Tanjung Subrata, M.D., MRepro, ABAARM.
- Exercise for Optimizing Testosterone & Growth Hormone
- Myofascial Dry Needling for Musculoskeletal Pain
Exercise for Optimizing Testosterone & Growth Hormone
As we age our youthful hormones decline, beginning with our Growth Hormone in our 20’s, Testosterone (men) and Progesterone (women) in our 30’s and Estrogen (women) in 50’s. Decrease in these hormones have implications on health, such as decline of wellbeing, decrees of strength and endurance, immune impairment, changes of body composition (gain fat and reduced bone and muscle mass), metabolic disorders (diabetes, dyslipidemia, hypertension etc.)
Anti-Aging Medicine (AAM) was developed to overcome these problems, they use a variety of therapeutic modalities to inhibit the aging process and maintain the youthful hormone level. One of this modality is exercise. Exercise has the ability to unleash powerful hormonal forces, either powerfully beneficial or powerfully detrimental. Exercise can increase insulin sensitivity; or it can decrease insulin sensitivity. Exercise is potentially the most powerful natural growth hormone stimulator known to science, and, therefore, an unmatched anti-aging force, fat burner, and immune booster; or it can suppress growth hormone levels. Exercise can raise testosterone levels, opening the door to all the physiological and psychological qualities of youth; or it can suppress testosterone so low that mating and building muscle are near impossibilities. Exercise can suppress cortisol; or it can cause a catabolic jailbreak, loosing this hostile hormone to assault immune system, eat-away at precious muscle tissue, and create generalized havoc within the body.
The reason why most people achieve sub-optimal results from exercise is that their workouts are hormonally incorrect. Exercise is like medicine, they need correct doses, frequency, intensity and type of exercise, to gain optimal result without harm for the body. Develop an appropriate exercise program together with a balanced nutrition is determining the outcome. Nutrients have an important role in the process. The type, amount and the time of consumption will greatly affect the process of optimizing the youth hormones.
Myofascial Dry Needling for Musculoskeletal Pain
Myofascial pain is a common form of pain that arises from muscles or related fascia and is usually associated with myofascial trigger points (MTrP). An MTrP is a highly localized, hyperirritable spot in a palpable, taut band of skeletal muscle fibers. When an MTrP is stimulated, 2 important clinical phenomena can be elicited: referred pain and a local twitch response.
Epidemiologic studies from the United States have shown that MTrPs were the primary source of pain in 30% to 85% of patients presenting in a primary care setting or pain clinic because of pain. MTrPs were the primary source of pain in 74% of 96 patients with musculoskeletal pain who were seen by a neurologist in a community pain medical center, and in 85% of 283 patients consecutively admitted to a comprehensive pain center. Therefore, MTrP pain constitutes a substantial burden for both individual patients and for society as a whole. Despite this, there is evidence that MTrPs that cause musculoskeletal pain often to go undiagnosed by both physicians and physical therapists, which leads to chronic conditions.
Numerous noninvasive methods—such as stretching, massage, ischemic compression, laser therapy, heat, acupressure, ultrasound, transcutaneous electrical nerve stimulation, biofeedback, and pharmacological treatments—have been used to alleviate chronic myofascial pain, but no single strategy has proved to be universally successful. Another way to treat myofascial pain is by dry needling (intramuscular stimulation, Western acupuncture, medical acupuncture), which is a minimally invasive procedure in which an acupuncture needle is inserted directly into an MTrP. Although an acupuncture needle is used, the therapy is based on the traditional reasoning of Western medicine. The sites for needle insertion are located in skeletal muscles taught in any basic anatomy course.
Different methods of dry needling, its effectiveness, and physiologic and adverse effects are discussed. Dry needling is a treatment modality that is minimally invasive, cheap, easy to learn with appropriate training, and carries a low risk. Its effectiveness has been confirmed in numerous studies and 2 comprehensive systematic reviews. The deep method of dry needling has been shown to be more effective than the superficial one for the treatment of pain associated with myofascial trigger points. However, over areas with potential risk of significant adverse events, such as lungs and large blood vessels, we suggest using the superficial technique, which has also been shown to be effective, albeit to a lesser extent.
Dr. Tanjung has dedicated himself to the education of health and exercise to the Indonesian people. He serves as lecturer and researcher at Faculty of Medicine Warmadewa University, where he develops a unique and distinct approach in the treatment of musculoskeletal injury with acupuncture needle. He holds key positions at various health, fitness and bodybuilding organizations, including Rai Institute Fitness Education, Indonesian Diabetes Educators Association (PEDI), Indonesia's Bodybuilding Federation. Dr. Tanjung also known as Doctor T is also a national and international speaker at various medical, health, acupuncture, anti-aging & fitness conferences.