A Doctor's Top 5 Foods For Better Sleep

Proteins from the food we eat are the building blocks of tryptophan, which is why the best bedtime snack is one that contains both a carbohydrate and protein, such as cereal with milk, nut butter on toast, or cheese and crackers. Melatonin is a naturally occurring hormone that regulates sleepiness.

Does what we eat really affect our sleep? Short answer: yes. Just as a triple-shot Frappuccino at 9 p.m. would be destructive for your sleep, there are also foods that can help support a good night's rest.

Here are five great ones I recommend to patients:

1. Fermented foods

What the heck do fermented foods have to do with sleep? Fermented foods promote a healthy gut, and a healthy gut is a prerequisite for our bodies to feel at ease. In fact, there's a direct line of communication between our gut and our brain, called the vagus nerve. When the brain is relaxed, it gives the gut permission to devote energy toward digestion. Conversely, if we're running from a tiger and in a panic, it tells the gut, Hold off on that for now; we have other things to worry about.

Meanwhile, the vagus nerve also carries information from the gut to the brain. If the gut is inflamed (maybe you've eating something you don't tolerate, or the gut ecosystem has gotten out of balance after a course of antibiotics), then the vagus nerve tells the brain: feel uneasy. This can make us feel anxious or depressed during the day and sleepless at night. Perhaps it's designed to motivate us to change our behavior. Ate pizza → felt uneasy → maybe I shouldn't eat pizza. Unfortunately, pizza hits our brains like a drug, so as with any other drug, cravings can trump our awareness that something is making us sick.

Examples of fermented foods include sauerkraut, kimchi, apple cider vinegar, beet kvass, miso paste, lactofermented pickles, yogurt, and kefir (if you tolerate dairy).

2. Starchy tubers

To improve your gut flora, you need the one-two punch of fermented foods plus starchy tubers. Tubers are the food that healthy bacteria like to eat, so when we eat them, we help those bacteria survive in our guts.

Examples of starchy tubers: sweet potatoes, white potatoes, potato starch, plantains, taro, and yucca

3. Tart cherries

I put frozen organic cherries in my smoothie every morning. Cherries are a good source of B vitamins and magnesium, and they even contain melatonin (the hormone that makes us sleepy at night). Research suggests that the melatonin in cherries is bioavailable and acts as useful melatonin in the body.

4. Almond butter

Almond butter is a superb snack to have right before bed. It has a high fat and protein content, so it's slow to digest and will be absorbed into your bloodstream gradually overnight, giving you a safety net of blood sugar. Steady blood sugar supports deep, consolidated sleep by preventing blood sugar dips, which can wake your body up. Almonds also contain magnesium and tryptophan to promote sleep.

If you can spring for it, sprouted organic almond butter is the most nutritious choice.

5. Coconut oil

I prescribe coconut oil to my patients as if it were medication. Coconut oil is anti-inflammatory and antimicrobial, and it contains medium-chain triglycerides, which support cognition and stable mood. I especially like it for sleep because it's a clean, easy fuel source. Like almond butter, it can keep your blood sugar steady overnight.

I have my patients keep a jar of coconut oil and a spoon next to their bed. I recommend a spoonful before bed and spoonful when they wake up in the middle of the night.

This article originally appeared on MindBodyGreen & was written by Ellen Vora.

Athletes Discover Acupuncture Treats Injuries & Boosts Performance

Athletes of many stripes are turning to acupuncture for an effective method of injury treatment and prevention. Professional football players from the ranks of the New York Jets, Minnesota Vikings, San Diego Chargers and more have embraced acupuncture to manage pain, speed injury recovery, and achieve peak physical performance in their sport. A review of research studies on the use of acupuncture in sports confirms its efficacy at increasing muscle strength and power in athletes.1

Sports acupuncture is used for injury treatment, prevention and (in combination with Chinese herbs) to improve athletic performance.2 Acupuncture taps into the body’s natural ability to heal itself. It can work in conjunction with Western medical treatment, and in cases where rest is prescribed for an injury, acupuncture reduces pain and accelerates the healing process without side effects.

