MedSport

specializing in addiction recovery

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10381 Citation Dr, Suite 250 Brighton, MI 48116

810-626-3036

MEDSPORTSVANTAGE.COM

Rachel Lethorn, MS, PA-C, ATC

currently is a National level NAWGJ Judge. Her 20+ years of coaching experience began in Texas, where she is originally from. She additionally has an extensive dance background, training for many years. She also has taught Yoga, Pilates and Soma Chi while living in Australia in 2003-2004. She has trained as a sports medicine professional under the USA Gymnastics Team Physicians and the Chief Medical Officer for Gymnastics Australia, Dr. Don McIntosh. She has been on the volunteer medical staff for USA Nationals and Australian National Gymnastics Competitions. Currently she has opened her own medical practice in Brighton, Michigan specializing in sports medicine, pain medicine and functional medicine. Rachel also judges gymnastics and works with many youth sports teams in the area as their sports medicine specialist. Med Sports Vantage combines her experience with sports and her medical and health knowledge to educate, improve and inspire the community.

About

Company Overview Med Sports Vantage founder Rachel Lethorn, MS, PA-C, ATC is a board certified Physician Assistant and board certified Athletic Trainer with an extensive athletic background. As a former athlete and current medical practitioner, lecturer on health & wellness, nutrition Founder, Rachel Lethorn, MS, PA-C, ATC, graduated from Eastern Michigan University, Summa Cum Laude with a Bachelor's in Sports Medicine, and from Wayne State University with a Master's in Physician Assistant Studies. Sports have always been an important part of Rachel's life. Rachel competed in NCAA Div. I gymnastics for Eastern Michigan University, where she scored the first perfect score in the history of gymnastics at EMU. She has judged gymnastics since 1994, and

educator, judge, wife and mother, Rachel is very passionate about helping others achieve their goals. It takes a healthy body inside and out to perform your best at all endeavors. The body requires sound physical and psychological fitness with proper biomechanics, nutrient dense nutrition, proper sleep and hydration.

Vision

Rachel believes, understanding your bodies current wellness state, and working to improve your health status actually improves your performance. It is her vision to combine her medical, health, wellness and sports knowledge to provide education and solutions to optimize health for optimal performance. She enjoys lecturing, public speaking, inspiring wellness, peak performance and sports medicine specific skills. She specializes in sports medicine, pain management, wellness and peak performance with athletes, professionals, teams, coaches and/or parents.

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10381 CITATION DR, SUITE 250, BRIGHTON, MI 48116 810.626.3036 MEDSPORTSVANTAGE.COM CONTACT US TODAY

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It takes a healthy body inside and out to perform your best at all endeavors. 333 E GRAND RIVER AVE. • BRIGHTON, MI 48116 I PH: (248)880-8815 MED SPORTS VANTAGE 10381 CIT TION DR, SUITE 250, BRIGHTON, MI 48 16 I P : 810 626 3036

The Massage Tracker e Massage Tracker, Idea provided by Med Sports Vantage, PLLC. Reality made feasible by Lethorn CADesign LLC.e Massage Tracker is a patented and trademarked. muscle massage / manipulation device that utilizes a tennis ball and the ergonomically designed edges to do all the work. • Ergonomically designed to reduce stress in wrist and hand while still providing feedback from troubled areas. • Light Weight (0.15Lbs) and portable • High-Impact, engineered polymer plastic • Easy to hold and guide the tennis ball to trouble areas with maximum comfort (less pain when the tennis ball rolls over bone). • Multi-functional: Soft Massage (Tennis Ball), FirmMassge (Tracker Dome),Trigger point (Tracker Projections) and Hard edge rounded blade (Tracker large Radius)

www.massagetracker.com The Massage Tracker is amuscle massage multi-tool that utilizes a hand held tracking device toguide a tennis ball right to the root of yourmuscle pain for easy elimination. If you have questions orwould like more information please Call or Email • 810.626.3036 or rlethorn@yahoo.com

Med Sports Vantage founder Rachel Lethorn, MS, PA-C, ATC is a board certified Physician's Assistant and board certified Athletic Trainer with an extensive athletic background. Learn more at www.medsportsvantage.com

COME GET HELP! 10381 CITATION DR, SUITE 250 BRIGHTON, MI 48116 810.626.3036 MEDSPORTSVANTAGE.COM

Med Sports Vantage is a medical clinic providing knowledge and solutions to attain optimal health for optimal performance specializing in pain and sports medicine.

