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Snow Shoveling Sends 11,500 Adults to Emergency Rooms per Year
Advanced Back and Neck Care • December 6, 2016

A research study was published by The American Journal Of Emergency Medicine showing that shoveling snow sends, on average, over 11,500 adults to emergency rooms every year.

According to WebMD, ‘muscle, ligament, tendon, and other soft tissue injuries topped the list of snow shoveling mishaps. Among these, lower back injuries were common.’ These injuries are very common, but also preventable.

Peter J. Schubbe, DC, published the following list of techniques to help you to avoid injury while shoveling:

Pick the Right Snow Shovel : An ergonomic snow shovel can help take some of the effort out of snow removal chores.

Warm Up Thoroughly : Cold, tight muscles are more prone to injury than warmed up, flexible muscles. Do your back a favor by warming up for five to ten minutes before shoveling or any strenuous activity.

Use Ergonomic Lifting Techniques : Whenever possible, push the snow to one side rather than lifting it. When lifting the snow shovel is necessary, make sure to use ergonomic lifting techniques.

Pace Yourself : Shoveling small amounts of snow frequently is less strenuous than shoveling a large pile at once.

Keep Your Feet on the Ground : Slippery conditions while shoveling can lead to slipping and/or falls and strains that can injure your back.

If Possible, Stop Shoveling – Use a Snow Blower Instead : When used correctly, a snow blower can put less stress on your low back than shoveling.’

And, Chicago’s Northwestern Memorial Hospital’s Sports Cardiology Program offers these 7-Tips:

Here are seven precautions from Northwestern to stay safe and prevent heart attacks while shoveling:
Bundle up : Cold temperatures reduce circulation to the body’s extremities. Wear weather-appropriate, layered clothing and gloves to help maintain body temperature and circulation.

Start early  : The longer snow sits on the ground, the more it compacts, making it denser. Removing compacted snow requires more exertion, placing stress on the heart. Snow is easier to shovel when it first falls.

 Ease into it  : As with any physical activity, your body needs to warm up to perform at its peak. Ease into shoveling and try not to do the entire job at once. Take breaks as needed.

Remain hydrated  : The body needs hydration, even in cold weather. When shoveling snow, take frequent breaks and drink water regularly to prevent dehydration.

Avoid heavy eating  : Eating a small meal before shoveling will provide a source of energy. However, digestion puts strain on the heart, so eating a large meal before any physical activity should be avoided. Additionally, don’t consume alcohol just before shoveling.

Don’t lift too much  : Large loads of snow can be heavy and place strain on the heart, back and neck. Push instead of lifting, and use a small shovel, which encourages smaller loads of snow. If you must lift, avoid rounding your back, lift using your legs and buttocks, and clear four to six inches of depth at a time.

Listen to your body  : The best indicator of whether or not snow shoveling is causing harm is to pay close attention to your body’s signals. If you begin to feel winded or overexerted while shoveling, take a break. These are signs that you’re doing more than your body can handle. If you experience shortness of breath, chest, throat or arm discomfort or tightness, or lightheadedness, you should rest and seek medical attention if the symptoms persist.

7 Tips, photo source: NBC Chicago

Even with taking these preventative measures, injuries to your low back are still a risk. Most likely, you will see many patients in your practices this season who have injured their back during snow removal or as a result of falling.

