Have you Injuried your arm or leg? Don`t stop working out!

Have you ever had a torn rotator cuff or broken arm and stayed home from the gym.  Well don`t!

Research has shown that by performing  single-side training with the non-injured limb it will minimize the effects of atrophy and accelerate healing in the injured arm. This effect is known as cross-education.You increase strength in the injured limb due to neural adaptations. You will still have to train bilaterally to trigger a hypertrophy response but you will not lose muscle as fast in the injured limb.
There is a study in the Journal of Exercise Science and Fitness that during the cross-education effect, there is a gain of strength in the range of 5 to 25 percent to the injured limb when training the opposite limb. Another major benefit is there will be less range of motion loss in the injured limb do to the cross-education effect.

Another study in the Scandinavian Journal of Medicine and Science in Sports states that cross-education works on the extensors and flexors of the injured limb.
This study used electrostimulation of the right wrist flexors using an eccentric contraction and demonstrated impressive strength gains in the untrained wrist muscles. Participants received the electrostimulation five days a week for six weeks. The untrained left wrist extensor and flexor muscles increased strength significantly, both improving by about 45 percent. Researchers suggest that strength gains in the immobilized limb were substantial because eccentric contractions were induced by using electrostimulation that triggered a maximal voluntary contraction in the right wrist, thereby providing greater neuromuscular stimulus to than a concentric contraction.
Although Cross-education is not completely understood,  strength gains in the injured limb are likely from neuromuscular adaptations and increased neural drive to the untrained muscle. By training the healthy limb, the body recruits more high-threshold motor units in both limbs. There is no evidence of hypertrophy or changes in muscle fiber types in the immobilized muscle following single-side training.
Cross-education highlights the importance of single-side training. i stress that my patients  continue with  single limb training during an injury. So next time your have an injury, do not let that stop you from working out.
Sariyildiz, M., Karacan, I., et al. Cross-Education of Muscle Strength: Cross-Training Effects are not Confined to Untrained Contralateral Homologous Muscle. Scandinavian Journal of Medicine and Science in Sport. April 2011. Published Ahead of Print.
Lee, M., Carroll, T. Cross-Education: Possible Mechanisms for the Contralateral Effects of Unilateral Resistance Training. Sports Medicine. 2007. 37(1), 1-14.

Zhou, Shi. Cross-Education and Neuromuscular Adaptations During Early Stage of Strength Training. Journal of Exercise Science and Fitness. 2003. 1(1), 54-60.

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Calf Muscle Injury

calf_tearWhat is a Calf Tear?

There will be pain in the lower part of the leg.

A calf strain occurs higher up in the back of the leg then an Achilles strain. You may have heard a “pop” or feel like you were hit in the leg. You may have sudden pain at the back of the calf. Swelling or bruising in the calf muscle may occur.

Make an appointment below to see if we can help you with your calf pain.

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Drinking this can ruin your health!

Health Tip!


This one type of drink that people consume everyday is linked to


  • Death
  • Weight Gain
  • Diabetes
  • Headaches
  • Ugly Smile
  • Depression
  • Osteoporosis
  • Heart Disease


But people still continue to drink DIET SODA!


Diet soda is marketed to the consumer as a way to drink soda and keep the weight off. There are many consequences to this myth that the marketing teams do not share with you. Diet soda does save you around 140 calories when compared to regular soda but as what cost? It has sweeteners like aspartame, saccharin, and sucralose which are linked to different health conditions.

Aspartame, saccharin, and sucralose are known to have more flavor then real sugar. Because of this, diet soda starts to dull your sense to natural sweet foods at the same time has the same effect on your body as natural sugar. These artificial sweeteners  trigger insulin which sends your body into fat storage more which eventually leads to weight gain. Aspartame has also been suggested to trigger headaches.


Researchers from the University of Texas found that over the course of about a decade, diet soda drinkers had a 70% greater increase in waist circumference compared with non-drinkers.

In a University of Minnesota study, Drinking one diet soda a day was associated with a 36% increased of blood pressure, elevated glucose levels, raised cholesterol, and large waist circumference


Diet soda has no nutritional value either.


Besides degrading your health, diet soda can also ruin your gorgeous teeth. There has been research that compared the mouths of a cocaine user, a methamphetamine user, and a habitual diet-soda drinker, and found the same level of tooth erosion in each of them.

The citric acid in the soda weakens and destroys tooth enamel over time taking away that white pearly smile.

Your bones are not safe either! A 2006 study published in the American Journal of Clinical Nutrition found that cola intake (all kinds, not just diet) was associated with low bone-mineral density in women.



If you think that just one soft drink a day is alright then you are wrong. It could boost your risk of having a vascular event such as stroke, heart attack, or vascular death, according to researchers from the University of Miami and Columbia University.



So the next time that you are thirsty, just grab a nice cold glass of water!

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Whiplash Safety

Whiplash or also know as cervical acceleration-deceleration disorder is a common condition when involved in a car accident.  This usually occurs when the neck is initially extended back as the car is propelled forward when hit from behind.

As the tissues stretch in the front of the neck, the head will then flex forward very rapidly.  During this, the tissues in the back of the neck stretch. There are four types of whiplash.

Type I -    Pain  with normal range of motion but no objective findings.

Type II  -  Pain that includes injuries to the soft tissue and decrease range of motion but no neurological loss.

