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Health Alert: Fine Particulate Air Pollution Linked to Gestational Diabetes. Fine particulate matter is a mixture
of dust, dirt, soot, smoke, and liquid droplets in the air, most commonly from gasoline combustion and the burning of wood and coal. A recent study found that increased exposure to fine particulate matter air pollution during the second trimester of pregnancy is associated with higher blood glucose levels and a greater risk for gestational diabetes.                                Environmental Research, November 2022

Diet: Ultra-Processed Food Linked to Colorectal Cancer in Men. According to an analysis of data on over
200,000 adults, a high intake of pre-cooked and instant meals—particularly processed meat products—is associated with an elevated risk for colorectal cancer in men, but not women.        BMJ, August 2022

Exercise: Urban COPD Patients May Be at Fitness Disadvantage. A study that included 404 patients with mild to-severe chronic obstructive pulmonary disorder (COPD) identified an association between living in a more densely
populated areas and fewer steps taken per day, more time spent engaged in sedentary activities, and less exercise capacity—all of which may lead to worse outcomes for COPD patients. Environmental Research, November 2022

Chiropractic: Posterior Shoulder Instability Management. Posterior shoulder instability is a shoulder injury that’s more common among young men who engaged in high-contact sports. A comprehensive review concluded
that in most cases, patients with posterior shoulder instability should utilize non-surgical care options for at least six months before considering a surgical procedure. The review notes that care should concentrate on proprioceptive and strengthening exercises of the subscapularis muscle and other dynamic stabilizers of the shoulder, as well as managing any co-occurring shoulder conditions, such as scapular dyskinesis. Doctors of chiropractic are trained in the diagnosis and management of several musculoskeletal conditions, including posterior shoulder instability.
StatPearls, July 2022

Mental Attitude: Lifestyle Factors for Preserving Cognitive Function. The current research supports the
following lifestyle behaviors for preserving cognitive function as one ages: don’t smoke, avoid excessive alcohol consumption, and get regular exercise.                                                            Applied Neuropsychology, Adult, November 2022

Wellness/Prevention: How to Floss Properly. The American Dental Association offers the following instructions
on how to floss: use a piece of floss about 18 inches long; wrapped at each end around a finger; hold the floss taut
between your fingers; gently and slowly slide the floss between each tooth; carefully shape the floss into a C at the gum line, and slide it between the gum and tooth; be sure to press the floss firmly against the tooth, carefully sliding the floss up and down against all sides of the tooth; repeat with the next tooth.
American Dental Association, September 2022

Quote: “All that counts in life is intention.” ~ Andrea Bocelli

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Influenza, Atrial Fibrillation, and Worse Hospitalization Outcomes. Using data from the National
Inpatient Sample, researchers report that individuals who are hospitalized for influenza and who have a history of atrial fibrillation have an elevated risk for acute respiratory failure, mechanical ventilation, acute kidney injury, cardiogenic shock, and in-hospital mortality.                                                              International Journal of Cardiology, Heart & Vascular, August 2022

Diet: Fish Oil and Vitamin D During Pregnancy Lowers Risk of Croup in Children. Croup is a viral respiratory
condition that causes a cough, a hoarse voice, and difficulty breathing. A study that included 736 mother-child pairs revealed an association between taking either a daily 2,800 IU vitamin D supplement or 2.4 g dose of fish oil during pregnancy and a reduced risk for croup by age three in their offspring.
European Respiratory Society, September 2022

Exercise: People in Their 80s Should Walk 10 Minutes Each Day. Researchers report that those in a group of 7,047 octogenarians who walked for at least ten minutes each day were 40% less likely to die in the following five years.   European Society of Cardiology, August 2022 

Chiropractic: Neck and Low Back Pain Are Common in Future Dentists. Among a group of 73 dental students whom researchers monitored during their time in dental school, 61.6% developed neck pain and 49.3% experienced low back pain. Interestingly, the risk for low back pain leveled off by their second year, while the risk for neck pain increased throughout their time in dental school. Past research has attributed working for prolonged periods of time in awkward postures as a significant risk factor for musculoskeletal pain in dental students and dentists.
International Journal of Environmental Research and Public Health, July 2022

