What You Can Do to Maintain Your Total Health and Fitness

There are many ways to keep your body fit and healthy. Simple exercises such as taking the stairs can help you reach your goal of 10,000 steps a day. Stretching is also an important part of Total Health and Fitness, as it helps keep your muscles limber and flexible, and can prevent injuries. Practicing stretches regularly can also help you stay mobile and move freely as you get older. Listed below are some of the most basic exercises to keep your body fit. Exercise Regular exercise improves cardiovascular function and blood oxygenation, makes your muscles more efficient, and reduces demand on your lungs. As a result, you will burn fewer calories during physical activity. Studies have shown that regular exercise increases energy levels in people with serious conditions like cancer. Furthermore, it improves overall health, and can help you talk and think more clearly. There are numerous other health benefits of regular exercise, including reducing the risks of developing diabetes, depression, and obesity.A moderate-intensity physical activity (MIAP) is recommended for most people. This activity should last at least 60 minutes. If you have the time, you can also break this up into shorter bursts. Moderate-intensity physical activity may include brisk walking, jogging, cycling, swimming, and playing sports. The duration of moderate-intensity physical activity can vary depending on your preferences, but it should be at least 150 minutes per day. Muscle strength Muscle strength is a vital component of total health and fitness. You can build muscle strength by doing everyday activities, such as lifting heavy items and walking up and down stairs. You can also improve your muscular strength by doing push-ups and sit-ups, which don’t require any special equipment. But, to maximize muscle gains, you should train the correct way and follow an exercise routine that you enjoy. The goal of building muscle strength is to increase your overall strength. Muscular strength refers to your ability to exert the greatest force against an object, while muscular endurance refers to how long you can sustain that force. Muscular strength is important for maintaining a healthy body weight, and it boosts athletic activity. It can also improve your mood and energy levels, and it can help you sleep better at night. Muscular strength also helps you develop good posture, relieve back pain, improve balance, and decrease the risk of injury. Stretching Doing some form of stretching on a daily basis is a great way to stay healthy and fit. There are many benefits to stretching, including improved flexibility, and you can even stretch to lose weight! The most important thing to remember when stretching is to not bounce or jerk your body, as this can cause muscle tightness and injury. Try to hold each stretch for ten to thirty seconds, and gradually increase the time. A proper warmup can help your body feel more relaxed and reduce your stress levels. Stretching helps to balance cortisol levels in your body, which in turn helps you make better decisions and avoid unhealthy habits like eating too much junk food or watching TV. When you are stress free, you will feel better and have more energy to workout! During your warmup, you should perform a few simple stretches like knee stretches, hip stretches, and hip flexor stretches before you engage in strenuous activity. Moving more If you’re looking for a simple, quick way to improve your overall health and fitness, consider adding more movement to your life. Simple changes such as a daily walk, adding fruit to your cereal, drinking more water, and saying no to the second helping of potatoes will go a long way toward making a healthier lifestyle. Getting moving more often is a great way to set a good example for your kids, stay active at work, and keep up with the housework. Taking the stairs If you’re looking for a way to improve your total health and fitness, take the stairs! You can easily add a few extra steps to your daily routine, and you don’t even have to join a gym or change your clothes. In fact, you can do stair climbing from the comfort of your home. You may find that you even prefer it to running or using an exercise bike. One study found that climbing stairs burns a minimum of 0.1 calorie per step. This amount is higher for heavier people, who tend to burn more calories. And the benefits are immediate. One minute of daily stair climbing equals up to 192 steps! Not only does it boost your total health and fitness, but it’s also fun and easy to incorporate into your daily routine. Even if you can’t get up and down the stairs, you can sneak in some stair-climbing while you’re working.

Should I Go to a Hospital or a Dentist for My Dental Emergency?

