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!

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.

Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.

Infections: General infection of any area along the uterine tract could lead to occasional bleeding.

Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  

Diagnostic methods could include the following:
1. Physical exam
2. Transvaginal ultrasound
3. Endometrial biopsy
4. Hysteroscopy
5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it. 


Is Postmenopausal Bleeding Normal?

The longest nerve in the body is the sciatic nerve. The sciatic nerve starts from the lower part of the spine, through your hip to the back of the leg. So when it is said sciatica, we refer to pain in this nerve. Since the nerve covers the spine, hip and leg, sciatic pain is felt in the areas through which it passes. The lower leg muscles and sensation in the legs, thighs and feet are controlled by this nerve.

Symptoms usually include
1. Pain that radiates from the lower back to the hip and to the leg
2. Sharp, tingling, dull, constant or burning pain
3. Loss of bladder or bowel control
4. Sneezing or coughing increases pain
5. Moving the leg gets difficult so usual activities like walking, sitting and standing become painful

Homeopathic remedies are easy and gentle on the body. Homeopathy aims to boost the body's immune system so it can fight all its weaknesses. The following remedies may prove to be useful:

A) ammonium muriaticum: it is taken for chronic pain in the heel or for chronic backache or when straightening the knee gets difficult as hamstrings contract. It is also taken for limping.

B) bellis perennis: in periosteum injuries, stiffness and deep aches in the spine bellis perennis is used. It is also used for tailbone injuries. It is also helpful for nerve pains during pregnancy.

C) calcarea fluorica: if the vertebra degenerates after trauma to the spine, then calcarea fluorica can be useful.

D) cicuta: the worst back injuries with serious trauma and muscles spasms are treated with cicuta.

E) hypericum: hypericum is suggested for tailbone injuries, temporary paralysis, spinal concussions and for sharp pain that tingles and moves upwards.

F) rhus tox: if after lifting weights, overexerting muscles and exposure to anything wet, you feel tearing and burning pain, then rhus tox is beneficial. Cramps that get better after heat application, but get worse after exposed to the cold are also treated with rhus tox.

G) ruta: stiffness and pain from back injuries, twisting the wrong way and bruises are prescribed with ruta.

Best Homeopathic Remedies for Sciatica Pain

While some people see tears as a sign of weakness, for others crying is a crucial way of dealing with grief. Though as children we re told not to cry and to  keep a hold  of our emotions, letting go of a few tears can help alleviate grief and emotional distress. 

Here are a few reasons crying could be a good idea when dealing with loss.

Crying can stimulate the release of endorphins: Crying cleanses the mind of negative emotions and allows you to express your emotions. Crying can be described as a reaction to pain and in order to control pain, the body releases endorphins. Endorphins are also known as happy hormones as they block the transmission of pain signals and create a sense of contentment. These chemicals can take a little time to have an effect and hence in most cases, you will notice an improvement in your mood after a good cry.
Crying elevates the mood: Crying can help reduce your body s manganese levels. A higher than normal manganese level can heighten anxiety, irritability, tiredness and emotional disturbances. By lowering manganese levels, the brain is left with enough space for happier emotions and hence crying can help elevate a person s mood.
Crying stimulates the body s parasympathetic nervous system: The parasympathetic nervous system controls a number of functions including heart rate. Crying can stimulate this system and trigger a state of relaxation. For this reason, you may feel sleepy after crying. This gives your body time to relax and deal with the problem at hand with a calmer mind.
Crying helps deal with stress: A stressful experience or emotional situation can cause a build-up of stress hormones known as cortisol. As the levels of cortisol increase in the body, it goes into flight or fight mode as an automatic response to stress. Crying reduces the cortisol levels and helps relieve tension and stress almost immediately.
Crying is cathartic: Every day we are exposed to conflicts and stressful situations that can build up into resentments and leave a person feeling anxious and depressed. Sometimes, giving vent to emotions and crying can help release these pent-up feeling and heap cleanse the mind of these negative emotions. Crying also allows us to open ourselves up to the people around and can improve the levels of intimacy between them. In this way, it can help a person become part of a community.

Crying - Can it Help You Overcome Sadness?

Acne could be a real headache for normal skin. It not only ruins your face, but is also tough to get rid of. The condition is characterized usually by red pimples or blackheads and occurs due to infected or inflamed sebaceous glands. If you are skeptical about using chemical products, here is list of acne related treatments with alternative medicines:

1. Apple cider vinegar: Apple Cider Vinegar has multiple qualities. It can dry up the excess oil present in the face thereby ensuring that the bacteria cannot feed upon it. Its alkaline property helps the skin's pH to come down to an accepted level. Last, but not the least, apple cider vinegar directly attacks the acne causing bacteria and eradicates them from within. This pack is easy to prepare and can be applied multiple times a day.

2. Honey and cinnamon combo: Cinnamon possesses antimicrobial properties and attacks acne right from the word go. Honey, on the other hand, is a natural cleanser which helps to drive out the acne from your face. The pack is prepared by mixing 2 spoons of honey and 1 spoon of cinnamon. Before applying it on the face, it has to be ensured that the face is rinsed well with water. Owing to the pack's sticky nature, it should not be left on the face for more than 15 minutes.

3. Milk and honey paste: There is a wide misconception about milk causing acne. Unless injected inside the skin, milk actually improves the skin tone and limits acne outbreak. It also helps in reducing skin irritation and redness. Honey has antibacterial properties and fights acne. The pack is prepared by adding 1 spoon of honey and 1 spoon of milk and applied on the face for no more than 10 - 15 minutes. The mask can be washed off with warm water and by lightly rubbing the skin in circular motion.

4. White portion of the egg: The white portion of the egg has unaccountable benefits. Being rich in protein, it helps to fight acne and reduces blemishes of the skin. The vitamin present in the white portion combat acne and soak up excess oil present in the skin. This pack should be applied for 15 minutes followed by a thorough face wash with lukewarm water.

5. Mashed papaya: Papaya ingredients are found in almost all beauty products these days. Raw papaya is a great remedy for acne problems though. Papaya also helps to remove excess fat from the skin and eradicates dead skin. It contains an enzyme called Papain, which is known to have anti-inflammatory properties. It also restricts pus formation in the skin. Papaya can be mashed evenly and applied on the face for 15-20 minutes before washing it off with plain water. This pack can be tried three or four times a week to see visible changes in the face.

Acne Treatment With Alternative Medicine

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