Mental Attitude: Blood Type May Influence Stroke Risk. Following a review of health histories of nearly 17,000
people, researchers report that individuals with type A blood are 16% more likely suffer a stroke before age 60 than those with other blood types. On the other hand, the risk is lowest for those with type O blood. The researchers explain that type O blood contains fewer proteins that are known to contribute to clot formation, which is necessary for a stroke to occur.        Neurology, August 2022

Wellness/Prevention: Safe, Healthy Habits for Kids. The American Academy of Pediatrics recommends that
parents help their children adopt these habits to stay both safe and healthy as they grow up: put away their toys and clean up their messes; allow parents to help them brush their teeth twice daily; wash their hands after using the bathroom and before and after they eat; help parents clear the table after meals; be kind to animals, and always ask permission before petting an unfamiliar pet; be kind to other kids; and to talk to parents or other adults they trust if they feel scared or need help.                                          American Academy of Pediatrics, September 2022

Quote: “Don’t think about your errors or failures; otherwise, you’ll never do a thing.” ~ Bill Murray

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Health Alert: Button Batteries Are an Increasing Hazard to Kids. Researchers report that two times more
children made a trip to the emergency room after accidentally eating a button battery between 2010 and 2019 than during the preceding two decades. When swallowed, button batteries generate an electric current, which can trigger a harmful reaction that can cause serious injury, even death.            Pediatrics, August 2022

Diet: Breastfeeding Offers Heart Protection for Mom. The American Heart Association reports that women who
breastfeed at least one child have a 15% lower risk of heart disease and a 12% reduced risk for stroke later in life than women who do not breastfeed.                                            American Heart Association, August 2022

Exercise: Exercise and Heart Failure Risk. An analysis of health records on more than 94,000 adults revealed that
engaging in more than 150 minutes of moderate-intensity physical activity (or 75 minutes of high-intensity physical
activity) a week can reduce the risk for heart failure by more than 60%. Study author Dr. Frederick explains, “There
are many potential ways that regular physical activity may reduce the risk of developing heart failure… For example,
physical activity helps prevent weight gain and related cardiometabolic conditions, such as high blood pressure and
Type 2 diabetes, all of which are risk factors for heart failure. Regular physical exercise may also strengthen the
heart muscle, which, in turn, may prevent heart failure from developing.”                                                                              Circulation, August 2022

Chiropractic: Ankle Proprioception and Chronic Low Back Pain in the Elderly. Proprioception is the body’s
ability to sense where its various parts are in relation to one another for purposes of movement and balance. Examinations of older adults with and without chronic low back pain revealed that those with chronic low back pain were more likely to have impaired ankle proprioception. The findings suggest a possible link between abnormal motion of the ankle and pain in the lower back. This highlights the importance of examining the whole patient— something doctors of chiropractic are trained to do—to address all potential contributing causes for the patient’s
chief complaint.                                                                  Neuroscience Letters, August 2022

Mental Attitude: Family History of Mental Illness Increases Risk for Postpartum Depression. Following a
review of data from 26 studies, researchers report that women with a family history of a psychiatric illness are at twice the risk for developing postpartum depression.                                    JAMA Psychiatry, August 2022

Wellness/Prevention: Know the Signs of Sport-Related Concussion. Each year, more than 173,000 children and teens receive treatment for concussions or other traumatic brain injuries, often related to sports collisions. If a player is suspected to have sustained a concussion, it’s imperative to remove them from play and other activities and to have them evaluated by a healthcare professional as soon as possible. Ochsner Health, August 2022

Quote: “You don’t stop laughing because you grow older. You grow older because you stop laughing.”
~ Maurice Chevalier

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Legalization of Pot Linked to Increase in Car Crash Injuries and Deaths. According to a recent
study, states that have legalized recreational marijuana have seen an increase in the rates for car crashes with injuries (6%) and fatal crashes (4%) that has not been observed in states that did not legalize the drug. Lead researcher Dr. Charles Farmer adds, “It’s becoming more and more clear that the legalization of marijuana doesn’t come without cost. But marijuana legalization is still a novelty, and there’s hope that these early trends can be turned around.”
Journal of Studies on Alcohol and Drugs, July 2022

