Arizona Pain Monthly June 2011

Arizona Pain Monthly | June 2011Page 2 Relax

Copyright 2011 Arizona Pain Specialists

Page 3Arizona Pain Monthly | June 2011 Relax

Copyright 2011 Arizona Pain Specialists

Relax

Welcome to Arizona Pain Monthly Magazine

How do you define “relax?” For some, the word relax conjures images of a beach, a comfortable lounge chair, fruity drinks or children happily playing in the surf. For oth-ers, it may be a mountain retreat with a ham-mock and the sound of the wind whispering through the pines. Still yet, there are those that find the graceful moment of relaxation in every day moments – like sticking your hands in a warm sink of soapy water while washing the dinner dishes, raising your arms above your head for a stretch when getting out of bed, or listening to the birds sing as you get the morning paper.

The one feeling of relaxation that ties all cultures together is that of good health. Liv-ing a pain free, healthy life is a blessing that makes us all breathe a bit easier. How do we at Arizona Pain Specialists keep this in mind for our patients, staff and selves?

Finding a healthy work & life balance in-cludes taking time to relax. This means visiting our excellent chiropractic team for adjustments and acupuncture; taking time to exercise and fill the spirit, eating a diet that gives us enough energy not only to get through the day, but to provide focus and stamina, and perhaps our most favorite – scheduling time for a massage.

This month, we hope you’ll take the time to join us in finding our inner balance and

How do you define “relax?” For some, the

I will meditate on your precepts and fix my eyes on your ways. – Psalm 119.15

relaxing. Check out our nutritious (and anti-inflammatory) summer recipes. Read an interview with a world renown massage therapist. Learn more about chiropractic techniques to relieve back pain during pregnancy. We thank you for being a part of Arizona Pain Specialists, and we wish you a warm, happy and relaxing June!

Kind Regards,

Dr. Paul Lynch and Dr. Tory McJunkin


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FAVORITE FOOD: Bacon and chocolate

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FAVORITE LOCATION IN THE WORLD: The beach

FAVORITE LOCATION IN ARIZONA: Wherever my family is

FAVORITE THING ABOUT ARIZONA: People are so sweet

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Meet Daltrey T.Nurse Practitioner

Daltrey is a kindhearted nurse practitioner at Arizona Pain Specialists. She first began working as a nurse practitioner in 2005 and has been a part of our great workforce since June 2010.

Nurse practitioners are an integral part of our team at Arizona Pain Specialists, working in tandem with our physicians to create and imple-ment individualized treatment plans for patients. All of our nurse practitioners are registered and certified, capable of performing medical tasks under physician supervision. These duties may include: writing prescriptions, providing medical care, and collecting necessary information from our patients to share and consult our physicians.

Daltrey works at both the Scottsdale and Chan-dler clinics to best accommodate our patients and staff. She has a positive attitude and works hard to ensure all patients leave feeling comfort-able with their treatment plan. Take a look at some of Daltrey’s favorites below and see what you may have in common!


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Research shows massage isn’t just a great way to re-lax and relieve muscle sore-ness, but also to improve blood pressure, reduce stress and improve qual-ity of sleep. A peer review of recent medical articles shows 8 of 10 studies found massage also relieves anxiety and tension. Hav-ing dedicated his career to helping others through massage, John Hill isn’t sur-prised by this news; this massage therapist has long known the benefits of touch.

Hill, the owner of Space Massage Studio in Phoenix, says while the immediate effects of massage are apparent – it feels good, you feel better – it’s the long-term ben-efits that make his clients return.

“Massage reconnects your body and mind,” he says. “It allows your mind to wander, but your body to be still. Massage therapy activates the parasympathetic nervous system, counteracting the body’s negative response to stress. This allows relaxed mus-cle tension and the heart rate, blood pressure and circulation to return to normal.”

For Hill, massage is a part of a healthy lifesyle.

“Massage is not a luxury,” he says. “It is a necessity. A form of self-love. We are human beings, not human doings!”

To find this space where the emotional and physical are able to be in harmony through relax-ation, Hill pairs massage with both activity and stillness.

