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The Best Advice I’ve Ever Given To My Patients

By Dr. Cynthia Durakis, Chiropractor

One of the themes suggested for the March Delray Wellness blog involved, “breathing.” I began contemplating, and the subject has offered a host of opportunities to deepen my understanding of how we may achieve optimal health.

A few weeks ago I returned from a trip to Colorado visiting my daughter, who recently relocated for graduate school. Denver is known as the “mile-high” city for obvious reasons. We left Denver on day 2 heading for the Rocky mountains and a ski adventure at 14,000 feet. At high altitude barometric pressure is significantly lower than at sea-level. The result? Oxygen molecules are spread further apart, lowering the oxygen content of each breath. Because of the reduced availability of oxygen in the air, blood oxygen levels decrease, and the body struggles to efficiently deliver oxygen to tissues, muscles and the brain. The result for some people, including me, is headache, insomnia, fatigue, nausea and brain fog. I could feel my heart racing as I lay in bed nursing a headache on our first night in Denver, (admittedly, an ill-advised margarita may have had something to do with it). But I could feel my stress level rising as I thought “oh no…what if I’m like this the whole trip.”

In an effort to reverse the trend, I began to channel my yogi-friends Tara and Rosie who have taught me some awesome breathing techniques, such as pranayama, ujjayi and alternate-nostril breathing, all of which can be helpful. And then…I recalled the SIMPLEST YET MOST EFFECTIVE advice I have given to my stressed-out patients over the years.

Women, in particular, tend to carry their stress up in their shoulders and neck. This habit can come from (and/or lead to) a very shallow breathing pattern that can fuel anxiety, an increase in blood acidity, inflammation and pain. After their adjustment, as the patient and I review their “at-home” instructions, I’ve prompted over and over…

“BREATHE TO THE BASE OF YOUR LUNGS (that’s all the way to the lower ribs) and DROP YOUR SHOULDERS.”

I tell them to think of me as the tiny angel/devil on their shoulder who is reminding them throughout the day to slow their breathing pattern and STOP over-using muscles that aren’t required for breathing.

It is amazing how many patients respond to this very simple reminder, and how much better they feel as a result.

Upon remembering my own advice and incorporating supplemental oxygen therapy, I did enjoy a few days on the slopes. But the experience led me to further contemplate my upcoming blog and the importance of healthful and efficient breathing.

Working on an improved breathing pattern during the day is feasible, but what about during the night? Disordered night-time breathing can profoundly impact quality of life, and I’m not just talking about sleep apnea. Many people, especially those with sinus issues, breath through their mouth, particularly at night. Your Dentist/Orthodontist will remind you that mouth breathing will change the shape of the hard palate and can cause TMJ issues, gum disease and crowded teeth.

Additionally, the nose is a miraculous organ. It filters, concentrates and moistens the air we breathe. The nasal and sinus mucous membranes produce an essential gas called nitric oxide, (too bad it’s not nitrous oxide, also known as laughing gas, LOL). It’s list of important functions includes: vasodilation, decreased blood pressure, improved blood flow, support of normal hormonal secretion, normalizing bladder function, regulating the binding of O2 onto hemoglobin and supporting digestion. It’s REALLY important, and you have a lot more of it if you breathe through your nose, not your mouth.

Once I learned this, I decided to try mouth-tape during the night to encourage nasal breathing, (see photo below). It worked! Initially, I felt a bit claustrophobic, but the forced nasal breathing increased the nitric oxide present in my sinus’ and acted as a natural decongestant. I no longer wake with a dry mouth and feel better rested throughout the day. While my sleep isn’t perfect, (thank you menopause), my quality of sleep is much improved.

So, what’s the takeaway? Be aware of your daytime and night-time breathing patterns, relax your shoulders, breathe through your nose, but most importantly, remember to just breathe.

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“I have been a patient of Dr. Durakis for more than 15 years. She has helped me tremendously over the years in so many ways. I initially started seeing Dr. Cindy for migraine headaches, then knee, ankle and hip injuries all of which she was instrumental in my recovery and healing process not to mention advising me on how to avoid injuries in the future. Even when I am well and feeling good, I continue to see her to help with maintaining overall great health and wellness.”

– Nancy Palleschi

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