Walgreens, CVS, and Rite Aid – What RE Investors Should Know in 2011

February 13th, 2012

Walgreens, CVS or Rite-Aid: Which Tenant Is Best in 2011?

There are 3 major drugstore chains in the US: Walgreens, CVS, and Rite Aid. Below are some key statistics about the 3 major drugstore chains as of July 2010:

Walgreens
ranks #1 with market cap of $29.33 Billion, $66.25 Billion in revenue, and S&P rating of A+. According to Walgreens, 75% US population lives within 3 miles from its stores. On Oct 1, 2009, Walgreens opened its 7000-th store in Brooklyn, New York. In April 2010, it acquired 258 Duane Reade drug stores in New York Metropolitan area.
CVS
ranks #2 with market cap of $42.09 Billion, $99.1 Billion in revenue (CVS revenue alone is less than Walgreens if revenue from its Caremark group is taken out), and S&P rating of BBB+. CVS opened its 7000-th store in Little Canada, Minnesota on October 5, 2009 and currently operates 7025 drug stores..
Rite Aid
ranks #3 with market cap of $869 Million, $25.53 Billion in revenue, 4780 drug stores and S&P rating of B-.

Investors purchase properties occupied by these drugstore chains for the following reasons:

The drugstore business is very recession-insensitive. People need medicine when they are sick, regardless of the state of the economy. Both rich and poor people in the US have access to medicine. Some even argue that low-income people use more medicine due to free or low-cost drugs offered by government-assisted programs. So the tenants should do well during tough time and have money to pay rent to landlords.
The drugstore business has a good prospect in the US:

