Hot and Cold therapy is one of the most popular home remedies for any kind of joint pain or muscle sprain. In some cases applying heat therapy and cold therapy alternatively, can help relieve the pain while for others only one form of therapy is necessary. To understand what to use when, one should first understand the effect of heat and cooling on the body.

Applying a heat pack or immersing the affected limb in hot water improves blood circulation and makes the muscles more flexible. Thus, it can help relax a muscle and fasten the healing of damaged tissues. On the other hand, cold therapy or cryotherapy reduces blood flow to the affected site. This helps relieve inflammation and pain caused by it. It can also make the area feel numb by reducing nerve activity temporarily.

Types of Heat Therapy
Heat therapy can be categorized as dry heat and moist heat. Dry heat involves using saunas or dry heating packs to relieve pain. This is also known as conducted heat therapy. As the name suggests, moist heat involves the use of steamed towels, hot baths and moist heating packs. This is also known as convection heat therapy. Moist heat is usually considered more effective than dry heat.

Types of Cold Therapy
Cold therapy may be applied to a part of the body or to the entire body. This includes ice packs, coolant sprays, ice baths, ice massages and whole body, cold therapy chambers.

How to use heat and cold therapy?
The sooner heat and cold therapy is given to a person, the faster they will recover from their pains. Heat therapy can be given to a person for extended periods of time but when giving cold therapy, a person should not be exposed to a cold pack or ice bath for more than 10-15 minutes. Care should also be taken no to apply ice or a frozen pack directly on the skin as it can damage the skin and nerves.

When not to use Heat Therapy?
If the injury site is swollen or bruised, cold therapy is better than heat therapy. Heat therapy should also not be applied to an open wound. People suffering from conditions such as diabetes, dermatitis, deep vein thrombosis, vascular diseases and multiple sclerosis should also avoid heat therapy as these conditions can increase the risk of burns and other such complications. Pregnant women should also consult a doctor before using a hot tub or sauna.

When not to use Cold Therapy?
Cold therapy is avoidable for treating stiff joints and muscles. People suffering from poor circulation and sensory disorders should also avoid using cold therapy without a doctor s supervision. 

Hot & Cold Therapy - How It Can Treat Pain?

For long, there have been campaigns and discussions about the harmful effects and diseases associated with alcohol consumption. In most cases, it is not the alcohol, but the quantity consumed that affects a person. Limited consumption of alcohol can, in fact, work to your advantage. Alcohol, when consumed in moderation, helps to avert, check or improve many medical conditions and health ailments.

Deal with common cold effectively: According to research, the antioxidants present in wine helps to fight common cold better. Limited intake of alcohol, red wine to be precise (~1-2 glasses per day), can, thus, help to reduce the instances of common cold significantly.
Weight loss made easy: Studies conducted by the Oregon State University suggest that certain varieties red wine (the Red Muscadine Wine) can play a pivotal role in weight reduction. The Red Muscadine, a variety of wine grapes used to make red wine contains ellagic acid. It is this ellagic acid that helps to cease or slow down the growth and development of the fat cells. Red wine also helps to manage fatty liver effectively.
Keep cardiovascular diseases at bay: The high-density lipoprotein (HDL), also known as the Good Cholesterol is indeed good for the body. It acts as a shield, keeping the heart hale and hearty. Moderate alcohol consumption helps to elevate the level of HDL. One of the main reasons attributing to heart attacks are the small blood clots that block the arteries of the brain, heart, and neck. Alcohol (limited intake) has been able to put a check in the formation of such blood clots.
Reduced instances of cognitive impairment: Reports suggest that people who consume alcohol within limits are less likely to develop dementia and Alzheimer's disease. Moderate consumption tends to make the brain cells fit and more active, thus, enabling the cells to deal with stress and other related factors.
A little wine for a better libido: Limited consumption of wine is good for a better sexual life. Research indicate that the antioxidants present in wine act as a catalyst, resulting in an improved libido (lowers the incidences of erectile dysfunction in men). A little wine can work wonders for women as well (increasing their sexual desires and feelings).
Enjoy a diabetes-free life: Type 2 Diabetes and the associated ailments and complications can make life miserable. However, people who consume a small quantity of alcohol (preferably 1-2 glasses per day) are at a lower risk of developing diabetes (Type 2). A path-breaking finding indeed!
People with moderate alcohol consumption are also at a lower risk of developing gallstones. The high silicone content in beer helps to strengthen the bones, but only when consumed within limits. Beer is also rich in calcium, magnesium, and vitamins (thiamine, riboflavin).