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Boom, Bust, and Drugs Study says economic downturn leads to increase in substance use disorders When the economy tanks, drug abuse goes up.That’s the finding of a new study which shows the state of the economy is closely linked with substance abuse disorder rates for a variety of substances. The study, conducted by researchers from Vanderbilt University, the University of Colorado and the Substance Abuse and Mental Health Services Administration (SAMHSA), found the use of substances like ecstasy becomes more prevalent during economic downturns. Researchers also found that other drugs like LSD and PCP see increased use only when the economy is strong. But for overall substance use disorders, the findings were clear.

“Problematic use (i.e., substance use disorder) goes up significantly when the economy weakens,” says Christopher Carpenter, one of the lead researchers. “Our results are more limited in telling us why this happens.” Researchers say it’s possible that people turn to substance use as a means of coping with a job loss or other major life changes caused by economic pressures, but their particular study did not pinpoint an exact cause and effect. Not all drugs are equal The study showed that a downward shift in the economy has the biggest impact on painkillers and hallucinogens. Rates of substance abuse disorders were significantly higher for those two categories than any other class of drug.

Researchers also found the change in disorder rates was highest for white adult males, a group which was one of the hardest hit during the Great Recession.They say more research is needed to determine exactly how the economy and drug use are related, but they say the study highlighted some key groups for prevention and treatment workers to target during future economic downturns.

“Problematic use (i.e., substance use disorder) goes up significantly when the economy weakens.” - Christopher Carpenter, Vanderbilt University

Slippery slope Despite some lingering questions, researchers were able to show the significance of the economy’s role in problematic substance use.The study showed that even a small change in the unemployment rate can have a tremendous impact on the risks for substance abuse disorders. “For each percentage point increase in the state unemployment rate, these estimates represent about a 6 percent increase in the likelihood of having a disorder involving analgesics and an 11 percent increase in the likelihood of having a disorder involving hallucinogens,” the authors write. Previous studies have focused on the economy’s link to marijuana and alcohol, with many looking at young people in particular.This study is one of the first to highlight illicit drugs, which given the current opioid epidemic, holds important lessons for those working to curb problematic drug use.

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When it’s needed most The study bears significant weight for treatment facilities and public policy makers in particular. During economic downturns, government agencies typically look to cut spending on treatment programs as a way to save money, something researchers say may be more costly in the end. “Our results suggest that this is unwise,” Carpenter says. “Such spending would likely be particularly effective during downturns since rates of substance use disorders are increasing when unemployment rates rise, at least for disorders involving prescription painkillers and hallucinogens.”

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“Spending would likely be particularly effective during downturns since rates of substance use disorders are increasing when unemployment rates rise.” - Christopher Carpenter, Vanderbilt University

10381 CITATION DR, SUITE 250, BRIGHTON, MI 48116 810.626.3036 WWW.MEDSPORTSVANTAGE.COM CONTACT US TODAY

“We were surprised that morphine was able to induce these really long-lasting changes,” says Dr. Peter Grace, the study’s lead author. Dr. Grace says the cause of the chronic pain increase has to do with cells that form part of the immune system. He says if those areas could be isolated or their eects reduced, the resulting pain may not be as great. “If it does turn out to be a relevant issue to patients, then what our study suggests is that targeting the immune system may be the key to avoiding these kinds of eects,” Dr. Grace says. “Opioids could essentially work better if we could shut down the immune system in the spinal cord.” e team’s research only looked at spinal cord injuries and morphine, and did not study other opioids that are commonly prescribed to patients experiencing pain. But he said it’s likely drugs like Vicodin or OxyContin could aect other parts of the body in a similar way. “While we haven't actually tested other opioids in this particular paradigm, we predict that we would see similar eects,” Dr. Grace says.