While most hospital are well equipped to deal with emergency medical situations, they lack the experience and training required to handle dental emergencies. Dentists specialize in oral issues and are often the best option in an emergency. Despite extensive training in medicine, Doctors are not trained to treat oral issues. In fact, almost 1.65 million emergency room visits each year could be handled at a dental clinic. Preventative dental care Thankfully, many preventative dental care methods are effective for preventing the majority of dental emergencies. Visiting a Dentist Ventura CA at least twice a year and practicing good oral hygiene can go a long way in preventing a dental emergency. Make it a habit to brush twice a day and floss at least once a day, and avoid eating brittle or hard foods. This will prevent cavities and other issues from developing and can also help keep your children’s teeth in good shape.Regular cleanings and checkups are also important for the prevention of gum disease, a common cause of tooth loss in adults. If your gums are swollen or bleed, bacteria may be trapped underneath the gum tissue. A regular dental appointment can detect early signs of gum disease, and deep cleanings will remove the buildup of plaque and bacteria. If the disease is left untreated, the gums will recede, exposing them to further attack and bone loss. Visiting a dentist instead of a hospital Emergency rooms are not equipped to handle many kinds of dental emergencies. Emergency rooms are crowded and a dental emergency can lead to a more complex problem, and you can also increase your risk of getting sick from the coronavirus by waiting in a hospital emergency room. Visiting a dentist, on the other hand, is a safer option because dental offices see very few patients and specialize in dental emergencies. First, hospitals are strained to treat patients with COVID-19. Not only are emergency rooms overcrowded, but they have a limited supply of personal protective equipment and supplies. Dentists have the knowledge and experience necessary to address a wide range of dental emergencies. Plus, dentists have more space and are less likely to turn away a patient who has a dental emergency. Taking ibuprofen Ibuprofen is one of the most popular over-the-counter painkillers used for dental emergencies. Although this drug is well tolerated, some people may experience gastro-intestinal upset when taken in large amounts. However, this painkiller can be a safer choice than opioid medications, and is often used in conjunction with paracetamol. It is also not recommended for people with asthma, and other warnings include that you should consult your healthcare provider before taking ibuprofen. In a recent study, researchers found that soluble ibuprofen tablets were effective in treating dental pain. Brufen(r) granules, available as oral suppositories, produced an improved response to the drug than the conventional tablet form. Patients taking these granules were able to experience faster onset of analgesia and sustained relief for up to 24 hours. Visiting an emergency room Many people decide to visit an emergency room in case of a dental emergency because they cannot afford a regular dentist. Dental emergencies occur at any time and patients often do not realize how urgent the situation is until the problem persists for a few days. The best way to avoid a dental emergency is to schedule regular visits to the dentist. Then, you will not be faced with unexpected expenses. A dental emergency could cost you more than several years of regular care. Although emergency rooms are well equipped to handle most medical emergencies, they are not ideal for dental emergencies. Many hospitals do not have dentists on staff and are unable to treat dental emergencies. Furthermore, many emergency rooms don’t have the equipment needed to handle dental emergencies. As a result, the treatment offered by emergency rooms is limited, often consisting of a prescription for antibiotics and a referral to a dental office. Visiting an emergency dentist If you have dental insurance, visiting an emergency dentist is easy. It is best to try and find an emergency dentist that accepts your plan. Emergency dentists often accept walk-in patients and are open six days a week. Visiting an emergency dentist is still necessary in case of a dental emergency, but it is often cheaper than waiting until your regular dentist can see you. Many dental schools offer affordable care to uninsured patients, so you should consider visiting one as soon as possible. Dental emergencies typically occur in cases of trauma to the mouth. Some examples include a knocked-out tooth, a tooth that has come out of its socket, a lost filling or a crown, severe gum and jaw injuries, or a repositioned tooth. If you experience any of these situations, you should visit an emergency dentist right away. If you can’t make an appointment right away, they will provide you with instructions on how to manage the emergency until you can see them.

Penis Extender Or Penis Pump?

A penis extender, also called a penis stretcher or a penis pump, is used to treat Peyronie’s disorder. A penis extender, also known as a penis extender pump, is a small medical device having temporary medical evidence for the treatment of Peyronie’s disorder as of late 2021. It acts like a mechanical traction device that stretches the penis from the flaccid to the erect length using a constant flow of hydraulic pressure. The traction force helps in increasing the size of the penis, resulting in an increase in its girth and length. The trust pilot device can be worn at all times and it does not require a person to take any medication. It does not have any adverse side effects like other devices. It works to improve the penis size gradually over a period of about six months by stretching the tissues inside the penis over a period of several hours per day. It helps in lengthening the suspensory and tunic muscles of the penis which are mostly elongated or relaxed during the erect phase of the penis size increase program. These tissues are responsible for maintaining penis size and are responsible for the amount of blood in the corpora cavernosa. The penis extender can be worn at all times and does not require a person to take any medication. The device can be worn at any place and can be worn under any circumstances. This medical device can be worn while sleeping, walking, exercising, sitting etc. The penis extender does not require a person to exert any effort to use the traction device, which further increases its convenience. A penis extender known as an extender (also called a penis sleeve or an extender gel) is a medical device that has the ability to stretch the penis gently, comfortably and gradually when worn for a certain period of time. It is attached externally to the penis and the sleeve or the gel surrounds the penis tightly from behind to improve the girth of the penis. The main purpose of using a penis sleeve is to treat and also prevent erectile dysfunction. Though penis extenders are medically proven to provide temporary penis enlargement results, one cannot expect permanent gains within few weeks or months or even in few months or years. Though penis enlargement can be achieved though penis extender devices, they do not provide a permanent solution to this problem and several months or years are required for these gains to become noticeable. A good number of men experience having gain in only few months or a couple of weeks but after some years, they experience no change in their penis size. The penis extender and the penis pump are two similar devices that are used in order to achieve penis enlargement. But there are differences between these two devices; although penis extender devices do not require that the user to put his feet up while wearing it, penis pump requires that you put your feet on the machine while wearing it. So this leads to the difference between the cost involved and the effectiveness of the product. There are several reasons why penis extender devices are more successful than penis pumps. A penis extender is medically approved to work on any patient and in any condition, even if the cause of the problem is considered minor or the penis extender does not provide enough traction on the penis during the wearing process. Penis extenders can provide the best results when worn for few hours every day on the first few weeks and even up to 6 hours every day for several months. The results of the device and the improvement of the erection quality can be seen very quickly but it may take some time until the penis extender starts providing the desired result. Many men report that after few months of wearing penis extender, they started to feel the real improvement on their sex life and even experienced better ejaculation control. So we have established that penis extender devices are more effective and they cost less than the penis pump which does not have any proven medical proof. So now the most important question comes to mind, what is the best penis extender? And the answer to this question is simple. Based on my 10 years experience of using penis extenders and other penile traction devices, I would say that the Dr. Harold Katz penis extender is the best penis extender in the market today.