Diet: Keto and Mediterranean Diets Good for Glucose Control. According to a recent study, both the ketogenic and Mediterranean diet are effective for improving glucose control and improving high-density lipoprotein (the good cholesterol) levels; however, participants found that the Mediterranean eating pattern was easier to sustain on a longterm basis. American Journal of Clinical Nutrition, May 2022

Exercise: Exercise May Improve Thinking Speed. A study that included 758 participants found that women with
higher cardiorespiratory fitness performed better on thinking speed assessments than their sedentary peers. However, no such observation was noted in men.                                                  Neurology, July 2022

Chiropractic: Early Chiropractic Care Reduces Opioid Use for Patients with Low Back Pain. A review of insurance claims for around 41,000 adults with back pain revealed that those who sought chiropractic care initially were 12% less likely to receive a subsequent opioid prescription and 46% less likely to use opioids in the long term. Because only 6% of the patients in this study sought chiropractic care first, the findings suggest that encouraging patients to consult with a chiropractor for new-onset back pain could significantly reduce long-term opioid use and misuse.                                           Journal of Chiropractic Medicine, June 2022

Mental Attitude: Childhood Loneliness May Lead to Drinking Problems in Adulthood. Interviews with more
than 300 college students found that those who experienced loneliness before age twelve were more likely to report
higher present day stress levels and problematic drinking behaviors.                                                                                  Addictive Behaviors Reports, July 2022

Wellness/Prevention: Special Brain Scans May Aid in Early Parkinson’s Disease. With the aid of a new technology called quantitative magnetic resonance imaging (qMRI), researchers are now able to detect changes to a part of the brain called the striatum, which helps the body move voluntarily and is known to deteriorate with Parkinson’s disease. When qMRI becomes clinically available, it will help doctors detect Parkinson’s in its earliest stages.                                                           Science Advances, July 2022

Quote: “Listen once in a while. It’s amazing what you can hear.” ~ Russell Baker

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Underactive Thyroid May Increase Dementia Risk. A review of the medical records of over
15,000 older adults revealed that a history of hypothyroidism is associated with an 80% elevated risk for dementia, and the risk is even greater among those on hormone-replacement medications.                                                                          Neurology, July 2022

Diet: Inflammatory Diet Linked to Frailty. Frailty is a condition characterized by weakness, slowness, physical
inactivity, self-reported exhaustion, and unintentional weight loss that is associated with an increased risk for poor health outcomes. Using data from the Framingham Heart Study Offspring study, researchers have observed an association between a pro-inflammatory diet—an eating pattern characterized by a high intake of sugar, polysaturated vegetable oils, trans fats, dairy products, feed lot-raised meat, red meat, processed meat, alcohol, refined grains, and artificial food additives—and an elevated risk for frailty.
American Journal of Clinical Nutrition, July 2022

Exercise: Active Teens Sleep Better and Have Healthier Hearts. Assessments of 352 adolescents revealed that those who regularly engage in physical activity not only experience better quality sleep, but they also have better cardiovascular function than their sedentary peers.                                           Sleep & Breathing, August 2022

Chiropractic: Manual Therapies and Tinnitus. Following a study that showed that manual therapies are an effective intervention for patients with suspected cervicogenic somatosensory tinnitus, researchers conclude that in the absence of ENT (ear, nose, and throat) pathologies, patients seeking care for ringing in the ears should be examined for musculoskeletal dysfunction in the head and neck. Doctors of chiropractic commonly use manual therapies to manage patients with musculoskeletal disorders.                                    HNO, August 2022

Mental Attitude: People Appreciate Hearing from You. A recent series of experiments found that individuals who reach out to acquaintances, friends, and family generally underestimate the impact their gesture would have on others, especially when the recipient has no reason to expect it.
Journal of Personality and Social Psychology, July 2022

Wellness/Prevention: Achieve Healthier Skin. The American Academy of Dermatology recommends the following skin care routine to keep your skin young and healthy looking: wear sunscreen daily; don’t smoke; inspect your skin regularly for signs of skin cancer; determine your skin type, and use products formulated for that type; use mild warm water and a gentle cleanser when washing your face; wash your face before bed, when you wake, and if your face is sweaty; and find ways to manage stress, such as exercising.
American Academy of Dermatology, July 2022