ain relievers are supposed to relieve pain. It sounds simple enough, but new research suggests a common pain medication may actually be prolonging chronic pain. Morphine is an opioid painkiller commonly prescribed in hospitals and clinics, and while it is eective in the short term, doctors don’t always consider the potential consequences for pain down the road.at’s why a team of researchers based out of the University of Colorado - Boulder set out to study how morphine treatment aects chronic pain, and found some troubling results. e team, which used mice with spinal cord injuries, found that in mice not given morphine, their pain thresholds went back to normal about four to ve weeks after the injury. But mice who were given morphine didn’t see their pain levels return to normal until around 10 to 11 weeks, meaning the use of morphine eectively doubled the length of their chronic pain. P

Chronic problem Chronic pain can be debilitating for many people facing serious health problems, and it can also be a key factor in substance abuse. Many people report developing a dependence on opioids after having them prescribed for an injury. But new research suggests the number of people who develop dependency issues because of chronic pain may be far higher than people realize. A study from researchers at Boston University looked at a group of nearly 600 people who had either used illicit substances or misused prescription drugs.

ey found that 87 percent reported suering from chronic

pain, with 50 percent of those people rating their pain as severe.ey also found that 51 percent of people who had used illicit drugs like marijuana, cocaine and heroin had done so to treat their pain. While many prevention eorts focus on recreational users, the numbers suggest that chronic pain plays just as prominent a role in substance abuse. “Many patients using illicit drugs, misusing prescription drugs and using alcohol reported doing so in order to self-medicate their pain,” the authors of the study wrote. “Pain needs to be addressed when patients are counseled about their substance use.”

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We specialize in: MED SPORTS VANTAGE

• Internal Medicine • Primary Care • Sports Medicine • Taping/Bracing • Injury Prevention • Sports Physicals

• Addiction Medicine • Sports Performance • Back/Neck/Joint Pain • Biomechanical Analysis • Osteopathic Manipulations

10381 Citation Dr, Suite 250, Brighton, MI 48116 | PH: (810) 626-3036

The highest level of Quality, Customer Service and continuous compliance are always met.

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SAMHSA PUBLISHES BEST PRACTICES ON MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER Best Practices

Treatment Improvement Protocol 63, “Medications for Opioid Use Disorder,”

reviews the use of methadone, naltrexone, and

buprenorphine, the three FDA-approved medications to treat opioid use disorders.

Data indicate that OUD-treating medications are both cost effective and cost beneficial

The Substance Abuse and Mental Health Services Administration has published new guidance to help health care professionals better understand medications that can be used to treat Americans with opioid use disorder (OUD). Treatment Improvement Protocol (TIP) 63, “Medications for Opioid Use Disorder,” reviews the use of methadone, naltrexone, and buprenorphine, the three FDA-approved medications to treat opioid use disorders. TIP 63 provides guidance for health care professionals and addiction treatment providers on how to appropriately prescribe these medications and effectively support patients using these medications for OUD treatment. “We know that people can and do recover from opioid use disorders when they receive appropriate treatment, and medication-assisted treatment’s success in treating opioid use disorders is well documented,” said Dr. Elinore F. McCance-Katz, assistant secretary for Mental Health and Substance Use. “TIP 63 emphasizes that increasing access to medications to treat opioid use disorder will help more people recover, enabling them to improve their health, living full and productive lives.” TIP 63 is part of SAMHSA’s larger response to the opioid crisis. More access to treatment with OUD medications is critical to closing the gap between treatment need and treatment availability and an important public health strategy. Data indicate that OUD-treating medications are both cost effective and cost beneficial.

