Guide here.)

When you take your knee pain to the doctor, they will most likely tell you to expect arthritis in the near future and predict knee replacement therapy down the road.  I had these predictions in 1989.  I have no knee pain and have never had knee replacement.  I take a lot of supplements.  People who watch me swallow a handful of them, think I’m nuts.  All I can say is that I love being able to hike to Mt. Rainier pain free, to be able to dance the salsa, and run fast across the street, to scramble down the bank at Shark’s Reef on Lopez Island, to last physically in the art museum longer than my brain can take all that stimulation.

I wish the same for you.

Now, tell me in the comment section, what your thoughts are about your early warning signs, if you have any.  And by all means let us all know what supplements you have found that help.  Did you sign up to get the notification of the next posting?

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

 

 

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How about Stinging Nettles?

Gentle Reader,

If I could tell you why some days I wake up with no pain whatsoever– like today– and catalog the food I ate yesterday, the stretches I made, the delicious sleep, the supplements, the aerobic activity—why surely I would have a recipe for a pain free life.  I cannot. I cross country skied on Wednesday; stayed up too late fussing over numbers; ate on the run, albeit extra nutritious homemade vegetable-drawer soup; got tied up in knots over the traffic delays.  You know the drill.  I took no herbal pain pills today and no Aleve.  Instead of analyzing the good things in life that seem to happen randomly, I suggest robust all out celebration and thanksgiving.

I will offer you some spicy advice that came to me from a good friend who faithfully reads these pages and a few others from the web which she passes on to me when relevant.  I especially appreciated her reprint from NaturalNews.  Since I harvested stinging nettles on my walk Tuesday, being careful to wear gardening gloves, I am eager to eat them and see what they do for me. See the article below for details.  Stinging nettles are abundant in the northwest right now, small plants with tender leaves.  All the sting goes away with cooking.  If you try it, let me know how it goes. It’s inexpensive to try these natural remedies from the kitchen cupboard, way-side and grocery store.

Relieve arthritis and joint pain with home remedies

 (NaturalNews) Homemade remedies for arthritis, gout and other joint pain are never farther away than the kitchen cupboard or the refrigerator. Joint disease is the result of various causes ranging from aging, to over-use and autoimmune diseases that attack joints and surrounding tissue. Pharmaceutical companies have designer drugs that reduce inflammation to help relieve pain and often cause significant side effects. The ingredients for homemade remedies can be purchased at grocery and health food stores and many may already be stocked in your pantry, offering significant savings over costly pharmaceutical drugs.

Anti-Inflammatory triad

On their own, turmeric, ginger and bromelain work as effective anti-inflammatory agents. Each works to relieve pain, stiffness and swelling. In combination, they provide a powerhouse of natural medicine. The three substances are synergistic to one another, each boosting the other’s effectiveness…

Stinging nettles

Homemade remedies from stinging nettles are numerous. A traditional herbal treatment, stinging nettles are used to relieve symptoms of joint pain, arthritis and gout. A tea can be made from the dried herb or the fresh leaves. Use caution and wear gloves if harvesting fresh nettles. As their name implies, the little hairs on the plant can cause serious skin reactions including hives and other painful outbreaks. These are neutralized when heated into tea or when the plant is dried. The tea can be consumed hot or cold or used as a topical soak for painful joints.

Cayenne pepper

Found in most spice cupboards and known for its spicy-hot taste, cayenne makes an excellent topical ointment that relieves joint pain. Capsaicin, the active ingredient in cayenne pepper, tricks the brain by causing local irritation to skin where signals then travel along nerve pathways, distracting the brain from the true source of pain. In time, repeated topical applications of cayenne pepper will reduce arthritis pain significantly. To make topical homemade remedies, mix 2 tablespoons of cayenne pepper with 1/2 cup of cocoa butter, lanolin or coconut oil. Apply it directly to the sore joint. Alternatively, mix 1/2 teaspoon of cayenne pepper with 1 cup of apple cider vinegar and add to a foot bath with warm water. Soak hands or feet for 20 minutes, then rinse. Cayenne pepper can cause skin irritation.  (I have not tried this, so go forward at your own risk.)

