Osteoporosis wreaks havoc in many senior citizens, especially women. This is a disorder that systematically weakens the bone and can fracture the spine and the hip. If not treated early, it poses a serious threat to mobility. While medicine is a prerequisite to treating this condition, exercise goes a long way in helping patients of osteoporosis. Regular exercise can improve balance and strengthen the muscle. This being said a doctor should be consulted for a fitness assessment and bone density test before going ahead with any exercise routine.

What is the right exercise for you?
Exercises are recommended depending on the degree of osteoporosis a person is suffering from. Some exercises may not be suitable for a person while some can greatly help. It is therefore suggested that a doctor or physiotherapist is consulted before starting any exercise. Here is a list of exercise that doctors often suggest:

    Strength training: Strength training aims at strengthening the spine and other muscles. It includes the usage of free weights and lifting own body weight. In case the exercise involves the usage of weight machines, utmost care should be taken to ensure that the spine does not get twisted. Resistance training, on the other hand, should be designed in such a way that it fits the tolerance and ability to cope up.
    Flexibility exercises: When the joints are allowed to go through the range of motion, it helps in muscle function. Stretching, for instance, should only be done when the muscle is warmed up. Care should be taken that stretching is done gently which is devoid of any bouncing. The spine should not be flexed. Any exercise that demands to bend towards the waist should also be avoided. An experienced physiotherapist should be able to suggest which stretching exercise is suitable for patients with osteoporosis.
    Aerobic training: Aerobic training necessarily means that the bone supports the body weight. This exercise helps the bone from mineral loss and is good for body balance strength and flexibility. Some aerobics that can be easily performed by patients with osteoporosis include dancing, stair climbing, cycling and walking. These exercises also help in blood circulation and cardiovascular diseases.
    Exercises you must avoid: High-impact body activity exercises such as jogging, jumping and running should be strictly avoided in order to avoid bone fracture and weaken muscle. Unlike exercises with controlled movements, these exercises can twist the spine and cause severe immobility in movement.
    Twisting: For patients with osteoporosis, an exercise that involves forward bending resulting the waist to come down should be avoided. Exercise such as this can cause compression fractures leading to restriction in physical movement for a temporary to longer duration. Any sort of bending and twisting, therefore, should be avoided. 

Suffering from Osteoporosis - Know Which Exercise is Right and Wrong for You?

Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery” 
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration  etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery. 

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so  I cannot undergo Knee replacement surgery.”
Fact  - diabetes hypertension or heart.



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 13 Myths About Total Knee Replacement (TKR), Busted!

If you are looking to lose weight, it is of utmost importance to focus on your diet. Eating a balanced diet along with regular exercise is your key to losing weight. You need to focus on picking the right foods to lose weight.

Carbohydrates are classified into three types - simple carbohydrates, complex carbohydrates and fiber.

Simple carbohydrates consist of foods such as fruits and sugar. These foods should be consumed in limited amounts as they tend to spike your blood sugar levels. Excessive consumption of simple sugar ups your risk of diabetes and leads you to gain weight.

Complex carbohydrates are foods like whole grains, oats and millets that have a different digestive mechanism compared to simple carbohydrates. These foods are digested slowly and thus, the energy is released slowly into the bloodstream. This means that there is no blood sugar spike during the process of digestion. However, it is important that you should not consume these foods in excess. Overconsumption of these foods may lead to weight gain.

Fiber is a type of nutrient that is also known as roughage and it is present in vegetables and fruits. Fiber rich foods are cabbage, broccoli and carrots. Fiber helps in improving digestion as it adds bulk to your stool. The other important benefit of fiber is that it enhances your heart health by reducing bad cholesterol levels in the body. Fiber is helpful in weight loss as it improves satiety and promotes digestion.

Protein is another component that is emphasized on when you try losing weight. Good sources of protein are eggs, chicken, turkey and lentils. It helps in building muscle in the body, which in turn increases your metabolism rate, so that your overall calorie burn increases. It is recommended that you consume 1 g of protein per pound of body weight. Protein lets you hold on to your muscle mass which increases your lean muscle mass that burns fat.

Can Specific Proteins and Carbs Keep Weight Off?

4 ways to gain weight

A very low body mass index can be due to many causes including genetic, developmental and hormonal disorders and other issues with absorbing nutrients in the body. A low body mass index may also be owing to a high metabolism rate. Here are a few healthy ways to gain weight according to different requirements:

Know your calorie needs

- Calculate your resting metabolic rate with the formula - RMR = 10* weight (kg) + 6.25* height (cm) - 5* age (yr) + x [For men; x=5, for women; x = -161] Your BMR tells you how much minimum calories you will burn if you rested an entire day.

- Account for your activity by using your RMR as BMR (Base metabolic rate) and calculate your daily calorie needs by the following formulae:

-BMR * 1.2 - If you are sedentary
-BMR * 1.375 - For light exercise
-BMR * 1.55 - Moderate activity
-BMR * 1.725 - High activity
-BMR * 1.9 - Intense activity

Diet to follow

- Gradually increase your calorie intake

- Eat healthy and timely

- Have a balanced diet with heavy foods like - starchy vegetables, dense fruits, added oils and creamy soups

- Have foods rich in protein, avoid watery fruits and veggies

- Avoid trans-fats

- Do not binge, pace yourself through your diet regime

- Have dietary supplements and protein shakes

Build muscle to increase body weight

- Include weight training in your daily regime

- Compensate for extra calorie lost in training

- Do not over do it, rest is equally important in building muscle

Things to remember

- Stop eating junk food, eat healthily

- Hydrate yourself well

- Rapid weight gain may cause stretch marks

- Be careful when choosing fatty foods as overindulging in them can lead to heart diseases and type 2 diabetes

- Overeating may cause bloating, stomach aches and cramps

If you would like to consult with me privately, please click on 'Consult'.