King Street Dental Centre

The is a clinic that provides dental services of excellent quality. This clinic is not a part of any medical institution or network. This dental services centre offers treatment for various dental conditions. It is located at the corner of King Street in Surry Hills, New South Wales. The clinic offers competitive rates and also has various specialty treatments available in its dental department. The dentist at King Street Dental Warong is known to provide comprehensive treatment for dental conditions. The dentist provides complete anaesthesia during the dental procedures and this makes the experience safer and less painful for the patient. The dentist uses modern techniques and equipment for dental treatments. This dental clinic also makes use of a lot of natural products and herbs to offer pain relief and comfort to the patient during a dental procedure. There are also a lot of cosmetic dentists who work at this King Street Dental Warong. The dentist at King Street Dental Warong has received accreditation from The Royal Australian Dental Association. The dentist at King Street Dental Warong also ensures that all its staff undergoes training in professional standards. All the dental services provided by the dentist at King Street Dental Warong can also be availed online. The services offered online are also cost-effective and convenient. There are a number of dental services offered by this dental centre. The services offered by the dentist include dental check-ups, cleanings, fluoride treatment, root canal treatment, x-ray services, teeth cleaning, crowns, bridges, fillings, dental implants and so on. The services which are offered by the dentist at King Street Dental Warong are very cheap and affordable and you can easily avail of them. The staff of this King Street Dental Warong is also trained and skilled. They make sure that you are attended to properly and also take good care of your needs. The hygienists also offer proper dental services and ensure that you do not suffer from dental diseases. The dental centre at King Street Dental Warong is situated in an excellent location. The services provided by this dental centre are very cheap and affordable. The hygienist at the King Street Dental Warong will also take time out to greet you and offer you a tour around the clinic. You can also get the latest dental information on the internet. You can even book online for your dental treatments. This is very convenient and simple. You do not have to go anywhere in particular and can just sit back and relax while the dentist works on you. You can also have your x-rays taken at the dental centre and get the latest report. There are many dentists who are offering their services in the King Street Dental Warong. You need to find one who is well experienced and qualified. You can also get more information about a dentist online. You should always ask for a dentist’s qualification before making a decision.

Common Causes of Erectile Dysfunction

The symptoms of erectile dysfunction are many and they can range from being a minor inconvenience to a serious condition that can affect you in many ways. When erectile dysfunction first begins to cause problems, it is usually referred to as impotence. Impotence is not strictly the symptom of erectile dysfunction. Erectile dysfunction has many causes and it can be caused by many things. According to the msinsight, Some causes of erectile dysfunction are due to physical factors and there are other causes that are psychological. Some causes of erectile dysfunction can be treated and some are irreversible. One of the major causes of erectile dysfunction is high blood pressure. When the blood flow to the penis is decreased, the amount of testosterone is decreased and this affects erectile dysfunction. Other medical conditions that have similar effects are diabetes and atherosclerosis. Both of these medical conditions can cause your arteries to harden which can cause your blood flow to be slowed. Many men who suffer from diabetes have a higher risk factors for erectile dysfunction than men who do not have these conditions. Depression is another condition that can cause erectile dysfunction. In men, depression can affect their sexual functioning due to the inability to handle stress and anxiety. When you are stressed about your performance and about money, it can affect your body and this will affect your sexual functioning. There are many symptoms of depression that you should know about. These symptoms can include having a poor appetite, fatigue, lack of energy and sleep disturbance. Another medical condition that can cause erectile dysfunction is atherosclerosis. Atherosclerosis is the buildup of fatty plaques on the arteries. It is most commonly found in men and it is caused by too much cholesterol in the blood vessels. Blood vessels in the penis are especially susceptible to atherosclerosis. Some men have erectile dysfunction because of surgery. Surgery is one of the most common treatments for impotence. There are several treatments available for erectile dysfunction after surgery. These treatments include Viagra, taffrail and gardenia. Many doctors recommend herbal treatments over pharmaceutical medications after surgery. Herbal treatments can help increase blood flow to the penis and they have no side effects. Psychological problems are also known to contribute to erectile dysfunction. The biggest known psychological causes are depression and stress. These psychological issues cause low levels of testosterone in the body and this is one of the psychological causes of ED. If you suffer from depression and/or stress, you should visit a psychologist for treatment. You may need to take medication to combat these issues. Low self-esteem can also cause erectile dysfunction in many cases. Some individuals suffer from low self-esteem due to a negative childhood experience. They may be afraid of their body and have low self-image. Fortunately, there are a variety of treatments available for the psychological causes of erectile dysfunction. In most cases, it is better that patients try to avoid the psychological causes of erectile dysfunction. These causes can worsen erectile dysfunction if left untreated. However, if the patient does choose to seek treatment for these psychological causes of erectile dysfunction, they should seek the advice of a psychologist. A psychologist will be able to offer some additional guidance on how to deal with the psychological causes of erectile dysfunction. One of the psychological causes of erectile dysfunction is anxiety. In many cases, it is anxiety that causes an erection not an actual physical problem. A person that suffers from anxiety may feel anxious about a number of different issues. For instance, he may be anxious about getting a job or being in certain situations. It can also be anxiety that leads to an erection not being achieved. Another psychological cause of erectile dysfunction is stress. In many cases, it is stress that can lead to a lack of sex drive. Fortunately, there are a variety of ways that a person can overcome this stress and get back into the swing of things. Many psychiatrists even recommend meditation as a way of helping individuals overcome a lack of libido. Finally, many men that suffer from erectile dysfunction (ed) are unable to perform sexually due to anxiety. In order to overcome this issue, it is important that the person to consult with his sex therapist. The therapist will work with him to help him create an exercise program. These exercises will focus on increasing the amount of blood that can flow to the penis. The increased blood will allow the penis to achieve its maximum potential in both size and strength. Once this exercise program is completed, it should lead to an increase in the overall enjoyment of sexual intercourse.