Quote: “The beginning of wisdom is the definition of terms.” ~ Socrates

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Health Alert: The Cost of Forever Chemicals… Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are
chemicals used to imbue heat-, oil-, stain-, grease-, and water-resistant properties to products such as food containers, clothes, and furniture and have been linked to several poor health outcomes. Because these chemicals linger in the body, they’re known as forever chemicals. According to a recent study, these chemicals may cost the United States health care system an estimated $63 billion dollars a year in medical costs and productivity losses due to the top conditions linked to PFAS exposure, including hypothyroidism and childhood obesity. Senior author Dr. Leonardo Trasande writes, “Our results strongly support the recent decision by the Environmental Protection Agency to lower the safe allowable level of these substances in water… Based on our estimates, the cost of
eradicating contamination and replacing this class of chemical with safer alternatives is ultimately justified when considering the tremendous economic and medical risks of allowing them to persist in the environment.”
Exposure and Health, July 2022

Diet: Most Don’t Eat Enough Fruit and Vegetables. An analysis of data on eating patterns from health and nutrition surveys conducted between 1988 and 2018 found that more than half of all participants failed to meet recommendations of 1.5-2 servings of fruit and 2-3 servings of vegetables per day.
Journal of Renal Nutrition, July 2022

Exercise: Walking Suggestion for PAD Patients. New research suggests that for patients with peripheral artery
disease (PAD), walking at a pace that induces leg discomfort results in better long-term walking performance than
strolling at a comfortable pace or not walking at all.          Journal of the American Heart Association, July 2022

Chiropractic: Manual Therapy Combo Benefits Cervicogenic Dizziness Patients. For individuals with dizziness caused by dysfunction in the cervical spine, researchers report that the combination of functional massage and manipulative therapy—treatments provided in a chiropractic setting—is an effective intervention for improving
mechanosensitivity of the cervical muscles, neck-related disability, and dizziness symptoms.                                               Life (Basel), July 2022

Mental Attitude: Anxiety Triggers. Healthline reports that the following are common triggers of anxiety: jobrelated stress; travel, drug or medication withdrawal, medication side effects, trauma, phobias, chronic pain or illness; depression, and caffeine.                                                                                  Healthline, July 2022

Wellness/Prevention: University Students Could Benefits from Less Phone Use. Questionnaires completed by 400 college students revealed that using a cellphone for six or more hours a day is linked to an elevated risk for eye
strain, neck pain, back pain, weight gain, depression, loneliness, and mood disorders.
International Journal of Environmental Research and Public Health, July 2022

Quote: “Good company in a journey makes the way seem shorter.” ~ Izaak Walton

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Smoking Increases Sleep Apnea Risk. A pack year is the number of cigarettes smoked if a person smokes one pack a day for a year. A systematic review of thirteen studies concluded that smoking increases one’s risk for severe obstructive sleep apnea, especially heavy smokers with a history of 20 or more pack years.
Nicotine & Tobacco Research, August 2022

Diet: Diet Choices May Help Prevent Kidney Stones. Questionnaires completed by 411 kidney stone patients and
384 individuals without a history of kidney stones revealed that a low intake of fluids and a diet low in calcium and potassium are linked to a greater risk of experiencing a first-time symptomatic kidney stone.
Mayo Clinic Proceedings, July 2022

Exercise: Physical Activity Can Help an Aging Brain. Among a group of 300 sedentary older adults with mild cognitive impairment, those who participated in either aerobic exercise or a stretching and balance intervention did not experience worsening performance on cognitive assessments a year later, nor did brain scans show any sign of additional brain shrinkage. On the other hand, subjects who did not exercise experienced significant cognitive decline during the course of the study.                                                                                 Associated Press, July 2022

Chiropractic: Manual Therapies Help Patients with Hip or Knee Osteoarthritis. For patients with osteoarthritis of the hip or knee, an analysis of data from 19 clinical trials found that the addition of manual therapy to exercise therapy may lead to better outcomes with respect to pain, function, and stiffness than exercise alone. Doctors of chiropractic often adopt a multimodal approach that includes exercise and manual therapies in the management of patients with osteoarthritis of the hip or knee.                                                                           Journal of Orthopaedic and Sports Physical Therapy, July 2022

