Inflammation: Friend or Foe? | We ask Dr. Soroush Ebtash!

Almost everyday we talk to our patients about the role of your immune system in pain and inflammation.

It’s easy to forget that the immune system that is responsible for fighting germs and illness is the same immune system that produces the inflammation that heals sprained joints or causes arthritic joint pain.

It’s also easy to forget that inflammation in itself is not good or bad. It’s a response from specific cells and systems in the body in response to a perceived threat.

While chronic inflammation can have negative effects on your heart, arteries, and brains, we need acute inflammation to help heal from injuries and to fight off infectious diseases.

A key lynchpin to an appropriate immune and inflammatory responses goes back to the brain and nervous system.

Acute inflammation acts like a reflex not much different than when a doctor taps on your knee to see if it kicks. If you have a cut or scrape, your immune system will kick into gear to wall that area off from germs and create heat and swelling and there’s nothing you can do about it. It’s embedded into our physiology.

However, chronic inflammation is something in which our brains have a say. Exercise, nutrients, fasting, meditation, and a wide variety of interventions have the ability to use our brain to modify how our immune systems produces inflammation.

It’s through this understanding that we have the ability to help address some of the chronic inflammation that leaves us susceptible to the chronic diseases of aging.

If you have concerns about inflammation and how it is affecting your body, feel free to reply to this email with your questions, and we’ll get back to you if we have good answers.

Coffee – is it bad for me? | We ask Meagan Grossman, our Naturopath

Here at The Wellness Place, we sure do love our coffee! In fact, after water, coffee is reported as one of the most widely consumed beverages in the world. There is nothing better than a good ol’ cup of coffee first thing in the morning, however, only a few years ago we were learning about the dangers of coffee consumption particularly regarding blood pressure, racing heart and impaired sleep. Luckily for our energy levels, the research is now suggesting some interesting health benefits linked to coffee.

Coffee is produced from the dried seeds of the Coffea arabica and Coffea canephora (known as “Robusta”) plants. These are then roasted and ground to create our beloved espresso.

Interestingly, the World Health Organisation used to have coffee listed as a carcinogenic agent but was removed from this list in 2018 in light of updated research where the International Agency for Research on Cancer (2016) found that it is unlikely that coffee has any effect on the risk of developing cancer of the pancreas, bladder, prostate or breast. In fact, they also found in this review that coffee may exhibit a protective effect against the development of liver and endometrial cancers.  

Coffee beans are rich in certain plant constituents such as polyphenols, soluble fibre and potassium which may exert a beneficial effect on the cardiovascular system which is made up of the heart and blood vessels. Coffee is also rich in antioxidants which help to fight free radicals in the body and reduce inflammation. Among its beneficial constituents, is an alkaloid we all know very well as caffeine. Caffeine is a stimulant that increases activity of the brain and nervous system. It also increases circulation so it is important to note that it can increase circulation of stress hormones such as adrenaline and cortisol. 


Caffeine is well absorbed by the body and you may notice it’s effects within 5-30 minutes after consuming it. You may notice an increase in mental alertness, focus and physical exertion and reduced feelings of fatigue after a cup of coffee. 

In recent years, research has shown coffee consumption to be associated with a decreased risk of developing the following:

–   type 2 diabetes 
–   cardiovascular disease (including heart attack and stroke)
–   Dementia
–   Glucose tolerance
–   Hyperglycaemia
–   Insulin sensitivity
–   Parkinson’s disease
–   Liver cirrhosis
–   Gout 

Should you drink coffee?

If you do not like coffee or are more susceptible to side effects, it is probably best to stay away from it. For those of us that do like coffee however, growing research has shown the potential health benefits of coffee consumption but it is important to avoid it in the afternoon where possible to prevent any sleep disturbances.

As you have probably experienced, going overboard with your coffee consumption can produce some uncomfortable side effects including:

–   Anxiety
–   Insomnia
–   Digestive disturbances including diarrhea, nausea and heartburn
–   Headaches
–   Jitters and heart palpitations

If you already have anxiety or insomnia, it’s probably best to avoid drinking coffee while you address the root cause of these issues due to the risk of exacerbating your symptoms.

Like pretty much everything, the effect coffee will have on you is variable from person to person and should not be consumed in excess.

Why You Should Sit Up Straight? | We ask Dr Soroush Ebtash.

Remember when your mother used to say things like, “Eat all your vegetables.” And, “Look both ways before you cross the street.” Well, let’s not forget her mantra, “Sit up straight!” I catch myself reminding my kids on daily basis too.

So many people today work in sedentary jobs that require them to sit for most of the workday. However, whether sitting at a desk, a football game, or in front of a television set, good posture is imperative to your spinal health. And poor postural habits are a leading contributor to neck and back pain.

It has been a concern of mine in the last few years to note even a more drastic change in the spinal presentation of youth and teenagers with reverse spinal curvature in the neck and accentuated curvature in the mid-back regions. While I consider that there are many reasons behind this, I would also stipulate that the introduction and utilisation of hand-held devices have something to do with this rapid change.

Checking Your Posture

Let’s take a look at how you’re sitting right at this moment.

  • Are your feet flat on the floor, with your knees at a 90-degree angle?
  • Are your buttocks, back, and shoulders up against the backrest of your chair?
  • Does the chair you’re sitting on, provide enough lumbar support?
  • Does the backrest fit into the natural curve of your spine?
  • Are your shoulders relaxed and even, not hunched in a forward position?
  • Is your bodyweight equally distributed across both hips?
  • Are your knees level with or slightly higher than your hips?

If you answered “No” to any of these questions, you are probably exerting undue stress on your spine; this will eventually cause back pain.

Change How You Sit
Keep in mind that it is not a good idea to sit in the same position for more than 40 minutes. Chronic slouching can lead to semi-permanent postural and structural changes and may affect the discs between the vertebrae to cause them to bulge or become herniated.
Take the time to stand up and stretch your back and legs or take a short walk periodically. Australian Chiropractors’ Association has released a widget that can be downloaded for free on your computers to remind you every 30min to change your posture, take a mini-break, go for a walk or do some stretches. I highly regard this initiative.
If you’re already finding that back pain is creeping into your life, give us a call on 08 9379 3838.