4 exercises to strengthen your knees

Knee pains and pains in the joints are not restricted to a certain age group anymore. Younger people of today face this problem too. To stay active all your life and escape the severe aches associated with weakening of muscles, joint pains or arthritis, you must start now. The only way to keep your knees fine and working is to exercise. 
4 moves that help you strengthen your knees.
1. Leg lifts (inner thigh) - lie on any one side, lay your head on the arm of the side below you. Make sure this hand is straight above your head, touching the ground. Keep your legs straight, one above the other. Lift the leg on top a few inches above, hold for few seconds and bring it back. Do this for 10 times and then with the other leg, on the other side. This exercise strengthens your inner thighs, eventually strengthening the knees.
2. Hip raises: lie flat on your back, your shoulders touching the ground. Bend your legs comfortable, your feet resting firmly on the ground. Raise your hips and thighs so that from your head to feet, you form an angle. Wait in this position for about 10 seconds, lower your hip until it touches the ground. Repeat for ten counts.
3. Lunges: stand straight. Take a step ahead with your right leg. Left leg remains in its place. With your back straight, bend your knees so that both are at 90 degrees. Go back to standing position; take your right leg back to where it was. Do the same step with your left leg. Repeat both sides ten times.
4. Bent leg extensions: this is pretty easy and all that you need to do it sit on a chair comfortably, with your back straight first. Your feet firmly flat on the ground in front of you, lift the right leg straight extending to the front. Make sure your thighs stay on the chair. Bring your leg back to the original position, firmly planted on the ground. Do the same with your left leg. Repeat 10 times on both sides.
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The Only 4 Moves That Strengthen Your KNEES

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

Arthritis is a common musculoskeletal condition that affects elderly men and women. Joint pain, stiffness and inflammation are the most common symptoms of this condition. This pain can get so bad as to affect your movement and leave you unable to do simple things like walking up stairs or even simply turning a doorknob. 

Arthritis cannot be reversed but with medication and a few lifestyle changes, your quality of life can be improved.

Exercise and weight loss: Though it is difficult to do, losing weight can help relieve the pain of arthritis. This takes the pressure off your joints and increases the range of possible motions. Though exercising may be the last thing you want to do, it can help increase your flexibility and help strengthen your muscles. Aerobics, stretching and strength training are ideal for arthritic patients.
Assistive devices: Arthritis can make a person knock kneed or bow legged. Wearing unloading braces, shoe inserts or walking with a cane or shoe inserts can help redistribute your weight and take the pressure of your joints. It can also help relieve pain and prevent arthritis from worsening.
Eating right: Some types of food can worsen arthritic symptoms. This includes processed foods like white flour and sugar, yeast, chemical additives, gluten, hydrogenated and trans fats, milk products, caffeine, alcohol and tobacco. Hence, avoid consuming these foods and instead have a diet rich in fruits, vegetables, nuts and whole grain. You could also try alkaline foods like green leafy vegetables, wheatgrass and aloe vera.
Massage therapy: A massage not only de-stresses the body, but can also relieve muscle and joint pain by improving blood circulation. Massages also help break up muscular waste deposits and increase the amount of oxygen circulated in the body. This helps transport nutrients to tissues and carries toxins away. Ideally, an arthritic patient should have a massage 2-3 times a week in the beginning and at least twice a month once the condition has stabilised.
Supplements: Along with eating healthy, including a few supplements in your daily diet can also help alleviate arthritic symptoms. When it comes to rheumatic arthritis; the anti-inflammatory properties of vitamin C help fight arthritis by promoting bone and cartilage growth and reducing infection. Fish oil is rich in Omega-3 fatty acids that help reduce inflammation, Vitamin D is another supplement that helps relieve arthritic pain by helping the bones absorb calcium faster and preventing further loss of cartilage.

Arthritis - 5 Easy Ways You Can Ease Your Suffering

Foods to eat/ avoid for arthritis and inflammatory pain

Different foods have different properties. Here are some foods to have and a few you must refrain from if you are suffering from arthritis and inflammatory pain:

Include these foods in your diet.
1) cherries - these contain anthocyanocides which assist in lowering uric acids, thus reducing the level of pain.
2) ginger - eating fresh ginger of drinking ginger root tea is advisable if suffering from arthritis and inflammatory pain. The gingerols present in it include anti-inflammatory compounds which are extremely helpful.
3) pineapple - there exists in pineapples, an element called bromelain which is a very effective anti-inflammatory.
4) raw apple cider vinegar - anti-inflammatory properties of raw apple cider vinegar are also very beneficial. It can be consumed by drinking a tablespoon of the vinegar mixed in about 250ml water or as salad dressing.
5) turmeric - turmeric or as we call it haldi, has anti-oxidant as well as anti-inflammatory properties.
6) omega 3 fatty acids - omega 3 fatty acids also have anthocyanocides. Which lower the levels of uric acids. Eating more of chia seeds, flax seeds and fish is also encouraged.