Mental Attitude: The Brain Functions Differently with ADHD. Functional MRI scans of 360 children and teens
revealed that those with attention-deficit/hyperactivity disorder (ADHD) exhibited altered function in several brain networks, including those involved with attention, executive function, and processing visual and sensory information.                        Molecular Psychiatry, July 2022

Wellness/Prevention: Make Health a Family Affair. Because eating and exercising together during the week can
help family members get and stay healthy, the American Heart Association recommends the following: keep a family schedule, and find 30-minute periods during the week that the entire family can exercise; choose a time that the entire family can decide on the upcoming week’s menu; find ways to manage stress as a family; and make sure everyone in the family does their part to help out around the house.

American Heart Association, July 2022

Quote: “Do what you say you’re going to do. And try to do it a little better than you said you would.” ~ Jimmy Dean

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Death Rate from Alcoholic Liver Cirrhosis Has Quadrupled in the Last 20 years. According to a recent study, deaths from alcoholic cirrhosis in the United States increased 400% between 1999 and 2019,
from 4,000 to 24,000 per year. Lead researcher Dr. Charles Hennekens notes, “My hypothesis is that the reason we’re seeing more of liver disease earlier is not just that people are drinking more, but that they’re eating more and exercising less, so the damage to the liver is accelerating.”                                    American Journal of Medicine, June 2022

Diet: Omega-3 Fatty Acids Benefit the Heart. Using data from the Multi-Ethnic Study of Atherosclerosis, researchers estimate that a high intake of omega-3 fatty acids may reduce the risk for cardiovascular disease by nearly 20% during a 15-year time frame.                                                           Atherosclerosis, July 2022

Exercise: Boxing May Be a Good Exercise to Curb Parkinson’s Symptoms. For patients with Parkinson’s
disease, a recent study found that participating in a three-month boxing program may ease both motor and nonmotor Parkinson’s symptoms. Study co-author Dr. Roshni Patel adds, “There’s a lot of growing evidence about the benefits of exercise in Parkinson’s… This is another study that highlights the importance of exercise in the treatment of Parkinson’s disease. It should be a part of our treatment, just like medicines are.”
American Academy of Neurology, April 2022

Chiropractic: Try Conservative Care Before Surgery for Lumbar Spinal Stenosis. Lumbar spinal stenosis (LSS) is a debilitating condition associated with the degeneration of the spine, which can have a wide range of symptoms including back pain, leg pain, numbness and tingling in the legs and impaired physical function. A recent study found that for patients with mild-to-moderate LSS, conservative treatment that includes manual therapies, supervised exercises, and aerobic training may provide similar long-term benefits with respect to pain
and disability as decompression surgery with or without spinal fusion. Doctors of chiropractic often employ such an approach in the management of LSS.                                                            BMC Musculoskeletal Disorders, July 2022

Mental Attitude: Hearing Loss Linked to Depression. Following a review of data from the Aidai Cohort study, researchers report that hearing loss in middle age is associated with a 2.7 times increased risk for depressive symptoms. Archives of Gerontology and Geriatrics, September 2022

Wellness/Prevention: Tongue and Lip Piercings Can Harm Teeth and Gums. An analysis of data from eight studies identified the following potential consequences of oral piercings: deeper pockets around teeth next to tongue piercings, receding gums, wider gaps between teeth, and bleeding gums.
European Federation of Periodontology, June 2022

Quote: “It is what we know already that often prevents us from learning.” ~ Claude Bernard

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Green Spaces May Lower Risk for Several Cancers. According to a study that monitored 144,427 adults who resided in the same city for 20 years, those who lived in neighborhoods with more greenery had a lower risk for cancer of the lung, bladder, breast, prostate, and skin. The findings suggest that increasing the amount of green space in urban environments could reduce the overall incidence of several cancers.
Environmental Research, September 2022

Diet: Eat More Fruit, Vegetables, and Beans! Assessments of over 1,800 middle-aged and older adults
revealed that a low intake of fruit, vegetables, and legumes is associated with a nearly two-times increased risk for being overweight or obese.                                                                Medicine, July 2022