People are living longer and need more medicine to sustain longevity, e.g. Actonel for osteoporosis, Aricept for Alzheimer’s symptoms. Older people tend to use more medicine than younger ones as they often have more medical problems. As the 78 million baby boomers are getting closer to retiring age starting from 2008, the drugstore chains anticipate the demand for medicine to increase in next 20 years.
The drug market continues to expand as the US population will continue to grow. More and more Americans suffer from various diseases. The number of Americans suffers from seasonal allergies doubled in the last 15 years to 37 million people per Fortune magazine. They spent $5.4 Billion in 2009 for allergy drugs. As their waist lines balloon (75% of Americans are forecasted to be either overweight or obese by 2020), more Americans are diagnosed with diabetes, high cholesterol at younger and younger ages. In addition, doctors also recommend treating various diseases sooner than later due to better understanding about the diseases. For example, doctors now prescribe antiretroviral drugs for patients soon after infected with HIV virus instead of waiting for the infection to become AIDS. More doctors combine insulin with oral medicines to treat type-2 Diabetes instead of just oral medicines alone. All these factors increase the size of the drug market.
Advance in genetic engineering has introduced various new genetic DNA testing kits which allow the genetic diagnosis of vulnerabilities to inherited diseases and disorders. Genetic testing is currently the highest growth segment in the diagnostics industry. Some of these genetic tests will probably transform into direct-to-consumer testing kits available in drug stores in the near future. Upon FDA approval, these new products will potentially bring in additional revenue for drug stores.
The passage of Health Care Reform Bill on March 23, 2010 provides insurance coverage to an estimated 33 million more American. This is a major present to the drugstore industry.
There are new drugs to treat previously untreatable illnesses, and new diseases, e.g. Viagra for men’s unhappiness, Zoloft for depression, Avastin for colon cancer, Herceptin for breast cancer, Nicotine patches for smokers to kick the habit, Tamiflu for a potential bird flu pandemic, vaccine for swine (H1N1) flu pandemic, Tekturna/Rasilez for hypertension and various new drugs for AIDS and Attention Deficit Disorder (ADD). The new medicines are very expensive, e.g. a year’s supply of Avastin costs about $55,000. Eli Lilly has sold about $4.8 billion of Zyprexa in 2007 for schizophrenia and yet most people have never heard of this medicine.
There are existing drugs now approved to treat new illnesses and thus increase their sales revenue. For example, Lyrica was originally intended to treat pain caused by nerve damage in people with diabetes. It is now approved by FDA to treat Fibromyalgia which affects 5.8 million Americans per WebMD.
Big advances in genetics, biology and stem cells research are expected to produce a new class of drugs to treat diabetes, Parkinson’s and various rare genetic disorders. For example the new drug Ilaris from Novartis targets genetic causes of an inherited disorder that there are only 7000 known cases worldwide. However, Novartis hopes to gradually broaden its drugs to a blockbuster drug to more common disorders caused by similar genetics.
Technology and modern life introduce and require new products, e.g. pregnancy test kits, Lamisil for stronger clearer toe nails, Latisse for longer & thicker eyelashes, Premarin for menopausal symptoms, diabetic monitors, electronic toothbrushes, contact lenses, lenses cleaners, diet pills, vitamins, birth-control pills, IUDs, nutrition supplements and Cholesterol-lowering pills (Americans spent nearly $26B in 2006 on Cholesterol medications alone per IMS Health, a Connecticut-based consulting company that monitors pharmaceutical sales.) There are also more surgeries: C-sections, Kidney transplants, open-heart triple by-pass, and breast augmentations. More surgeries mean more medicines are needed such as Vicodin for pain management and Warfarin to prevent blood clots in surgeries.
Before the customers can get to the medicine aisles or pharmacy counters, they have to pass by chocolates, sodas, digital cameras, watches, toys, dolls, beers and wines, cosmetics, video games, flowers, fragrances, and greeting cards. Drug stores hope you use the one-hour photos services and exchange your liquid propane tanks there. The stores also carry seasonal items, e.g. Halloween costumes, and “As Seen on TV” merchandise, e.g. Shamwow. As a result, customers buy more than their prescriptions and medicine in these drugstores. Rite Aid sells more 28,000 non-pharmacy items in its stores while Walgreens has 22,000 different items on store shelves. CVS reported that non-pharmacy sales represented 30% of the company’s total sales in January of 2007. The figure for Walgreens is 34% and 37% for Rite Aid. Many pharmacy locations are in effect convenience stores especially ones that are in residential or rural areas. And so Walgreens hopes that customers also pick up WD-44, and screw drivers at its stores instead of at Home Depot; Thai Jasmine rice, and fish sauce to avoid a trip to Safeway or Kroger Supermarkets. During the recession, sales of these non-drug items are down as customers buy what they need and not what they want. Walgreens tries to reduce the number of items by 4000. It also introduces its own private label which has higher profit margins.
There are more and more generic medications on the market as a number of enormously popular brand-name blockbusters will lose their 20-year long patents, e.g. Lipitor (best selling drug in the world to lower cholesterol) in 2010, Viagra (you know what it’s for) in 2012. Drugstores prefer to sell generic drugs to customers due to higher profit margins than the brand-name medications.
Some people are addicted to pain killers, e.g. Hydrocodone and consume a large amount of medicine, e.g. 30-day dosage in a day to get high. According to testimony from the National Institute on Drug Abuse, US retail pharmacies dispensed nearly 180 million prescriptions in 2007 for opiates, e.g. Hydrocodone. A high percentage of these prescriptions are probably not used for any legitimate medical purposes.
This author estimates that at least 10% of the dispensed prescription drugs are not used at all and sit idle in the medicine cabinets. They are eventually expired and thrown away.

These companies sign very long-term, NNN leases, guaranteed by their corporate assets. This makes the investment in the underlying property fairly low risk, especially for Walgreens with an A+ S&P rating. In fact, these properties are sometimes referred to as investment-grade properties. Once the drugstore chains sign the lease, they pay the rent promptly and timely. This author is not aware of any properties leased by one of these drugstore chains in which the tenants failed to pay rents. Even when the stores are closed due to weak sales (Walgreens closed 119 stores in 2007), these companies may sublease the properties to other companies and continue to pay rents on the master leases.

A typical Walgreens lease consists of 20-25 year primary term plus 8-10 five-year options. During primary term and options, there will be no rent increases in most of the leases. This is the main disadvantage of investing in Walgreens drugstores.
A typical CVS lease consists of 20-25 year primary term plus 4-5 five-year options. The rent is normally flat during the primary term and then there is a 2.5%-10% rent increase in the in each 5-year option.
A typical Rite Aid lease consists of 20-25 year primary term plus 4-8 five-year options. The lease often has a rent increase every 5-10 years.