And the foods to avoid are,
1) sugary foods - sugary foods are like toxins which cause inflammations and lead to more pains in the body. Hence, avoid foods with excessive sugar when suffering from arthritis and inflammatory pain.
2) omega 6 oils - these oils, if consumed in high amounts, cause inflammations. It is advisable to replace these foods with healthier foods.
3) fried foods: deep fried foods are cooked at high temperatures and thus induce inflammation.
4) salt - this happens to some people where excess intake of sodium increases the pain in the joints. Hence, lowering consumption is not a bad idea.



Living With Arthritis - Foods To Pick OR Kick

Aches and pains are typical signs of fatigue, but sometimes these aches are constant and can affect your day to day life. Fibromyalgia is not a disease, but a syndrome that affects the muscles and soft tissues of the body leading to chronic pain, tiredness and insomnia among other symptoms. Though this syndrome cannot be cured, it is not life-threatening and can be managed without causing permanent damage. One of the ways to manage fibromyalgia is through massage therapy.

Massage therapy is one of the oldest forms of healthcare. It aims to improve circulation thereby, improving the flow of nutrients through the body and aiding in the elimination of waste material. When it comes to fibromyalgia patients, a massage not only calms tired muscles but also reduces heart rate, improves the range of motions possible in joints and increases the body s production of natural painkillers.
Most fibromyalgia patients benefit from deep tissue massages. During the treatment, a therapist may use his or her elbows, forearms and feet along with their palms and fingers. He or she will typically use long strokes while kneading the muscles in deep circular patterns. Your therapist will also be able to address specific tender points and ease muscle knots.
Massage therapy can be customised as per your requirements and sensitivity. Fibromyalgia patients are very sensitive to touch and hence, to benefit from a massage, it is essential, to be honest with your therapist and tell him or her the level of pressure you can handle.
Massage therapy not only helps deal with fibromyalgia-related pain, but can also help treat insomnia that accompanies it. After a massage, you are more likely to have a restful sleep that does not make you wake up feeling tired. Having a good night s sleep is important for fibromyalgia patients as it is during this time that the body restores and rebuilds itself.
Massage therapy can also help manage the stress and anxiety that results from fibromyalgia pain. As the therapist addresses the various pressure points on the body, stress, anxiety and depression are relieved. Some theories also suggest that a massage blocks pain signals from reaching the brain while others suggest that a massage can stimulate the release of serotonin or endorphins.
Though a massage may feel like a simple procedure, the wrong massage can cause worsen your pain. Hence, it is important to work with a professional masseuse to treat your aches and pains. Following a regular massage schedule can also help manage your discomfort better.

Fibromyalgia Pain - Can Massage Therapy Reduce It?

Our bones and joints make us functional on a day to day basis. It is, therefore, imperative that we should take good care of them at all times. There are many conditions that can affect our skeletal system and one of them is, Gout. While the link between the two may not be that obvious, gout happens to be a condition, which is sometimes related to arthritis. Therefore, it is sometimes known by the name 'gouty arthritis'.

While the issue may be severely painful, it does not mean that it cannot be reduced. And of course, when a person has the option and cutting the pain caused by gout drastically, his or her natural response is likely to be 'why not?'

Why Does It Happen?

The main reason for the occurrence of gout is too much uric acid being present in the body. The limbs of the body swell up, especially the extremities and this is known to be very painful. In many cases of gout, the swelling is especially evident in the big toe. Flare ups can last hours on end and may even get longer.

The people who wish to get the gout that is putting him or her through so much pain treated, there are quite a few options at their disposal. There are pain relievers that can be consumed under the advice of a medically qualified professional. While these pain relievers do not treat gout, but can reduces the intensity of the symptoms. Daily doses can be recommended as per the requirement and severity of the situation.

How to Get Rid of Gout?

While some anti-inflammatory drugs may have their effect, but no matter how bad the pain, aspirin is a drug that needs to be avoided. Intake of aspirin can make the problem even worse, which is the last thing a person would want!

The severe problems of gout can be dealt with the chemicals known as corticosteroids. Now, while these can provide some very effective pain relief, using them can be tricky due to certain side effects. One of these side effects is that since these chemicals are injected into the joints, they can significantly weaken them. The other side effect is that they slow the healing process of the wound. Both of these side effects are highly undesirable for any patients. These chemicals are usually prescribed by the doctors after a thorough analysis of patient's condition and history.

A person who drinks alcohol and suffers from severe condition of gout should look to scale back the amount which is consumed by him or her. This is because alcohol increases the amount of uric acid which is present in the blood.

Gout and Its Treatments

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