Sarcopenia refers to the loss of muscle mass caused by the natural process of ageing. Over time, the loss of muscle mass may reduce a person s strength and affect his or her balance and the ability to walk. Sarcopenia can make it difficult for one to carry on with their routine activities, such as walking, lifting objects, or climbing stairs.

The reduction in muscle mass involves both a decrease in their size and the loss of muscle fibres. Sarcopenia becomes noticeable by age 40   and the loss of muscle tissues progress more rapidly by the time you reach the 60s or 70s. Doctors believe that certain hormonal changes due to ageing are the main reason for this condition. 

Apart from that, poor nutrition and a sedentary lifestyle also contribute to muscle loss. Health experts and doctors suggest that following a proper, nutritious diet can help treat or delay sarcopenia.

Diet recommended for sarcopenia patients 

If you are diagnosed with sarcopenia, your dietician or healthcare provider will likely recommend a diet that has an abundance of proteins, omega-3 fatty acids, and vitamins to prevent further muscle loss and boost their growth.

Here is a close look at the nutrients  

Proteins

The protein in your diet signals the muscle tissues to strengthen and build. As your muscles become more resistant to this signal with age, it is important that you consume more protein to increase muscle growth. A study found that people over age 70, who consumed a wholesome meal containing 35gms of protein, saw significant growth in the muscle mass. Leucine, an amino acid, is especially essential for regulating muscle growth. Some of the best sources of leucine include meat, eggs, fish, soy, and whey protein. 

Research has shown that the optimal intake of dietary protein should be somewhere between 0.6-0.9g/pound/d of protein in older adults with chronic or acute diseases. Besides eating more protein with meals, health experts recommend adding other protein-rich foods to their daily diet, including peanuts, almonds, edamame, and chickpeas. 

Vitamin D

Vitamin D is important for maintaining and building healthy bones. This is because the main component responsible for bone health, calcium can be absorbed only when your body has sufficient vitamin D. Milk, soymilk, cheese and other dairy products, egg yolks, and fatty fish like salmon, tuna, and mackerel are some of the foods offering sufficient amounts of vital vitamin D. While natural food sources are the best way to get your daily dose of vitamin D, you can also opt for supplements to increase muscle endurance and lower the risk of falling. However, be sure to discuss with your doctor before taking vitamin supplements. 

Omega-3 fatty acids

Fish oil extracted from fatty fish contains high amounts of omega-3 fatty acids, DHA, and EPA. Due to its anti-inflammatory properties, fish oil is known to boost muscle sensitivity to resistance training and protein, allowing for growth in strength, size, and muscle mass as you age. A study conducted over 16 weeks revealed taking omega-3 supplements regularly witnessed a significant increase in muscle growth. 

Sarcopenia becomes more apparent with age and may affect your quality of life. Eating high-quality protein and enough calories can delay the rate of muscle loss. Consult a dietician and ask for a diet plan comprising these nutrients to improve muscle strength and deter sarcopenia.

What Type Of Diet Should Be Taken In Sarcopenia?

Lower back pain can be one of the most physically debilitating things that can affect you and limit your mobility. Even if the pain isn t that acute, it could still signal something deteriorating in your lower back. While oral medications, topical creams or sprays can help in reducing pain, there are other effective remedies you can try on your own. These will be handy when you have no medications at hand. One of these is the hot and cold therapy.

Heat therapy for lower back pain

Heat works well with lower back pain as it can dilate blood vessels and improve circulation within the tissue. This will help in circulation and also result in lowering the pain. Heat therapy will also loosen up other muscles in the area and help soothe sore areas which have been taking the burden along with the lower back muscles. Some of the techniques that can be applied are:

1. All day heat wraps: These are specially manufactured belts or wraps which wrap around your abdomen and keep tightness and pressure on your lower back as well as supplying heat.

2. Electric heating pads: These are mechanized heating pads which generate heat with electricity. You can place them under you back and then either sit or sleep with it positioned behind you. However, ensure that you don t keep these for too long as they could burn your skin.

3. Hot Compress with towels or hot water bags: Use a clean towel and heat it over a conductive surface and apply it on your lower back. You can also use hot water bags for the same purpose.

Cold therapy for lower back pain

Cold therapy uses the principle of constriction of blood vessels as well as slowing circulation. This will help numb the area and thus help relieve the pain. Some of the ways these can be administered are mentioned below.

1. Ice towel: In this method, soak a towel in ice cold water, wring it to dry it and then apply on your lower back. This will numb the pain without transferring the sting of the cold or damaging your skin.

2. Ice packs: Put about half a kg of ice in a plastic Ziploc bag and pour water over the ice to just about cover it. Push out the air out of the bag and then lock it. Use this ice pack with a towel to ensure that you back doesn't get wet.

3. Ice gel packs: These are ready made packs, which can be bought from medical stores and kept frozen to be used whenever you need it in order to relieve lower back pain.