Weight Loss Tip – How to Losing Weight by Eating Less

If your physician recommends it, there are always ways to lose weight fast. Low carbohydrate diets, whole grain, low calorie, and even low-fat diets can all be effective for quick weight loss and can often be easier to follow than more restrictive diets. Here are several tips to lose weight that employ healthy eating, possibly whole grains, and which also aim to: promote your overall metabolic health along with weight loss. You can find out more about a few of these tips in this article. Weight loss diets come in many shapes and sizes. It is important to decide what your goals are for your diet because the different diets will work differently for different people. For instance, while some people may only want to lose weight, others may also be concerned about their cholesterol levels or their blood sugar levels. Some diets even involve special exercise routines that are designed to specifically target certain areas of the body. Before you begin any type of weight loss program, you should consult with your physician. Your physician will not only help you choose a diet to follow, but also will be able to recommend healthy weight loss programs to you that will be safe for you to follow. Your physician can also help you to learn about any medications that you are currently taking and any other foods or supplements that you might be using. When you begin looking at possible healthy weight loss programs, you will likely become obsessed with one idea or another. In the beginning, when you are just trying to lose weight, you should focus on eating fewer calories than you expend through exercise or other activities. When you get into the habit of eating fewer calories than you expend through these activities, you will find it much easier to lose weight. You can do this by reducing how many calories you eat per day, whether it is from diet foods or from food supplements. One way to eat fewer calories is to eat more frequently throughout the day. The trick, however, is to eat meals containing smaller amounts of calories at each meal. This may seem like an obvious solution, but it is surprisingly easy for people to fall into the trap of overeating at meals. For example, instead of having a six-ounce meal at a restaurant, you might decide to have a larger dinner at home. While you will probably still be eating a smaller number of calories, if you replace all of the calories in the six-ounce meal with leafy green vegetables and lean meats, you will lose weight and feel great! Another way to eat more frequently is to make sure that you are always aware of the calories in your favorite snacks. If you have a bag of chips lying out but know that you just spent three pieces of potato chips, it is tempting to go for a second bag of chips. By making a conscious effort to keep track of how many calories you are consuming from each snack, you will be able to avoid overeating and successfully lose weight!

Truck Accident Lawyers: Why Do They Have Different Expertise?

If you’ve been injured in a trucking accident, you know you don’t have much time left to sue the other driver, even if his insurance company offers a large settlement. But it’s important to act fast because the statute of limitation can put limits on the time you have to file a claim against the driver. What’s more, there might be a limit on the type of compensation you recover. The following is a short review of what your rights are by Cueria Law Firm, and why trucking accident lawyers are often different from other personal injury lawyers. When a commercial truck accident occurs, most states automatically find that the trucking company is at fault. But because commercial trucking companies are very large, they tend to have a lot of money. They, therefore, hire many drivers to handle their operations, including the ones involved in a truck accident. The more drivers a trucking company has, the higher the possibility that one of them will become involved in an accident, especially if they are not supervised properly. This is why it’s important for you to get an accident lawyer as soon as possible after the accident so that you can receive the largest amount of possible compensation. The biggest problem with commercial trucking companies is that they have very low overhead and the drivers are usually new. So when an accident occurs, there’s usually very little to no evidence to establish liability, and the company has a little financial incentive to settle the case. In most cases, trucking accident lawyers represent the drivers who have been injured in the accident. They work on a “no win no fee” basis, which means that they only get paid if they win the case.

