Get Started
Get Started
570-558-0290

Human beings were designed to move…walk, run, climb, lift, hunt, and gather. Contemporary man has suffered greatly from a technologically driven inactive and sedentary lifestyle. Inactivity is associated with many health problems; obesity, adult-onset diabetes, high blood pressure to name a few. The problems associated with lack of movement are many:

Constipation

The more you move your body, the more you colon moves!  A regular and consistent exercise and activity regime, results in a more consistent bowel schedule, especially with age. Healthy muscle tone in your abdominal muscles and diaphragm is also the key to moving waste through your digestive tract.

Stiff Joints

Osteoarthritis, rheumatoid arthritis and many inflammatory or auto-immune diseases can cause achy and stiff joints. However, even healthy joints can also stiffen when you don’t use them enough. Put them to work so they don't get tight and cause pain.

Shortness of Breath

All muscles get weak from lack of use, including the muscles that help your lungs expand and contract as you breathe if you don’t work them out regularly. The less exercise or activity you do, the more you experience shortness of breath, even during easy daily tasks.

Depression or Moody

Physical problems are not the only complication of inactivity. A lack of movement can also increase feelings of anxiety and depression. Aerobic exercises like walking, biking, swimming, or running, have been proven to stimulate endorphins to boost and steady your mood, and even improve your self-esteem.

Lack of Energy

Many studies have found that regular movement improves energy. Exercise helps deliver oxygen and nutrients to your tissues. When you sit or are inactive, tissues are not getting the same amount of fuel they need to keep you going.

Slow Metabolism

Movement stimulates your metabolism. Hyperactive people burn more calories…just by fidgeting! Even if you are not hyperactive, the more active you are, the more calories you burn each time you move.

Difficulty Sleeping

One of the first recommendations sleep doctors make to their patients suffering from insomnia is exercise. When you keep a regular exercise routine, you fall asleep faster, and you sleep deeper once you drift off.

Brain Fog

Regular exercise tells your body to make more chemicals called growth factors. They boost blood vessel production in your brain. The more blood that gets to your brain, the better you can think, remember, and make decisions.

High Blood Pressure

Spending most of your time sitting raises your risk of heart disease, in great part due to the fact that partly you’re more likely to have high blood pressure. This is a big risk factor for heart issues like coronary artery disease and heart attack.

High Blood Glucose

When physical activity is a regular part of your life, your body has an easier time keeping your blood glucose under control. Exercise can stabilize blood sugar levels and keep you out of the type 2 diabetes danger zone.

Lower Back Pain

When your core muscles are weak from lack of use, they can’t support your back the way they should. This makes it much easier to tweak your back muscles during everyday movements like standing or reaching. Pilates, yoga, and other exercises that use stretching are good for building a stronger back. Schedule an appointment with a good orthopedic and sports PT.

Hunger Pains … “Hangry”

Logically, one might think that you’d be hungry more often if you exercised more, but the opposite is usually true. Aerobic exercise like biking, swimming, walking, and running can actually decrease your appetite because it changes the levels of certain “hunger hormones” in your body.

Sick Often

Studies show the more moderate activity you get, the lower your chance of catching a cold or other germs. When you make exercise a habit, your immune system gets stronger.

Dull and Pasty Skin

If your skin looks duller than usual, a lack of movement may be to blame. Some studies show that moderate exercise boosts your circulation and your immune system, which helps your skin keep that youthful glow.

SOURCE: WebMD

EVERY MONDAY – Read Dr. Paul J. Mackarey “Health & Exercise Forum!” via Blog

EVERY SUNDAY in "The Sunday Times" - Read Dr. Paul J. Mackarey “Health & Exercise Forum!” in hard copy

This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopaedic and sports physical therapy in Scranton and Clarks Summit. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at Geisinger Commonwealth School of Medicine. For all of Dr. Mackarey's articles, visit our exercise forum!

In Northeastern Pennsylvania, winter is a fun-filled time for outdoor activities. Many people will be enjoying the outdoors hiking, snow shoe hiking, sledding, down-hill and cross-country skiing, snow-boarding, ice-skating and ice fishing. However, frigid, wind, snow, and sleet can play havoc on your skin. It is critical to be keenly aware of the time spent in the cold no matter what age and to recognize the importance of making skin protection part of your daily regimen throughout the entire year. Dry, red, flaking, itchy and scaly skin can make you crazy and uncomfortable. Furthermore, dry and cracked skin is an opportunity for a variety of bacterial, fungal and viral infections to enter your body.