Pectin Grape Juice

Homemade remedies made from fruit pectin and grape juice can relieve joint pain, and reduce swelling and stiffness. Pectin is found in the cells of many plants and acts as a thickener in preparations such as jellies. Grape juice is loaded with antioxidants, among them, anthocyanins, noted for its effect on reducing inflammation. Pectin regulates the flow of fluids in plant cells and is believed to act to relieve fluid buildup in the joints of arthritis sufferers. The best pectin is found at the health food stores and is free of MSG and other additives. Mix 1/2 cup of juice with 2 tablespoons pectin. Add water if needed and drink twice daily for 6 weeks. Reduce the frequency as symptoms disappear.

Sources for this article include:

DermNetNZ: Capsaicin
http://dermnetnz.org/treatments/capsaicin.html

Holistic Online: Tumeric
http://www.holisticonline.com

Science Daily: Turmeric Prevents Experimental Rheumatoid Arthritis, Bone Loss
http://www.sciencedaily.com/releases/2006/10/061030071152.htm

MotherNature.com: Arthritis and Alternative Medicine
http://www.mothernature.com/Library/bookshelf/Books/42/1.cfm

Joint-Pain.com: Natural Arthritis Treatments
http://www.joint-pain.com/natural-arthritis-treatments.html

The People’s Pharmacy: Pectin for Arthritis Pain

Be Well, Do Well and Keep Moving

Betsy

Betsy Bell’s Health4U

206 933 1889

www.HiHoHealth dot com

www.TiredNoMore dot com

 

 

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Ankle replacement? How bad is it?

 

Gentle Reader,

 

Have you dried off from your most recent visit to the Y’s water aerobics for arthritics?  Not there yet?  Today I want to share information about replacing those joints that just keep hurting so much that you prefer to sit or lie down rather than try to move through the pain.  My favorite website for the latest procedures is Johns Hopkins Medicine.  This week they have an article about ankle replacement.  Replace your ankles?  Oh, my goodness.  It would have to be really bad before I’d do that.

 

My own experience with arthritis in the ankles came as a result of breaking the left ankle while cross country skiing in 1997. The snow conditions were our usual white cement so often prevalent in the Cascade mountains.  The Women on Wednesday group I ski with had chosen the Swan Lake trail that begins along Lake Kachess and then rises through twists and turns to an upper plateau. We have never made it to Swan Lake. It must be there somewhere.  Our ski day usually begins with a couple hours of climbing on skis, then lunch in a nice trail side spot, followed by another 20 minutes uphill to warm up.  Then we usually turn around and come down.  These logging roads are never groomed except by the occasional  snow mobile.  Snow mobiles can create moguls that make skiing even more challenging than breaking trail.  If the uphill has been through new snow, even cement (heavy) snow, the downhill can go quite well.  On the particular day of the breakage, I was doing my usual fast downhill and on one curve, planted the tip of my left ski squarely into a snow bank.  My body continued on.  I could hear the snap.

 

It was possible to ski out the remaining 4 miles or so by keeping the left leg slightly bent and the foot rigid in the boot, using the polls and right ski to snow plow.  On the bus, a fellow skier and nurse, filled a sandwich bag with snow and wrapped my ankle with an emergency tape.

 

The next day, an x-ray revealed a hair line fracture which they cast. I was in this non-weight baring thing for 60 days and a walking boot for another 30 days.  I worked hard to keep the muscles functional with all sorts of floor exercises including leg lifts in all directions, and was ready to walk as soon as they gave the go ahead.

 

Now, fifteen years later, I am getting little twinges when setting off on a hike or long city walk.  Do I stop?  Is it harmful to keep going?  I can report that I may slow down a bit, exercise great care in foot placement and gait, and above all keep going.  So far so good.  The pain doesn’t stop me and the ankle is still functioning well.  Will it get worse?  Probably.  Will I go for surgery someday?  Who knows.  I would recommend doing every possible thing before going there.  If you do read the article at the link, you’ll see that people have good results.  Are they hikers, cyclists, climbers?  Or are they people who just want to be able to walk around their house when the pain has become so unbearable they are confined to a chair?