January 31, 2025
Originally posted on January 30,2023, this article has been updated on August 24, 2024 to reflect the latest research and statistics. Our editorial team has ensured you’re viewing the most current data on this topic. Need help or have a question? Email us.
September 23, 2024
Ozempic use often leads to the loss of more muscle than fat Bones can become less dense with rapid weight loss Exercising and eating more protein can help combat bone loss
August 7, 2024
Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMPXylitol and Erythritol are commonly used by those wanting to lose weight or who are diabetic. Many people use artificial, low-calorie sweeteners to reduce their sugar intake. It's found in chewing gum, toothpaste, sugar-free candy, baked goods, and more. According to a June 2024 study, high levels of xylitol and erythritol, sugar alcohols and low-calorie sweeteners used in many foods and products, has been associated with an increased risk of a major cardiovascular event, like a heart attack or stroke and death. The researchers in this study analyzed how xylitol impacts heart health in over 3,000 patients in the U.S. and Europe. The team of researchers, led by Dr. Stanley Hazen at the Cleveland Clinic and published in European Heart Journal on June 6, 2024 showed that having the highest blood levels of xylitol is linked with a 57% increased risk of a major cardiovascular event compared with lower levels. The Reason Why Xylitol and Erythritol May Pose a Cardiovascular Risk? Blood components called platelets help blood to clot. The researchers found that both erythritol and xylitol made platelets more sensitive to blood clotting signals. . Additionally, taking a single 30-gram dose of xylitol increases blood levels 1000-fold within 30 minutes – this increase can stimulate blood clotting, which is concerning for people with existing heart disease. These results suggest that consuming erythritol and xylitol can increase blood clot formation. This, in turn, could increase the risk of heart attack or stroke. What Products Commonly Include Erythritol and Xylitol? Chewing gum Candy Ice Cream Breath mints Some Dietary supplements Mouthwash Toothpaste Sugar-Free Desserts Liquid compounded medications Commercially produced: Baked goods, beverages, candies, chewing gums, chocolates, tabletop sweetener packets, ice cream, puddings, jams and jellies, fruit preparations, biscuits, and sauces Dr. Grisanti's Comments For now, I recommend being cautious using products with xylitol and erythritol in it, – particularly those with cardiovascular risk factors. Although some people will say the research may be flawed, I have to wonder if the people against this new study have an agenda that places the public at risk. All in all, I say why take the risk. I prefer to err on the side of caution and simply stop consuming food items that have erythritol and xylitol in it. Using xylitol and erythritol in the small amounts typically found in chewing gum, toothpastes, and mouth rinses seems to be safe. But using it in very high doses and long-term isn't a good idea. It does not mean throw out your toothpaste if it has xylitol in it, but we should be aware that consumption of a product containing high levels could increase the risk of blood clot-related events. If you're looking for a sweet treat, the only sweeteners I stand behind are organic, 100 percent stevia or monk fruit extracts. Remember simply read the labels of the items you eat or drink if you want to know if xylitol and erythritol has been added. --------- ATTENTION DOCTORS, ALL HEALTHCARE PRACTITIONERS, PATIENTS and POTENTIAL NEW PATIENTS If you found this article of value may I ask if you can tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine as well as having the opportunity to stay current on the latest medical news on a variety of important health issues. Here is the webpage to subscribe: http://www.clinicalrounds.com References: https://www.nih.gov/news-events/nih-research-matters/xylitol-may-affect-cardiovascular-health https://www.nbcnews.com/health/heart-health/xylitol-linked-increased-heart-risk-reconsider-sugar-substitutes-rcna155688 https://www.nhlbi.nih.gov/news/2024/common-sweetener-linked-potential-cardiovascular-risks https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://www.washingtonpost.com/wellness/2024/06/06/xylitol-sugar-artificial-sweetener-heart/ https://www.nih.gov/news-events/nih-research-matters/erythritol-cardiovascular-events https://www.nature.com/articles/s41591-023-02223-9 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 ** Always consult with a physician or healthcare practitioner with significant integrative or functional medicine training before starting any of the above recommendations. You can find a qualified and certified functional medicine practitioner by going to: www.FunctionalMedicineDoctors.com The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Grisanti and his functional medicine community. Dr. Grisanti encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Visit www.FunctionalMedicineUniversity.com for more information on our training in functional medicine. Look for practitioners who have successfully completed the Functional Medicine University's Certification Program (CFMP) www.functionalmedicinedoctors.com . This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Grisanti is required
May 1, 2024
https://www.functionalmedicineuniversity.com/public/2017.cfm ** Feel free to use this article on your website. and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 17, 2024
https://www.functionalmedicineuniversity.com/public/2012.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
April 3, 2024
https://www.functionalmedicineuniversity.com/public/2006.cfm ** Feel free to use this article on your website. All I ask is to add at the bottom of the article: Compliments from Functional Medicine University and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP March 13, 2024
https://www.functionalmedicineuniversity.com/public/2000.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://www.youtube.com/watch?v=W__EwtXJkyY Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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