10 Winter Skin Safety Tips For Outdoor Active Lifestyles

1. Limit Use of Soap

Excessive use of soap and water in the cold winter months can strip       away the skin’s natural oils. Use cleansing creams, gentle skin cleansers or bath lotions with moisturizers instead of harsh soap. Following the use of a good skin product, your shin should feel soft and smooth, not tight or dry. Non detergent fragrance free neutral-pH products are helpful and kind to winter skin. Experiment with several mild soaps such as CetaphilR, AveenoR, NeutrogenaR, BasisR or DoveR until you find the right one for you. Dr. Ted Stampien, MD, a local dermatologist in Clarks Summit, recommends that shower gels should be avoided because they contain alcohol.

2. Soak Your Skin With Moisturizers

One proven method to prevent dry winter skin even when using regular soap is to moisturize your skin immediately after bathing to trap in water in the surface cells and then gently pat dry. For severe dryness, Dr. Stampien also recommends that you apply a second coating of moisturizing cream after you pad dry for further protection. He notes that creams are more moisturizing than lotions or gels. For extremely dry skin apply baby oil or almond or vitamin E oil to moist skin. Also, if your skin is so dry that it itches, apply 1% hydrocortisone to the area followed by a thick moisturizing cream. Try thicker creams such as Eucerin and Lubriderm and use cosmetics with moisturizers.  

3. Protect Your Skin From the Sun

Many people forget to protect their skin from the sun in the winter. However, when the winter sun is reflected off the snow and ice it can be very strong on an unprotected face, especially the cheeks and lips.

WhWhile SPF 15 is considered adequate protection, dermatologists recommend a minimum of SPF 30 or greater for most people. Choose a sunscreen with ingredients that block both UVB and UVA rays. Apply lotion liberally to all exposed skin before you go outside. Remember to include the lips, ears, and around eyes. Sunscreens are available in lotion, gel, spray, cream and sticks. Some are made fragrance-free, hypoallergenic, or especially for sensitive skin or children. Dr. Stampien states that patients with sensitive skin or eczema typically tolerate sunscreens that contain zinc and titanium oxide such as Blue LizardR, SolbarR and NeutrogenaR and that these patients should avoid sprays and gels as these products usually contain alcohol which can sting upon application.

UVUV-blocking ski goggles or sunglasses with wraparound or large frames protect your eyelids and the sensitive skin around your eyes, common sites for skin cancer and sun-induced aging. Goggles and sunglasses also help reduce the risk of cataracts later in life.

However, the sun is a good source of Vitamin D. Recent studies show that people may be developing Vitamin D deficiency due to over protection from the sun. For those concerned about overprotection from both UVA and UVB rays and becoming Vitamin D deficient, Dr. Stampien, suggests using Vitamin D supplements of 600-1000 IU. He feels that this provides adequate levels of Vitamin D to maintain healthy bones and muscles and may lower the risk of certain cancers.

4. Do Not Soak in The Tub

The longer you soak in water, the more skin oils you lose. Therefore, in the winter it is wise to limit baths and showers to 5 minutes or less and use tepid water. Avoid very hot water. Also, only wash your face once or twice a day in the winter. Cool water wiping without soap is recommended if washing your face more than once per day.

5. Try to Avoid a Hot Dry House

Keep your house temperature at 68-70 degrees and use a portable humidifier with 40-50% humidity levels in rooms that you spend a lot of time in such as the kitchen, TV and bedroom.

6. Wear Skin-Friendly Fabrics

Natural fibers such as cotton and silk are skin-friendly. However, DryTech products like those made by Nike and UnderArmor wick sweat away and prevent chaffing when participating in outdoor activities.

7. Proper Diet Can Protect Your Skin

As with all matters of health and wellness, a diet rich in vegetables, fruits, grains, seeds, and nuts is essential. Additionally, certain foods such as avocados offer niacin, an inflammation-reducing agent which can improve complexion. Yellow and orange produce such as carrots, cantaloupes and apricots are also recommended. Keep in mind that alcohol and caffeine are diuretics that can cause the body and skin to lose fluid and nutrients. Stay hydrated.

8. Live Healthy

Smoking causes vasoconstriction of the blood vessels which limits blood flow of oxygen and nutrients to the skin and other tissues. Daily exercise to improve circulation and adequate sleep to replenish and recharge you body, contribute to health and wellness.

