Category: Featured Articles

improve the quality of your sleep

How to improve the quality of your sleep – part one

We’ve all heard that cliché, “You sleep for a third of your life”.… or at least you should be sleeping about a third of your life!

I think we hear that saying so often that we forget the vital role sleep plays in our physical and mental wellbeing. The quality of our sleep really is critical to our quality of life. Sleep deprivation or lack of quality sleep can negatively affect cognitive function, immune function, growth and development in children and even increase our risk of all kinds of chronic diseases of aging.

So what can YOU do to improve the quality of your sleep? For starters, you need to understand what defines “good quality sleep”.

 

Understanding good quality sleep

The National Sleep Foundation recently released the key indicators of good sleep quality, as established by a panel of sleep experts.

  • Sleeping more time while in bed (at least 85 percent of the total time)
  • Falling asleep in 30 minutes or less
  • Waking up no more than once per night
  • Being awake for 20 minutes or less after initially falling asleep

Sounds basic, but actually achieving all four indicators can be a challenge. Comfort is actually a big part of this, and while fundamental, many people are not actually sleeping on the most comfortable mattresses or pillows. Let’s start there.

 

Choosing the right mattress

Mattresses can be a big investment, but I believe they are worth it. A mattress is a home product you are not only using almost all the days of the year, but something you use for 8-10 hours most days.

A proper mattress should be firm enough to support your postural curves but soft enough to give a little for your buttocks while on your back. When on your side, it should give a little for your shoulders and hips. Without that “give” or body-contouring, you may experience discomfort due to the pressure points created by lack contour.

Over time, I have developed a preference the Sleep Number bed. It is considered a hybrid and is comprised of foam and air chambers that have adjustable pressure you can adjust through a remote control. The firmness can be adjusted for your specific body and needs. Another plus is if you share a bed, your mate can adjust their side to whatever firmness meets their needs (including handling mates who snore). Sleep Number even has new technology that adjusts the firmness according to your positions at night and provides information about how well you slept. For those who have very specific needs that require their bed to be elevated into different positions, I believe that Sleep Number is the best in accommodating those needs.

RELATED: Why you should be improving your back posture

I am also a big fan of the Tempur-pedic mattress. The heavy foam contours just right to your postural curves to minimize pressure points. It also reduces motion transfer so your movement won’t wake your partner. Years ago, I had some patients complain that the heavy foam made it too hot while sleeping (actually a common complaint with foam mattresses). Tempur-pedic has been working on that issue, and I am told they have incorporated cooling and temperature-control technology into their mattresses.

Both Sleep Number and Tempur-pedic have a money back guarantee.  While both come with a hefty price tag, in my opinion either of these two are worth every penny. There are a host of other options out there with varying price points and this guide may help you in making a good mattress selection.

 

Choosing the right pillow

improve your sleep qualityThere are all kinds of great pillows on the market, but also some not so great ones. A lot of my patients buy pillows after hearing commercials and are often disappointed that they don’t live up to the claims. I recommend looking for a pillow that properly supports the neck and keeps the body in optimal alignment throughout the night.

We are distributors for two of my favorites and carry them in the office: the Therapeutica Pillow and the Pillowise pillow. Both of these pillows require a “fitting” to insure each patient gets the right pillow for their body. We take measurements for both back and side sleeping and put those measurements into the context of whether a person’s mattress is soft, medium or firm. Both of the Therapeutica and Pillowise pillows keep the neck and shoulders in optimal alignment during sleep. They each support the postural curve of the neck as well as fill up the right amount of space between the shoulder and neck while side sleeping.  We find that most patients love their pillows when they have been properly fitted!

improve the quality of your sleep

Patients with hip and low back pain often find that placing a pillow, also known as a leg spacer, between the knees while side sleeping is helpful. Leg spacers keep the spine and hips in better alignment taking pressure off of both! You can even choose one that has straps to keep it in place!

So get comfortable as your first step in gaining good quality sleep. Next month, I’ll share some additional insights on how to improve your sleep quality. Stay tuned!

Dr. Sharman

prevent heart disease

Prevent Heart Disease: Ways Less Often Discussed

February is a great time to focus on the heart.

Earlier in the month, we marked Valentine’s Day – a time to celebrate love, be kind to others and be kind to ourselves. We get to connect and reflect on feelings within the heart. However, it is also a great time to literally reflect on your physical heart and its wellbeing. In fact, February is officially Heart Health Month.