4 ways to gain weight

Yummy delicious food definitely has the potential to make you drool and most foods taste best when served hot. Another common habit that most people have is that of reheating the food, before eating. But have you ever given it a thought that it can be a highly unhealthy practice? Yes, you read it right, it is the most unhealthy practice, especially when it comes to certain foods. 

A quick list of foods is mentioned below, which should never be reheated :

Mushrooms: Mushrooms can enhance the taste of any dish and it is common that the leftovers are stored aside to be savored the next day. This unknown mistake can cost you dearly. Mushrooms are a rich source of protein. On reheating, some of the proteins break drown, which not only changes the flavor of the food but also produces certain toxins. These toxins can lead to upset stomach and digestive problems. Eating reheated mushroom repeatedly can even result in cardiac problems.
Chicken: Having chicken on this list can be quite a heartbreak, as many people use the cooked chicken for 2-3 days. Again, chicken is another excellent source of protein and reheating it will produce toxins, which can result in health complications such as digestive problems. If you want to stay healthy, avoid reheating the cooked chicken.
Celery and spinach: Spinach and celery are both commonly used in soups and are rich in nitrates. Therefore, when you reheat the soup to make it more palatable, the nitrates present in the ingredients are converted to nitrites. Nitrite is carcinogenic in nature and is actually toxic to the body. Thus, you must never reheat any dish containing celery, spinach and other nitrate-rich foods like turnips, beet, and carrots.
Eggs: Seldom will you find a person who does not like eggs. Be it breakfast, lunch or dinner, eggs can be consumed as boiled, scrambled or in form of a curry. Like chicken, meat and mushrooms, eggs are an excellent source of proteins, which is a reason enough to include them in your diet. However, reheating egg preparations will destroy all the associated health benefits, as the protein in the egg deteriorates it can lead to digestive problems. The best idea would be to prepare the dish and have it immediately.
Rice: Almost everyone reheats the rice before eating with the belief that having cold rice can cause health problems. This is a misconception that will do you no good. Cooked rice should be eaten immediately. It is believed that uncooked rice contains bacterial spores that often causes food poisoning. When you keep the cooked rice unrefrigerated at room temperature, these spores undergo rapid multiplication. Reheating will do the spores no harm. If you want to store cooked rice, always refrigerate it.
Potatoes:  Storing the cooked potatoes at room temperature can act as a catalyst in enhancing the growth of Clostridium botulinum, a bacterium responsible for botulism (a type of food poisoning that can result in flaccid paralysis of muscles). Thus, if you have to consume them at a later stage, its best to refrigerate them and not leave them at room temperature.
Oil: Certain oils such as avocado, grapeseeds, walnut and hazelnut can become smelly with an unpleasant taste when reheated, as these have a low smoke point. Oils when heated above the point of 375 degrees F, they produce a toxin 4-hydroxy-2-trans-nonenal or HNE, which can increase the bad cholesterol i.e LDL, thus increasing the risk of heart diseases.
It is evident that reheating certain foods can be a slow poison to your health, thus avoid reheating foods as much as possible. In case you a concern consult an expert and get your answers.

7 Foods You Should Never Reheat!

Ankylosing spondylitis is typically associated with inflammatory back pain that can impair movements and reduce the quality of the patient s life. Here are 5 exercises that can be used to treat ankylosing Spondylitis.

Walking: Walking is a low impact workout that can be very beneficial for ankylosing spondylitis patients. This is the ideal way to ease the body into exercising. Start with a short 5-10 minute walk and gradually increase the duration of your walks to half an hour at a stretch. Try and keep your spine as straight as possible and hold your head high while you walk. Walking can help relieve pain and increase the range of movements.
Swimming: Swimming is another low-intensity workout that can help. This type of exercising helps strengthen the muscles and heart while minimizing joint pain. Swimming puts no pressure on the joints and hence is ideal for ankylosing spondylitis patients. The breaststroke can help build chest expansion and make your neck and shoulders more flexible. For a little extra pampering, you could go for a swim in a heated pool.
Lightweight Training: Look for lightweight training exercises that help strengthen your muscles without putting pressure on the joints. Plank exercises are great as they work many muscle groups simultaneously. You could also try lifting light weights or household canned goods to strengthen your limbs. Exercise machines can be helpful but must be used with caution. The key to exercising is to start slowly and gradually increase the duration of time you hold a position and the number of repetitions.
Yoga: Yoga is very beneficial for patients with musculoskeletal conditions. It reduces pain, increases flexibility and helps open out the joints to make them more mobile. Yoga also helps boost mental health and reduces stress and anxiety. When practising yoga, start by stretching the muscles and gradually work your way through the asanas. Do not be in a hurry to move from one position to another. You should ideally aim to fit in half an hour yoga into every morning.
Dance: Dancing is the most fun way to exercise. This helps burn calories that in turn helps with weight management. The lower your weight, the lower the pressure on your joints. Pick a tempo that you are comfortable with and limit repetitive motions to avoid straining any part of your body. If you like you could even join a dance class.

5 Exercises For Managing Ankylosing Spondylitis!

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