The lungs are responsible for taking in and filtering out oxygen which is then supplied to the body via circulation. They are also responsible for removing the carbon dioxide from the body. This happens through breathing, and though no effort is required, when the function is impaired, the entire body system takes a toll.

Lung function can be impaired by a multitude of issues including infections like pneumonia, chronic diseases like COPD and pulmonary hypertension, heart conditions like a congestive failure, etc. While the acute cases would go off once the infection is treated, the long-term conditions are helped by physiotherapy in addition to medications.

The lungs are made up of elastic tubules and have the ability to hold secretions. Therefore training the lungs to improve their function via exercise can help improve overall lung function. Some of the routine exercises are simple ones as below.

Active breathing: The patient is taught to breathe in a more aware manner so that the lungs take in air to their maximum ability.
Postural drainage: The lungs are like containers for mucus, and over a period of time, they need to be drained. Depending on where the fluid accumulation is, the patient is taught to lie in various positions so that it can be drained, allowing for instant relief.
Nasal saline rinse: This helps in clearing the secretions and also the saline provides an antibacterial effect to clear off residual infection. Clearing sputum is highly critical for reducing chances of repeat infections and hospitalizations.
Peripheral and respiratory muscle training: Though it goes unnoticed, breathing also involves neck and shoulder muscles and strengthening these is also essential for effective breathing.
Multiple studies have shown that physiotherapy plays a vital role in lung rehabilitation. As noted above, while the benefit may be not very evident in short-term lung impairment, it makes a significant difference in long-term and chronic conditions like COPD, pulmonary hypertension, and even congestive heart failure. Lung rehab has shown to produce the following changes:

Reduce episodes of breathlessness and fatigue. A person can gradually resume his normal chores without too much assistance.
Help in clearing secretions, which can worsen congestion and breathlessness.
Increase overall quality of life. There could be even people who cannot do routine activities like walking to the bathroom. They could be benefitted with pulmonary rehabilitation.
Reduce the number of hospitalizations due to mucus accumulation and breathlessness.
Improve exercise tolerance. It is well known and proven that those who exercise on a regular basis can improve lung function over a period of time.

Lung Rehabilitation - How Physiotherapy Can Help?

5 Ways to protect your skin this summer

Staying out in the sun too long can cause you to suffer from a host of skin problems such as age spots, wrinkles and even increase your risk of developing skin cancer. During the summer months, you need to take extra care of yourself as the sun is at its peak at that time. Here's what you can do in this summer to ensure that your skin remains protected:

1. Avoid the rays of the sun between 10 am and 2 pm

The strength of the UV rays depends on a number of factors such as reflective surfaces, height, and time of day. The sun's UV rays are at their strongest between 10 am and 2 pm. If you're outdoors, seek a cool area to protect yourself from the damaging rays of the sun. You could stand under a tree or use an umbrella to shield yourself from its ultraviolet rays.

2. Don't use tanning beds

Several studies reveal that tanning beds can cause skin cancer. According to these studies, individuals under 30 who use tanning beds increase their risk of melanoma (the most deadly of all skin cancers) by about 75%.

3. Increase your fluid intake

One of the ways in which you can beat the sun and protect your skin is by increasing your fluid intake during this time. On an average, one should have about 3 liters of fluids every day, which is about 1.5-2 liters of water and 1 liter of fluid from solid foods. From summer foods like watermelon and berries to beverages like fruit juice, milk, etc and liquid-based meals - all these avenues should be considered.

4. Have a proper cleansing regimen

To help your skin look fresh even during the summer months, you should exfoliate regularly. When you do this, all the dead skin cells are removed, giving your face a youthful and fresh appeal.

5. Use a sunscreen all the time

To protect yourself from the damaging ultraviolet rays of the sun, you should never forget to apply sunscreen when going out. Ideally, a sunscreen that has an SPF of 30 should be applied thoroughly to your skin 30 minutes before leaving your house. More importantly, it should be applied again every 2 hours.



5 Ways to protect your skin this summer

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

    Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
    Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.
    Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.
    Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.
    Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

Joint Replacement Surgery - When Should You Go for  it

Importance of avoiding carbs in dinner for weight loss

Ideal dinner should not be rich in carbs but fibers. If you intend to lose weight, avoid carbs in dinner. 

There are many reasons of avoiding carbs in dinner.

