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Hello Dr. My problem is whenever I go outside I feel anxiety till on the way back to home. 2. If weather is hot and humid then also feel anxiety 3. Less interest in other activities means laziness. 4. Wherever I get anger feel tightness between the eyebrows. 5. Negative thoughts for any work. Please guide me to come out of this.
Mein pure vegetarian hu mein bhut patla Aur kamzor hu mujhe Sab bear Aur non-vegetarian khane ko kehte h kya yeh sahi decision h non veg khana ya meri health veg khane se sudhar jaigi I want a suggestion to improve my health.
Sir, I am effected with fever and cold. I am tired so much with it. So tell me what to eat and do? Thanks. Jay.
1. Start slow
Don’t just jump right in and start exercising five days a week -- that’s a recipe for disaster, says john higgins, md, director of exercise physiology at the university of texas health science center in houston. It’s better that you gradually work up to exercising several days per week while you see how your body responds.
“Start slow and go slow,” Dr. Higgins said. “the current recommendation is 2-3 days per week, for at least 30 minutes per day. But for someone who is just starting out, we recommend that they start at 1-2 days per week and ramp it up from there.”
Tip 2: Know when to stretch
Stretching right before a workout may seem like the best thing to do, but you might be putting yourself at risk of injury.
“After you warm up, you should stretch your muscles and hold it for about 15 seconds,” higgins said. “you are less likely to injure yourself when you’re stretching if your muscles are already a little warmed up.”
Tip 3: Mix it up
Whether you’re going for weight loss or bulking up, a mixed regimen of aerobic and strength training is the best way to achieve the body you want. But even within those categories, don’t stick to the same exercises every day, higgins said.
Jillian michaels' workout dos and don'ts
Want to see results at the gym? here are a few dos and don’ts to help you get more bang for your buck.
“don’t go running every day,” he said. “it’ll get boring and you’ll get to a point where you don’t enjoy it anymore. Try biking, or the elliptical or whatever you enjoy most. If you like to play basketball or tennis, do that, because you’re more likely to stick to something you enjoy.”
In addition, move between the four various types of exercise, which are aerobic, resistance (strength) training, flexibility (which includes yoga) and balance, which is especially important for seniors.
Tip 4: Know your weight and the right way to use it
Most people are confused the first time they walk into a gym, higgins said, but are afraid of asking for advice. But if that’s you -- get over it.
“if you don’t know ask,” he said. “by law, gyms have to have people who can help show you how to work out on the machine, and it can save you from badly injuring yourself.”
In addition, many gym newbies go for the heaviest weight they can -- a rookie mistake.
“Go on a weight machine and, starting at the lowest weight, pull it down and keep adding on from there. Just keep increasing the weight until you reach a point where you can only do one or you can’t do any. That’s too much”
Once you find your maximum weight, two-thirds of that number is where you should start.
“You should be able to do about 12 reps,” higgins said. “it should be easy, but it shouldn’t be difficult to the point where you’re straining.”
Finally, once you have a weight you’re comfortable with, don’t get too eager to increase it.
“You should not increase it more than 10 percent in a week,” higgins said. “if you do, your risk of injury increases exponentially.”
Tip 5: Know when to take a break
When people start out, they are often overzealous and try to get to the gym every day, higgins said. However, by not letting your body rest, you can be doing much more harm than good.
“If you don’t give your body time to heal and repair itself, your performance will go down and you’ll get into a vicious cycle where you never fully recover,” he said.
And if you’re sore after a workout, that’s good -- unless it hurts too much.
“It is normal to have pain and soreness after exercise,” higgins said. “don’t run to take a painkiller, because that can mask pain and cause you to do real damage to your body. Let yourself recover naturally.”
Which supplement is good for me to gain weight. I am feel tired always & body is paining after doing some work. please suggest me good supplement or proteins for gain weight.
Impotence is a common problem among men and is known as the inability to achieve or maintain an erection for sexual activity.
Impotence can be a major side effect of diabetes for men of any age. Diabetes is one of the main causes of impotence. Men who have diabetes are far more likely to have erection issues than men who do not have this.
Understanding what causes impotence which is also known as erectile dysfunction (ED) is the first step into finding a suitable treatment. An erection occurs when sexual stimulation causes nerves in the body to release signals. These signals increase blood flow into the penis, creating firmness and enlargement.