Did you know that heart disease is the leading cause of death in the United States?

It affects both men and women…and thankfully it can be prevented! There are the obvious ways to prevent heart disease: don’t smoke, eat an anti-inflammatory low grain diet, with plenty of fruits and vegetables and exercise. Is there more you can do? I’d like to explore some of the less talked about ways to prevent heart disease.

Start by looking at the word disease. Break that word down and it is dis-ease. In other words, NOT ease. So at least a part of heart disease is related to not being in a state of ease. Stress plays a huge role in heart disease, often causing an increase blood pressure, irregular heart rhythms and increased levels of adrenaline and cortisol. So start with managing your stress as the first step to prevent heart disease.

 

Stress Reducers

Meditation

Remember meditation is not a one-time activity. It takes practice. No one tries it once and achieves a state of clear-minded calmness. Try downloading a guided meditation app. Start with a short, 5-minute guided meditation and go from there. Daily practice can lower blood pressure, improve mood and reduce damaging stress hormones in the body.

 

Biofeedback

Another alternative to meditation is biofeedback. Biofeedback is the process of gaining greater awareness of physiological functions by using instruments that provide information on the activity of those same systems, with a goal of being able to manipulate them at will. I love the products from Heart Math Institute. They have a device called the EmWave which helps to raise your awareness of when you are in a stressful state. The technology then helps you to shift back into a more relaxed and content state. The company has similar technologies as a phone app that couple with an ear sensor.

 

Yoga

Yoga is a great way to relieve stress through centeredness, focus and calming breath work.

 

RELATED: Ten Wonderful Ways Yoga Improves Your Health 

 

Slowing down  

The reality is that the world is on fast forward these days. But just because things seem to happen at lightning speed these days does not mean that you have to keep up that pace. Plan some time to relax for a bit every single day, no matter how busy you are. Give yourself permission to say no when you want or sense that you need to say no.

 

Be true to your heart  

People are simply less stressed and more resilient when they are living their life congruent with their own values. When our actions are in alignment with our authentic selves – our purpose and values – life just seems less stressful even when there are challenges. Keep this in mind.

 

Nutritional Considerations

prevent heart diseaseReduce sugar

In a study published in Journal of the American Medical Association Internal Medicine in January 2014, researchers found that the odds of dying from heart disease rose in tandem with the percentage of sugar in one’s diet. This was regardless of a person’s age, sex, physical activity level and body-mass index (a measure of weight).

My advice is to avoid the obvious worst offenders! We hear a lot about what we should eat, but do you realize the true damage occurring when you make poor choices? Know the worst offenders and steer clear of them.

 

Stay hydrated

It probably seems like I think hydration is the answer for every health issue. The truth is, it impacts a great deal of our health. Staying hydrated allows the heart to pump the blood through the vessels more easily, allows the heart muscles to work more efficiently and reduces the risk of heart attack and stroke.

 

Drink red wine

A single glass of red wine each day will give you a good dose of resveratrol, which lowers cholesterol, reduces risk of blood clots and prevents damage to blood vessels. One glass is enough to gain benefits – but keep it to one glass most days.

 

Supplements

Finally, we can’t talk about heart disease prevention without at least mentioning supplements. There are many great ones you can take for heart health, but I have narrowed it down to what I would consider the top three most important.

  1. CoQ10 – Take 200 mg daily if you are over 50 years of age or on a statin drug. Otherwise, take 100 mg. The heart is constantly working and never takes a break as long as you are living. This requires a lot of energy for the heart muscles. CoQ10 is critical for the mitochondria in the heart muscle cells to make energy so they can keep working. As you age, you are less able to make CoQ10. Statin drugs deplete your CoQ10.  
  2. Omega 3’s – Omega 3’s turn down your inflammatory pathways. Since inflammation is tied to all chronic diseases of aging including plaquing of the arteries, high blood pressure and high cholesterol, Omega 3’s are just what the doctor ordered in lowering the risk of heart disease. Eat plenty of Omega 3-packed fish too! To learn if you are deficient in Omega 3, we can test you.
  3. Magnesium –  This supplement lowers blood pressure, helps the heart to beat more regularly and improves sleep. It is a great distress-type of nutrient.

I hope this blog has helped you to zero in on a least a few strategies to prevent heart disease! Be kind to yourself and have a great February.

Dr. Sharman