“Do what you like and enjoy,” he says. “Some people say, ‘I have to go to the gym,’ or, ‘I need to ride my bike.’ I would rather hear ‘I get to hike today,’ or ‘I’m meeting a friend for a bike ride through the neighborhood.’ I also highly recommend yoga and medita-tion.”

Before selecting a massage ther-apist, Hill says there are basic questions to ask, including; if the

Research shows massage isn’t just a great way to re-lax and relieve muscle sore-ness, but also to improve blood pressure, reduce stress and improve qual-ity of sleep. A peer review of recent medical articles shows 8 of 10 studies found massage also relieves anxiety and tension. Hav-ing dedicated his career to helping others through

person is licensed, what he/she enjoys about the work, and why they are in the practice. For Hill, the answer mirrors his belief in living a balanced life:

“I became a licensed massage therapist so I could travel, keep my hands strong for rock climb-ing and to help people feel bet-ter,” he says. “I also really liked the idea of only using my hands to create something that isn’t tangible and seeing the change in a person from the beginning of a session to then the end. Bliss!”

For more information about the relaxation benefits of massage, visit: www.spacephx.com.


Watermelon Summer Salad Serves 4• 2 large avocados - peeled, pitted and diced• 4 cups cubed watermelon• 4 cups fresh spinach leaves• 1 cup golden raisins• 1 large grapefruit

In a salad bowl, toss together the avocado, watermelon cubes, raisins and spinach. Cut the grapefruit in 1/4 slices and squeeze on of top salad, as needed, for a flavorful dressing!

Summer Salmon Saute Serves 4 • 4 salmon steaks• pepper, to taste• 2 tbsp. unsalted butter • 1/4 cup chopped scallions• 1/4 tbsp. dried thyme• 1 1/2 cup sliced zucchini• 5-7 asparagus • 1/4 cup water• 1 tsp. grated lemon peel• 4 lemon slices

In a skillet, heat 1 tbsp. butter. Add scallions & thyme and sauté 30 seconds. Stir in zucchini & mush-rooms, water & lemon peel. Sim-mer over low heat & cover until the vegetables are tender.Season the salmon with pepper. In a separate skillet, sauté salmon in 1 tablespoon of butter over medium heat until browned on both sides (about 10 minutes). Cover salmon with vegetables, garnish with lemon slices & serve.

Blueberry and Yogurt Smoothie RecipeServes 3-5 • 1/4 cup of wild blueberries (whole) • 1/4 cup of wild blueberries (chopped) • 1 tbsp. honey • 1/2 of a banana • 1/2 cup of ice • 1/2 cup of yogurt

Blend the banana, ice and yogurt together until the banana is well blended. Add the blueberries (hole) and blend on low speed for 30 seconds. Add the chopped blueberries as needed for enjoyment.

Anti-inflammatory recipesAnti-inflammatory foods have been known to reduce inflammation in the body relating to pain. By eating

and maintaining a healthy diet, similar to the recipes found below, it is possible to see a reduction in pain. This month we have featured three simple and healthy anti-inflammatory recipes that will help you relax.

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During pregnancy there are many physiological and hor-monal changes that occur as the fetus develops. The moth-er’s body will show an in-crease in the hormone Relaxin. Relaxin levels can increase up to the 14th week in the first trimester, and again increase near delivery. As the female body prepares for vaginal birth, the ligaments of the pel-vis lose their rigidity and the pelvis can become unstable. As the growing uterus expands, it pulls the sacral base forward, causing an anterior tilt of the pelvis and flexion of the hips. This position of the sacrum and pelvis causes an increase in lumbar lordosis (increases curvature in the low back). This position puts stress on very important muscles for low back stability; such as the piriformis muscles and iliopsoas muscle (both major contributors to back and ra-diating leg pain). Establishing and maintaining pelvic balance and alignment is an important reason to obtain chiropractic care during pregnancy.

Is chiropractic care safe during pregnancy?