The major concern is damage to the blood vessels and nerves which control erections. The real cause of erection issues in men with diabetes is quite complex. The link between diabetes and impotence is related to circulation and diabetes affects more than the nervous system.
Diabetes also affects the blood system. Uncontrolled high blood sugar can affect the blood vessels, throughout your body. These blood vessels in the manhood are already very small, so when diabetes starts to control your blood vessels, your manhood can experience different reactions and consequences.
- Hormone problems can also be a physical cause of impotence.
- Impotence is common in men with diabetes and often the least talked-about.
- The right diabetes treatment, especially if you identify type 2 diabetes soon enough, will help ease ED symptoms.
- Impotence is possible to treat and without using medications - there are a range of natural treatments available.
- Occasionally, impotence can be a side effect of medication, for conditions such as high blood pressure or anxiety or depression.
- If impotence has occurred for more than a couple of months, it is better to seek help sooner rather than later.
- A doctor can advise if you should see an urologist to determine the best treatment for your situation.
This can be caused by worry, stress, anxiety, anger or frustration. It is often known as "performance anxiety" which is a man's worry that he won't be able to perform in the bedroom. This can also be caused by stress at work, marriage or relationship issues and financial concerns. These can often be a secondary reaction to an existing physical cause.
Don't Ignore Erectile Dysfunction: It's Treatable!
- Having diabetes does not mean you have to live with impotence. The correct diabetes treatment will help. In addition these things may help too:
- Adopt a healthy lifestyle - Eating a balanced, healthy diet and carrying out 20 minutes of exercise a day will help both your diabetes and your erection issues. Your body will really thank you for it!
- Quit smoking - this can have a huge impact on a man's erections.
- Lose weight if necessary - If you are overweight or obese, just losing smallest amount can help control diabetes.
Seek a natural treatment for impotence
There are many treatment options including pills and vacuum pumps while you are working to control your diabetes. Men are looking to boost their bedroom performance by looking for natural remedies. Sometimes, what works for one person doesn't always work for another. Acupuncture has become the new treatment for everything from back pain, depression and even impotence as it can improve circulation. Bitter Melon is known as a popular remedy for diabetes as it can lower blood sugar levels. It is available from some grocery stores and you can mix into food or take in powder form or capsule. Natural treatments could potentially help fix impotence in men, but it is always essential to check with your doctor first to see if these are safe for you.
Sir I am suffering from obesity and my body is too lazy and my np is always high and my weight is 92 near about. What type of pricoson I will get.
Cerebral Palsy: What You Need to Know
Injuries to the brain before, during or after birth can cause cerebral palsy.
- Symptoms of cerebral palsy are usually noticed in infants and toddlers.
- There is currently no cure for cerebral palsy, but treatment options are available to treat associated orthopaedic conditions.
- The functional abilities and intellect of a person with cerebral palsy can vary greatly.
What is cerebral palsy?
Cerebral palsy (CP) is a condition that is a result of a brain injury. This injury can occur before, during or shortly after birth. Cerebral palsy affects movement and muscle tone.
What are the symptoms of cerebral palsy?
Signs of CP are usually noticed during infancy or in toddlers. It can be associated with exaggerated reflexes, floppiness in the trunk or limbs, or stiffness in the trunk and limbs. It can present with involuntary movements and abnormal gait.
There is no cure for CP, but there are many treatment options to help with the orthopaedic problems associated with CP.
Common Orthopaedic Conditions Seen in Children with Cerebral Palsy
This is a deformity of the hip that can be found on one or both hips in children with an underlying neuromuscular condition, such as CP. Increased or decreased tone in the muscles can lead to migration of the femoral head out of the hip socket, requiring additional treatment.
- Proximal Femoral osteotomy:This surgical procedure can be used to correct hip subluxation or dislocation in children who have an underlying neuromuscular disorder. It is used to correct the position of the proximal femur for better coverage by the acetabulum, leading to better distribution of weight on the femur. A wedge of bone is typically removed to place the proximal femur into the hip joint. A plate and screws are used to secure the femur bone properly in place.
- Acetabular osteotomy: This surgical procedure can be used to provide better coverage of the femoral head by the acetabulum. A wedge of bone is cut and placed in a position to add coverage. Hardware is used to secure the bone in place.