MEDSPORTSVANTAGE.COM

not just a bad habit It’s NOT JUSTA BAD HABIT not just a bad habit It’s T J STA BAD HABIT

Recent research and dialogue in the political sphere have brought long-simmering questions about addiction to the forefront: Is addiction truly a disease? Do addicts deserve to be treated like people who have a R cent r search and ialogue in the political sph r have brought long-sim ering questions about ad iction o the fore: Is addiction truly a disease? Do addicts eserv to b treated lik people who hav a dise s that’s outside their control? disease that’s outside their control? While most researchers agree with the so-called disease model of addiction, stereotypes and cultural bias continue to stigmatize those with addiction because they made an initial choice to consume substances. However, Columbia University researchers point out that “choice does not determine whether 34 disease that’s outside th ir contr l? While most re earchers agree with the so-called disease model of addiction, stereotypes and cultura bi s continue to stigmatize hose with addiction because they made n initial choi e to consume substances. However, Columbia University researchers point ou tha “choi e does not de ermine whether 34 While most r searchers agre wi the so-called isease model of ad iction, st r otypes and cultural bias co tinue to stigmatize those with ad iction because they made an initial choice to consume substances. How ver, Columbia University r s archers point out that “choice does not det rmine whether Recent r search and dialogue in the political sphere have brought long-simmering questions about addiction the fore ront: Is addiction truly a disease? Do addicts de erve to be trea ed like peo l who have

something is a disease. Heart disease, diabetes and some forms of cancer involve personal choices like diet, exercise, sun exposure, etc. A disease is what happens in the body as a result of those choices.” Experts say that applying the distinction of choice to addiction creates biases that justify inadequate treatment. It begs the question New Jersey Gov. Chris Christie asked during a 2015 town hall meeting in New Hampshire. When Christie’s mother was diagnosed something is a disease. H art disease, diabetes and some forms of cancer involve personal choi es like diet, exercis , sun exposure, etc. A disease is what happens in the body as a result of those choi es.” Experts say that applying the distinction of choi e to addiction creates bia es that jus ify inadequate treatment. It begs the question New Jersey Gov. Chris Christie asked during a 2015 town hall meeting in New Hampshire. When Christie’ mother was di gnosed something is a disease. Heart disease, diab tes and some forms of cancer involve personal choices like diet, xercise, sun exposur , etc. A disease is what happens in the body s a result of those choices.” Experts ay th t ap lying the distinction of choice to ad iction creates biases that justify inadequate treatmen . It begs the question New J rsey Gov. Chris Christie aske uring a 2015 town hall me ting in New Hampshire. When Christie’s mother was diagnosed with lung cancer at 71 as a result of addiction to tobacco, he noted that with lung cancer at 71 s a result of ad iction t tobacco, he noted that with lung cancer at 71 as a result of addiction tobacco, he noted hat

no one suggested that she should not be treated because she was “getting what she deserved,” he said. “Yet somehow, if it’s heroin or cocaine or alcohol, we say, ‘Ahh, they decided that, they’re getting what they deserve,’” Christie remarked. HOW ADDICTION WORKS After satisfying basic human needs like food, water, sleep and safety, people feel pleasure. That pleasure is brought by chemical releases in the brain. This is according to Columbia researchers, who note that the disease of addiction causes the brain to release high levels of those pleasure chemicals. Over time, brain functions of reward, motivation and memory are altered. After these brain systems are compromised, those with addiction can experience intense cravings for substance use, even in the face of harmful consequences. These changes can stay in the brain long after substance use desists. The changes may leave those struggling with addiction to be vulnerable to “physical and environmental cues they associate with substance use, also known as triggers, which can increase their risk of relapse,” write Columbia researchers.

not just a bad habit treatment and continued monitoring and support or recovery.