Reasons for knee pain and what to do about it now

Regardless of whether knee pain occurs suddenly, slowly or only in certain situations: It is always extremely stressful and the trigger is often not immediately recognizable. What can be to blame for knee pain, how to help yourself, and what treatment options are available to the doctor. Chronic or acute – every fifth German has problems with one or even both knee joints. With increasing age, this affects almost every second woman and every third man, as the Society for Arthroscopy and Joint Surgery reports. Because our entire weight rests on our knees: when jumping, running or standing up there is even greater pressure. The muscles, ligaments and tendons of the knee joints act in their complex network like springs and shock absorbers. They are often under enormous pressure and tension. The knee joints are accordingly prone to injury, and the tissue can also wear out quickly. Causes of knee pain: no sport, too much sport, obesity With that, the two most important reasons for knee pain are already mentioned: Gonarthrosis (by no means a problem with age – more and more young people suffer from arthrosis of the joints ), so wear and tear. Overweight and a lack of exercise are high risk factors. Axial misalignments also have a negative effect on the knee joints, such as knock knees and bow legs, but also on the feet (sagging-kink-splay). The knees are constantly put under the wrong load and the joint degenerates prematurely. Injuries and constant improper stress, in everyday life or during sports Sports that put a lot of strain on our knee joints are soccer, skiing, tennis and squash. This leads to falls, bruises, strains and dislocations of the kneecap (patellar dislocation). The most common injuries to the knee are cruciate ligament rupture and meniscus damage. The menisci are crescent-shaped cartilages on the outside and inside of the knee joint. Tendon and bursitis (bursitis) are also possible. But even without injury (trauma), these types of sport overstrain the knee joints over the long term. Runners’ knees, cruciate ligament tear, meniscus damage – typical problems for athletes For example, knee pain in professional and amateur athletes is often triggered by the so-called runner’s knee (ilio-tibial ligament syndrome ITBS or tractus syndrome). The iliotibial band is a strip of fascia that runs from the outer thigh to the shin and is irritated during long-distance runs. The stabbing pain on the outside of the knee can make every step a torture. Often one thing leads to the other: after a sports injury or after years of overload, fascia, cruciate ligaments or menisci, for example, are worn away or torn. As a result, the articular bones and their protective cartilage in the knee joint are incorrectly stressed and wear out prematurely, and osteoarthritis of the knee develops. This risk arises especially when cruciate ligament and meniscus damage has not been properly treated. Inflammation in the knee as the cause of the pain However, there are various other causes of knee pain, which are by far the most common: rheumatoid arthritis, whereby the immune system attacks the body’s own tissue in the structure of the knee Gout, this disorder of uric acid metabolism primarily leads to joint problems in the metatarsophalangeal joint of the big toe. But the joint most frequently affected after this is the knee. Psoriatic arthritis , which is inflammation of the joints associated with psoriasis. At least one in four patients with psoriasis also suffer from this form, one or both of the knee joints can be affected. Type of knee pain gives clues as to the cause The location and form of the pain provide information about the cause of the knee pain. Possible causes are for Front knee pain radiating from the patella: displacement of the kneecap, osteoarthritis of the patella, bursitis, incorrect loading, trauma back knee pain (back of the knee): cruciate ligament damage, osteoarthritis Inner knee pain (medial knee pain): Inner meniscus damage, tendon problems, bursitis Knee pain on the outside: damage to the external miniscus, arthrosis, runner’s knee It also depends on the situations in which the knee pain occurs. For example, knee pain is particularly common when climbing stairs, especially when going down. Typically this is a sign of osteoarthritis. Likewise is the so-called Start-up pain (morning stiffness) is a symptom of osteoarthritis. This is pain that appears at the beginning of the movement and slowly subsides when the knee joint is still active. Pain in motion with injuries to the menisci and ligaments is possible. Then the knees hurt, especially during movement. Resting pain is the symptom of rheumatoid arthritis. Then the knee problems (also) occur at rest, for example at night. First and foremost, what you can do yourself against knee pain First aid against acute knee pain, such as after a strain, contusion or fall, is rest. A good recommendation is the PECH rule: P ause, E is, C ompression (sports napkin) H ochlagern Quark compresses or pain relieving ointments such as ibuprofen can also provide relief. With these measures, harmless knee problems usually subside after a few days. When to see a doctor If this improvement does not occur, or if the pain occurs again and again under stress, you should have the knee joint examined by an orthopedic surgeon. Other symptoms related to knee pain, with or without a previous injury, that require a doctor’s visit: the knee pain is massive the knee is badly swollen the knee joint is red and hot in addition, a fever occurs The doctor will examine the extent to which the knee joint can be bent actively and passively, as well as checking its stability. Imaging methods such as ultrasound and, if necessary, X-rays and magnetic resonance imaging (MRI) show the condition of the joint, ligaments