There are no known contra-indications to chiropractic care throughout a pregnancy. Chiropractors are extensively trained to treat pregnant wom-en with back pain. Specific techniques and tables can be used to adjust a woman’s body

during her pregnancy, and chiropractic physicians will generally utilize methods that avoid unnecessary pressure on the abdomen.

One of the most successful and safe chiropractic treat-ments for pregnant women with back pain and/or radiat-ing leg pain is “Cox flexion-dis-traction decompression.” In a randomized clinical trial com-

paring chiropractic

treatment to physical therapy, patients with radiating leg pain did significantly better with flexion-distraction treat-ment than with physical thera-py. This method of adjustment and stretching is successful because it increases the poste-rior disc height, thereby open-ing the vertebral canal and facet joints, reducing posterior disc stress and increasing the intervertebral foramen (where the nerves to the legs exit the spine) by up to 28%.

It has also been identified that there is a relationship between untreated back pain during pregnancy and a longer duration of labor and delivery. Women who have been treated with chiropractic care during their first pregnancy have, on average, a 25% shorter labor time. The results are even better on subsequent pregnan-cies, with the amount of time spent in labor decreasing by a significant 31%, on average.

What about chiropractic care and breech deliveries?

A specific chiropractic adjust-ment, known as the “Webster Technique,” is used to correct

musculoskeletal causes of intrauterine contracture. Intrauterine contracture is defined as any force exter-nal to the developing fetus that obstructs the normal movement of the fetus. This technique is primarily used

on women near the end of their eighth month of preg-nancy who experience breech presentation of the fetus. Dr. Larry Webster, founder of the International Chiropractic Pediatric Association (ICPA), developed a specific chiroprac-tic evaluation that adjusts the balance of a pregnant woman’s pelvis. This reduces stress on her uterus and supporting ligaments.

Why Should I Consider Chiropractic Care During Pregnancy?

paring chiropractic spent in labor decreasing by a significant 31%, on average.

What about chiropractic care and breech deliveries?

A specific chiropractic adjustment, known as the “Webster Technique,” is used to correct

that obstructs the normal

technique is primarily used

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The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issued an 82% success rate of babies turning vertex when doctors of chiropractic use the Webster Technique.

Talk to your health care provider.

Pregnant females are given some of the most conservative treatment recommendations of any patient population. Most medications and injections are contraindicated. Women seek-

ing pain relief are frequently referred for chiropractic care by their OBGYN. If you are pregnant and currently experiencing any of the symptoms referenced above, know that there are many options available for you at Arizona Pain Specialists. If you would like more information on chiropractic care and pregnancy, please speak with your health care provider.

Arizona Pain Specialists Chiropractor,

Tiffany Moat, D.C.

“Chiropractors are extensively trained to treat pregnant women with back pain.”


For millions of Americans suffering from chronic pain, the concepts of pain and lack of sleep are synonymous with one another. In fact, about 2/3 of all people experiencing some form of chronic pain also report poor sleep. Most often, chronic pain conditions lead to the on-set of sleeping problems. The two can quickly become intermingled, making it difficult to discern which causes the other. Studies have shown that lack of sleep actually makes people more sensitive to pain; this can create a vicious cycle in which pain can lead to sleeplessness, that sleeplessness can increase pain sensitivity, which leads to greater pain and that, in turn, leads to more restless nights.

This cycle of pain and sleep can be extremely distressing, not just physically, but also men-tally and emotionally. Often times, lack of sleep can lead to increased health problems, irritabil-ity and mood disturbances, as well as anxiety and depression. Because of the emotional toll that insomnia can take, people often resort to taking over-the-counter sleeping pills. While sleeping pills may provide a short-term solu-tion, they can actually cause increased insom-nia over the long-term. Many types of over-the-counter sleeping pills can lead to physical dependency, increased tolerance, and addiction due to long-term usage.

Additionally, self-medication through the form of alcohol is not advised as a means to achieve quality sleep. While alcohol may numb chronic pain conditions for a brief period and help in-duce sleep, it is likely to be short-lived and will cause you to wake during the night. Poor qual-ity of sleep is also likely to lead to irritability, crankiness, and increased pain in the morning. Sleeping pills and alcohol should be avoided when trying to get a good night of sleep.