 

Osteoarthritis and arthritis caused by injury often come down to the same thing as one ages.  I prefer to take hands full of supportive supplements to 3 Advil because I am sure that the supplements strengthen tissue and feed cells for better all over health.  Advil will mask the pain for sure.  It is pretty conclusive that vitamins, minerals and protein build healthy tendons, muscles and bone.  There may still be pain.  Try an herbal pain inhibitor first.  Shaklee makes a good one.  If you want to explore these, go to HiHoHealth dot com.  We have a Pain Relief page there.

 

The Johns Hopkins site on arthritis gives good information about the other joint replacements as well.  Good luck if you are facing this decision.  If you want to talk more about your options with a person who has been dealing with arthritis for 35 years, I’d love to hear from you at 206 933 1889.  If you would like to comment, please do.

 

Do well, Be well and Keep Moving,

 

Betsy

 

 

 

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The Fat Trap

Dear Reader,

I have been thinking a lot about weight and arthritis, about weight loss and how challenging it is to begin and maintain a healthier relationship to food.  In my last post, I talked about the study that found our hypothalamus may be running the show.  If this regulating organ has been damaged by a long term diet of too rich food, is it possible to ever heal it and establish a new normal for ourselves?

Perhaps you saw this article in the New York Times on January 1, written by Tana Parker Pope.  I recommend it to you.  She has struggled with extra weight for years and takes heart and hope from the understanding she has about the hypothalamus and the possibility of actually changing its messaging system.

I am going to leave you with this long article from the NYTimes.  I would love to hear your reaction to it.  Please share.

Are you engaging in any winter sport?  I enjoyed my first day on cross country skis this past Wednesday and managed a pain free day with 2 Aleve at breakfast.  Thursday morning wasn’t bad either, maybe because I took a protein sports recovery drink with me and drank it on the bus coming home and again before bed.  The one I use is called Physique and is made by Shaklee.  It repairs torn muscle with the proteins, vitamins and minerals in it.  Thursday night I could feel a stiffening up and did some of my Pilates floor exercises before hottub and bed and this morning did a big routine of Feldenkrais, Pilates, weight lifting and other stretching and then took a long walk including a stair case with 190 treads.  All this helped keep me from arthritis pain.

What is your routine after a work out?  BTW when you climb stairs try walking up sideways, facing the railing, right shoulder toward to top.  Lift the left leg and place it on the step above crossing the right.  Then, weight on the left foot, step up with the right still  facing the railing.  Next step with the left foot, swing it behind and up.  You are going up the stairs with the left foot traveling in front and then in back and then in front.  Then turn to face the left shoulder to the top and do the weave with the right leg. This strengthens the sides of the knees.  We girls hurt our knees by always walking straight up the stairs because we are just slightly (sometimes more than slightly) knock kneed.  This stair climbing (and descending) greatly strengthens the muscles and tendons along the sides.  Do this slowly, planting your foot solidly and lifting with the thigh engaged instead of heaving the body up with the shoulders.  Make the legs and side knees work for you.  I may have described this in an earlier blog when I was talking about my training program for climbing Mt. Shasta.   If you try this, let me know how it goes.

Good luck and keep moving.

Betsy

206 933 1889

www.TiredNoMore. com

 

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The 2nd most popular New Year’s resolution and the power of excuses: guess writer Lisa Stubing

Dear Reader,  I have mentioned this energetic trainer, Lisa Stuebing in a former blog post. She and I walked the 3 miles around Greenlake at a quick pace.  I was impressed with Lisa’s own story of sitting at a desk most of her professional life and slowed putting on weight and losing mobility.  You should see her now.  She’s slim and agile.  I asked her to write a post to share with all my readers.  Here it is:

The Second Most Popular New Year’s Resolution and the Positive Power of Excuses

Adapted from a speech given at the 12th Annual World Arthritis Day in Redmond, WA.  October 2011.

Lisa Stuebing, Certified Personal Trainer and Senior Fitness Specialist, Owner, Mud Puddle Fitness, LLC

Did you know that the Second-Most-Popular -New-Year’s-Resolution-Of-All-Time is to become more fit?  And yet, we often make the same resolution the following year.  If you have arthritis, you have an extra challenge to keeping this resolution.  Fortunately, you also have ready access to a powerful resource to ensure your success.

This essay is about the positive power of making excuses.  Excuses are important.  Now is the time to recognize that your excuses have strength and depth and validity.