Treating Lower Back Pain Using Hot and Cold Therapy

Throwing a ball, lifting something or even eating requires the use of the elbow joint. This is one of the most overused joints in the body and hence is very susceptible to wear and tear, which mostly causes pain. Pain in the elbow could be the result of an issue with the arm muscles, ligaments, tendons, bones or bursae. The treatment for this pain depends largely on the factors causing it. Some of the most common conditions that cause elbow pain are:

Golfer s Elbow
This condition is also known as 'Medial Epicondylitis'. It is caused by an overuse of the elbow muscles and affects the elbow s inner tendons. Resting the elbow, cold packs and the use of over-the-counter pain killers can usually relieve this sort of pain.

Tennis Elbow
This condition is also caused by repetitive actions and affects the elbow s outer tendons. It is also known as lateral epicondylitis. Resting the elbow can help this type of pain. In addition, patients may also need to wear an elbow strap or brace to support the joint. In some cases, physiotherapy may also be needed.

Student s Elbow
This is also commonly known as draftsman s elbow or olecranon bursitis. This condition affects the small fluid sacs or bursae in the elbow. These fluid sacs aid in the movement of the elbow. Leaning on the elbow for a long time, a sharp blow or an infection could be the cause of this condition. It can be treated with medication and elbow pads. In chronic and severe cases, surgery may also be needed.

Fracture or Dislocation
Falling on the elbow can lead to a bone being dislocated or a fracture in the joint. In such cases, the pain will be accompanied by swelling, discoloration and difficulty in moving the elbow. Fractures and dislocated bones need medical attention. Your doctor may advise you to wear a brace or a cast depending on the severity of the issue.

Sprains and Strains
Repeated stress or a trauma can result in a sprained or strained ligament. In such cases, the joint will feel unstable. Pain caused by these ligament conditions can be relieved by resting the elbow, applying a cold pack and wearing a brace to support the elbow. Sometimes, a doctor may also advise physiotherapy.

Panner s Disease
This condition is caused by dislodged pieces of bone and cartilage that could be the result of an injury. Young men are the most affected by it. Resting the joint and abstaining from lifting any weights can help relieve pain caused by Panner s disease. In some cases, physical therapy may also be recommended.

Elbow pain can be tricky to treat. Sometimes, it can just go away with rest or with the application of cold packs or rehabilitation exercises. The most important thing is to be patient and get the treatment process started. Make sure to consult with a doctor before treating any kind of elbow pain. Home remedies are best avoided when it's the elbow at stake.

Pain In Elbow - Know The Causes and How to Manage It

Breaking a bone no matter how small is painful. This pain is caused both by the actual break in the bone and the damage to surrounding muscles, ligaments, nerves and other soft tissue. There are three stages of pain caused by a fracture:

Acute Pain: Pain that occurs immediately after a bone is fractured
Sub-Acute Pain: Pain experienced while the one and soft tissues heal
Chronic Pain: Pain experienced after the fracture has healed
Any kind of fracture can cause these types of pain. However, it is not essential for everyone who has had a fracture to experience all the three kinds of pain. Many people experience pain only when the fracture occurs but in few cases, a person may break a bone and not realize it. Each type of pain needs to be dealt with in a different way.

Acute Pain: Acute pain reduces as the fracture heals. For this, the fractured bone must be reset in place and held together with a splint, brace or cast so as to immobilize it. In some cases, surgery may also be needed. Over the counter pain medication is often prescribed to help deal with this type of pain. The patient is also advised to rest the broken bone and avoid certain types of movement that could worsen the break. A broken bone takes a minimum of 6 to 8 weeks to heal. However, in cases of other conditions such as osteoporosis, this time period could be much longer.
Sub-Acute Pain: As the injury heals, the sub-acute pain experienced reduces. Immobilizing a broken bone to help it heal causes the muscles and soft tissues around it to stiffen and weaken thus triggering this type of pain. Physical therapy can be very helpful in dealing with this type of pain. Along with strengthening the muscles and reducing stiffness, physical therapy also helps reduce inflammation and scar tissue. Physical therapy can be provided in many ways including exercises, electrical stimulation, ultrasounds, massage etc. It is important to remember that at this stage of treatment, the more the affected limb is used, the faster it will heal. However, it is advisable to avoid putting too much pressure on the bone.
Chronic Pain: Some people may experience pain for several months and even years after a fracture has healed. This is usually caused by nerve damage or the development of scar tissue. Underlying conditions such as arthritis could also trigger this type of pain. Management of chronic pain varies from individual to individual. Treatment usually takes the form of medication, exercises and physical therapy. It is important not to avoid this type of pain and consult a doctor to ensure that it is not being caused by any other condition.

Fracture Pain - How To Deal With It?