1. Gets Converted to Fat: Carbohydrates should only be taken during daytime as muscles require fuel to do different activities and utilize carbs to convert in energy. During night we don’t do as intense workouts as the daytime like in office or household work. If carbohydrates are taken in dinner, muscles absorb carbohydrates and store them in form of fat tissues due to lack of any activities except sleep and inner organs’ functioning.

2. Increases Your Sugar Levels: Including carbohydrates in your dinner also increases blood sugar level which is harmful for diabetes patients.

3. Makes Your Digestion Difficult: Avoiding carbs also improves your digestion. Replace it with more fiber foods instead.

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

Why It’s an Absolute Sin To Have Carbs in Dinner if You Want to Lose Weight 

There are valves in the each of the four chambers of the heart. These valves make sure that blood flows in one direction only. The blood flows from the atria into the ventricles through the mitral and the tricuspid valves. The pulmonic and the aortic valves allow the blood to flow out of the ventricles. Valve problems occur when the normal functioning of the valve is impaired. 

Impaired valve function leads to blood flow obstruction, which in turn can lead to stenosis of the valve. This puts lot of strain on the heart muscles, forcing it to work harder. It may also lead to the blood flowing backwards through the valve and back into the heart.

The various causes of valvular heart disease are:

Valvular heart disease: If you are suffering from rheumatic fever, it may lead to valvular heart disease
Congenital heart disease: Congenital heart disease refers to various defects in the heart which are present since birth. In some cases, these defects may include being born with abnormal valves.
Heart attack: If you have suffered a heart attack, your heart muscles may be damaged or impaired.
Cardiomyopathy: This is a genetic disorder that is characterized by an inability of the heart to pump blood efficiently.
Age: Ageing may cause certain changes in the body that lead to valvular heart disease. 
Valvular heart disease is treated by various homeopathic remedies that do not have any side effect. It takes a holistic approach to healing the body as it gets to the root of the disease. The various homeopathic remedies for valvular heart disease are:

Cactus grandiflorus: This remedy is used in a number of heart complications such as stenosis of the valve. It helps in getting rid of the inflammation in the heart muscles, so that the heart can pump blood efficiently.
Digitalis: Digitalis is another remedy that helps in healing the muscles of the heart by regulating the pulse. 
Kalmia latifolia: Kalmia latifolia is a homeopathic remedy that is used in treating various complications of the heart. It also helps in symptoms of rheumatic fever that may lead to valvular heart disease.

Valvular Heart Disease - Homeopathy Medicines to Treat It?

Link Between Sinuses and Headaches

Suffering from splitting headaches? The remedy to it can only be found once the cause behind it is identified. Everything from migraines to stomach infections can be the cause of your headaches. But it is not impossible to tell the difference between the different aches. You have to notice the other symptoms that accompany your headache to understand what is causing the pain.

Symptoms of sinus headaches

When you have the following problems along with your headache you can be sure it is being caused by your sinus:

- Pain in the head, face and nose
- Pain in the eyes
- Stuffy or blocked nose along with the pain
- Accompanying nasal allergies and bouts of sneezing
- Inability to smell

Understanding sinuses

The sinuses comprise of a rather sizable cavity present behind your cheekbones, bridge of your nose and forehead. Generally, the fluid in the region gets drained through the nose. But due to infection, allergic reactions and tumors the cavity can get blocked and also get inflamed. The inflammation is caused by an increase in mucus production, which can lead to the nasal cavity being blocked. The blockage stops the fluids from draining and the sinuses get even more inflamed. When the cavity gets inflamed it starts pressuring the cheekbones, nose bridge and forehead and eyes.

Why does it ache?

The building up of the pressure on the cheekbones, nose bridge and forehead causes the area to start hurting. Thus, when one has a headache originating from inflamed sinuses, the pain is not just isolated to the forehead. The pain in the nose is a sure shot sign that the headache is caused by the inflammation of the sinuses.

Not just another chronic ache

Most people mistake any chronic headache as a sinus problem. But mostly such aches are caused by migraines and stress. If you have a prolonged headache as well as fever you are sure to have a sinus ache instead of any other chronic headache.

Make it better

Once you have identified the headache as a sinus ache you can start the treatment. Steam inhalation helps clear the sinuses, reducing the pain almost immediately. If steam inhalation does not help, you might have a severe sinus infection. In such cases, it is best to visit a doctor to understand the extent of the infection. The doctor is likely to prescribe antibiotics for the remedy of the infection. Even if you are aware of what medicines to take for sinus infections it is best to get checked by a medical professional before you start popping pills since the headache might just be due to some other causes as well.



What's the Link Between Sinuses and Headaches?

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