THE COLUMBIA RESEARCHERS DO HAVE SOME GOOD NEWS: Even the most severe, chronic form of the disorder can be manageable and reversible, usually with long term

MISSION STATEMENT

Medical clinic providing sports, primary care and pain medicine with practical solutions and functional health to help individuals attain optimal health for optimal performance. Whether you are an elite athlete, coach, parent, professional, amateur athlete, weekend warrior or fan - your health is a true indication of your performance outcome.

10381 Citation Dr Suite 250 Brighton, MI 48116 810.626.3036 COME GET HELP!

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Too Much? From the Office of Dr. Study cites concern over doctors' prescribing habits

Family physicians are the largest prescribers of opioid pain medications, even outpacing pain specialists, according to a recent study published in the journal JAMA Internal Medicine. The findings reinforce the need for prevention efforts that focus on prescribing behaviors of physicians as well as patients who are at risk of overdosing, the researchers say. “Overprescribing is a national concern, and mitigation efforts should not be oversimplified or targeted to a select few prescribers, or to regions of the country, or to patient populations or communities,” says Victoria Richards, associate professor of medical sciences at Quinnipiac University School of Medicine, in a HealthDay article on the study. According to the advocacy group Physicians for Responsible Opioid Prescribing, many prescribers underestimate the risks associated with opioids – especially the risk of addiction – and overestimate their effectiveness.

Prescription rates vary

painkiller prescriptions per person as those in the lowest prescribing state. Yet, health conditions that cause people pain do not vary much from place to place and do not explain this variability in prescriptions issued. These latest findings add fuel to those who advocate for stricter oversight of narcotic pain medication. Approximately

44 people die each day from prescription opioids, and opioid- related deaths have tripled since the 1990s. More than 80 percent of these deaths are accidental or unintentional, according to the CDC, which estimates that up to 60 percent of opioid overdose deaths occur in people without a prior history of substance abuse.

Another indicator of the need for more scrutiny of prescribing practices is that prescribing rates for opioids vary widely among states, says the Centers for Disease Control and Prevention (CDC). In 2012, health care providers in the highest-prescribing state wrote almost three times as many opioid

Who is prescribing painkillers? In 2013, 15.3 million family practice physicians and 12.8 million internal medicine physicians wrote prescriptions for narcotic pain medication, researchers found in studying Medicare Part D drug coverage claims.The study also found that nurse practitioners wrote 4.1 million prescriptions for narcotic painkillers while physician assistants ordered up 3.1 million.The research, led by Dr. Jonathan Chen of Stanford University, focused on prescriptions for narcotic painkillers containing hydrocodone (drugs such as Vicodin), oxycodone (Oxycontin and Percocet), codeine and others in the opioid class. In studying prescriptions written by 808,020 American doctors in 2013, the researchers found that pain management specialists and anesthesiologists wrote the most prescriptions for opioids. On average, individual pain doctors ordered 900 to 1,100 prescriptions for painkillers in 2013, and anesthesiologists wrote nearly 500. By comparison, each family physician wrote an average of about 160 prescriptions. Because there are many more family doctors than specialists, as a group, their number of painkiller prescriptions was higher than for any other provider category—more than 15 million prescriptions collectively, followed by internal medicine physicians at just under 13 million. In total, these two groups wrote more than half of all opioid prescriptions in the country. Pain specialists, including those involved in the more invasive sub-specialty of interventional pain management, accounted for about 3.3 million prescriptions.

CDC issues draft guidelines In the wake of growing concern over the excessive use of prescription opioids, the CDC recently issued a draft Guideline for Prescribing Opioids for Chronic Pain.The document provides recommendations regarding when and how these drugs are used for chronic pain: selection, dosage, duration, follow- up, and discontinuation; and assessment of risk and addressing harms of opioid use. However, the Guideline is not a federal regulation; adherence to it will be voluntary, the CDC notes. 

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