Alcohol In Controlled Quantity - Can It Be Good For You?

Most indian dishes use onions as an ingredient in preparations. It is also used in salads. Learn about the following health benefits that eating onions gets.

1. Rich source of vitamin A - onions are rich in vitamin a which aids good vision, helps boost immune system and cell growth.
2. Relieves pain and inflammation - rubbing onion juice on the area if bitten by a honeybee is known to provide immediate relief from the burning sensation and the pain.
3. Increases good cholesterol - raw onions are known to boost the production of hdl (good cholesterol) in the body.
4. Cures infection - it is used as an age old cure for infections and inflammations.
5. Is mineral & vitamin rich - onions contain natural sugar, minerals like sodium, potassium, iron and dietary fibers, vitamins a, b6, c &amp; e, and are also a rich source of folic acid.
6. Provides fiber - per 100 grams of serving contains only 44 calories along with a good 1.4 grams of fiber.
7. Prevents hair loss - onion mixed with salt and pepper is rubbed on the scalp to stop hair loss, in the arab countries. Onion juice is used to make hair mask which aides thickening and growth of hair.
8. Works on fever - a small piece of onion, if kept on the forehead, works against fever.
9. Controls sugar levels - onions are known to help control sugar levels in the blood by increasing the insulin level.
10. Purifies skin - applying onion and turmeric juice is said to remove dark patches and pigmentation problems in the skin. It also aids in treatment of acne, anti-aging, getting rid of dark spots and pigmentations, and many more.
11. Clears eyesight - onion juice is used to cure eye problems. The juice is used as drops for infants, so that they have clear eyesight.


Why It Is Good To Have Onion Everyday?

The past couple of days have witnessed trending news in the form of the stunning transformation of Anant Ambani, son of Mukesh Ambani, MD of Reliance Industries Limited. Anant, who had previously been burdened with excessive body weight due to intake of some strong medications, has achieved an unbelievable target of losing 108 Kgs of body weight in just 18 months!

Many people suffer from obesity and many other conditions as an aftereffect of excessive body weight, but don't know how to address the issue to attain a healthy weight. In this regard, the story of Anant is an inspirational lesson for all those who want to lose weight and follow a strict diet plan and exercise regime continuously to achieve their goals. Just like him, now you too can attain a healthy body weight and a fit physique too through the techniques mentioned below:

1. Following an Appropriate Diet Plan -
A healthy diet is the key to a good weight loss regime besides the implementation of an effective exercise plan. Anant had opted for a strict low-carb diet without the presence of sugar. This type of diet has a lot of benefits including weight loss in a healthy way. This type of diet requires you to avoid all types of processed food items including breads, soft drinks, cereals, pastas, sweets etc. And increase the intake of foods rich in healthy fats and proteins.

2. Weight and Functional Training -
Weight training is known for burning calories and functional training helps in increasing your core stability through exercises like squats, stretches, lunges etc. A combination of these two in your exercise regime will not only help you lose weight, but will also enable you to do it in a healthy way.

3. High-intensity Cardio Exercises -
High-intensity cardio exercises are recommended by most gym instructors to people who want to lose weight as they increase your heart rate and consume lesser amount of time to eliminate the extra fat from your body.

4. Yoga -
There's no better way to stay fit and healthy than making yoga a part of your daily lifestyle. This ancient tradition not only tones your muscles and burn calories, but also gives you a healthier life by helping you relax your mind and body both. This was also one of the techniques followed by Anant to reach his destination of a having a healthy body.