Matt Callison, a licensed acupuncturist and instructor at Pacific College of Oriental Medicine in San Diego, has been using sports acupuncture to treat athletes for 11 years and counting. Callison says, “traditional Chinese medicine [including acupuncture, herbs and exercises] has been an extremely helpful and growing trend in athletics for quite a while. Steve Young and Jerry Rice [of the San Francisco 49ers] have been treated with sports acupuncture, and Canadian speed skater Kevin Overland received sports acupuncture to help him earn a bronze medal in the 1998 Olympics.”3

Baltimore Ravens safety Will Demps credits acupuncture with boosting his performance on the field. “In my extensive off-season workouts, I have noticed a difference in my balance and agility since receiving [acupuncture] treatments…I feel my muscles have been ‘turned on’ and are firing on all cylinders.”3

In Major League Baseball, the Seattle Mariners were the first team to utilize acupuncture, primarily due to the influence of Japanese players such as Ichiro Suzuki and Kazuhiro Sasaki. Players opt for acupuncture to help their muscles rebound more quickly after intense training, or to support rehabilitation and speed recovery from injuries.4

Proprioception, the body’s sense of where it is in space, is a process of the muscles communicating with the nervous system. Injury interferes with the body’s proprioceptive signals and creates imbalance. Acupuncture serves to relieve stress on the musculoskeletal system5 and “is one of the quickest ways to restore muscle balance,” says Callison. “When acupuncture is used at specific sites, the muscle spindles are reset, and then that balance is reawakened.”

The practice of acupuncture views pain as an imbalance or interruption of one’s qi (life force energy). The insertion of acupuncture needles triggers the release of pain- and inflammation-fighting chemicals in the body, and restores the cyclical flow of qi, allowing the body to function at more optimal levels. A qualified acupuncturist will first conduct a thorough intake and evaluation of symptoms, then create a targeted course of treatment for maximum results.

This is an original article from Dreamclinic, Inc. Dreamclinic is a Health and Wellness company committed to sharing information about commonly experienced health conditions and how they may be impacted through the use of bodywork and other natural approaches.

References:
1. http://www.ncbi.nlm.nih.gov/pubmed/20386479
2. https://www.acufinder.com/Acupuncture+Information/Detail/Acupuncture+for...
3. https://www.pacificcollege.edu/acupuncture-massage-news/articles/593-.html
4. http://www.bastyr.edu/news/general-news-home-page/2013/05/acupuncture-st...
5. http://www.sciencedirect.com/science/book/9781437709278

The Busier You Are, The More You Need Quiet Time

In a recent interview with Vox’s Ezra Klein, journalist and author Ta-Nehisi Coates argued that serious thinkers and writers should get off Twitter.

It wasn’t a critique of the 140-character medium or even the quality of the social media discourse in the age of fake news.

It was a call to get beyond the noise.

For Coates, generating good ideas and quality work products requires something all too rare in modern life: quiet.

He’s in good company. Author JK Rowling, biographer Walter Isaacson, and psychiatrist Carl Jung have all had disciplined practices for managing the information flow and cultivating periods of deep silence. Ray Dalio, Bill George, California Governor Jerry Brown, and Ohio Congressman Tim Ryan have also described structured periods of silence as important factors in their success.

Recent studies are showing that taking time for silence restores the nervous system, helps sustain energy, and conditions our minds to be more adaptive and responsive to the complex environments in which so many of us now live, work, and lead. Duke Medical School’s Imke Kirste recently found that silence is associated with the development of new cells in the hippocampus, the key brain region associated with learning and memory. Physician Luciano Bernardi found that two-minutes of silence inserted between musical pieces proved more stabilizing to cardiovascular and respiratory systems than even the music categorized as “relaxing.” And a 2013 study in the Journal of Environmental Psychology, based on a survey of 43,000 workers, concluded that the disadvantages of noise and distraction associated with open office plans outweighed anticipated, but still unproven, benefits like increasing morale and productivity boosts from unplanned interactions.

But cultivating silence isn’t just about getting respite from the distractions of office chatter or tweets. Real sustained silence, the kind that facilitates clear and creative thinking, quiets inner chatter as well as outer.

This kind of silence is about resting the mental reflexes that habitually protect a reputation or promote a point of view. It’s about taking a temporary break from one of life’s most basic responsibilities: Having to think of what to say.

Cultivating silence, as Hal Gregersen writes in a recent HBR article, “increase[s] your chances of encountering novel ideas and information and discerning weak signals.” When we’re constantly fixated on the verbal agenda—what to say next, what to write next, what to tweet next—it’s tough to make room for truly different perspectives or radically new ideas. It’s hard to drop into deeper modes of listening and attention. And it’s in those deeper modes of attention that truly novel ideas are found.

Even incredibly busy people can cultivate periods of sustained quiet time. Here are four practical ideas:

1) Punctuate meetings with five minutes of quiet time. If you’re able to close the office door, retreat to a park bench, or find another quiet hideaway, it’s possible to hit reset by engaging in a silent practice of meditation or reflection.