Researchers find that three barriers to success recur over and over. 1.) Embarrassment, 2.) Procrastination,  and 3.) Fear of injury.  These well-funded longitudinal studies have included thousands of participants who in turn represent millions of excuse makers.  They were conducted by reputable institutions like the Mayo Clinic, the American College of Sports Medicine, the National Institute of Health.

  1. EMBARASSMENT

Do you put off going to the pool until after you look good?  Have you walked into a gym tried out some equipment and goose-stepped out of there because you didn’t want people you didn’t really know how to use it?  Discouragement is a powerful inhibitor.  Which leads us to the second big excuse honest people have for not getting regular exercise.

 

  1. PROCRASTINATION

“Procrastination is the art of keeping up with yesterday.”
– Don Marquis

 

What keeps you inside?

In a London study, 64% of the participants simply did not know what a good work out was supposed to feel like.  So, they avoided it.  Learning what is normal and what’s not normal takes time.    It takes practice.  When you are getting the right amount of exercise, during the best part of your day – you will build up your stamina.  You will feel better and even energized at some level.  And, yes, you will feel a little tired.

Finally, there is another big reason people tend to stay away from exercise.

 

  1. FEAR OF INJURY

People worry that because they are not athletes already that they will hurt themselves. 

If you have arthritis, be a careful consumer of information.  There is still a lot of bad information out there.  You can still find literature that will tell you that exercise is not good for you.  The old thinking is that physical activity will damage joints and make arthritis worse.

In reality, multiple studies have clearly shown that appropriate exercise for people with arthritis leads to better flexibility, strength and endurance.  It also leads to less pain, fatigue and depression.

ACKNOWLEGE YOUR EXCUSES AND THEN TACKLE THEM ONE BY ONE

Find people who are doing fun stuff and do it with them.   Laughing together is the best antidote for embarrassment.

Build up your knowledge and stamina one day at a time.  The key is to start small and pace yourself — If you are going to take up cross country skiing – start with a small country.

Finally, if you have arthritis, know that hurt does not always equal harm.  Take an Arthritis Foundation “Walk with Ease” class and learn to reduce your pain while getting fit.

Enroll in an Arthritis Foundation, “Walk with Ease” class

Take an Arthritis Foundation “Walk with Ease” class and you will learn how to set realistic goals.  You will learn how to measure your progress.  You will feel more energized because you will know the best time to exercise and how much exercise is right for you.  You’ll meet new people and have tons of fun.

The Walk with Ease Course was developed by the Stanford University Patient Education Research Center.

The efficacy of the program was tested, studied and reviewed by the University of North Carolina in collaboration with the Thurston Arthritis Research Center and the University’s Institute on Aging.

The program’s published materials were made possible, in part, with funds from the Center for Disease Control.

In my professional opinion, the most important thing the Walk with Ease program teaches is an understanding of your pain.  Hurt does not always equal harm.  Sometimes, moving when you didn’t really want to, results in actually feeling better.  This isn’t all hocus pocus – this is about focus.  Focusing on you, testing yourself and then understanding the result.  I think this takes the entire six weeks to learn and apply the program.  And the bonus is, by the end of all 18 class sessions – you will have made a pleasant habit of joining friends for a little fun exercise.  Some classmates get together long after the class had ended.

CONCLUSION

In conclusion, there are three steps to take.  1.)  Work with yourself, understand your reluctance to plunge into a planned exercise routine and give yourself a break.  Your concerns are real and based on a lifetime of personal observations.  Be honest with yourself and then take the next step.  2.)  Educate yourself; take the Arthritis Foundation’s “Walk with Ease”. Learn when exercise will reduce your pain and how to make that happen.  Finally,  3.) Include yourself – join others for group activities.  Invite friends out for a walk.  Having fun with friends is your best chance of sticking with and enjoying a lifelong habit of exercise.

Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it.” – Johann Wolfgang van Goethe

Let me know how you do!  Please do not hesitate to contact me if you have any questions.

Coach Lisa

Lisa Stuebing
Owner, Mud Puddle Fitness, LLC
Nationally Certified Personal Trainer and Senior Fitness Specialist

www.MudPuddleFitness.com

CoachLisa@MudPuddleFitness.com

206-524-6788

 

 

 

 

 

 

 

 

 

 

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