Exercise: Most Teens Don’t Get Enough Exercise. An analysis of survey data completed by over 360,000 high school students found that 75% failed to meet late adolescent fitness guidelines recommendations of 60 minutes of moderate-to-vigorous physical activity a day.                                              Journal of Adolescence, June 2022

Chiropractic: Multimodal Approach Best for Chronic Low Back Pain. Among a group of 69 adults with chronic low back pain, those who received a multimodal treatment plan that included manual therapies, specific exercises, and patient education—an approach often used by doctors of chiropractic—experienced greater improvements in pain and disability than participants provided with only patient education or patient education combined with manual therapy.                        Physiotherapy Theory & Practice, July 2022

Mental Attitude: Cyberbullying May Be Worse Than Offline Bullying. Questionnaires completed by nearly
10,000 10- to 13-year-old children revealed that those subjected to bullying online were more likely to have suicidal thoughts than their peers who are victims of offline bullying. Senior study author Dr. Ran Barzilay writes, “At a time when young adolescents are spending more time online than ever before, this study underscores the negative impact that bullying in the virtual space can have on its targets.”
JAMA Network Open, June 2022

Wellness/Prevention: How to Manage Pet Allergies. The American College of Allergy, Asthma and Immunology recommends the following for individuals with a pet allergy: limit time spent around pets; use a nasal spray, an antihistamine, or bronchodilator, as directed by your allergist; talk to your doctor about additional treatment options; avoid letting pets into your bedroom; wash your hands immediately after touching pets; bathe pets weekly; and use a high-efficiency vacuum or HEPA air filter at home to reduce allergens.
American College of Allergy, Asthma and Immunology, June 2022

Quote: “The difference between ordinary and extraordinary is that little extra.” ~ Jimmy Johnson

Your Napa Chiropractor Dr. Joseph T. Megna

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Health Alert: Secondhand and Thirdhand Smoke Linked to Cervical Cancer Risk. Third-hand smoke is
the invisible remnant of tobacco smoke that clings to surfaces. An analysis of data from the China Kadoorie Biobank study found that women with frequent exposure to either second-hand or third-hand smoke had a 22- 24% increased risk for cervical cancer over the following decade when compared with their peers with less exposure to cigarette use.              Environmental Research, September 2022

Diet: Eat the Rainbow. The carotenoids, flavonoids, betalains, and chlorophylls that give color to various fruit
and vegetables are known to confer health benefits when part of one’s diet. An analysis of data from 86 studies with more than 37 million participants found the 42% of the health benefits associated with consuming fruit and vegetables are derived from these bioactive compounds and that individuals should strive to eat produce that’s red, orange, yellow, white, purple, blue, and green.                                                                                        Molecules, June 2022

Exercise: Exercise at Work. If your workplace includes access to a gym, the American Council on Exercise offers the following recommendations: schedule exercise on your daily calendar; pack workout clothes and get to work early, if needed; bring toiletries if the gym has showers; ask a co-worker to exercise with you; and keep a fresh change of work clothes at your desk, if needed.                                                              American Council on Exercise, June 2022

Chiropractic: Low Back Pain in Working Adults. Questionnaires completed by working-age adults not currently under care for low back pain revealed that 46.5% currently had some degree of low back pain and 72.3% presently experienced some level of low back-related disability. The findings reveal that many non-careseeking workers have low back pain and/or disability, which suggests that some level of pain and disability
could be considered normal, acceptable, or manageable. Chiropractic care offers a conservative treatment approach for the management of low back pain and/or disability.
Musculoskeletal Science and Practice, August 2022

Mental Attitude: Vitamin D May Help Prevent to Dementia. According to a recent study, low vitamin D
status may be a risk factor for dementia and up to 17% of dementia cases could be prevented by increasing
D levels to 50 nmol/L.                                                          American Journal of Clinical Nutrition, April 2022

Wellness/Prevention: Wellness Visits Help Prevents Diabetes Amputation. New research finds that elderly type 2 diabetics who make annual wellness visits have a 36% reduced risk for major lower-extremity amputations.                                      University of Virginia, June 2022

Quote: “A successful man is one who can lay a firm foundation with the bricks others have thrown at him.”
~ David Brinkley

Your Napa Chiropractor Dr. Joseph T. Megna