Investment Risks: Although the pharmacy business in general is recession-insensitive, there are risks involved in your investment:

The main downside about investing in pharmacies is there is little or no rent bump for a long time, e.g. 20-50 years, especially for Walgreens. So the rent is effectively reduced after inflation is factored in. This is one of the main reasons these properties do not appeal to younger investors.
The 3 drugstore chains now have a new formidable competitor, Wal-mart. Wal-mart sells prescription drugs in more than 4000 Wal-mart, Sam’s Club and Neighborhood Market stores in 49 states. The retail giant is known for launching in 2006 a highly-publicized $4 generic prescription drug program which now sells 350 generic medications for a 30-day supply. The actual number of medications is less as the medications with different strengths are counted as different medications. For example, Metformin 500 mg, 850 mg, and 1000 mg are counted as 3 medications. Wal-mart probably makes very little profits on these medications if any. However, the marketing campaign–created by Bill Simon, the President and CEO of Wal-mart US, generates a lot of publicity for Wal-mart. Wal-mart hopes to draw customers to its stores with other prescriptions where it has higher profit margins. In an unscientific survey with just one brand-name prescription of Lyrica, this author finds the lowest price at Costco, the highest price at Walgreens and Wal-mart at the middle. Other drug chains try to counter Wal-mart in different ways. Target now offers the same 350 generic medications for $4 for a 30-day supply. Walgreens has a Prescription drugs club with membership fee which offers 1400 generic medications for as little as $1/week. CVS says it will match any offers from its competitors.
Chief Business Correspondent Rick Newman from US World & News Report predicted that Rite Aid might not survive in 2009. While Rite Aid is still around in 2010, dire predictions continue. The study by Audit Integrity gave Rite Aid about a 10.5 percent chance of filing for bankruptcy in 2010.
Drugs are also sold in thousands of supermarkets, Target stores, and Costco warehouses. However, there are no drive-through windows at these stores or Walmart to conveniently drop off the prescriptions and pick up medicines. Customers will not be able to pick up their prescriptions during lunch hour or after 7PM at Target stores or supermarkets. They need to have membership to buy medicines at Costco. Others may not fill their prescriptions at Walmart because they don’t want to mingle with typical Walmart customers who are in lower income brackets. And some babyboomers don’t want their prescriptions filled at Target or Walmart because there are no comfortable chairs for them to sit down to wait for their medicines.
Many leases in areas with hurricanes and tornados are NNN leases with the exception of roof and structure. So if the roof is damaged, you will have to pay for the expenses.
The tenant may move to a new location down the road or across the street when the lease expires. This risk is high when the property is located in small town where there is low barrier for entry, i.e. lots of vacant & developable land.
The tenant may ask for rent concession to improve its bottom line. The possibility is higher if the tenant is Rite Aid and if the store has low sales revenue and/or higher than market rent.
More Americans are walking away from their prescriptions, especially the most expensive brand-name medicines. This may have negative impact on the sales revenue and profits of drug stores and consequently may cause drug store closures. According to Wolters Kluwer Pharma Solution, a health-care data company, nearly 1 in 10 new prescriptions for brand-name drugs were abandoned by people with commercial health plans in 2010. This is up 88% compared to 4 years ago just before the recession began. This trend is driven in part by higher and higher co-pays for brand name drugs as employers are shifting more insurance costs to their employees.

Among 3 drugstore chains, Walgreens and CVS pharmacies in general have the best locations-at major intersections while Rite Aid has less than premium locations. Walgreens tends to hire only the top graduates from pharmacy schools while Rite Aid settles with bottom graduates to save costs. When possible all drugstore chains try to fill the prescriptions with generic medications which have higher profit margins

Walgreens: the company was founded in 1901 by Charles Walgreen, Sr. in Chicago. While the company has existed for more than 100 years, most stores are only 5-10 years old. This is the best managed company among the three drugstore chains and also among the most admired public companies in the US. The company has been run by executives with proven track records and hires the top graduates from universities. Due to its superior financial strength–S&P A+ rating– and premium irreplaceable locations, properties with leases from Walgreens get the highest price per square foot and/or the lowest cap rate among the 3 drugstore chains. In addition, Walgreens gets flat rent or very low rent increase for 20 to 60 years. The cap rate is often in the low 6% to 7.5% range in 2009. Investors who buy Walgreens tend to be more mature, i.e. closer to retirement age. They are looking for a safe investment where it’s more important to get the rent check than to get appreciation. They often compare the returns on their Walgreens investment with the lower returns from US treasury bonds or Certificate of Deposits from banks. Walgreens opened many new stores in 2008 and 2009 and thus you see many new Walgreens stores for sale. It will slow down this expansion in 2010 and focus on renovation of existing stores instead