9. Avoid Dry Feet

Low humidity and cold temperatures can lead to skin breakdown and cause dry, scaly and uncomfortable feet. Coat your feet generously with lotion and sleep with cotton socks to maintain moisture. Remember, dry and cracked skin can allow bacterial, fungal and viral infections to enter the body.

10. See A Dermatologist

Skin conditions are often a symptom of a much more serious underlying medical problem. For example, problems with the thyroid, liver, or kidney or cancer can be associated with skin ailments. If problems persist, seek medical attention.   

SOURCES: www.lifescript.com; Mayo Clinic; WebMD
CONTRIBUTING AUTHORS: Ted Stampien, MD, is a dermatologist in Clarks Summit, PA

EVERY MONDAY – Read Dr. Paul J. Mackarey “Health & Exercise Forum!”

This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopaedic and sports physical therapy. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at GCSOM

For all of Dr. Mackarey's articles visit: Mackarey's Health and Exercise Forum


The time has come again …transitioning from that sun-kissed summer skin to that sense of itchy dryness which takes over during the frigid NEPA winters. For some reason, our skin never seems to feel as good in the winter as is does during the warm summer months. Perhaps when prompted by a healthy dose of vitamin D from the sun, some of us take better care of our skin during the summer months and take extra precaution with sunscreen and moisturizers to maintain its natural glow. Some of us hardly alter our skin care routine and daily habits with the change of seasons and just find our skin to feel healthier in the summer rather than in the winter. Whichever your individual case may be, I have 10 tips that will have your skin looking good and feeling good all winter long.

  1. Sunscreen: Bet you thought this was strictly a summer necessity. Nope! The sun’s UVB rays, or the type of rays that damage our skin without proper protection, remain strong even through the winter months. Add some snow and ice into the mix, which reflects up to 90% of the sun’s UVB rays, and we get a double dose of harmful rays. This only increases our risk of skin damage, and even cancer. Try using a broad-spectrum sunscreen with an SPF of 30 or higher on the face, ears, and hands during the winter.
  2. Moisturize: Moisturizers keep water from escaping from our skin. Hence, it may be beneficial to apply moisturizer a few minutes after taking a shower, as the cream helps to seal in the hydration gained from the shower.
  3. Ditch the hot showers: Long, hot showers can wipe away some of our skin’s natural oils and moisture. Cutting down our time in the shower, as well as using warm or lukewarm water can help to reduce excess skin dryness or eczema flare ups. Patting dry instead of rubbing dry is also important for preventing further skin irritation.
  4. Turn down the heat: The first thing that we usually do on a cold winter day is to turn up the thermostat to take the chill out of the air. Well, you may want to think twice before you do this as heat within our homes tends to be dehydrating to the skin. Consider keeping your household temps at a comfortable 68-70 degrees with an ideal humidity of about 50% to minimize dryness.
  5. Use a humidifier: Adding moisture to the dry winter air can help to maintain skin hydration and to decrease overall dryness and flakiness. A good place to put it would be in your bedroom, as a large portion of your day is spent there.
  6. Light and soft clothing: Heavy wool sweaters and thick thermal wear can be itchy and irritating when directly placed on the skin. Thick clothing typically isn’t as breathable or comfortable as cotton or other light fabrics. Stick to light and airy layers to avoid any irritation and build heavier clothing on top.
  7. Hydrate: Water, water, and more water! Studies show that good hydration can improve blood flow to the skin, which increases skin cell growth, as well as improves dryness and overall complexion. A simple rule of thumb for appropriate water intake is to divide your body weight by 2, and to drink that amount in ounces daily.
  8. Exercise: Getting some level of activity in each day increases our heart rate and gets our blood pumping much more efficiently. With increased blood flow, our skin benefits by gaining more oxygen, growing new cells, and producing more collagen to improve elasticity and smoothness.
  9. Non-irritating Soaps and Cleansers: Soaps and face washes that contain fragrances or exfoliating properties tend to have more chemicals, and thus more irritating factors for the skin. Minimize scented products, especially for the face, as much as possible to prevent excess redness and drying throughout the winter.
  10. Don’t miss the lips: Dry and cracked lips are never fun to deal with, and cold air only seems to make it worse. In addition, avoid picking, licking, or biting the lips to prevent further cracks and irritation. Consider using daily Vaseline or other lip balms and ointments, especially overnight, to keep the lips hydrated and smooth.