The joints and bones of the body are connected by fibrous band of tissue called as a ligament. When these ligaments are over stretched or are subjected to any injury that could cause tearing of the ligament and a sprain of the ligament happens. Sprains usually occur at the ankle joint, knee joint or the shoulder, since these areas have a connection of bones at a joint. 

During movement, the ligament functions to stretch or expand and move back to its original position. However, sometimes due to an over-stretch of the ligament, it gets pushed or expands beyond its usual position. A sudden twisting movement of the ligament can also cause a sprain. 

While walking, any abnormal movement of the leg can cause a sprain, hence, the ankle joint is the most common location affected by a sprain. Sports injuries are a common causative factor of sprains. In accordance to the body part involved frequently in playing sports, a wrist sprain or an ankle sprain is a common finding. 

Dancers are also prone to frequently sprain their ligaments. If a sprain occurs at the wrist joint, it can also lead to cause the Carpal tunnel syndrome, which leads to the numbness of the wrist joint. Moderate to severe pain around the affected joint, presence of bruising in cases of an injury, swelling around the affected joint and difficulty in movement are the common symptoms of a sprain.



There can be a popping sound heard during an injury to the joint, which indicates a sprain. Sprain of the joint can cause other complications too. If there is an involvement of the nerve in the injury, there can be an associated numbness and tingling sensation at the affected area. A physician performs physical inspection of the area while looking for the symptoms of sprain. If the injury involves a larger surface area and is causing severe pain, an MRI or X-ray can be ordered to detect for the ligament or bone involvement, respectively. 

Classification of sprain can be enlisted as follows: 

Grade 1 sprain (mild): Slight stretching and little damage to the fibers of the ligament. 
Grade 2 sprain (moderate): Includes partial tearing of the ligament.  
Grade 3 sprain (severe): Includes complete tearing of the ligament.  Prevention of a sprain can be achieved with certain measures. Specific exercises that can be targeted for sprain prevention can be learnt from the physical therapist.
Stretching exercises and muscle training are important in prevention of a sprain. Sprain preventing measures are as follows: 

1. Before beginning an exercise routine, it is essential to do warm up exercises. Slight jogging can be done to activate muscle movement. 

2. Stretching before and after an exercise routine is necessary. It ensures that the muscles around the joint are in a relaxed position. It helps in minimizing the risk of an injury. 

3. Some specific exercises that help to strengthen the muscles around ankles should be done. Heel raise exercise is beneficial in strengthening the ankle muscles. 

4. Exercises that target the improvement of overall body s balance should be done on a regular basis. These exercises help in preventing twisting of ankles during walking or moving down the stairs. 

5. In case of a previous ankle injury, it is recommended to wear an ankle brace to prevent any twisting caused by a dis-balance. 

Treatment of the sprain is done by following the RICE procedure. This procedure includes the protocol of rest, ice, compression and elevation. Analgesics can be taken for pain relief. Ice pack application helps in reducing the swelling. Using a compression bandage helps in immobilizing the injury.

Sprain - Effective Tips To Prevent It!

Rheumatoid arthritis is a disorder of the joints characterized by swelling, inflammation and pain in the joints. This disorder is an autoimmune disorder, wherein the immune cells of the body start to view the tissues of the body as a potential threat.

Homeopathy treats this condition very effectively as it focuses on treating the cause of the disorder. The remedies in homeopathy moderate the overactive immune system and thus help in reducing inflammation in the bones. The homeopathic practitioner starts the diagnosis by enquiring about your medical history, symptoms, working environment and provides treatment accordingly.

The various homeopathic remedies that are used to treat rheumatoid arthritis are: 
1. Calcarea carbonica: arthritis that leads to formation of nodes in the affected joint, accompanied by symptoms, which aggravate during damp weather, is very effectively remedied by this particular homeopathic medicine.
2. Arnica: arnica is a homeopathic remedy that is used to treat symptoms of chronic arthritis where you experience a sore feeling on a regular basis. The symptoms tend to worsen if you touch the affected area.
3. Bryonia: f you have a throbbing pain in your joints, then bryonia is recommended. The symptoms tend to worsen in cold weather.
4. Calcarea fluorica: this remedy is recommended if the pain tends to improve with the application of heat. The symptoms include swelling of the joints and formation of nodes. It is especially used if the arthritis develops after an injury.
5. Kali carbonicum: if the joints are extremely stiff with the pain aggravating during the early morning hours, then this remedy is prescribed. It also helps if the symptoms tends to worsen in damp and cold weather.
6. Pulsatilla: this remedy is prescribed in cases where the intensity of the pain keeps on fluctuating and also if the pain is not localized. The symptoms tend to worsen in warm conditions and improve in cold conditions.
7. Rhododendron: rhododendron is recommended if the symptoms of arthritis tend to flare up and aggravate in cold conditions. Generally the pain increases during the early morning hours or if you stay stationary for a long time.

Homeopathic Medicines for Rheumatoid Arthritis Pain Treatment

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