CVS: CVS Corporation was founded in 1963 in Lowell, MA by Stanley Goldstein, Sidney Goldstein, and Ralph Hoagland. The name CVS stands for “Consumer Value Stores”. As of 2009, CVS has about 6300 stores in the US, mostly through acquisitions. In 2004, CVS bought 1,200 Eckerd Drugstores mostly in Texas and Florida. In 2006, CVS bought 700 Savon and Osco drugstores mostly in Southern California. And in 2008 CVS acquired 521 Longs Drugs stores in California, Hawaii, Nevada and Arizona for $2.9B dollars. The acquisition of Long Drugs appears to be a good one as it CVS does not have any stores in Northern CA and Arizona. Besides, the price also included real estate. It is also bought Caremark, the largest pharmaceutical services company and changed the corporation name to CVS Caremark. When CVS bought 1,200 Eckerd stores, it formed a single-entity LLC (Limited Liability Company) to own each Eckerd store. Each LLC signs the lease with the property owner. In the event of a default, the owner can only legally go after the assets of the LLC and not from any other CVS-owned assets. Although the owner loses the guaranty security from CVS corporate assets, this author is not aware of any incident where CVS closes a store and does not pay rent.

Rite-Aid: Rite Aid was founded by Alex Grass (he just passed away on Aug 27, 2009 at the age of 82) and opened its first store in 1962 as “Thrif D Discount Center” in Scranton, Pennsylvania. It officially incorporated as Rite Aid Corporation and went public in 1968. By the time Alex Grass stepped down as the company’s chairman and chief executive officer in 1995, Rite Aid was the nation’s largest drugstore chain in terms of total stores and No. 2 in terms of revenue. His son, Martin Grass, took over but was ousted in 1999 for overstatement of Rite Aid’s earnings in the late 1990s. Rite Aid is now the weakest financially among the 3 drugstore chains. In 2007, Rite-Aid acquired about 1,850 Brooks and Eckerd drugstores, mostly along the East coast to catch up with Walgreens and CVS. In the process, it added a huge long term debt (currently owes over $5.69 Billion) and is the most leveraged drugstore chain based on its market value. The integration of Brooks and Eckerd did not seem to go well. Revenue from some of these stores went down as much as 20% after they change the sign to Rite Aid. In 2009, Rite-Aid had over 4900 stores and over $26 Billion in revenues. The figures went down in 2010 to 4780 stores and $25.53 billion in revenue. On January 21, 2009 Moody’s Investor Services downgraded Rite Aid from “Caa1″ to “Caa2″, eight notches below investment grade. Both ratings are “junk” which indicate very high credit risk. Rite Aid contacted a number of its landlords in 2009 trying to get rent concession to improve the bottom line. In June 2009, Rite Aid successfully completed refinancing $1.9 Billion of its debts. However, it continues to struggle in 2010 as same store sales decreased 2.5% in June, 1.7% in May, 1% in April,.1% in March, 3.2% in February, and 2.1% in January..

Things to consider when invested in a pharmacy

If you are interested in investing in a property leased by drugstore chains, here are a few things you should consider:

If you want a low risk investment, go with Walgreens. In stable or growing areas, the degree of safety is the same whether the property is in California where you get a 6% cap or Texas where you may get a 7.5% cap. So, there is no significant advantage to invest in properties in California as the property value is based primarily on the cap rate. In 2010, the offered cap rate for Walgreens seems to come down from 7.5%-8.4% in 2009 to 6.5%-7.5% for new stores.
If you are willing to take more risk, then go with Rite-Aid. Some properties outside of California may offer up to 10% cap rate in 2010. However, among the 3 drug chains, Rite Aid has 10.5% chance of going under in 2010. Should it declare bankruptcy, Rite Aid has the option to pick and choose which locations to keep open and which locations to terminate the lease. To minimize the risk that the store is shuttered, choose a location with strong sales and low rent to revenue ratio.
Financing should be an important consideration. While the cap rate is lower for Walgreens than Rite Aid, you will be able to get the best rates and terms for Walgreens. A 7.25% cap Walgreens with 5.25% interest rate on the loan will generate more cash flow than a 10% cap Rite Aid with 9% interest rate (if you could find a lender for Rite Aid).
If you are not a conservative investor or risk taker, you may want to consider a CVS pharmacy. It has BBB+ S&P credit rating. Its cap rate is higher than Walgreens but lower than Rite Aid. Some leases may offer better rent bumps. On the other hand, some CVS leases, especially for properties in hurricane areas, e.g. Florida are not truly NNN leases where landlords are responsible for the roof and structure. So make sure you adjust the cap rate down accordingly. Some of the CVS locations have onsite Minuteclinic staffed by registered nurses. Since this clinic idea was introduced recently, it’s not clear having a clinic inside CVS is a plus or minus to the bottom line of the store.
All 3 drugstore chains have similar requirements. They all want highly visible, standalone, rectangular property around 10,000 – 14,500 SF on a 1.5 – 2 acre lot, preferably at a corner with about 75 – 80 parking spaces in a growing and high traffic location. They all require the property to have a drive-through. Hence, you should avoid purchasing an inline property, i.e. not standalone and property with no drive-through windows. There is a chance that these drugstores may not want to renew the lease unless the property is located in a densely-populated area with no vacant land nearby. In addition, if you acquire a property that does not meet the new requirements, for example a drive-through, you may have a problem getting financing as lenders are aware of these requirements.
If the pharmacy is opened 24 hours a day, it is in a better location. Drugstore chains do not open the store 24 hours day unless the location draws customers.
Many properties may have a percentage lease, i.e. the landlord can get additional rent when the store’s annual revenue exceeds a certain figure, e.g. $5M. However, the revenue used to compute percentage rent often excludes a page-long list of items, e.g. wine and sodas, tobacco products, items sold after 10 PM, drugs paid by governmental programs. The excluded sales revenue could account for as much as 70% of store’s gross revenue. As a result, this author has seen only 2 stores in which the landlord is able to collect additional percentage rent. The store with a percentage rent is required to report its monthly sales to the landlord. As an investors, you want to invest in a store with strong gross sales, e.g. over $500 per square foot a year. In addition, you also want to check the rent to revenue ratio. If the figure is in the 2-4% range, the store is likely to be very profitable so the chance the store is shut down is low.
It does not matter how good the tenants are, avoid investing in declining and/or low-income areas or small towns with less than 30,000 residents within 5 miles ring. In a small town, it may be the only drug store in town and captures most of the market share. However, if a competitor opens a new location in the area, revenue may be severely affected. These properties are easy to buy now and hard to sell later. In 2009 where the credit market is tight, you may have problems finding a lender to finance these properties.
Many properties have an existing loan that the buyer must assume. If you have a 1031 exchange, think twice about buying this property. You should clearly understand loan assumption requirements of the lenders before moving forward. Should you fail to assume the existing loan (assuming an existing loan is a lot more difficult than getting a new loan), you may run out of time for a 1031 exchange and may be liable to pay capital gain.
With few exceptions, drugstore chains do not own the stores they occupy for several reasons. Here are just a couple of them:

They know the pharmacy business but don’t know real estate. Stock investors also don’t want Walgreens to become a real estate investment company.
Owning the real estate will require them to carry lots of long term debts which is not a brilliant idea for a publicly-traded company.

About 10% of the drugstore properties for sale and typically CVS pharmacies require very small amount of equity to acquire, e.g. 10% of the purchase price. However, you are required to assume an existing fully-amortized loan with zero cash flow. That is, all of the rent paid by the tenant must be used to pay down the loan. The cap rate may be in the 7% range, and the interest rate on the loan could be attractive in the 5.5% to 6% range. Hence, the investor pays off the loan in 10 to 20 years. However, the investor has no positive cash flow. This requires you to come up with outside cash to pay income tax on the rental profits (the difference between the rent and mortgage interest). The longer you own the property, the more outside cash you will need to pay income taxes as the mortgage interest will get less and less toward the end. So who would buy this kind of property?

The investors who have substantial losses from other properties. By acquiring this zero cash flow property, they may offset the income from the drugstore tenant against the losses from other investment properties. For example, a property has $105,000 of rental profits a year, and the investor also has losses of $100,000 from other investment properties. As a result, the combined taxable profits are only $5,000.
The uninformed investors who fail to consider that they have to raise additional cash to pay income taxes.

Out of the Box Thinking If you put too much weigh on the S&P rating of the tenants, you may end up either taking a lot of risks or passing up good opportunities.