and cartilage as well as menisci. If an inflammatory cause such as rheumatism is suspected, blood tests round off the diagnosis. Therapies for knee pain – strengthen muscles, reduce excess weight In many cases, the doctor will recommend conservative measures, including painkillers in the initial phase, including acetylsalicylic acid (ASA), ibuprofen, diclofenac or naproxen, i.e. the common non-steroidal anti-inflammatory drugs (NSAIDs). In the case of osteoarthritis of the knee, the current guidelines also discuss the administration of glucosamines, a natural amino sugar contained in cartilage and synovial fluid, and chondroitin sulfate, a macromolecule that is supposed to build up cartilage. However, further studies are needed here. But there is no question that physical therapy is extremely important, where exercises are learned specifically to strengthen the muscles that support and protect the knee joint. In addition, heat and cold therapies can be helpful. Other measures against knee pain: If there are malpositions of the feet , medical insoles are important, including so-called sensorimotor or proprioceptive insoles that activate the foot. Chronic knee pain often goes away this way. Medical bandages and orthoses (important if the knee joint has to be immobilized for a while) relieve and stabilize the knee joints. Treatment with iontophoresis or Stangerbad, i.e. hydroelectric procedures, are intended to activate the metabolism locally and thus reduce inflammation. And last but not least, obesity should be reduced: every kilogram less relieves stressed knee joints. For ligament and meniscus damage: injections with cortisone and hyaluron If these measures are not sufficient or do not work quickly enough, injections into the joint space of the knee can relieve pain and improve mobility. Doctors use hyaluronic acid as a natural lubricant and / or anti-inflammatory agents such as cortisone. However, these are only in exceptional cases health insurance benefits, usually IgeL (individual health benefits), which amount to around 30 euros plus the cost of the product used. Arthroscopy as a minimally invasive operation Many doctors also use arthroscopy as a particularly gentle and elegant solution. The doctor inserts instruments into the knee joint through tiny incisions in the skin under image control. He can not only check the internal condition of the joint, but also flush out broken cartilage particles, implant cartilage cells and stem cells, mend ligaments or replace damaged ligaments with a replacement tendon. However, not all measures in the context of knee examinations have now received unreserved approval from experts. Various studies indicate that the long-term effect is controversial, for example with cortisone injections , hyaluronic acid injections and stem cell transplants . Not least because of this, since 2011 the knee endoscopy as a treatment for osteoarthritis of the knee is no longer part of the health insurance benefits. Last solution knee implant (knee endoprosthesis) That is why the number of knee examinations has fallen sharply in recent years, but the number of knee prostheses used has increased significantly, to 213 per 100,000 inhabitants. Doctors do not recommend implanting a knee prosthesis until all other measures have been exhausted. The implants are getting smaller and smaller and the operation is less of a burden for the patient. Depending on how badly the knee joint is damaged, there are two different solutions for the knee prosthesis or endoprosthesis: 1. Partial endoprosthesis (hemislide): Often only the destroyed cartilage and an affected joint surface of the thigh bone and the opposite joint surface of the end of the tibia are replaced. Plastic materials or metals are used for this. In principle, the technology can be compared with a dental crown. 2. Total endoprosthesis (knee replacement): With the full prosthesis, both articular surfaces on the femur and the tibia head are replaced. The joint replacement can be implanted with a special adhesive (bone cement). But a cement-free solution is also possible, for example through a rough coating of the prosthesis parts, which gradually connect to the bone and, so to speak, grow together with it. The techniques are constantly being improved and individually tailored to the joint. After the operation, most patients can walk normally six weeks later. The success rates of knee joint implantation are therefore high; only three to five percent of patients have a complication in the first year. Modern knee prostheses have a lifespan of 20 to even 30 years. The best that you can do for your knees: lose weight and exercise, be careful with yoga But even if the surgical techniques continue to improve: It is even better to bypass an operation and not let it get to the point where osteoarthritis and injuries damage the knee. The most important thing: Keep moving and stay (get) slim. In this way, you avoid the two most important risk factors for knee pain, as described above: lack of exercise and being overweight. From a BMI of 30, the risk of knee problems increases rapidly. Knee-friendly sports such as walking, cycling and water aerobics strengthen the leg muscles and also burn a lot of calories. Also indispensable: Avoid postures that overload the knee joint, such as cross-legged positions, but also heel or lotus positions (yoga). Excessive bending (over 90 degrees) and turning of the knee joints is also harmful. Do not carry heavy loads, this not only affects the intervertebral discs, but also the knee joints. Another tip for women: wear high-heeled shoes only for a short time and never all the time. The high heels change the body statics negatively, the center of gravity moves forward. This not only has to balance and balance the spine, but also the knees – which puts a lot of strain on them.

