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Your Fellow Travelers

It has long been known that over evolutionary time the human organism developed in tandem with a vast host of microbial fellow travelers. The 100 trillion microorganisms inhabiting our gastrointestinal tracts assist in numerous physiological processes critical to our health and well being. The intestinal microbiome (commensal microorganisms) helps maintain the integrity and function of the lining of the small intestine, helps us digest our food properly, and assists in training our immune systems to appropriately recognize friends and foes.1,2 Alterations in composition of the intestinal microbiome (dysbiosis) lead to many disorders and diseases, including celiac disease, osteoporosis, autoimmune diseases such as rheumatoid arthritis, and diabetes. Thus, dysbiosis needs to be considered in the evaluation and treatment of many common conditions. Fortunately, many forms of conservative management are available for dysbiosis, including use of probiotics and prebiotics.

Probiotics are formulations of live microorganisms that contain large numbers of colony-forming units, primarily lactobacilli and bifidobacteria.3 Taken as dietary supplements, probiotics persist in the gastrointestinal tract for several days and compete successfully with resident microorganisms. Probiotic bacteria help repair damaged linings of the small intestine, enhance nutrition, and suppress inflammatory intestinal reactions. Importantly, probiotic bacteria ferment undigested carbohydrates in the large intestine and produce nutrients for "good" microorganisms, helping restore the normal composition of commensal microorganisms.

Prebiotics are selectively fermented ingredients (foods) that target specific microorganisms and help restore balance in the intestinal microbiome. The primary targets are bifidobacteria and lactobacilli. By providing dietary substrates, prebiotics stimulate growth of specific bacteria and act to restore a more healthful composition of the intestinal microbiome. Many prebiotics are found naturally in foods such as garlic, onions, asparagus, and leeks. However, an effective means of obtaining prebiotics is to add prebiotic ingredients to bread, yoghurt, and drinks. In order to obtain full benefit, prebiotics and probiotics must be consumed regularly.

Dysbiosis is frequently the result of intolerance to gluten, a class of proteins found in wheat, barley, and rye. Chronic immune and inflammatory reactions to gluten peptides often lead to disturbances in intestinal microorganism homeostasis. Other conditions such as acute intestinal infection disrupt the intestinal epithelial barrier and lead to dysbiosis. The good news is that alterations in composition of the intestinal microbiome are usually correctable by supplementation with probiotics and prebiotics. The key to effective management is knowledge and awareness of the possibility of dysbiosis and access to appropriate methods of natural supplementation.

1Chistiakov DA, et al: Role of gut microbiota in the modulation of atherosclerosis-associated immune response. Front Microbiol 2015 Jun 30;6:671. doi: 10.3389/fmicb.2015.00671. eCollection 2015

2Purchiaroni F, et al: The role of intestinal microbiota and the immune system. Eur Rev Med Pharmacol Sci 17(3):323-333, 2013

3Hajela N, et al: Gut microbiome, gut function, and probiotics: Implications for health. Indian J Gastroenterol 34(2):93-107, 2015

Office Hours

Our Regular Schedule

Jupiter: 561-744-7373

Monday:

8:00am - 12:00pm 2:00pm - 7:00 pm

Tuesday:

2:00 pm 7:00 pm

Wednesday:

8:00-12:00 am 2:00-7:00 pm

Thursday:

8:00 am 12:00 pm

Friday:

8:00-12:00 am 2:00-7:00 pm

Saturday:

8:00 am 12:00 pm

Sunday:

Closed

Palm Beach Gardens: 561-630-9598

Monday:

8:00am-12:00pm 2:00pm -7:00pm

Tuesday:

2:00pm-7:00pm

Wednesday:

8:00am-12:00am 2:00pm-7:00 pm

Thursday:

8:00am-12:00pm

Friday:

8:00-12:00 am 2:00-7:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Port St. Lucie: 772-337-1300

Monday:

8:00am-12:00pm

2:00pm-7:00om

Tuesday:

2:00pm

7:00pm

Wednesday:

8:00am-12:00pm

2:00pm-7:00pm

Thursday:

8:00am

12:00pm

Friday:

8:00am-12:00pm

2:00pm-7:00pm

Saturday:

closed

closed

Sunday:

closed

closed

Testimonials

Reviews By Our Satisfied Patients

  • "My son was referred for PT due to a sports injury. The Physician and Physical Therapist therapist did an amazing job and after 3 sessions he was completely back to normal with full range of motion and no pain. Thank you guys for doing a great job!"
    Mark Shim, 2022
  • "This is the one and only chiropractor I've ever been to. I've been here 2 times and Papa is amazing. He spotted exactly where my pain was fixed me right up. Great staff and awesome service!"
    Adonis Carrasquillo, 2022
  • "I have been a physical therapy patient since 2012. I first used the office for knee rehabilitation. I have had several knee surgeries since. The latest was a broken hip and collar bone. I commend the staff here as they are friendly and professional!"
    Richard Howard, 2022
  • "All of the staff is professional and friendly. Scott and the rest of the Physical therapists do a fabulous job. They are knowledgeable & optimistic on how they can help you. With their support I’m back to full range of motion which I didn’t think was possible. Great team to work with to get back to living!"
    V. Patterson, 2021
  • "I highly recommend coming here or if you have any adjustments that you need or if you’re in any type of pain he definitely takes his time to evaluate you and your situation the staff is very accommodating and friendly. Highly recommend!"
    Jodie Alvarez, 2021
  • "I’m status post hip replacement sept 10th. The staff is terrific. Scott really knows his business . At this point in time, no pain, positive range of motion and strength to that extremity all because of the team work that exists at Papa’s"
    Maureen Simone, 2021
  • "Have been taking treatment from the facility in Jupiter since December 2019 after reinjuring a compromised knee. The staff are all very knowledgeable and proficient, and the people including fellow patients are sociable and friendly, adding extra value and fun to the experience. I have made outstanding progress in a speedy recovery, thanks to everyone helping me and personal attention from Dr. Papa and his associates, Dr. West and Physical Therapists Scott, Krystal, and Paige. Highly recommend this Practice. Wish that they were an option when I injured my knee in high school and later at basic boot camp decades ago. Looking forward to surfing, mountain climbing, skydiving, and bungee jumping again. (LoL!)"
    Richard Kluesek, 2021