Good location should be the key in your decision on which drug store to invest in. It’s often said a lousy business should do well at a great location while the best tenant will fail at a lousy location. A Walgreens store that is closed down later on (yes, Walgreens closed 119 stores in 2007) is still a bad investment even though Walgreens continues paying rent on time. So you don’t want to blindly invest in a drug store simply because it hasa Walgreens sign on the building.
No company is crazy enough to close a profitable location. It does not take a rocket scientist to understand that a financially-weak company like Rite Aid will make every effort to keep a profitable location open. On the other hand, a financially-strong Walgreens will need justifications to keep an unprofitable location open. So how do you determine if a drug store location is profitable or not if the tenant is not required to disclose its profit & loss statement? The answer is you cannot. However, you can make an educated guess based on store’s annual gross revenue is often reported to the landlord as required by the percentage clause in the lease. With the gross revenue, you can determine the rent to income ratio. The lower the ratio, the more likely the store is profitable. For example, if the annual base rent is $250,000 while the store’s gross revenue is $5M then the rent to income ratio is 5%. As a rule of thumb, it’s hard to make a profit if this ratio is more than 8%. So if you see a Rite Aid with 3% rent to income ratio then you know it’s likely a very profitable location. In the event Rite Aid declares bankruptcy, it will keep this location open and continue paying rent. If you see a Rite Aid drug store with 3% rent to income ratio offering 11% cap, chances are it’s a low risk investment with good returns. The weakness of corporate guaranty from Rite Aid is probably not as critical and the risk of having Rite Aid as a tenant is not really that significant.
Drug stores with new 25 years leases tend to sell at lower cap, e.g. 7-7.5% cap on new stores versus 8.0-8.5% cap on established locations with 8-10 years remaining on the lease. This is because investors are afraid that the tenants may not renew the leases. Unfortunately, lenders also have the same fear! As a result many lenders will not finance drug stores with 2-3 years left on the leases. The fact that drugstores with new leases have a premium on the price means they have potential of 10% depreciation (buying new at 7.3% cap and selling at 8.3% cap when the leases have 10 year left). Some investors will not consider investing in drug stores with 5-10 years left on the lease. They might simply ignore the fact that the established stores may be at irreplaceable locations with very strong sales. Tenants simply have no other choices other than renewing the lease.

Broker Property Load Resistor Rowing Machine Workout

Regency Clinic, More 4 account “Like a virgin”, Dr. Magdy Hend

February 5th, 2012

Regency Clinic in London offers hymen reconstruction “Hymenoplasty” under local anaesthesia in about half an hour, pain free. visit our web site for more details WWW.REGENCYCLINIC.CO.UK hymenplasty hymen reconstruction virginity test magdyhend Dr. hend regency clinic virgin magdy like repair documentary news Labiaplasty Labioplasty vaginal cosmetic surgery nile street regency clinic channel lip reduction dr. magdy hend medicine, dr infertility fertility Virility penile elongation Circumcision Vaginal Surgery Breast, Implants baby tubal catherization TCTC Hormone replacement Male Surgery London Medical Procedures Science gynaecology gynaecologist Harley Street Regency Pregnant Pregnancy Botox Lips Hymen Penis Enlargement repair Hymen Embarrassing bodies channel 4 hospital clinic genital genitalia labia labia reduction large labia

Man Utd

Driving And Back Pain – Is Your Car Seat Causing Lower Back Pain?

January 29th, 2012

A lot of us experience lower back pain whilst driving. A number of researches have investigated the relationship between driving and Back Pain, which uncovered uncovered some interesting results. One finding is a comparison of drivers in the USA and in Sweden found that 50% of people questioned in both countries reported low back pain.

So what is the connection of driving and back pain?

So far research has found three factors for low back pain whilst driving. The first one is the vibration from the engine (something that you can not change), the sitting position is the second factor and the third one is the length of time that we drive.

Scientists at laboratories have researched the effects of vibration of our body whilst driving. The Lumbar Spine(lower back) naturally resonates at a frequency of 4-5 Hertz and from research they found that this natural frequency can be distorted. This distortion can result into higher spinal loadings (compression) in the lower back, therefore causing an increased chance of low back pain. As mentioned before you can not change the vibration of the engine, but what you can do to reduce the effects of this on your lower back is to drive shorter periods at a time.

It is a lot easier to get comfortable in your seat when the car is stationary, a bit like sitting in a normal chair. But once you start driving the body will be subject to various forces like accelerations and decelerations, lateral movements from side to side and whole body vibrations.When we sit on a chair our feet, when on the floor, are used to support and stabilise the lower body. Whilst driving our abdominal muscles can not provide enough stability to our upper body and arms when turning the wheel. This will result in a significant increase of torsional stresses in the lower back, which in return will significantly increase the risk of low back pain.

To start with we should address one more important issue first – we all are guilty when it comes to adjusting our car seats correctly! In 2004 one of the largest car insurance companies (I won’t mention a name, after all you may think I am paid to write about this), released the findings of a research into how we sit in our car. (about 2.000 people were involved in this).