Alzheimer’s is heralding itself: if you constantly think negatively, it can increase your risk

There are people who only see the bad in everything. A new study has now found that frequent negative thinking is not just due to a state of mind or a crisis, but can be linked to Alzheimer’s disease. Brooding, worrying, and starting a negative thought cycle – this happens to most people every now and then when they have a difficult time in life. But whoever thinks in negative patterns frequently and over long periods of time could be or get sick with Alzheimer’s . This has now been determined by researchers in a new study by University College London , which was published in the journal ” Alzheimer & Dementia “. A team of scientists led by psychiatrist Nathalie L. Marchant examined 292 older adults over 55 years of age who were physically and mentally healthy, but had either one parent or two siblings who suffered from Alzheimer’s. Mental examination and brain scans of the participants The subjects were repeatedly subjected to mental tests over a period of two years to see how they coped with negative situations. The focus of the study was the so-called RNT, “repetitive negative thinking”, a measurable cognitive process in which thoughts revolve around fears from the past and fears about the future. For years, fear and depression have been considered risk factors and also harbingers of Alzheimer’s disease. Brain scans (PET), an imaging technique, were also used to examine whether there are protein deposits typical of Alzheimer’s such as tau and amyloid in the brain. These are deposited there years before the onset of the disease and ensure that over time nerve cells and their connections die off and cognitive performance decreases more and more – i.e. speech and memory performance as well as attention and spatial orientation. Deposition of Alzheimer’s proteins in the brain detected in RNT Over the course of four years, it was found that those test participants who had frequent negative thinking, i.e. RNT, also developed cognitive disorders and amnesia. The harmful deposits that were detected in the brain were responsible for this. “We were able to find that a higher level of RNT is associated with a faster decline in cognitive abilities and leads to a deterioration in memory performance within 48 months,” said the study results. “RNT has been linked to the higher levels of tau and amyloid in the brain.”  The study also showed that depression and anxiety can cause cognitive disorders – but without the typical deposits in the brain. In this study, these could only be linked to RNT, which turned out to be a risk factor for Alzheimer’s disease. Deposits from RNT or RNT from deposits? According to the researchers, however, it should be noted that all study participants already had an increased risk of Alzheimer’s disease, since the disease occurred in close family circles (either with parents or siblings). Therefore the results cannot necessarily be applied to the general population. While the study hypothesizes that RNT is associated with a higher risk of Alzheimer’s disease, it might as well be the other way around. In other words: The deposits of dew and amyloid could lead to the occurrence of RNT. In order to clearly clarify the cause, further and more comprehensive studies would have to be carried out, the researchers said. Therefore, it cannot be deduced precisely from the results whether a reduction in RNT can also reduce the risk of developing Alzheimer’s disease. To do this, one would have to investigate whether measures such as conversation therapy or mindfulness exercises that can reduce the occurrence of RNT also result in less harmful protein deposits in the brain. Forms of dementia Alzheimer’s is the most common, but only one form of dementia . Other common forms are Lewy body dementia , in which protein deposits inside the nerve cells are responsible for confusion, visual hallucinations and motor problems. Or vascular dementia , which triggers strokes unnoticed . The symptoms are similar to those of Alzheimer’s disease. Different forms of Alzheimer’s dementia Most common is the sporadic form of Alzheimer’s. In this disease, genetic and environmental influences determine the course. The greatest risk factor is age. But the ApoE4 gene, which is responsible for transporting fatty acids, also increases the risk of falling ill. The autosomal dominant form of Alzheimer’s dementia is much rarer . A characteristic of this form of Alzheimer’s is that the symptoms appear much earlier and intensify or accumulate more quickly. If several people in a family have Alzheimer’s disease, doctors speak of a familial form of Alzheimer’s disease. With this form, the blood relatives’ risk of developing Alzheimer’s is increased. While the lifetime risk is typically ten percent, it increases two and a half times (25 percent) for first-degree relatives. Risk factors for dementia In general, the following aspects are considered risk factors for dementia: Age : From the age of 60, the incidence of dementia doubles every five years Gender: Women are more at risk of dementia than men Genetic factors : A certain variant of the ApoE gene (important for the transport of cholesterol in the blood) influences the likelihood of developing Alzheimer’s disease. Symptoms of the disease appear particularly early in carriers of ApoE4. “About 30 percent of the Alzheimer’s risk can be explained by seven risk factors that we can influence more or less effectively,” says dementia researcher Miia Kivipelto from the Karolinska Institute in Stockholm . There are: diabetes high blood pressure Obesity Sedentary lifestyle Smoke low education depression Signs of dementia The first phase of dementia diseases like Alzheimer’s is the mild dementia stage . The sick can no longer remember new things. In addition, abstract everyday tasks, such as a tax return , are particularly difficult. In this phase of Alzheimer’s disease, the first protein clumps ( beta-amyloid plaques ) have already formed in certain areas of the cerebral cortex ( neocortex ). When the stage of moderate dementia is reached, the clumped proteins have already attacked other areas of the brain. The sick can no longer correctly recognize and remember complex shapes and patterns. This makes it difficult for patients to use household appliances or to dress independently. Speech comprehension also suffers. The sick themselves usually do not see their own impairments ( anosognosia ). The symptoms increase over time. For the sick, this often brings with it additional psychological symptoms, such as fear, depressive moods, hallucinations or a disturbance of the sleep-wake cycle. The stage of severe dementia is characterized by increasing motor and vegetative disorders, such as incontinence. The sick become in need of care. Alzheimer’s disease is not the same for every patient. Recent studies have shown that the protein clumps responsible for symptoms come from different protein families. Researchers at the University of California in San Francisco concluded that this could be an explanation for the different course of the disease. Preventing dementia – is that possible? Depending on the type of dementia, you can prevent better or worse. According to the current state of science, we are simply powerless against some species. Even so, what harms your body can also affect the brain. You can at least counteract vascular dementia by paying attention to the following six things: 1. Eat a balanced diet According to the current state of research, a Mediterranean diet is particularly good for our heart and brain. Most recently, Australian researchers came to the conclusion that this diet can also reduce the risk of dementia. The menu mainly includes fruit, vegetables, whole grain and dairy products, olive oil, little red meat, instead fish and chicken. 2. Drink alcohol in moderation Proponents of the Mediterranean diet also recommend a glass of red wine every now and then. But it shouldn’t be more. Because heavy alcohol consumption can damage the brain. Scientists from Stockholm confirmed this connection . Test subjects who drank alcohol less than once a month suffered from memory disorders only half as often as test subjects who drank more frequently. The researchers did not differentiate between wine , beer and spirits. Particularly interesting: in subjects who never consumed alcohol, the risk of dementia was again slightly higher compared to the infrequent drinkers. 3. Get enough exercise Australian scientists recommend two and a half hours of exercise a week to reduce memory loss significantly. That works better than medication. 4. Take a break in stressful situations Stress can promote breakdown processes in the brain and thus lead to Alzheimer’s, researchers from Argentina report . They found: Of 107 Alzheimer’s patients examined, 78 were severely mentally stressed, for example due to the death of a relative, violence or accidents. 5. Don’t smoke Smokers are twice as likely to have dementia as non-smokers. This is the result of a long-term study with more than 21,000 US citizens. If you want to prevent dementia, you should therefore give up smoking. 6. Go to the sauna regularly A study, of course by Finnish researchers , suggests that sweating in the sauna can also help in the fight against dementia. The researchers examined more than 2,000 healthy men. Those who took a sauna four to seven times a week had a 66 percent lower risk of dementia compared to those who did not like the sauna.