Chronic pain sufferers need to take into ac-count their particular pain condition, sleep surface, and sleep position. For instance, those who suffer from back and hip pain find that sleeping in the fetal position (on one’s side with legs bent) with a pillow nestled between their knees, provides the most relief for their condition. Others have found sleeping on their back with a pillow under their ankles or knees is most comfortable, as it helps maintain the

normal curve of the spine. The key to prevent back pain is to sleep in a position that allows the natu-ral curves of the spine to be supported. Sleeping on one’s stomach should probably be avoided, as the curvature of the lower back gets overextend-ed, placing stress on the neck muscles. If you insist on sleeping on your abdomen, consider placing a pillow under your pelvis and lower abdomen to increase support of the spine.

As far as sleep surfaces go, there is a prevailing

Pain & SleepSay goodnight to pain


notion that “the harder the better.” However, this is not always true. In fact, studies have shown that medium-firm mattresses reduce pain and lead to a decrease in pain medication usage among those suffering from chronic low-back pain. These mattresses have an advantage over harder mattresses in that they allow the shoul-ders and hips to sink gently into the mattress. The key to a good mattress is ultimately one that provides back support and allows for the natu-ral curvature of the spine. Ultimately, the selec-

“Pain and sleep can be extremely distressing, not just physically, but also mentally and emotionally”

tion of a mattress comes down to personal prefer-ence. A mattress that allows for comfortable sleep and provides a respite from pain and stiffness is ideal – just make sure it provides back support. Perhaps a happy-medium is to select a firmer mat-tress for support, and pair it with memory foam for softness and comfortability.


In addition to these, there are some general, lifestyle tips that can increase the chances of obtaining a good night’s sleep. The following is a list of items that can help improve quality of sleep:

•Limit alcohol intake - With no alcohol in the evening

•Avoid stimulants – Coffee and other forms of caffeine, as well as chocolate, should be avoided after 6 p.m. In fact, limiting caffeine consumption throughout the day will help improve sleep quality

•Eat a balanced diet – Eating a diet consisting of whole foods, fruits and vegetables, drinking puri-fied water, and minimizing the amount of refined foods and sugars you intake (especially late at night) will lead to better sleep, and overall, greater health

•Avoid big, heavy meals at night and eat only light snacks – Pairing tryptophan-containing foods with carbohydrates can help calm the brain and improve sleep. Some examples include a small bowl of whole-grain or reduced sugar granola with low-fat milk

•Consider melatonin – Instead of relying on sleeping pills, consider taking melatonin which acts as a mild sedative but is a healthier choice than sleeping pills

•Exercise regularly – Even if you’re only able to do some light walking, any form of exercise will improve your health as well as improve your sleep

•Practice relaxation techniques – Including meditation, deep abdominal breathing, progressive muscle relaxation, visualizing a peaceful, restful place, or listening to soft, soothing music

•Write it down – If you find your mind racing while laying in bed, write down your worries, stress-es, and anxieties so that you get them out of your head – this can help allow you to release your worries and begin to relax

•Reserve your bed for sleeping – We learn through association, so don’t associate your bed with activities such as work or errands; this only makes it harder to wind down and relax. When you get into bed you want your body to get cued that it’s time to sleep.

•Develop a sleep routine – Set a regular bedtime, and follow the same routine each night leading up to that bedtime (i.e., eating a light snack, reading a book, taking a bath)

•Create a proper sleep environment - Make your bedroom a comfortable temperature and sleep in a dark room. Limiting exposure to light at night can help keep your body’s internal cycles intact. Avoid sleeping with the TV and/or computer on. The backlights can be disruptive to sleep and are not good habits to develop.

•Visit your healthcare provider – If you continue to experience sleep disturbances, pain and dis-comfort, or insomnia, visit your doctor to develop a treatment plan

Arizona Pain Specialists Research Director,

Ryan Tapscott


Jeff Grabosky has run America! Kicking off in California, Jeff has run cross-country, traveling nearly 3,700 miles. He began his journey in late January 2011, running an average of 30-35 miles per day. During the time of print, Jeff was scheduled to cross the New York finish line on May 20, 2011.