The research resulted in the following -

The headrest was found to be in an incorrect angle when driving of 61% of people involved in the study. This will increase the chance of ruptures of the spinal ligaments or worse when involved in an accident.

50% showed a slouched or hunched position over the steering wheel.

About a third of the drivers had back pain whilst driving.

25% tilted their heads or shifted in their seats each time they had to look into the ‘rear view mirror’.

Wearing unsuitable footwear or clothing happened to 34% of the drivers.

Please find below a list of 10 ways that can help to improve your seating position, make your driving experience more comfortable.

The Seat

Make sure that your bottom sits all the way in the back of the seat – where the base and the back of the seat meet. This will help to make you sit more upright and maintain the natural curvature of the spine, minimizing the stress on the spinal ligaments. If your seat has a lumbar roll built in have this all the way out – most cars with lumbar support that i tried do not allow enough support fom this lumbar roll, therefore it would be best to have it all the way out.

The Base length and Height of the Seat

The base of the seat should never touch the back of your knees and the front of the base should be slightly higher then the back, helping to provide more support and allowing you press the pedals without changing your spinal posture.

The Backrest

First relax back into your seat, place the seat at about a 10-15 degrees incline from the vertical position. If this feels unnatural to you then it probably means that the backrest is not upright enough for you. This can result into neck strain and / or coccyx (sitting bone) pain. Move the backrest more upright or if that doesn’t help you can place a small towel (folded in three) against the midspine, between the shoulder blades.

The Headrest

Have you ever noticed when watching an American movie that the headrests are often missing from the seats – it makes me crinch each time i see this (ooch). So much for giving a good example to our children. The position of your headrest will not only help to minimise the injuries of an accident but also to help to allow a better posture. The bony bit at the back of your head (known as the ‘inion’) is a good guiding point, the headrest should be level with this. There should be about 2.3 cm’s (1 inch for the non -metrics) between the back of your head and the headrest, when you are in the sitting position as described earlier. This to absorb shock as much as possible. This allows for the ligaments and the muscles of your neck to control the posture of your head better and giving better support in case of an accident.

Seat – Pedal distance

Make sure you have the distance between seat and the pedals so that when operating the pedals this does not cause you to over strech your legs or twist your body in any way. Thus your legs should not be straight when pushing the throttle or clutch all the way down. Obviously your knees should not be bend to the point you cannot easily move from one pedal to another. It is normally adviced to have your knees bend about 45 degrees.

The Arm position

Your arms should be as relaxed as possible, elbows bend around 20-30 degrees. If your steering wheel is adjustable have it in the mid to lower position (make sure the wheel does not partially obstruct the instrument panel), this will help to reduce the stress on your shoulders. Your hands should be positioned at ‘10 past10′ and not as is suggested left hand at 9 o’clock and right hand at 3 o’clock.

The Armrests

If your seat has armrests then it is adviced to use these. As a guidance you should position the armrests so that they gently support the elbows, any more will cause the shoulders to rise and increase the change of straining your neck.

The Mirrors

These should only be adjusted once you have positioned your seat as described above. If not sure then please revisit the information again how to adjust your seat. The mirrors should be adjusted to allow you to freely look into them without the need of having to move your head much. you either have adjusted the mirrors incorrectly or you are to close to the steering wheel.

Adjusting Seat at intervals

This sound great in theory but for most of us this may be akward whilst driving. For those who have electric seats it is easier (although it always advicable to stop first), just reach for the buttons to adjust the seat without the need to take our attention of the road. It is said that you should be doing this every 30 mins. to reduce the incidents of back pain. This allows to change the pressure that is placed on the spine is varied regularly. Once arrived at your destination it would be good to strech! (don’t worry if it looks funny, soon everybody in the carpark will join in – you can be proud having started a new ‘healthy’ trend)

Have breaks

We all have seen the ‘take a break’ sign along the roads, helping you to avoid falling asleep behind the wheel. Taking a break helps your back as well, so when you need to take a rest you can have a strech at the same time to help your back. An hour maximum is the current thinking, although these tips should be taken as a general rule. This is a good time to adjust your seating position!

Compare Secured Loans Lasik Surgery

Cancun Cosmetic Dentistry | Snap On Dentures

January 23rd, 2012

Snap On Dentures in Cancun, Mexico. Save Up to 70% in all dental treatments. www.cancuncosmeticdentistry.com

Animal Supplements

Olive Oil Beauty Tips

January 4th, 2012

Simply put- it’s pure. So pure, it’s often called extra virgin.