For more information, refer to the American Academy of Dermatology or www.aad.org.

www.washingtonpost.com/health/winter-seriously-dries-out-your-skin-cold-air-and-heating-systems-are-to-blame

www.aad.org/public/everyday-care/skin-care-basics/dry/heal-dry-chapped-lips

www.everydayhealth.com/skin-and-beauty/top-tips-for-healthy-winter-skin.aspx

Mia Woloszyn, MD3 Mia Woloszyn is a native of Madison Twp, PA. She graduated from Scranton Preparatory School in 2015 and attained of Bachelor of Science in Biology from the University of Scranton in 2019. She is currently a 3rd year medical student at Geisinger Commonwealth School of Medicine. Her clinical interests include Dermatology, Primary Care, and Preventative Medicine.

NEXT MONDAY – Read Dr. Paul J. Mackarey “Health & Exercise Forum!”

This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

For all of Dr. Mackarey's Articles visit: mackareyphysicaltherapy.com/forum/

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopaedic and sports physical therapy. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at Geisinger Commonwealth School of Medicine.

Protect your Skin for it Health

Skin Cancer

Despite the fact that we have limited exposure to sunny days in NEPA (50%), skin cancer still exists in large numbers. Skin cancer is the most common cause of cancer in the United States. While there are several types of skin cancer and not necessarily all are deadly, procedures to remove these skin cancers are both costly and frequently result in unsightly scars. The most dangerous type of skin cancer, called melanoma, results in an estimated 10,000 deaths per year. The good news? Nearly all skin cancers are preventable!

UV rays

The majority of skin cancers are caused by harmful ultraviolet (UV) rays from the sun. Two major types are UVA and UVB:

Protect your Skin for its Looks

Aging

In the field of anti-aging, advertisers make lofty promises for many products that claim to contain or boost collagen. Whether or not these work is a whole other discussion, but what is collagen and what does it have to do with wrinkles?

Collagen is the most abundant protein in the human body. It is found in nearly all tissues and organs, and plays a crucial role in maintaining structural integrity. Unfortunately, collagen production naturally decreases with age. This causes many of the findings we associate with older age, such as sagging skin and wrinkles, as well as joint pain. Collagen also works together with another important protein called elastin, which helps to maintain elasticity – a feature commonly associated with youthful skin.

When exposed to UV rays, these proteins can become damaged. For instance, studies have shown that skin exposed to UV rays increases the expression of proteins called matrix metalloproteinases, or MMPs. You can think of these MMPs as collagen’s enemy, as they cause their degradation. This results in a decrease in collagen’s structural function leading to loose and wrinkled skin. UV rays can also stimulate the production of reactive oxygen species. These are substances such as hydrogen peroxide and bleach, which further cause destruction of skin’s microscopic structure.

Sunscreen Tips & Tricks

So, you’re convinced and have decided to keep your skin healthy and youthful – what next? With so many different products on the market, choosing a daily sunscreen can become a difficult task. Here are a few pointers:

Another consideration when choosing a sunscreen is chemical versus physical blockers:

If preventing skin cancer isn’t incentive enough to wear sunscreen daily and avoid excessive sun exposure (and indoor tanning booths!), then consider the rapid effects on aging the sun’s rays can have. While a tan may look good for a week, avoiding exposure to UV rays will both delay and prevent aging for years.

For more information on skin cancer and prevention, please visit the Center for Disease Control’s website (https://www.cdc.gov/cancer/skin/) and contact your physician for specific concerns regarding spots on your skin.

This column is a monthly feature of “Health & Exercise Forum” in association with the students and faculty of Geisinger Commonwealth School of Medicine.

This week’s article was written by Eduardo Ortiz, a fourth year medical student at Geisinger Commonwealth School of Medicine (GCSOM). Eduardo majored in Biology and minored in Art History at Florida International University in Miami, Florida. As president of the Dermatology Interest group, he helped organize a free skin cancer screening with local dermatologists earlier this year.

Read Dr. Mackarey’s Health & Exercise Forum – every Monday. This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

See all of Dr. Mackarey's articles in his "Health and Exercise Forum" at https://mackareyphysicaltherapy.com/forum/

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopedic and sports physical therapy. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at Geisinger Commonwealth School of Medicine.