This keeps your stomach flat – all day

Flat in the morning, a ball in the evening – no diet will help against the bloated stomach. Nevertheless, it can be kept nice and flat with the right diet. Which foods help and which other tricks let the air out of the balloon under the abdominal wall. Typical bloated stomach: it comes and goes in a daily rhythm. Food that is difficult to digest is to blame for the yo-yo tummy. Baby teas, exercise, and less sugar keep your stomach flat. Is that a baby tummy? So gossip magazines like to ask as soon as they discover the smallest bulge on a slim celebrity woman. Sometimes the assumption is correct, but mostly the woman just has a bloated stomach. Doctors speak of meteorism. A characteristic of this belly is that it does not consist of rolls of bacon, that it bulges during the day and usually disappears again overnight. The slimmer someone is, the more noticeable the on-off belly is. Those affected can then place a ruler on the hipbone while lying down in the morning without it touching the abdominal wall. In the evening, the ruler sits more like a seesaw swing under the navel. Too much gas in the intestines inflates the stomach The yo-yo belly is caused by swallowed air and gases that form in the intestine during digestion of many foods. There is an uncomfortable pressure. The abdominal wall bulges. This is almost always harmless, but at least embarrassing because of the often audible rumbling in the intestine. Thomas Frieling, gastroenterologist and director of internal medicine at the Helios Clinic in Krefeld, says: “The reasons range from swallowed air to intolerance to lactose, fructose or the sugar substitute sorbitol and a disturbed bacterial flora in the intestine to a sluggish stomach or a malalignment of the Diaphragm. ”   Avoiding cabbage and legumes Food that is difficult to digest is often responsible for gas accumulation. Ironically, the healthiest of all foods are at the top of the list of foods that many people cannot digest well: cabbage and legumes, fruit, milk, and mineral water. It contains lactose, fructose, fiber and carbon dioxide, which cause discomfort in the stomach. Avoiding or reducing food that is very flatulent or individually poorly tolerated keeps the stomach flat. The list of food maps could serve as a guideline : foods that are good for or harmful to irritable bowel patients. Less sugar and carbon dioxide Sugar and sugar substitutes promote gas formation, as do carbonated drinks. This makes lemonades, cola or apple spritzer, as well as diet and light drinks, common causes of bulging tummies. It is advisable to drink a lot, but it is digestible. Eat slowly and don’t smoke Too much air in the stomach collects from hasty eating and smoking, because we swallow a lot of oxygen. Small meals, chewing thoroughly, and smoking less will provide relief. “Even people who are sensitive to stress take in more air than others. You just swallow a lot more often. The gas collects more and more in the intestines, ”says the expert, who is also a board member of the Gastro-Liga eV . Drink tea and keep moving Caraway and fennel seeds, ginger and chamomile tea – these home remedies help digestion and dissolve gas accumulations. A lot of movement prevents the bloated stomach and helps to dissolve the gas accumulation. What the pharmacy offers Special herbal preparations from the pharmacy help quickly if the stomach bulges again – and so-called defoamers. Thomas Frieling explains the effect: “In the intestine, water and gases mix to form bubble foam. Active ingredients such as Simeticon or Dimeticon cause the bubbles to burst and dissolve them. ”