If you’ve never used olive oil on your skin, let it touch you for the first time and give you that summer glow.

Break open your cupboard and use some natural olive oil to repair your dry skin, damaged hair and more.

Olive oil is the only oil made from a fruit. It’s not only good for your heart, but also great to apply on your body. Holistic Healer, Stephanie Moore gives these olive oil beauty tips:

“Cuticles and nails: If your cuticles are ragged and your nails are brittle, soak your nails in a cup of olive oil.

Feet: Before you go to bed, smear olive oil on your feet, put on socks, and you’ll wake up in the morning with the softest feet ever.

Lips: Soothe your dry, chapped lips, by dabbing on a little olive oil.

Hair: Massage olive oil on your scalp and hair. Cover your hair with a shower or bathing cap and leave on for about 30 minutes. Shampoo. Olive oil helps repair split ends, heals dandruff, and makes your hair silky, and lustrous. Put a few drops on your hair when it’s dry to eliminate the frizz.

Skin: Rub olive oil on your hands to soften and moisturize. It’s rich in squalene, a natural organic compound and emollient that penetrates the skin, and won’t leave a greasy film on it.

Bath: Add a few tablespoons of olive oil to your bath to soothe your skin.

Makeup remover: Use a little olive oil on a Q-tip to take your makeup off. It’s as good as any drugstore brand.”

Look for olive oil in lip balms, shampoo, hand lotion and soaps – and always use the purest extra virgin olive oil, which is the least processed, and gets its oil from the first pressing of olives.

Use extra virgin olive oil not only internally for your inner health, but externally for your outer beauty as well.

Now’s the time to stop being an (olive oil) virgin.

Dial Internet Free Weight Training Wavefront Lasik

Omega Laser Therapy – Rogers 22 Interview – Jan 7, 2009 B

January 3rd, 2012

Quit Smoking Today. Ontario’s most reputable laser therapy clinics. Imagine how great you’ll feel once you’ve made your appointment to stop smoking! Laser Therapy Interview and Technique TV Interview with John Piche.

Handheld Digital Multimeter

Richmond Cosmetic Dentistry Tailor Fit a Smile Exclusive for You

May 3rd, 2011

Dental clinics are more often than not associated with screams and agonizing drillings. People tend to sleep their toothaches away, hoping that there will be no pain the day after. Most of the time, children have the toughest time which they may bring this till they become adults. Perhaps a muscular guy at the beach who attracts all the chicks has fear of dentists. Possibly his smile is not as appealing as his physique. What’s embarrassing is when he sees a tooth doctor; he heads for the hills like a school girl. Not so macho now, eh?
Both young and old feel at home in Richmond Cosmetic Dentistry. Youngsters are actually rewarded with treats for behaving like saints. Never humiliate yourself by sweating like a pig. Kids are pretty comfy there, so I’m quite positive that you’ll be, too. The place is not like a mental institution. Patients are not strapped down and chased by security. In fact, no one ever run away. The dental chair has no straps, if that’s what you’re thinking. The crew is hospitable and sunny thus the ambiance is calming. Guests are not considered loco. The dental chair is like a podium and the staff is waiting for the clients to speak to cater their every need.
Have confidence in the most excellent dental expert only. Dr. Charles Martin is the Richmond dentist whom clientele counts on. He already exceeded the compulsory quantity of hours for licensure yet he still continues signing up for dental programs. He is oozing with information that he wants to contribute it to humanity by putting it down into words. At this point, he has published three books. On top of that, he imparts his know-how by educating dentists all around the United States.
You don’t have to bother going from one medical center to another. Richmond Smile Center can carry out tasks your mouth wishes in one place alone. This is not merely for marketing, make an effort to check out the place or simply by surfing the net and you’ll know that is not all made up. They can absolutely undertake your demands and generate superior final products that last for an extended time. This clinic is technologically advanced with innovative equipment and procedures. Assuming that pain is intolerable for you, sedation can be provided by the dentist. Moreover, a handful of patients, don’t seek for it. Unquestionably, trust is not an issue. Clients keep coming back for more.
Has old age to gotten you? Richmond Smile Center guarantees to create a youthful appearance by producing a superstar smile tailored solely for you.

See Also : golf balls golf club jewelry Laptop Rating Personal Injury Lawyer Attorney Laptop Motherboard