2) Take a silent afternoon in nature. You need not be a rugged outdoors type to ditch the phone and go for a simple two-or-three-hour jaunt in nature. In our own experience and those of many of our clients, immersion in nature can be the clearest option for improving creative thinking capacities. Henry David Thoreau went to the woods for a reason.

3) Go on a media fast. Turn off your email for several hours or even a full day, or try “fasting” from news and entertainment. While there may still be plenty of noise around—family, conversation, city sounds—you can enjoy real benefits by resting the parts of your mind associated with unending work obligations and tracking social media or current events.

4) Take the plunge and try a meditation retreat: Even a short retreat is arguably the most straightforward way to turn toward deeper listening and awaken intuition. The journalist Andrew Sullivan recently described his experience at a silent retreat as “the ultimate detox.” As he put it: “My breathing slowed. My brain settled…It was if my brain were moving away from the abstract and the distant toward the tangible and the near.”

The world is getting louder. But silence is still accessible—it just takes commitment and creativity to cultivate it.

This article originally appeared on Harvard Business Review & was written by Justin Talbot-Zorn.

The Great Ice vs. Heat Confusion Debacle

There is soooo much confusion about this issue. It’s a shame because therapeutic icing and heating — cryotherapy and thermotherapy — are rational, cheap, easy, safe self-treatment options for many common painful problems.

What ice and heat are for

Ice is for fresh injuries, and heat is for stiff, aching muscles. Roughly. But the devil is in the details, and there are a lot of them.

Ice is for injuries — calming down damaged superficial tissues that are inflamed, red, hot and swollen. The inflammatory process is a healthy, normal, natural process … that also happens to be incredibly painful and more biologically stubborn than it needs to be. Icing is mostly just a mild, drugless way of dulling the pain of inflammation… we hope. Examples: a freshly pulled muscle or a new case of IT band syndrome (which is more likely to respond than the other kind of runner’s knee, patellofemoral pain, because ITBS is superficial and PFPS is often a problem with deeper tissues).

Heat is for muscles, chronic pain, and stress — taking the edge off symptoms like muscle aching and stiffness, which have many unclear causes, but trigger points are probably one of the usual suspects. Chronic pain often involves lots of tension, anxiety, hypervigilance, and sensitization, and comfortable heat can soothe a jangled mind and nervous system. Stress and fear are major factors in many painful problems, of course.

What ice and heat are not for

Both ice and heat have the potential to do some minor, temporary harm when used poorly. Heat can make inflammation significantly worse. Ice can aggravate symptoms of tightness and stiffness; it can also just make any pain worse when it’s unwanted.

Both ice and heat are pointless or worse when unwanted: icing when you’re already shivering, or heating when you’re already sweating. The brain may interpret an excess of either one as a threat, but icing is more threatening — and when brains think there’s a threat, they may also amp up the pain. Ice seems to be feel more threatening to most people.

Be especially wary of icing muscle pain — and it may not be obvious. You may think your back is injured, for instance, but it may “just” be muscle pain. Trigger points (painfully sensitive spots) can be surprisingly intense and easily mistaken for “iceable” injury and inflammation. But if you ice trigger points, they may burn and ache even more acutely. This mistake is made particularly often with low back pain and neck pain — the very conditions people often try to treat with ice.

Heat and inflammation are the other particularly bad combination. If you add heat to a fresh injury, watch out: it’s going to get worse! A physician once told my father to heat a freshly injured knee, and wow — it swelled up like a balloon, three times bigger than it had been before. And three times more painful.

What about injured muscle? Muscle strains?

If you’re supposed to ice injuries, but not muscle pain, then what do you with injured muscles (a muscle tear or muscle strain)? That can be a tough call, but ice usually wins — but only for the first few days at most, and only if it really is a true muscle injury. A true muscle injury usually involves obvious trauma during intense effort, causing severe pain suddenly. If the muscle is truly torn, then use ice to take the edge off the inflammation at first. Once the worst is over, switch to heat.

Is ice better than heat? Is heat better than ice?

Ideal uses of ice and heat are roughly equal in potency — which isn’t very potent. Neither is strong medicine. Some experiments have shown that both have only mild benefits, and those benefits are roughly equal in treating back pain. The reason to use them is not that they are highly effective treatments — they rarely are — but because they are so cheap, easy, and mostly safe, especially compared to many other popular treatments.

The bottom line

The bottom line is: use whatever feels best to you! Your own preference is the tie-breaker and probably the most important consideration. For instance, heat cannot help if you already feel unpleasantly flushed and don’t want to be heated. And ice is unlikely to be effective if you have a chill and hate the idea of being iced!

If you start to use one and you don’t like the feel of it … just switch to the other.

This article originally appeared on Pain Science & written by Paul Ingraham.