Type III -  Pain that includes injuries to the soft tissue and decrease range of motion plus neurological loss.

Type IV –    Involves fractures of the cervical spine.

How to adjust the head rest and seat – Alot of times headrests are frequently not adjusted correctly causing whiplash.  Sometimes  they are either too low or to far away from the head.  If the headrest is to low, the low headrest will act as a fulcrum causing more harm to the neck. If your seat is reclined, this can cause the body to slide upwards during an accident and positioning the head over the top of the headrest. If your head is to far away from the headrest, this can cause more injury if you are involved in an accident.  Make sure your  seat is in an upright position and your headrest is adjusted so that the top of your headrest is level between your eyes and the middle of your forehead.

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Custom Made Orthotics

70% of people think foot pain is normal…Its Not.
Do your feet look like the picture below?

Set up an appointment at the form below

Information Provided by The Orthotic Group

What is a custom Orthotic?

A custom orthotic is a device designed to align the foot and ankle into the most anatomically efficient position. They look like insoles, but are biomechanical medical appliances that are custom made to correct your specific foot imbalance. Custom orthotics work on your feet much like glasses work on your eyes – they reduce stress and strain on your body by bringing your feet back into proper alignment. The plastic body of the custom orthotic helps to re-align the foot by redirecting and reducing certain motion that takes place during the gait cycle. Custom orthotics fit into your shoes as comfortably as an insole – and they have the advantage of having been made from precise imprints of your feet.IMG437

pronated feet



Who Needs Orthotics?

Signs & Symptoms
Many medical conditions often stem from a biomechanical gait abnormality that can be treated with custom orthotics. Here are some common ailments related to poor foot biomechanics. Click the following to learn more about the conditions.

Achilles Tendonitis

Iliotibial Band Syndrome

Morton`s Neuroma

Plantat Fasciitis

Shin Splints

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Shockwave therapy now available

*Only at the Clintmoore location  (561) 313-9117

Extracorporeal Shockwave Therapy is extremely effective technology used to treat muscle aches and pains. The handpiece contains a projectile that is accelerated through the electromagnetic transfer of kinetic energy. This kinetic energy is then transformed into impact energy in the applicator head. This impact energy creates a wave effect in the tissue reducing muscle tone, decreasing pain and increasing the ability to heal chronic hard to treat injuries. Treatment with Shockwave Therapy leads to quick healing response and a decreased amount of treatments necessary.

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CrossFit Regional Games 2013

Working the CrossFit Regional Games once again in West Palm Beach.

The best and fittest athletes in the world even need treatment.  Alot of  hamstring issues, low back pain, shoulder pain along with many other bio mechanical disorders were seen at this event. Schedule an appointment below.

crossfit 2013xfit

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CrossFit Regional Games 2012

Working the CrossFit Regional games was a great opportunity to work on the worlds  best and fittest athletes. Took care of hamstring issues, low back pain, shoulder pain plantar fasciitis along with many other bio mechanical disorders. Schedule an appointment below.



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Juice Plus Seminar

Juice Plus is more then a simple way to add whole food based nutrition to your diet every day. It is an easy inexpensive way to help you and your family bridge the gap between what you should eat and actually do eat, every day. There is an exciting  Juice Plus seminar on February 3rd by Dr. Kim Dalzell who is a nationally recognized speaker in oncology nutrition, is the founder of CancerBusters.org, and is a former national spokesperson for Cancer Treatment Centers of America.  She serves as a medical advisor for Lifetime Television’s Health Corner TV show and is the featured nutrition columnist for Breast Cancer Wellness Magazine.  Her award winning book, Challenge Cancer and Win outlines nutrition protocols for sixteen types of cancer.

Please click the link below for more information.


2-3 Kim Dalzell PPL

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Study by Mayo Clinic Indicates Acupuncture Relieves Fibromyalgia

A study conducted by the Mayo Clinic clearly demonstrates that Acupuncture brings relief to fibromyalgia sufferers.  “This study shows there is something real about Acupuncture and its effects on fibromyalgia,” says Dr. David Martin, the Mayo Clinic anesthesiologist who was the study`s lead investigator.

Fifty patients for whom symptom-relief treatments had failed were selected for the study. Mayo Clinic physicians who specialized in pain management randomly assigned subjects to a group that would ercive six treatments over a period of two to three weeks. Follow up data was collected from all patients immediately after treatment. Then, one month after care ended and then again seven months after treatment, they were re-interviewed to find out about their current levels of pain and other symptoms.

Following the initial treatments, symptoms of pain, fatigue, and anxiety were most significantly improved in the patients given Acupuncture care. These patients experienced the largest improvements one month after their care ended. At the seventh month followup interview, some patients reported that their discomfort had returned if no additional Acupuncture care had been administered.

Call 561-883-0090 to schedule your appointment today!

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Dr. Brett A. Goldstein ; Get the treatment your body deserves at BackandHealth

Office Locations and Hours

9825 S.W. 18th st #300
Boca Raton Florida (561) 235-3714
Monday - 9:00am - 7:00pm
Tuesday - 9:30am - 12:30pm
Wednesday- 9:00am - 6:00pm
Friday - 9:00am - 12:30pm

9878 Clint Moore Rd, Suite 206
Boca Raton, Florida 33496
(561) 313-9117
Tuesday - 1:00pm - 6:00pm
Thursday - 1:00pm - 6:00pm
Friday - 1:00pm - 6:00pm
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