Our staff has kept in contact with him throughout his rigor-ous run, and he continually sent updates on how he had managed his pain. In the beginning of May, he continued to feel the effects of his lengthy days on foot as he entered into Washingtion D.C. Battling a new leg injury, Jeff posts on his blog how he had to take a five day break because he was physically unable to continue his run toward New York. “I could barely walk and had to literally crawl up the steps”, Jeff states, while discussing his wearisome struggle with pain. Jeff was sure to take the proper steps to overcome his pain and

heal his injuries. He was sure to contact a pain physician during his journey, who used minimally invasive treat-ment modali-ties to get his legs back into running condition. By properly stretching and icing, he was also able to keep his legs in better form, continuing with prayer to reach the finish line.

During his time on the road, Jeff had the opportunity to visit family and friends, some of who have joined him to run along his side. In addition, he shares in his blog that he had conversations

with many passerbies that helped him get through

each day. With his incredible journey


was physically unable to continue his run toward New York. “I could barely walk and had to literally crawl up the steps”, Jeff states, while discussing his wearisome struggle with pain. Jeff was sure to take the proper steps to overcome his pain and

with many passerbies that helped him get through

each day. With his incredible journey

icing, he was also able to keep his legs

coming to an end, Jeff will be able to embrace our theme for this month, he can finally relax.

With his run across America complete, he has hopes of working and assisting at his friend’s running shop.

Jeff has been an inspiration to many and is a great example of how to fulfill your dreams, even if you suffer from chronic pain.

If you like to read more about Jeff’s run across America, visit www.arizonapain.com and check out his blog.


There are 9 rows in a tradi-tional Sudoku puzzle. Every row must contain the numbers 1, 2, 3, 4, 5, 6, 7, 8, and 9. There may not be any duplicate numbers in any row. In other words, there can not be any rows that are identical.

There are 9 columns in a traditional Sudoku puzzle. Like the Sudoku rule for rows, every column must also contain the numbers 1, 2, 3, 4, 5, 6, 7, 8, and 9. Again, there may not be any duplicate numbers in any column. Each column will be unique as a result.

There are 9 regions in a tradi-tional Sudoku puzzle. Like the Sudoku rule for rows & columns, every region must also contain the numbers 1, 2, 3, 4, 5, 6, 7, 8, and 9. Again, there may not be any duplicate numbers in that region.

Relax and enjoy a game of Sudoku

Many thanks to Brian and Lance for their hard work! APS is exceptionally thankful for all of our employees!


Brian DeMartino - PCG Manager

As the patient concierge manager, Brian DeMartino has exemplified APS’ core values – honesty, integrity and work ethic. Brian has worked for APS for more than one year and his professionalism has set a new standard for the department. Always willing to greet staff with a sincere smile, Brian was a obvious selection for employee of the month.

“His dedication, substantial output and results all commend him to this award. Brian repre-sents the excellence APS aspires to,” says Mark Egge, COO.

We wouldn’t be able to see more than 7,000 patients each month without the dedication of our em-ployees. We are so very thankful for those who work with us. This month’s selections for Employee of the Month are a great reflection of the wonderful group of people who make Arizona Pain Specialists successful!

Many thanks to Brian and Lance for their hard work! APS is exceptionally thankful for all of our employees!

Lance Jones - IT

Lance Jones is known for being a quiet and diligent worker. As a member of the IT team, he is always available to help coworkers with technological needs. APS’ IT team has been critical to growth; Lance has been willing to put in extra time on weekends and after hours to see that the company’s infrastructure can handle the fantastic increase in locations, pa-tients and employees.

“Lance has worked very hard during the last month to develop and streamline systems. He has saved other employees countless hours with his attention to detail and performs at the highest level of customer service,” says Randy Braunm, Director of IT.

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Arizona Pain Monthly June 2011