We've put together a sample diet plan exclusively for you, which can help you lose weight in a healthy natural way:

Early Morning (6:30 am - 7:00 am) - a glass of warm water + 1/2 lemon juice + pinch of salt; walk for 30 minutes.

Breakfast (8:00am - 9:00 am) - 1 cup milk/tea, with fruit, oats with milk/namkeen oats, veg. Dalia, veg. Upma, veg. Poha, veg. Sandwich, 2 egg whites/1 whole egg and toast.

Mid-Morning (11:30 am) - fruit/sprouts

Lunch (1:00 pm - 2:00 pm) - 2 chapattis with vegetable, salad, dal/curd/idli + sambhar (alternatively, if you want to have 1 bowl rice, have it with 1 katori rajma/kadhi/dal/chhole + salad)

Tea-Time (4:30pm - 5:00pm) - tea/coffee + 2 biscuits/rusks

Evening Snacks (6:00 pm - 6: 30pm) - roasted chana, sprouts, popcorn, veg sandwich, sometimes 4-5 almonds, walnuts, pista, raisins

Dinner (8:00 pm - 8:30 pm) - 1-2 chapattis with vegetable, salad or 1-2 veg sandwiches, or roasted chicken/grilled fish (if non-vegetarian)

Post-Dinner (if required, at 10:00 pm) - 1 cup of milk.

We hope the above suggestions and the sample diet plan will inspire you to embark on a journey of transforming yourself into a healthier and happier person! There/s no happiness better than feeling good about yourself!

If you liked this health tip, do 'Share' it with your loved ones.

If you would like a more comprehensive and customized diet plan for yourself or your family, along with a 7-day unlimited text chat, just click on 'Consult'!

How To Successfully Lose Weight Like Anant Ambani + A Sample Diet Plan!

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain. 

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

Patient Controlled Analgesia (PCA): This method is also known as  Pain Pump . An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

Multimodal Pain Relief After Total Knee Replacement

Knee pain: causes and tips to manage knee pain

The knee is the largest joint of the body and is made up of upper and lower bones that are separated by two discs known as menisci. While minor knee pain may be experienced by many people, it should be handled with medical intervention when it becomes a serious and debilitating problem. Sudden injury or injury due to overuse as well as myriad conditions that affect the joints and muscles can bring about knee pain. Underlying conditions like osteoporosis or arthritis, which affect the bones and joints, can also cause knee pain. The symptoms include painful swelling and stiffness as well as severe discomfort. Let us learn more about the causes of knee pain and the ways in which it can be managed-

Injury: exercise and sports injuries are one of the most common causes that can be the start of acute knee pain, as well as chronic condition. These kinds of injuries can affect the ligaments and cartilage which leads to severe pain. The pain can even affect the way one functions in one's daily life. Knee ligament injuries can also cause this kind of pain. These ligaments are bands of tissues that connect the thigh bone with the lower leg bones. Sprains and tears in the acl or pcl are common in sports injuries, and may even require surgery in many cases. Knee cartilage tears can also take place in the hard yet flexible cartilage of the knee which can affect the meniscus around the knee. This condition may also require surgery.

Arthritis: this condition can affect the knees specifically and is one of the most common types of arthritis. This is a chronic condition which gets progressively worse over time and may even require surgery. Stiffness and inflammation are common symptoms. Rheumatoid arthritis is also a degenerative auto-immune disease that can affect the knees and cause knee pain. Furthermore, post traumatic arthritis can also be experienced after an injury. Osteoarthritis is another common condition that leads to knee pain. It basically occurs due to wear and tear of the knees over a prolonged period and is usually experienced by patients over the age of 50.

Managing knee pain: while pain medication and anti-inflammatory drugs may be prescribed for most cases, along with surgery in the long run, it is also possible to manage knee pain with the help of better lifestyle choices like regular knee and muscle strengthening exercises as well as rest - rest, ice, compression and elevation. These methods can help in relieving inflammation and pain. But very severe cases will require medical intervention, so it is imperative to get in touch with your doctor if the condition does not improve.

Knee Pain: Causes and Tips to Manage Knee Pain

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