Neuromuscular scoliosis is a condition of the spine associated with an underlying neuromuscular condition, such as cerebral palsy, muscular dystrophy or spinal cord injury. The underlying condition typically causes changes in the muscles, leaving them unable to support the spine adequately. This leads to a curvature of the spine. The typical presentation is an abnormal S- or C-shaped curvature. The spine can also have rotation creating a multidimensional curve. The curvature can be progressive, especially with growth spurts.
- Bracing: A back brace may assist in better positioning and supply better support, but it usually does not stop the progression of the curve. In children who are nonambulatory, modifications to the wheelchair can also assist in better spine support and sitting position.
- Spinal usion surgery: This is a common treatment option for neuromuscular scoliosis when the curvature of the spine interferes with function or becomes a high degree of curvature. The spinal fusion surgery fuses the spine with metal hardware to stabilize the curve and secure the spine.
This is a foot deformity commonly seen in children with CP. Due to muscle imbalance, the deformity can make weight-bearing activities challenging.
- Split anterior tibial tendon transfer: This surgical intervention releases and transfers tendons in the foot to correct the deformity.
- Calcaneal Osteotomy: This bony surgical procedure is used in patients who have more rigidity of the deformity in the hind foot.
This is a deformity of the foot due to an underlying neuromuscular condition. The abnormality of the muscles in the feet leads to a flat foot with minimal or no arch. This condition is commonly seen in children with hypotonia or low tone.
Orthotics: In children with flexible flatfoot, a brace or orthotic may be helpful to provide better arch support and decrease pain. In children with rigid or painful flatfoot, a surgery may be recommended to correct this deformity and improve the alignment of the foot.
This is a condition in children with an underlying neuromuscular disorder that leads to high tone or muscle tightness in a child’s ankles, and can cause them to walk on the toes or balls of the feet.
- Physical therapy: Several sessions to work on stretching the tight muscles may be beneficial to decrease the amount of toe walking.
- Serial casting: Short leg casts can be applied for two-week intervals to progressively work on stretching the tight muscles to improve the position of the foot and ankle. The addition of Botox injections to help stretch the tight muscles in casts may be more effective in some children.
- Achilles tendon or gastrocnemius lengthening: When physical therapy and serial casting are ineffective in correcting the tight ankle, a surgery may be necessary to achieve a flat foot position with walking. A lengthening is a surgical procedure in which the tight Achilles tendon or gastrocnemius muscle is lengthened to allow greater range of motion and function of the foot and ankle. The lengthening also allows children to better tolerate ankle-foot orthosis and achieve a flat foot position with walking.
Limb Length Inequality
Limb length inequality is a difference in the lengths of a child’s lower extremities (legs). The difference in length can be found in children with hemiplegic CP.
The application of a shoe lift inside a child’s shoe on the shorter side assists in lessening the discrepancy. Surgical treatment to shorten the longer leg is also a way to decrease the discrepancy in children with a greater than 2-centimeter discrepancy. The procedure is called epiphysiodesis, and it is a carefully calculated surgery to close the growth plate in the longer leg and allow the shorter leg to continue to grow and balance out the discrepancy.
Some children with CP develop an inward or outward twist in their lower extremities. When this is excessive, it can interfere with their gait pattern.
Tibial or femoral rotational osteotomy: This surgical procedure is used to correct deformity of the tibia or femur bone. The bone is cut, placed in a corrected position and secured with hardware. The deformities can be surgically corrected with different techniques to provide improved function, especially with gait.
In a child with an underlying neuromuscular disorder, muscle tone can be increased, which can lead to a contracture of the muscle. This means the muscle does not stretch well. Common muscles involved are the hamstrings, adductors, hip flexors and gastrocnemii.
- Physical therapy and bracing: Physical therapy and bracing techniques can help keep muscles stretched to improve range of motion and assist in preventing a muscle contracture.
- Botox: An injection of this is used to temporarily weaken the muscle to allow for stretching of the muscle. The effects of Botox typically last about three months and then wear off. During this time, it is important to aggressively stretch the affected muscle to optimize the medication. Physical therapy and serial casting are commonly used in conjunction with Botox treatment.
- Tendon lengthening surgery: When stretching and bracing are not effective in improving range of motion, tendon lengthening surgery can be used to provide additional stretch and function at various muscle sites. Common muscles lengthened include hamstrings, gastrocnemii and adductors.